February 26, 2018 March 4, 2018 Ma rch 2078 SuMo TuWe Th Fr Sa 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 2 5 26 27 28 Monday, February 26 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 2 1 22 23 24 2 5 26 27 28 29 30 31 Tuesday, February 27 ---,1,1:00pm - 2:00pm Invitation to WebEx meeting: UAC Program FOA t;~ -La _ u_r_e_n _T-:e= le=w== o=rk= -=E=d=w=a r=d=s,=L=a:::;-ur _e_n_(A _C _F_J0________ Jl Sarah L. -Kb)(6) February 2018 SuMo TuWe Th Fr Sa I- Lucas, Sarah (ACF) (CTR) ~--- -----------------~ 10:00am - 11:00am Invitation to WebEx meeting : UAC Program J Discussion (Web Ex Onl ine) - Jona t han White via Cisco WebEx FOA Discussion (WebEx On line) - Jonathan White via Cisco WebEx 1:00pm - 2:00pm UAC FOAs Discussion (Switzer 5225A o r 202 -774-2300 Access Code f bl /6) White, Jonat han (ACF) 10:30am - 11:00am Pre-brief for NSC Principals meeting at WH ■ 4:00pm - 4:30pm March 8th SoT Grantee Meeting Prep (5202) - I- (Deputy Secretary 's Conference Room, 6 14- G) - DeputySecretary Lloyd, Scott (ACF) (OS/ IOS) ■ 11:30am - 12:15pm [Rescheudle Needed] TB Discussion (Scott 's Office ) - Lloyd, Scott (ACF) Wednesday, February 28 Thursday, March 1 10:00am - 10:30am Brief PSI (Russell 199) - Hayes, Sean (HHS/ASL) 9:00am - 9:30am Staff Workload Tracker Due COB TODAY (Send Completed Tracker to Sarah ) - Lucas, Sarah (ACF) (CTR) 4:30pm - 5:00pm ACF Politicals Meeting (4th Floo r I Conference Room 4026A) - Wagner, Steven (ACF) 10:00am - 11:00am Background on ORR Litigations (5603 or Webex) - Kurkjy, Brian (ACF) (CTR) 1:00pm - 2:30pm Reminder: Employee and Labor Relations Meet and Greet (Conference Room 4603 ) - Fleming, Mr. Al (ACF) Friday, March 2 [ Saturday, March 3 Lauren Telew ork - Edwards, Lauren (ACF)O 3:00pm - 4 :00pm Canceled: ACF NPRM (Follow - up from discussion w/ Dep Sec) (Executive Secretary Conference Room (HHS); 614H; Call-in#: 1-877 -934-9715 Passcode:J(b)(6) Secretary Master Calendar (HHS/OS) J- Off ice of the Executive Sunday, March 4 Wahl, Sarah (ACF) (CTR) pVERSIGHT 9 11/27/2018 3:30 PM EXT-18-1509-F-000001 March 5, 2018 March 11, 2018 Apr il 2018 SuMo TuWe Th Fr Sa 4 11 18 25 Monday, March 5 ~ March 2018 SuMo TuWe Th Fr Sa 5 12 19 26 6 13 20 27 7 14 21 28 1 8 15 22 29 2 9 16 23 30 3 10 17 24 31 1 8 15 22 29 2 9 16 23 30 3 10 17 24 4 11 18 25 5 12 19 26 6 13 20 27 7 14 21 28 Tuesday, March 6 uren Telework - Edwa rds, Lauren (ACF)O ■ 2:00pm - 2:30pm Doe v. ORR - Case No . 1:18-cv- 26 - SD Texas (Dial- in: 866-842-0799 I PC:kbl(6) I - Lloyd, Scott (ACF) Thursday, March 8 Wednesday, March 7 ■9:00am - 12:00pm SoT Grantee Meeting (GW Unive rsity) - Lloyd, Scott (ACF) 9:30am - 11:30am ASPE National Poverty Center Pop Up Panel I Using Theory to Inform Youth Interventions (The Hubert H. Humphrey Building , 200 Independence Ave SW, Room SOSA)Oberlander, Sarah (HHS/ASPE) Saturday, March 10 Friday, March 9 II Ken- Telework - Tota, Kenneth (ACF)O I II Lauren AWS - Edwards, Lauren (ACF)O I Sunday, March 11 Wahl, Sarah (ACF) (CTR) pVERSIGHT 10 11/27/2018 3:30 PM EXT-18-1509-F-000002 March 12, 2018 March 18, 2018 Monday, March 12 rr::}i ~ _ La _u_r_e_n_T_e_ le_w_o_rk_ -_E_d_ w_ar_d_s,_L_a_ ur_e_n~(A _C _F~)O ________ ~I ■ 11 :30am - 12:30pm CONFIRMED : Classified Briefing for ACF Principals (O' Neil House Office Bldg (200 C Street, SW], ASPR CAA · Ma rch 2018 Ap ril 2018 SuMo TuWe Th Fr Sa SuMo TuWe Th Fr Sa 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7 Tuesday, March 13 ■9:00am - 10:30am ACF Senior Review Board (SRB) (Conf Rm 5324) - Blake, Sebrina (ACF) ■ 1:00pm -1:30pm RMA Update (Scott 's Office) -Tota, Kenneth (ACF) ■ 3:00pm - 4:00pm Meeting w/ OGC re4{b)(5) Sycamo re CR (O'Neil Sub -ba sement, Suite L1C24)) · Wagne r, St even in: 202 -774- 2300 I PC:kh)/n) (ACF) ■ 3:00pm - 3:30pm EOIR (Scott 's Office) - Lloyd, Scott (ACF) !(Switzer 4 125 I Dial I - Lloyd, Scott (ACF) ■ 4:45pm - 5:00pm ASPR/ACF Repartriaton Meeting Prep (Scott 's Off ice) - Lloyd, Scott (ACF) ■ s:OOpm - 5:30pm ASPR/ACF Repatriation (Deputy Secretary's Conference Room, 607-G) - Moreno, Rafael (OS/ASA/IOS) Wednesday, March 14 Thursday, March 15 ■ 9:00am - 9:30am 9:15 UAC Check-in (Dial- in: 202- 774-2300 I PC: Lloyd, Scott (ACF) f b\/6\ ■ 11:OOam · 12:00pm FOIA 101 for ORR (SWITZER Room 5524) - Bena, Anna Mar ie (HHS/OGC) (ACF) ■ 1:30pm - 2:00pm TB Expertise Staffing Requirements (Scott's office, if possib le) • White, Jonathan (ACF) ■ 12:00pm - 1:30pm Jonathan's Farewell (5122/5202) - Lloyd, Scott (ACF) I- ■ 3:00pm - 3:30pm Meet w/ Amanda (Scott 's Office) - Lloyd, Scott (ACF) 12:00pm - 1:30pm Farewell Celebration for Jonathan White (5122/5202) - Smith, Danna (ACF) (CTR) ■ 3:30pm - 4:00pm Meet w/ Brian and Lauren re: Philadelphia Trip (Scott's Off ice) - Lloyd, Scott (ACF) ■ 1:30pm • 2:00pm 15 minutes w/ Greg Davis (Scott 's Office) - Lloyd, Scott (ACF) ■ 4:00pm - 4:30pm Bond Hearing Appeal Discussion (Scot t's Office)· Lloyd, Scott (ACF) ■ 3:00pm - 4:00pm IRADs Meeting (5122) - Tota, Kenneth (ACF) Friday, March 16 Saturday, March 17 II Lauren Telework · Edwards, Lauren (ACF)O II Pedro- Leave,l(b)(6) I- Moreno, M r. Pedro (ACF) ■ 9:30am · 10:30am Call with DASO Salesses (Call- in 202 -774-2300 kb)/6) Lloyd, Scott (ACF) I- I :1 ■ 10:45am - 11:15am Meeting with Scott Lloyd (Steve Wagner's Office (4032A)) • Wagner, Steven (ACF) ■ 11 :30am - 12:30pm FW: Meeting with HHS, DOS, and FEMA to Discuss Repatriation (U.S. Department of Health and Human Services I 200 C Street SW, Wash ington, DC 20024 I Dial- in : 1-866 -815-4 566; PIN: fb )/6) Sunday, March 18 I - FEMA -NST ■ 1 :00pm - 2:00pm ACF NPRM (Follow -up from discussion w/ Dep Sec) (Executive Secretary Conference Room (HHS)) • Office of the Executive Secretary Master Calenda r (HHS/OS) ■ 2:30pm - 3:00pm Meet w/ Sarah · Lloyd, Scott (ACF) Wahl, Sarah (ACF) (CTR) pVERSIGHT 11 11/27/20 18 3:30 PM EXT-18-1509-F-000003 March 19, 2018 March 25, 2018 Monday, March 19 ~ uren Telework - Edwa rds, Lauren (ACF)O ---------,1 Ma rch 2018 Ap ril 2018 SuMo TuWe Th Fr Sa SuMo TuWe Th Fr Sa 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7 Tuesday, March 20 1 ■ 11 :30am - 12:30pm Meeting w/ Jallyn (Scott's Off ice or Dial- in Lloyd, Scott (ACF) (866-836-9516, passcode kbl(6) ■ 10:45am - 11:00am Gulf Coast TA (quick chat) (St eve's Offi ce) Lloy d, Scott (ACF) ■ 3:00pm - 3:30pm ASPR (Scott 's Office (Rm: 5101)) - Lloyd, Scott (ACF) I) - ■ 3:30pm - 4:30pm Repatriation and follow -up meeting (Anna 's Office) - Melaih, Nah lah (ACF) (CTR) 1:44pm - 2:44pm WebEx Personal Conference confirmation : Edward Lloyd's Personal Conference (WebEx On line) - Cisco WebEx ■ 2:00pm - 2:30pm UAC Coordination (Conference call (202-774- 2300 Partic ipant:kbl(6) Lloyd, Scott (ACF) I) - ■ 3:15pm - 3:30pm Meet w/ Trina re: TS brief at HR {*TIME CHANGE*) (OSSI (5th floor I Rm: S10B)) - Lloyd, Scott (ACF) ■ 3:4Spm - 4:00pm Meet and Greet with the Repatriation Team (Scott's Off ice (Rm: 5101 )) - Lloyd, Scott (ACF) ■ 4:30pm - 5:30pm Repatriation Pre-Decisional Draft (Scott 's Office (Rm: 5101 )) - Lloyd, Scott (ACF) Wednesday, March 21 Thursday, March 22 Kim Womack (Out of Office 9am-11am) Amanda 000 PM I ■ 11:00am - 11:15am Surge Plan Concerns (Scott's Office (Rm: 5101)) Lloyd, Scott (ACF) 2:02pm - 3:02pm WebEx Personal Conference confirmation : Edward Lloyd's Personal Conference (WebEx On line) - Cisco WebEx ■ 3:00pm - 3:30pm Meeting w/ Burmese American Community Tot a, Kenneth (ACF) Institute (5225BI 202-774- 2300 lkb)(6) ■ 11:30am - Staff Small Group (ACF) ■ 4:1Spm - 4:45pm ACF Repatriation Program meeting (Confe rence I I- call (202-774 -2300 Part icipan tj (b)(6) t - Lloyd, Scott (ACF) w/ Belay (Scott 's Office) - Lloyd, Scott 12:15pm • 12:45pm Coffee w/ Elvis & Scott (Starbucks,550 C St SWI #100 Washington DC 20024 l - Llovd, Scott CACFl I ■ 1:00pm -1:30pm Emergency Repatriation Surge Plan Development 4:17pm - 5:17pm WebEx Personal Conference confirmation: Edward Lloyd's Personal Conference (WebEx On line) - Cisco We bEx Core Planning Team Meeting (Confe rence Call on ly 2027742300 Pin f bl/6\ Fontenot, Rebecca (OS/ASPR/OEM) O I- ■ s:OOpm - 6:00pm Discussion re: Sponsors (Conf Call#: ERO Schedu ler 877 -795- 5149; Part icipant Code: f b)(6) I- ■ 3:00pm - 3:30pm Update on Lapse in Appropriations Planning Goldhaber, Ben (ACF) ■ 4:00pm - 5:00pm Internal ORR Repatriation Meeting (Room 5603 Melaih , Nahla h (ACF) Call- in:202 -774- 2300 Participants :!/bl(6) (CTR) I- Friday, March 23 Saturday, March 24 II Ken- Telework - Tota, Kenneth (ACF)O II Lauren AWS - Edwards, Lauren (ACF)O ■ 9:00am - 11:30am 000fb )(6) :1 I ■ 1:00pm - 1:30pm Call w/ DASO Salesses (Scott to call 703-697 - 5774) - Lloyd, Scott (ACF) ■ 1:30pm - 2:00pm Call on HJOA (866-736-3991 PC:!(b\(6) Brian (ACF) (CTR) I - Kurkjy, ■ 2:00pm - 2:30pm Roles and Responsibilities (Scott's Off ice (Rm: 5101)) - Lloyd, Scot t (ACF) Sunday, March 25 3:00pm - 4:00pm HHS Quarterly Senior Leaders Intelligence Brief (HHS SCIF (523B) Large Conferenc e Room) - Schmoyer, Michae l (OS/OSSI) Wahl , Sarah (ACF) (CTR) pVERSIGHT 12 11/27/20 18 3:30 PM EXT-18-1509-F-000004 March 26, 2018 April 1, 2018 Monday , March 26 Ma rch 2018 Ap ril 2018 SuMo TuWe Th Fr Sa SuMo TuWe Th Fr Sa 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 8 15 22 29 2 3 4 5 6 7 91011121314 16 17 18 19 20 21 23 24 25 26 27 28 30 Tuesday, March 27 r .. ,---,- ---:;-1 12:00am Sarah - Leave/ad - hoc Telewo rk - Lucas, Sarah (ACF) (CTR) Sarah - Leave/a d- hoc Telewo rk - Lucas, Sarah (ACF) (CTR) ~ ■ 12:00am Work Travel r Lauren Telewo rk - Edwards, Lauren (ACF)O ..., ■9:00am - 9:30am ■ 12:00pm - 12:30pm Personnel Follow -Up (Scott 's Office (5103) I Con ference call (202- 774-2300 Participant: f b\/6) !) - Lloyd, Scott (ACF) 12:00p m - 2:30p m Emergency Repatriat ion Communi cations Wo rking Group (Web) - Radebach, Mary (OS/ASPR/COO) 1:00pm - 3:30pm Gang Aware ness Trainin g (HHH Small Auditorium ) - Kurkjy, Brian (ACF) (CTR) 12:0 1pm - 1:01 pm Web Ex Personal Conference confirmation : Edw ard Lloyd 's Personal Conference (WebEx On line) - Cisco WebEx ■ 2:00pm - 2:45pm ACYF/ OTI P/ ORR Follow -up Discussion (4t h Floor IOAS Conference Room I 4026A OR 866-687-9176/Passcode: f bl/6\ ~ - Wagne r, Steven (ACF) 1:00pm - 2:30p m REMIND ER - ACF Ethics Info Session: Im partiality W hile Performin g Offi cial Duties (Switzer Build ing-- Room 3126 and A do be Connect) - Holmes, Risha (ACF) I 1:00pm - 2:00 pm RCUSA Mee ting (Mary E. Switzer 330 C. St. SW DC 20201 I Conference Room 5122/5202 I Dial- in Below) - Tota, Kenneth (ACF) 5:00pm - 5:30pm Follow -up Call: HH S/ACF/ORR and Texas OAG (Call In: 866 - 736- 3991 PC:l(b)(6) Kurkjy, Brian (ACF) (CTR) I- Wednesday, March 28 Thursday, March 29 ii' -==I [I .. Sarah - Leave/ad -hoc Telework - Lucas, Sarah (ACF) (CTR) Sarah - Leave/a d-hoc Telework - Lucas, Sarah (ACF) (CTR) ..., ■ 9:30am - 10:00am Personnel Week ly (Scott 's Office (Rm: 5101)) - +- 12:00am Work Travel 1:00pm - 2:00p m HH S staf f meet and greet (Hallford 's Rest au rant & Bar) - Russell, Elizabet h (ACF) ■ 1 :30pm - 5:30p m 1:30pm -5:24 pm (DFW ) to DCA) I AA #936 Confi rm at ion# QEHIL (SEAT: 19E) Lloyd, Scott (ACF) ■ 12:30pm - 1:00pm M eet ing re: URM case refe rrals w/ Inte rim Assistance (Scott's Off ice) - Tota, Kenne t h (ACF) I 3:15pm - 3:45pm Meet -a nd- Greet w/ BCS President and Director of Gov't Affa irs (Mary E. Switze r 330 C. St. SW DC 20201 I Con ference Room 4125) - Tot a, Kenneth (ACF) Friday, March 30 Saturday, March 31 .. 12:00am Sarah - Leave/a d-hoc Telework - Lucas, Sarah (ACF) (CTR) I Lauren Telework - Edwards, Lauren (ACF)O r Pedro- Leave (Follow Upkb)(6) I - Mo reno, Mr. Pedro (ACF) ■ 10:00am - 10:30am Travel Questions (NY/ Philly) (Conference Call 202 -774-2300 1PC:Kb)(6) Lloyd, Scott (ACF) I- I Sunday, April 1 Wahl , Sarah (ACF) (CTR) pVERSIGHT 13 11/27/20 18 3:30 PM EXT-18-1509-F-000005 April 2, 2018 April 8, 2018 - Monday, April 2 lr, Apr il 2078 May 20 18 SuMo TuWe Th Fr Sa SuMo TuWe Th Fr Sa 1 8 15 22 29 1 2 3 4 5 6 7 8 9101 1 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2 3 4 5 6 7 91011121314 16 17 18 19 20 21 23 24 25 26 27 28 30 Tuesday, April 3 ➔ 1 2:00am Ken - Leave - Tota, Kennet h (ACF) I Lauren Telework - Edwards, Lauren (ACF)O ■ 11:30am - 11:45am Repatriation Update (Scott 's Office (Rm: 5101)) Lloyd, Scott (ACF) ~ Ken - Leave - Tota , Kenneth ➔1 (ACF) ■9:30am - 10:00am Homestead Contract Discussion (Scott's Office or 866-736 -3991 PC:kbl(6) Lloyd, Scott (ACF) I- 10:00am - 10:30am 10:00am Transport to EEOB (Driver : laiilliI:J liliiiliJI Cell:l(b)(6) I ■ 2:00pm - 2:30pm Call w/ James and Scott (James to Scott) - Lloyd, Scott (ACF) _J 2:30pm - 3:00pm Monitoring Reports (REVIEW} (Sharepoint) I I I 10:30am • 11:SOam Refugee Resettlement PCC (EEOB445) - Norris, Amv B._EQP/NSC ■ 11:00am - 11:30am ■ 3:00pm - 3:30pm Prep meeting w/ Maggie (Magg ie's office ) 11:30am - 12:00pm 11:50am Pick- up EEOBto Switzer (Drive r: ■ 3:30pm - 4:00pm Garza Litigation Call (Conference Room 716A or Conf erence number: 1-877-799 -3580 passcode !(bl(6) (ha rrow, Robert (HHS/OGC) laiilliI:JliliiililI CelI:l11r i,,.,,,~ ? 11:,, 1,..,? r 11 11 AMlf 1 o ,J, l1~1n: :o,,, .oo lti:Ht,,,.i1 ,i 1 111 4o ~1 11 r, t:,u IC/\r-... pVERSIGHT 51 EXT-18-1509-G-000036 DEPARTMENT OF'HEALTH & HUMAN SERVICES Office of the 'Secretary To: The Secretary Through: Tim Clark, White House Liaison From: Heidi Stirrup Subject: Administer the Oath of Office - Judy Stecker for Assistant Secretary of Public Affairs (ASP A) Date: April 11, 2018 Event Det ails: Date: Time: Locat ion: HHS Staff: Press: Thur sday, April 12 , 20 18 3:30 pm - 4:00 pm 6 15-F - Secretary's Conference Room Tim Clark , Heidi Stirrup (WHL) No Who requested this event: White House Liaison Topic: A dm injster the Oath of Office to the Assistant Secre tary for Pub lic Affai rs - Judy Stecker Secretary 's Role: To Adrninis ter the Oath of Office and welcome the newest member of the HHS Team. There is no need to sign the Appointment Affidavit as tha t was done the day of her onboard ing, Apri l S, 2018. List of Atte ndees/Pa rticipant s: HH S Staff: WHL - Tim Clark; Heid i Stirrup; ASPA political staff to include: Jeffrey Rosenberg, Ryan Murphy, Jonathan Wilcox , David Pasch, Patrick Brennan, Carl Paulus , Ca itlin Oakley, Gavin Smith, Ril ey Althouse ; and caree r staff: Mark Weber and Bill Hall ; Mr. Comtuey Stecker, husband of Judy Stecker Meeting/ Event Age nda: o Greet appointee; guests. o An-ange in front of flags - Mr s. Stecker left hand on bib le; ra ise right hand o Read the oath and have J udy Stecker repeat after yo u o Congratulate after administe rin g the oath o Photos Background: The ASPA is a Presidential Appointme nt (PA), but does not re qu ire Senate confirmat ion. Mrs. Stecke r' s appointment was annom1ced by the White House March 9, 2018. The commission was signed by the President April 4. She was brou ght onboard HHS on Apri l 5 and administered tbe oath of office at that time. Trus swearing- in is ceremonia l in nature. AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000037 DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the 'Secretary Here is some background on Mrs. Stecker: o o o o Mrs. Stecker most recently served as executive director of media relations and strategic marke ting at the American Enterprise Institute (AET), w here she managed the media relations, design services, video production, and editorial services departments and was responsible for AEI's media and marketing strategies across all its research ar-eas. Previously, she served as a senior associate on the communicatio ns staff for the Heritage Foundation and as director of commw1ications for the Foundation for Defense of Democracies. Bom and raised in upstate New York, Mrs. Stecker received a B.A. from Syracuse University and an M .A. in commun ication, culture, and technology from Georgetown University. Mrs. Stecker and her husband, Courtney, live in Notthem Virginia. Attachments: 1. Script for the Oath AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000038 Script for Oath of Office l,__ (state your full name) ____________ solemnly swear (or affirm) that-- _, do I will support and defend the Constitution of the United States against all enemies, foreign and domestic; that I will bear true faith and allegiance to the same; that I take this obligation freely, without any mental reservation or purpose of evasion; and that I will well and faithfully discharge the duties of the office on which I am about to enter. So help me God. Congratulations and welcome .... AMERIC/\r-... pVERSIGHT EXT-18-1509-G-000039 Bell, Michael (OS/ASPA) Subject: AMA departs . for dinner with Chairman Walden etc. Start : E'nd: Thu 4/12/2018 6:00 PM Thu 4/12/201 '8 6;30 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : Secretary Schedu l?er (0S/10S) llhlZfill (OS/10S); Harrison, Brian (HHS/10S); Olson, Carolyn (0S/10S); Pelekoudas, Kristina (HHS/105); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanowkz, Peter (HHS/10S) AMlf IC/\r-... pVERSIGHT 55 EXT-18-1509-G-000040 Bell, Michael (OS/ASPA) Subject: Location: AMA to have dinner with Chairman Walden Captial Hill Club-4th Floor in the Lincoln Suite Start: End: Thu 4/12/2018 6:30 PM Thu 4/12/2018 8:30 PM Recurrence: (none) Meeting Status : Accepted Organizer : Required Attendees : llhlLruJ (OS/IOS); Harrison, Secretary Scheduler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Tignor, Beth (HHS/IOS); iwomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/IOS); Morse, Sara (HHS/ASL); Bassett, Matthew (HHS/ASL) Congressman Walden, Congressman Burgess and Congressman Guthrie. Jenny Forrest Scheduler Office of Rep. Greg Walden (OR-02) 2185 Rayburn HOB (202) 225-6730 AMlf IC/\r-... pVERSIGHT 56 EXT-18-1509-G-000041 Bell, Michael (OS/ASPA) Subject: Location: AMA to meet with John O'Brien and Dan Best Start : End: Fri 4/13/2018 7;30 AM Fri 4/13/2018 8;00 AM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : llhlZfiTI (OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn 615-F Secretary Scheduler (OS/IOS) (OS/IOS); Pelekoudas , Kristina (HHS/IOS); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urban ow icz, Peter (HHS/IO5); Best, Daniel (HHS/I OS); O'Brien , John (HHS/ ASPE) Pis add John OB and Dan B t o A M A's mo rhing . 0730 to rev iew most recen t edi t s to a document. AMlf IC/\r-... pVERSIGHT 57 EXT-18-1509-G-000042 Bell, Michael (OS/ASPA) Subject: Location: AMA Briefo,g with Deputy Secretary Eric Hargan 615-F Start : Fri4/13/2018 8:30 AM End: Fri 4/13/2018 9:00 AM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : !lhlffiil(OS/IOS); Harrison, AMlf IC/\r-... pVERSIGHT Secretary Scheduler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas , Kristina (HHS/10S); l ignor, Beth (HHS/10S); Twomey , John K. (HHS/ASL); Urbano w icz, Peter (HHS/105); !{filIJBrady, Will (HHS/ 105) ; Callahan, Kenneth (HHS/105) 58 EXT-18-1509-G-000043 Bell, Michael (OS/ASPA) Location : AMA OGA Briefing on Combating Antibiotic-Resistant Resistance (AMR) 610-F Start : End: Fri 4/13/2018 9;30 AM Fri 4/13/2018 10:00 AM Recurrence: (non e) Meeting Status: Accepted Organizer : Required Attendees; l?hl!fill(OS/IOS); Harrison, Subject: ojl,lli' If: Bacteria (CARB)/Antimicrobial Secretary Schedu ler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas, Kristina (HHS/1OS);Tignor, Beth (HHS/1OS);Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/1OS); Grigsby, Garrett (HHS/OS/OGA); Zebley, Kyle (HHS/1O5); Fauci, Anthony (NIH/NIAID) [E]; Healy, Jenifer (HHS/OS/OGA); Kerr, Lawrence (HHS/OS/OGA); Schuchat, Anne MD (CDC/OD); Kadlec, Robert (OS/ASPR/1O);Giroir, Brett (HHS/OASH); Gottlieb , Scott (FDA); scott.gottlieb@fda .hhs.gov; Conrad, Patricia (NIH/NIAI D) [EJ; Wolfe , Mitchell (CDC/OD/CDC WO); Lapinski , Mary-Sumpter (HHS/IOS) M ,!111li1lliol"I ,, 4,11toJ~4 f~::.. SchedulingRequestMemo for SecretaryAzar Topic: Combating Antibiotic-Resistant Bacteria (CARS)/ Antimicrobial Resistance (AMR.) Lead 10S Counselor: Brian/ Mary - Sumpter Has this request been approved by (Peter/ Brian): Brian AMA 's Role: To be briefed issues surrounding AMR Request POC (Name, Cell and email) : Kyle Zeblev , l._ (b_)(_6)___ _. Is Conference Call Line needed? Yes !rh)(6) I PC: !(bj(6) I Leader: kb)CB\ Who will initiate the conference call? John Twomey/ Rose Lusi Will there be Briefing Materials provided? Y IL- pvERSIGHT 59 EXT-18-1509-G-000044 ~ If yes, who will send them to Kristina Pelekoudas (Name)? Kyle Zebley HHS Staff Attendees : o OGA - Garrett Grigsby o OGA-Jeni Healy o OGA - Larry Kerr o CDC- Ann Schuchat o CDC- Mitch Wolfe o ASPR- Bob Kadlec o ASH - Brett Giroir o FDA - Scott Gottlieb NIH - Tony Fauci External Attendees : N/ A Additional Notes: N/ A AMlf IC/\r-... pVERSIGHT 60 EXT-18-1509-G-000045 D~PARTMENT OF HE AL TH & H UMAN SERVICES Office of the Secretary Scheduling Request Memo for Secretary Azar Topic: Combating Antibiotic-Resistant Bacteria (CARB)/Antimicrobial Resistance (AMR) Lead 10SCounselor: Maggie Wynne Has this request been approved by (Peter/ Brian): Brian AMA's Role: To be briefed issues surrounding AMR Request POC (Name, Cell and email): Kyle Zebley, j~(b_)(_6_) --~ Is Conference Call Line needed? No Who will initiate the conference call? N/ A Will there be Briefing Materials provided? Y ~ If yes, who will send them to Kristina Pelekoudas (Name)? Kyle Zebley HHS Staff Attendees: o OGA - Garrett Grigsby o OGA - Jeni Healy o OGA - Larry Kerr o CDC- Ann Schuchat o ASPR- Bob Kadlec o ASH - Brett Giroir o FDA - Scott Gottlieb External Attendees : N/A Additional Notes : N/ A AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000046 Bell, Michael (OS/ASPA) Subject: Location: AMA to meet with Matt Bassett Start : End: Fri 4/13/2018 1:00 PM Fri 4/13/2018 1;15 PM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlLfiTI (OS/IOS); Harrison 615-F Secretary Scheduler (OS/IOS) 1 Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas, Kristina (HHS/IOS); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/IOS); Bassett, Matthew (HHS/ASL); McGuffee, Tyler Ann (HHS/1OS) Brian requested AMlf IC/\r-... pVERSIGHT 62 EXT-18-1509-G-000047 Bell, Michael (OS/ASPA) Subject: Location: AMA to go to SCIF SCIF Start : End: Fri 4/13/2018 1~30 PM Fri 4/13/2018 1:45 PM Recurrence: (none) Meeting Status: Accepted Organizer : Required Attendees : Secretary Schedufer (OS/IOS) Secretary Schedu ler (OS/IOS); lailifill(OS/I0S) ; Harrison 1 Brian (HHS/IOS); Olson , Carolyn (0S/ 10S) ; Pelekoudas, Kristina (HHS/I0S); Tignor, Beth (HHS/I0S) ; Twomey , John K. (HHS/ASL); Urbanowicz, Peter (HHS/IOS); Schmoyer, Michael (OS/OSSI); Aguirre, Lisa (0S/IOS/OSSI) Freas, Christa (OS/ASA/OSSI) (CTR) Optional Attendees: AMlf IC/\r-... pVERSIGHT 63 EXT-18-1509-G-000048 Bell, Michael (OS/ASPA) Subject: Location: AMA initia l Prep time for Senate Labor Committee Hearing on 4/19 Start : End: Fri 4/13/2018 2;00 PM Fri 4/13/2018 3:30 PM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : llhlZfiTI (OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn 615-F Secretary Scheduler (OS/IOS) (OS/IOS); Pelekoudas , Kristina (HHS/IOS); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/IOS); Bassett, Matthew (HHS/ASL); Morse , Sara (HHS/ASL); Arbes, Sarah (HHS/ASL); Moughalian, Jen (HHS/ASFR); Street, Amanda (HHS/IOS); McGuffee , Tyler Ann (HHS/IOS) Pending Schedu le request memo AMlf IC/\r-... pVERSIGHT 64 EXT-18-1509-G-000049 Bell, Michael (OS/ASPA) Subject: AMA Departs for DCA Start : E'nd: Fri 4/13/2018 3:45 PM Fri 4/13/2018 5:00 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : Secretary Schedu l?er (0S/10S) llhlZfill (OS/,10S); Harrison , Brian (HHS/10S); Olson , Carolyn (0S/10S); Pelekoudas , Kristina (HHS/105); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanow k z, Peter (HHS/10S) AMlf IC/\r-... pVERSIGHT 65 EXT-18-1509-G-000050 Bell, Michael (OS/ASPA) Subject: Location: AMA Wheels up DCA to IND Peresonal Pay Start: End: Fri 4/13/2018 5:05 PM Fri 4/13/2018 7:00 PM Recurrence: (none ) Meeting Status : Accepted Organizer: Required Attendees : llhlZruJ (OS/IOS); Harrison , Brian (HHS/10S); Olson , Carolyn Secretary Schedu ler (OS/IOS) (0S/10S) ; Tignor , Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/IOS) AmericanAirlines ~ . Hello Alex Azar! Issued: Mar 8, 2018 Record locator: k~ b~)<6~ J__ ~ View your trip Friday,April13,2018 DCA 5:05 PM WashingtonReagan Seats : 8C Class : Economy (M) IND ? 7:QQPM Meals: Indianapolis American Airlines 4642 -~ pVERSIGHT 66 EXT-18-1509-G-000051 OPERATED BY REPUBLIC AIRLINES AS AMERJCAN EAGLE. AMlf IC/\r-... pVERSIGHT 67 EXT-18-1509-G-000052 Bell, Michael (OS/ASPA) to Senator Subject: Location: AMA to make call Call Start : End: Mon Mon Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlLfill(OS/IOS) ; Harrison , Brian (HHS/IOS); Roy Blunt 4/16/20 18 2:00 PM 4/16/2018 2:15 PM Secretary Schedu ler (OS/IOS) Olson, Carolyn (OS/1OS); Pelekoudas , Kristina (HHS/IOS); Tignor, Beth (HHS/1OS); Twomey , John K. (HHS/ASL); Urbanow icz, Peter (HHS/IOS); Moughalian , Jen (HHS/ASFR); Stree t, Amanda (HHS/IOS) ; Bassett , Matthew (HHS/ASL); Arbes, Sarah (HHS/ASL); Morse , Sara (HHS/ASL) Lead: ASFR Topic : Call w ith Senator Blunt ahead of LHHS Hearing 4/19 AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000053 Bell, Michael (OS/ASPA) Subject: Location: AMA to call Peter and Brian CALL Start : Thu 4/19/2018 4;45 PM End: Thu 4/19/2018 5:15 PM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : llhl1fiTI (OS/IOS); Harrison, Secretary Scheduler (OS/IOS) Brian (HHS/IOS) (Brian.Harrison@hhs.gov) ; Urbanowicz , Peter (HHS/10S) AMAto call Peter or Brian's cellphone to connect AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000054 Bell, Michael (OS/ASPA) Subject: Location: AMA Call w/ ASPA PC: !rb)(6) Call: l..'11 111 )>,s 1,?,;i1?o~o\., LI J1,,..;11 l~'/4k in,u1; :??, ~-,, Jr1lr~llllo1ho , .. Topic : Objective: CMS In novation Background br ie fin g on the structure , function, and authority of the CMS Innovation Center Lead 10S Counselor: AMA's Role : Center John O'Brien Ask questions and provide feedback Request POC (Name , Cell and ema il) : Is Conference Call Line n eeded? Will the re be Briefing Materials Aaron Fischba ch , K ,_b_)(_6_) __ Not at this time provided? Yes ~ If yes, who will send them to Kristina Pelekoudas (Name )? \VIL pVERSIGHT __,~ aa ron.fisc h bac h @hhs .gov 18 Aaron Fischbach EXT-18-1509-G-000070 HHS Staff Attendees: Eric Hargan, John O'Brien, Seema Verma, Amy Bassano, Demetrios Kouzoukas, Bob Charrow, Kelly Cleary, Ann Agnew, Jen Moughalian AMlf IC/\r-... pVERSIGHT 19 EXT-18-1509-G-000071 DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the 'Secretary To: The Secretary Through: Eric D. Hargau , Deputy Secretary From: Seema Verma, Adrninjstrator Cente rs for Medicare & Medicaid Service s Sub_ject: Informational Briefing on the Center for Medicare and Medicaid Innovation (Innovation Center /CMMJ) Date: Wedne sday , April 25, 2018 Meeting Details: Date: Thursday, April 26 , 20 L8 Time: 1:30 P.M.-2:00 P.M. Location: 610-F Who is leading the meeting: Seema Verma Secretary's Role : Ask questions and provide feedback Topic: CMS Innovation Center /CMMI Reason: CMS will provide a briefing on the structure , function , and authority of the CMS Innovation Center Participants: Seema Verma , CMS Demetrios Kouzoukas, CMS Brady Brookes , CMS Jeet Guram, CMS Adam Boehler, CMS Amy Bassano, CMS Anand Shah , CMS Eric Hargan , IOS John O'Brien , IOS Peter Urbanowicz, IOS Kristina Pelekoudas , IOS Will Brady, !OS Brian HatTison , IOS Bob Charrow , OGC Kelly Cleary, OGC Ann Agnew , 10S Background: The purpose of the Innovat ion Cente r/CMM I is to test "innovative payment and se1vice deli ve1y models to reduce program expenditures ... while preserving or enhancing the quality of care" provided to individuals who receive Medicare , Medicaid , or Chi ldren 's Health Insurance Program (CHIP ) benefits. Section 1115A provided $5 million in fiscal year 2010 and provides a total of $10 billion for the se purposes over the fiscal years 20 11 through 2019 , as well as an additional $10 billion each decade thereafter. AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000072 DEPARTMENT OF HEALTH & HUMAN SERV ICES Office of the 'Secretary Section l 115A(c) provides the Secretary of Healtb and Human Services with the autb01ity to expand through mlemaking the duration and scope of an alternative payment model {APM) being tested or a demonstration project under section l 866C, including implem entation on a nationwide basis. In order for the Secretary to exercise this authority , the CMS Chief Actuary must certify that expansion of the model wou ld reduce (or not increase) net program spending, the model must maintain or improve quality, and the model must not deny or limit the coverage or provision of benefits under Medicare , Medicaid, or CHIP. In addition to model expansion determinations, section 1115A also requires the Secretary to tenninate or modify models tested under section 1115A, at any time after testing has begun and before compl.etion if the model is increasing costs or lowering quality. Attachment: 1. CMMI Informational Slide Deck 2. AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000073 Page074 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMc:HICAN pVERSIGHT EXT-18-1509-G-000074 Page075 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMc:HICAN pVERSIGHT EXT-18-1509-G-000075 Page076 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMc:HICAN pVERSIGHT EXT-18-1509-G-000076 Page077 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMc:HICAN pVERSIGHT EXT-18-1509-G-000077 Page078 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMc:HICAN pVERSIGHT EXT-18-1509-G-000078 Page 079 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMc:HICAN pVERSIGHT EXT-18-1509-G-000079 Page080 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMc:HICAN pVERSIGHT EXT-18-1509-G-000080 Page 081 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMc:HICAN pVERSIGHT EXT-18-1509-G-000081 Page082 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMc:HICAN pVERSIGHT EXT-18-1509-G-000082 Page083 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMc:HICAN pVERSIGHT EXT-18-1509-G-000083 Bell, Michael (OS/ASPA) Subject: Location: AMA to review options for Memorial Day event Start : End: Thu 4/26/2018 3:00 PM Thu 4/26/2018 3:15 PM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlLfill(OS/IOS); Harrison, 615 -F Secretary Scheduler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas , Kristina (HHS/IOS); Tignor, Beth (HHS/10S); Twomey,. John K. (HHS/ASL); Urbanow icz, Peter (HHS/10S); Kalavritinos, Jack (0S/[EA) ; Stecker, Judy (0S/ASPA); Trueman, Laura (HHS/I EA} I 1, ~i1h.o~ur i1hf lr.i ll 1,11o1M-lll11,.v??"..o Top ic: to review I options for the Secretary to partici pate in an event over the Memorial Day weekend in MD AMlf IC/\r-... pVERSIGHT 20 EXT-18-1509-G-000084 Page085 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act AMlf HC/\r-... pVERSIGHT EXT-18-1509-G-000085 Page086 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act AMlf HC/\r-... pVERSIGHT EXT-18-1509-G-000086 Bell, Michael (OS/ASPA) Subject: AMA departs to HHS Start : E'nd: Fri 4/27/2018 8:45 AM Fri 4/27/2018 9;15 AM Recurrence: (none) Meeting Statu s: Accepted Org anizer: Required Attende es: Secretary Schedu l?er (0S/10S) llhlIBTI (OS/IOS); Harrison , Brian (HHS/10S); Olson, Carolyn (OS/IOS); Pelekoudas, Kristina (HHS/105); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanow k z, Peter (HHS/10S) AMlf IC/\r-... pVERSIGHT 22 EXT-18-1509-G-000087 Bell, Michael (OS/ASPA) Subject: Location: AMA to call I AM HHS employee for Apr il 615-F / Call Start : End: Fri 4/27/2018 9:30 AM Fri 4/27/2018 9:45 AM Recurrence: (.none) Meeting Status: Accepted Organizer: Required Attendees: llhlLfill(OS/IOS); Harrison, Secretary Scheduler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas, Kristina (HHS/10S); Tignor , Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/ 105); Smith, Gavin (OS/ASPA); Stecker, Judy (OS/ASPA) :?.o1:11,,il,,j, 1;:1~:P '" o ;, I" ,,,11:j L.,;, '"Ji~... Topic: I Am HHS Objective: Congratu lat ory Phone Call from Secretary Azar Lead 105 Counselor: Not Any Has this request been approved by (Peter/ Brian): Yes (Bri an) AMA's Role: M ake Phone Call Request POC (Name, Cell and email): Gavin Smith Kb){6) Gavin.smith@hhs.gov Is Conference Call Line needed? Normal phon e line needed Who will initiate the conference call? Gavin Smith AMLF IC/\t\. pVERSIGHT 24 EXT-18-1509-G-000088 Will there be Briefing Materials provided? Y/N ~ If yes, who will send them to Kristina Pelekoudas (Name)? Yes, Gavin Smith HHS Staff Attendees: Gavin Smith External Attendees: None Additional Notes: Call I Am HHS nominee Alice Wang of CDCto congratulate her on her nomination and let her know we will be rolling out her segment later that day. AMlf IC/\r-... pVERSIGHT 25 EXT-18-1509-G-000089 DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the Secretary Scheduling Request Memo for Secretary Azar Topic: I Am HHS Objective: Congratu latory Phone Call fro m Secretary Azar Lead IOS Counselor: Not Any Has th is request been approved by (Pete r / Brian): Yes (Brian) AMA's Role: Make Phone Call Request POC (Name, Cell and em a il): Gavin Smith ~b)(6) Gavin.smith@hhs .gov Is Conference Call line needed? Norma l phone li ne needed Who will initi ate the conference call? Gavin Smith Will ther e be Briefing Materials provid ed? Y/N ~ If yes, who will send them to Kristina Pelekoudas (Nam e)? Yes, Gavin Smith HHS Staff Att endees: Gavin Smith AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000090 DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the Secretary External Attendees : Non e Additional Notes: Call I Am HHS nominee Alice Wang of CDCto congratulate her on her nomination and let her know we will be rolling out her segment later that day. AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000091 Bell, Michael (OS/ASPA) Subject: Location: AMA to meet with CDC Director, Dr. Robert Redfield Start: End: Fri 4/ 27/2018 2:00 PM Fri 4/27/2018 2:30 PM Recurrence: (none ) Meeting Status: Accepted Organizer: Required Attendees : IZiilifilJ (OS/IOS); Harrison, Brian (HHS/IOS); Olson, Carolyn 615-F Secretary Scheduler (OS/ IOS) (OS/IOS); Pelekoudas, Kristina (HHS/IOS); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/ IOS); McGowan, Robert (Kyle) (CDC/00/0CS) ; Lapinski, Mary -Sumpte r (HHS/ IOS); Strength, Tracie (CDC/00 / 0CS); Scales,Scott L. (CDC/00/0CS) ; Agnew , Ann (HHS/IOS) Topics: o CDC's opio id strategy o Touch on Dr. Redfie ld's longer term prio rities that will be highlighted in the upcom ing budget process . o HIV/A IDS o Hep C eradication o Increasing Immunizations rat es AMlf IC/\r-... pVERSIGHT 27 EXT-18-1509-G-000092 Bell, Michael (OS/ASPA) Subject: Location: AMA to attend investiture of Greg Katsas Ceremonial Coutroom, 6th floor, US Courthouse, 333 Consitutation Ave. NW Start : End: Fri 4/27/2018 4:00 PM Fri 4/27/2018 7:00 PM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : !lhlffiil(0 S/IOS); Harrison, Secretary Scheduler (OS/10S) Brian (HHS/10S); Olson, Carolyn (0S/10S); Pelekoudas, Kristina (HHS/10S); Tignor , Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanowicz , Peter (HHS/10S) Reception to follow ?at 3.00 New Jersey Ave. NW, Washington DC AMlf IC/\r-... pVERSIGHT 28 EXT-18-1509-G-000093 Bell, Michael {OS/ASPA) From : Sent: To: Subject: Tignor, Beth (HHS/1OS) Tuesday, April 10, 2018 5:18 PM Katsas_RSVP@CADC.USCOURTS .gov RSVP Hello, I would like to please RSVPfor Alex Azar to attend the Investiture of the Honorable Gregory G. Katsas on Friday April 27th at 4pm . Please fee l free to contact with me with any questions . Best wishes Beth Beth Tignor Director of Scheduling The Department of Health and Human Services 202-868-9795 Beth.Tignor@hhs.gov Confidential and pre-decisional communication AMlf IC/\r-... pVERSIGHT 1 EXT-18-1509-G-000094 Bell, Michael (OS/ASPA) Subject: AMA departs fo r DCA Start: E'nd: Fri 4/27/2018 7:00 PM Fri 4/27/2018 8:00 PM Recurrence: (none ) Meeting Status: Accepted Organizer : Required Attendees : Secretary Schedu ler (OS/IOS) llhlZfill (OS/,IOS); Harrison, Brian (HHS/IOS); Olson , Carolyn (OS/IOS); Pelekoudas , Kristina (HHS/105) ; Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL): Urba now icz, Peter (HHS/10S) Bottom of Form AMlf IC/\r-... pVERSIGHT 29 EXT-18-1509-G-000095 Bell, Mi chael (OS/ASPA) Subject: Location : AMA Wheels up DCA to IND Personal Pay Travel Sta rt: End: Fri 4/27/2018 8:00 PM Fri 4/27/2018 9:50 PM Recurrence: (none) M eeting Stat us: Accepted Org anizer: Requ ired Att en dees: lfriliruJ (OS/IOS); Harrison, Secretary Schedu ler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas , Kristina (HHS/IOS); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/ IOS) ~ Record locator: K ~b_)_ (6_) __ Trip name: DCA / IND Issued: Saturday, April 21, 2018 Status: Ticketed Depart Washington, DC to India napolis, IN Friday,April27,2018 Flight ' Depart Arrive ~ Aircraf t Class Seats ~ 4 702 America n Au-lines WiFi onboard Operated by Republic Airlines as American Eagle AMlf Travel time 4 702 America n Airlines WiFi onboard 8:00 PM 9:50 PM DCA IND Esti mated 8:00PM Terminal : - Estimated 9:50 PM Terminal: - lnfonnatio lnfonnatio 11 n unava ilable Gate: -- unavailable Gate: 813 IC/\r-... pVERSIGHT Opera ted by Repub lic Airli nes as American Eagle 30 Seats Travel timelh 50m AircraftE7 5 Class Econorn J '.>DOpen s y seat map EXT-18-1509-G-000096 Flight Depatt Arrive lnfonnatio Baggage:6 Travel time Aircraf t Class Seats 11 unavailable Get alerts for this flight Bottom of Form AMlf IC/\r-... pVERSIGHT 31 EXT-18-1509-G-000097 Bell, Michael (OS/ASPA) Subject: AMA departs to HHS Start : E'nd: Mon 4/30/2018 9:45 AM Mon 4/30/2018 10:15 AM Recurrence: (none _) Meeting Status: Accepted Organizer: Required Attendees ! Secretary Schedu l?er (0S/10S) !lhliiill(OS/10S); Harrison , Brian (HHS/10S); Olson , Carolyn (0S/10S); Pelekoudas , Kristina (HHS/10S); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanow k z, Peter (HHS/10S) AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000098 Bell, Michael (OS/ASPA) Subject: Location: AMA pre - brief for Patient Group Roundtab le Start : End: Mon 4/30/2018 12:45 PM Mon 4/30/2018 1;00 PM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : llhlmIJ (OS/IOS); Brennan, Patrick (OS/ASPA); Harrison , Briian (HHS/IOS); Katavritinos, 615-F Secretary Scheduler (OS/IOS) Jack (0S/ IEA); Olson, Car.olyn (0S/I0S) ; Paulus, Carl (0S/ASPA); Pelekoudas, Kristina (HHS/I0S); Smith, Christopher (HHS/ASPA); Stecker, Judy (0S/ASPA) ; Tignor, Beth (HHS/IOS); Trueman, Laura (HHS/ IEA); Twomey, John K. (HHS/ASL); Urbanow'icz, Peter (HHS/IOS) Prep AMA for Patient Gro up RT at 1pm AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000099 Bell, Michael (OS/ASPA) Subject: Location: AMA to meet with Patients Group 610-F Start : End: Mon 4/3 0/20 18 1:00 PM Mon 4/30 / 2018 2:00 PM Recurrence: (no ne) Meeting Status : Accepted Organizer: Required Attendees : llhlZfill (OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn Secretary Scheduler (OS/ IOS) (OS/IOS); Pelekoudas, Kristina (HHS/IOS); Tigno r, Beth (HHS/IOS); Twomey,. John K. (HHS/ASL); Paulus, Carl (OS/ASPA); Urbanowicz , Peter (HHS/IOS); Trueman, Laura (HHS/IEA); Kalavrit inos, Jack (OS/IEA); O'Brien , John (HHS/ASPE);Best, Daniel (HHS/IOS); Stecker, Judy (OS/ASPA); Smith , Christopher (HHS/ASPA); Brennan, Patrick (O5/ASPA); Ryan.Murphy1 L~:;,I;",f1:1m1o Jr I:1,11 1~,, ;;ll,11o11 ',\1',\i,I:,, '.'..oo American Association of Kidney Patients Paul Conway and Richard Knight, a kidney transplant patient and chief advocate for the association Alzheimer 's Association Jennifer Young (Tarplin Downs Young) Robert Egge, Chief Public Policy Officer and a local Alzheimer's Caregiver Sue Wronsky MD, Caregiver and advocate Pati ents for Affordabl e Drug s: David Mitchell , President and Found er Ginger Loper , Loper Con sulting Sue Lee, from Crestwood, KY Sabrina Burbeck , from Old Town , ME Pam Holt. from Grnnger , IN AMlf IC/\r-... pVERSIGHT s EXT-18-1509-G-000100 Bell, Michael (OS/ ASPA) (b)(5) From: Tignor , Beth (HHS/10S) Sent: Friday, April 27, 2018 4:14 PM To: Dees, Karena (HHS/OGC) Cc: Flschmann, Elizabeth (HHS/OGC) ; Bird, Catherine {05/0GC) ; O'Brien, John (HHS/ASPE) ; Kalavritlnos , Jack (05/JEA) Subject: RE: Request For Meeting With Secretary Azar Hi Karena, Below is a current list of attendees for the patient group roundtable for Monda yKL..b....:.)-=--(5...:.. ) ___________ !(b)(5) Thank you Beth I American Association of Kidney Patients Paul Conway and Richard Knight, a kidney transplant patient and chief advocate for the association Alzheimer's Association Jennifer Young (Tarplin Downs Young) Robert Egge, Chief Public Policy Officer and a local Alzheimer's Caregiver Patients for Affordable Drug s : Da vid Mitchell , President and Founder Ben Wakana , Executive Director Lucy Westerfield, Policy Analyst Ginger Loper , Loper Consulting Sue Lee, from Cre stwood, KY Sabri na Burbeck , from Old Town , ME Pam Holt , from Granger , IN (b)(5) 1lf IC/\r-... pVERSIGHT 1 EXT-18-1509-G-000101 ___. (b){S) From : Tignor, Beth (HHS/105) Sent : Friday, Apr il 27, 2018 1:09 PM To: Dees, Karena (HHS/OGC) Cc: Fischmann, Elizabeth (HHS/OGC) ; Bird, Catherine (05/0GC) ; O'Brien, John (HHS/ASPE) ; Kalavritinos, Jack (05/IEA) Subject: RE: Request For Meeting W ith Secretary Azar Thank you Karena, I understand now that we will have a few other groups/ patients at this meeting on Monday and will be more of a Patient Group Roundtable . Please standby for the most recent attendee list as I receive it. Thank you b)(5) From : Tignor, Beth (HHS/10S) Sent : Friday, Apr il 27, 2018 7:58 AM To : Dees, Karena (HHS/OGC) Cc: Fischmann, Elizabeth (HHS/OGC) ; Bird, Catherine (OS/OGC) Subject: FW: Request For Meeting With Secretary Azar 2 pVERSIGHT EXT-18-1509-G-000102 Hi Karena, The Secretary would like to join th is meet ing on Monday. l(b)(S) Thank you ._________ ___. Beth From: O'Brien, John (HHS/ASPE) Sent: Thursday, April 26, 2018 9:04 PM To: Tignor, Beth (HHS/IOS) Subject: Fwd: Request For Meeting With Secretary Azar Hey Be th, l(b)(5) Thanks! John John O'Brien Advisor to the Secretary and Deputy Asst Secretary for Health Policy l(b)(6) I DRAFT . DELIBERATIVE . PRE-DECISIONAL COMMUNICATION From: "David Mitchell" Subject: Request For Meeting With Secretary Azar Date: 26 Apri l 2018 20:52 To: "O'Brien , John (HHS / ASPE) '' Cc: "Ben Wakana" , "Lucy Westerfi eld" Dear John, Thanks again for meeting with us a few weeks back. We appreciated the candid and forthright discussion, and would like to follow up. Given that the drug pricing speech/initiative has apparently been delayed until May 8, we would like to request a meeting to discuss the issues further, perhaps including Secretary Azar. We know he and all of you at HHS are extremely busy, but if it can be arranged, we would try to have some patients attend from the around the country to share their stories of struggle with high drug prices. As I think you know , Patients For Affordable Drugs is a bipartisan organization that exists to provide patients a voice and a vehicle to work for policies that will lower drug prices. We would be very grateful for the opportunity to discuss the kind of reforms that we believe will deliver on the President's promises and Secretary Azar' s stated commitment. We want to support actions th at will provide patients with meaningful relief. I know the Secretary is still recovering and that diverticulitis hurts; I landed in the emergency room with diverticulitis myself in early March. Not fun. If we can't meet with the Secretary, we would very much value the chance to meet with you and others c1syou see fit. Thank you for your consideration and for your work on behalf of patients like me and all Americans. If there are additional formal steps I need to take to increase t he chances of making this happen, please let me know . AMlf IC/\r-... pVERSIGHT 3 EXT-18-1509-G-000103 Best wishes, David ol fl P r1 1m t1Pr Patients For Affordable Drugs Patients For Affordable Drugs NOW v 202 -734-7555 l(b)(6) AMlf IC/\r-... I pVERSIGHT 4 EXT-18-1509-G-000104 Bell, Michael (OS/ASPA) Subject: Location: AMA briefing with Deputy Secretary Start : End: Mon 4/30/2018 2:00 PM Mon 4/30/2018 2:30 PM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : llhlLfilJ (OS/IOS); Harrison, AMlf IC/\r-... pVERSIGHT 615-F Secretary Schedu ler (OS/10S) Brian (HHS/IOS); Olson, Carolyn (OS/10S); Pelekoudas , Kristina (HHS/10S); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/105); Brady, Will(HHS/IOS); Callaha n, Kenneth (HHS/IOS); DeputySecretary (OS/10S); IL:w::lJ 6 EXT-18-1509-G-000105 Bell, Michael (OS/ASPA) Subject: Location : AMA brief A World Health Assembly (WHA) scene-setter 615- F Start : End: Mon 4/30/2018 2:30 PM Mon 4/30/2018 3:00 PM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : liiilifilJ(OS/IOS); Harrison. Secretary Scheduler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas , Kristina (HHS/IOS); Tignor, Beth (HHS/IOS); Twomey , John K. (HHS/ASL); Urbanow icz, Peter (HHS/IOS); Healy, Jenifer (HHS/OS/OGA); Grigsby, Garrett (HHS/OS/OGA) ; Schaeffer, Alison (HHS/OS/OGA) Topic: A Wo rld Health Assembly (W HA) scene-setter AMA 's Role: To be briefed by OGA abou t W HA pre parat ions Project Lead (IOS Senio r Staff) : Jeni Healy Working Project Lead (Name , Cell and email) : Jeni Healy, Jenifer .Healy@hhs .gov , f~b-)(_6)___ ~ Is Conference Call Line needed? No Who will initiate the confer ence call? N/ A Who will provide briefing mater ials? Off ice of Glob al Aff airs HHS Staff Attendees : Garr ett Grigsby and Jeni Healy External Attend ees: N/ A Schedule Reque st Justification : This is the fir st in a series of mee t ings w ith th e Secreta ry o n W HA. Th is meeting is designed to give t he. Secret ary a high- leve l overv iew of W HA prepa rat ions and t o discuss glob al health issues im por t ant to the Secretary that he wo uld like t o highlig ht at the W HA. -- ---- - ----- AMlf IC/\r-... pVERSIGHT ---- - --- -- -- -- --- ---- 7 -- ------- ---- EXT-18-1509-G-000106 Bell, Michael (OS/ASPA) Subject: Location: AMA pre- brief for National Level Exercise2018 Principals- Level Tabletop Exercise 615 -F Start : End: Mon 4/30/2018 3:00 PM Mon 4/30/2018 3:30 PM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : lfrilifilJ(OS/IOS); Harrison, Brian (HHS/IOS);Olson, Carolyn (OS/IOS); Pelekoudas, Secretary Scheduler (OS/IOS) Kristina (HHS/IOS);Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanowfcz, Peter (HHS/IOS); Meekins, Chris (OS/ASPR/10);Caliguiri, Laura (HHS/105) 1 " oooU1 ,12,,,111:p11t o ;,,11411 lrJ(.i11 ,,,,,..lloo Topic: Nat iona l Leve l Exerc ise 20 18 Prin cipa ls-Leve l Tableto p Exerc ise Pr e-Bri ef Objective: o Prepa re. the Secretary for the May 1 Nationa l leve l Exercise 2018 Principals-level o Discuss HHS ro les in pre -landfall hurricane preparedness and readiness o Identify opportunit ies fo r greater coor di nat io n with in te ragency pa rt ne rs Tab letop Exercise Lead 10S Counselor: Lau ra Caligu ir i Has this request been approved by (Peter/ Brian): Brian approved AMA's Role: Receive a brie fing on HHS ro les in pre- landfall hu rr ica ne p re pared ness, and oppo rtu ni ties fo r great er collabora t ion w it h interagency partners. Request POC (Name, Cell and email): Chr is Meekins, "-kb"""') ('--6 )'-- __ _.lchristopher.meekins@hhs.gov Is Conference Call Line needed? No Who will initiate t he conference call? Will th ere be Briefing Materials provided? Y/N Yes ~ If yes, who will send them to Kristina Pelekoudas (Name)? Chr is Meek ins HHS Staff Attendees : Chris Meekins AMlf IC/\r-... pVERSIGHT 8 EXT-18-1509-G-000107 External Attendees: Principal's Committee Additional Notes: To best prepare the Secretary, this meeting will be need to occur before the May 1 National Level Exercise 2018 Principals-Level Tabletop Exercise. Ideally on April 30 for 30-45 minutes. AMlf IC/\r-... pVERSIGHT 9 EXT-18-1509-G-000108 DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the Secretary Scheduling Request Memo for Secretary Azar Topic: Nat ional Level Exercise 2018 Princ ipals-Level Tabletop Exercise Pre-Brief Objective: o Prepare t he Secretary fo r t he May 1 National Level Exercise 2018 Princi pals-Level Tablet op Exercise o Discuss HHS roles in pre-landfall hurricane preparednessand readiness o Identify op portunities fo r greate r coordination with interagency partners Lead 10S Counselor: Laura Caliguiri Has th is request been approved by (Peter/ Brian): Brian approved AMA 's Role: Receive a briefing on HHS ro les in pre- landfall hu rricane preparedness, and opportunities for greater collaboratio n w ith inte ragency partne rs. f Request POC (Name , Cell and email): Chris Meekins, b)(6) christophe r.meekins@h hs.gov ,....._ ____ ....., Is Conference Call Line needed? No Who will initi ate the conference call? Will there be Briefing Mater ials provided? Y/N Yes "' If yes, who will send them to Kristina Pelekouda s (Name)? Chris Meekins HHS Staff Attende e s: Chris Meek ins External Attendee s: Principa l's Committee Addition al Notes : To best prepare t he Secretary, th is meet ing w ill be. need to occur before t he May 1 Nat iona l Level Exercise 2018 Princi pals-level Tabletop Exercise. Ideally on Ap ril 30 for 30-45 minutes. AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000109 Bell, Michael (OS/ASPA) Subject: AMA departs HHS Start : E'nd: Mon 4/30/2018 6:45 PM Mon 4/30/2018 7:30 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : Secretary Schedu ler (0S/10S) llhlZfill (OS/IOS); Harrison , Brian (HHS/IOS); Olson , Carolyn (OS/IOS); Pelekoudas , Kristina (HHS/105); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanow k z, Peter (HHS/10S) AMlf IC/\r-... pVERSIGHT u EXT-18-1509-G-000110 Bell, Michael (OS/ASPA) Subject: Location: AMA hold for ~b)(6) r b)(6) i End: Mon 4/30/2018 7:30 PM Mon 4/30/2018 8:30 PM Recurrence: (none) Meeting Status : Accepted Organizer: Required Attendees : llhlZfill (OS/IOS); Harrison, Start: AMlf IC/\r-... pVERSIGHT Secretary Scheduler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas , Kristina (HHS/IOS); Tignor , Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/IOS) 12 EXT-18-1509-G-000111 Bell, Michael (OS/ASPA) Subject: Location: AM ~ (b)(6) l Cell:~b)(6) www.wo rldhea Ith carecongress .com https ://www.linkedin .com/megancastilla I Specific topic of the meeting, Transforming U.S. Health Care Who will attend the meeting , 1,500 senior leaders (Director, VP, SVP,C-Suite) from commercial and Medicaid/Medicare health plans, hospital systems, employer purch.Jsers, life sciences, government agencies, academic/think tank , and technology companies , Dates for the meeting, ?and ?any other information about the meeting that may be helpful to us. Sunday, April 29 through Wednesday, May 2, 2018 Current faculty includes Rob Andrews; CEOof Health Transformation Alliance; Mary Grealy, President of Healthcare Leadership Council; Enrique Conterno, President, Lilly Diabetes; Dorothy Hoffman, Head Health Transformation Partnerships; Lilly; Susan Mosier, Medicaid Director, State of Kansas; Ryan Olohan, Managing Director , Google; Chet Burrell, CEO,CareFirst BCBS;Gary Cohen, VP Government Affairs, Blue Shield of California; Becky Pasternik, CEO, Oklahoma Healthcare Authority; Dave Richard, Deputy Secretary, NC Dept HHS; Ceci Connolly, President and CEO, Alliance for Community Health Plans, and more. Full faculty here : http://www.worldcongress.com/events/HR18000/speakers .cfm By way of background, WHCC' s mission is to bring together all sectors of health care to engage, discuss barriers, progress, and innovative ways to meet the Triple Aim, and ultimately catalyze change. We are not an association and do not emphasize a single health care group . For conference or events, please include the follow i ng details in your request: Date - Flexible - April 29 - May 2 Time, Flexible- morning or afternoon spots are available Monday and Tuesday. Wednesday we have availability and would be flexible within 8 am to noon . \ VILt ll \i pVERSIGHT EXT-18-1509-G-000147 Location of the event, Washington Marriott Wardman Park (host hotel) 2660 Woodley Road NW Washington, DC 20008 202-328-2000 Topic you would like the Secretary's speech to address, The Path Forward for U.S. Health Care (this can be changed to address his objectives and is only a suggestion). Whether members of the press or media w ill attend, and Media -yes will attend - mostly trade publications like Health Affairs , Modern Healthcare, lnsideHealthPolicy. We do get some national press and can furnish a press list. Number of people you expect will attend. ~1,200 depending on the day and time of the speech. Best Regards, Megan Megan Castilla, MBA Executive Director, World Health Care Congress World Congress (WC Research, Inc) 500 West Cummings Park, Suite 5400, Woburn, MA, 01801 Office: 781-939-2508 I Fax: 781-939-2697 I megan .castilla@worldcong ress.com www .world hea Ith carecongress .com https://www .linkedin.com/megancastilla [cid:image002 .jpg@01D2E11D .5D4AA580 ] About the World Health Care Congress (WHCC): Preliminary Brochure : http://www.worldcongress.com/brochures/hr18000 _brochure.pdf . Growing Faculty : http://www.worldcongress.com/events/HR18000/speakers .cfm Speaker Interviews: https://www.youtube .com/playlist?list=PL -nWtsPdsB6fwzZtcT0yiDJY6BawfY88D The WHCC attracts national and regional press including: CNBC, Fox Business, Wall Street Journal, C-SPAN, NPR, USA Today, Washington Post, Washington Times, Bloomberg, lnformationWeek, Newsweek, and US News and Wo rld Report . We also attract extensive coverage from health care t rade publications. WHCC has had the pleasure of working with: ... many distinguished CEOsfrom Corporate America including Stanley Bergman of Henry Schein, Ginni Rometty of IBM, Steve Forbes of Forbes Media, Gary Loveman of Caesars Entertainment, Steve Burd of Safeway, John Mackey of Whole Foods, Ursula Burns of Xerox, and many others . ... current and former Government leaders including: Congressman Michael Burgess, Senator Tom Daschle, President of Tanzania Jakaya Kikwete, Speaker Newt Gingrich, Congressman Andy Harris, US President, George W. Bush (Video Address), Secretary of HHS Michael Leavitt, Secretary of HHSTommy Thompson, Secretary of State Hillary Clinton, Secretary of HHS Donna Shalala, Director of U.S. Office of Personnel Management, Linda Springer, Administrator of CMS Mark McClellan, Administrator of CMS Thomas Scully, Secretary of State George Shultz, CDC Director Julie Gerberding, Secretary of the Treasury John Snow, Secretary of the Treasury Paul O'Neill, Governor Phil Bredesen, Senator Ron Wyden, Senator David Durenberger, Senator Bill Frist, Representative Pete Stark, Comptroller General David Walker . ... many C-Suite Leaders from the nation's largest payers and health systems including: Chet Burrell of CareFirst, John Noseworthy of Mayo Clinic, Richard Migliori of UnitedHealth Group, Charles Sorensen of lntermountain, Paul Rothman AMlf IC/\r-... pVERSIGHT 2 EXT-18-1509-G-000148 of Johns Hopkins Medicine, Ron Williams and Jack Rowe of Aetna, David Cardani of CIGNA, George Halvorson of Kaiser Permanente, Mike Mccallister of Humana, Scott Serota of BCBSAssociation and many others. ref:_00DtOGyeP._500t085DbP:ref AMlf IC/\r-... pVERSIGHT 3 EXT-18-1509-G-000149 Bell, Michael (OS/ASPA) Subject: AMA depart for State Dept. Start : E'nd: Wed 5/2/2018 10:00 AM Wed 5/2/2018 10;30 AM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : Secretary Schedu l?er (OS/IOS) llhlZfill (OS/ IOS); Harrison, Brian (HHS/IOS); Olson , Carolyn (OS/IOS); Pelekoudas , Kristina (HHS/IO5); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanow k z, Peter (HHS/IOS) AMlf IC/\r-... pVERSIGHT 27 EXT-18-1509-G-000150 Bell, Michael (OS/ASPA) Subject: Location: AMA to attend Swearing in Ceremony for Secretary of State, Michael Pompeo Benjamin Franklin Room Start: End: Wed 5/2/2018 10:30 AM Wed 5/2/2018 11:45 AM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : llhlZfil:l (OS/IOS); Brennan, Patrick (OS/ASPA); Harrison, Optional Attendees : Secretary Scheduler (OS/IOS) Br,ian (HHS/IOS); Katavritinos, Jack (0S/ IEA); Olson, Carolyn (0S/10S); Paulus, Carl (0S/ASPA); Pelekoudas, Kristina (HHS/105); Smith, Christopher (HHS/ASPA); Stecker, Judy (0S/ASPA) ; Tignor, Beth (HHS/IOS); Trueman, Laura (HHS/I EA); Twomey, John K. (HHS/ASL); Urbanow'icz, Peter (HHS/10S) Pasch, David (OS/ASPA) Th e details for this even t are listed below: D ate: Wednesday, May 2, 2018 Time : D oors Open at 9:45 a.m. Pleasearrive110later than 10:30 11.m. Lo catio n: Benjamin Franklin Room U.S. Department of State 2201 C Street, Northwest Washington, Di strict of Columb ia RSVP : Kindly respond to ProtocolRSVP@state .gov by Tuesday, l\fay 1, 20 18 with the dat e of birth and gove rnment issued photo identitication number of the invitee. N otes: Parking is not available on the D epartment of State premises. AMlf IC/\r-... pVERSIGHT 28 EXT-18-1509-G-000151 Bell, Michael (OS/ASPA) Subject: AMA departs back to HHS Start : E'nd: Wed 5/2/2018 2:00 PM Wed 5/2/2018 2:30 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : Secretary Schedu l?er (0S/10S) llhlZfill (OS/ 10S); Harrison, Brian (HHS/10S); Olson , Carolyn (OS/10S); Pelekoudas , Kristina (HHS/105); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanow k z, Peter (HHS/10S) AMlf IC/\r-... pVERSIGHT 34 EXT-18-1509-G-000152 Bell, Michael (OS/ASPA) Subject: Location: AMA to meet with Brian and John O'Brien Start : End: Wed 5/2/2018 2:30 PM Wed 5/2/2018 3;00 PM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlLfiTI (OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn 615-F Secretary Scheduler (OS/10S) (OS/10S); Pelekoudas , Kristina (HHS/IOS); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/IOS); O'Brien, John (HHS/ASPE); Stecker, Judy (05/ ASPA); Best, Daniel (HHS/10S) rev iew AMlf IC/\r-... pVERSIGHT 35 EXT-18-1509-G-000153 Bell, Michael (OS/ASPA) Subject: Location: AMA Personnel meeting Start : End: Wed 5/2/2018 4:45 PM Wed 5/2/2018 5:00 PM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlLfill(OS/IOS); Harrison Requested AMlf 615-F Secretary Schedu ler (OS/IOS) 1 Brian (HHS/IOS); Olson, Carolyn (OS/10S); Pelekoudas , Kristina (HHS/10S); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urban ow icz, Peter (HHS/10S) by Brian- ZKD IC/\r-... pVERSIGHT 39 EXT-18-1509-G-000154 Bell, Michael (OS/ASPA) Subject: Location: AMA briefing with Deputy Secretary Start : End: Wed 5/ 2/ 2018 5:00 PM Wed 5/2/2018 5:30 PM Recurrence: (no ne) Meeting Statu s: Accepted Organizer: Required Attendees : llhlZfiTI (OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn AMlf IC/\r-... pVERSIGHT 615-F Secretary Scheduler (OS/ 10S) (OS/10S); Pelekoudas , Kristina (HHS/10S); Tignor , Beth (HHS/10S); Twomey , John K. (HHS/ ASL); Urbanow icz, Peter (HHS/105); Brady, Will(HHS/IOS); Callahan , Kenneth (HHS/IOS); DeputySe cretary (OS/10S); IL:w::lJ 40 EXT-18-1509-G-000155 Bell, Michael (OS/ASPA) Subject: Location: AMA Pre- Brief for AHA Roundtable Start : End: Wed 5/2/2018 5:30 PM Wed 5/2/2018 5:45 PM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlmIJ (OS/IOS); Brennan, Topic, Prepare ,_ AMlf IC/\r-... pVERSIGHT 615-F Secretary Scheduler (OS/IOS) Patrick (OS/ASPA); Harrison , Briian (HHS/IOS); Katavritinos, Jack (OS/ IEA); Oakley, Caitlin B. (OS/ASPA); Olson , Car0 lyn (OS/1OS); Paulus, Carl (OS/ASPA); Pel'ekoudas, Kristina {HHS/IOS); Smith, Christopher (HHS/ASPA); Stecker, Judy (OS/ASPA); Tignor, Beth (HHS/IOS); Trueman, Laura (HHS/IEA); Twomey , John K, (HHS/ASL); Urbanowicz, Peter (HHS/1OS) MAfor RoundtableWith AHA 41 EXT-18-1509-G-000156 DEPARTMENT OF'HEALTH & HUMAN SERVICES To: The Secretary Through: Jack Kalavritinos, Acting Director, IEA From: Gary Beck, Advi sor, IBA Subject: American Hosp ital Association Roundtable Date: April 30, 20 18 Office of the 'Secretary Event Details: Date: May 3, 2018 Time: 2:30 PM -3:30 PM Locat ion: 610-F HHS Staff: Peter Urbanowic z, Brian Harrison , John O'Brien, Jack Kalavritinos , Laura Trueman, Gary Beck Press: No Who requested this event: The Amer ican Hospital Associa tio n (AHA) requested a meeting with Sec retary Azar and HHS leadership transformed that initial request into a roundtable with hospital executives alongside AHA leade rship . Topic: The American Hospital Assoc iation will be meeting with Secretary Azar to discuss the hospital perspective on the opioid crisis , coverage affordabi lity, and moving the indu stry toward s value-based care . Secretar y's Rol e: Secretary Azar will speak about the priorities and accomp lishments of the Department , but his main ro le wi ll be listening and responding when he feels neces sary to the participants. Obj ective: This roundtable with the leadership from the AHA will give Secretary Azar the opportunity to bear from representatives of one of the largest provider advocacy groups in the nation. It will also provide a means for Secretary Azar to introduce hims elf and his priorities to AHA's leade1?ship . List of Attendees/Pa rticipant s : o Rick Pollack, President and CEO, AHA o o Tom Nickels , Executive Vice President , Government Relation s and Public Policy, AHA Ashley Th ompson, Senior Vice President , Public Policy Ana lysis aJ1dDevelopment, AHA o o Nancy Agee , President and CEO, Cari lion Clini c; Chair, AHA Board of Trustee s Bri an Gragnolati, Pre sident and CEO , At lantic Health System; Chair-e lect, AHA Bo ard of Trustees Gene Woods, President and CEO , Atr ium Health; Immediate Past Chairman, AHA Board of Trustee s o AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000157 DEPARTM ENT OF HEALTH & HUMAN SERVICES Office of the 'Secretary Meeting/ Eve nt Agenda: 10:00AM-I0:05AM YOU will enter 610-F and Christopher Smith will take pictures of you alongside the participants. Afterwa rd, YOU will take your place at the conference room table. I 0:05AM-10 : 10AM YOU will provide open ing remarks. 10: lOAM-10 : 12AM YOU will arotmd tl1e table and i.ntroduce HHS staff and tJ1enAHA President, Rick Pollack , will do the same with his attendees. l 0: l 2AM - l 0:55AM Rick Pollack wi ll moderate the roundtab le and the participants will touch on their thoug hts and suggestions in relation to the Department's priorities. 10:55AM-1 l :00AM YOU wiU provide closing brief remarks to the participants and ex.it 610-F. Background on the American Hospital Association: The American Hospital Association is a national organization that represents and serves all types of hospitals , health care networks , and their patients and communities. Nearly 5,000 hospitals , health care systems, networks, other providers of care and 43,000 indiv idual members fom, the AHA. FoW1dedin 1898, the AHA provides education for healthcare leaders and is a source of information on health care issues and trends . Attachments: l. ASPA Talking Points 2. Pa1ticipant Bios 3. AHA Perspective on the Departm ent's Four Priorities AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000158 DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the Secretary Attachment 2. Participant Bios Rick Pollack President and CEO of AHA Rick began his career in Washington, D. C., in 1976, as a legislative assistant to Rep. David Obey of Wisconsin. In the early 1980s, he left Capito l Hill to become a legislative specialist for the American Nurses Association. He also previously served as AHA's executive vice president for advocacy and public policy. Tom Nickels Executive Vice President of Government Relations and Public Policy of the AHA Tom has been with the AHA since April of 1994. Prior to that, he was Director of the Wasb.ington Office of the American College of Emerge ncy Physicians for five years and was the Acting Director of the Washington Office of the American Nurses Association. In addition, he served as a legislative assistant to Representative Edward Biester, a Republican from Pennsylvania. AshJey Thompson Senior Vice President of Public Policy Analysis and Development of the AHA Ash ley has been with the AHA since 2015 . Previously , Ashley was a policy advisor to the U.S. Senate Comm ittee on Finance, where she served as policy lead for Chaim1an Charles Grassley on Medicare Part A issues, including those related to hospitals, skilled nursing facilities, home health care and hospice. N ancy Agee President and CEO of Carilion Clinic and Chair of the AHA Board of Trustees Nancy Howell runs the Cari lion Clinic, a nearly $2 billion not-for-profit integrated health system headquartered in Roanoke , Virginia, which serves more than one million people in Virginia and Wes t Virginia. Carilion Clinic includes seven hospitals ranging from tbe third larges t in Virginia to critica l access hospitals. AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000159 DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the Secretary Brian Gragnolati, President and CEO of Atlantic Health System and Chair-elect of the AHA Board of Trustees Brian joine d the Atlantic Health System, based in Morristown, N.J ., in 2015. Previously, he was a senior v ice presid ent at Johns Hopkins Medicine in Baltimore. The system features seven medical centers, a rehabilitation center, a home care and hospice prov ider, and over 600 other commun ity-based healthcare providers . Gene Woods President and CEO of Atrium Health and the Immediate Past Chairman, of the AHA Board of Trustees Gene joined the Charlotte-base d Atrium Health in 2016. The system has more than 60,000 full-time and part-time employees. They provide care to more than 11.5 million patients per year at more than 900 care locations in North and South Caro lina. Previously, he served as president and chief operating officer of CHRIS TUS Health , based in Irving , Texas. AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000160 DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the Secretary Attac hm ent 3. AHA Pers pective on the Department's Four Priorities Address ing the Opioids Cris is The AHA released an issue brief in March 2018 on their prioriti es to address the opioids crisis. Their priorities include : o o o o o Protect Comprehensive Hea lth lnsurance Coverage o The AHA believes that the coverage gains made by the ACA must be preserved along with the essential health benefit s required by the ACA, which include s substance use disorder treatment. Enforce Mental Health and Substance Abuse Parity Laws o Tbe AHA believes that providers and patients continue to face obstacles ia securing coverage and payment as intended by federal mental health and substance use disoTder parity laws. Repeal the IMD Exc lusion o The AHA disagrees with The institutions for Mental Disease (JMD) exclus.ion prohibits the federal government from paying for the care of Medicaid beneficiaries between the ages of 21 to 64 who are hospitalized in inpatient treatment facilities. Expand Training Capacity for Medication-As sisted Treatment (MAT) and lncentivi ze Clinicians to Obtain Training o The AHA wants Medicare to incentivize clinicians to get MAT training by prov iding an increase in payment to those who have the training or by recognizing the acquisition of such skil'ls under the Merit-ba sed Incenti ve Payment System. Encourage and Fund Prescriber Education o The AHA supports pre scriber education through medical and dental school training on opioid prescribing guidelines. Value-Based Ca re Through the AHA's Value Initiative, the organization is exploring what value means to patients and what they can do to assist hospita ls and health systems spread a value-based culture in the industly. The AHA has created forums and learning networks to discu ss the individual consumer's perspective on va lue. The AHA tracks measures that look at value primarily through their Affordability Data Book, which analyzes the perspectives of patients, emplo yers, pa yers, providers, and community partners. They are working on developing metrics , tools, and resourc es to inform and assist hosp itals and systems as they promote value-based care within their own organizations. This is includes educating clinicians , so they are aware of tbe healthcare costs and quality outcomes in relation to the services they provid e. AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000161 DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the 'Secretary Accessib le and Affo rdable Healthcare Coverage The AHA wrote a letter to Secretary Azar on January 25, 20 18 in and detailed their ideas for "ensuring choice and competit ion of health plans. " o o o o o o Fund the cost-sharing reduction subsidies to reduce premiwns. Create a federal reinsurance program to attract insurer participation and reduce premi?ums. Ensure that the risk-adjustment program does not decrease competition and choice by disadvantage sma ller plans and new entrants. Ensure stab le risk pools and more affordab le choices by disallowing the sale of health plans that not comp ly with the ACA's consumer protection measures (EHBs , pre-existing conditions , and the prohibition against medical underwriting). Increase enrollment to attract insurers by investing more iu outreach and enrollment. Suppo1t state-leve l approaches to address market-specific challenges to stabilization . Rising Drug Costs The AHA remains committed to ensuring the long-term sustainability of the 340B program . In a statement to the Senate Committee on Health, Education, Labor , and Pensions , the AHA stated , "the 340B program has been c1itical in helping hospitals expand access to lifesaving prescription drugs and comprehensive healthcare services in vulnernble comm unities across the country , including to low-income and uninsured individuals." The AHA is a member of the Campaign for Sustainable Rx Pricing , a coalition of organ izations trying to find market-based solut ions to lower drug prices. The Campaign believes that the prescription drug marketplace needs to be more transparent about costs, encourage competition , and provide reliable information regarding value. AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000162 Bell, Michael (OS/ASPA) Subject: Location: AMA pre -brief for call with Senator Wyde n Start : End: Wed 5/2/2018 6:15 PM Wed 5/2/2018 6:30 PM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlLfiTI (OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn Topic: prepare/ AMlf IC/\r-... 615-F Secretary Scheduler (OS/IOS) (OS/IOS); Pelekoudas , Kristina (HHS/IOS); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/IOS); Arbes, Sarah (HHS/ASL); Bassett, Matthew (HHS/ASL); McGuffee, Tyler Ann (HHS/ASL); Morse, Sarq (HHS/ASL) brief the Secretary for call with Senato r Wyden pVERSIGHT 42. EXT-18-1509-G-000163 Bell, Michael (0S/ASPA) Subject: Location : AMA to call Senator Ron Wyden ( D-OR) 615 -F / call Start : End: Wed 5/2/2018 6:30 PM Wed 5/2/2018 7:00 PM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : llhl1fill(OS/IOS); Harrison, Secretary Scheduler (OS/10S) Brian (HHS/IOS); Olson, Carolyn (0S/IOS) ; Pelekoudas , Kristina (HHS/10S); Tignor, Beth (HHS/10S); Twomey , John K. (HHS/ASL); Urb anow icz, Peter (HHS/10S); Bassett, Matthew (HHS/ASL}; McGuffe e, Tyler Ann (HH S/IOS); Morse, Sara (HHS/ASL); Arbes, Sarah (HHS/ASL); Best, Danie l (HHS/10S}; Wynne, Maggie (HHS/10S}; Lawrence, Courtney (HHS/AS L} lrb\/6\ PC~l; Fischmann, Elizabeth (HHS/OGC) Cc: Bird, Catherine (OS/OGC) Subject: FW: American Hospital Association meeting with Azar Hi Karena, Please review the following list of folks coming in with AHA for a roundtable discussion with the Secretary . Please advise of any concerns. Thank you Best wishes Beth From: Beck, Gary (OS/IEA) Sent: Monday, April 9, 2018 3:03 PM To: Tignor, Beth (HHS/105) Subject: FW: American Hospital Association meeting with Azar Participants and topics for discussion for the AHA are below. Profiles are also attached . I am going to circle back to answer their two questions outlined below. GaryM. Beck Office of the Secretary / Intergovernmentaland ExternalAffairs From: Weger, Kristina [mailto:kweger@aha.org1 Sent: Monday, April 09, 2018 2:07 PM To: Beck, Gary (05/IEA) Subject: RE: American Hospital Associationmeeting with Azar IL I\. \i pVERSIGHT 1 EXT-18-1509-G-000174 Hi Gary, Below are the topics of discussion and the planned attendees for the May 3 rd meeting between the American Hospital Association and Secretary Azar. I've also attached bias for Mr. Pollack, Mr. Nickels and Ms. Thompson. I have two additional questions: o Will you be able to share who else from HHS will join the Secretary in the meeting? o Will there be a photographer available or is it possible for AHA to provide a photographer for a few quick pictures? Topics of Discussion: o The move toward a value-based system and development of alternat ive payment mode ls, including the need to remove reg ulatory barrie rs o o o The affordabil ity of health care Bringing down the cost of prescript ion drugs The opioid crisis Meeting o o o o o o Attendees: Rick Pollack, President and CEO,American Hospital Association (AHA) Tom Nickels, Executive Vice President, Govern ment Relatio ns and Public Policy, AHA Ashley Thompson, Senior Vice President, Public Policy Analysis and Development, AHA Nancy Agee, President and CEO,Caril ion Clinic; Chair, AHA Board of Trustees Brian Gragnolati, President and CEO, At lantic Health System; Chair-elect, AHA Board of Trustees Gene Woods, President and CEO, Carolinas HealthCare System; Immediate Past Chairman, AHA Board of Trustees Thank you again, Kristina Weger Executive Director, Executive Branch Relations, Federal Relations American Hospital Association 800 10th Street, NW Two CityCenter, Suite 400 202-626 -2369 From: Weger, Kristina Sent: Thursday , April 05, 2018 9:24 AM To: Beck, Gary (OS/IEA) Subject: Re: American Hospital Association meeting with Azar Great - I will send along that list as soon as it's finalized. Should be before the end of next week! Thank you for being so helpful in setting this up! Kristina Weger American Hospital Association 202-626-2369 On Apr 5, 2018, at 9:13 AM, Beck, Gary (OS/IEA) wrote: AMlf IC/\r-... pVERSIGHT 2 EXT-18-1509-G-000175 Yes ma'am, I'll be your POCfor the day! Once you get me the finalized list of AHA attendees, I will send them down to front desk to ensure a seamless check-in process. Gary M. Beck Office of the Secretary / Intergovernmental and External Affairs From: Weger, Kristina [mai1to:kweqer@aha.org1 Sent : Thursday, April 05, 2018 8:55 AM To: Beck, Gary (05/ I EA) Cc: Vanderbush, Darlene; Thompson, Ashley; Lancaster, Karen Subject: RE: American Hospit al Association meeting with Azar Gary, Thanks very much for your help in scheduling the meeting and confirming May 3rd at 10am. We will plan to check in at the front desk of the Humphrey building that day. Should we mention your name as the staff contact? I will be in touch with attendees and topics and again let me know if you need any f urther information at this point. Thanks again, Kristina From : Beck, Gary (OS/IEA) Sent : Thursday, April 05, 2018 8:47 AM To : Weger, Kristina Cc: Vanderbush, Darlene ; Thompson, Ashley ; Lancaster, Karen Subject: RE:America n Hospital Association meeting with Azar Thank you! We have added the meeting to the Secretary's schedule. Gary M. Beck Office of the Secretary / Intergovernmental and External Affairs From: Weger, Kristina [mailto:kweqer@aha.org 1 Sent : Wednesday, April 04, 2018 3:21 PM To: Beck, Gary (05/IEA) Cc: Vanderbush, Darlene; Thompson, Ashley; Lancaster, Karen Subject: RE: American Hospit al Association meeting wit h Azar Gary, Thanks for the flexibility! The 10-llam slot is the best on our end if that works. I will plan to keep you posted on attendees and topics once those are finalized . Please let me if there is anything else you need at this point . Thank you, Kristina AMERIC/\r-... pVERSIGHT 3 EXT-18-1509-G-000176 From : Beck, Gary {OS/IEA) Sent : Wednesday, April 04, 2018 1:13 PM To : Weger, Kristina Cc: Vanderbush, Darlene ; Thompson, Ashley ; Lancaster, Karen Subject: RE:American Hospital Association meeting with Azar The hour long timeslots we can work with on May 3rd are below: 9AM-10AM l0AM-llAM 2PM-3PM 3PM-SPM Gary M. Beck Office of the Secretary / Intergovernmental and External Affairs From: Weger, Kristina [mai1to:kweqer@aha.org 1 Sent : Wednesday, April 04, 2018 9:39 AM To: Beck, Gary (O5/IEA) Cc: Tignor, Beth (HHS/IOS); Vanderbush, Darlene; Thompson, Ashley; Lancaster, Karen Subject: Re: American Hospital Association meeting with Azar Hi Gary, Yes, May 3 rd works perfectly on our end. Is there a specific time that day we should hold? I' ll be handling logistics going forward as I just returned from maternity leave. Thank you again- we are very grateful for the Secretary's time! Kristina Wege r Executive Director, Executive Branch Relations, Federal Relations American Hospital Association 800 10th Street, NW Two CityCenter, Suite 400 20 2-62 6-2 369 From : Beck, Gary (OS/IEA) Se nt : Wednesday, April 04, 2018 9:23 AM To : Vanderbush, Darlene ; Tignor, Beth (HHS/IOS) Cc: Lancaster, Karen ; Thompson, Ashley Subject: RE:American Hospital Association meeting with Azar Hey Darlene -Jus t to circle back on Beth's previous email, May 3 rd is the target date for the meeting . Does that date work on your end? GaryM . Beck Office of the Secretory / Intergovernmental ond External Affairs From : Tignor, Beth (HHS/IOS) Sent : Wednesday, March 28, 2018 4:39 PM To: Vanderbush, Darlene; Beck, Gary (OS/IEA) AMERI pVERSIGHT 4 EXT-18-1509-G-000177 Cc: Lancaster, Karen; Thompson, Ashley Subject : RE: American Hospital Association meeting with Azar I believe we are looking at May 3rd as the possible date . From : Vanderbush , Darlene fmailto :dvanderbush@aha.org ] Sent : Wednesday, March 28, 2018 4:35 PM To : Tignor, Beth (HHS/1O5); Beck, Gary (O5/IEA) Cc: Lancaster, Karen ; Thompson , Ashley Subject : RE:Amer ican Hospital Association meeting with Azar Great! Were you able to settle on a specific date and time? Thanks. Darlene Darlene Vanderbush Vice President, Executive Operations American Hospital Association 800 1ot11Street, N.W . Two CityCenter, Suite 400 Washington, DC 20001-4956 (202) 626 -2361 From: Tignor, Beth (HHS/1O5) Sent : Wednesday, March 28, 2018 4:33 PM To : Vanderbush, Darlene ; Beck, Gary (OS/IEA) Cc: Lancaster, Karen ; Thompson, Ashley Subject: RE:Amer ican Hospital Association meeting with Azar Hi Darlene, We are going to be able to schedule, my colleague , Gary Beck ( Cc'd) will be able to assist in the setup of the meeting logistics and details . Best wishes Beth From: Vanderbush , Darlene fmailto :dvanderbush@aha .org ] Sent : Wednesday, March 28, 2018 4:20 PM To : Tignor, Beth (HHS/1O5) Cc: Lancaster, Karen ; Thompson, Ashley Subject: RE:American Hospital Association meeting with Azar Beth: Just wanted to check on th is in Ashley's absence . Know you are working to find time ... any update? Thanks so much ! Darlene Darlene Vanderb ush Vice Presid ent , Executive Operations AMEf pVERSIGHT 5 EXT-18-1509-G-000178 American Hospital Association 800 10th Street, N.W. Two CityCenter, Suite 400 Washington, DC 20001-4956 (202) 626-2361 From: Thompson, Ashley Sent : Friday, March 23, 2018 5:20 PM To : Tignor, Beth (HHS/IOS) Cc: Lancaster, Karen ; Vanderbush, Darlene Subject: RE: American Hospital Association meeting with Azar Hi Beth - Thank you for continuing to work to find a time for a meeting between Secretary Azar and AHA President Rick Pollack (attached). I will be out of the country next week, and hope that if you identify a date/time that works next week that you will inform my colleagues Karen Lancaster and Darlene Vanderbush (VP Executive Operations, at dvanderbush@aha .org.) Also, we were thrilled to hear earlier today that Secretary Azar agreed to speak at our Annual membership meeting in May! Thanks again for all your help and coordination. Ashley Have a nice weekend. From: Tignor, Beth (HHS/IOS) Sent : Tuesday, March 20, 2018 9:31 AM To : Thompson, Ashley Cc: Lancaster, Karen Subject: RE:American Hospital Association meet ing w ith Azar Hi Ashley, I am still working on getting this meeting approved. I will circle back with you if we need additional dates/ times. Thank you for your patience with us. Beth From: Thompson, Ashley [mailto:athompson@aha .org l Sent : Tuesday, March 20, 2018 9:04 AM To : Tignor, Beth (HHS/IOS) Cc: Lancaster, Karen Subject: RE:American Hospital Association meet ing w ith Azar Hi Beth - I'm checking in on this request. Were you able to find some time for our President, Rick Pollack, to meet with Secretary Azar? If the dates we provided don't work, would you be so kind to suggest some that would work? We will try to move things around on our end. Thanks so much for your help! Ashley Ashley Thompson SVP, Public Policy Analysis & Deve lopment American Hospital Association 800 10th Street, NW AMEf pVERSIGHT 6 EXT-18-1509-G-000179 Two CityCenter, Suite 400 Washington , DC 20001 202-626-2688 athompson@aha.org From : Tignor, Beth (HHS/105) Sent : Friday, March 09, 2018 1:30 PM To : Thompson, Ashley Subject: RE:American Hospital Association meeting with Azar Hi Ashley, Yes we have this request and will circle back soon. Thank you Beth AMERIC/\r-... pVERSIGHT 7 EXT-18-1509-G-000180 Bell, Michael (OS/ASPA) Subject: Location: AMA Briefing on Global Health Security Start: End: Thu 5/3/2018 3:30 PM Thu 5/3/2018 4:15 PM Recurrence: (.none) Meeting Status: Accepted Organizer: Required Attendees: llhlLfill(OS/IOS); Harrison, 610-F Secretary Scheduler (05/105) Brian (HHS/IOS); Olson, Carolyn (05/IOS) ; Pelekoudas, Kristina (HHS/IOS); Tignor, Beth (HHS/IOS); Twomey,. John K. (HHS/ASL); Urbanow fcz, Peter (HHS/IOS); Grigsby, Garrett (HHS/0S/OGA); Zebley, Kyl'e (HHS/105); Jilani, Shahla (HHS/105); Kerr, Lawrence (HHS/OS/OGA); Lapinski, Mary-Sumpter (HHS/105); Redfield, Robert R. (CDC/OD); Wolfe, Mitchell (CDC/OD/CDCWO); Scales, Scott L. (CDC/OD/OCS); Moughalian, Jen (HHS/ASFR) Jose Fernandez (Jose.Fernandez @hhs.gov) Optional Attendees : , 0 l1:>!i ~o~If .' 1"1 :>M1 fo11,, 111oi11n,U ) j,.o;.._oo 1, I Scheduling Request Memo for Secretary Azar Topic: Global Health Security Lead IOS Counselor: Brian / Mary- Sumpter Has this request been approved by (Peter/ Brian): Brian AMA's Role: To be briefed issues surrounding Global Health Security Request POC (Name, Cell and email): Kyle Zebley, J,_ (b_)(-6)___ _. Is Conference Call Line needed? !rb)(6) I PC: !lb)C6) I Leader code: .... kb-)1 _6_\ __, Who will initiate the conference call? John Twomey, Rose Lusi Will there be Briefing Materials provided? V ,., If yes, who will send them to Kristina Pelekoudas (Name)? Kyle Zebley I pVERSIGHT 56 EXT-18-1509-G-000181 HHS Staff Attendees : o OGA -Garrett Grigsby o OGA - Larry Kerr o OGA - Jose Fernandez o OGA - Kyle Zebley o CDC-Mitch Wolfe o CDC-Dr. Robert Redfield External Attendees : N/ A Additional Notes: N/ A AMlf IC/\r-... pVERSIGHT 57 EXT-18-1509-G-000182 D~PARTMENT OF HEALTH & HUMAN SERVICES Office of the Secretary Scheduling Request Memo for Secretary Azar Topic: Global Health Security Lead 105 Counselor: Maggie Wynne Has this request been approved by (Peter/ Brian): Brian AMA's Role: To be briefed issues surround ing Global Health Security Request POC (Name, Cell and email): Kyle Zebley, .... f b_)c_e_ ) ___ __, Is Conference Call Line needed? No Who will initiate the conference call? N/ A Will there be Briefing Materials provided? Y ~ If yes, who will send them to Kristina Pelekoudas (Name)? Kyle Zebley HHS Staff Attendees: o OGA -Garrett Grigsby o OGA - Larry Kerr o OGA - Jose Fernandez o OGA - Kyle Zebley o CDC-Anne Schuchat o CDC-Rebecca Martin External Attendees: N/ A Additional Notes: N/ A AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000183 Bell, Michael (OS/ASPA) Subject: Location: HOLD for ASFRCall 615-/ Call End: Thu 5/3/2018 4:30 PM Thu 5/3/2018 6:00 PM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : llhlZfill (OS/IOS); Harrison, Start : Secretary Scheduler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas, Kristina (HHS/IOS); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/IOS); Palmer, Ashley (OS/ASFR); Moughalian, Jen (HHS/ASFR); Bassett, Matthew (HHS/ASL); Arbes, Sarah (HHS/ASL); Morse, Sara ~HHS/ASL); McGuffee, Tyler Ann (HHS/IOS) HOLD time for calls to Senate LHHS Committee members 4:30pm 4:45pm 5:00pm .= Senator Shelly Moore Capito (R-WV) - she will tall Roses line to connect 5:15pm-= Senator Marc Rubio (R- FL) he will call Roses Line to connect 5:30pm-= Senator Chris Murphy (D-CT)he will call Roses line to connect .5:4Spm- AMlf IC/\r-... pVERSIGHT 58 EXT-18-1509-G-000184 Bell, Michael (OS/ASPA) Subject: Location: AMA Pre- Brief for meeting with Japanese MOH and Ambassador Start : End: Fri 5/4/2018 9:00 AM Fri 5/4/2018 9:30 AM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : llhlffiil(OS/IOS); Harrison, AMlf IC/\r-... pVERSIGHT 615-F Secretary Scheduler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/10S); Pelekoudas , Kristina (HHS/IQS); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/10S); Zebley , Kyle (HHS/10S); Grigsby, Garrett (HHS/0S/OGA); Healy, Jenifer (HHS/0S/OGA); Schaeffer, Alison (HHS/0S/OGA); Elvander, Erika (05/0GA); Schmoyer, Michael (0S/OSSI); Aguirre, Lisa (0S/10S/OSSI) 59 EXT-18-1509-G-000185 Bell, Michael (OS/ASPA) Subject: AMA to meet with Japanese Minister of Health , Labor and Welfare , Katsunobu Kato and the new Japanese Ambassador to the United States, Shinsuke Sugiyama Location : 405A Start : End: Fri 5/4/2018 9:30 AM Fri 5/4/2018 10:00 AM Recurrence: (none ) Meeting Status: Accepted Org anizer: Required Attendee s; Secretary Schedu ler (OS/IOS) Secretary Schedu ler (OS/I05 }; lfrillfill(OS/I0S ); Harrison , Brian (HHS/IOS); Olson, Carolyn (OS/105); Pelekoudas, Kristina (HHS/IOS); Tignor , Beth (HHS/I0S) ; Twomey , John K. (HHS/ASL); Urbanowicz, Peter (HHS/I05); Grigsby, Garrett (HHS/OS/OGA); Zebley, Kyle (HHS/I05) ; Healy, Jenifer (HHS/OS/OGA) ; Schaeffer , Alison (HHS/05/0GA ); Schmoyer, Michael (0S/05SI) ; Aguirre, Lisa (0S/IOS/OSSI); Smith , Christop her (HHS/ASPA); Stecker, Judy (OS/ASPA) Pasch, David (OS/ASPA) Optional Attendees: '"?J ?.il~' ?~lo, ,,:l11ji1 ,11 u1 1,r. ' ':, 11 , o j 1 l11U J. 1,111 11i o O I Topic: Meeting w ith Japanese Minister of Health, Labor and We lfare , Katsunobu Kato and the new Japanese Ambassador to the United States, Shinsuke Sugiyama on Friday May 4, 2018 Objective :Kb)(S) ~b)(5) AMA's Role: To participate in a discussion on US - Japan health issues, sharing HHS priorities . Project Lead (IOS Senior Staff) : Working Proj ect Lead (Name , Cell and email): Kyle Zebley , kyle.zebley@hhs.gov , *~b_)(_6)___ ~ Is Conference Call Line needed? No Who will initiate the conference call? N/ A Who will provide Briefing materials? Office of Global Affairs HHS Staff Attendees: Garrett Grigsby, Jenifer Healy, Kyle Zebley and Erika Elvander External Attendees: Minister of Health, Labor and Welfare, Katsunobu Kato; Japanese Ambassador Shi nsuke Sugiyama, Embassy of Japan's First Minister fo r Health and We lfar e Takuno Yoshida (possible others) 60 pVERSIGHT EXT-18-1509-G-000186 ScheduleRequestJustification: Minister Kato is vis iting Washington DC on May 4th and Wishes to meet with Secretary Azar l(b)(5} 'b)(5) AMlf I I (b)(5) IC/\r-... pVERSIGHT 61 EXT-18-1509-G-000187 DEPARTMENT OF HEAL TH & HUMAN SERVICES Office of the Secretary SchedulingRequestMemo for SecretaryAzar Topic : Meeting wi th Japanese Minister of Health, Labor and We lfa re, Katsunobu Kato and t he new Japanese Am bassador t o t he Unit ed States, Shinsuke Sugiyama o n Friday M ay 4, 201 8 Cb iective -!(b)(5 ) AMA's Role: To participate in a discussion on US - Japan health issues, sharing HHS prioritie s. Project Lead (1OSSenior Staff): Working Project Lead (Name , Cell and email) : Kyle Zebley, kyle.zebley@hh s.gov, ~b)(6) j(b)(6) I ,____~ Is Conference Call Line needed? No Who will init iate the conference call? N/ A Who will provide Briefing materials? Off ice of Globa l Affa ir s HHS Staff Attendees: Garrett Grigsby, Jenif er Healy, Kyle Zebley and Erika Elvander External Attendees : Min ist er of Health, Labor and We lfare, Kat sunobu Kato; Japanese Ambassador Shinsuke Sugiyama, Em bassy of Japan's First Ministe r for Healt h and Wel fa re Takuno Yoshida {possible ot hers) Schedule Request Justification : M in ist er Kato is visit ing Washingt on DC on May 4th an d w ishes t o mee t w ith Secretary Azar Kb)(5) Internal Use Only Who approved by Cos/ DCoS: AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000188 DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the Secretary Accepted/ Decline/ Surrogate: Scheduled: AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000189 Bell, Michael (OS/ASPA) Subject: Location: AMA personnel meeting Start : End: Fri 5/4/2018 10;15 AM Fri 5/4/2018 J0;30 AM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlZfill (OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn 615-F Secretary Scheduler (OS/IOS) (OS/IOS); Pelekoudas, Kristina (HHS/IOS); lignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/IOS); Stirrup, Heidi (HHS/IO5); Clark, Timothy (HHS/IOS) Lead: WH Liaison, Heidi Sti rrup AMlf IC/\r-... pVERSIGHT 62 EXT-18-1509-G-000190 Bell, Michael (OS/ASPA) Subject: Location: AMA to call Senator Jerry Moran (R- KS) 615-F / call Start: End: Fri 5/4/2018 10:00 AM Fri 5/4/2018 J0;15 .AM Recurrence: (no ne) Meeting Status: Accepted Organizer: Required Attendees : llhlffiil(OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn Secretary Scheduler (OS/ 10S) (OS/IOS); Pelekoudas , Kristina (HHS/IOS); Tigno r, Beth (HHS/10S); Twomey , John K. (HHS/ ASL); Urbanow icz, Peter (HHS/IOS); Palmer, Ashley (05/ASFR ); Moughalian , Jen (HHS/ASFRJ This is part of the Senate LHHS Calls The Senator will call Roses llne to connect AMlf IC/\r-... pVERSIGHT 63 EXT-18-1509-G-000191 Bell, Michael (OS/ASPA) Subject: Location: AMA briefing with Deputy Secretary Start : End: Fri 5/4/2018 10:30 AM Fri 5/4/2018 11:00 AM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : llhlmIJ (OS/IOS); Harrison, AMlf IC/\r-... pVERSIGHT 615-F Secretary Schedu ler (OS/10S) Brian (HHS/IOS); Olson, Carolyn (OS/10S); Pelekoudas , Kristina (HHS/10S); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/105); Brady, Will(HHS/IOS); Callaha n, Kenneth (HHS/IOS); DeputySecretary (OS/10S); IL:w::lJ 64 EXT-18-1509-G-000192 Bell, Michael (OS/ASPA) Subject: Location: AMA weekly Drug Pricing meeting 610-F Fri 5/4/2018 11:00 AM Start : End: Fri 5/4/2018 12:00 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : llhl!fill(OS/IOS); Harrison, Secretary Schedu ler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Tignor, Beth (HHS/105 ); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/IOS); (harrow, Robert Seema Verma ; O'Brien , John (HHS/ASPE); Grigsby , Garrett (HHS/OGC); (HHS/OS/OGA); Agnew , Ann (HHS/IOS); SG2@fdq.hhs .gov ; Petekoudas, Kristina (HHS/10S); Lenihan, Keagan; Seema Verma (CMSAdmin istrator@CMS.HHS ,GOV); Bassett, Matthew (HHS/ASL); Zeb ley, Kyle (HHS/ IOS); Healy, Jenifer (HHS/0S/OGA) r Best, Daniel (HHS/,10S) ;. McGuffee, Tyler Ann (HHS/ 10S); Kalavritinos, Jack (0S/IEA); Trueman, Laura (HHS/IEA); Stecker, Judy (05/ASPA); Sheehy , Janice (FDA/ORA) Brady, Will (HHS/ 10S) ; Callahan, Kenneth (HHS/IOS); White , Caroline (HHS/OGC); PerezRivera, Diana (CMS/OA) 00 Optional Attendee s: AMlf IC/\r-... pVERSIGHT 65 EXT-18-1509-G-000193 Bell, Michael (OS/ASPA) Subject: Location: AMA initial Prep with ASFR, for Senate LHHS hearing Start : End: Fri 5/4/2018 1:30 PM Fri 5/4/2018 2:30 PM Recurrence: (.none) Meeting Status: Accepted Organizer : Required Attendees : Secretary Scheduler (OS/IOS) ~ (OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas , Kristina (HHS/1OS); Tignor, Beth (HHS/1OS); Twomey,. John K. (HHS/ASL); Urbanow icz, Peter (HHS/IOS); Moughalian , Jen (HHS/ASFR); Palmer, Ashley (OS/ASFR); Arbes , Sarah (HHS/ASL); Morse, Sara (HHS/ASL); Lawrence, Courtney (HHS/ASL); Kemper, Laura (HHS/ASL); Aramanda, Alec (OS/ASL); Bassett, Matthew (HHS/ASL); Hayes, Sean (HHS/ASL) McGuffee , Tyler Ann (HHS/1OS) Optional Attend ees: 610-F ,too~1;I~~o ~?n l:ul1l~nU1i1ri11 11\11111,1... l;.'j,,:p1 o1o ~o1~ Updated attendee list Hi Beth - Per Jen's email for the Friday prep, t he following att endees should be included ; Jen M. Ashley P. Sarah Arbes .Sara Morse Courtney Lawrence Laura Kemper Alec Arama nda Matt Bassett Pete r Urbanowicz Brian Harr ison AMlf IC/\r-... pVERSIGHT 66 EXT-18-1509-G-000194 DEPARTM ENT OF HEALTH & HUMAN SERVICES Office of the 'Secretary Scheduling Request Memo for Secretary Azar Topic: Hea ring Pre p for Senate Labor-HH S Appropr iatio ns Ob,jective: Prepare for the Senate Labor-HHS Approp ria tions Subcommi ttee hearing on the FY 201 9 Bud get AMA's Role: Act ive parti cipant Project Lead (IOS Senior Staft): Will Brady Working Project Lead (Name, Cell and email): AshJey Pahne r,._ Kb _)(_6_) __ Ashley.palmer @hh s.gov ___, Is Conference Call Line needed? No Who will initiate the conference caU? NIA Who will provide Briefing materials ? Ash ley Palm er and Jen Moughalian (ASFR) HHS Staff Attendees: See outlin e below External Attendees: NIA Schedule Request Justification: o May4 (b)(S) 0 0 0 o May 7-9 - Member Calls~b)(S) b) (5) DECISION POINT for COS /DCOS: l(b)(5) b)(S) AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000195 DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the 'Secretary b)(5) Attendees . in order of appearance above : b)(5) In ternal Use Only Who approved by CoS / DCoS: Accepted / Decline / Surrogate: Scheduled: AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000196 Bell, Michael (OS/ ASPA) Subject: Location: AMA to do Ceremonial Swearing in for Adam Boehler Start : End: Fri 5/4/2018 3:00 PM Fri 5/4/2018 3:15 PM Recurrence: (.none) Meeting Status: Accepted Organizer : Required Attendees : llhlffiil(QS/IQS); Brennan, 0 '.' l! Mto '' Secretary Scheduler (QS/IQS) Patrick (QS/ASPA); Harrison , Broian (HHS/IQS); Katavritinos, Jack (0S/ IEA); Olson , Carolyn (0S/10S); Paulus, Carl (OS/ASPA); Seema Veerma; Pelekoudas, Kristina (HHS/IQS); Smith , Christopher (HHS/ASPA); Stecker, Judy (OS/ASPA); Tignor, Beth (HHS/IQS); Trueman, Laura (HHS/I EA); Twomey, Joh n K. (HHS/ASL); Urbanowicz, Peter (HHS/IQS); Stirrup, Heid i (HHS/IQS); Clark, Timothy (HHS/IQS); Boehler, Adam (CMS/QA); Parker, James (HHS/ IQS); Diana Perez- Rivera (CMS/Q A) (diana.perez-rivera@cms.hhs.gov) i1h11 ,, -~o1fh111.i1 :?, ,1td 1.1,..., .....ti:,.,:---1.1t 11l1i111 11, .r1:~1 c:, ~-... AMlf 615 -F 11.'c~ 1,, 11,1 IC/\r-... pVERSIGHT i1t1 ~1 1::i,.1i:1 iL. 67 EXT-18-1509-G-000197 DEPARTM ENT OF HEALTH & HUMAN SERVICES Office of the 'Secretary To: The Secretary Through: Tim Clark , White House Liaison From: He idi Stirrup Subject: Adm inister the Oath of Office-Adam Boeh ler for Deputy Administrator and Director, Center for Medicare and Medicaid Innovation (CMS) Date: May 3, 20 l 8 Event Details: Date : Time: Location: HHS Staff: Press: Friday, May 4, 2018 3:00 pm - 3: 15 pm 615-F - Secretary's Conference Room Tim Clark , Heidi Stirrup (WH L) No Who requested this eve nt: White House Liaison Topic: Administer the Oath of Office to the Deputy Administrator and Director , Center for Medicare and Medicaid Innovat ion - Adam Boehler Secretary 's Rol e: To Administer the Oath of Office and welcome the newest member of the HHS Team. There is no need to sign the Appointment Affidavit as that was completed the day of his onboarding , April l 0, 2018. List of Atte ndees/Pa rticipant s : HHS Staff: Deputy Secretary ; CMS Adm inistrator Seema Verma & select leadership from CMS , Chief of Staff , Deputy Chief of Staff; White House Liaison staff; Mr. Boeh ler's fami ly. Meeting/ Event Agenda: o Greet appointee; guests. o Arrange in front of flags - Mr. Boehler left hand on Torah; raise right hand o Read the oath and have Adam Boehler repeat after you o Congratulate after admini stering the oath o Photos 1 AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000198 Background: Mr. Boehler was brought on board HHS on April IO and administered the oath of office at that time. This swear ing-in is ceremonia l in nature. Background on Mr. Boehler: o o o o o o o o Adam Boehler joins the Department in the role of Deputy Administrator and D irector of CMMI. Boehler is the former CEO and founder of Landmark Health - a company focused on delivering medical services to the most chronica lly ill patients. Boehler is the founder of A val on Health Solutions - a leading provider of laboratory benefit manag ement services in the country. Boehler was a board member and founder ofTre llisRx, a built-for-purpose company that partners with health systems to fund, build , and operate specialty pharmacies. Addit ionally , Boehler was an Operating Partn er at Francisco Partners a leading global private equity firm focused on healthcare technology and services investing, including both the incubat ion of bui lt-for-purpose compan ies and execution of transactions involv ing estab lished, high-growth businesses . He starte d his career as a venture capita list with Battery Ventures. Boeh ler is a graduate of the Wharton Schoo l of the University of Penn sylvania with a Bachelor of Science in Economics and a minor in French . Boehler was born and raise d in Albany, New York, where his father worked in private practice as a primary care physician and later as the Chief Medica l Officer of a health system. Additionall y, Boeh ler's mother-in-law, father-in- law and three brothers are physic ians . He and his wife, Shira, live with their four children, Abe, Ruth , Essie , and Rachel , in Southern California . Attachments: 1. Script for the Oath 2 AMERIC/\r-... pVERSIGHT EXT-18-1509-G-000199 Script for Oath of Office l,__ (state your full name) ____________ solemnly swear (or affirm) that-- _, do I will support and defend the Constitution of the United States against all enemies, foreign and domestic; that I will bear true faith and allegiance to the same; that I take this obligation freely, without any mental reservation or purpose of evasion; and that I will well and faithfully discharge the duties of the office on which I am about to enter. So help me God. Congratulations and welcome .... AMERIC/\r-... pVERSIGHT EXT-18-1509-G-000200 Bell, Michael (OS/ASPA) Subject: Location: HOLD for ASFR Calls 615- F/ca ll Start : Fri5/4/2018 3:30 PM End: Fri 5/4/2018 3:45 PM Recurrence: (no ne) Meeting Statu s: Accepted Organizer: Required Attendees : llhlmIJ (OS/IOS) ; Harrison , Brian Secretary Scheduler (OS/IOS) (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas , Kristina (HHS/I OS); Tignor , Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Ul'banow icz, Peter (HHS/IOS); Arbes , Sarah (HHS/ASL): Bassett, Matthew (HHS/ASL); McGuffee, Tyler Ann (HHS/ASL); Morse, Sara (HHS/ASL); Moughalian, Jen (HHS/ASFR); Palmer, Ashley (OS/ASFR) HOLD time for calls to Senate LHHS Committee member.s 3:30pm- Senator Brian Schatz (D-HI)- he will call Roses line t o connect AMlf IC/\r-... pVERSIGHT 68 EXT-18-1509-G-000201 Bell, Michael (OS/ASPA) Subject: Location: AMA to record 100 days video with ASPA Start : End: Fri 5/4/2018 4:00 PM Fri 5/4/2018 4:30 PM Recurrence: (.none) Meeting Statu s: Accepted Organizer : Required Attendees: llhlLfill(0S/I0S) 615-F Secretary Scheduler (0S/I0S) ; Harrison , Brian (HHS/I0S); Olson, Carolyn (0S/I0S) ; Pelekoudas , Kristina (HHS/I0S ); Tignor, Beth (HHS/I0S); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/I05); Stecker, Judy (O$/ASPA); Pasch, David (0S/ASPA); Brennan, Patrick (0S/ASPA); Oakley, Caitlin B. (0S/ASPA) (Caitl in.0akley@HHS.G0V); Ryan.Ml.lrphy1 ,)'.~?oU111,11J il 11:,nr o ;1111111 1:,1::-1 111 , "' ~r Topic: First quarte r/10 0 days as Secreta ry Objective: Mark accomp lishments of t he department in first quarter as Secretary AMA's Role: Be asked 3 ques tions by Judy Stecker Project Lead (IOSSenior Staff): Brian Har rison Working Project Lead (Name, Cell and email): David Pasch, dav id.pasch@hhs.gov , l"(b_;_ - )("-6 .,_ ) __ ___, Is Conference Call Line needed: No Who will provide Briefing materials: ASPA HHSStaff Attendees: Judy Stecke r, Ryan Murphy, Caitlin Oakley, David Pasch, Patrick Brennan Schedule Request Justification: To mark first qua rte r/10 0 days as Secretary AMlf IC/\r-... pVERSIGHT 69 EXT-18-1509-G-000202 DEPARTMENT OF HEALTH & HUMANSERVICES Office of the Secretary SchedulingRequestMemo for SecretaryAzar Topic : First quarte r/100 days as Secretary Objective: Mark acco mplishments of the de partme nt in first quarter as Secreta ry AMA' s Role: Be asked 3 questions by Judy Stecker Project Lead (10S Senior Staff): Brian Har rison Working Project Lead (Name, Cell and email) : David Pasch, david.pasch@h hs.gov, l(b)(6) ~~ I --- Is Conference Call Line needed : No Who will provide Briefing material s: ASPA HHS Staff Attendees: Judy Stecker, Ryan Murphy, Caitlin Oakley, David Pasch, Patrick Brennan Schedule Request Justification : To mar k first qua rter/ 100 days as Secretary Internal Use Only Who approved by Cos/ DCoS: Accepted / Decline/ Surrogate: Scheduled: AMlf IC/\r-... pVERSIGHT EXT-18-1509-G-000203 Bell, Michael (OS/ASPA) Subject: Location: AMA to take a photo with TOY, Tony Senat Start : End: Fri 5/4/2018 4:30 PM Fri 5/4/2018 4:45 PM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlZfill (0S/IOS) ; Harrison , Brian (HHS/10S); Olson, Carolyn AMlf IC/\r-... pVERSIGHT 615-F Secretary Scheduler (OS/10S) (0S/10S) ; Pelekoudas , Kristina (HHS/10S); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urban ow icz, Peter (HHS/10S); Smith, Christopher (HHS/ASPA); Senat, Tony (OIG/01) 70 EXT-18-1509-G-000204 Bell, Michael (OS/ASPA) Subject: AMA Departs To Reception Start : E'nd: Fri 5/4/2018 5:30 PM Fri 5/4/2018 6:00VM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees ! Secretary Schedu ler (OS/IOS) !lhliiill(OS/IOS); Harrison, Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas, Kristina (HHS/105); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanowkz, Peter (HHS/10S) AMlf IC/\r-... pVERSIGHT 71 EXT-18-1509-G-000205 Bell, Michael (OS/ ASPA) Subject: Location: AMA at Chris Liddell reception Mr .Liddells Residence Start : End: Fri 5/4/2018 6:00 PM Fri 5/4/2018 8:30 PM Recurrence: (.none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlIBil(OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn Secretary Scheduler (OS/IOS) (OS/IOS); Pelekoudas , Kristina (HHS/10S); Tignor , Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/ 105 ) ~ ~ appy Spring! Please jo in Chris Liddell and K~b)(-6)----~ for a Cockta il Party on Friday , May 4th, 20 18 from 6:00 - 8:30 PM ~b)(6) Please RSVP by April 27 th [S:I 1::J ?.:(;11 11o11 :J l~i,, ..dl l11J,., 1i,,.,, 1 fl Jl fJ AMlf IC/\r-... pVERSIGHT 72 EXT-18-1509-G-000206 Bell, Michael (OS/ASPA) Subject: Start: E'nd: Fri 5/4/2018 6:30 PM Fri 5/4/2018 7:001'M Recurrence: (none) Organizer: liiillfill (OS/ 10S) AMlf IC/\r-... pVERSIGHT 73 EXT-18-1509-G-000207 Bell, Michael (OS/ASPA) Subject: AMA depart s for DCA Start : E'nd: Fri 5/4/2018 8:45 PM Fri 5/4/2018 10:00 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees ! Secretary Schedul?er (0S/ 105) !lhliiill(OS/ 10S ); Harrison , Brian (HHS/10S); Olson , Carolyn (0S/10S ); Pelekoudas , Kristina (HHS/105 ); Tignor, Beth (HHS/10S); Twomey , John K. (HHS/ASL): Urba nowk z, Peter (HHS/10S) AMlf IC/\r-... pVERSIGHT 74 EXT-18-1509-G-000208 Bell, Michael (OS/ASPA) o Subject: Location: AMA Wheels up DCA to IND Peersonal Pay travel Start: End: Fri 5/4/2018 10:00 PM Fri 5/4/2018 11:55 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : IZhlLfilJ (OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn Secretary Scheduler (OS/IOS) (OS/IOS); Pelekoudas , Kristina (HHS/IOS); Tigno r, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/ IOS) confirmed . Show Trip Details Wash ington to Indiana polis 1 Adul t Friday May 4 , 20 18 - Monday May 7, 20 18 AA Record Locator fb)(6) I Your record locator ls you r reservation confirmation number and wi ll be needed to retrfeve or reference you r reservation . Reservation Name DCA/IND Status: Reissued Apr 27 , 20 18 Your Trip Price: $706 .40 USO Bag and optional fees Top of Form Flight Ame rican Airlines AMlf IC/\r-... pVERSIGHT Depart Arrive Washington (DCA) May 4 , 2018 10:00 PM Travel Time : 1 h 50 m Class : Economy Seat: 100 Indianapolis (IND) May 4 , 2018 11:50 PM Booking Code : M Plane Type ? E75 75 EXT-18-1509-G-000209 Flight Arrive Depart JM oneworld 4512 Operated by Republic Airlines As American Eagle Notification (AMERICAN AIRLINES 4512), Opens in a new window. Bottom of Form AMlf IC/\r-... pVERSIGHT 76 EXT-18-1509-G-000210 Bell, Michael (OS/ASPA) Subject: Location: AMA to be in the Great to shake hands with staff Great Hall Start : End: Mon 5/7/2018 9:45 AM Mon 5/7/2018 10:00 AM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : IZhlffill (OS/IOS); Brennan, Patrick (OS/ASPA); Harrison, Secret ary Schedu ler (OS/IOS) Brian (HHS/10S); Holden , Ronald (OS/IOS); Lagomarsino, Katie (OS/IOS); Olso n, Carolyn (OS/IOS); Paulus, Carl (OS/ASPA); Pelekoudas, Kristi na (HHS/ IOS); Smith, Christoph er (HHS/ASPA); Tig nor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/IOS); Stecker; Judy (OS/ASPA) 1) a "Meet & Greet" in the Great Hall of the Humphrey Building on the morning of Monday, May 7, 2018 , 9:00 a.m. -10:00 a.m ., where there w ill be video and photo ops of the Secretary thank ing HHS emp loyees for their service. AMlf IC/\r-... pVERSIGHT 1 EXT-18-1509-G-000211 Bell, Michael (OS/ASPA) Subject: Location: AMA Review Documents Start : End: Mon 5/7/2018 10:30 AM Mon 5/7/2018 1 J :30 AM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlffiil(0S/I0S) AMlf IC/\r-... pVERSIGHT 615-F Secretary Scheduler (0S/I0S) ; Harrison 1 Brian (HHS/I0S) ; Olson, Carolyn (0S/10S) ; Pelekoudas , Kristina (HHS/10S); Tignor, Beth (HHS/10S); Twomey,. John K. (HHS/ASL); Urbanow icz, Peter (HHS/105); O'Brien, John (HHS/ASPE); Best, Daniel (HHS/IOS); Brennan, Patrick (OS/AS PA) EXT-18-1509-G-000212 Bell, Michael (OS/ASPA) Subject: Location: AMA to call Peter Bach Start : End: Mon 5/7/2018 l 1:30 AM Mon 5/7/2018 12:00 PM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : llhlLfill(OS/IOS); Harrison, 615-F Secretary Scheduler (OS/I0S) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas, Kristina (HHS/IOS); Tignor, Beth (HHS/I0S); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/I0S) Mr . Bach has stated t he AMA has cell phone num ber but he can also be reached at ~ l(b~)(~6~) AMlf IC/\r-... pVERSIGHT 3 -~ Iwhich is h1soffice line. EXT-18-1509-G-000213 Bell, Michael (OS/ASPA) Subject: Location: Lunch/ Desk Tiime 615-F End: Mon 5/7/2018 1~00 PM Mon 5/7/2018 1:00 PM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : llhlLfill(OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn Start : AMlf IC/\r-... pVERSIGHT Secretary Scheduler (OS/10S) (OS/10S); Pelekoudas , Kristina (HHS/IOS); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/IOS) EXT-18-1509-G-000214 Bell, Michael (OS/ASPA) Subject: Location: AMA insurance discussion 615-F Start : End: Tue 5/8/2 018 8:30 AM Tue 5/8/2018 9:00 AM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : Secretary Scheduler (OS/IOS) Secretary Schedu ler (OS/IOS); laillfill(OS/I0S) ; Harri son 1 Brian (HHS/ IOS); Olson , Carolyn (0S/ 10S ); Pelekoudas, Kristina (HHS/I0S); Tignor, Beth (HHS/I0S ); Twome y, John K. (HHS/ASL); Ur-banowicz, Pet er (HHS/I OS); Parker, Jim (HHS/I OS); Seema Veerma; Diana Perez- Rivera (CMS/OA) (diana.perez-rivera@crns.hhs.gov); Pate, Randy (CMS/CCIIO) Brookes, Brady (CMS/OA) ; Stecker, Judy (OS/ASPA); CMS Adm inistrator Optional Attendee s: AMlf IC/\r-... pVERSIGHT 10 EXT-18-1509-G-000215 Bell, Michael (OS/ASPA) Subject: Location: AMA briefing on Drug Pricing Start : End: Tue 5/8/2018 10:00 AM Tue 5/8/2018 11:00 AM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : llhlLfill(OS/IOS); Harrison, AMlf IC/\r-... pVERSIGHT 615-F Secretary Scheduler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/10S); Pelekoudas, Kristina (HHS/10S); Tignor, Beth (HHS/10S); Twomey , John K. (HHS/ASL); Stecker, Judy (OS/ASPA); Urbanowicz, Peter (HHS/10S); Seema Veerma ; Diana Perez- Rivera (CMS/OA) (diana.perez-rivera@cms.hhs .gov); SG2@fda.hhs.gov; Sheehy, Janice (FDA/ORA); Best, Daniel (HHS/IOS); O'Brien, John (HHS/ASPE); Kalavritinos, Jack (OS/IEA); Bassett, Matthew (HHS/ASL); McGuffee , Tyler Ann (HHS/IOS) 11 EXT-18-1509-G-000216 DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the Secretary Assistant Secretary for Public Affairs Washington, D.C. 20201 Case No. 2018-00972-FOIA-OS Equity Forward v. HHS, Civil No. 19-1509 (D.D.C.) July 31, 2019 Mary Alice Carter Executive Director Equity Forward Sent via email: macarter@equityfwd.org Dear Ms. Carter: This letter is the third interim response to your May 9, 2018, Freedom of Information Act (FOIA) request. Specifically, you requested access to and copies of all calendars or calendar entries, schedules and/or travel itineraries for the months of March 2018, April 2018, and May 2018 for the following HHS officials: ? Alex Azar, Secretary ? March Bell, Chief of Staff for the Office for Civil Rights ? Matthew "Matt" Bowman, Deputy General Counsel ? Brett Giroir, Assistant Secretary for Health ? Brian Harrison, Deputy Chief of Staff ? Valerie Huber, Chief of Staff to the Assistant Secretary for Health ? Scott Lloyd, Director of the Office of Refugee Resettlement ? Shannon Royce, Director of Faith Based and Neighborhood Partnerships ? Roger Severino, Director of the Office for Civil Rights ? Paula Stannard, Counsel ? Heidi Stirrup, Deputy Director, Office of White House Liaison ? Peter Urbanowicz, Chief of Staff ? Steven Valentine, Deputy Chief of Staff to the Assistant Secretary for Health ? Margaret "Maggie" Wynne, Counselor The Department processed 303 pages of potentially responsive records captured in the agency's search for FOIA request 2018-00972-FOIA-OS. After a careful review of these pages, I have determined to release 31 pages to you in their entirety, and I am further releasing 69 pages in part, with portions redacted, pursuant to Exemptions (b)(5) and (b)(6) of the FOIA (5 U.S.C. ?552 (b)(5) and (b)(6)). I have also determined to withhold 93 pages in their entirety, pursuant to Exemption (b)(5) of the FOIA (5 U.S.C. ?552 (b)(5)). Furthermore, I have determined that 19 pages should be sent for consultation to other agencies and returned to this Department for final disposition. Finally, I determined that 91 pages are duplicative to your request. ERSIGHT Page 2 of 2 Case No. 2018-00972-FOIA-OS Equity Forward v. HHS, Civil No. 19-1509 (D.D.C.) FOIA exemption (b)(5) protects inter-agency or intra-agency memoranda or letters which would not be available by law to a party other than an agency in litigation with the agency. This exemption protects documents that would be covered by any privilege an agency could assert in a civil proceeding. These privileges include, among others, the deliberative process privilege, the attorney-client privilege, and the attorney work-product privilege. FOIA exemption (b)(6) permits a Federal agency to withhold information and records about individuals in "personnel and medical files and similar files, the disclosure of which would constitute a clearly unwarranted invasion of personal privacy." The definition of "similar files" has historically been broadly interpreted to include a wide variety of files, and the United States Supreme Court has held that Congress intended the term "similar files" to be interpreted broadly, rather than narrowly. I have analyzed these records and find they meet the threshold requirement of this exemption. Additionally, I have reviewed and weighed the public interest in disclosure of this information against the privacy interest in nondisclosure, and found that the privacy interest outweighs the public's interest in disclosure. We will continue to review the remaining records as efficiently and expeditiously as possible, consistent with our available resources and the Order of the Court. Should you have questions or concerns regarding the Department's response and\or the processing of your request, any such issues should be communicated to your legal counsel and Department of Justice Attorney representing the Department in this matter. Sincerely yours, Brandon J. Gaylord Supervisory Government Information Specialist and HHS FOIA/PA Public Liaison Enclosure(s) Bell, Michael (OS/ASPA) Subject: Location: Lunch/ Desk Time 615-F End: Tue 5/8/2018 12;00 PM Tue 5/8/2018 1:00 PM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlZfill (OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn Start : /\Mlf K Al\ pVERSIGHT Secretary Scheduler (OS/IOS) (OS/10S); Pelekoudas , Kristina (HHS/10S); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urban ow icz, Peter (HHS/IOS) 12. EXT-18-1509-H-000001 Bell, Michael (OS/ASPA) Subject: Location: AMA Cabinet Prep Start: End: Tue 5/8/2018 1:00 PM Tue 5/8/2018 1;30 PM Recurrence: (.none) Meeting Status: Accepted Organizer: Required Attendees: llhlLfilJ (OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn 615-F Secretary Scheduler (OS/IOS) (OS/IOS); Pelekoudas , Kristina (HHS/10S); Tignor, Beth (HHS/10S); Twomey , John K. (HHS/ASL); Urbanow k z, Peter (HHS/10S); Wynne , Magg ie (HHS/10S); Brennan, Patrick (OS/ASPA) Prep AMA for Cabinet meeting Re: immigration Peter Maggie Wynne Patrick Brennan Brian /\Mlf K Al\ pVERSIGHT 13 EXT-18-1509-H-000002 Bell, Michael (OS/ASPA) Subject: Location: AMA Prep for American Hospital Association Speech and Department Service Awards Start : End: Tue 5/8/2018 1:30 PM Tue 5/8/2018 2:30 PM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : llhlffiil(OS/IOS); Brennan, Patrick (OS/ASPA); Harrison , Brilan (HHS/IOS); Katavritinos, 615-f Secretary Schedu ler (OS/IOS) Jack (OS/ IEA); Oakley, Caitlin B. (OS/ASPA); Olson, Car0fyn (OS/1OS);Paulus, Carl (OS/ASPA); Pel'ekoudas, Kristina (HHS/IOS); Smith, Christopher (HHS/ASPA); Stecker, Judy (OS/ASPA); Tignor, Beth (HHS/IOS); Trueman, Laura (HHS/IEA); Twomey , John K, (HHS/ASL); Urbanow'icz, Peter (HHS/1OS) Prepare AMA for Speaking event with AHA and Dept . Service Awards on 5/9 /\Mlf K Al\ pVERSIGHT 14 EXT-18-1509-H-000003 Bell, Michael (OS/ASPA) Subject: Location: HOLD: AMA to make calls to Senate LHHS Members 615-F / calls End: Tue 5/8/2018 3:00 PM Tue 5/8/2018 4:00 PM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : llhlZfilJ (OS/IOS); Harrison, Start : Secretary Scheduler (OS/1OS) Brian (HHS/1OS); Olson, Carolyn (OS/1OS); Pelekoudas, Kristina (HHS/1OS); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/IOS); Arbes, Sarah (HHS/ASL) : Bassett, Matthew (HHS/ASL); McGuffee, Tyler Ann (HHS/ASL); Morse, Sara (HHS/ASL); Palmer, Ashley (OS/ASFR); Moughalian, Jen (HHS/ASFR) 3:00pm -Sena tor Jack Reed (D-RI) Please call Roseanne, 202-224-4646 3:1Spm- 3:30pm3:45pm -Senator Ondy Hyde- Smith { D-M I)- call 202.22 4 .5222 /\Mlf K Al\ pVERSIGHT 15 EXT-18-1509-H-000004 Bell, Michael (OS/ASPA) Subject: Location : AMA Mock Hearing for Senate LHHS Start : End: Tue 5/8/2018 4:00 PM Tue 5/8/2018 530 PM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : lfrilifilJ(OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn 610-F Secretary Scheduler (OS/IOS) (OS/IOS); Pelekoudas , Kristina (HHS/I0S); Tignor, Beth (HHS/I0S); Twomey, John K. (HHS/ASL); Movgha lian, Jen (HHS/ASFR); Urbanowicz , Peter (HHS/I0S); Arbes , Sarah (HHS/ASL); Bassett, Matthew (HHS/ASL); McGuffee , Ty:ler Ann (HHS/ASL); Morse , Sara (HHS/ASL); Aramanda, Alec (OS/ASL); Lawrence, Courtney (HHS/ASL); Kemper , Laura (HHS/AS L); Hayes, Sean (HHS/ASL); Stannard , Paula (HHS/ IOS); Wynne, Maggie (HHS/IOS); O'Brien , John (HHS/ASPE); Lapinski, Mary-Sumpter (HHS/IOS); Best, Daniel (HHS/10$); (harrow , Robert (HHS/OGC); Stimso n, Briah (HHS/OGC); Bowman , Matthew (HHS/OGC); Ryan.Murphy1; Oakley , Caitlin B. (OS/ASPA) (Caitlin.Oakley@HHS.GOV); Cochran , Norris (HHS/ASFR); Cash, Lester (HHS/ASFR); Curtis, Jillian (HHS/ASFR); Rice, Peggie (HHS/ASFR); Cabezas, Miriam (HHS/ASFR); McMillen, Cheryl (HHS/ASFR); Palmer, Ash ley (OS/ASFR); Giroir, Brett (HHS/OASH); Pence, Laura (HHS/10S) 11 .--:.:1: L:' ..o i:,, ,,a,, 0,,,.,,1 1::: , '':I'') o i, I,~~ ,.,,,,.- /\Mlf K Al\ pVERSIGHT 16 EXT-18-1509-H-000005 DEPARTM ENT OF HEALTH & HUMAN SERV ICES Office of the Secretary Scheduling Request Memo for Secretary Azar Topic: Hearing Prep for Senate Labor-HH S Appropr iatio ns Objective: Prepa re for the Senate Labor-HHS Approp ria tions Sub commi ttee hearing on the FY 2019 Bud get AMA's Role: Active parti cipant Project Lead (10S Senior-Staft): Will Brady Working Project Lead (Name, Cell and email): Ashley Pahner,~ ~b_)(_6_ ) ___ Ashley.palmer @hh s.gov ___. Is Conference Call Line needed? No Who will initiate the conference caU? NIA Who will provide Briefing materials ? Ash ley Palm er and Jen Moughalian (ASFR) HHS Staff Attendees: See outlin e below External Attendees: NIA Schedule Request Justification: (b)(5) /\Ml \I\ pVERSIGHT EXT-18-1509-H-000006 DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the 'Secretary b)(5) Attendees in order of appearanc e above : o ASFR: Jen Mo ugha lian o ASFR CLB DAS: Ashley Palmer o ASL (Hear ing Prep Session , Mock Hearing, and Fi11al Hearing Prep): Matt Bassett, Sarah Arbes, Sara Morse, Alec Aramanda, Courtney Lawrence , Laura Kemper, Sean Hayes o Counselors /POCs (Hearing Prep Session, Mock Hearing, and Final Hearing Prep): Paula Stannard, Maggie Wynne, John O' Brien, Mary-Sumpter Lapinski, Dan Best, Jim Parker OGC (Hearing Prep Session, Mock Hearing, and Final Hearing Prep): Bob Chan-ow, o Matt Bowman, Brian Stimson o ASPA (Hearing Prep Session, Mock Hearing, and Final Hearing Prep): Ryan Murphy , Caitlyn Oakley o ASFR SES (Mock Hearing and Fina l Hearing Prep): Norris Coclu-an, Lester Cash, Jillian Curtis, Miriam Cabezas , Chery l McMillan o ASFR CLB (Fina l Hearing Prep): Peggie Rice Int ernal Use Only Who approved by CoS / DCoS : Accepted / Decline / Surrogate: Scheduled: /\Mlf K Al\ pVERSIGHT EXT-18-1509-H-000007 Bell, Michael (OS/ASPA) Subject: Location: AMA to have dinner with Senator Cruz TBD Start : End: Tue 5/8/2018 7~30 PM Tue 5/8/2018 9;00 PM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlffiTI (OS/IOS); Harrison, /\Mlf K Al\ pVERSIGHT Secretary Schedu ler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas, Kristina (HHS/10S); Ruth Fisher (Ruth .Fisher@hhs.gov); Tignor , Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanowici, Peter (HHS/10S} 17 EXT-18-1509-H-000008 Bell, Michael (OS/ ASPA) Subject: Location: AMA to speak at AHA Membership Meeting Washington Hilton, 1919 Connecticut Ave. NW Start : End: Wed 5/9/2018 7:45 AM Wed 5/9/2018 8:30 AM Recurrence: (,none) Meeting Statu s: Accepted Org anizer : Required Attendees : llhlffill(OS/IOS); Harrison, l!1 ."J::l,. ' , .< 1l)J i,1t i.11ii< 1 4i,... l~11t.-.d1,.i Secretary Scheduler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/IOS); Ryan.Murphy1; Brennan, Patrick (OS/ASPA); Oakley, Caitlin B. (OS/ASPA) (Caitlin.Oakley@HHS.GOV) ; Paulus, Carl (OS/ASPA); Smith, Christopher {HHS/ASPA); Stecker, Judy (OS/ASPA) l!1 .ooJ: :\o.' , .(:.I.". .o1~11,11"1'"' :vii" o ;_1,-"1I,"ll/1I .roli1oo _._,,1,. o Jlj;I J11t ? 1 7:45am lf,1'Jq;,1:i1,u 1 l~t-: ,-.J: :~... ~4t10,,I' ., 1. fotl:'' 1,,,,. .oo AMA arr ives at Wash ington Hilton, T street Bunker; Adva nce Lead Carolyn Olson- wi ll meet AMA on arr ival and lead to hold room (15 min .} ? 7:47am AMA w ill be greet ed by AHA's Executive Com mittee and w ill do a group click in Presidentia l HOLD Rotunda (2 min} BACKDROP:AHA Logo Step and Repeat o Rick Pollack, AHA President and CEO o Tom Nickels, Executi ve VP, Gov't Aff airs ? Nancy Howell Agee, Chair ? Brian Gragnolati, Chair-Elect ? Gene Woods o Mindy Estes ? Rod Hoc hman o Bruce Law rence ? 7:49am AMA and HHS support staff proceed to Presidentia l HOLD sitti ng area, and AHA's Execut ive Comm ittee Departs area. (10 min} ? /\Mlf K Al\ pVERSIGHT 7:59am AMA moves to back-stage hold (1 min .) ? 8:00am Rick Pollack, A HA President and CEO, gives welco me remarks and Introduces AMA (5 min.) ? AMA enters STAGELEFTand gives remarks (20 min.) 8:05am 18 EXT-18-1509-H-000009 36> 8:253m AMA departs STAGE LEFT 19 RichardJ. Pollack President& ChiefExecutive Officer 1p:1e= 800 10thStreet,NW- Sllite400 American Hospital Assoc iation TwoCltyCenter Washington , DC20001-4956 (202)638- 1100Phone www.aha .org February 12, 2018 Honorable Alex Azar Secretary U.S. Department of Health and Human Services 200 Independence Avenue , SW Washington, DC 20201 Dear Secretary Azar: The leaders of America's hospitals are eager to hear from you. On behalf of the AHA Board of Trustees and our members, we invite you to join us as a keynote speaker at the American Hospital Association's (AHA) 2018 Annual Membership Meeting May 6 through May 9, 2018 at the Washington Hilton, 1919 Connecticut Ave., NW, Washington, DC. Our meeting annually brings close to 2,000 hospital, health system and community leaders to Washington, D.C., and this year will place special emphasis on the debate about the future of health and health care, including the role hospitals play in our communities. Every day our hospitals struggle with a range of issues that include the tragic impact of opioid abuse; emergency preparedness in the face of hurricanes , wildfires and mass shootings; and regulatory relief complying with the daunting number of federal regulations. We want to know how we can best work together to address these issues so that the patients and communities hospitals serve can continue to provide the highest quality health care. We would like to invite you to speak during one of our three plenary sessions: o o o Monday , May 7 between 9:30-10 :30 a.m. ET Monday , May 7 at 2:45 p.m. ET or approximatel y 3:45 p.m . ET Tuesday , May 8 at a time convenient to you between 8:30 and 10 a.m. ET. We would ask you to speak for follow, if you choose. /\MEf K Al\ pVERSIGHT 15- 20 minutes, with a que stion and answer session to EXT-18-1509-H-000011 The Honorable Alex Azar February 12, 2018 Page-2 Your participation would honor our hospital and community leaders, and reinforce the important work they do in their communities 24 hours a day, seven days a week. We look forward to hearing from you soon. If you or your staff have any questions regarding the meeting, or need more information, please don't hesitate to contact Ashley Thompson, AHA's senior vice president for public policy development and analysis, at (202) 626-2688. Sincerely, ~Jbl_ /\MEf K Al\ pVERSIGHT EXT-18-1509-H-000012 1. What is the location address? Washington Hilton Hotel 1919 Connecticut Ave., NW Washington, DC 2. What time would you like him to start? We invite the secretary to speak during our opening plenary session on Monday morning, May 7. The ideal start time would be about 9:45 a.m. though there is some flexibility to start slightly later. The session concludes at 10:30 a.m. and attendees proceed to breakouts. 3. How long would you like him to speak? 20-25 minutes with Q&A, if he agrees to do Q&A 4. What is the main topic you would like for the Secretary to address? Are there specifics item you would like for him to talk about? 1) Removing government burdens to delivering better, more cost effective care 2) Moving towards value-based care through alternative payment and delivery models 3} Stemming the opioid epidemic 4) Encouraging transparency from payers (including Medicare and Medicaid) and providers 5) Giving consumers greater control over health information through interoperable HIT 5. Would you like him to save time for Q&A with the audience? Our audience appreciates the opportunity to do Q&A but that is up to him. We typically do Q&A by text message, rather than having audience members stand at microphones. We have found this to be more efficient. 6. What is the approximate number of people you expect in attendance? We can fit our comments to fit the audience that you expect. What groups of people will be represented in the room? Ex: Insurers, Surgeons, etc? Anticipated attendance will be close to 1,500, almost all of them in hospital and health system leadership/services. In 2017, about one-third were hospital or system presidents/CEOs// administrators. Other titles included trustees, chief medical officers, chief financial officers and government relations officers. /\MERICAi\ pVERSIGHT EXT-18-1509-H-000013 7. Where should he check-in when he arrives? Ashley Thompson, AHA senior vice president (contact info below) will greet him at the T Street (Terrace) driveway entrance to the Hilton and escort him to the Cabinet Room on the ballroom level. From there he will be escorted through a. backstage corridor to the International Ballroom stage. Is the organization inv iting the. press? 8. The AHA Annual Meeting is open to media coverage. 9. Are there any other detail s and/or advice that you can offer? Not at this time. 10. Who is the main point on contact? For logistics, contact is Etta Fielek, AHA Vice President for Political Outreach , 202626-2358 (o//ice), Kb)(6) Yee/I) or e[ielek@aha .org For content/health care policy issues, the contact is Ashley Thompson, AHA Senior Vice President, Public Policy Analysis and Development , 202-626-2688 or athomp son@aha .org 1 1. What is the suggested attire? Business /\MERICAi\ pVERSIGHT EXT-18-1509-H-000014 Invitations Information Checklist* Please attach a copy of your invitation, or request and provide us with the following information: 1. Name of event: American Hospital Association 2018 Annual Membership Meeting 2. Date of event: First choice for the secretary's participation is the opening plenary session, Monday, May 7. The session goes from 8:30-10:30 a.m. Preferred slot for secretary's introduction is 9:45 a.m. 3. Location of event: Washington Hilton Hotel 1919 Connectimt Ave., NW Washington, DC 20009 4. Approximate numb er of attendees: 1,500 5. Descr ibe the categor ies of anticipated attendees (indu str y, governme nt, academics?): Almost all attendees represent hospital and health system leadership, including presid ents, CEOs, administrators, chief medical and financial officers, government relations officers and trustees 6. Who is holding/organizing the eve nt: American Hospital Association 7. Na me of the source of the invitation (if other than the eve nt organi zer): NIA 8. Name of the individual extending the invitation , if other than the event organize r: Rick Pollack , AHA President and CEO 9. Name of the point of contact for the event , the contact's telephone number and email address (in case we have follow-on questions): Etta Fielek, AHA Vice President for Political Outreach, 202-626-2358 (office) 202-365-2073 (cell), ejielek@aha.org 10. Is the organi za tion extending the invitation a federa lly registered lobbying orga ni zation? Yes. 11. If you answe red yes to question 10, is the organization exte ndin g the invita tion a 501(c)(3) tax exe mpt organization under the federal Internal Revenue Code , or a media organizat ion ? The American Hospital Association is a S0J(c)(6) organizatio n. /\MEf K Al\ pVERSIGHT EXT-18-1509-H-000015 12. Is the individual extending the invitation a federally registered lobbyist? No. 13. Are you inviting the federal employee to paiticipate as a speaker , panel member , or otherwise present information at the event, or just to attend? If yes, please describe. Secretary Azar is invited to be a keynote speaker during the opening plenary session. There is flexibility at other times as well but this is optimum attendance and timing. 14. Is the event a charitable fundraiser? No 15. What is the ticket price or registration fee for this event, if any? AHA member registration ranges from $800 (early bird) to $850 for full registration for a 3+ day meeting. 16. If there is no ticket price or registration fee, what is the fair market value for attendance at the event (or the per person cost to the event organizer)? NIA 17. Is a spouse or other guest invited? No 18. If you answered yes to question 17, will others in attendance generally be accompanied by a spouse or other guest? No 19. Ethics regulations provide that an employee may accept one additional invitation only when others in attendance will generally be accompanied by a spouse or other guest. NIA 20. Will attendance at this event require travel? Ground transportation only /\MERICAi\ pVERSIGHT EXT-18-1509-H-000016 Page017 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000017 Page018 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000018 Bell, Michael (OS/ASPA) Subject: AMA Departs back to HHS Start : E'nd: Wed 5/9/2018 8:30 AM Wed 5/9/2018 9:00 AM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : Secretary Schedu ler (OS/1O5) llhlffiil(OS/IOS); Brennan , Patrick (OS/ ASPA); Harri son, Brian (HHS/IOS); Katavritinos , Jack (OS/IEA); Olson, Carolyn (OS/IOS); Paulus, Carl (OS/ASPA); Pelekoudas, Kristina (HHS/1OS); Smith , Christopher (HHS/ASPA); Stecker, Judy (OS/ASPA)~Tignor, Beth (HHS/1O5); Trueman, Laura (HHS/IEA): Twomey, John K. (HHS/ASL); Urbanowicz , Peter (HHS/1OS) /\Mlf K Al\ pVERSIGHT 20 EXT-18-1509-H-000019 Bell, M ichael (OS/ASPA) Subj ect: Location: AMA call wtth Senator Jeff Merkley ( D-OR) 615-F /call Start : End: Wed 5/9/2018 9:45 AM Wed 5/9/2018 10;00 AM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : llhlffiil(0 S/10S); Harrison Secretary Scheduler (OS/10S) 1 Brian (HHS/10S); Olson, Carolyn (0S/10S) ; Pelekoudas , Kristina (HHS/IOS); Tignor , Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/IOS); Arbes, Sarah (HHS/ASL): Bassett, Matthew (HHS/ASL); McGuffee, Tyler Ann (HHS/ASL); Morse, Sara (HHS/ASL); Moughalian, Jen (HHS/ASFR); Palmer, Ashley (0S/ASFR) The Senator wi ll call Roses Line to connect Topic: Senate LHHS committee hearing /\Mlf K Al\ pVERSIGHT 21 EXT-18-1509-H-000020 Bell, Michael (OS/ASPA) Subject: Location: AMA Personnel Meeting Start : End: Wed 5/9/2018 10;00 AM Wed 5/9/2018 10:30 AM Recurrence: (no ne) Meeting Statu s: Accepted Organizer: Required Attendees : llhlffiil(OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn 615-F Secretary Scheduler (OS/ 10S) (OS/10S); Pelekoudas , Kristina (HHS/IOS); Tignor , Beth (HHS/10S); Twomey, John K. (HHS/ ASL); Urbanow icz, Peter (HHS/ IOS) Requeste d by Peter /\Mlf K Al\ pVERSIGHT 22 EXT-18-1509-H-000021 Bell, Michael (OS/ASPA) Subject: Location : AMA at Cabinet meeting WW, Cabinet Room Start: End: Wed 5/9/2018 11 :30 AM Wed 5/9/2018 12:30 PM Recurrence: (none) Meeting Status: Accepted Organizer : Required Attendees : IZiilifilJ (OS/!OS); Harrison, Brian (HHS/IOS); Olson, Carolyn Secretary Scheduler (OS/IOS) (OS/IOS); Pelekoudas, Kristina (HHS/10S); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/10S); Brennan, Patrick (OS/ASPA); Stecker, Judy (OS/ASPA) 11 11:n:r:, .".J:"I'" (i oo l'sn,11i, l?,olk r i,11,,-oo. We have confirmed the following dates fo r cabinet meetings in the month of May: Wednesday , May 9, 2018 at 11:30 AM (60 min) Thursday, May 24, 2018 at 11:30 AM (60 min) Please let us know if your princip le is unable to at tend either of the cabinet meetings. Thank you! From: Office Of Presidential Scheduling This email is to inform you that your schedule proposal for Cabinet Meeting has been APPROVED and added to the President's schedule. Information regarding your event is below . PROJECT OFFICER: William McGinley , Deputy Assistant to the President and Cabinet Secretary WORKING CONTACT/POC: Ashley Mocarski , Senior Director of Cabinet Affairs DATE/TIME/LENGTH OF PARTICIPATION: Wednesday , May 9, 2018 at 11:30 AM (60 min) LOCATION: Cabinet Room EVENT FORMA T!PROGRAM: Meeting PRESS : Pool at Top PARTICIPANTS: Members of the Cabinet /\Mlf K Al\ pVERSIGHT 25 EXT-18-1509-H-000022 Bell, Michael (OS/ASPA) Subject: AMA departs back to HHS Start : E'nd: Wed 5/9/2018 1:00 PM Wed 5/9/2018 1;30 PM Recurrence: (none) Meeting Status: Accepted Organizer : Required Attendees : Secretary Schedu l.er (0S/10S) !lhliiill(OS/10S); Harrison, Brian (HHS/10S); Olson, Carolyn (0S/10S); Pelekoudas, Kristina (HHS/105); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/10S) /\Mlf K Al\ pVERSIGHT 28 EXT-18-1509-H-000023 Bell, Michael (OS/ASPA) Subject: Location: AMA to participate in the Departmental Awards Ceremony Great Hall, HHS Start: End: Wed 5/9/2018 1:SO PM Wed 5/9/2018 2:20 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : !lhlmil(OS/10S); Harrison, 11 :l '(I )I f 'I ..11'>~ ."'''.,in.. :..1io'- oo~~nn,.,11 1 Secretary Scheduler (OS/IOS) Brian (HHS/10S); Olson, Carolyn (0S/10S) ; Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/10S); Ryan.Murphy1' ; Clark, Timothy (HHS/10S); Williams, Rasheed (HHS/IOS) (Rasheed.Wi lliams@hhs .gov) ; Oakley, Caitlin B. (0S/ASPA) (Caitlin.Oakley@HHS .GOV); Brennan, Patrick (0S/AS PA); Pasch, David (0S/ASPA); Smith, Christopher (HHS/ASPA) ;mu.. :1:,.1.1r 11lt 1~.1ii,10 ii 1,,i,.. l1.~... /\Mlf K Al\ pVERSIGHT ? 1:55 pm AMA arrives at the east wing elevators (near auditorium) with optional hold in Studio Greenroom, if needed. (4 min) ? 1:59 pm AMA , along with other speakers, enter STAGERIGHT and are seated STAGELEFT.(1 min) ? 2:00 pm Bob Charrow introd uces the US Color Guard for Presentation of Colors. (6 min) ? 2:06 pm Singing of the National Anthem. {3 min) ? 2:09 pm Bob Charrow makes Opening Remarks and introduces AMA . (S min) ? 2:14 pm AMA walks across stage to podium and gives his remarks. (6 min) ? 2:20 pm AMA departs STAGERIGHT, exits room and the event continues . 29 EXT-18-1509-H-000024 DEPARTMENT OF HEALTH & HUMAN SERVJCES Offic e of the Secretary Washington , D.C 20201 To: The Secretary Through: Adv isor to the Secretary /Chief of Staff From: Heather Flick, Acting , Assistant Secretary for Administration Subject: HHS Departm enta l A ward s Ceremo ny Event Overview Event Details Date: Time : Location: Cast: Wedne sday, May 9, 201 8 2:00 pm to 4:00 pm Great Hall, Hubert H. Humphrey Buildin g Secretary Immedia te Office (Deputy Secret ary and/or Chief of Staff) Assistant Secre tary for Administration Chief Human Capital Officer Master of Ceremo ny OHR Suppo1t Staff HHS Photo grapher Na tional Anthem Singer U.S. Ca pital Joint Force Color Guard Event Tick -Tock 2 :05 pm - 2:07 pm Secretary proceeds to stage with the Deputy Secretary. lrn.mediate Office will stand next to their ch airs. Acting , Ass istant Secretary for Administrat ion briefly welcom es the gro up and introduces the opening activ ities . /\Mlf 2 :07 pm - 2: 12 pm Present Colo rs By Joint Armed Forces Color Guard 2: 12 pm - 2:15 pm Singing of the National An them By Sarita Davis , Office of the Secretary 2: 15 pm - 2: 16 pm Acting, Ass istant Secretary for Adrni.nistration introduces the Deputy Secretary. 2: 16 pm - 2:17 pm The Deputy Secretary introduces the Secretary ; who proceeds to the podium. K Al\ pVERSIGHT EXT-18-1509-H-000025 2: 17 pm -2:20 pm Secretary provide remarks at the podium. 2:20 pm - 2:25 pm Secretary concludes remarks and proceeds to stand in the center of stage. Deputy Secretary returns to podium to read names of awardees for the 50 Year Length of Service Award. As the names are called, the recipients will come to the stage, an OHR staff member will hand the Secretary the award , which then will be presented to the award to the recipient , shake their hand and pause for a picture. The recipient will then proceed off the stage to the right. 2:25 pm Secretary remains center stage and Acting, Assistant Secretary for Administration will proceed to read remaining awards. Secretary will present remaining awards. 3:10 pm Award winners, family members, guests proceed to reception at the end of the ceremony. Detail Agenda 2:00 - 2:02 MC (Acting , Assistant Secretary for Administration): Administrative reminder & introduction of the Official Party. 2:05 - 2:07 MC: Cued by Secretary's Aide that the Official Party is Ready, Official Party proceeds to the stage and remains standing. 2:07-2:12 Presentation of Colors By Joint Armed Forces Color Guard 2:12-2:15 Singing of the National Anthem By Sarita Davis , Office of the Secretary 2:15 - 2:16 Acting Assistant Secretary for Administration introduces the Deputy Secretary. 2:16-2:17 Deputy Secretary introduces the Secretary. Secretary proceeds to podium and provides remarks. 2:17-2:25 Secretary provides remarks and presents 50 Year Length of Service award. 2:25 - 2:40 Presentation of Awards (Read by MC, presented by Deputy Secretary): - Excellence in Management - Hubert H. Humphrey Service to America Career Achievement - Meritorious Service - Distinguished Service Award 2 /\MERK Al\ pVERSIGHT EXT-18-1509-H-000026 2:40-2:45 MC congratulates participants, Awards Coordinator and HHS staff 2:45 MC: Conclusion of Ceremony Official Paity departs, proceeds to exit OPDIV/STAFFDIV Heads follow Official Party 2:50 Awards recipients, family members, guests proceed to reception. Event Background Each year HHS recognizes employees for exemplary contributions to the Department and awardees were just notified via email of their selection. A total of 37 employees /teams are being recognized this year, drawn from 94 submissions. Each nomination first went through its respective Divisional approval process and then an independent panel comprised of Divisional senior offic ials. The final review was conducted by the Departmental Executive Review Board. HHS Award Recipients by Category 50 YEAR LENGTH OF SERVICE AWARD o o o o o o o o o o o o o o o o o o o o o Emily Lee (IHS) Janet Yazzie (IHS) David Bostwick (FDA) Richard Kolinski (FDA) Daniel Brown (FDA) Carolyn Burke (FDA) Samuel Eskenazi (FDA) Thomas Waldmann (NIH) Robert Wurtz (NIH) Ann Dean (NIH) Anthony Furano (NIH) Gary Felsenfeld (NIH) Martin Gellert (NIH) Herbert Tabor (NIH) Phillip Gorden (NIH) Alan Schechter (NIH) Reed Wickner (NIH) Shirley House (NIH) Richard Arnold (NIH) George Franklin (NIH) George Caponiti (NIH) HHS AWARD FOR EXCELLENCE IN MANAGEMENT 3 /\MERK Al\ pVERSIGHT EXT-18-1509-H-000027 This Award is the third highest honor award granted by the Department and is conferred by the Secretary. This Award category can be pre sented at two levels : 1) GS- 13 and above; and 2) GS-12 and below. The Awa rd acknowledge s emp loyees for contr ibuting to the improveme nt of their agency's performance. o o o o o o o o o o Jason Dh onau (CDC) Robert McKenna (HR SA) Steven Shandy (OIG) Karen Tritz (CMS) Mausam i Kothari (ACF) Justin Srednicki (CDC) Eric Uhls (CDC) Raghav Aggarwal (CMS) Krutika Amin (CMS) Aimee Chotikul (CMS) H UBERT H. HUMPHREY AWARD FOR SERVICE TO AME RIC A The Awa rd recogn izes emp loyees for their contributions to the health, safety, and well-being of the nation. The Award category can be presented at two levels: 1) individual; and 2) group. o Mary Minor Blake (SAMHSA) o CDC Guideline for Prescribing Opioids for Chronic Pain Team CAREER ACHIEVEME NT AW ARD The Awa rd recogn izes HHS emp loyees with ten or more years at HH S for their dedication to the Departm ent. o Martha Linet (NIH) o Kyle Ford (OIG) o Donald Sharp (CDC) o Thomas Fleisher (NIH) o Jan Lundeliu s (OS/OGC) SECRETARY'S AWARD FOR MERITORIOUS SERVICE This Award is the second highest honor award granted by the Dep artment and is conferred by the Secretary. The Award recognizes HHS employees for their achievemen ts and for inspiring others to improve their performance. o Seth Marcus (HRSA) o Julie Taitsman (OIG) o Luke Vanderwagen (OGC) o Erik Met tler (OGC) o Andrew Gettinger (ONC) o Cherise Neville (OMHA) o Medicare Diabetes Prevention Program Team (CMS) o Empowered Communities for Healthier Nations Initiative Team (OASH) o SAMHSA Disaster Behavioral Health Response and Recovery Team o Marketplace Stability Propos ed Regulation Team (CMS) SECRETARY'S AWARD FOR DISTI NGUIS HED SERVICE 4 /\MERK Al\ pVERSIGHT EXT-18-1509-H-000028 This Award is the highest honor granted by the Departm ent and is conferred by the Secretary. This Award recognizes HHS employees for their susta ined excellence. o o o o o o o o o o Robert Wurtz (NIH) James Cleeman (AHRQ) Gary Cantrell (OIG) Mary Webb (ACF) Jeff Grant (NIH) Combatting Drug Resistant Bacterial Infections Team (ASPR) Taskforce Combatting Antibiotic Resistant Bacteria (ASPE) National Adult Maltreatment Reporting System Development Team (ACL) ASPE Drug Pricing Policy Team OS- Patie nt-Centered Outcome s Research Trust Fund Portfol io Team (ASPE) Attachments o Your remarks for this event will be provided by speec hwriting under a separa te cove r. 5 /\MERK Al\ pVERSIGHT EXT-18-1509-H-000029 Stage Map STAGESET-UP fite o o ESCORT o o MC DESPEC. cos ~~ ., i"ti lo ;: ---------------------------U.S. Department e o ASA o ~---------., "' e Secretary DGBPP SEC. AID ---------------------------------------------- of Health and Human Services 6 /\MERK Al\ pVERSIGHT EXT-18-1509-H-000030 1. What is the location address? Great Hall, Hubert H. Humphrey Building 2. What time would you like him to start? 2:00 pm, during week of May 7th - 11 t h (one day, depending on the Secretary's availability) 3. How long would you like him to speak? The Secretary hosts the entire event, which lasts approximately 2 hours, with the first hour for the ceremony presentation followed by the second hour for the reception . We would like the Secretary to make opening remarks, and additionally we are asking the Secretary to distribute award trophies for the five categories. We are requesting the Secretary's presence for the entire engagement. 4. What is the main topic you would like for the Secretary to address? Are there specifics item you would like for him to talk about? Congratulating and recognizing the achievements of the award recip ients from the 2016 2017 Departmental Awards period. This ceremony highlights their accomplishments. 5. Would you like him to save time for Q&A with the audience? No 6. What is the approximate number of people you expect in attendance? We can fit our comments to fit the audience that you expect. What groups of people will be represented in the room? Ex: Insurers, Surgeons, etc? The ceremony annually hosts 300 - 450 people including HHSaward w inners, HHS Operat ing Division and Staff Division leadership, guests and support staff. 7. Where should he check-in when he arrives? Check-in for the Immediate Office staff would occur in the rear of the Great Hall of the Hubert H. Humphrey building, just to the right of the stage. 8. Is the organization invit ing the press? No, this is an internal awards ceremony recognizing HHS employees only. 9. Are there any othe r details and/o r advice that you can offer? The HHS Departmental Awards Program and Ceremony is an annual recognition ceremony to honor the achievements of HHS employees throughout the Agency. OHR is requesting the Secretary and Immediate Office's attendance and participation for this event . The Ceremony is tentatively scheduled for mid-March and OHR has tentatively reserved the Great Hall and East Wing for March, 20-22. OHR would like to know the availability of the Secretary, Deputy Secretary and Chief of Staff for 2 hours (2 - 4 pm) for any of these days to participate in the ceremony . Attached is an overview of the award program. 10. Who is the main point on contact? Office of Human Resources, Julie Murphy , Director, Workforce Relations Division. 11. What is the suggested attire? Formal business attire . /\MERICAi\ pVERSIGHT EXT-18-1509-H-000031 Bell, Michael (OS/ASPA) Subject: LUNCH/ Desk time Start : E'nd: Wed 5/9/2018 1:30 PM Wed 5/9/ 20 18 2:00 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : Secretary Schedu l.er (0S/10S) !lhliiill(OS/10S); Harrison , Brian (HHS/10S); Olson , Carolyn (0S/10S); Pelekoudas , Kristina (HHS/105); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urba now icz, Peter (HHS/10S) /\Mlf K Al\ pVERSIGHT 30 EXT-18-1509-H-000032 Bell, Michael (OS/ASPA) Subject: Location: AMA briefing/ Start : End: Wed 5/9/2018 3:00 PM Wed 5/9/2018 3:30 PM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : llhlZfill (OS/IOS); Brennan, Patrick (OS/ASPA); Harrison , Brian (HHS/IOS); Katavritinos, prep for STAC meeting 615-F Secretary Scheduler (OS/IOS) Jack (OS/ IEA); Oakley, Caitlin B. (OS/ASPA); Olson, Car01'yn(OS/IOS); Ryan.Mu rphy1 ; Paulus, Carl (OS/ASPA); Pelekoudas , Kristina (HHS/IO5 ); Stecker, Judy (O5/ASPA); Tignor , Beth (HHS/IOS); Trueman, Laura (HHS/ IEA); Twomey, John K. (HHS/ASL); Moughalian , Jen (HHS/ASFR); Urbanowicz , Peter (HHS/IOS); Ecoffey, Stacey (HHS/IEA); Carr, Elizabeth (OS/IEA); Wynne, Magg ie (HHS/IOS) /\Mlf K Al\ pVERSIGHT 31 EXT-18-1509-H-000033 Page034 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000034 DEPARTMENT OF HE AL TH & HUMAN SERVICES Office of the Secretary Scheduling Request Memo for Secretary Azar Top i c: HHS Response to 0MB reorg plan Objective: Brief AMA on 0MB Agency Reform Plan and HHS response AMA' s Role : Provide guidance Proj ect Lead (IOS Senior Staff): Peter Urbanowicz Working Project Lead (Name, Cell and email) : Paola Zuco Is Conference Call Line needed? NO Who will initiate the conference call? Who will provide Briefing materials? ASFR HHS Staff Attendees : Peter Urbanowicz , Brian Harrison, Will Brady, Ann Agne s, Bob Charrow, Jen Moughalian , Norris Cochran, Lester Cash, M iriam Cabezas External Attendees: None Schedule Request Justific ation : Interna l Use Only Who approved by Cos/ DCoS: Accepted/ Decline/ Surro gate : Scheduled: /\Mlf K Al\ pVERSIGHT EXT-18-1509-H-000035 Bell, Michael (OS/ASPA) Subject: Location: AMA to make calls to Senate LHHS Committee members 615-F / Calls Start: End: Wed 5/9/2018 4: 15 PM Wed 5/9/2018 4:45 PM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : llhlffiil(OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn Secretary Scheduler (OS/IOS) (OS/IOS); Pelekoudas , Kristina (HHS/IOS); Tignor, Beth (HHS/10S); Twomey,. John K. (HHS/ASL); Urbanow icz, 'Peter (HHS/10S); Palmer, Ashley (OS/ASFR); Moughalian, Jen (HHS/ASFR); Bassett, Matthew (HHS/ASL); McGuffee , Tyler Ann (HHS/105); Arbes, Sarah (HHS/ASL); Morse , Sara (HHS/ASL) 4:00pm 4:15pm - Senator Jeanne Shaheen (D-NH) she will call Roses line to connect 4:30pm - Senator Patty Murray ( D-WA) she will call Roses Line to connect 4:45pm /\Mlf K Al\ pVERSIGHT 33 EXT-18-1509-H-000036 Bell, Michael (OS/ASPA) Subject: AMA Departs HHS Start: E'nd: Wed 5/9/2018 5:45 PM Wed 5/9/2018 6:15 PM Recurrence: Meeting Status: Accepted Organizer : Required Attendees : Secretary Schedul.er (OS/IOS) !lhliiill(OS/IOS); Harrison, Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas , Kristina (HHS/IOS); Ruth Fisher (Ruth .Fisner@hhs.gov); Tignor, Beth (HHS/ 10S); Twomey, John K. (HHS/ASL}; Urbanowicz , Peter (HHS/10S) /\Mlf K Al\ pVERSIGHT 34 EXT-18-1509-H-000037 Bell, Michael (OS/ASPA) Subject: HOLD AMA personal time Start: E'nd: Wed 5/9/2018 6:30 PM Wed 5/9/2018 8:30 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : Secretary Schedu l.er (OS/IO5) llhlZfill (OS/IOS); Harrison, Brian (HHS/IOS); Olson, Carolyn (OS/1OS);Pelekoudas, Kristina (HHS/1O5); Tignor, Beth (HHS/1OS); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/1OS) Office of Admissions Cordfa lly invi tes yo u to attend the New Parent Reception Wednesday, May 9, 2018 6:30 p.m. to 8:00 p.m . (b)(6) /\Mlf K Al\ pVERSIGHT 35 EXT-18-1509-H-000038 Bell, Michael (OS/ASPA) Subject: Location: AMAM Review Documents with ASPA Start : End: Thu 5/ 10/2018 7;30 AM Thu 5/10/2018 8;00 AM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlZfill (OS/IOS); Harrison, /\Mlf K Al\ pVERSIGHT 615-F Secretary Schedu ler (OS/I0S) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas , Kristina (HHS/I0S); Ruth Fisher (Rut h.Fisher@hhs.gov); Tignor, Beth (HHS/I0S) ; Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/I0S); Stecker , Judy (OS/ASPA); Oakley, Cait lin B. (05/ASPA) (CaitHn.Oakley@HHS.GOV); Ryan;Murphy1; Brennan , Patrick (0S/ASPA) 36 EXT-18-1509-H-000039 Bell, Michael (OS/ASPA) Subject: Location: AMA final Prep for Senate LHHS 610-F Start: End: Thu 5/10/2018 8:30 AM Thu 5/10/2018 9:30 AM Recurrence: (none) Meeting Status: Accepted Organizer : Required Attendees: IZhlLfill (OS/IOS); Harrison, ~ Secretary Scheduler (OS/IOS) Brian (HHS/IOS); Tignor , Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanowicz ., Peter (HHS/IOS); Arbes, Sarah (HHS/ASL); Bassett, Matthew (HHS/ASL); Morse, Sara (HHS/ASL); Aramanda, Alec (OS/ASL); Kemper, Laura (HHS/ASL); Ruth Fisher; Hayes, Sean (HHS/ASL); Palmer, Ashley (OS/ASFR); Charrow , Robert (HHS/OGC); Ryan.Murphy1; Oakley, Caitlin B. (OS/ASPA) (Caitlin.Oakley@HHS.GOV); Cochran, Norris (HHS/ASFR); Cash, Lester (HHS/ASFR); Cabezas, Miriam (HHS/ASFR); McMillen , Cheryl (HHS/ASFR); Rice, Peggie (HHS/ASFR); Moughalian, Jen (HHS/ASFR); Brennan, Patrick (OS/ASPA) ~ ~ ,..~.;. 1;I~ ~.~.-.,. 1:u ,,a,1ih11,11 1 I: i1/D.11.~ 1:~(Jlti:~1!, ;, I )/o.,llto t':'W,.. ...J,f '':P''o " .i1 lw?~ 11) 1111; ... I!I ... , 1 ~ lh, , ito ~ '1 1 11L.. I. '..r,.1W :.,.:~1~ ,~~t /\Mlf K Al\ pVERSIGHT (J ~ ,.t fl 1:crnt1l~ .., ;. 0 1:u .o,, IL lo:1?l 11111!1 ~ 1, fo~o.;,, . 101' ;, ...'~ 1w..1 ,1k 1,, .oo I!1::r::t).'h'~.'-:'" 1-oi 1 1: :l.. j ~. 37 EXT-18-1509-H-000040 Page041 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000041 Page042 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000042 Page043 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000043 Page044 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000044 Page045 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000045 Page046 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000046 Page047 Withheld pursuant to exemption 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Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000119 Page 120 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000120 Page 121 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000121 Page 122 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000122 Page 123 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000123 DEPARTM ENT OF HEALTH & H UMAN SERVICES Office of the Secretary Scheduling Request Memo for Secretary Azar Topic: Hearing Prep for Senate Labor-HH S Appropr iatio ns Objective: Prepare for the Senate Labor-HHS Approp riations Subcommi ttee hearing on the FY 201 9 Bud get AMA's Role: Active parti cipant Project Lead (10S Senior-Staft): Will Brady Working Project Lead (Name, Cell and email): Ashley Pahner , r b)(6) Ashley.palmer @hh s.gov ~----~ Is Conference Call Line needed? No Who will initiate the conference caU? NIA Who will provide Briefing materials ? Ash ley Palm er and Jen Moughalian (ASFR) HHS Staff Attendees: See outlin e below External Attendees: NIA Schedule Request Justification: (b)(5) /\Mlf K Al\ pVERSIGHT EXT-18-1509-H-000124 DEPARTM ENT OF HEALTH & HUMAN SERVICES Office of the Secretary Attendees in order of appearance above : o ASFR: Jen Moughalian o ASFR CLB DAS: Ash ley Palme r o ASL (Hear ing Prep Session , Mock Hearing, and Fi11alHearing Prep) : Matt Bassett, Sarah Arbes, Sara Morse, Alec Aramanda, Courtney Lawrence , Laura Kemper, Sean Hayes Counselors/POC s (Hearing Prep Session, Mock Hear ing, and Final Hearing Prep): Paula o Stannar d, Maggie Wynne, John O' Brien, Mary-Sumpter Lapinski, Dan Best, Jim Parker OGC (Hearing Prep Session, Mock Hearing, and Final Hearing Prep): Bob Chan-ow, o Matt Bowman , Brian Stimson o A.SPA (Hearing Prep Session, Mock Hearing, and Final Hearing Prep): Ryan Murphy , Caitlyn Oakley o ASFR SES (Mock Hearing and Final Hearing Prep): Norris Coclu-an, Leste r Cash, Jillian Curtis, Miriam Cabezas, Chery l McMillan o ASFR CLB (Final Hemi11gPrep): Pegg ie Rice Int ernal Use Only Who approved by CoS / DCoS: Accepted / Decline / Surrogate: Scheduled : /\Mlf K Al\ pVERSIGHT EXT-18-1509-H-000125 DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the Secretary To: Alex M. Azar IJ, Secretary From: Jen Mougha lian, Acting Assistant Secretary for Financial Resources (ASFR) Ashley Palmer , Deputy Assistant Secretary , ASFR Congressiona l Relations Through: Peter Urbanowicz, Chief of Staff Brian Hrurison, Deputy Chief of Staff Subj ect: Day-of Hearing Prep for Senate LHHS Appropr iations Subcommi ttee Hearing Date: May 9, 20 18 Overview We currently bave one remaining briefing scheduled for hearing preparation. We will use the meeting time to review the updated briefing materials ru1dmember polling memo with yo u. b){S) /\Mlf K Al\ pVERSIGHT EXT-18-1509-H-000126 Page 127 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000127 Page 128 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000128 Page 129 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000129 Page 130 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000130 Page 131 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000131 Page 132 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000132 Page 133 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act /\Mlf HCAI\ pVERSIGHT EXT-18-1509-H-000133 Bell, Michael (OS/ASPA) Subject: AMA departs to Hearing at .Capitol Start: E'nd: Thu 5/10/2018 9:30 AM Thu 5/10/2018 10:00 AM Recurrence: (none) Meeting Status: Accepted Organizer : Required Attendees : Secretary Schedu ler (OS/IOS) llhlIB:il (OS/IOS); Harrison, Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas, Kristina (HHS/1OS); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/1OS) /\Mlf K Al\ pVERSIGHT 38 EXT-18-1509-H-000134 Bell, Michael (OS/ASPA) Subject: Location: AMA to be at Senate LHHS hearing 124 Dirksen Senate Office Building Start: End: Thu 5/10/2018 10:00 AM Thu 5/10/2018 12:00 PM Recurrence: (none) Meeting Status: Accepted Organizer : Required Attendees: IZhlLfill (OS/!OS); Harrison , Brian (HHS/IOS); Olson, Carolyn ::t' . u=: ; 1:c1w.111::1::r. I: ,f / tlll'.! l,:~!11 1:~oif<, c, 1;,a l i1U11t)oj 'j,4..,1111111~.. llr .. 1, '.'lar, i,. :.., ,,,.., /\Mlf K Al\ pVERSIGHT Secretary Scheduler (OS/IOS) (OS/IOS); Pelekoudas, Kristina (HHS/I0S); Tignor, Beth (HHS/I0S); Twomey, John K. (HHS/ASL}; Urbanowicz, Peter (HHS/IOS); Palmer, Ashley (0S/ASFR); Moughalian, Jen (HHS/ASFR); Street, Amanda (HHS/IOS); Bassett, Matthew (HHS/ASL); Ryan.Murphy1; McGuffee , Tyler Ann (HHS/IOS); Morse, Sara (HHS/AS L); Arbes, Sarah (HHS/ ASL) il J -.,o.o... Uuf ,O'.f ,oo.~1r ,. , . .:-. ilf':.,,11, ~. - I] il l::rna1:~ .., i 11]:,r-..,, II. I~:~~ 1,rn,, 1 ;,., 111~ ..i,1 i, . ,:= . IW'.,,I1, t , .. . II1::i: :~. lil,.r~ ,. j, 1::t... ;l ar, 39 EXT-18-1509-H-000135 1 Oral Testimony by Alex M. Azar II Secretary , U.S. Department of Health and Human Services on The President's Fiscal Year 2019 Budget befor e United States Senate Appropriations Subcommittee on Labor, Health and Human Services , Education, and Related Agencies (830 words) Chairman Blunt, Ranking Member Murray, and Members of the Committee: thank you for inviting me to discuss the President's Budget for the Department of Health and Human Services for Fiscal Year 2019. It is an honor to be here, and it is an honor to serve as Secretary of HHS. HHS 's mission, to enhance and protect the health and well-being of all Americans , is a vital one, and the President's Budget clearly recognizes that. The Budget makes significant, strategic investments in HHS' s work. Among other targeted investments, the budget requests $34.8 billion for the National Institutes of Health , $5.8 billion for the Food and Drug Administration, and $2.8 billion for priority biodefense and emergency preparedness programs . 1 /\MERK Al\ pVERSIGHT EXT-18-1509-H-000136 2 The President's Budget especially supports four particular priorities we've laid out for the department, issues that the men and women of HHS are hard at work on already: fighting the opioid crisis, increasing the affordability and accessibility of health insurance, tackling the high price of prescription drugs, and transforming our healthcare system in a value-based direction. In addition, it strongly supports the ongoing work HHS does to keep Americans safe from natural disasters and infectious threats. First, the President's Budget brings a new level of commitment to fighting the crisis of opioid addiction and overdose that is stealing more than a hundred American lives from us every day. Under President Trump, HHS has already disbursed unprecedented resources to support access to addiction treatment. The Budget would invest $3 .5 billion in FY2019 to address the opioid epidemic and serious mental illness. Within that allocation, for example, the Budget dedicates $1.2 billion to the State Targeted Response to the Opioid Crisis grants , and invests $150 million specifically to confront the crisis in high-risk rural communities. Recognizing that we need new tools and private-sector innovation to defeat the epidemic, the Budget proposes $500 million to launch an NIH publicprivate partnership to develop new addiction treatments and non-addictive approaches to pain. 2 /\MERK Al\ pVERSIGHT EXT-18-1509-H-000137 3 The Budget also supports programs that have a proven record of improving the lives of Americans who suffer from serious mental illness. We at HHS are pleased that Congress, including members of this committee , responded to the President 's call for these investments, choosing to significantly boost HHS funding to confront the opioid crisis in the recent omnibus spending bill . The second priority I'll highlight is our commitment to bringing down the skyrocketing cost of health insurance, especially in the individual market. The Budget proposes a historic transfer of resources and authority from the federal government back to the states, empowering those who are closest to the people and can best determine their needs while also bringing balance to the Medicaid program . Third , prescription drug costs in our country are too high . List prices are too high, seniors and government programs are overpaying due to lack of negotiating tools , out-of-pocket costs are too high , and foreign governments are free-loading off of our investments in innovation. To address these problems, the Budget proposes a five-part reform plan to further improve the already-successful Medicare Part D prescription drug program, by straightening out incentives that too often serve middlemen more than they do our seniors. 3 /\MERK Al\ pVERSIGHT EXT-18-1509-H-000138 4 The Budget also proposes Medicaid and Medicare Part B reforms to save patients money on drugs, and provides strong support for FDA's efforts to spur innovation and competition in generic drug markets. We also want Medicare and Medicaid , and our entire system, to pay for health and outcomes rather than procedures and sickness . Our fourth departmental priority is to use the powers we have at HHS to drive value-based transformation throughout our health system. This Budget takes steps toward that shift, laying the groundwork for the value-based vision I announced this spring. Our system may be working for entrenched incumbents , but it isn 't working for patients and the taxpayer , and that has to change. Finally , I want to highlight this Budget's investment in HHS efforts to keep Americans safe from a range of threats, from natural disasters to international infectious threats like Ebola and pandemic flu. The Budget funds the continuation of successful public-private partnerships , such as the Biomedical Advanced Research and Development Authority , which has launched 35 FDA-approved products since its establishment in 2006. The Budget also provides U .S. support for the Global Health Security Agenda, an effort to build other countries' response capacity so we can prevent infectious threats from ever reaching our shores. 4 /\MERK Al\ pVERSIGHT EXT-18-1509-H-000139 5 The President's Budget will make the programs we run really work for the people they are meant to serve, including by making healthcare more affordable for all Americans. It will make sure that our programs are on a sound fiscal footing that will allow them to serve future generations, too. And it will make the investments we need to keep Americans safe. Delivering on these goals, as the President's Budget does, is a sound vision for the Department of Health and Human Services, and I am proud to support it. Thank you, and I look forward to the committee ' s questions . 5 /\MERK Al\ pVERSIGHT EXT-18-1509-H-000140 Bell, Michael (OS/ASPA) Subject: Location: AMA at Burnett Retirement Ceremony End: Thu 5/10/2018 12:30 PM Thu 5/10/2018 1;20 PM Recurrence: (.none) Meeting Status: Accepted Organizer: Required Attendees: llhlLfilJ (OS/IOS) ; Harrison, Start : I l(b)(6) Secretary Scheduler (OS/IOS) Brian (HHS/IOS) ; Olson, Carolyn (OS/IOS); Pelekoudas , Kristina (HHS/10S); Ruth Fisher (Ruth .Fisher@hhs.gov); Tignor, Beth (HHS/ 10S); Twomey, John K. (HHS/ASL); Urbanowict, Peter (HHS/ 10S) 1;!1~: llh1;q1 11J Uoool 1117 ,1i1 ,r l,:.fi ,1111111, ,iJ /\Mlf K Al\ pVERSIGHT 40 EXT-18-1509-H-000141 Bell, Michael (OS/ASPA) From: Sent: To: Cc: Subject : Dees, Karena (HHS/OGC) Tuesday, May 08, 2018 4:36 PM Tignor, Beth (HHS/10S) flschma nn, Elizabeth (HHS/OGC);Bird, Catheri ne (0S/OGQ Re: Doug Burnett ,is Retiring Hi Beth, No red flags that I see. He must cover his own cost. He can also personally give a separate gift, if he chooses. Appropriate to occasion, of course. -k On: 08 May 2018 14:40, "Tignor , Beth (HHS/10S)'' > wrote : Hi Karena, The Secretary would like the option to attend this retirement ceremony if time allows. He is prepared to cover his own cost ( as stated on the ticket) but please advise of any concerns . Thanks Beth From : Twomey, John K. (HHS/ASL) Sent: Wednesday , May 2, 2018 3:26 PM To: Tignor, Beth (HHS/IOS) Subject: FW: Doug Burnett is Retiring From: Kb)(6) l (OIG/01) fb )(6) 1@oig.hhs.gov > Sent: Wednesday , May 2, 2018 1:24 PM To: Twomey , John K. (HHS/ASL) > Subject: Fwd: Doug Burnett is Retiring \IV1 \. Al\i pVERSIGHT EXT-18-1509-H-000142 FYI. Special Agent in Charge HHS/OIG/01 Protective Operations Branch 200 Independence Ave., S.W . .... 1C b_)_ (6~) -~ Washington DC 20201 Ernaill(b)( 6) ~ oig.hhs.gov Deskf b)( 6 ) Cell: Kb)(6) Begin forwarded message: From: ~b)( 6 ) l(OIG/Ol) "._I Cb_)(_6_ ) ___ __,l @oig .hhs.gov > Subject: Doug Burnett is Retir ing __,p ig.hhs.gov > ___,l@oig .hhs.gov> > Please come and celebrate! Feel free to forward this invitation to anyone that you think would like to attend . /\Mlf K Al\ pVERSIGHT 2 EXT-18-1509-H-000143 Celebrate ug m. 06:! you know {wand new Sp?ul Agent limnotl.? youwotk with 50(1th Sp?ul Anon! Bum Date May 10, 2018 lum- I) lmutmn National Operation-J {mm} (05! 30 (Indudtwlum and (lift) WEB) by May 2018 Flour." Indicate If you ?odd I13 1* h) rnn'u Bell, Michael (OS/ASPA) Subject: AMA departs back to HHS Start : E'nd: Thu 5/10/2018 1:20 PM Thu 5/10/2018 1;50 PM Recurrence: Meeting Status: Accepted Organizer: Required Attendees : Secretary Schedul.er (0S/I0S) llhlmI!(OS/ I0S ); Harrison , Brian (HHS/I0S) ; Olson, Carolyn (OS/IOS); Pelekoudas, Kristina (HHS/I OS); Ruth Fisher (Ruth .Fisner@hhs.gov) ; Tignor, Beth (HHS/ 10S); Twomey , John K. (HHS/ ASL}; Urbanowic z, Peter (HH S/I0S ) /\Mlf K Al\ pVERSIGHT 42. EXT-18-1509-H-000145 Bell, Michael (OS/ASPA) Subject: Location: AMA to deliver remarks at STAC Room 800 Start: End: Thu 5/10/2018 2:00PM Thu 5/10/2018 2:30 PM Recurrence: (.none) Meeting Status: Accepted Organizer: Required Attendees: llhlLfill(OS/IOS); Brennan, Secretary Scheduler (OS/IOS) Patrick (OS/ASPA); Harriso n, Briian (HHS/IOS); Katavritinos, Jack (OS/IEA); Oakley, Caitlin B. (OS/ASPA); Olson , Carolyn (OS/IOS); Ryan.Murphy1; Paulus, Carl (OS/ASPA); Pelekoudas , Kristina (HHS/IO5 ); Smith, Christopher (HHS/ASPA); Stecker, Judy (OS/ASPA); Tignor, Beth (HHS/IOS); Trueman, Laura (HHS/IEA); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/IOS); Carr, Elizabeth (OS/IEA); Ecoffey, Stacey (HHS/IEA) ? 1:58 pm AMA arr ives to Room 800 and is seated at head tab le. (2 min) ? 2:00 pm Chester Antone, Chair of STAC, makes ope nin g remarks and intro duces AMA. (2 min) ? 2:02 pm AMA makes remarks. (5 min) ? 2:07 pm AMA participates in round table discussion with STAC members. (22 min) ? 2:29 pm AMA exits room and the event continues. (1 min) Topic: Secretary's Tribal Advisory Committee May 10, 2018 2 :00pm -2 :30pm Objective: 1. DiscussTribal issues and priorities with key Tribal leaders 2. Listen to critical feedback from STAC members 3. Reaffirm HHS's commitment to Tribal issues AMA's Role : Provide brief remarks regarding his experience in Indian Country and HHS' ongoing commitment to addressing tribal health and human service issues, following his remarks he will participate in a roundtable discussion with the Tribal leaders in attendance. Project Lead (IOS Se"io r Staff) : Jack Kalavritinos, Director, IEA Working Project Lead (Name, Cell and email): Stacey Ecoffey J~ (b~)(~6~ ) Elizabeth Carr, b)(6) Elizabeth.carr@hhs.gov f ~ pVERSIGHT I 43 ---~ IStacey.ecoffey@hhs.gov EXT-18-1509-H-000146 and Is Conference Call Line needed? No Who will initiate the conference call? N/ A Who will provide Briefing materials? IEA (Stacey Ecoffey and Elizabeth Carr) HHS Staff Attendees : HHS Senior Leadership (OpDiv Heads) External Attendees : Tribal Leaders Schedule Request Justification: Engaging with the STACaffirms the Department's commitment to honoring the government to government relationship HHS has with Federally recognized Tribal governments . The STACis charged with creating a coordinated, department-wide strategy to incorporate tribal guidance on HHS priorities , policies and budget , improve the government-to-government relationships, and develop mechanisms for continuous improvement to our services to Indian Tribes. /\Mlf K Al\ pVERSIGHT 44 EXT-18-1509-H-000147 Bell, Michael (OS/ASPA) Subject: Location: Canceled: AMA pre - brief for meeting with Treasury Start : End: Show Time As: Thu 5/10/2018 2:30 PM Thu 5/10/2018 3;00 PM Free Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendee ~ Secretary Schedu ler (OS/IOS) liiilifil1(OS/10S); Harrison, Brian (HHS/10S); Olson, Carolyn (0S/10S); Pelekoudas, Kristina (HHS/10S); Ruth Fisher (Ruth.Fisher@hhs.gov ); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/10S); Seema Veerma; Diana Perez-Rivera (CMS/OA) (diana .perez-rivera@cms .hhs.gov); O'Brien, John (HHS/ASPE); Parker, Jim (HHS/10S) 'Brady Brookes (Brady.Brookes@ctns.hh s.gov)'; CMS Administrator Optional Attendee s: 615-F l J ~I .+< : :t',,WI., . .. 1'1 1. Name of event : The Substance Abuse and Mental Health Services Administration (SAMHSA) National Children's Mental Health Awareness Day 2018 national event . 2. Date of event: Thu rsday, May 10, 2018 /\Mlf l /\1\i pVERSIGHT 55 EXT-18-1509-H-000157 3. Location of event: The Dorothy Betts Marvin Theater , The George Washington University Marvin Center, 800 2l51 St., NW; Washington, DC 20052 4. Approximate number of attendees : 350 in-person attendees, as well as over 1000 webcast viewers. 5. Describe the categories of anticipated attendees : Primary care, behavioral health care, armed services representatives, youth and family leadership 6. Who is holding the event: SAMHSA 7. Name of the source of the invitation : SAMHSA 8. Name of the individual extending the invitation: Elinore F. Mccance-Katz , M.D ., Ph.D., Assistant Secretary for Mental Health and Substance Use 9. Name of the point of contact for the event , the contacts telephone number and email address: Lisa Rubenstein , Public Health Advisor , SAMHSA Center for Mental Health Services, Lisa.Rubenstei n@samhsa.hhs.gov; (240) 276-1927 /\MERK Al\ pVERSIGHT 56 EXT-18-1509-H-000158 Invit ati on Inform ation Checklist * 1. Name of event: The Substance Abuse and Mental Health Services Administration (SAMHSA) National Children's Mental Health Awareness Day 2018 national event . 2. Date of event: Thursday, May 10, 2018 3. Location of event : The Dorothy Betts Marvin Theater, The George Washington University Marv in Center, 800 21st St., NW, Washington , DC 20052 4. Approximate number of attendees: 350 in-perso n attendees, as well as over 1000 webcast viewers. 5. Describe t he categories of anticipated attendees: Primary care, behavioral health care, armed services representatives , youth and family leadership 6. Who is holding the event: SAMHSA 7. Name of the source of the invit ation : SAMHSA 8. Name of the individual extending the invitation: Elinore F. Mccance-Katz, M .D., Ph.D., Assistant Secretary for Mental Health and Substance Use 9. Name of the po int of contact for the event , the contacts te lephone number and email addre ss: Lisa Rubenstein , Public Health Advisor, SAMHSA Center for Menta l Health Services, Lisa.Rubenstein@samhsa.hhs.gov; (240) 276 -1927 10. Is the organization extending the invitation a federally registered lobbying organ ization ? No. 1L If answered yes to quest ion 10, is the organization extending the invitat ion a 501(C) (3) tax exempt organization under the federal Interna l Revenue Code or media organization? N/ A 12. Is the individual extending the invitation a federally registered lobbyist? No. 13. Are you invit ing the federa l employee to part icipate as a speaker, panel membe r or otherwise present information at t he event or j ust to attend? If yes, please de scribe. Yes. In the aftermath of the tragedy at Majory Stoneman Douglas High School in Parkland FL, the President has ident if ied ment al health treatment as an important aspect of school safety as evidenced by the March 12, 2018 release of the President's init iat ive on Securing Our Schools. "SAMHSA is asking the Secret ary to ta lk about t he evidenced-based programs addressing the me ntal health of children , youth and adults that have been initiated by HHS. SAMHSA staff wi ll be available to ta ilor draft talking points for the Secretary's message. The event wi ll honor 15 state level First Spouses and the National Congress of Ame rican Indians (NCAI} for their work in promot ing a trauma- informed approach to caring for children youth and young adults who experience serious emot ional disturbance. (SEO). Tonette Walker, First Lady of the State of Wisconsin has. already con firmed to attend . In addit ional to sharing remarks , Secretary Azar is asked to /\MERK Al\ pVERSIGHT EXT-18-1509-H-000159 present the First Spouses and NCAI with SAMHSA Special Recognition Awards for their efforts to improve youth mental health. 14. Is the event a charitable fundraiser? No. 15. What is the event ticket price or registration fee for the event, if any? N/ A. 16. If there is no ticket price or registration feed, what is the fair market value of attendance at the event (or the per person cost to the event organizer)? $20 17. Is a spouse or other guest invited? Yes. 18. If you answered yes to question 17, will others in attendance generally be accompanied by a spouse or other guest? Ethics regulations provide that an employee may accept one additional invitation only when others in attendance will be generally accompanied by a spouse or other guest. Yes. 19. Will attendance at this event require travel? Local travel only. * Please note that this Checklist is not intended for use in reviewing invitations to political events . /\MERICAi\ pVERSIGHT EXT-18-1509-H-000160 1. What is the location addre ss? The Dorot hy Betts Marv in Theater, The George Washington Un iversity Marv in Center, 800 21st NW, Was hin gto n, DC 2. What time would you like him to start? 7:45 pm on Th ursday, May 10, 2018 3. How long would you like him to speak? 6 minutes 4. What is the main topic you would like for the Secretary to address? Are there specifics item you would like for him to talk about? .1n the aftermat h of t he tragedy at Marjory Stoneman Douglas High School in Park land FL, the Presid ent has ident ified mental health t reatment as very importa nt. SAMH SA is asking t he Secretary t o talk about t he evidencedbased programs ad dressing t he menta l hea lth of child ren, youth and adu lts that have been ini t iat ed by HHS. SA MHSA staff will be ava ilable t o ta ilor d raft; talking points for the Secretary' s message . 5. Would you like him to save time for Q&A with the audience? Not necessar y as t hi s will be a tow n hall st yle meet ing and ot her f ederal off icials and men t al hea lt h experts fro m t he field will be responding to questions. 6. What is the approximate number of people you expect in attendanc e ? We can fit our comments to fit the audience that you expect. What groups of people will be represented in the room? Ex: Insurers, Surgeons, etc? There w ill be appro ximate ly 350 in -p erson .attendees, as well as over 1000 webcast viewers . The audience will include primary and behaviora l hea lt h pro fessiona l organization leaders , pr imary and behaviora l healt h professiona ls, you th and fam ily leaders, repr esenta t ives from t he Department of Defense, Defense Health Agency. 7, Where should he check-in when he arrives? Secret ary Azar will be met at the Betts Theater by Elinore F. Mc c ance-Kat z, M .D, Ph.D., Assistant Secretary fo r Mental Hea lth and Subst ance Use and Lisa Rub enstein , Publ ic Hea lth Adviso r, Center fo r Me ntal Health Services, SAMHSA 8. Is the organization inviting the press? Yes 9. Are ther e any other details and/or a dvice that you can offer? The ev ent w ill ho nor 15 state level First Spo uses and t he Nationa l Congress o f Amer ican Indians (NCAI) for the ir work in promo t ing a trauma -info rmed approac h to cari ng fo r child ren you th and yo un g ad ults who expe rience serious emotional distu rb ance (SEO). Tonette Wa lker, Firs t Lady of the State of Wiscons in an d Donna Wa lker, First Lady of the State of Al aska are confirmed to atten d . In add it ional to sha ri ng remarks, Secretary Azar is asked to present t he First Spo uses and NCAI w ith SAMHSAS pec ial Recogn ition Awards for t heir efforts to im pr ove yout h me nta l health . 10. Who is the main point on contact? - Lisa Rubenste in, Publ ic Health Adv isor, SAMHSA, lisa ,rubenstein@samhsa .hhs .gov ; 240-276-1927 11. What is the suggested attir e? - Business /\MERICAi\ pVERSIGHT EXT-18-1509-H-000161 XSANIH4iA 5600 Fishers Laneo Rockvill e, MD 20857 www .samhsa. go v o 1-877-SAMHSA -711- 877-726-4727) JAN3 0 2018 TO: The Secretary Through: DS __ cos---- ES __ _ _ _ FROM: Assistant Secretary for Mental Health and Substance Use SUBJECT: Invitation to the Secretary to participate in the Substance Abuse and Mental Health Services Administration's (SAMHSA) National Children 's Mental Health Awareness Day (Awareness Day) event on May 10, 2018 at 7 p.m., EDT. ISSUE SAMHSA is pleased to invite the Secretary to share remarks on the importance of trawnainfonned care at the Awareness Day 2018 event in Washington, D.C. SAMHSA also requests that the Secretary present the Special Recognition Awards to the Awareness Day Honorary CoChairpersons, several governors ' spouses who have demonstrated their commitment to youth mental health and trauma-informed care in their state, as well as the Executive Director of the National Congress of American Indians , who represents tribal communities addressing the issue of trauma across the country. The Awareness Day event will take place at The George Washington University ' s Dorothy Betts Marvin Theater at 800 21 st Street, NW , Washington , D.C. , at 7 p.m. on May 10, 2018. DISCUSSION SAMHSA ' s Awareness Day shines a national spotlight on the importance of caring for every child's mental health. In 2018 , the Awareness Day event, "Partnering for Health and Help Following Trauma ," will address an integrated health approach to support children, youth , and young adults who have experienced trauma . Each year , SAMHSA identifies individuals who are dedicated to improving the behavioral health of children , youth , and young adults to serve as Honorary Chairpersons. Previous chairpersons have included Michael Phelps and Allison Schmitt , Demi Lovato , Cyndi Lauper, Howie Mandel, Goldie Hawn, and Jamie Lee Curtis. The event will include a "virtual" town hall meeting to provide an opportunity for state agency personnel; health and behavioral health providers; child-serving professionals ; and families , youth , and young adults across the country to pose questions through eomail and social media. Experts in the fields of behavioral health and primary care , as well as family and youth leaders , will answer questions from the audience and share evidence-based strategies that are effective in improving the lives of children , youth , and young adults who have experienced trauma. 8e11avioral Health is Essential To Health pVERSIGHT o Prevention Works o Treatment is Effective o People Recover EXT-18-1509-H-000162 Page 2 - The Secretary SAMHSA will webcast the event live , and NBC4 Washington , its sister stations, and Telemundo stations across the United States will livestream the event. This will be the 13th annual observance of National Children 's Mental Health Awareness Day. The overall goals of Awareness Day are to: o Showcase evidence-based and best practices in the field of children 's behavioral health ; o Encourage child -serving providers to collaborate with family and youth leaders to meet the needs of children , youth , and young adults with serious emotional disturbance and their families; and o Educate the public about the importance of integrating mental health in every environment that impacts child development from birth. Each year, more than I , 100 communities and more than 160 national organizations and federal programs participate in Awareness Day activities. including educational events, youth programs, and social hetworking campaigns. For more details about the event , please have your staff contact Lisa Rubenstein at 240-276 1927. SAMHSA hopes you will be able to participate in this impo11ant event. Thank you. t 1sEssential To Health o Prevention Works EXT-18-1509-H-000163 o Treatment Is Effective o People Recover Bell, Michael (OS/ASPA) Subject: AMA departs for Speech Start: E'nd: Thu 5/ 10/20 18 7:00 PM Thu 5/10/2018 7;20 PM Recurrence: Meeting Status: Accepted Organizer: Required Attendees : Secretary Schedul.er (0S/ 10S) llhlmI!(OS/ IOS); Harrison, Brian (HHS/IOS); Olson , Carolyn (OS/IOS); Pelekoudas , Kristina (HHS/I OS); Ruth Fisher (Ruth .Fisher@hhs.gov); Tignor , Beth (HHS/ 10S); Twomey, John K. (HHS/ASL}; Urbanowicz , Peter (HHS/ 10S) /\Mlf K Al\ pVERSIGHT 57 EXT-18-1509-H-000164 Bell, Michael (OS/ASPA) Subject: Location: AMA call Adam Fein Start : End: Thu 5/ 10/2018 7:45 PM Thu 5/10/2018 8:00 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendee~ llhlLfill(OS/IOS); Harrison, Limo 1,.... b_)(_6)____ ___, Secretary Scheduler (OS/IOS) Brian (HHS/10S); Olson, Carolyn (0S/10S) ; Pelekoudas, Kristina (HHS/IOS); Ruth Fisher (Rut h.Fisher@hhs.gov); Tigno r, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanowict, Peter (HHS/10S}; Kalavritinos, Jack (OS/lEA); Trueman, Laura (HHS/IEA) This call is be setup by If.A/ JT and will take pla ce In the car post SA M HSA even t /\Mlf K Al\ pVERSIGHT 58 EXT-18-1509-H-000165 Bell, Michael (OS/ ASPA) Subject: Location: AMA to do Fox & Friends HHS Studio Start : End: Fri 5/11/2018 6:45 AM Fri 5/11/2018 7;00 AM Recurrence: (none) Meeting Status: Accepted Organizer : Required Attendees: llhlL6ll(OS/IOS); Harrison, Secretary Scheduler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas, Kristina (HHS/IOS); Ruth Fisher (Ruth .Fisher@hhs.gov); Tignor, Beth (HHS/IOS) ; Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/I0S) ; Stecker, Judy (OS/ASPA); Ry11n.Murphy1; Brennan, Patrick (OS/ASPA); Oakley, Caitlin B. (OS/ASPA) (Caitlin.Oakley@HHS .GOV) WHAT: LIVE On-Cam era Intervieww / Fox & Friends (Fox News) WHEN: Friday 5/ 11 @ 6:45am ET LENGTH: 5 minute s HOSTS: Steve Doocy , Ainsley Earhardt, Pete Hegseth WHERE: HHS Studio TOPIC: Preview of Pre sident Trump. s Speech on Lowering the price of Prescription Drug s THURSDAY PM CONTACT: Ash ley Asq uino (212) 301-2372 email: Ashley.asq uino@foxnews.com FRIDAY AM EMERGENCY CONT ACT : Montana Mars ilio Ce11:l(b)(6) jGreenroom Phone (212) 30 1-1983 email.: Montana.Marsilio@FOXNEWS.COM /\Mlf K Al\ pVERSIGHT 59 EXT-18-1509-H-000166 Bell, Michael (OS/ASPA) Subject: Location: AMA in studio for setup HHS Studio Start: End: Fri 5/1 1/2018 6:30 AM Fri 5/11/2018 6;45 AM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlZfill (OS/IOS); Harrison, /\Mlf K Al\ pVERSIGHT Secretary Scheduler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas , Kristina (HHS/IOS); Ruth Fisher (Ruth .Fisher@hhs.gov ); Tigno r, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/IOS); Oakley, Caitlin B. (OS/ASPA) (Caitlin.Oakley@HHS.GOV); Stecker, Judy (05/ ASPA); Ryan.Murphy1; Brennan, Patrick (O5/ASPA) 60 EXT-18-1509-H-000167 Bell, Michael (OS/ASPA) Subject: Location: AMA Speech and Media Prep with ASPA Start : End: Fri 5/11/2018 7;00 AM Fri 5/11/2018 8;00 AM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : !lhlLfill (OS/IOS); Harrison, /\Mlf K Al\ pVERSIGHT 615-F Secretary Scheduler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas, Kristina (HHS/I0S); Ruth Fisher (Ruth .Fisher@hhs.gov); Tignor, Beth (HHS/IOS ); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/I0S); Stecker, Judy (0S/ASPA ); Ryan.Murphy 1; Brennan, Patrick (0S/ASPA); Oakley, Caitlin B. (0S/ASPA) (Caitlin.Oakley@HHS .GOV) 61 EXT-18-1509-H-000168 Bell, Michael (OS/ ASPA) Subject: Location: AMA to do National TV, Sqwak Box, DayBreak HHS Studio Start : End: Fri 5/11/2018 8:00 AM Fri 5/J 1/2018 8:30 AM Recurrence: (,none) Meeting Statu s: Accepted Org anizer : Required Attendees : llhlffill(OS/IOS); Harrison, Secretary Scheduler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas, Kristina (HHS/IOS); Ruth Fisher (Ruth .Fisher@hhs.gov); Tignor, Beth (HHS/IOS) ; Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/I0S) ; Ryan.Murphy1 ; Stecker, Judy (OS/ASPA); Oqkley, Caitlin B. (OS/ASPA) (Caitlin.Oakley@HHS ,GOV); Brennqn , Patrick (0S/ASPA) WHAT: LIVE On-Camera Interview w/ Squawk Box (CNBC) HOS TS: Joe Kernen (lead on interview) , Andrew Ross Sorkin , Becky Quick WHEN: Friday 5/ 11 @ 8:00am ET LENGTH: 5-7 minutes WHERE : HHS Studio TOPIC: Drug Pricing PRODUCER CONTACT: Courtenay Brown - (20 1) 735-4112 . STUDIO CONTACT: Kelsey Kats - ke1sey.kats@nbc uni.com WHAT: LIVE On-Camera interview w/ Daybreak (Bloomberg) WHEN: Fr iday 5/ 11 @ 8:20am ET HOST : Dav id We.stin LENGTH: 5-7 minutes WHERE: HHS Studio TOPIC: Drug Pricing PRODUCER: Dav id Goodman - dgoodma n40@b loomberg.ne t / f b)(6) Line) ~---~ /\Mlf K Al\ pVERSIGHT 62 j (Ce ll) / 202-807-2315 (Desk EXT-18-1509-H-000169 Bell, Michael (OS/ASPA) Subject: Location: AMA to make calls to Congressional Leaders & IEA Stakeholders 615- F/ Call Start : End: Fri 5/11/2018 8:30 AM Fri 5/11/2018 12:00 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : lfriliruJ (OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn Secretary Scheduler (OS/IOS) (OS/IOS); Pelekoudas , Kristina (HHS/IOS); Ruth Fisher (Ruth.Fisher@hhs.gov); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/IOS); Stecker, Judy (OS/ASPA); Ryan.Murphy1; Oakley, Caitlin B. (OS/ASPA) (Caitlin .Oakley@HHS.GOV); Beck, Gary (OS/IEA) (Gary.Beck@hhs.gov); Brennan, Patrick (OS/ ASPA); O'Br ien, John (HHS/ ASPE); Best, Daniel (HHS/IOS); Kalavritinos , Jack (OS/IEA); Trueman, Laura (HHS/ IEA); Bassett, Matthew (HHS/ASL); McGuffee , Tyler Ann (HHS/IOS); Arbes, Sarah (HHS/ASL); Morse, Sara (HHS/ASL) IEA CALL-8:30am - 8:45am -Tom Daschle -AMA has contact info Congressman Tom Cole 8:45am - Call (202) 845-4125 to connect Senator Mitch McConnell -9:00am He will call Roses' line to connect Senator Ron Wyden- 9:30am Please call 202-224-1118 to connect --~I Senator Alexander -9:45am- conference line- -kb-V~6~) PC. ltb)l6) I Leader: kbV6) -10:00am Congressman Neal -10 :lSam- --~I he will call conference line- l-Cb-)C~6~) PC:lcbV6) Rep. Greg Walden -10:30 am - Call 541-490-6040 to connect with the Congressman IEA CALL 10 :45 -11:00am - John Breaux- Please call 202 457-6300 Rep. Mark Meadows -11:00 am CALL (828) 200-2544 to connect with the Senato r Mark McClellan 11 :15-11:30 am - please call 202 -365-2375 Leader Pelosi -11:4Sam -12 ;00pm - She will Call Roses Line to connect /\Mlf K Al\ pVERSIGHT 63 EXT-18-1509-H-000170 Bell, Michael (OS/ASPA) Subject: Location: AMA to do interview with Varney HHS Studio Start: End: Fri 5/1 1/2018 9:1S AM Fri 5/11/2018 9;30 AM Recurrence: (no ne) Meeting Statu s: Accepted Organizer: Required Attendees : !lhlLfill (OS/IOS); Harrison, /\Mlf K Al\ pVERSIGHT Secretary Scheduler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (0S/IOS) ; Pelekoudas , Kristina (HHS/I0S ); Ruth Fisher (Ruth .Fisher@hhs.gov ); Tigno r, Beth (HHS/I0S ); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/I0S) ; Stecker, Judy (0S/ASPA ); Ryan.Murphy 1; Brennan, Patrick (0S/ASPA); Oakley, Caitlin B. (0S/ASPA) (Caitlin .Oakley@HHS .GOV) 64 EXT-18-1509-H-000171 Bell, Michael (OS/ASPA) Subject: AMA departs back to HHS Start : E'nd: Fri 5/11/2018 3:45 PM Fri 5/11/2018 4:15 PM Recurrence: (none) Meeting Statu s: Accepted Org anizer: Required Attendees : Secretary Schedu l.er (0S/I0S) llhlZfill (OS/I0S); Harrison, Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas, Kristina (HHS/I0S); Ruth Fisher (Ruth .Fisner@hhs.gov); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/I0S) /\Mlf K Al\ pVERSIGHT 72 EXT-18-1509-H-000172 Bell, Michael (OS/ASPA) Subject: Location: AMA to do Conference call with Senate 615-F / Call Start : End: Fri 5/11/2018 4:30 PM Fri 5/11/2018 5:00 PM Recurrence: (.none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlLfilJ (OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn Secretary Scheduler (OS/IOS) (OS/IOS); Pelekoudas , Kristina (HHS/IOS); Ruth Fisher (Ruth .Fisher@hhs .gov); Tigno r, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/IOS); Ryan.Murphy1 ; Brennan, Patrick (OS/ASPA); Oakley, Caitlin B. (OS/ASPA) (Caitlin .Oakley@HHS .GOV); Stecker , Judy (OS/ASPA); Bassett, Matthew (HHS/ASL); McGuffee, Tyler Ann (HHS/IOS); Arbes , Sarah (HHS/ASL); Morse, Sara (HHS/ASL); Best, Daniel (HHS/IOS); O'Br ien, John (HHS/ASPE) This call is being coordinated by ASL (b-)(_6_) __ For Senators 4 :30pm call - Dial ln:j~ /\Mlf K Al\ pVERSIGHT ~ ILeader :Kb)( 6) 73 IParticipant :!(h\f6\ EXT-18-1509-H-000173 Bell, Michael (OS/ASPA) Subject: Location: AMA to do Conference call with House Start : End: Fri 5/11/2018 5:00 PM Fri 5/11/2018 530 PM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : lfrilifilJ(OS/IOS) ; Harrison. 615-F Secretary Scheduler (OS/IOS) Brian (HHS/IOS) ; Olson, Carolyn (OS/IOS); Pelekoudas, Kristina (HHS/IOS); Ruth Fisher (Ruth .Fisher@hhs.gov); Tignor, Beth (HHS/ IOS); Twomey, John K. (H HS/ASL); Urbanowict, Peter (HHS/IOS); Stecker, Judy (OS/ASPA); Ryan.Murphy 1; Brennan, Patrick (OS/ASPA); Best, Da11iel(HHS/IOS); Oakley , Caitlin B, (OS/ASPA) (Caitlin.Oakley@HHS.GOV); Bassett, Matthew (HHS/ASL); McGuffee, Tyler Ann (HHS/ IOS); Arbes , Sarah (HHS/ASL); Morse , Sara (HHS/ASL); O'Brien, John (HHS/AS PE) This cal l is being setup by ASL I irh\(6\ PC:lrbV6) I /\Mlf K Al\ pVERSIGHT 74 EXT-18-1509-H-000174 Bell, Michael (OS/ASPA) Subject: AMA Departs to DCA Start : E'nd: Fri 5/11/2018 6:30 PM Fri 5/11/2018 7J0 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees ! Secretary Schedu l.er (0S/10S) llhlIBll(OS/,10S); Harrison, Brian (HHS/10S); Olson, Carolyn (0S/10S); Pelekoudas, Kristina (HHS/105); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/10S); Ruth Fisher /\Mlf K Al\ pVERSIGHT 75 EXT-18-1509-H-000175 Bell, Michael (OS/ ASPA) Subject: Location: AMA Wheels up DCA to IND Personal Pay Trave l Start: End: Fri 5/11/2018 7:40 PM Fri 5/11/2018 9;30 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : llhlLfilJ (OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn Secretary Schedu ler (OS/IOS) (0S/IOS); Pelekoudas , Kristina (HHS/IOS); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/ IOS) AmericanAirlines ~ . Hello Alex Azar! Issued: May 7, 2018 Record locator: 5 l(b-)( _) __ ._ ~ V iew your trip Friday, May 11, 2018 DCA /\M 7:40 IND ? 9:30 PM pVERSIGHT PM Seats: 8F Economy Cl ass: (M) Meals: 76 EXT-18-1509-H-000176 American Airlines ~ Hello Alex Azar! Issued: May 7, 2018 Record locator: ._l:41o"'. lr.1 1, 1,1,,11,.iAoo I am writing to formally request a meeting, at the Secretary's convenience, with AMA's CEO, Dr. Jim Madara, M.D., along with AMA's head of regulatory affairs, Margaret Garikes, and Richard Deem, the AMA's SVP of Advocacy. The AMA shares many of the same priorities as the Secretary: (1) interoperability and accessibility to health information techno logy; (2) paying for value and promoting Alternat ive Payment Models; (3) reducing regulatory burden ; and (4) addressing the opioid epidemic Attendees List : as of 4/10/18 Jim Madara, MD - CEO an d Executive Vice President Ri ch Deem - Senior Vice President, Advocacy Cindy Brown - Vice President, Government Affai.rs Margaret Garikes -V ice Pr esid ent, Federal Affairs Dean Ro sen - Partner , Mehlman Castagnetti Rose n & Thoma s /\Mlf K Al\ pVERSIGHT 13 EXT-18-1509-H-000189 DEPARTMENT OF'HEALTH & HUMAN SERVICES To: The Secretary Through: Peter Urba.nowicz, Chief of Staff From: Jack Ka lavritinos, Acting Director , TEA Subject: Meeting with American Medical Association Date: May 10 , 20 18 Office of the Secretary Eve nt Detail.s: Date : May 14, 2018 Time: 2:00PM Location: 6 15-F HHS Staff : Peter Urbanowicz , Brian HatTison, John O'B rien, James Parker , Jack Kalavrit inos, Laura Trneman , Ga1y Beck Press: No Who requested this event: Dean Rosen , consu ltant to the Ame rican Medical Associatio n (AMA). Topic: The AMA will be meeting with Secretary Azar to discuss their perspective on the opioid crisis , moving the industry towards value-based care, interoperability of health information technology , and reducing regulatory burden. Secretar v's Role : The Secretary will listen and dialogue at his discretion with AMA leadersh ip. Objective: This roundtable with the leadersh ip from the AMA will give Secretary Azar the opportunity to hear from representatives of one of the largest provider advocacy groups in the nation. It will also provide a means for Secretary Azar to introduce himself and his priorities to AMA's leadership . Lis t of Atte ndees/Participants: o Jim Madara, CEO and Executive Vice President , AMA o Richard Deem - Senior Vice President fm Advocacy, AMA o Cynth ia Brown - Vice Pre sident for Government Affairs, AMA o Margaret Garikes - Vice President for Federal Affairs, AMA o Dean Ros en - Partner for Mehlman Castagnetti Ros en & Thomas Attac hment s: 1. Participant Bios 2. AMA Position s on Requested Topics /\Mlf K Al\ pVERSIGHT EXT-18-1509-H-000190 DEPARTMENTOF HEALTH & HUMAN SERVICES Office of the Secretary Atta chm ent 1. Participan t Bios Jim Madara, CEO and Executive Vice President, AMA Prior to joining the AMA, Dr. Madara spent 22 years of his career at Harvard Medica l School, rece iving both clinical and research trnining, serving as a tenured professor and as director of the Nill-sponsore d Harvard Digestive Diseases Center. Following five years as chai r of pathology at Emory , Dr. Madara served as dean of the medical school and CEO of the University of Chicago Medical Center. Richard Deem -Se nior V ice Pres ident for Advocacy, AMA Richard has served in numerous capacities in his 34-year caree r at the AMA. Prior to joining the AMA, he served as a specia l assistant to former HHS Secretary Richard S. Schweiker and worked in Schwe iker ' s Senate office for five years . He is a graduate of American Unive rsity and resides in Arlington , VA. Cynthia Brown - Vice President for Government Affairs, AMA Cynth ia has been with the AMA for over ten years. Previously, she served as the director of advocacy and health policy for the American College of Surgeons and worked for the American Tort Reform Association and Blue Cross and Blue Shield Association. Margaret Garikes - Vice President for Federal Affairs, AMA Margaret chaired the transition team for HHS for the George H.W. Bush Admin istration. Following the transit ion, she worked as associate director of the White House Office of Presidential Personnel. Ms. Garikes then returned to the Department of Health and Human Services, where she served as chief of staff to the Sw-geon General. Dean Rosen - Partner for Mehlman Castagnetti Rosen & Thomas Dean served as the chief healthcare advisor to Sen. Majority Leader Bill Frist (R-TN), during which he he lped draft the legislatio n that created the Medicare Part D program. Pr ior to that, Rosen served as staff director for the Senate Subcommittee on Public Hea lth, majority counse l for the House Ways and Means Healt h Subcommittee and health policy coordinator for the Senate Committee on Labor and Human Resources. /\Mlf K Al\ pVERSIGHT EXT-18-1509-H-000191 DEPA RTMENT OF HEALT H & HUMAN SERVICES Office of the Secretary Attachment 2. AMA Positions on Requested Topics Value-Based Care The AMA sen t a letter to Administra tor Venna on th e CY 20 18 QPP Proposed Rule. The letter it1cludes various recommendations for advanced Alternative Paymen t Models: o o o o Phas e-in and extend the 8% reven ue-based nominal risk standa rd for the foreseeable future Extend medical hom e risk stan dard to sma ll and rura l practices participating in all advanced APM models lnclude medical home models with spec ialty pra ctices Do not rest rict medical home risk standar d to organi za tions with fewer than 50 clinicians. Regulator y Burden One of the AMA' s main advocacy iss ues for 2018 is reforming prior authorizatio n requirements. The AMA ' s webs ite claim s that prior authorization "costs physician s pract ices time and money - and may also have negative co nsequen ces for patie nt outcomes when treatmen t is delayed ." In order to prevent these delays , the AMA is focusing on the following : o o o Crea ting new resources lo help practices streaml ine prior authorization Pushing state legislation to address prior authorization and step therapy Advocating to elim inate prior aut horization requirements in a ltcmative payment model s involving finan cia l risk fur physician s Beyond prior authorization reform, the AMA has regulatory obstacles to care relat ed to the QPP listed on their 20 18 Regulat01y Relief Dashboard : o o o o o Simp lify MIPS sco ring methodology Prov ide timely notification to practi ces that quali fy for spec ial treatmen t and exceptions Prov ide the maximum flexibi lity for virtual groups Keep cost weight low in nexttnree yea rs whil e better mea sme s are developed Add flexibility to the AC J category , reduce data blocki ng attestat ion requirements , and grant physicians AC I credit for using CERHT HE R to partic ip ation in a QC DR. Opioid C risis The AMA released a statement of suppo rt after the President declared the opioid epidemic a public heallh emerge ncy and stated the move "will offer needed flexibi lity and help clirect attent ion to op ioid-ravaged communities." On their website , the organi zation states that they are supportive the following to combat the opio ids epidemic: /\Mlf K Al\ pVERSIGHT EXT-18-1509-H-000192 DEPARTMENT OF HEALTH & HUMAN SERVICES o o o o o o o Office of the Secretary FuU funding for up-to-date, interoperab le, at the point-of-care prescription drug monitoring programs that are integrated into a physician's work.flow Tools and resources that support identificat ion and assessme nt of SUD treatme nt gaps (AI,?' I:'ooIf,i tL.... For further information please contact Rebecca Hirshorn at 202-205-8882 or Rebecca.Hirshorn@hhs.gov AMlf IC/\r-... pVERSIGHT 8 EXT-18-1509-I-000020 Bell, Michael (OS/ASPA) Subject: Location: RIA Meeting Start : End: Thu 3/15/2018 1:15 PM Thu 3/15/2018 1;45 PM Recurrence: (no ne) Meeting Status: Meeting organizer Organizer : Required Attendee ~ Bell, March (HHS/OCR) AMlf IC/\r-... pVERSIGHT March's Office, Dial-in L,;..l (b_)(.;;_ 6_) __ ___,I Passcode:l(b)(6) Noronha , Maya (HHS/OCR); Bell, March (HHS/OCR); Meszaros, Marie (HHS/OCR); Balserak,Daniel (HHS/OCR) (CTR) 9 EXT-18-1509-I-000021 Bell, Michael (OS/ASPA) Subject: Location: Cases with OGC Civil Rights Rosa Parks CR Start: End: Thu 3/15/2018 2:00 PM Thu 3/15/2018 4:00 PM Recurrence: (no ne) Meeting Status: Accepted Organizer: Required Attendees : Harris, Patricia (HHS/OCR) Bell, March (HHS/OCR); Frohboese, Robi nsue (HHS/OCR); Schuham , Aaron (HHS/OGC); Wiggins, Audrey (HHS/OGC); iareen , Badar (HHS/OCR); Brown, Louis (HHS/OCR) Louis, adding the Conference Line just in case. Leader Code ~b)(6) PassCode ~l (b_)(~6)~~ AMlf IC/\r-... pVERSIGHT 10 EXT-18-1509-I-000022 Bell, Michael {OS/ASPA) Subject: Location: RIA Marc h Off ice Start: End: Fri 3/16/2018 9:30 AM Fri 3/16/2018 10:00 AM Recurrence: (no ne) Meeting Statu s: Meeting organizer Organizer: Required Attendees : Bell, March (HHS/OCR) Albrecht, Sarah B. (HHS/OCR); Meszaros, Marie (HHS/OCR); Balserak, Daniel (HHS/OCR) (CTR) AMlf IC/\r-... pVERSIGHT 11 EXT-18-1509-I-000023 Bell, Michael (OS/ASPA) Subject: Location : OCR Bi-Weekly Meeting with the Deputy Secretary Deputy Secretary's Conference Room, 614-G Start : End: Fri 3/16/2018 1:00 PM Fri 3/16/2018 1;30 PM Recurrence: (no ne) Meeting Statu s: Accepted Organizer: Required Attendees : DeputySecretary (OS/IOS) EDH (OS/IOS); Hargan, Eric (OS/ IOS); Stannard , Paula (HHS/IOS); Severino , Roger (HHS/OCR); Brady, Will (HHS/ 10S) ; Bell, March (HHS/OCR); Agnew, Ann (HHS/10S) Reed, Courtney (OS/OCR) (CTR); Caliguir i, Laura (HHS/ IOS) (Laura.Caliguiri @hhs.gov ), Moreno, Rafael (OS/ASA/IOS); Callahan, Kennet h (HHS/ 10S) (Kenneth.Callahan@hhs.gov) Optional Attendees : Topic: OCR Bi-Weekly Meeting with the Deputy Secretary . Agenda: Review the following week . Address: o 1. Outstanding it ems. o 2. Operationa l Management. o 3. Policy Developments. Attendees: Deputy Secretary Hargan, Paul Stannard 1 Roger Severino and W ill Brady. Notes : If OCR is it"lterested in providing any documents or PDF1 s for the meetihg they'll submit the documents 48 hours prior to this week ly meet[ ng. From: Hargan , Eric (OS/105) Subject: Welcome Secretary Azar and Continuation of Deputy Secreta ry and Division Head Meeting s MEMORANDUM DATE: Febmary I. 2018 TO: OperatingandStaff Division Leaders FROM: Eric D. Hargan, Deputy Secretaiy, HI IS AMlf IC/\r-... pVERSIGHT 12. EXT-18-1509-I-000024 SUBJECT: Welcome Secretruy Azar and Continuation of Deputy Secretary ru1dDivision B ead Meetings As you all know, Secretary Azar recently joined HHS, and we welcome his leadership and vision. As the Secretary and his staff transition into HHS, we look forward to a smooth process. At the request of the Secret:my,and in an effort to limit disruption and advance HHS's mission dwing this transition period, the Deputy Secretary and division leadership will continue their regularly scheduled one-on-one meetings focused on the day-to-day management and operations of the depmtment and the regulatory development and clearance process. Briefings to the Secrcta1)'1 and Deputy Secretary on Presidential initiatives, Secretarial initiatives, policy development and other unique issues will continue to be scheduled and coordinated through the counselors, the scbeduliog team and the HHS Executive Secretariat. The operating and staff division leaders will be contacted to schedule initial btiefings with the Secretary and staff and for briefings on other issues as they arise. We look forward to working with you all to achieve HHS's missioh and once again, welcome Secretaiy Azar! Eric D. Hargan Deputy Secreta,y, HHS cc: AMlf Peter Urbanow icz, Chief of Staff Brian Harri son, Deputy Chief of Staff Ann Agnew, Executive Secretary IC/\r-... pVERSIGHT 13 EXT-18-1509-I-000025 Bell, Michael {OS/ASPA) Subject: Location : Catch -up Marc h Dan Louis and Sarah wil l call Marie Start : End: Fri 3/16/2018 2:15 PM Fri 3/16/2018 2:45 PM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : Albrecht, Sarah B. (HHS/OCR) Meszaros, Marie (HHS/OCR); Balserak, Daniel (HHS/OCR) (CTR); Bell, March (HHS/OCR); Brown, Louis (HHS/OCR) AMlf IC/\r-... pVERSIGHT 14 EXT-18-1509-I-000026 Bell, Michael {OS/ASPA) Subject: Location: A Predecisional & Deliberative Meeting WHL Office 625D Start : End: Fri 3/16/2018 4:30 PM Fri 3/16/2018 5:30 PM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : Mansdoerfer, David (HHS/IOS) Mansdoerfer, David (HHS/IOS); Clark, Timothy (HHS/IOS); Ashendorf , Jacob (HHS/IOS); Flick, Heather (0S/OGC); Bird, Catherine (OS/OGC); Bowma n, Matthew (HHS/OGC); Stimson, Brian (HHS/OGC); Cleary, Kelly (HHS/OGC); Kouzoukas, Demet rios (CMS/QA); Stannard, Paula (HHS/ IOS); Brady, Will (HHS/IOS) Bell, March (HHS/OCR) Optional Attendees: Forwarding inv ite: A Predecisional & Deliberative Meeting To celebrate the work of a departing beachhead staff member. AMlf IC/\r-... pVERSIGHT 15 EXT-18-1509-I-000027 Bell, Michael (OS/ASPA) Subject: Location: HHS Reviewers Briefing : Physician Fee Schedu le Proposed Rule - Segment 1 Start : End: Show Time As: Mon 3/19/2018 10:00 AM Mon 3/19/2018 11:00 AM Tentative Recurrence: (none ) Meeting Statu s: Not yet responded Org anizer: Required Attendee s; Office of the Executive Secretary Maste r Calendar (HHS/OS) Fischbach, Aaron (OS/IOS); Hirshorn , Rebecca (HHS/ IOS); Fultz-Mimms, Trenesha N. (CMS/OSORA); Afable , Marites (SAMHSA/OPPI); Anthony, Elise (OS/ONC) ; Aramanda, Alec (OS/ASL); ASPE Exec Sec (OS/ASPE); Bagel, Michael (OS/ASFR); Baker, Alexander (OS/ONC ); Ball, Nichelle (FDA/QC); Barber, Daniel (OS/lEA); Bennett - Barnes, Evonne (IHS/HQ) ; Berger, M itchelt (SAMHSA); Bradley , Tasha (OS/ASPA); Brockett , Sharon (HHS/OCR); Bush, Laina (HHS/ASPE); Carroll, Christopher D. (SAMHSA/OPPI) ; Chesemore, Scott (FDA/OC); Cintro n, Michael (OS/OGC); Cornejo , Kerri (HRSA); Davis, Wa lter (HHS/ASFR); Delew, Nancy (HHS/ASPE); Drew, Patrice S (OIG/OCIG); Dube , Timothy (OS/ASPE); Edwards, Susan (HHS/ASFR); Elder, Mark (HHS/ASFR); Fisher, Barbara {HHS/OGC); Fontenot, Monique (OS/ASPA); Formoso, Paula (HHS/ASPA); Frazier, Jenn ifer (OS/ONC) ; Garver, Jennifer (HHS/OGC); Gillis, Tiffany (HRSA); Gillum, Jessica Z (FDA) (FDA/QC); Gottlich, Vicki (ACL); Harris, Patricia (HHS/OCR); Henderson , Harold (HHS/OCR); Hernandez , Daniel (NIH/OD) [EJ; Hoffman, Janice (HHS/OGC); Householder, Donna (HHS/OS); Hunsberger, Amy (HHS/OGC); Jackson, Caldwell (ACL); jm40z@nih.gov ; Jones, Christopher (SAMHSA); Katz, Ruth (HHS/ASPE); Laurence , Christian (HHS/ASFR); Lee, Doris (HHS/OGC); Lipinski , Michael (OS/ONC) ; Longenecker , Emmalani (IHS/HQ); Lopez, Elizabeth (SAMHSA/CMHS); Lucas, Jane (HHS/ IOS); Mack, LaShawn K (OIG/OCIG ); Mazumdar, Amitava (OIG/OC IG); McMillen, Cheryl (HHS/ASFR); Mfum-Gyau, Akua (FDA/OC); Mitchell , Carl (IHS/HQ) ; Moore , Jerry (NIH/OD) ['EJ; Myrie , Simone (OS/ASPA); Nicholls , Richard (ACL); O'Connor , Anne E. (CDC/O0/OCS); OS OGC-CMSD, ControlDesk (HHS/OS); OS OGC- IO ControlDesk (HHS); Page, Ann (OS/ASPE); Parker, Don (HHS/OGC); Perry, Wendy (AHRQ/OC); Posnack, Steven (OS/ONC) ; rcc@cdc.gov; Roach, Angela (OS/DAB); Scott, Carolyn (HRSA); Scott, Katherine (OS/DAB); Sheingold, Steven (HHS/ASPE); Smith, Mary (HHS/OGC); Smith , Scott R. (OS/ASPE); Smith-Simpson, Jacqlyn (HHS/ASFR); Stallion , Vivian (HHS/OS); Tessin, Robyn (HHS/OGC); Thomp son , Gilbert (SAMHSA); Tilly , Jane A. (ACL); Toye, Sally (CDC/OD/OCS) ; Wade, Karen (HRSA); Welch, Pete (HHS/ASPE); Wittie , Mi chael (OS/ONC); Bain, Shelley (HRSA); Cesar, Steve (HRSA); Cochran, Caroline (HRSA); Cooper , Laura (HRSA); hrsaexecsec@hrsa .gov; Morris , Tom (HRSA); Roche, Lori (HRSA); Scott, Wakina (HRSA); Vandivort-Warren, Rita (HRSA); Adegoke , LaToya (OS/OMHA) ; Axeen , Amanda (OS/OM HA); Bailey, Nikisha (OS/OMHA) (CTR); Koch, Charles (HHS/OMHA); Ortega , Caroline (OS/OMHA ) (CTR); Sinclair, Shelly -Ann (HHS/OMHA) ; Valdini, Todd (HHS/OMHA); Baker, Michae l (OS/DNCOPs); Lamadine, Beh (OS/ONC) ; OS - ONC.Clearances (OS/ONC); Warner , Keviar (OS/ONC) ; Adair, Geraldine (OS/IO$); Agnew, An n (HHS/ IOS); Arbes, Sarah (HHS/ASL); Bassett, Matthew (HHS/ASL); Bell, March (HHS/OCR); Bowles, Jamilo (HHS/IOS); Brooks, John (HHS/I OS); Buchanan, Chris (IHS/HQ); Charrow , Robert (HHS/OGC); Cleary, Kelly (HHS/OGC); CMS VTC; Cochran , Nor ris (HHS/ASFR); Enomoto, Kana (SAMHSA/OA); Espinosa, Diana (HRSA); Fitzgerald , AMlf IC/\r-... pVERSIGHT Exec Sec Conf Room 614H ; Call-in : l ,1 ~Ill 1:~1i, AMlf l~'J o JIIM1 11 t"-.' o ,, 1jll''.o. IC/\r-... pVERSIGHT 12 EXT-18-1509-I-000039 Bell, Michael (OS/ASPA) Subject: Location: HHS Reviewers briefing: IPPS Seg 5 impact s passcode:l(b}(6) Call, in: Kb)(6) Start : End: Show Time As: Tue 3/20/2018 3:30 PM Tue 3/20/2018 4:00 PM Tentative Recurrence: (none ) Meeting Statu s: Not yet responded Org anizer : Office of the Executive Secretary Master Calendar (HHS/OS) I I Purpose: HHS Reviewers briefi ng by CMS on the Med icare Hospital Inpatient Prospect ive Payme nt Syst em (IPPS)proposed rule {CMS-1694-P)-Segment 5 impacts. This segment wi ll be sent to HHS for review as part of the comp let e, rev ised proposed ru le (likely) next week. Briefing Mat 'I: CMS briefi ng paper attac hed: II lrJI'1,,M I ,''} Ir! 11:'I'~'. II IIn ): II ft,1,, ,,. f ,,. : ..oo For further informat ion please contact Rebecca Hirshorn at 202-205-8882 or Rebecca.Hirshorn@hhs.gov AMlf IC/\r-... pVERSIGHT 13 EXT-18-1509-I-000040 Bell, Michael (OS/ASPA) Subject: Location: FW:AMA briefing on OCR Regulat ions 610-F Start : End: Wed 3/21/2018 4 ;15 PM Wed 3/21/2018 4:45 PM Recurrence: (none) Meeting Status: Accepted Organizer : Secretary Scheduler (OS/IOS) Dear Roger and March , ls this meeting still on? Should I go to the 6 th floo r or simply call in? Louis -----Original Appointment----From: Secretary Scheduler (OS/IOS) Sent: Wednesday, March 14, 2018 8:06 AM To: Secretary Scheduler (OS/IOS); AMA2 (OS/IOS); Harrison, Brian (HHS/IOS); Olson, Carolyn (OS/105); Tignor, Beth (HHS/IOS); lwomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/IOS); Stannard, Paula (HHS/IOS); Severino, Roger (HHS/OCR); Bell, March (HHS/OCR); Brown, Louis (HHS/OCR); Charrow, Robert (HHS/OGC);Stimson, Brian (HHS/OGC); Bowman, Matthew (HHS/OGC); Agnew, Ann (HHS/IOS) Subject: AMA briefing on OCRRegulations When: Wednesday, March 21, 2018 4:15 PM-4:45 PM (UTC-05:00) EasternTime (US & Canada). Where: 610-F Call in info : l(b)(6) PC:!(b \/ 6 ) ! Leader : ~' (b_)(_6_ } -~ Topic: OCR Regulation s Objective: To provide an informational briefing to ihe Secretaryon severalsensitiveOCR reg~ lations that b)(S) have been approved by the Deputy Secretary and .__ ___, I f _____________ Lead IOS Counselor: Paula Stannard Has this request been approved by (Peter/ Brian): Yes. AMA's Role: Listening/receipt of informational briefing. AMlf IC/\r-... pVERSIGHT 14 EXT-18-1509-I-000041 Request POC (Name, Cell and email): Paula Stannard/Roger Severino Is Conference Call Line needed? No. Who will initiate the conference call? N/ A Will there be Briefing Materials provided? Yes. ~ If yes, who will send them to Kristina Pelekoudas (Name)? Roger Severino or Paula Stannard HHS Staff Attendees : o Chief of Staff : Peter Urbanowicz and/or Brian Harrison o Counselor : Paula Stannard o OCR: Roger Severino, March Bell, Louis Brown o OGC: Bob Charrow, Brian Stimson, Matt Bowman o Executive Secretary: Ann Agnew External Attendees : N/ A AMlf IC/\r-... pVERSIGHT 15 EXT-18-1509-I-000042 Bell, M ichael (OS/ASPA) Subj ect: Location: Regional Staffing Follow-up Start : End: Show Time As: Thu 3/22/2018 10:00 AM Thu 3/22/2018 11:00 AM Tentative Recurrence: (non e) Meeting Statu s: Not yet responded Org anizer: Required Attende es; Novy, Steve (OS/OCR) Severino, Roger (HHS/OCR); Bell, March (HHS/OCR); Frohboese, Robinsue (HHS/OCR); Blakeley, Alec (HHS/OCR); Oliver, Andrea (HHS/OCR) AMlf IC/\r-... pVERSIGHT Director's Conference Room, Dial-in 16 ""'k b:..a ) .:...: (6 ;..:.. ) ___ _.lPasscodEf'. ~b-)(_6_ ) __ ~ EXT-18-1509-I-000043 Bell, Michael (OS/ASPA) Subject: Location : 'Important Meeting with Mar ch and Roger Director's Conference Room I Kb)(6) Start : End: Show Time As: Thu 3/22/2018 11:30 AM Thu 3/22/2018 12:00 PM Tentative Recurrence: (none ) Meeting Status: Not yet responded Organizer : Required Attendee s; Householder , Donna (HHS/OS) Bell, March (HHS/OCR); Severino. Roger (HHS/OCR): Noronha , Maya (HHS/OCR); Balserak, Daniel (HHS/OCR) (CTR); Albrecht, Sarah B. (HHS/OCR) AMlf IC/\r-... pVERSIGHT 17 l pass code Kb)(6) EXT-18-1509-I-000044 Bell, Michael (0S/ASPA) Subject: Location: Draft 1st Response to USCCRData Request March's Office Start: End: Show Time As: Thu 3/22/2018 3;00 PM Thu 3/22/2018 3;30 PM Tentative Recutrence: (none ) Meeting Status: Not yet responded Organizer : Required Attendees : Montoya, Luben (HHS/OCR) Bell. March (HHS/OCR); Brown. Louis (HHS/OCR) Subject: Attachments: Montoya, Luben (HHS/OCR) Thursday , March 22, 2018 1:31 PM Brown, Louis (HHS/OCR) Tareen, Badar (HHS/OCR) Draft 1st Response to USCCRData Request 1st Response to Lenore . Ostrowsky.docx Importance: High From: Sent: To : Cc: Hi Louis - First, as Roger requested, attached is a draft response to the U.S. Commission on Civil Rights (USCCR) February 9, 2018 data request , which included interrogatories and document requests that require the compilation of a huge amount of material on a broad range of civil rights authorities enforced by HHS . Second, please review/edit the attached draft or let tne know if something else ls needed. Third, USCCR gave OCR a March 26 deadline for responding to the data request, which is Monday. This letter may not make it by Monday, so perhaps March should contact USCCR 's project lead and inform her the leotter is forthcoming asking for 60 days to produce the data. Fourth, the attached draft is addressed to the USCCR Chair , but the data request was sent to HHS by Lenore Ostrowsky, USCCR 's Senior Attorney Advisor , so we may want to consider sending our letter to Ms. Ostrowsky rather than the Chair. I'm available if you want to discuss this further. AMlf IC/\r-... pVERSIGHT 1.8 EXT-18-1509-I-000045 Luben 19 Bell, Michael {OS/ASPA) Subject: Location: Age Act Report Marc h's office Start: End: Thu 3/22/2018 4:30 PM Thu 3/22/2018 5:00 PM Recurrence: (no ne) Meeting Status: Meeting organizer Organizer: Required Attendees : Optional Atte ndees: Bell, March (HHS/OCR) Adams, Claudia (HHS/OS); Brown, Louis (HHS/OCR) Frohboese, Robinsue (HHS/OCR) AMlf IC/\r-... pVERSIGHT 20 EXT-18-1509-I-000047 Bell, Michael {OS/ASPA) Subject: Location: next steps March's Off ice Start: End: Show Time As: Fri 3/23/2018 10:30 AM Fri 3/23/2018 11:00 AM Tentative Recurrence: (no ne) Meeting Status: Not yet responded Organizer: Required Attendees : Albrecht, Sarah B. (HHS/OCR) Bell, March (HHS/OCR); Noronha, Maya (HHS/OCR) (Maya.Noro nha@hhs .gov); Meszaros, Marie (HHS/OCR); Brown, Louis (HHS/OCR) All, Let's meet at 10:30 so we know how we can help OCR to the finish line today on one of the projects due. Maya, I assume you will be on route already, so please make sure that March knows what still needs to be done so that he can articulate that to us in your absence. Sarah AMlf IC/\r-... pVERSIGHT 21 EXT-18-1509-I-000048 Bell, Michael {OS/ASPA) Subject: Location: hartz ler letter and foia brians office Start: End: Mon 3/26/20 18 5:30 PM Mon 3/26/20 18 6:00 PM Recurrence: (none) Meeting Status: Meeting organizer Organizer: Required Attendees: Bell, March (HHS/OCR) Bell, March (HHS/OCR); Harrison , Brian (HHS/IOS); Kemper, Laura (HHS/ASL); Trueman , Laura (HHS/IEA); Hayes, Sean (HHS/ASL) Butterfield , Justin (HHS/OCR) Optional Attendees: Briefing o n letter re HIPAA AMlf IC/\r-... pVERSIGHT 1 EXT-18-1509-I-000049 Bell, Michael (OS/ASPA) Subject: Location : FW: Updated with Agenda and Arrival Instructions - Principals' Level Federal Civil Rights Coord ination in Disaste rs PIN FEMA HQ 400 C Street, SW 400CStreet Room 7SE-0208 Call In Kb)(6) Kb)(6) I I Start: End: Show Time As: Tue 3/27/2018 2:00 PM Tue 3/27/2018 3:30 PM Tent ative Recurrence : (no ne) Meeting Status: Not yet responded Organizer: Tosado, Rebekah M aking sure you all are aware of this int erdepartmental me eting that wa s intended, unlike regular coordination, t o have more senior level CRts participation .. .. Agenda FEDERALcivil rights Coordination in disasters U.S. Department of homeland Security (OHS) FEMA Headquarters , 400 C Street , SW March 27, 2017 2-3 :30 PM I. WELCOME AND introduction s DHS-CRCLOHS Officer for Civil Rights and Civil Liberties II. Update s/R eport s on Disaster-relat ed Activiti es DHS-FEMA Office of Equal Rights Office of Disability Integration DHS-CRCL HHS Office for Civil Rights Office of Assistant Secretary for Preparedness and Response Administration for Community Living DOJ Federal Coordination and Compliance Sec tion Disability Rights Section Il l. FOLLOW UP ON RECOMMENDATIONS FOR CONTINUING AND/OR FUTURE COORDINATION IN DISASTERS DHS-CRCL,ALL IV. ACTION ITEMS and NEXT STEPS AMlf IC/\r-... pVERSIGHT 2 EXT-18-1509-I-000050 DHS-CRCL, All -----Original Appointment- --From : Tosado, Rebekah Sent: Tuesday, March 6, 2018 5:39 PM To: Tosado, Rebekah; Quinn, Cameron; Mastandrea, Linda; Phelan, Regis; Lagan, Christopher; Sultan, Jennifer; Parsons , Brian S; Schaefer, Margaret; Vance, Amy; Bandy, Kimberly; 'Frohboese, Robinsue {HHS/OCR) (Robinsue.Frohboese@HHS.GOV)' ; 'Levine, Cheryl (OS/ASPR/OPP)'; 'Cherian-Rivers, Selin (CRT)'; ' Neal, Daria (CRT)'; 'Stoneman, Christine (CRT)'; Peterkin, Donna; Montgomery, James; 'Sm ith, Marisa (HHS/OCR)'; 'Brown, Louis (HHS/OCR)'; 'Raish, Anne (CRT)'; 'Salman, Neelam (OS/OCR)'; 'Stitcher, Kristin (CRT)'; 'Adams, Claudia (HHS/OS)'; 'Zige lrnan , Amit (OS/ASPR/OPP) (CTR)'; 'Davis, Daniel (ACL)'; Fell, Stephanie; William.Lynch@hud.gov; Williams, Bob (ACL); Otte, Kathleen F. (ACL) Cc: 'Kessler, Tamara (CRT)'; jack.herrrnann@hhs.gov; Daniel.Dodgen@HHS.Gov; 'Herrmann, Jack (HHS/ASPR/OPP)'; Rivera, Yvette (OST) Subject: Updated with Agenda and Arrival Instruct ions - Principals' Level Federal Civil Rights Coordination in Disasters When: Tuesday, March 27, 2018 2:00 PM-3:30 PM (UTC-05:00) Eastern Time (US & Canada). Where: FEMA HQ 400 C Street, SW 400CStreet Room 7SE-0208 Call In !(b) (6 \ I.PIN ,.....l(b)(_6_ ) ---, Please arrive at least 20 minutes in advance for security screening. Please send any additional RSVPsto me at Rebekah.Tosado@hq .dhs.gov by noon Monday, 3/26. Agenda )( 6...,.... ) -----. Call in # : K..,,....b,....,... PlN l(b)(6) AMlf I IC/\r-... pVERSIGHT 3 EXT-18-1509-I-000051 Bell, Michael {OS/ASPA) Subject: Location: Update March's Off ice Start: End: Show Time As: Wed 3/28/2018 10:30 AM Wed 3/28/2018 11:00 AM Tentative Recurrence: (no ne) Meeting Status: Not yet responded Organizer: Required Attendees : Noronha , Maya (HHS/OCR) Bell, March (HHS/OCR) AMlf IC/\r-... pVERSIGHT 4 EXT-18-1509-I-000052 Bell, Michael (OS/ASPA) Subject: Location: Review slides for OCR FOIA presentation March's office Start: End: Wed 3/28/201811:00 AM Wed 3/28/2018 11:30 AM Recurrence: (none) Meeting Status: Meeting organize r Organizer: Required Attendees : Bell, March (HHS/OCR) Henderson, Harold (HHS/OCR); Niakan, Bahar (HHS/ASA/OHR) If] ti Ill ) ,;o 1 II )41'-o tqr , ot,i11n ,:1 iii,.. o I);'1.ooo On behalf of Harold, please let us know if this time is good for reviewing the attached slide deck. If not, please proposed a new time. Donna will bring March a printed copy of the attachment. AMlf IC/\r-... pVERSIGHT s EXT-18-1509-I-000053 Bell, Michael {OS/ASPA) Subject: Location: Interdepartmental Civil Rights Offices Lunch Hubert Humphrey Building, HHH 628F - 6th Floor Dining Room Start : End: Wed 3/28/2018 12:00 PM Wed 3/28/2018 1:00 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : Severino, Roger (HHS/OCR) Bell, March (HHS/OCR); Noronha, Maya (HHS/OCR); Mitchell, Kelly; Treene, Eric (CRT); Quinn, Cameron; Cullo, Diane - OSEC, Washi ngton, DC; Gore, John (CRT); charlesJames@dot.gov; Brown, Louis (HHS/OCR); Butterfield, Justin (HHS/OCR); Meszaros, Marie (HHS/OCR); Steven.Menashi@ed .gov leen.craig@dol.gov Optional Attendees: Hello all, The Dining room is located in HHH628F on the 6th floor of the Hubert Humphrey Building - 200 Independence Avenue S.W.. Washington, D.C., 20201. Should you have any problems locatin g it please call 202-619-0403 . Thank you AMlf IC/\r-... pVERSIGHT 6 EXT-18-1509-I-000054 Bell, Michael {OS/ASPA) Subject: Location: time -sensitive issue re: comments March's office Start: End: Thu 3/29/2018 1:00 PM Thu 3/29/2018 1:15 PM Recurrence: (none) Meeting Status : Accepted Organizer: Required Attendees: Albrecht, Sarah B. (HHS/OCR) Bell, March (HHS/OCR); Butterfield , Justin (HHS/OCR); Noronha , Maya (HHS/OCR) (Maya .Noro nha@hhs.gov) AMlf IC/\r-... pVERSIGHT 7 EXT-18-1509-I-000055 Bell, Michael (OS/ASPA) Subject: Office of Rep. Andy Harris, M.D.- Constituent Requesting Info on Federal, Law Requiring ID Scanning Location: Start : End: Thu 3/29/2018 1;30 PM Thu 3/29/2018 2:00 PM Recurrence: (hon e) Meeting Status: Accepted Organizer : Required Attendees; Groves, Garrick (HHS/ASL) Groves, Garrick (HHS/ASL); Gordon - Nguyen, Marissa (HHS/OCR); Butterfield , Justin (HHS/OCR); Bell, March (HHS/OCR); Noonan , Timothy (OS/OCR) Mesn:iros, Marie (HHS/OGC) (marie.meszaros@HHS.GOV) Optional Attendee s: RE: Question on HIPAAand identity requirements , AMlf IC/\r-... pVERSIGHT 8 EXT-18-1509-I-000056 Bell, Michael {OS/ASPA) Subject: Location: KANBAN Normalization March's Off ice Start: End: Mon 4/2/2018 10:00 AM Mon 4/2/2018 11:00 AM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : Butterfield, Justin (HHS/OCR) Bell, March (HHS/OCR); Noronha , Maya (HHS/OCR); Brown, Louis (HHS/OCR); Albrecht, Sarah B. (HHS/OCR) AMlf IC/\r-... pVERSIGHT 1 EXT-18-1509-I-000057 Bell, Michael {OS/ASPA) Subject: Location: KANBAN normalization Marc h,s office Start: End: Mon 4/2/2018 11:00 AM Mon 4/2/2018 12:00 PM Recurrence: (none) Meeting Statu s: Meeting organizer Organizer: Required Attendees : Bell, March (HHS/OCR) Noronha , Maya (HHS/OCR); Brown, Louis (HHS/OCR); Butterfield , Justin (HHS/OCR); Albrecht, Sarah B. (HHS/OCR) Please re email or bring materials to paste and share - also tape if you have it AMlf IC/\r-... pVERSIGHT 2 EXT-18-1509-I-000058 Bell, Michael (OS/ ASPA) Subject: Location: FW: HHS OCR Regulation Comments Review Site Demo WebEx Online Start : End: Mon 4/2/2018 11:30 AM Mon 4/2/2018 12:30 PM Recurrence: (.none) Meeting Status: Accepted Organizer : Required Attendees : Grady, Melvin (OS/ASA/OCIO) (CTR) Grady, Melvin (OS/ASA/OCIO) (CTR);Alston, Lisa (HHS/OCR); Noronha , Maya (HHS/OCR); Debaba, Aweke (OS/ASA/OCIO) (CTR);Amoh , Michael (OS/ASA/OCIO/OEAD) Albrecht , Sarah B. (HHS/OCR); Bell, March (HHS/OCR); Butterfield , Justin (HHS/OCR); Martin, Therese (HHS/OCR) Optional Att endees: -----Original Appointme nt- ---From: Grady, Melvin (OS/ASA/OCIO) (CTR) Sent: Friday, March 30, 2018 10:09 AM To: Grady, Melvin (OS/ ASA/OCIO) (CTR); Alsto n, Lisa (HHS/OCR); Noron ha, Maya (HHS/OCR); Debaba, Aweke (OS/ASA/OCIO) (CTR); Amoh, Michael (OS/ASA/OCIO/OEAD) Subject: HHS OCR Regulation Comments Review Site Demo When: Monday, Apr il 02, 2018 11:30 AM-12 ;30 PM (UTC-05:00) Eastern Time (US & Canada). Where : WebEx Online *HDO NOT DELETEOR CHANGE ANY OF THE TEXT BELOW THIS LINE*** Melv in Grady has schedu led this Web Ex meeting. HHS OCR Regulation Comments Review Site Demo Host: M elvin Grady When it's time, start or join the Web Ex meeting from here: https://meetingserver.hhs .gov/orion/joinmeeting.do?MTJD::::;17f56dc854b6f4e356f3d27bb3d8dd9a Access Information )(,_ 6"'"" ) __ _. Meet ing Number: t.,_b-'Meet ing Password: This meeting does not require a password. Audio Conhection l~ (b_)(_6_) __ I .....(M eeting Server Main Number) Access Code : \ VILr I.. \i pVERSIGHT 3 EXT-18-1509-I-000059 kb)(6) Hosts, need your host access code or key? Go to the meeting info rmation page: https ://meetingserver .hhs.gov/orion/meeting/meetinglnfo?MTID=110c1498681e266cca83cbe25ba9e025 Delivering the power of collaboration The meetingserver.hhs.gov team AMlf IC/\r-... pVERSIGHT 4 EXT-18-1509-I-000060 Bell, Michael {OS/ASPA) Subject: Location : CREF Enforcement Training Follow - Up Director's Conference Room Start : End: Tue 4/3/2018 1:00 PM Tue 4/3/2018 2:00 PM Recurrence : (none) Meeting Statu s: Accepted Organizer: Requir ed Attendees : Severino, Roger (HHS/OCR) Butterfield , Justin (HHS/OCR); Hyams, David (HHS/OCR); Ancalle, Mandi (HHS/OCR) (CTR); Albrecht, Sarah B. (HHS/OCR); Weigel, Gabrie la (OS/OCR) (CTR); Bell, March (HHS/OCR) AMlf IC/\r-... pVERSIGHT 5 EXT-18-1509-I-000061 Bell, Michael (OS/ ASPA) Subject: Location: FOIA Updates Rosa Parks Conference Room Start : End: Show Time As: Wed 4/4/2018 9:00 AM Wed 4/4/2018 12:30 PM Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer : Required Attendees; Frohboese, Robinsue (HHS/OCR) Frnhboese, Robinsue (HHS/OCR); Wicks, Andra (HHS/OCR); Householder, Donna (HHS/OS); Brockett, Sharon (HHS/OCR); Brown, Brenda (HHS/OCR); Nious, Lionel (HHS/OCR); Lopez, Onelio (HHS/OCR); Wcishington, Debra (OS/ONC); Niakan, Bahar (HHS/ASA/OHR); Alston, Valerie Morgan (HHS/OCR); Buchele, Libbie (OS/ONC); Lorden, Susie (HHS/OCR) Novy, Steve (OS/OCR); Oliver, Andrea (HHS/OCR); Butterfield, Justin (HHS/OCR); Noonan, Timothy (OS/OCR); Mosley-Day, Serena (OS/OCR); Montoya, Luben (HHS/OCR); Henderson , Harold (HHS/OCR); We igel, Gabriela (OS/OCR) (CTR); Bell, March (HHS/OCR); Anca lle, Mandi (HHS/OCR) (CTR); Albrecht , Sarah B. (HHS/OCR); 'Hyams, David (HHS/OCR); Marquis, Michael (05/ASPA); Bell, Michael (OS/ASPA); Barry, Daniel J (HHS/OGC); Goulding, Michael (HHS/OGC); Brown , Louis (HHS/OCR); Carter, Carla (HHS/OCR); Adams, Claud ia (HHS/OS); Roman, David (OS/OCR); Harris, Patricia (HHS/OCR); Lawson, Heather (HHS/OCR); Noronha, Maya (HHS/OCR) Optional Attendees: Ii:) 11ui ];o j; o JU". 11, ,~,1 " ,1111J,:k 1h11,o n'.' 11oo When it's time , start your meeting from here : Start the meeting When: Wednesday. April 4, 2018, 8:30 am (4 hrs), Eastern Day1ight Time (New Yori<, GMT-04 .00) . Access Information Meet ing Number : ~b)(6) I Password: l(b)(6) AMlf IC/\r-... pVERSIGHT 6 EXT-18-1509-I-000062 Audio Connection ~f b_ )(_6)__ ~1(Meeting Server Main Number Access Code Kb)(6) I AMlf HC/\r-... pVERSIGHT 7 EXT-18-1509-I-000063 Bell, Michael {OS/ASPA) Subject: Location : skyline march office Start : End: Wed 4/4/2018 11:00 AM Wed 4/4/2018 11:30 AM Recurrence: (none) Meeting Statu s: Meeting organizer Organizer: Required Attendees : Bell, March (HHS/OCR) Albrecht, Sarah B. (HHS/OCR); Butterfield, Justin (HHS/OCR) AMlf IC/\r-... pVERSIGHT 8 EXT-18-1509-I-000064 Bell, Michael {OS/ASPA) Subject: Location : CFC Lunch Hol iday In n Start : End: Wed 4/4/2018 12:00 PM Wed 4/4/2018 2:00 PM Recurrence: (none) Meeting Statu s: Accepted Organizer: Required Attendees : Severino, Roger (HHS/OCR) Bell, March (HHS/OCR); Frohboese , Robinsue (HHS/OCR); Johnson, Kenneth D. (HHS/OCR); Brown, Louis (HHS/OCR); Harris, Patricia (HHS/OCR); Carter, Carla (HHS/OCR); Thompson, John (HHS/OCR); Todd, Karmen (HHS/OCR) AMlf IC/\r-... pVERSIGHT 9 EXT-18-1509-I-000065 Bell, Michael (OS/ASPA) Subject: Location: CURESSec 4006 Outreach l34b7d9 l la32 2 2. If requested, enter your name and email address . If a password is required, enter the meeting password: This meeting does not require a password. 3. 4. C lick "Join". 5. Follow the instruct ions that appear on your screen. ++H I I I It l++++++ I I I I I I l++++++ I I I I I I I I 1++++++-I I I I I I It 11+++++ This meeting may be reco rded by the host. If you have questions , please con tact the host. +H++ -t++++t-+++++++++ ttl I I I I I I I I I ltt +t I I I I I l+++t+-t+tt++- 1 I I I I I l++++ ++tt +t+++++-+++ Hosts , need your host access code or key? Go to the meeting information page : https://meetings.cms .gov/orion/meetin0meding lnfo?MT1D=8l5l713O2676c4c9ece2O94"9733 7Ot:d \ V Lt ll \ \i pVERSIGHT 3 EXT-18-1509-I-000076 Deliver ing the power of collaboration The meetings.ems.gov team AMlf IC/\r-... pVERSIGHT 4 EXT-18-1509-I-000077 Bell, Michael (OS/ASPA) Subject: Location: HHS Reviewers Briefing: PFS NPRM - Segment 2 Exec Sec Conf Room 614H; Call-in : ~b)(6} Start : End: Show Time As: Mon 4/9/2018 1:00 PM Mon 4/9/2018 2:00 PM Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer : Required Attendee ~ Executive Secretary Conference Room (HHS) Fischbach, Aaron (OS/IOS) (Aaron. Fischbach@hhs.gov); Afable, Mar ites (SAM HSA/OPPI ); Anthony, Elise (OS/ONC); ASPE Exec Sec (OS/ ASPE); Bagel, Michael (OS/ASFR); Baker, Alexander (OS/ONC); Ball, Niclielle (FDA/OC); Barber, Daniel (OS/lEA); Bennett-Barnes, Evonne (IHS/HQ); Berger, Mitchell (SAMHSA); Bradley, Tasha (OS/ASPA); Brockett, Sharon (HHS/OCR); Bush, Laina (HHS/ASPE); Carroll, Christopher D. (SAMHSA/OP PI); Chesemore, Scott (FDA/OC); Cintron, Michael (O5/OGC); Cornejo, Kerri (HRSA); Davi,s, Walter (HHS/ASFR); Drew, Patrice S (OIG/OCIG); Dube, Timothy (OS/ASPE); Edwards , Susan (HHS/ASFR); Elder, Mark (HHS/ASFR); Fisher, Barba ra (HHS/OGC); Fontenot , Monique (OS/ASPA); Formoso, Paula (HHS/ASPA); Frazier, Jennifer (OS/O NC); Garver, Jenn ifer (HHS/OGC); Gillis, Tiffany (HRSA); Gillum, Jessica Z (FDA) (FDA/QC); Gott !ich, Vicki (ACL); Harris, Patricia (HHS/OCR); Henderson, Harold (HHS/OCR); Hernandez, Danie l (NIH/OD) [E]; Hoffman, Janice (HHS/OGC); Householder, Donna (HHS/OS); Bain, Shelley (HRSA); Cesar, Steve (HRSA); Cochran , Caroline (HRSA); Cooper, Laura (HRSA); hrsaexecsec@hrsa .gov; Morris, Tom (HRSA); Roche, Lori (HRSA); Scott, Wakina (HRSA); Hunsberger, Amy (HHS/OGC); Jackson , Caldwell (ACL); jrn40z@nih.gov; Jones, Christopher (SAMHSA); Katz, Ruth (HHS/ASPE); Laurence , Christian (HHS/ASFR); Lee, Doris (HHS/OGC); Lipinski, Michael (OS/ONC); Longenecker , Emmalani (IHS/HQ); Lopez, Elizabeth (SAMHS A/CMHS); Mack, LaShawn K (OIG/OCIG ); Mazumdar , Amitava (OIG/OCIG); Mfum -Gyau, Akua (FDA/OC); Mitchell , Carl (IHS/HQ) ; Moore , Jerry (N IH/OD) [E]; Myrie, Simone (OS/ASPA); O'Connor , Anne E. (CDC/OD/OCS) ; Adegoke , LaToya (OS/OMHA ); Axeen , Amanda (OS/OM HA); Bailey, 'Nikisha (OS/OMHA) (CTR); Koch, Charles (HHS/O MHA ); Ortega , Caroline (OS/OMHA) (CTR); Sinclair, Shelly -Ann (HHS/OM HA); Valdini, Todd (HHS/OMHA) ; Baker, Michael (OS/DNCOPs); Lamadine, Beh (OS/ONC) ; OS - ONC.Clearances (OS/ONC); Warner, Keviar (OS/ONC); OS OGC- CMSD, ControlDesk (HHS/OS); OS OGC-IO ControlDesk (HHS); Page, Ann (OS/ASPE); Parker, Don (HHS/OGC) ; Perry, Wendy (AHRQ/OC) ; Posnack, Steven (OS/ONC); rcc@cdc.gov; Scott, Carolyn (HRSA); Scott, Katherine (OS/DAB); Smith, Mary (HHS/OGC); Smith, Scott R. (OS/AS PE); Smith-Simpson, Jacqlyn (HHS/ASFR); Tessin, Robyn (HHS/OGC); Thompson , Gilbert (SAMHSA) ; Tilly, Jane A. (ACL); Toye , Sally (CDC/OD/OCS) ; Wade, Karen (HRSA); Wittie , Michael (OS/O NC); Adair, Geraldine (OS/IOS); Aramanda , Alec (OS/ASL); Arbes , Sarah (HHS/ ASL); Bassett, Matthew (H HS/ASL); Be11 , March (HHS/OCR) ; Bowles , Jamil (HHS/IOS) ; Brooks , John (HHS/IOS); Charrow, Robert (HHS/OGC); Cleary, Kelly (HHS/OGC) ; CMS VTC; Cochran, Norris (HHS/ASFR); Delew, Nancy (HHS/ASPE); Enomoto, Kana (SAMHSA/OA) ; Espinosa, Diana (HRSA); Fitzger ald, Brenda (CDC/OD) ; Flick, Heather (OS/OGC); Gottlieb , Scott (FDA); Grabner, Juanita (HRSA); Graham, Joh n (HHS/I EA); Green, Jason (HHS/OMHA) ; Griswold, Nancy (HHS/OM HA HQ); Horn - Barbour, Stephanie (OS/ASPE).; Howard -Jones , Valerie (HH S/ASFR); Jilani , Shah/a (H HS/IOS); Kadlec, Robert AMlf IC/\r-... pVERSIGHT 5 ICode: Kb)(6) EXT-18-1509-I-000078 Required Attendees : (OS/ASPR/10); Kalavritinos, Jack (FDA/OC); Khanna, Gopal (A HRQ/10D); Korch, George (OS/ASPR/10); Lazare, Mary (ACL); Mccanc e-Katz, Elinore (SAMHSA/OAS) ; McMillen, Cheryl (HHS/ASFR); Meszaros , Marie (HHS/OCR); Moughalian, Jen (HHS/ASFR); Nelson , Beth (HHS/IOS); Nguyen, Von (CDC/0D/OADP); Nicholls, Richard (ACL); Noronha, Maya (HHS/OCR); O'Brien , John (HHS/ASPE); Pelekoudas , Kristina (HHS/IOS); Peop l.es, Sevetra (OS/ASPE); Roach, Ange la (OS/DAB); Robertson, lance (ACL); Robinson, Vicki L (O IG/ 10 ); Rucker, Donald (OS/ONC) ; Severi no, Roger (HHS/OCR); Sheingo ld, Steven (HHS/ASPE); Sigounas , George (HRSA); Stallion , Viv ian (HHS/OS); Tabak, Lawrence (N IH/OD) [E); Tobias , Constance (HHS/DAB) ; Townsend, Kara (HHS/ASPE); Turk, Denise M. (IHS/HQ ); Udutha, Pranay (HHS/IOS); Vandivort-Warren , Rita (HRSA); Weahkee, Michael (IHS/HQ); Welch , Pete (HHS/ASPE); Wright , Don (HHS/OASH); Fultz- M imms, Trenesha N . (CMS/OSORA) (trenesha .fu ltzmimms @cms.hhs.gov ) Agnew , Ann (HHS/IOS); Robinson , Wilma (HHS/IOS); Barco, Evell J. (CMS/OSORA); Chukwudebe, N naemeka (HHS/OS); Samson, Lok Wong (HHS/ASPE); Zuckerman, Rachael (HHS/ASPE); FDA OGC FDD Control ; OS GCPH (HHS/OGC); Bess, Demetrice ; Edgar, Matthew S. (CMS/CM) ; MacHarris , Molly A. (CMS/CCSQ); Prachanronarong, Aucha (CMS/CCSQ); Suguma r, Sophia (CMS/CCSQ); Mugge , Alexandra M. (CMS/CCSQ); Hamme n, Jayne L. (CMS/CCSQ); Holland, Elizabeth S. (CMS/CCSQ); Hovatter , Alesia (CMS/CCSQ); Kellam, Crystal S. (CMS/CCSQ); Peterman , Michelle (CMS/CCSQ); Brewer, Annette M . (CMS/OSORA); Wilson, Lisa 0 . (CMS/CM); Watchorn , Marge L.(CMS/CM) ; NCCDPHPExecSec (CDC); London , Erica (CMS/ CPI); Stirling , M ichae l (HHS/ OMHA) ; Gruber, Amy L. (CMS/CM); Larbi, Fiona M. (CMS/CM ); Wilcox , Adam (HHS/ OMHA ); Bryant, Kathy J. (CMS/CM ); Chin, Benjamin J. (CMS/CMM I); French, Beth A. (CMS/CM ); Kuespert, Martha D. (CMS/CM) ; Chell, Regina (CMS/CCSQ); Isaac, Elliott (CMS/OSORA); Cavanaugh , A licia A. (CMS/OSORA); Bassano, Amy (CMS/CMM I); Hermansen , Jamie E. (CMS/CM) ; Moody -Wilfiams, Jean D. (CMS/CCSQ); Zhang , Nancy N. (CMS/OSORA); Wickliffe , Jim (CMS/OSORA); Fogler, Sarah (CMS/CM) ; Brooks, Gaysha M. (CMS/OSORA); Ruhter, Joel (HHS/ASPE); Fulton , Sarah (CMS/CCSQ); Burns, Elizabeth (CDC/OND IEH/NCIPC); Szarama, Katherine B. (CMS/CCSQ); Miller , Ruth A. (CMS/OSORA); Cinquegrani , Amy (CMS/CPI); Skillen , Elizabeth L. (CDC/OD/OADP); Myers, Elisabeth (OS/ONC); Cronin , Kelly (OS/ON() ; NCIPCPolicylnbox (CDC); Duseja, Reena (CMS/CCSQ); Garcia, Vanessa (CMS/OSORA); Woods, Gregory A. (CMS/CM Ml} ; Jones, Mart ique S. (CMS/OSORA); Clybourn, O len D. (CMS/OSORA); Richmond , Carly M. (CMS/OSORA); Shirey- Losso, Sarah K. (CMS/CM); Phan, Thomas M.(CMS/OSORA) ; Garcia, Tamy ra C. (CMS/CCSQ); Khan, Rabia M.(CMS/CM) ; Dash, Laura A (CMS/CM); Hyde, Megan E. (CMS/CMMI); Baldwin, JoAnna F. (CMS/CCSQ); Schmidt , Terri (IHS/HQ ); Teri, Erika (CMS/CMMI); Hiller, Elinor A (CMS/Ol) ; Pilotte , Joh n C. (CMS/CM) ; Spald ing Bush, Kimberly (CMS/CM); Sartini, Patrick (CMS/CM); Bal'dwin, Lindsey S. (CMS/CM) ; Davis, Daniel (ACL); Bird, Catherine (OS/OGC) Optional Attendees: Purpose: CMS will brie f HHS reviewers on segment 2 of the CY 2019 Physician Fee Schedule prop osed rule. ~ ['t ~o''.''t ,11,,1111fot1 .t' 1::1::t'.1~:i l"ik '~oo'(11' ,.. Briefing Paper: POC: Aaron Fischbach AMlf IC/\r-... pVERSIGHT 6 EXT-18-1509-I-000079 Bell, Michael {OS/ASPA) Subject: Location : oversight letter COS conference Room Start : End: Mon 4/9/2018 2:30 PM Mon 4/9/2018 3:00 PM Recurrence : (none) Meeting Statu s: Meeting organizer Organizer: Requir ed Attendees : Bell, March (HHS/OCR) Urbanowicz , Peter (HHS/ IOS); Harrison , Brian (HHS/IOS); Kemper, Laura (HHS/ASL); Hayes, Sean (HHS/ASL); Trueman, Laura (HHS/ IEA); Huber, Valer ie (HHS/OASH); Stannard , Paula (HHS/IOS); Bird, Catherine (OS/OGC); Severino, Roger (HHS/OCR); Oakley, Caitlin B. (OS/ASPA) AMlf IC/\r-... pVERSIGHT 7 EXT-18-1509-I-000080 Bell, Michael (OS/ASPA) Subject: Location: PMAP Results Start : End: Mon 4/9/2018 3:00 PM Mon 4/9/2018 4:00 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendee~ Novy , Steve (OS/OCR) Severino, Roger (HHS/OCR); Bell, March (HHS/OCR); Novy, Steve (OS/OCR); Gerald 1 Mary (HHS/OCR); Blakeley, Alec (HHS/OCR); Frnhboese, Robinsue (HHS/OCR) AMlf IC/\r-... pVERSIGHT --~I Director's Conference Room, Dial- in i= fb~)~ <6~ ) 8 Passcode: l(b)(6) EXT-18-1509-I-000081 Bell, Michael (OS/ASPA) Subject: Location: Exec Sec Confe rence Room (6 14H); Call in: Kb)(6) Start : End: Show Time As: Tue 4/10/2018 9:30 AM Tue 4/10/2018 10:30 AM Tentative Recurrence: (none) Meeting Statu s: Not yet responded Organizer: Required Attendee ~ Office of the Executive Secretary Master Calendar (HHS/OS) Shelton, Carrie A (HHS/IOS); Executive Secretary Conference Room (HHS); Fischbach, Aaron (OS/IOS) (Aaron.Fischbach@hhs.gov) ; Afable , Marites (SAMHSA/OPPI); Bagel, Michael (OS/ASFR); Bain, Shelley (HRSA); Baker, Alexande r (OS/ONC); Ball, Nichelle (FDA/QC); Berge r, Mitchell (SAMHSA); Beswick, Aaron (HRSA); Beth .Nelson@hhs .gov ; Bogasky, Susan (HHS/ASPE); Burgos , Melissa (ACF); Bush, Laina (HHS/ASPE); Carroll, Christopher D. (SAMHSA/OPPI); CDC Reg Clearance; Cesar, Steve (HRSA); Chesemore , Scott (FDA/OC) ; Cooper , Laura (HRSA); De lew , Nancy (HHS/ASPE); Dey, Judith (OS/ASPE); Drake, Jemima (HRSA); Edwards , Susan (HHS/ASFR); Elder, Ma rk (HHS/ASFR); Fisher, Barbara (HHS/OGC); Freeman, Brandy (HRSA); Fultz-Mimms, Trenesha N . (CMS/OSORA); Gillum, Jessica Z (FDA) (FDA/OC) ; Gordon-Nguyen, Marissa (HHS/OCR) ; Gottlich, Vicki (ACL); Harris, Patricia (HHS/OCR) ; Hodgkins , Juliet (O IG/OCIG); Hops, Jeffrey (HHS/OGC); Hunt, Gregorio (HHS/ IEA); Isaac, Peyton (OS/OCPO); Jackson, Caldwell (ACL); Keyser, Julia (HHS/ASFR); Lamadine, Beh (OS/ONC); Longenecker, Emmala ni (IHS/HQ); Lopez, Elizabeth (SAMHSA/CMHS); Mack , LaShawn K (OIG/OCIG); Mall iou, Ekaterini (OS/IOS); Mazumdar , Amitava (OIG/OCIG); McMi llan, Chery l (HHS/ASFR); Mfum -Gyau, Akua (FDA/QC); Mitche ll, Carl (-IHS/HQ) ;. Nicho lls, Richard (ACL); O'Conno r, Anne E.(CDC/OD/OCS); Ortiz , Raho N. (IHS/HQ); OS - OMHA Exec Clearances; 05 OGC-IO ControlDesk (HHS); Palena Hal l, Elizabeth (OS/ONC); Perry, Dionte (HHS/ASPA); Perry, Wendy (AHRQ/OC); Posnack, .Steven (OS/ONC) ; Pranay.Udutha@hhs.gov; Roach, Angela (OS/DAB); Scott, Carolyn (HRSA); Scott , Katherine (OS/DAB); Scott , Wakina (HRSA); Sheingold, Steven (HHS/ASPE); Smith-Simpson, Jacqlyn (HHS/ASFR); Stallion, Vivian (HHS/OS); Thompson, Gilbert (SAMHSA); Tilly, Jane A. (ACL}; Toye, Sally (CDC/OD/OCS); Woody, Iara (OS/ASPE); Adair , Gerald ine (OS/IOS); Agnew, Ann (HHS/IOS); Aramanda, Alec (OS/ASL); Arbes, Sarah (HHS/ASL); Bassett, Matthew (HHS/ASL); Bell, Ma rch (HHS/OCR); Bowles , Jamil (HHS/1OS); Buchanan , Chris (IHS/HQ); Charrow, Robert (HHS/OGC); Cleary , Kelly (HHS/OGC); CMSVTC; Cochran, Norris (HHS/ASFR); Destro, Brenda (HHS/ASPE); Enomoto, Kana (SAMHSNOA); Espinosa, Diana (HRSA); Gottlieb, Scott (FDA); Grabner , Juanita (HRSA)i Green , Jason (HHS/OMHA); Griswold , Nancy (HHS/OMHA HQ); Horn Barbour , Stephanie (OS/ASPE); Howard -Jones , Valerie (HHS/ASFR); Jilani , Shah la (HHS/IOS); Kadlec, Robert (OS/ASPR/ IO); Kalavritinos, Jack (FDA/OC); Khanna , Gopal (AHRQ/IOD); Korch, George (OS/ASPR/ 1O); Lazare, Mary (ACL); Mccance -Katz, Elinore (SAMHSA/OAS); Moughalian , Jen (HHS/ASFR); Ne lson, Beth (HHS/IOS ); Nguyen, Von (CDC/OD/OADP); Noronha, Maya (HHS/OCR); O 'Brien , John (HHS/ASPE); Pelekoudas, Kristina (HHS/IOS); Peoples, Sevetra (OS/ASPE); Redfield , Robert R.(CDC/OD); Robertson, Lance (ACL); Robinson, Vicki L (OIG/1O); Robinson, Wilma (HHS/IOS); Rucker, Donald (OS/ONC); Severino , Roger (HHS/OCR); Sigounas, George (HRSA); Tabak , Lawrence , (NIH/OD) [EJ;Tobias , Constance (HHS/DAB); Townsend , Kara AMlf IC/\r-... pVERSIGHT HHS Reviewers Briefing: Home Health PPS NPRM - Segment 1 9 passcode: ~b)(6) EXT-18-1509-I-000082 Required Attendees : (HHS/ASPE);Turk, Denise M. (IHS/HQ); Udutha, Pranay (HHS/10S); Vandivort-Warren , Rita (HRSA); Weahkee, Michael (IHS/HQ) ; Welch, Pete (HHS/ASPE);Wright, Don (HHS/OASH); Fultz- Mimms, Trenesha N. (CMS/OSORA) (trenesha.fultzmimms@cms.hhs.gov) Purpose: CMS will brief HHS reviewers on segment 1 of the CY 2019 Home Health PPSproposed rule. The segment is currently in clearance (SPScase #394025) and comments are due April 11. Briefing Paper: Ill o J~ ~.. 11c,;"::, l"' I::I,,.,,,,I::t,.H,lh,I"'... ' POC: Carrie Shelton AMlf IC/\r-... pVERSIGHT 10 EXT-18-1509-I-000083 Bell, Michael (OS/ASPA) Subject: Location: HHS Reviewers Briefing: ESRD/DMEPOS NPRM - .Segment 1 Code: l~(b-)(_6_ ) -~ Exec.Sec Conf Room 614H ; Call-in : l(b)(6 ) Start : End: Show Time As: Tue 4/10/2018 11:00 AM Tue 4/10/2018 12:00 PM Tentative Recurrence: (hone ) Meeting Statu s: Not yet responded Org anizer: Required Attendee s; Office of the Executive Secretary Master Calendar (HHS/OS) Executive Secretary Conference Room (HHS); Fischbach, Aaron (OS/IOS) (Aamn.Fischbach@hhs.gov ); Wilson , Lynette N. (CMS/OSORA) ; Afable, Marites (SAMHSA/OPPI); ASPE Exec Sec (OS/ASPE); Berger, Mitchell (SAMHSA); Bradley, Tasha (OS/ASPA); Br.ady,Jeff (AHRQ/CQulPS); Carroll , Christopher D. (SAMHSA/OPPI) ; Chesernore , Scott (FDA/OC); Cooper , Laura (HRSA); Davis, Daniel (ACL); Davis, Walter (HHS/ASFR);. Deering , Jacob (HHS/ASFR); Delew, Nancy (HHS/ASPE); Drake, Jemima (HRSA); Dube, Timothy (0S/ASPE); Edwards, Susah (HHS/ASFR); Elder, Mark (HHS/ASFR); Elliott, Athena S. (IHS/HQ); Fisher, Barbara (HHS/OGC); Fontenot, Monique (OS/ASPA); Formoso , Paula (HHS/ASPA); Gottlich , Vicki (ACL); Grunberger , Rachel C. (OS/OGC); Hirshorn, Rebecca (HHS/IOS); Hoffman, Janice (HHS/OGC); Bain, Shelley (HRSA); Cesar, Steve (HRSA); hrsaexecsec@hrsa .gov; McBoyle, Kristina (HRSA); McNulty, Arny (HRSA); Morri s, Torn (HRSA); Roche, Lod (HRSA); Scott, Wakina (HRSA); hrsaexecsec1@hrsa.gov ; Jackson, Caldwel l (ACL); Jones, Christopher (SAMHSA); Katz, Ruth (HHS/ASPE); Kraft , Kenneth D (OIG/OC IG); Lipinski, Michael (OS/ONC); Longenecker , Ernmalani (JHS/HQ); Love, Marci (HHS/OGC); Mack , LaShawn K (OIG/OCIG); Mark, Diana (HHS/OGC); Mazumdar , Amitava (OIG/OCIG) ; McMi llen, Cheryl (HHS/ASFR); Meinecke, Colleen (HHS/OMHA) ~Mfum -Gyau, Akua (FDA/OC ); Mitche ll, Carl (IHS/HQ) ; Morris, Andrew (ACL); Myrie, Simone (0S/ASPA); Nolan, Monique (HHS/OGC); O'Connor, Anne E. (CDC/OD/OCS); Baker, Michael (OS/DNCOPs); Lamadine , Beh (OS/ONC); OS - ONC.Clearances (OS/ONC) ; Warner, Keviar (OS/ONC) ; OS - OMHA Exec Clearances; OS OGC-CMSD, ControlDesk (HHS/OS); Randolph, Christopher (HHS/DAB); rcc@cdc.gov; Scott, Katherine (OS/DAB); Sheingold, Steven (HHS/ASPE); Tilly, Jane A. (ACL); Toye, Sally (CDC/OD/OCS); Wittie, Michael (OS/ONC) ; Aramanda, Alec (OS/ASL); Arbes, Sarah (HHS/ASL); Bassett, Matthew (HHS/ASL); Bell, March (HHS/OCR); Bowles, Jamil (HHS/IOS); Buchanan, Chris (IHS/HQ); (harrow , Robert (HHS/OGC); Cleary, Kelly (HHS/OGC); Cochran , Norris (HHS/ASFR); Destro , Brenda (HHS/ASPE);. Enomoto , Kana (SAMHSA/0A) ; Espinosa, Diana (HRSA); Gottlieb, Scott (FDA); Grabner, Juanita (HRSA); Griswold , Nancy (HHS/ OMHA HQ); Horn-Barbour, Stephanie (05/ASPE) ; Howard -Jones, Valerie (HHS/ASFR); Jilani, Shahla (HHS/ I0S); Kadlec, Robert (OS/ASPR/I0); Kalavritinos , Jack (FDA/OC); Khanna, Gopal (AHRQ/ IOD); Korch, George (OS/ASPR/I0) ; Lazare, Mary (ACL); Mccance-Katz , Elinore (SAMHSA/OAS) ; Moughalian, Jen (HHS/ASFR); Ne lson, Beth (HHS/IOS); Nguyen, Von (CDC/OD/OADP); Nicholls, Richard (ACL); Noronha, Maya (HHS/OCR); O'Brie n, John (HHS/ASPE); Pelekoudas, Kristina (HHS/IOS); Peop les, Sevetra (OS/ASPE); Redfield , Robe1t R. (CDC/OD); Roach, Angela (OS/DAB); Robertson, Lance (ACL); Robinson, Vicki L (OIG/I0); Robinson, Wilma (HHS/IOS); Rucker, Donald (OS/ONC); Severino, Roger (HHS/OCR); Sigounas, George (HRSA); Stallion, Vivian (HHS/OS); Tabak, Lawrence (N IH/OD} [E}; Tobias, Constance (HHS/DAB) ; Townsend, Kara (HHS/ASPE); Turk, Denise AMlf IC/\r-... pVERSIGHT I li EXT-18-1509-I-000084 Required Attendees : Optional Attendees: M. (IHS/HQ); Udutha, Pranay (HHS/IOS); Vandivort -Warren, Rita (HRSA); Weahkee, Michael (IHS/HQ); Welch, Pete (HHS/ASPE);Wright, Don (HHS/OASH); Chukwudebe, Nnaemeka (HHS/OS) Ada ir, Geraldine (OS/IOS); Agnew, Ann (HHS/IOS) Purpose: CMS will brief HHS reviewers on segment 1 of the Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) and Fee Schedule Amounts, and Technical Correcting Amendments to Existing Regulations Related to the CBPfor Certain DMEPOS proposed rule . I: '.'l~: ! Jo '.'., , ..,,,,r111 i, II I :Mr ii,.. 1 ,~~\~;. n ,,.,~ v Paper: POC: AMlf Aaron Fischbach IC/\r-... pVERSIGHT 12 EXT-18-1509-I-000085 Bell, Michael {OS/ASPA) Subject: Location: Quick connect on detailees Marc h's office Start: End: Tue 4/10/2018 3:45 PM Tue 4/10/2018 4:00 PM Recurrence: (no ne) Meeting Statu s: Accepted Organizer: Required Attendees : Frohboese, Robinsue (HHS/OCR) Bell, March (HHS/OCR) AMlf IC/\r-... pVERSIGHT 13 EXT-18-1509-I-000086 Bell, Michael {OS/ASPA) Subject: Location: ONC's Trusted Exchange Framework & HIPAA Policy (Briefing) March's Off ice Start: End: Tue 4/10/2018 4:00 PM Tue 4/10/2018 4:30 PM Recurrence: (none) Meeting Status: Meeting organizer Organizer: Required Attendees: Optional Atte ndees: Bell, March (HHS/OCR) Bell, March (HHS/OCR); Meszaros, Marie (HHS/OCR) Butterfield , Justin (HHS/OCR) AMlf IC/\r-... pVERSIGHT 14 EXT-18-1509-I-000087 Bell, Michael {OS/ASPA) Subject: Location: Quick connect on regiona l detailees Marc h's office Start: End: Wed 4/11/2018 11:00 AM Wed 4/11/2018 11:15 AM Recurrence: (no ne) Meeting Statu s: Accepted Organizer: Required Attendees : Frohboese, Robinsue (HHS/OCR) Bell, March (HHS/OCR) AMlf IC/\r-... pVERSIGHT 15 EXT-18-1509-I-000088 Bell, Michael (OS/ASPA) Subject: Location: ONC's Trusted Exchange Framework & HIPAA Policy Start : End: Wed 4/1 1/2018 4:00 PM Wed 4/11/2018 5;00 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : Severino, Roger (HHS/OCR) Sever.ino, Roger (HHS/OCR); Bell, March (HHS/OCR); Gordon - Nguyen, Marissa (HHS/OCR); Noonan, Timothy (OS/OCR); Meszaros , Marie (HHS/OCR) Butterfield , Justin (HHS/OCR); Sanches, Linda (HHS/OCR); Marchesin i, Kathryn (0S/ONC); Barber, Zoe (0S/ONC) Optional Attendees : AMlf IC/\r-... pVERSIGHT Director's Conference Room, Dial in #l(b) (6) 16 1Passcode:l..... (b_)(_6_ ) _ __. EXT-18-1509-I-000089 Bell, Michael {OS/ASPA) Subject: Location: Plan for Comments March's office Start: End: Thu 4/12/2018 10:30 AM Thu 4/12/2018 11:30 AM Recurrence: (none) Meeting Status: Accepted Organizer: Noronha, Maya (HHS/OCR) When: Thursday, April 12, 2018, 10:30 AM to 11:30 AM. Eastern Time Where: March's office *~*~*~*~*~*~*~*~*~* AMlf IC/\r-... pVERSIGHT 17 EXT-18-1509-I-000090 Bell, Michael (OS/ASPA) Subject: Location : Voluntary All Staff Call Start : End: Show Time As: Thu 4/12/2018 3;00 PM Thu 4/12/2018 4:00 PM Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer : Required Attendee s; Severi no, Roger {HHS/OCR) OS - OCR ALL NAtlONAL ; OS - OCR ALL NATIONAL Contractors AMlf IC/\r-... pVERSIGHT Rosa Parks Conference Room, Dial- 1.8 inv~ ~=,r~i:;~\ --~1 1-'asscode: kb)(6) EXT-18-1509-I-000091 Bell, Michael (OS/ASPA) Subject: March atK~ b_)(_6_) ---~ Start : E'nd: 'Fri4/13/2018 8:30 AM FrT4/13/20 '18 9;30 AM Recurrence: (none) Meeting Status: Meeting organizer Organizer: Required Attendees : Bell, March (HHS/OCR) Bell, March (HHS/OCR); Severino, Roger (HHS/OCR) AMlf IC/\r-... pVERSIGHT 19 EXT-18-1509-I-000092 Bell, Michael {OS/ASPA) Subject: Location: ONC TEFCA Marc h's Offi ce Start: End: Fri 4/13/2018 2:00 PM Fri 4/13/2018 2:15 PM Recurrence: (no ne) Meeting Statu s: Meeting organizer Organizer: Required Attendees : Bell, March (HHS/OCR) Meszaros, Marie (HHS/OCR); Butterfield, Justin (HHS/OCR) AMlf IC/\r-... pVERSIGHT 20 EXT-18-1509-I-000093 Bell, Michael {OS/ASPA) Subject: Location: CRF Regulation Director's Conference Room Start: End: Fri 4/13/2018 3:15 PM Fri 4/13/2018 4:15 PM Recurrence: (none) Meeting Status : Accepted Organizer: Required Attendees: Severino, Roger (HHS/OCR) Bell, March (HHS/OCR); Albrecht, Sarah B. (HHS/OCR); Noronha , Maya (HHS/OCR); Novy, Steve (OS/OC R) AMlf IC/\r-... pVERSIGHT 21 EXT-18-1509-I-000094 Bell, M ichael (OS/A SPA) Subject: Locat ion: FW: OCR/ONC TEFCA Meeting #3 Leader Code - ~ l(b~)t_6)_~ Switzer Bldg, Rm 6032A - My Dial-In#: ~b)(6) ~~--~ Participant Code - Kb)(6) Start : End: Show Time As: Fri 4/13/2018 3:30 PM Fri 4/13/2018 4:30 PM Tentative Recurrence: (nohe) Me eting Statu s: Not yet responded Organizer : Requir ed Att endees: Morris, Genevieve (OS/ONC/IO) Morris, Genevieve (OS/ONC/IO); Sanches, Linda (HHS/OCR); Marchesini, Kathryn (OS/ONC); Woodhead, Amanda (OS/ONC); Moriarty, Lana (OS/ONCIT); Barber, Zoe (OS/ONC); Wanis , Maggie (OS/ONC); Anthony, EHse(OS/ONC); Rancourt, John H. Jr. (OS/ONC); Posnack, Steven (OS/ONC); Lipinski, Michael (OS/ONC); Gordon - Nguyen , Marissa (HHS/OCR); Noonan , Timothy (OS/OCR); Meszaros, Marie (HHS/OCR); Butterfield , Justin (HHS/OCR); jc@securityrs.com ; Bucci, Debb ie (OS/ONC); Nsahlai , Rose- Marie (OS/OCPO); Myers, Elisabeth (OS/ONC); e1isabethbelmont7@gmail.com ; marilynlamar@aol .com Heesters, Nicholas (HHS/OCR); David Staggs [SRSJ;Landau, Morris (OS/ONC); Knee., Mark (OS/ONC); Bell, March (HHS/OCR) I Option al Att endees: I ----Origina l Appointment-- From: Morris, Genevieve {OS/ONC/IO) Sent: Thursday , April 5, 2018 2:58 PM To: Morris, Genevieve {OS/ONC/IO); Sanches, Linda (HHS/OCR); Marchesini, Kathryn {OS/ONC); Woodhead, Amanda (OS/ONC); Moriarty, Lana {OS/ONCIT); Barber , Zoe (OS/ONC); Wanis, Maggie (OS/ONC); Anthony , Elise {OS/ONC); Rancourt, John H. Jr. {OS/ONC); Posnack, Steven (OS/ONC); Lipinski, Michael (OS/ONC); Gordon-Nguyen , Marissa (HHS/OCR); Noonan, Timothy (OS/OCR); Meszaros, Marie (HHS/OCR); Butterfield , Justin (HHS/OCR); jc@securityrs.com; Bucci, Debbie (OS/ONC); Nsahlai , Rose-Marie (OS/OCPO); Myers , Elisabeth (OS/ONC); elisabethbelmont7@gmail.com; marilynlamar@aol.com Cc: Heesters , Nicholas (HHS/OCR); David Staggs [SRS]; Landau, Morris (OS/ONC); Knee, Mark (OS/ONC) Subje ct: OCR/ONC TEFCA Meeting #3 Wh en: Friday , April 13, 2018 3:30 PM-4:30 PM (UTC-05:00) Eastern Time (US & Canada). Wh ere: Switzer Bldg, Rm 6032A - My Dial-In # :j(b)(6) Leader Code 1 b)(6) Participant Code -K ~b_)(_6)__ I I OCR Topics 1. Individual - Meeting #1 a. Defin ition of Individual and Individual Access b. Concern about statements from cornmenters such as: An application selected by the individual under HITECH patient right of access should not need to comply with additional privacy and security requirements of TEFCA. This section appears to apply security safeguards that do not appfy to AMlf IC/\r-... pVERSIGHT 22 EXT-18-1509-I-000095 2. 3. 4. 5. individuals' right of access.This statement should be modified to affirm that products and APPsselected by the consumer are treated as though they themselves were the individual. i. Note we believe we are within bounds to ask consumer apps to abide by section 6 of the TEF, even if they are not covered entities c. Discussion on using individual access to gain access to and then resell patient data Guidance on Min imum Necessary- Meeting #2 What's required under HIPAA to demonstrate that a person reque sting the data should actually have access, i.e. is there any guidance on how you prove you have a re lationsh ip with the patient - Meeting #3 Guidance on consent - Meeting #3 (probably could do #3 and #4 topic in 1) Technical requirements from sectlon 6 (th is will need to be later in the order since we have a consultant working with us too , and he's Just ramping up) - Meeting #4 AMEf IC/\r-... pVERSIGHT 23 EXT-18-1509-I-000096 Bell, Michael {OS/ASPA) Subject: Location : CREFTeam Lunch 515F Start : End: Show Time As: Mon 4/16/20 18 12:00 PM Mon 4/16/20 18 1:00 PM Tentative Recurrence: (none) Meeting Status : Not yet responded Organiz er: Required Attendees : Severino, Roger (HHS/OCR) Bell, March (HHS/OCR); Butterfield, Justin (HHS/OCR); Meszaros, Marie (HHS/OCR); Noronha, Maya (HHS/OCR); Estrada, William (HHS/OCR) (CTR);Anca lle, Mandi (HHS/OCR) (CTR); Albrecht, Sarah B. (HHS/OCR); Weigel, Gabriela (OS/OCR) (CTR); Brown, Louis (HHS/OCR); Grossu, Arina (HHS/OCR) (CTR) AMlf IC/\r-... pVERSIGHT 1 EXT-18-1509-I-000097 Bell, Michael (OS/ASPA) Subject: Location: 515 - Start : End: Mon 4/16/2018 2;30 PM Mon 4/16/2018 3;00 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : Severino, Roger (HHS/OCR) Bell, March (HHS/OC R); Danley, Sarah (HHS/OGC); Bird, Catherine (OS/OGC); Severino , Roger (HHS/OCR) AMlf IC/\r-... pVERSIGHT Ethics/ Contracting Rules F,Dial in l~(b~)< ~6~ ) --~l Passcode: l(b)(6) EXT-18-1509-I-000098 Bell, Michael (OS/ASPA) Subject: Location: Monthly Nat ional HIP Conference Call Call the WebE x Audio number : K~ b-)(-6)--~~ Start : End: Show Tim e As: Tue 4/17/20 18 1:30 PM Tue 4/17/2018 2:30 PM Tentative Recurrence: Recurrence Pattern : Monthly the third Tuesday of every 1 month from 10:30 AM to 11:30 AM Meeting Status: Not yet responded Organizer: Req~ired Attendees : Optional Attendees : Prows, Bennett (HHS/OCR ) OS - OCR ALL NATIONAL ; OS - OCR ALL NATIONAL Contractors Blakeley , Alec (HHS/OCR); Ndifor, Joseph (HHS/OCR); Mitchel l, Steven M (HHS/OCR); Clark, Virginia (HHS/ OCR); Chir ila, Robert (HHS/ OCR); l ee, Sun (HHS/OCR) (CTR); Fode, Rachel (HHS/OCR); Mar chesini , Kathryn (OS/ONC) ; Sarna, Jennifer (HHS/OGC); Garcia, Art (HHS/OCR); Kruley, Andrew; Melendez, Lena (HHS/OCR) (CTR); Broussa rd, Erica (OS/OCR) (CTR); Sampath, Priya (OS/OCR) (CTR); Davis, Geraldine (HHS/OCR ); ReyesNieves , Judiann (OS/OCR) (CTR); Hardy , Wandah (HHS/OCR); Summers , M ichelle (OS/OCR) (CTR); Purdue , Michele (HHS/OGC) ; Jones, Cristal (HHS/OCR.); Sanghvi , Arnita (HHS/OGC) ; Harris , Cassie (HHS/OCR) (CTR); Mattox , Candice (HHS/OCR ); Crabbe , Emily (HHS/OCR) (CTR); Rogers, Rosezina (HHS/OCR); Peters, Iliana (HHS/OCR); Spiege l, Stacie (HHS/OGC); Bonjean, And rew (HHS/OCR) (CTR); Lee, Yun-kyung (HHS/OCR ); Kelley, Tim (HHS/OCR) ; Vincenzo, Diana (HHS/OCR); Allen, Christine (HHS/OCR) (CTR); Smith , Marisa (HHS/OCR) ; Wh itaker , Anne-Sophie (HHS/OCR); Morgan , Sherri (OS/OCR); Higgins , Patricia T. (HHS/OCR ); Brown , Alicia (HHS/OCR) ; Lucas, Bryanna (OS/OCR) (CJR); Burns, Brett (HHS/OCR) (CTR); Oliver , Andrea (HHS/OCR); Schuham, Aaron (HHS/OGC); Im, Jenny (HHS/OCR) ; Mosley-Day, Serena (OS/OCR); McGraw, Deven (HHS/OCR); We lch, Alisha (HHS/OCR); Rinke r, Verne (HHS/OCR ); Chandy, Sunu (HHS/OCR) ; Joyner , Afavia (HHS/OCR ) (CTR); Pritchard, Ben (HHS/OCR); Niaka n, Bahar (HHS/ASA/OHR) ; Chamely, Dominique (OS/OCR); Lazarek, Brandon (HHS/OCR) (CTR); Egan, Jennifer (HHS/OCR) (CTR); Seeger, Rachel (HHS/OCR) ; Koshy, Jaime (HHS/OCR) (CTR); Atkinson , Angie (OS/OGC); Cordova , Ma rgaret {HHS/OGC); Stampul, Barbara (HHS/OCR); Johnson, Tomea la (OS/OCR) (CTR); Bingham, Stephanie (HHS/OCR) ; West, Sarah (HHS/OCR) (CTR); Archuleta , Danielle (HHS/OCR) ; Pearlma n, AJ (OS/OCR); Hadacek, Karel: (HHS/OCR); Sellers, Leigh (OS/OCR) (CTR); Clemmons, Zinethia (HHS/OCR) ; Morgan , Lesley (HHS/OCR) (CTR); Grayson, Scott (HHS/OCR); Rouhan i, Ori (OS/OCR) (CTR); Wiggins, Audrey (HHS/OGC); Lopez, Onelio {HHS/OCR ); Shah, Meghana (HHS/OCR) ; Butler -Cefalo, Patricia (OS/OCR); Korbas, Francesca (HHS/OCR ) (CTR); Randolph , Jammie (OS/OCR); Heesters , Nicholas (HHS/OCR) ; Smith , Venita (HHS/OCR) (CTR); Schreurs , Hyla (HHS/OCR); Tucci, Tom (OS/OCR) (CTR); Butler, Randy (OS/OGC); Galan, Alicia (HHS/OCR) ; Rushford, Monika (HHS/OCR) ; Gordon-Nguyen , Marissa (HHS/OCR) ; Coffer , Lester (HHS/OCR); Press, Eric (HHS/OCR); Wu , Frederick (HHS/OGC) ; Shipps, Ian (HHS/OCR); Merricks, Amanda (HHS/OCR); Koroma , Satia (OS/OCR) (CTR); Johnson , Kenneth D. (HHS/OCR); Pope, Sarah M ; Jones, Evita (OS/OCR) (CTR); Henoud , Joud i (HHS/OCR); Rosado , Jennie (HHS/OCR); Taveras, Jaimenys (HHS/HHS/OCR) (CTR); Leoz, Michael (HHS/OCR); Velastegui, Cecilia (HHS/OCR) ; Canty, Melvin (HHS/OCR); Eigensee, Adam (HHS/OCR) (CTR); Pangan , Jeremiah (HHS/OCR) (CTR); Brooks, Erica (OS/OCR) (CTR); Coronado , Laura (HHS/OCR);.Romero - Escobar, AMlf IC/\r-... pVERSIGHT 3 & Access Code :"-K b--')('--6.:.... ) _ ____. EXT-18-1509-I-000099 Beatriz (HHS/OCR); Wlodarczyk, Molly (HHS/OCR); Montoya, Valerie A. (HHS/OCR); Fuller, Alison (HHS/OCR) (CTR); Balsamo, Ralph (HHS/OCR); Smith, Ma likah (OS/OCPO); Baratta, Karen (HHS/OCR); Cassell, Jennifer (HHS/OGC); Rathbun, Diana (HHS/OGC); Rhodes, Susan (HHS/OCR); Burton, Lou (HHS/OCR); Hubbard, Talmon (HHS/OCR); Peart, Simone N. (OS/OCR) (CTR); North, Demetries (OS/OCR) (CTR); Sorley, Jamie (HHS/OCR); Prehm, Emily (HHS/OCR); Rahn Ballay, Jamie (HHS/OCR); Mcnutt, Thomas (OS/OCR) (CTR); Kim, Shally (OS/OCR) (CTR); Maguire , Meri (OS/OCR) (CTR);Abraham, Sunil (HHS/OGC); Goldste in, Aaron (HHS/OCR) (CTR); Loggins, Leon (HHS/OCR); Aldrich, Stephanie (HHS/OCR) (CTR); Fulfer, Maqueda (HHS/OCR) (CTR); Pitt man, Ivey R. (HHS/OCR); OMalley , Sibylle M. (HHS/OCR); Young, Stephen (HHS/OCR) (CTR); Biancon i, Tierney (HHS/OGC); Rose, Alexis (OS/OCR) (CTR); Rungren, Joseph (HHS/OCR) (CTR); Lee, Eva (HHS/OCR); Mitchel l, Jerra (OS/OCR) (CTR); No ro nha, Maya (HHS/OCR); Hudach , Joseph (HHS/OCR) (CTR); Butterfield , Justin (HHS/OCR); Eversley, Eric (HHS/OCR) (CTR); Pitts, Ashlee (HHS/OCR) (CTR); Buchele, Libbie (OS/ONC); Washington , Debra (OS/ONC); Clay, Felicia (HHS/OCR); Meszaros, Marie (HHS/OCR) Optional Attendees: Attached are the agenda and materials for the monthly National HIP Conference Call on Tuesday. A ll who are invo lved with HIP issues are encouraged to attend . This call will feature a presentation on Cures Act Guidance, a refresher on Breach Web Summaries and a RA/CAP presentation from the New England Region . Hope to have your partic ipation on the call. /s/ Ben net t Prows Coordinator If"',, :,:r,11"., 1, ,, oo i,,,lf-t AMlf IC/\r-... >'Fil ,I pVERSIGHT El 1::1,r.,.,, J:,,',\ 1/4 t:-, I, .o1,111ii?1 I:ll ,.11,1,,, lrJ(.i,1 1, ,,,,.jl I:lll '" po1111 1111 l111,,.t1.o. u11ll oJi:l..~ .. I::bJ,r,41-..o'S~1o-l1I ,,....t ooo r, J,t11,1(:1i( , Ill ' . [J :.111 ,.. "to 1, ,, .c. .... 4 EXT-18-1509-I-000100 Bell, Michael (OS/ASPA) Subject: Location: Meeting with Rep. Kelly Director's Conference Room, 51 SF Start : End: Wed 4/18/201'8 8;30 AM Wed 4/18/2018 10:00 AM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : Severino, Roger (HHS/OCR) Severino, Roger (HHS/OCR); Kemper , Laura (HHS/ ASL); Bell, March (HHS/OCR); Butterfield, Justin (HHS/OCR); Grossu, Arina (HHS/OCR) (ClR) Stanna rd, Paula (HHS/ 10S); Bowman, Matthew (HHS/OGC) Optional Attendees : Representative Kelly would like to req ue st a m eeting w ith OCR Dire ctor Roger Severino and the new Conscience and Religiou s Freedom Di vision at HHS. Rep. Kelly would like to di sc us s prote cti ng faithbased child welfare organizations from state discrimination. Kb)(S) (b){5) For ba ckgro und , Rep. Kelly ha s introdu ced the Child Welfa1.e Provider Inclu sion Act (HR 1881). This bill would prohibit states from discriminating against a child welfare prov ider on the ba sis of their sincerely held religious reliefs or mora l convfotions. AMlf IC/\r-... pVERSIGHT s EXT-18-1509-I-000101 Bell, Michael (OS/ ASPA) Subj ect : Location : FW: IOS Morning Meeting Secretary's Conference Room 610F Start : End: Wed 4/18/2018 9:30 AM Wed 4/18/2018 10:00 AM Recurrence: Recurrence Patter n: Weekly every Monday, Wednesday , and Friday from 9:30 AM to 10:00 AM Meeting Statu s: Accepted Org anizer : HHS Secretary (HHS/10S) Hi March, Per Roger's reques t , please attend this meeting on his behalf as he is scheduled to attend another meeting. Thank you, Courtney -----Origina l Appointment -- -From: HHS Secretary (HHS/IOS) Sent : Monday, February 12, 2018 12:55 PM To : HHS Secretary (HHS/IOS); Urbanowicz, Peter (HHS/IOS); Harrison, Brian (HHS/IOS); Brady, W ill (HHS/IOS); Caliguiri, Laura (HHS/IOS); Keckler, Charles (HHS/IOS); Lenihan, Keagan (HHS/IOS); Stannard , Paula (HHS/IOS); Skrzycki, Kristin (HHS/IOS); Lapinski, Mary - Sumpter (HHS/IOS); Brooks, John (HHS/IOS); Martinez, Cecilia (OS/lOS); Tignor, Beth (HHS/IOS); Olson, Carolyn (OS/IOS); Holden, Ronald (OS/lOS); Lagomarsino, Katie (OS/IOS); Agnew, Ann (HHS/IOS); Pelekoudas, Kristina (HHS/IOS); Robinson, W ilma (HHS/IOS); Clark, Timothy (HHS/IOS); Stirrup, Heidi (HHS/IOS); Bardis, John (HHS/ASA); Williams , Rasheed (HHS/IOS); Moughal ian, Jen (HHS/ASFR); Bassett, Matthew (HHS/ASL); Yoest, Charmaine (OS/ASPA); Graham, John (HHS/ASPE); Kadlec, Robert (OS/ASPR/1O); Meekins, Chris (OS/ASPR/1O); Royce, Shannon (OS/CFBNP); Kalavrrtinos , Jack (OS/IEA); Wright, Don (HHS/OASH); Grigsby, Garrett (HHS/OS/OGA); Severino, Roger (HHS/OCR); Charrow, Robert (HHS/OGC); Bird, Catherine (OS/OGC); Rucker, Donald (OS/ONC); Greenstein, Bruce (OS/lOS); Wagner, Steven (ACF); Robertson, Lance (ACL); Weahkee , Michae l (IHS/HQ); Sigounas, George (HRSA); Verma, Seema (CMS/OA) Subject : IOS Morn ing M eeting When: Wednesday, April 18, 2018 9:30 AM-10:00 AM (UTC-05:00) Eastern Time (US & Canada). Wh ere: Secretary's Conference Room 61DF AMlf IC/\r-... pVERSIGHT 6 EXT-18-1509-I-000102 Bell, Michael {OS/ASPA) Subject: Location: Executive Report March's Off ice Start: End: Wed 4/18/2018 10:30 AM Wed 4/18/2018 11:00 AM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees: Noronha, Maya (HHS/OCR) Noronha , Maya (HHS/OCR); Novy, Steve (OS/OCR); Frohboese, Robinsue (HHS/OCR); Bell, March (HHS/OCR) Henderson, Haro ld (HHS/OCR) Optional Attendees: AMlf IC/\r-... pVERSIGHT 7 EXT-18-1509-I-000103 Bell, Michael {OS/ASPA) Subject: March at a breakfast Start: End: Thu 4/19/2018 9:00 AM Thu 4/19/2018 9:15 AM Recurrence : (none) Organizer: Bell, March (HHS/OCR) AMlf IC/\r-... pVERSIGHT 8 EXT-18-1509-I-000104 Bell, Michael {OS/ASPA) Subject: Location: pub lic speaking phone Start: End: Thu 4/19/2018 1:30 PM Thu 4/19/2018 2:00 PM Recurrence: (none) Meeting Status : Meeting organizer Organizer: Required Attendees: Bell, March (HHS/OCR) Bird, Catherine (0S/OGC); Barry, Daniel J (HHS/OGC) 15 minutes AMlf IC/\r-... pVERSIGHT 10 EXT-18-1509-I-000105 Bell, Michael (OS/ASPA) Subject: Location: Finalize Regional :i nvestigator Staffing Director's Conference Room, Dial-in ;s,l (b....,. ) ..,..., (6 _) __ Start : End: Thu 4/19/2018 Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees: Novy , Steve (OS/OCR) Severino, Roger (HHS/OCR); Bell, March (HHS/OCR); Frohboese , Robinsue (HHS/OCR); Blakeley, Alec (HHS/OCR); Oliver, Andrea (HHS/OCR) AMlf IC/\r-... pVERSIGHT __,I Passcode: l(b)(6) Thu 4/19/2018 2:00 PM 3:00 PM 11 EXT-18-1509-I-000106 Bell, Michael {OS/ASPA) Subject: Location: Regulation comments Roger's Office Start: End: Thu 4/19/2018 4:30 PM Thu 4/19/2018 5:30 PM Recurrence: (none) Meeting Status : Meeting organizer Organizer: Required Attendees: Bell, March (HHS/OCR) Severino, Roger (HHS/OCR); Noronha, Maya (HHS/OCR); Albrecht, Sarah B. (HHS/OCR); Butterfield , Justin (HHS/OCR); Buchele, Libbie (OS/ONC); Balserak, Daniel (HHS/OCR) (CTR); Brown, Louis (HHS/OCR) AMlf IC/\r-... pVERSIGHT 12 EXT-18-1509-I-000107 Bell, Michael {OS/ASPA) Subject: Location: CRF Division - Introductions and Staff Procedures Rosa Parks Start : End: Show Time As: Mon 4/23/20 18 3:30 PM Mon 4/23/20 18 3:45 PM Tentative Recurrence: (none) Meeting Status: Not yet responded Organiz er: Required Attendees : Noronha, Maya (HHS/OCR) Bell, March (HHS/OCR); Butterfield, Justin (HHS/OCR); Albrecht, Sarah B. (HHS/OCR); Buchele, Libbie (OS/ONC); Balserak, Daniel (HHS/OCR) (CTR);Ancalle, Mandi (HHS/OCR) (CTR);Weigel, Gabriela (OS/OCR) (CTR); Estrada, W illiam (HHS/OCR) (CTR) Masters, Rebekah (HHS/OCR) (CTR); Nikitas, Maximos (HHS/OCR) (CTR) Optional Attendees: AMlf IC/\r-... pVERSIGHT 2 EXT-18-1509-I-000108 Bell, Michael {OS/ASPA) Subject: Location: Hold - Kanban March's Off ice Start: End: Mon 4/23/2018 4:00 PM Mon 4/23/20 18 5:00 PM Recurrence: (none) Meeting Statu s: Meeting organizer Organizer: Required Attendees : Bell, March (HHS/OCR) Bell, March (HHS/OCR); Meszaros, Marie (HHS/OCR); Noronha, Maya (HHS/OCR); Brown, Louis (HHS/OCR); Butterfield, Justin (HHS/OCR) AMlf IC/\r-... pVERSIGHT 3 EXT-18-1509-I-000109 Bell, Michael {OS/ASPA) Subject: Location: CRD-CRFD Happy Hour City Bar at t he Hyatt, 400 E St SW Start : End: Mon 4/23/20 18 5:30 PM Mon 4/23/20 18 7:15 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : Albrecht, Sarah B. (HHS/OCR) Adams, Claudia (HHS/OS); Carter, Carla (HHS/OCR); Harris, Patricia (HHS/OCR); Johnson, Kenneth D. (HHS/OCR); Lawson, Heat her (HHS/OCR); Lopez, One lio (HHS/OCR); Lorden , Susie (HHS/OCR); Montoya , Luben (HHS/OCR); Roman, David (OS/OCR); Salman, Neelam (OS/OCR); Tareen, Badar (HHS/OCR); Thompson, John (HHS/OCR); Todd, Karmen (HHS/OC R); Weigel, Gabrie la (OS/OCR) (CTR); Balserak, Daniel (HHS/OCR) (CTR); Hyams, David (HHS/OCR); Grossu, Arina (HHS/OCR) (CTR); Butterfield , Justin (HHS/OCR); Brown, Louis (HHS/OCR); Ancalle, Mandi (HHS/OCR) (CTR) Bell, March (HHS/OCR); Estrada, William (HHS/OCR) (CTR) Optional Attendees: I look forward to our gath ering. I will "take one for th e t eam"(C) and leave early at 5 pm to t ry to save a spot for us. Anyone else who wants to leave as early at 5 pm, please meet me by the elevators. Please for ward this email to any new staff or other staff I may have missed. This is a teambuilding happy hour for the civil right s division staff and th e conscience and religious freedom division staff . Sarah AMlf IC/\r-... pVERSIGHT 4 EXT-18-1509-I-000110 Bell, Michael (OS/ASPA) Subject: Location: OCR Regulat ion Prep Follow - Up Executive Secreta Conference Room (HHS) 614H or Call 1nKb)(6) Particpa n (b)(6) PAULA: l(b)(6) Start: End: Tue 4/24/2018 1:00 PM Tue 4/24/2018 1:30 PM Recurrence: Recurrence Pattern : Weekly Occurs every Tuesday from 1:00 PM to 1:30 PM effective 4/24/2018. (UTC-05:00) Eastern Time (US & Canada) Meeting Status: Accepted Organizer: Required Attendees : Stannard , Paula (HHS/ IOS) Severino , Roger (HHS/OCR); Bell, March (HHS/OCR); Brown, Louis (HHS/OCR); Murphy, Ryan (OS/ASPA); Lloyd , Matt (OS/ASPA); Oakley , Caitlin B. (OS/ASPA) (Caitlin .Oakley@HHS.GOV); Bassett, Matthew (HHS/ASL); Kemper , Laura (HHS/ASL); Moughalian, Jen (HHS/ASFR); Kalavrit inos, Jack (O5/IEA); Trueman, Laura (HHS/IEA); Brady, Will (HHS/IOS); Reilly, Erin (OS/IEA) (CTR); Stecker, Judy (OS/ASPA); Rosenberg , Jeffrey (OS/ASPA); Grossu, Arina (HHS/OCR) (CTR)i Executive Secretary Conference Room (HHS); Bowman, Matthew (HHS/OGC); Stimson, Brian (HHS/OGC); Palmer, Ashley (OS/ASFR); Street Amanda (HHS/IOS) crmObjectTypeCode : 4251 POC: Mary Jones at l..... (b_)(_6_) __ AMlf IC/\r-... pVERSIGHT I .____ ___ ____. _,lor mary.jones@hhs .gov s EXT-18-1509-I-000111 Bell, Michael (OS/ ASPA) Subject: Location: Kanban March's Office Start : End: Tue 4/24/2018 T:30 PM Tue 4/24/2018 2:00 PM Recurrence: (.none) Meeting Status: Accepted Organizer : Required Attendees: Noronha , Maya (HHS/OCR) Bell, March (HHS/OCR); Meszaros, Marie (HHS/OCR); Butterfield, Justin (HHS/OCR); Brown, Louis (HHS/OCR) ~ 1:a,M/J (,l4 I fl ~ 1~ o1lo:, 11U.t,jl l t1U ~.;11 ,1,,o~1H,t 1o1ft~l oo U11n1i,ih11r..o, AMlf IC/\r-... pVERSIGHT (1,1 JiL. 6 EXT-18-1509-I-000112 Bell, Michael (OS/ASPA) Subj ect: Location : CRFD Operations March's Office Start : End: Wed 4/25/2018 10:30 AM Wed 4/25/2018 11:00 AM Recurrence: (none) Meeting Statu s: Accepted Organizer : Requir ed Attendees : Clemmons , Zinethia (HHS/OCR) Bell, March (HHS/OCR) From: Sent: To: Subject: Bell, March (HHS/OCR) Tuesday, Apri l 24, 2018 5 :04 PM Clemmons, Zinet h ia (HHS/OCR) RE: CRFD Operations Any time before 11 From : Clemmo ns, Zinethia (HHS/OCR) Sent : Tuesday, Apr il 24, 2018 5:02 PM To: Bell, M arch (HHS/OCR) Subject: RE: CRFDOperations Yes, should I send you a calendar invite? What time works best for you? I 2.1neth11, I 202 . 774.2402 I zlnethla.clemmons@hhs.gov From: Bell, March (HHS/OCR) Sent : Tuesday, Apr il 24, 2018 5:02 PM To: Clemmons, Zinethia (HHS/OCR) Subject: RE: CRFDOperat ions Ok to all - can we talk tomorrow first th ing From: Clemmons, Zinethia (HHS/OCR) Sent : Tuesday, April 24, 2018 4:59 PM To: Bell, March (HHS/OCR) Subject: CRFDOperat ions 7 pVERSIGHT EXT-18-1509-I-000113 March, As the CRFteam prepares for regulatory review and the comment period, I will need someone to forecast the number of hours the team ant icipates working if there will be hours worked beyond 40 hours a week. l/b)(5) b)(5) << File : NIS - HHS OCR Comp Time Policy.docx >> ~ . ~~t:f, << OLE Object: Picture (Device Independent Bitmap)>> 1~:1:.: ,; J;'l;\111 u ,,,.,. 11o.)1 u, cur AMlf IC/\r-... pVERSIGHT 8 EXT-18-1509-I-000114 Bell, Michael (OS/ASPA) Subject: Location: HHS Reviewers briefing: OPPS Segment 2 passcode : Executive Secretary Conference Room 614H; or by phone: 1(b)(6) ~b)(6) ~-~ I I Start: End: Show Time As: Wed 4/25/2018 12:00 PM Wed 4/25/2018 1:00 PM Tentative Recurrence: (nohe) Meeting Status: Not yet responded Organizer: Required Attendees : Office of the Executive Secretary Master Calendar (HHS/OS) Afable, Marites (SAMHSA/OPPI); Alm li, Arathi (HHS/OGC); ASPE Exec Sec (OS/ASPE); Bagel, Michael (OS/ASFR); Bain, Shelley (HRSA); Berger, Mitchell (SAMHSA); Bernstein, Maya A. (HHS/ASPE); Beswick, Aaron (HRSA); Bogasky, Susan (HHS/ASPE); Bradley , Jullia (OS/OGC); Brangan, Normandy (HRSA); Brockett, Sharon (HHS/OCR); Bush, Laina (HHS/ASPE); Carroll, Christopher D. (SAMHSA/OPP I); CDC; Cesar, Steve (HRSA); Chesemore, Scott (FDA/QC); Cochran, Caroline (HRSA); Coope r, Katherine (HHS.OGC); Cornejo, Kerr,i (HRSA); Dube , Timothy (OS/ASPE); Elder, Mark (HHS/ASFR); Elliott , Athena$ , (IHS/HQ); Fisher, Barbara (HHS/OGC); Garcia, Vanessa (CMS/OSORA); Gil lum , Jessica Z (FDA) (FDA/OC); Gottlich, Vicki (ACL); Hackman, Thomas (O$/ASFR); Harder, Larry (HHS/OGC); Harris, Patricia (HHS/OCR); Hende rson, Harold (HHS/OCR); Hirshorn, Rebecca (HHS/ IOS); Hoffman , Janice (HHS/OGC); Householder, Donna (HHS/OS); HRSA clearances; HRSA ES; Hunt, Gregorio (HHS/ IEA); Kaylani, Al M. (CMS/OSORA); Kelley, Curtis (HHS/ASFR); Keyser, Julia (HHS/ASFR); Lawver, Daniel A. (OS/ASPE); Lipinski, Michael (OS/ONC); Longenecker , Emmalani (IHS/HQ) ; Lopez, Elizabeth (SAMHSA/CMHS); Love, Marci (HHS/OGC); Mark, Diana (HHS/OGC); Mazumdar , Amitava (OIG/OCIG); Mfum-Gyau, Akua (FDA/QC); MirskyAshby, Aud rey (HHS/ASPE); Mitchel l, Carl (IHS/HQ) ; Morris, Tom (HRSA); Nguyen , Nguyen (HHS/ASPE/HP/HFP); Nicholls, Richard (ACL); ONC Executive Secretary Clearances (OS/ONC); OS - OMHA Exec Clearances; Perry, Wendy (AHRQ/OC); Posnack, Steven (OS/ONC); Potter, D.E.B. (OS/ASPE); Rafiullah , Sahira (HRSA); Robinson , Vicki L (OIG/1O); Samson, Lok Wong (HHS/ASPE); Sands, Sandra J (OIG/OCIG); Sanft, Corbin (HHS/OGC); Scott, Carolyn (HRSA); Scott, Katherine (OS/DAB); Scott , Wakina (HRSA); Sheingold, Steven (HHS/ASPE); Stevens, Lee (OS/IEA); Sutherland , Neal (HHS/ASFR); Tilly, Jane A. (ACL): Tran, Donna (HHS/OGC); Vandivort-Warren, Rita (HRSA); Welch, Pete (HHS/ASPE); Wittie, Michael (OS/O NC); Barco, Evell J. (CMS/OSORA); Adair, Geraldine (OS/ 1OS); Agnew, Ann (HHS/ 1OS); Aramanda, Alec (OS/ASL); Arbes, Sarah (HHS/ASL); Bassett, Matthew (HHS/ASL); Bell, March (HHS/OCR); Bowles, Jamil (HHS/ 1O5); Brooks, John (HHS/1OS); Buchanan, Chris (IHS'/HQ); Charrow, Robert (HHS/OGC); Cleary, Kelly (HHS/OGC); CMS VTC; Cochran, Norri s (HHS/ASFR); Delew, Nancy (HHS/ASPE); Enomoto, Kana (SAMHSA/OA); Espinosa, Diana (HRSA); Executive Secretary Conference Room (HHS); Fitzgerald, Brenda (CDC/OD) ; Flick, Heather (OS/OGQ; Gottlieb, Scott (FDA); Grabner, Juanita (HRSA); Graham, John (HHS/IEA); Green, Jason (HHS/OMHA ); Griswold, Nancy (HHS/OM HA HQ); Horn-Barbour, Stephanie (OS/ASPE); Howard-Jones , Valerie (HHS/ASFR); Jilani, Shahla (HHS/IOS); Kadlec, Robert (OS/ASPR/1O); Kalavritinos, Jack (FDA/QC); Khanna, Gopal (AHRQ/IOD ); Karch, George (OS/ASPR/1O); Lazare, Mary (ACL); Lenihan, Keagan (HHS/ IOS); Lucas, Jane (HHS/ IOS); McCance- Katz, Elinore (SAM HSA/OAS); McMillen, Cheryl (HHS/ASFR); Meszaros , Marie AMlf IC/\r-... pVERSIGHT 9 EXT-18-1509-I-000115 Required Attendees : (HHS/OCR); Moughalian, Jen (HHS/ASFR); Nelson, Beth (HHS/IOS); Nguyen, Von (CDC/OD/OADP); Noronha, Maya (HHS/OCR); O'Brien, John (HHS/ASPE); Pelekoudas, Krist,ina (HHS/IOS); Peoples, Sevetra (OS/ASPE); Roach, Angela (OS/DAB); Robertson , Lance (ACL); Robinson, Wilma (HHS/IOS); Rucker, Donald (OS/ONC); Severino, Roger (HHS/OCR); Sigounas, George (HRSA); Stallion , Vivian (HHS/OS); Tabak, Lawrence (N IH/OD} [E};Tobias, Constance (HHS/DAB); Townsend , Kara (HHS/ASPE); Turk, Denise M. (IHS/HQ) ; Udutha, Pranay (HHS/1OS); Weahkee, Michael (IHS/HQ) ; Wright, Don (HHS/OAS H); Yoest , Charmaine (OS/ASPA) Purpos e: CMS will biief HHS Review ers on the CY 2019 Medicare Hospital Outpati ent Pro spective Paym ent System and Ambu latory Surgical Center Payment System proposed rule -- Segment 2. Brieg1op er: CMS briefing paper attached: ll)( 1 'i:1 ~ 1 o ~, lJI!, 1 I::.,o,1 1, -...., ,,. I ,.,.., 1, oo For further inform ation please contact Rebecca H.irshom at 202-205-8882 or Rebecca.Hirshorn@hhs.gov AMlf IC/\r-... pVERSIGHT EXT-18-1509-I-000116 Bell, Michael (OS/ASPA) Subject: Location: Steve's Surprise Birthday Party ~(b_)(_6 )__ Director's Conference Room, Dial-in ~ Start : End: Show Time As: Wed 4/25/2018 1:33 PM Wed 4/25/2018 2:03 PM Tentative Recurrence: (hone) Meeting Statu s: Not yet responded Organizer: Required Attendee ~ Severino, Roger (HHS/OCR) Bell, March (HHS/OCR); Noronha, Maya (HHS/OCR); Brown, Louis (HHS/OCR); Meszaros, Marie (HHS/OCR); Allen, Jane (HHS/OCR); Henderson, Harold (HHS/OCR); Murga , Maria (OS/OCR); Butler-Cefalo, Patrida (OS/OCR); Householder, Donna (HHS/OS); Gerald, Mary (HHS/OCR}; Frohboese, Robinsue (HHS/OCR); Blakeley, A lec (HHS/OCR); Kelley, Tim (HHS/OCR); Butterfield, Justin (HHS/OCR) ~ [ Passcode: Kb)(6) Please join us in the Director's conference room . We are back on for 1:30 pm! Thanks, Courtney AMlf IC/\r-... pVERSIGHT u EXT-18-1509-I-000117 Bell, Michael (OS/ASPA) Subject: Location : PD: Training on Drafting Preamble Responding to Public Comments passcode b)(6) Rosa Parks,l(b)(6) Start : End: Show Time As: Wed 4/25/2018 2:00 PM Wed 4/25/2018 3:00 PM Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer : Required Attendees : Albrecht , Sarah B. (HHS/OCR) Ancalle, Mand i, (HHS/OCR) (OR); Estrada, Wi lliam (HHS/OCR) (CTR};Grossu, Arina (HHS/OCR) (CTR);Hyams, David (HHS/OCR); Balserak, Daniel' (HHS/OCR) (CTR);Weigel, Gabriela (OS/OCR) (CTR);Nik itas, Maxirnos (HHS/OCR) (CTR);Masters, Repekah (HHS/OCR) (CTR) Noronha, Maya (HHS/OCR); Butterfield, Justin (HHS/OCR); Bell, March (HHS/OCR); Meszaros, Marie (HHS/OCR); Brown, Louis (HHS/OCR); Frohboese, Robinsue (HHS/OCR) I Optional Attendees: f I PD: This training has been updated for a new time - 2 to 3 pm. /',.,.1, U "1'111il:~.1ifl,Jfl fl 1~~ i: :1, ,.11 I:'.'}\ i111;Ii1,1,. f1:1 /'t, o \ n,...1111Ui111111111I;tin~... l ,1f ,oo ,11,.'.AI hr, !I 11 ;1 ooo 0 f l!1 it"(,j; 1:-:~-..JJI, f i111t1 ~,,111 li11,.0i1U1tlJI?.o This is a training fo r the CRFD team on drafting preamble for a fina l rule . The template CRFDwill be using for drafting preamb le to respond to public comments was one of my follow-up assignments from Roger at our February 2018 meeting on public comment review . The political team of the front office staff should feel welcome to attend as well. I'm giving this training th is month due to my absence from the office for part of the month of May. I have attached: 1. 2. 3. An Agenda A "How-To" Document Supplemental materials to Inform Comment Review I look forward to hear ing from you about your experiences and observations in this process so we can learn from each other. Best, Sarah AMlf IC/\r-... pVERSIGHT 12 EXT-18-1509-I-000118 Bell, Michael (OS/ASPA) Subject: Location : FW: Customer touch base - database Maya or Justin's office Start : End: Show Time As: Wed 4/25/2018 4:00 PM Wed 4/25/2018 5:30 PM Tentative Recurrence: (hOne) Meeting Statu s: Not yet responded Org anize r: Required Attendees : Optional Attendees: Buchele, Libbie (OS/ONC) Buchele, Libbie (OS/ONC); Noronha, Maya (HHS/OCR); Butterfield , Justin (HHS/OCR) Bell, March (HHS/OCR) March would llke this meeting to be held in his office to hear where we are wtth the database. ~Origina l Appointment--From: Buchele, Libbie (OS/ONC) Sent : Wednesday, Apri l 25, 2018 9:57 AM To: BucheJe, Libbie (OS/ONC); Noronha, Maya (HHS/OCR); Butterfield, Justin (HHS/OCR) Subject: Customer touch base - database Wh en: Wednesday, April 25 1 2018 4:00 PM-5:30 PM (UTC"OS:00) Eastern Time (US & Canada). Wh ere: Maya or Justin's office Hi there, I've worked out an initial layout for the database and would li ke to discuss the layout w ith you and get some feedback. Hope this t ime works for you; I' m free much of the day so let me know if another time works AMlf IC/\r-... pVERSIGHT 13 EXT-18-1509-I-000119 Bell, Michael {OS/ASPA) Subject: Location : KANBAN March's office Start : End: Thu 4/26/2018 3:00 PM Thu 4/26/2018 4:00 PM Recurrence : (none) Meeting Statu s: Meeting organizer Organizer: Requir ed Attendees : Bell, March (HHS/OCR) Severino, Roger (HHS/OCR); Butterfield, Justin (HHS/OCR); Noronha , Maya (HHS/OCR); Brown, Louis (HHS/OCR); Meszaros, Marie (HHS/OCR) NOTE - there a some small stacks of Kan ban signs on my table that are not on the wall - if these are your you might want to arrive 15 minutes early to get them posted - also if you produced a list of action items after our last meeting to present to Roger for his prioritizatio n please bring that list - THANKS- a splendid time is guaranteed for all AMlf IC/\r-... pVERSIGHT 14 EXT-18-1509-I-000120 Bell, Michael {OS/ASPA) Subject: Location : Shannon's Birthday Lunch *New Location 6t h Floor Din ing Room Start : End: Show Time As: Fri 4/27/2018 12:00 PM Fri 4/27/2018 1:00 PM Tentative Recurrence: (none) Meeting Status : Not yet responded Organiz er: Required Attendees : Noronha, Maya (HHS/OCR) Royce, Shanno n (OS/CFBNP); Severino, Roger (HHS/OCR); Bell, March (HHS/OCR); Meszaros, Marie (HHS/OCR); Butterf ield, Justin (HHS/OCR); Brown , Louis (HHS/OCR); Stannard, Paula (HHS/ IOS); Singh, Vanila (HHS/OASH); Stirrup , Heid i (HHS/ IOS); Bowman, Matthew (HHS/OGC); Wagner, Steven (ACF) (Steven.Wagner@acf.h hs.gov); Wynne, Maggie (HHS/IOS) (Margaret.Wynne@hhs.gov); Powers, Mary (ACF) (Mary.Powers@acf.hhs.gov); Ortiz, Melissa (ACL) AMlf IC/\r-... pVERSIGHT 15 EXT-18-1509-I-000121 Bell, Michael {OS/ASPA) Subject: Location : Kanban follow -up Marc h's office Start : End: Fri 4/27/2018 1:30 PM Fri 4/27/2018 2:00 PM Recurrence: (none) Meeting Statu s: Meeting organizer Organizer: Required Attendees : Bell, March (HHS/OCR) Severino, Roger (HHS/OCR); Bell, March (HHS/OCR); Noronha , Maya (HHS/OCR); Butterfield, Justin (HHS/OCR); Brown, Louis (HHS/OCR); Meszaros, Ma rie (HHS/OCR) AMlf IC/\r-... pVERSIGHT 16 EXT-18-1509-I-000122 Bell, Michael (OS/ASPA) Subject: Location: Comp liance Review on Michigan State University Start: End: Show Time As: Fri 4/27/2018 2;00 PM Fri 4/27/2018 3;00 PM Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer: Required Attendees : Severino, Roger (HHS/OCR) Bell, March (HHS/OCR); Frohboese, Robinsue (HHS/OCR); Brown, Louis (HHS/OCR); Novy , Steve (OS/OCR); Mitchell, Steven M (HHS/OCR); Wiggins, Audrey (HHS/OGC); Schuham, Aaron (HHS/OGC); Lawson, Heather (HHS/OCR); Noonan, Timothy (OS/OCR); Meszaros , Marie (HHS/OCR); Butterf ield, Justin (HHS/OCR); Montoya, Luben (HHS/OCR); Atkinson , Angie (OS/OGC) LaCheen, Cary (OS/OGC); Johnson , Kenneth D. (HHS/OCR); Mosley -Day, Serena (OS/OCR); Murga, Maria (OS/OCR) Rosa Parks Conference Room, Dial-in Optional Attendees: fl l,JI....!':..., ,,J,:olwtf1111 ""l (b'--')(.:....c 6 ..,_ ) __ fl __,I Passcode: K ..... b_)(_6_) _ ~ _. fl e'HII}': D~! ,,,-qdt '1I II 11 llwa,jl llr,1 (:.)11111,, '.''.; II ( '"?-11 1"11 ,.,,,, ,)111111, oo I AMlf IC/\r-... pVERSIGHT 17 EXT-18-1509-I-000123 Bell, Michael (OS/ASPA) Subject: Location: Start : Meeting regarding three complaints against Well mark Blue Cross Blue Shield based on Section 1557 participant code l(b)( 6 ) Teleconference; Kansas City Cohference line ~(b)(6) I End: Show Time As: Fri 4/27/2018 4;30 PM Fri 4/27/2018 5:00 PM Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer: Required Attendees : Mitchel l, Steven M (HHS/OCR) Mitchel l', Steven M (HHS/OCR); Montoya, Luben (HHS/OCR); Brown, Louis (HHS/OCR); Lorden, Susie (HHS/OCR); Carter, Carla (HHS/OCR); Bell, March (HHS/OCR); Atk inson, Angie (OS/OGC); Rathbun , Diana (HHS/OGC) Johnson, Kenneth D. (HHS/OCR) Optional Attendee s: ~ 1::1,,,,,,,1,,4:, 111 ,., j .. .. '-'---'..;......a. ____________ ___, :~,.1', (o.~,).. ttoJ1fl 1.1.111 .~ ... 've attached a brief summary of the complaint's allegat ions to help the discussion. AMlf IC/\r-... pVERSIGHT 18 EXT-18-1509-I-000124 Bell, Michael {OS/ASPA) Subject: Location: OCR Space Redesign Director's Conference Room Start: End: Show Time As: Mon 4/30/20 18 10:30 AM Mon 4/30/20 18 11:00 AM Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer: Required Attendees : Severino, Roger (HHS/OCR) Bell, March (HHS/OCR); Novy, Steve (OS/OCR); Frohboese, Robinsue (HHS/OCR); Al len, Jane (HHS/OCR); Buchele, Libbie (OS/ONC) AMlf IC/\r-... pVERSIGHT 1 EXT-18-1509-I-000125 Bell, Michael (OS/ASPA) Subject: Location : Proposal for a Public Education Campaign Director's Conference Room, Dial- in ,.... j(b- )-(6-} ----.. Start : End: Show Time As: Mon 4/30/2018 11:00 AM Mon 4/30/2018 12:00 PM Tentative Recutrence: (none) Meeting Status: Not yet responded Organizer : Required Attendees; Sever.ino, Roger (HHS/OCR) Carter, Carla (HHS/OCR); Bell, March (HHS/OCR); Brown, Louis (HHS/OCR); Roman, David (OS/OCR) AMlf IC/\r-... pVERSIGHT 1 Passcode: Kb)(6) EXT-18-1509-I-000126 Bell, Michael (OS/ASPA) Subject: Location: HHS Reviewers briefing: OPPS Seg 2 (Part 2) b-')('-6-') __ Executive Secretary Conference Room 614H ; or by phone: "-K l(b)(6) I _,Ipasscode : Start : End: Show Time As: Tue 5/1/2018 11:00 AM Tue 5/1/2018 12:00 PM Tentative Recurrence : (nohe) Meeting Status: Not yet responded Organizer : Required Att ende es: Office of the Executive Secretary Master Calendar (HHS/ OS) Afable , Marites (SAMHSA/OPPI); Alm li, Arathi (HHS/OGC); ASPE Exec Sec (0S/ASPE); Bagel, Michael (OS/ASFR); Bain, Shelley (HRSA); Berger, Mitchell (SAMHSA); Bernstein, Maya A. (HHS/ASPE); Beswick, Aaron (HRSA); Bogasky, Susan (HHS/ASPE); Bradley , Jullia (OS/OGC); Brangan, Normandy (HRSA); Brockett, Sharon (HHS/OCR); Bush, Laina (HHS/ASPE); Carroll, Christopher D. (SAMHSA/OPPI); CDC; Cesar, Steve (HRSA); Chesemore, Scott (FDA/QC); Cochran, Caroline (HRSA); Coope r, Katherine (HHS.OGC); Cornejo, Kerri (HRSA); Dube , Timothy (OS/ASPE); Elder, Mark (HHS/ASFR); Elliott , Athena S. (IHS/HQ); Fischbc1ch, Aaron (OS/IOS); Fisher, Barbara (HHS/OGC); Garcia, Vanessa (CMS/OSORA); Gillum , Jesska Z (FDA) (FDA/QC); Gottlich, Vicki (ACL); Hackman, Thomas (OS/ASFR); Harder , Larry (HHS/OGC); Harris, Patricla (HHS/OCR); Henderson, Haro ld (HHS/OCR); Hirshorn, Rebecca (HHS/IOS); Hoffman, Janice (HHS/OGC); Householder, Donna (HHS/OS); HRSA ES; Hunt , Gregorio (HHS/IEA); Kaylani, Al M . (CMS/OSORA); Kelley, Curtis (HHS/ASFR); Keyser, Julia (HHS/ASFR); Lawver, Daniel A. (OS/ASPE); Lipinski, Michael (OS/ONC) ; Longenecker, Emmalani (IHS/HQ) ; Lopez, Elizabeth (SAMHSA/CMHS); Love, Marci (HHS/OGC); Mark, Diana (HHS/OGC); Mazumdar, Am itava (OIG/OCIG); Mfum-Gyau, Akua (FDA/QC); MirskyAshby , Audrey (HHS/ASPE); Mitchell , Carl (IHS/HQ) ; Morris , Tom (HRSA); Nguyen , Nguyen (HHS/ASPE/HP/HFP); Nicholls , Richard (ACL); ONC Executive Secretary Clearances (OS/ONC); OS - OMHA Exec Clearances; Perry, Wendy (AHRQ/OC); Posnack, Steven (OS/ONC) ; Potter , D.E.B. (OS/ASPE); Rafiullah, Sahira (HRSA); Robinson, Vicki L {OIG/ I0); Samson, Lok Wong (HHS/ASPE); Sands, Sandra J (OIG/OClG) ; Sanft, Corb in (HHS/OGC); Scott, Carolyn (HRSA); Scott , Katherine (OS/DAB); Scott, Wakina (HRSA): Sheingold, Steven (HHS/ASPE); Stevens, Lee (OS/IEA); Sutherland, Neal (HHS/ASFR); Tilly, Jane A. (ACL); Tran, Donna (HHS/OGC); Vandivort-Warren, Rita (HRSA); Welch, Pete (HHS/ASPE); Wittie , Michael (OS/ONC); Adair , Geraldine (OS/IOS); Agnew , Ann (HHS/I0S); Aramanda , Alec (OS/ASL); Arbes , Sarah (HHS/ASL); Bassett, Matthew (HHS/ASL); Bell, March (HHS/OCR); Bowles, Jamil (HHS/IOS); Brooks, John (HHS/IOS); Buchanan, Chris (IHS/ HQ); Charrow, Robert (HHS/OGC); Cleary, Kelly (HHS/OGC); CMS VTC; Cochran, Norris (HHS/ASFR); Delew, Nancy (HHS/ASPE); Enomoto , Kana (SAMHSA/OA) ; Espinosa, Diana (HRSA); Executive Secretary Conference Room (HHS); Fitzgerald, Brenda (CDC/OD) ; Gottlieb , Scott (FDA); Grabner , Juanita (HRSA); Graham, John (HHS/IEA); Green, Jason (HHS/OMHA); Griswold, Nancy (HHS/OMHA HQ); HornBarbour, Stephanie (OS/ASPE); Howard -Jones, Valerie (HHS/ASFR); Jilani, Shahla (HHS/I05); Kadlec, Robert (OS/ASPR/10); Kalavritinos , Jack (FDNOC); Khanna, Gopal (AHRQ/ 10D) ; Karch, George (OS/ASPR/I0); Lazare, Mary (ACL); Mccance -Katz, Elinore (SAMHSA/OAS) ; McMillen , Cheryl, (HHS/ASFR); Meszaros , Marie (HHS/OCR); Moughalian , Jen (HHS/ASFR); Nelson , Beth (HHS/10$); Nguyen , Von (CDC/OD/OADP) ; AMlf IC/\r-... pVERSIGHT 3 EXT-18-1509-I-000127 Required Attendee s: Noronha, Maya (HHS/OCR); O'Brien , John (HHS/ASPE); Pelekoudas , Kristina (HHS/1OS); Peoples, Sevetra (OS/ASPE); Roach, Angela (OS/DAB); Robertson, Lance (ACL); Robinson , Wilma (HHS/1O5); Rucker, Donald (OS/ONC); Severino, Roger (HHS/OCR); Sigounas , George (HRSA); Stallion, Vivian (HHS/OS); Tabak, Lawrence (NIH/OD) [E]; Tobias , Constance (HHS/DAB); Townsend, Kara (HHS/ASPE); Turk, Denise M. (IHS/HQ) ; Udutha, Pranay (HHS/1OS); Weahkee, Michael (IHS/HQ); Wright, Do n (HHS/OASH); Yoest, Charmaine (O5/ASPA) Pu rpose: CMS will brief HHS Reviewers on the CY 2019 Medicare Hospital Outpatient Prospective Paym ent System and Ambulatory Surgical Center Payment System proposed rnle -- Segment 2. This briefing will foc us on: 1. Hospital Outpati ent Quality Rep01iing Program and Ambulatory Surgical Center Quality Reporting Prog ram {follow up from the Wednesday briefing) ; and 2. A po licy to increa se flexib i lity in target price ca lcu lations for the Comprehens ive Care for Join t Rep lacement model to address pricing implication s of the CY 2018 removal of tbe Total Knee Arthroplasty (TKA) code from the Inpatient Only (IPO) List Brieii-ia per : CMS briefing paper attached: If1tt '! :oi 1 1 111J , ' 1;:1 'r'O '/I< 1,' I ~-!.'' I, oo For further info rmation plea se contact Rebecca Hirsbom at 202-205-8882 or Rebecca.Hirshorn( @,hhs.gov AMlf IC/\r-... pVERSIGHT 4 EXT-18-1509-I-000128 Bell, Michael {OS/ASPA) Subject: Location: Ethics/ Contracting Rules 515F Start: End: Tue 5/1/2018 11:00 AM Tue 5/1/2018 11:45 AM Recurrence: (no ne) Meeting Statu s: Accepted Organizer: Required Attendees : Severino, Roger (HHS/OCR) Severino, Roger (HHS/OCR); Bell, March (HHS/OCR); Bird, Catherine (OS/OGC); Danley, Sarah (HHS/OGC) AMlf IC/\r-... pVERSIGHT 5 EXT-18-1509-I-000129 Bell, Michael {OS/ASPA) Subject: Location: Catching up March's office Start: End: Show Time As: Tue 5/1/2018 1:15 PM Tue 5/1/2018 1:30 PM Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer: Required Attendees : Frohboese, Robinsue (HHS/OCR) Bell, March (HHS/OCR) AMlf IC/\r-... pVERSIGHT 7 EXT-18-1509-I-000130 Bell, Michael (OS/ASPA) Subject: Location: Cottage Hea lth Meeting Rosa Parks Conference Room, Dial in ..,_ l(b_. )..:.. (6....:.. ) ___ Start : End: Show Time As: Tue 5/1/2018 2;00 PM Tue 5/1/2018 3;00 PM Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer : Required Attendees : Severino, Roger (HHS/OCR) Noonan, Timothy (OS/OCR); Meszaros, Marie (HHS/OCR); Bell, March (HHS/OCR); Frohboese , Robinsue (HHS/OCR); Novy, Steve (OS/OCR); Leoz, Michael (HHS/OCR); Irwin, Jennifer Sam (HHS/OGC); Benevell i, John (HHS/OGC); Schuham, Aaron (HHS/OGC); Wiggins, Audrey (HHS/OGC ); Heesters , Nicholas (HHS/OCR); Lee, Yunkyung (HHS/OCR); Brown, A licia (HHS/OCR); Coronado , Laura (HHS/OCR); Severino , Roger (HHS/OCR); Mosley-Day, Serena (OS/OCR) ~ ,1,,. ,~:~ .....,,a ii jl ,1i1,.. ?t J c,;, ,i.;,~'"'. 111,,,,, : 11)~~I:''lrJl:o1 tJo~:'1" .o. f; 11u,.lllwlt1,1 11,,1,.o,,11, :l.. AMlf IC/\r-... pVERSIGHT ,~~: o~~ I :,.,. J:11.1oi~,il ! _.IPasscode:l(b)( 6) oH u 111: ... ~ J"JI u j. 1,.....,11, b.ltl1,1111,, "'' , lnu,1~ i,ooo 8 EXT-18-1509-I-000131 Bell, Michael (OS/ ASPA) Subject: Location: Meet to discuss Sen Murray Letters March's Office Start : End: Show Time As: Tue 5/1/2018 3;00 PM Tue 5/1/2018 330 PM Tentative Recurrence: (hone) Meeting Status: Not yet responded Organizer : Required Attendees : Tareen, Badar (HHS/OCR) Brown, Louis (HHS/OCR); Bell, March (HHS/OCR) Per Louis's request, I am scheduling a meeting to discuss OCR's response to the attached letters from Senator Murray (these letters are a year old, but we recently received them from ASL). These letters ask several questions about OCR's interpretation and enforcement of Section 1557. I am workihg on a response letter and w ill provide it to you prior to today's meeting. I!] 11 .. .> ASAN meet with Louis Brown (HHS OCR) When Tue May 1, 2018 4pm - 5pm Easiem Time Where 200 Indepe ndence Ave SW. Washi ngton , DC 20201 , USA U!lfil!) louis.brown@hhs .gov Whu Samantha Crane ?,gan<2er o loi.Jis.brown@hhs .gov o kisrael@autisticadvocacy .org Going? Yes - Maybe - No more options >> 111vrtatit1n imf'l Google Calendar YoL1a1n 1oco1vmo lh1e counosv oma1I a, fhe accmmt lou is.brown@hhs.go \t tJulauts~ "' 1 f J111ijnw,1008 t1f u11~ vrnH T11'$1Ullr,,C'11VIIIIJ r,111111111p,1A,~ll ror tlrh ewmt, ueeti"e ttrrs evMt l\t1em~11v.,1y vuu c;.~111t,1,11, rr ror ~ Gno,,111 1r~.ou11; al https://www .goog le.com/calendar/ . 111r.rmu~t yorn rrc,11111,.11 11, sstlJnOE:r.>r vou~ enllf9 celeno~, ,y 1oc11,tan1 In "mally AMlf IC/\r-... pVERSIGHT yr,uofl SIi? ,,.,sr,oi,,..,.Leam More 10 EXT-18-1509-I-000133 Bell, Michael {OS/ASPA) Subject: Location : FW: Walk through data points Libb ie's office Start : End: Show Time As: Wed 5/2/2018 1:30 PM Wed 5/2/2018 2:30 PM Tentative Recurrence: (none) Meeting Status : Not yet responded Organiz er: Required Attendees : Buchele, Libbie (OS/ONC) Noronha, Maya (HHS/OCR); Butterfield, Justin (HHS/OCR); Bell, March (HHS/OCR) -----Original Appoin t ment----From: Buchele, Libbie (OS/ONC) Sent: Wednesday, May 2, 2018 10:15 AM To: Buchele, Libbie (OS/ONC); Noronha, Maya (HHS/OCR); Butt erfield, Justin (HHS/OCR); Bell, March (HHS/OCR) Subject: Wa lk t hrough data points When: Wednesday , May 2, 2018 1:30 PM-2:30 PM (UTC-05:00) Eastern Time (US & Canada). Where: Libbie's office This will be a fa irly geeky meeting w here I t alk through how some of t he data poi nts we wan t to capture would work in the database . AMlf IC/\r-... pVERSIGHT 11 EXT-18-1509-I-000134 Bell, Michael (OS/ASPA) Subject: Location: E.O. 12866 Meeting on Nondiscrimination in Health Programs and Activities Director's Conference Room, Call-in: Kb)(6) !code l(b)(6) Start : End: Show Time As: Wed 5/2/2018 4:00 PM Wed 5/2/2018 4:30 PM Tent ative Recurrence: ('none) Meeting Status: Not yet responded Organizer : Required Attendees; Optional Attendees : Severino, Roger (HHS/OCR) Bell, March (HHS/OCR); Noronha, Maya (HHS/OCR); Brown, Louis (HHS/OCR) Meszaros, Marie (HHS/OCR); Butterfield, Justin (HHS/OCR) AMlf IC/\r-... pVERSIGHT I 13 EXT-18-1509-I-000135 Bell, Michael {OS/ASPA) Subject: Location: Deviation Request 514G Start : End: Show Time As: Thu 5/3/2018 10:30 AM Thu 5/3/2018 11:00 AM Tentative Recurrence: (none) Meeting Status: Not yet responded Organiz er: Required Attendees : Moughalian, Jen (HHS/ASFR) Bell, March (HHS/OCR); Bowman, Matthew (HHS/OGC); Wynne, Maggie (HHS/IOS); Stannard, Paula (HHS/ IOS); Brandon, Andrea (HHS/ASFR); Wagner, Steven (ACF); Womack, Kimberley (ACF); Marr iott, Brian (ACF); Severino, Roger (HHS/OCR) Butterfield, Justin (HHS/OCR); Wolfe, Kennet h (ACF) Optional Attendees: AMlf IC/\r-... pVERSIGHT 14 EXT-18-1509-I-000136 Bell, Michael {OS/ASPA) Subject: Location: Lunch 6t h floor cafe Start: End: Show Time As: Fri 5/4/2018 12:15 PM Fri 5/4/2018 1:00 PM Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer: Required Attendees : Estrada, William (HHS/OCR) (CTR) Bell, March (HHS/OCR) AMlf IC/\r-... pVERSIGHT 16 EXT-18-1509-I-000137 Bell, Michael (OS/ASPA) Subject: Location: HHS Reviewers Briefing: Home Health PPS NPRM - Segment 2 Start : End: Show Time As: Fri 5/4/2018 1:30 PM Fri 5/4/2018 2:30 PM Tentative Recurrence: (none ) Meeting Statu s: Not yet responded Organizer: Required Attendee ~ Office of the Execut ive Secretary Master Calendar (HHS/OS) Shelton, Carrie A (HHS/IOS); Fultz-Mimms , Trenesha N. (CMS/OSORA) (trenes ha.fultzmimms@cms.hhs.gov) ; Executive Secretary Confe rence Room (HHS); Afable , Marites (SAMHSA/OPPI); Bagel. Michael (OS/ASFRJ;Bain, Shelley (HRSA); Baker, Alexander (0S/ONC); Ball, Nichelle (FDA/OC); Berger, Mitchell (SAMHSA); Beswick, Aaron (HRSA); Beth.Nelson@hhs .gov; Bogasky, Susan (HHS/ASPE); Burgos, Meli ssa (ACF); Bush, Laina (HHS/ASPE); Carroll , Christopher D. (SAMHSA/OPPI); CDC Reg Clearance; Cesar, Steve {HRSA);. Chesemore , Scott (FDA/OC); Cooper , Laura (HRSA), Delew , Nancy (HHS/ASPE); Dey, Judith (OS/ASPE); Drake, Jemima (HRSA); Edwards, Susan (HHS/ASFR); Elder, Mark (HHS/ASFR); Fisher, Barbara (HHS/OGC); Freeman , Brandy (HRSA); Fultz -Mimms, Trenesha N. {CMS/OSORA); Gillum, Jessica Z (FDA) (FDA/OC); Gordon-Nguyen , Marissa (HHS/OCR); Gottlich, Vicki (ACL); Harris, Patricia (HHS/OCR); Hodgkins, Juliet (OIG/OCIG) ; Hops , Jeffrey (HHS/OGC); HRSA clearances ; Hunt, Gregorio (HHS/IEA); Isaac, Peyton (OS/OCPO); Jackson, Caldwell (ACL); Keyser, Julia (HHS/ASFR); Lamadine , Beh (05/0NC); Longenecker , Ernmalani (IHS/HQ); Lopez, Elizabeth (SAMHSA/CMHS); Mack, LaShawn K (OIG/OCIG); Malliou , Ekaterini (OS/ IOS); Mazumdar , Amitava (OIG/OCIG); McMillen , Cheryl (HHS/ASFR); Mfum -Gyau, Akua (FDA/OC); Mitchell , Carl (IHS/HQ) ; Nelson, Beth (HHS/IOS); Nicholls, Richard (ACL); O'Connor , Anne E. (CDC/OD/OCS) ; Ortiz , Raho N. (IHS/HQ); OS - OMHA Exec Clearances; OS OGC-I0 ControlDesk (HHS); Palena Hall, Elizabeth (OS/ONC); Perry, Dionte (HHS/ASPA); Perry, Wendy (AHRQ/OC) ; Posnack, Steven (0S/ONC) ; Pranay.Udutha@hhs.gov ; Roach, Ange la (OS/DAB); Scott , Caro.lyn (HRSA); Scott , Katherine (OS/DAB); Scott, Wakina (HRSA); Sheingold, Steven (HHS/ASPE); SmithSimpson, Jacqlyn (HHS/ASFR); Stallion, Vivian (HHS/OS); Thompson, Gilbert (SAMHSA); Tilly , Jane A (ACL); Toye, Sally (CDC/OD/OCS) ; Udutha, Pranay (HHS/IOS); Woody , Iara (0S/ASPE); Adair, Geraldine (OS/I0S); Agnew, Ann (HHS/IOS); Aramanda, Alec (OS/ASL); Arbes, Sarah (HHS/ASL); Bassett, Matthew (HHS/ASL); Bell, March (HHS/OCR); Bowles, Jamil (HHS/IOS) ; Buchanan , Chris (IHS/HQ); Charrow, Robert (HHS/OGq; Cleary, Kelly (HHS/OGC); CMS VTC; Cochran, Norris (HHS/ASFR); Destro , Brenda (HHS/ASPE); Enomoto , Kana (SAMHSA/OA) ; Espinosa, Diana (HRSA); Gottlieb , Scott (FDA); Grabner, Juanita (HRSA); Green, Jason (HHS/OMHA) ; Griswold, Nancy (HHS/OMHA HQ); Horn-Barbour, Stephanie (OS/ASPE); Howard-Jones, Valerie (HHS/ASFR); Jilani, Shahla (HHS/IOS); Kadlec, Robert (OS/ASPR/ I0) ; Kalavritinos , Jack (OS/IEA); Khanna, Gopal (AHRQ/IOD); Korch , George (0S/ASPR/I0); Lazare, Mary (ACL); McCance ~Katz, Elinore (SAMHSA/OAS) ; Moughalian , Jen (HHS/ASFR); Nguyen , Von (CDC/OD/OADP); Noronha, Maya (HHS/OCR); O'Brien , John (HHS/ASPE); Pelekoudas, Kristina (HHS/IOS); Peoples, Sevetra (OS/ASPE); Redfield, Robert R, (CDC/OD); Robertson, Lance (ACL); Robinso n, Vicki L (OIG/I0); Robinson, Wilma (HHS/IOS); Rucker, Donald (OS/ONC) ; Severino , Roger (HHS/OCR); Sigounas , George (HRSA); AMlf IC/\r-... pVERSIGHT Exec Sec Conference Room (614H ); Call in:l(b) (6} 18 Ipasscode: ~'(b_)_(6_)_~ EXT-18-1509-I-000138 Required Attendees : Tabak, Lawrence (NIH/OD) [E]; Tobias, Constance (HHS/DAB); Townsend , Kara (HHS/ASPE); Turk, Denise M. (IHS/HQ); Vandivort -Warren, Rita (HRSA); Weahkee , Michael (IHS/HQ); Welch, Pete (HHS/ASPE); Wright, Don (HHS/OASH); Fischbach, Aaron (0S/10S) (Aaron .Fischbach@hhs .gov) Purpose: CMS will brief HHS reviewers on segment 2 of the CY 2019 Home Health PPS proposed rule. The segment is currently in clearance (SPScase #394025) and comments are due May 9. Please share t his cale ndar appointment with any rev iewe rs inadvertently not inclu ded . Briefing Paper : II r, lwlt'' Iliff'~ : :~. ~ 111It ' l:" I~:o ....~Iiil11;. ., ... I POC: Carrie Shelton AMlf IC/\r-... pVERSIGHT 19 EXT-18-1509-I-000139 Bell, Michael (OS/ASPA) Subject: Location: HHS Leadership Coordination Group Call Start : End: Show Time As: Fri 5/4/2018 4:30 PM Fri 5/4/2018 5:00 PM Tentative Recurrence: (hOne) Meeting Status: Not yet responded Organizer : Optional Attendees: HHS Continuity Valdini, Todd (HHS/OM HA);. McGuffee, Tyler Ann (HHS/ASL); Coquis, Roberto (OS/ASA); Tobias, Constance (HHS/DAB); Lipinski, Michelle (HHS/ASA); Brandt, Kimberly (CMS/OA); Gelzer, Heidi J. (CMS/OFM); Thompson, Donna (OS/ASPR/10) (CTR);Cullen, William (NIH/OD/ORS) [E]; Imbriale, Samuel (OS/ASPR/OEM); Redd, Stephen (CDC/OPHPR/OD); Alexander, Thomas (OS/OGA); Lazare, Mary (ACL); Robertson , Lance (ACL); Berger , Dan P. (ACL); Stevenson, Marquita (ACL) (CTR);Johnson, Alfred (NIH/OD) [E]; Gershman , Lynn E. (CDC/OPHPR/OD ); Pilato, Anna (ACF); Wagner, Steven (ACF); Goldhaber , Ben (ACF); Barry, Daniel J (HHS/ OGC); Owens, Robert F (OIG/OMP); Rosenberg, Jeffrey (OS/ASPA) HHH Secretary's Operations Center and Call -in t"""' b;..;.. )(:...c 6..:... ) __ ....,I* b )(6 ) EXERCISE EXERCISE EXERCISE HHS R3/R4 SPOTREP: 2018 Cora , Mid-Atlantic (2018 Nimble Challenge NLE) Initial Response Activities May 1 - 7, 2018 Along with sending repre sentative s to preparatory activ ities held between May I - 4, 2018, HHS Senior Leader s w ill convene the Leadership Coordinat ion Group, comprised of the HHS Secretary, Deputy Secretary , Chief or Deputy Chief of Staff , Operating and Staff Di vision principals or designated succe ssors, and the respective COOP Managers or points of contact in the Secretary's Operations Center and via conference bridge at 4:30 p.m. on May 4, 2018. Additio nal act ivities and discuss ions will occur based on events within the NLE 2018 scenario. During this portion of the exercise , HHS Senior Leadership will: o o o o o Represent their Operating or Staff Division within the Leadership Coordination Group ; Review the NLE 20 18 scenmio and Continuity Activation CheckJist for HHS Leadership; Verify expectations of the Secretary and Deputy Secretary for Operating and Staff Division leadership following an incident impacting HHS headquarter s locations; and, Confi rm HHS extent of play , by Divi sion, in the NLE 2018 on May 7-8th; and, Support initial post-landfall response and stan1s reporting activities. I!) AMlf IC/\r-... pVERSIGHT 20 EXT-18-1509-I-000140 EXERCISE EXERCISE EXERCISE 21 EXT-1 8-1509-I-000141 Bell, Michael {OS/ASPA) Subject: Location: Good Faith Roger's Office Start: End: Mon 5/7/2018 10:30 AM Mon 5/7/2018 11:00 AM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees: Optional Atte ndees: Severino, Roger (HHS/OCR) Meszaros, Marie (HHS/OCR); Severino , Roger (HHS/OCR) Bell, March (HHS/OCR) AMlf IC/\r-... pVERSIGHT 1 EXT-18-1509-I-000142 Bell, Michael {OS/ASPA) Subject: Location : Research Authorization Roger's Office Start : End: Show Time As: Mon 5/7/2018 11:00 AM Mon 5/7/2018 11:30 AM Tentative Recurrence: (none) Meeting Status : Not yet responded Organiz er: Required Attendees : Severino, Roger (HHS/OCR) Severino, Roger (HHS/OCR); Meszaros, Marie (HHS/OCR); Bell, Ma rch (HHS/OCR) AMlf IC/\r-... pVERSIGHT 2 EXT-18-1509-I-000143 Bell, Michael (OS/ASPA) Subject: Location: Annual JCEB Meeting Rosa Parks/Call-in ~,.... , b-)-(6_)___ Kb)(6) I _,ILeader passcode !(b)( 6) I Participant passcode Start : End: Show Time As: Tue 5/8/2018 10:00 AM Tue 5/8/2018 11:00 AM Recurrence: (nohe) Meeting Status: Not yet responded Organizer: Required Attendees : Gordon-Nguyen, Marissa (HHS/OCR) Sanches , Linda (HHS/OCR) ; Clemmons , Zinethia (HHS/OCR); Seeger, Rachel (HHS/OCR); Tentative Severino, Roger (HHS/OCR); Bell, March (HHS/OCR); Frohboese, Robinsue (HHS/OCR); Marchesini , Kathryn (OS/ONC); Heesters, Nicholas (HHS/OCR) ; Rinker , Verne (HHS/OCR); Isaac, Peyton (OS/OCPO); Mehta, Devi (OS/OCPO); Mosley -D ay, Serena Optional Attendees: (OS/OCR); Spiegel, Stacie (HHS/OGC) (Sta cie.Spiegel@hhs.gov) Noonan , Timothy (OS/OCR); Meszaros, Marie (HHS/OCR) II [k, ]:l:, II"' J~o /t1 ll~H H!' /o ,,,, 111 r ooo Paper attached. Agenda: Introductions around the table & on the phone - Maris"Sa Q&A #1/H IP activit ies overv iew-Tim Remaining Qs & As - HIP team members as identified in the attachment Close - Mar issa AMlf IC/\r-... pVERSIGHT s EXT-18-1509-I-000144 Bell, Michael (OS/ASPA) Subject: Location: OCR Regulation Prep Follow -U p Executive Secretary Conference Room (HHS) 614H or Call In l(b)(6) Particpant l(b\/ 6) !PAULA: rb )(6) Start: End: Tue 4/24/2018 1:00 PM Tue 4/24/2018 1:30 PM Recurrence: Recurrence Pattern : Weekly Occurs every Tuesday from 1:00 PM to 1:30 PM effective 4/24/2018. (UTC-05:00) Eastern Time (US & Canada) M eeting Status: Accepted Organizer: Required At tende es: Stannard, Paula (HHS/ IOS) Severino, Roger (HHS/OCR); Bell, March (HHS/OCR); Brown, Louis (HHS/OCR); Murphy, Ryan (OS/ASPA); Lloyd , Matt (OS/ASPA); Oakley , Caitlin B. (OS/ASPA) (Caitlin .Oakley@HHS.GOV); Bassett, Matthew (HHS/ASL); Kemper, Laura (HHS/ASL); Moughalian, Jen (HHS/ ASFR); Kalavritinos, Jack (O5/IEA); Trueman, Laura (HHS/IEA) ; Brady, Will (HHS/ IOS); Reilly, Erin (OS/IEA) (CTR); Stecker, Judy (OS/ASPA); Rosenberg , Jeffrey (OS/ASPA); Grossu , Arina (HHS/OCR) (CTR)i Executive Secretary Conference Room (HHS); Bowman, Matthew (HHS/OGC); Stimson, Brian (HHS/OGC); Palmer, Ashley (OS/ASFR); Street Amanda (HHS/IOS) crmObjectTypeCode : 4251 POC: Mary Jones at l~(b_}(_6_) --~l or mary.jones@hhs.gov AMlf IC/\r-... pVERSIGHT I 6 ~~---~ EXT-18-1509-I-000145 Bell, Michael (OS/ASPA) Subject: Location: ONC NPRM - Information Blocking & HIPAA f b)(6) Iparticipant f b)(6) Ileader f,__~_)(6_) _ _____, Start : End: Show Time As: Thu 5/10/201'8 9:00 AM Thu 5/10/2018 10:30 AM Tentative Recurrence: (none) Meeting Statu s: Not yet responded Organizer: Required Attendees; Knee, Mark (0S/ONC) Knee, Mark (0S/ONC); Sanghvi, Arnita (HHS/OGC); Altarescu, Louis (HHS/OGC); Lipinski, Michael (05/0NC); Landau, Morris (0S/ONC) ; Dearn, Robert (HHS/ONC) (CTR); Marchesini, Kathryn (OS/ONC); Sanches, Linda (HHS/OCR); Allis, Carol S. (HHS/OGC); Anthony, Elise (OS/ONC) Noonan, Timothy (OS/OCR); Meszaros, Marie (HHS/OCR); Bell, March (HHS/OCR); Heesters, Nicho'las (HHS/OCR); Gordon-Nguyen, Marissa (HHS/OCR) Optional Attendees : OCR's comments are attac;hed as we ll. AMlf IC/\r-... pVERSIGHT 8 EXT-18-1509-I-000146 Bell, Michael {OS/ASPA) Subject: Location: FOIA catch up march office Start: End: Thu 5/10/2018 10:00 AM Thu 5/10/2018 11:00 AM Recurrence: (no ne) Meeting Statu s: Meeting organizer Organizer: Required Attendees : Bell, March (HHS/OCR) Henderson , Haro ld (HHS/OCR); Householder, Donna (HHS/OS); Butte rfield, Justin (HHS/OCR); Weige l, Gabriela (OS/OCR) (CTR) AMlf IC/\r-... pVERSIGHT 9 EXT-18-1509-I-000147 Bell, Michael (OS/ASPA) Subject: FW: OCR/ONC TEFCA Meeting - Minimum Necessary - My Dial -In fb ){6) Leader Code * b)(6) Participant Code - l(b)(6) Location : Conf. Rm. 7032A Start : End: Thu 5/10/2018 10:30 AM Thu 5/10/2018 11:00 AM Recurrence: (hOne) Meeting Statu s: Accepted Org anize r: Required Attendee s: Morris, Genevieve (OS/ONC/1O) Morris, Genevieve (OS/ONC/1O); Sanches, Linda (HHS/OCR); Marchesini, Kathryn (OS/ONC); Woodhead , Amanda (OS/ONC); Moriarty , Lana (OS/ONCID; Barber, Zoe (OS/ONC); Anthony, Elise (OS/ONC); Rancourt , John H. Jr. (OS/ONC); Posnack, Steven (OS/ONC) ; Lipinski, Michael (OS/ONC); Gordon-Nguyen, Ma6ssa (HHS/OCR); Noonan , Timothy (OS/OCR); Meszaros , Marie (HHS/OCR); Butterfield, Justin (HHS/OCR); jc@securityrs.com; Bucci, Debbie (OS/ONC); Nsahlai, Rose. Marie (OS/OCPO); Myers, Elisabeth (OS/ONC); l(b)(6) ~ gmail.cotn; l(b)(6} ~ aol.com Knee, Mark (OS/ONC) ; Bell, March (HHS/OCR) I I Option al Att endee s: ~~---- o----- Origina l Ap poin t ment ----- From: Webb, Carla (OS/ONC) (CTR) On Behalf Of Morris, Gene vieve (OS/ONC/1O} Sent: Wednesday, May 9, 2018 2:54 PM To: Morris, Genevieve (OS/ONC/1O); Sanches, Linda (HHS/OCR); Marchesin i, Kat hryn (OS/ONC}; Wood head, Amanda (OS/ONC); Moriarty, Lana (OS/O NCIT); Barber, Zoe (OS/O NC); Ant hony, Elise (OS/ONC); Rancourt, John H. Jr . (OS/ONC)i Posnack, Steven (OS/O NC); Lipinski, Michael (OS/ONC}; Gordon-Nguyen, Marissa (HHS/OCR); Noonan, Timothy (OS/OCR); Meszaros, Marie {HHS/OC R); Butterfield, Justin (HHS/OCR); jc@secur ityrs.com; Bucci, Debbie (O5/ONC); Nsahlai, Rose-Marie (OS/OCPO); Myers, Elisabeth (OS/ONC); Kb)(6) ~ gmail.com ;tb )(6) ~ aol.com Cc: Knee, Mark (OS/ONC) Subject: OCR/ONC TEFCA Meet ing - M inimum Necessary - M y Dial- In f b)(6) Leader Code -~b)(6) Participa nt Code ~(b)(6) I I ~ --~ When: Thursday, May 10, 201810:30 A M-11:00 AM (UTC-05:00) Eastern Tim e (US & Canada). Where: Conf. Rm. 7032A This meet ing is bein g held to d iscuss OCR's feedback and in p ut on Min im um Necessary. If we need more time, we will contin ue the meeting later on Thursday afternoon, from 3:00-3:30pm. AMlf IC/\r-... pVERSIGHT 10 EXT-18-1509-I-000148 Bell, Michael (OS/ASPA) Subject: Location: Relmagine Liaison Webinar Deputy Secretary's Confe rence Room, 607-G o r Webe x Start : End: Show Time As: Thu 5/10/20 18 12:00 PM Thu 5/ 10/2018 1:00 PM Tentative Recurrence: (hone ) Meeting Status: Not yet responded Organizer : Required Attendee s; Duncan , Levi (OS/ IOS/OHR) Duncan, Levi (OS/IOS/OHR); Clark, Priscilla (OS/IOS); Cordova, Jon (OS/ASA); Jones. Christine (HHS/ASFR); Lawrence, Courtney (HHS/ASL); Berman , Cara (OS/ASPA); Aguirre , Lisa (OS/IOS/OSSI); Phillips , Sally (HHS/ASPR/OPP); Royce, Shannon (OS/CFBNP); Villato r, Christopher (HHS/DAB); Bratcher - Bowman, Nikki (HHS/ASPR); Wolitski , R1chard (HHS/OASH); Bell, March (HHS/OCR); Flick, Heather (OS/OGC); Healy, Jenifer (HHS/OS/OGA); Robinson, Vicki L (OIG/10); McDaniel, Eileen (HHS/OM HA); Lewis, Lisa (OS/ONC ); Greenstei n, Bruce (OS/10S); Goldhaber, Ben (ACF); Toven, Jay P. (AHRQ/OMS) ; Nicholls , Richard (AGL); Berger, Sherri (CDC/OCOO/OD) ; Brandt , Kimberly (CMS/QA); Schiller, Lowell (FDA/OC); Macrae, Jim (HRSA); Ponton, Wendy (HRSA); Weahkee, Michae l (IHS/HQ); Johnson, Alfred (NIH/OD) [E]; Fleming, Mary (SAMHSA); Avula , Deepa (SAMHSA/OFR); brharty@deloitte .com; Manion, Gabriel (OS/IOS/OHR); emimitche ll@deloitte .com; ldewerd@delo itte.com ; jnadler @delo itte .com ; klarge @delo itte.com ; OS DSCR (HHS/OS); Keckler, Charles (HHS/IOS) (Charles.Keckler@hhs .gov) Kimble, Adrienne (OS/DNCOPs); Scarbrough , Jess (OS/ASPR/AMCG); Dodgen , Daniel (OS/ASPR/OPP); Rigg, John (OS/IOS); Koyan i, Sanjay (OS/IOS); Peckham, M ichael (OS/ASFR); Raymond , Meredith (ACL); Lamadine, Beh (OS/ONC); Scott, Katherine (OS/DAB) (Kathe rine.Scott@hhs.gov) ; Wesley, Ellen (05/0NQ; Owens, Arne (SAMHSA/OAS) Optional Attendees: Hello Relmag ine Liaisons, Looking forward to connecting with you all during the Relma~ine Liaisons Webinartomorrow pm . (5/10) from 12:00 -1:00 I have provided a high -level agenda below. Please let me know if you have any questions in advance of the meeting. As a reminder, you are more than welcome to join me in-person in the Deputy Secretary's Conference Room in the Humphrey Building if that is conven ient for yo1..1 . Please see below for the Web EXconnect ion details. Thank.s much, Priscilla Agenda Item Update on Relmag ine HHS and Pre sident ' s Management Agenda AMlf IC/\f\. pVERSIGHT Time 12 ~00 - 12 : 15 u EXT-18-1509-I-000149 Programming Relmagine Week: for May 14 - 18 & Your Role Relm sg ine HHS Committee (RHC} Pr eview RHHS Liai so n Engag ement Going Forw a rd Question & Answ ers 12 : 15-12:25 12 '.25-12:45 12:45 - 12:50 12 :50-1 :00 Priscilla W. Clark, PhD, PCC Transformation Management Office (TMO) Lead IMAGINE~HHS ~ Off ice: 202-619 -3807 Mobile: ._l (b_)(_ 6)__ ___. Hello Relmagine Liaisons, I'm the new Transformation Management Office (TMO) Lead for Relmagine HHS. In my new role, I am responsible for coordination across the Relmagine portfolio with oversight of operations and all of our change management efforts. I look forward to working with you all in my new role . I'm excited to invite you to the first in a series of meetings and webinars with our Associate Deputy, Charles Keckler, and myself. I will provide Relmagine updates that you can share with your OPDIVs/STAFFDIVs and also enlist your support on some of our ongoing efforts. Please join me and Mr. Keckler in the Deputy Secretary's conference room or via webinar on Thursday, May 10th from 12:00 p.m. -1 :00 p.m. to learn more about our Initiatives ' progress to date and some important informat ion about the upcoming RHHSone-year anniversary celebration and your participation: Relmagine HHS Week - scheduled for May 14th -18 th o We look forward to bringing this group back together and providing important updates. Please let me know if you have any questions. Best, Priscilla ***DO NOT DELETEOR CHANGEANY OF THE TEXTBELOWTHIS LINE*** Levi Duncan has scheduled this WebEx meeting. Relmagine Liaison Web inar Host: Levi Duncan When it 's time, start or jo in the Web Ex meeting from here: https://meetingserver.hhs.gov/orion/joinmeeting.do?MTID=8c526065ed86a7afc67805d701a6ecab Access Information I Meeting Number x b)(6) Meeting Passwor : This meeting does not requ ire a password. AMlf IC/\r-... pVERSIGHT 12 EXT-18-1509-I-000150 Audio Connection l.... ESPOC: Aaron Fischbach AMlf IC/\r-... pVERSIGHT 16 EXT-18-1509-I-000153 Bell, Michael {OS/ASPA) Subject: Location: CRD FOIAs TBD Start: End: Show Time As: Thu 5/10/2018 3:00 PM Thu 5/10/2018 4:00 PM Tentative Recurrence: (no ne) Meeting Status: Not yet responded Organizer: Required Attendees : Optional Attendees: Lopez, Onelio (HHS/OCR) Carter, Carla (HHS/OCR); Frohboese, Robinsue (HHS/OCR) Bell, March (HHS/OCR) Reschedule of our CRD FOIA meeting AMlf IC/\r-... pVERSIGHT 17 EXT-18-1509-I-000154 Bell, Michael {OS/ASPA) Subject: Location: Meeting OCR (Humphrey 515F) Start: End: Thu 5/10/2018 4:30 PM Thu 5/10/2018 5:00 PM Recurrence: (no ne) Meeting Statu s: Accepted Organizer: Required Attendees : Noronha, Maya (HHS/OCR) Lloyd, Scott (ACF); Butterfield , Justin (HHS/OCR); Bowman , Matthew (HHS/OGC); Severino, Roger (HHS/OCR); Bell, March (HHS/OCR) AMlf IC/\r-... pVERSIGHT 18 EXT-18-1509-I-000155 Bell, Michael (OS/ASPA) Subject: Location: Conference Call Start : End: fri 5/11/2018 1'0:00 AM Fri 5/11/2018 10:30 AM Recurrence: (none) Meeting Status: Meeting organizer Organizer: Required Attendees : Bell, March (HHS/OCR) 'Novy, .Steve (OS/OCR); Frohboese, Robinsue (HHS/OCR); Henderson, Haro ld (HHS/OCR); Householder, Donna (HHS/OS) AMlf IC/\r-... pVERSIGHT FOIA Party ___.I passcod ~~(b_)(_6_ ) -~ I ..._l ( b....;.. 1('-6 -'-) __ 19 EXT-18-1509-I-000156 Bell, Michael (OS/ASPA) Subject: Location: Good Faith (continued) Start : End: Fri 5/11/2018 1 T;OOAM Fri 5/J 1/2018 11:30 AM Recurrence: (none) Meeting Status: Accepted Organizer : Required Attendees: Optional Attendees : Severino, Roger (HHS/OCR) Bell, March (HHS/OCR) ; Meszaros, Marie (HHS/OCR) Noonan, Timothy (OS/OCR) AMlf IC/\r-... pVERSIGHT Roger's office, i~(b~)(~6_ ) --~ l Passcode :l._(b_)(_6_) _ 20 __. EXT-18-1509-I-000157 Bell, Michael (OS/ASPA) Subject: Location: Meeting regarding Michigan State Compliance Review !code: ~ l(b-)(_6_) -~ Director's Conference Room, l(b)(6} Start : End: Show Time As: Fri 5/11/2018 130 PM Fri 5/11/20 18 2:30 PM Tent ative Recurrence: (none) Meeting Status: Not yet responded Organizer : Required Attendees; Optional Attendees : Severino, Roger (HHS/OCR) Bell. March (HHS/OCR);Brown, Louis (HHS/OCR); '(andice..Jae:kson@ed.gov' Sherman, Brandon AMlf IC/\r-... pVERSIGHT 21 EXT-18-1509-I-000158 Bell, Michael (OS/ASPA) Subject: Location: RE:OCR revfew of bills l(b)(6) I// PC:~Kb)(6-)~ Start : End: Fri 5/11/2018 3:00 PM Fri 5/11/2018 330 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : Groves, Garrick (HHS/ASL) Gordon-Nguyen, Marissa (HHS/OCR); Noonan, Timothy (OS/OCR); Bell, March (HHS/OCR); Meszaros, Marie (HHS/OCR); Kemper, Laura (HHS/ASL) AMlf IC/\r-... pVERSIGHT 22 EXT-18-1509-I-000159 Bell, Michael {OS/ASPA) Subject: Location: Guidance Roger's Office Start: End: Fri 5/11/2018 4:30 PM Fri 5/11/2018 5:00 PM Recurrence: (none) Meeting Status : Accepted Organizer: Required Attendees: Severino, Roger (HHS/OCR) Meszaros, Marie (HHS/OCR); Bell, March (HHS/OCR); Severino, Roger (HHS/OCR) AMlf IC/\r-... pVERSIGHT 23 EXT-18-1509-I-000160 Bell, Michael {OS/ASPA) Subject: Location: HOLD: Relmagine Week Town Hall Humphrey Building: Room 800 Start : End: Show Time As: Mon 5/14/20 18 1:45 PM Mon 5/14/20 18 3:15 PM Tentative Recurrence: (none) Meeting Status: Not yet responded Organiz er: Optional Att endees: Clark, Priscilla (OS/IOS) Mit chell, Emily (US - Arl ington); MTT Workgroup Management Team; Eldridge, Schuyler (OS/ASPR/AMCG); Joy, Patrick (PSC/FMP/AMS); Heard, Derrick L. (CMS/OAGM); Haseltine, Amy (OS/ASA/OCIO); Bredy, Freda (OS/ASA/OCIO); Monica.Gibson@AHRQ.hhs; Grant, Leonard D (FDA/OC); Napier, Jeffr ey L. (Jeff) (CDC/OCOO/OFR/OAS); Almaraz, Santiago (IHS/HQ); Tantardini, Lynn (SAMHSA/OFR); Kohler, Theresa J (OIG/OMP); Starinsky, Mel issa A. (CMS/OAGM); Garcia, Alexandra (HRSA); Frasier, Diane (NIH/OD) [E); Chestnut, James (OIG/OMP); Gibson, Doris (HHS/ASFR); Collins, Robin (OS/ASA/OC IO); Gibson, Monica (AHRQ/OMS); Kiang, Gina (OS/ASA/OCIO/ITIO); Tucker, Keith (OS/ASA/OCIO); Omatete, Mogbeyi E. (HHS/OGC); Pierre, Jeffri (HHS/OGC); Hoffmann, George C. (CMS/OIT); Best, Kori K. (AHRQ/OMS) Hello Relmagine Team, We hope you can j oin us for the Relmagine Town Hall on Monday from 2:00 - 3 :15 p.m. in Humphrey Room 800. This event will be broadcast via livestream, but feel free to forwa rd th is placehol der to any col leagues that work in the Humph rey Building and woul d like to attend in-person - the event is open to all HHS staff members. Please be sure to arrive a few minutes early to reserve your seat. Thank you! AMlf IC/\r-... pVERSIGHT 1 EXT-18-1509-I-000161 Bell, Michael {OS/ASPA) Subject: Location: Good Faith (continued) Director's Conference Room Start: End: Mon 5/14/2018 4:00 PM Mon 5/14/20 18 4:30 PM Recurrence: (none) Meeting Status : Accepted Organizer: Required Attendees: Severino, Roger (HHS/OCR) Bell, March (HHS/OCR); Meszaros, Marie (HHS/OCR); Noonan, Timothy (OS/OCR); Gordon -N guyen, Marissa (HHS/OC R); Perez, Luis (CIV) AMlf IC/\r-... pVERSIGHT 2 EXT-18-1509-I-000162 Bell, Michael (OS/ASPA) Subject: Location: HHS Reviewers briefing: OPPS Segment 3 Executive Secretary Conference Room 614H; or by phone: Kb)(6) kb)(6 ) I '------' j. passcode : Start: End: Show Time As: Tue 5/15/2018 11 ;GOAM Tue 5/15/2018 12:00 PM Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer : Required Attendees : Office of the Executive Secretary Master Calendar (HHS/OS) Afable, Marites (SAMHSA/OPPI); Alm li, Arathi (HHS/OGC); ASPE Exec Sec (OS/ASPE); Bagel, Michael (OS/ASFR); Bain, Shelley (HRSA); Berger, Mitchell (SAMHSA); Bernstein, Maya A. (HHS/ASPE); Beswick, Aaron (HRSA); Bogasky, Susan (HHS/ASPE); Bradley , Jullia (OS/OGC); Brangan, Normandy (HRSA); Brockett, Sharon (HHS/OCR); Bush, Laina (HHS/ASPE); Carroll, Christopher D. (SAMHSA/OPPI); CDC; Cesar, Steve (HRSA); Chesemore, Scott (FDA/OC); Cochran, Caroline (HRSA); Coope r, Katherine (HHS.OGC); Cornejo, Kerr,i (HRSA); Dube , Timothy (OS/ASPE); Elder, Mark (HHS/ASFR); Elliott, Athena S. (IHS/HQ); Fischbach, Aaron (O$/IOS); Fisher, Barbara (HHS/OGC); Garcia, Vanessa (CMS/ OSORA); Gillum , Jessica Z (FDA) (FDA/OC); Glassman, Karen (OIG/OCIG); Gottlich , Vicki (ACL); Hackman, Thomas (OS/ASFR}; Harder, Larry (HHS/OGC); Harris, Patricia (HHS/OCR); Henderson, Harold (HHS/OCR); Hirshom, Rebecca (HHS/ 1OS); Hoffman, Janice (HHS/OGC); Householder, Donna (HHS/OS); HRSA ES; Hunt, Gregorio (HHS/IEA); Kaylani, Ali M. (CMS/OSORA); Kelley, Curtis (HHS/ASFR); Keyser, Julia (HHS/ASFR); Kinney, John (HHS/AS L); Lawver, Daniel A. (OS/ASPE); Lipinski , Michael (OS/ONC); Longenecker , Emmalani (!HS/HQ); Lopez, Elizabeth (SAMHSA/CMHS); Love, Marci (HHS/OGC); Mark, Diana (HHS/OGC); Mazumdar, Amitava (OIG/OCIG); MfumGyau, Akua (FDA/OC); MirskyAshby , Audrey (HHS/ASPE); Mitchell, Carl (IHS/HQ) ; Morris, Tom (HRSA); Nguyen , Nguyen (HHS/ASPE/HP/HFP ); Nicho lts, Richard (ACL); ONC Executive Secretary Clearances (OS/ONC); OS - OMHA Exec Clearances; Perry. Wendy (AHRQ/OC); Posnack, Steven (OS/ONC); Potter, D.E.B. (OS/ASPE); Rafiullah, Sahira (HRSA); Robinson, Vick1 L (OIG/1O); Samson, Lok Wong (HHS/ASPE); Sands, Sandra J (OIG/OCIG); Sanft, Corbin (HHS/OGC); Scott , Carolyn (HRSA); Scott, Katherine (OS/DAB); Scott , Wakina (HRSA); Sheingold, Steven (HHS/ASPE); Stevens, Lee (OS/It.At Sutherland, Neal (HHS/ASFR); Tilly, Jane A (ACL}; Tran, Donna (HHS/OGC); VandivortWarren , Rita (HRSA); Welch, Pete (HHS/ASPE); Wittie , Michael (OS/ONC); Adair, Geraldine (OS/IOS); Agnew, Ann (HHS/IOS); Aramanda, Alec (OS/ASL); Arbes, Sarah (HHS/ASL); Bassett, Matthew (HHS/ASL); Bell, March (HHS/OCR); Buchanan, Chris (IHS/HQ); Charrow, Robert (HHS/OGC); Cleary, Kelly (HHS/OGC); Cochran , Norris (HHS/ASFR); Delew, Nancy (HHS/ASPE); Enomoto, Kana (SAMHSA/OA); Espinosa, Diana (HRSA); Executive Secretary Conference Room (HHS}; Fitzgerald , Brenda (CDC/OD); Gottlieb , Scott (FDA); Grabner , Juanita (HRSA}; Graham, John (HHS/I EA); Green, Jason (HHS/OMHA); Griswold, Nancy (HHS/OMHA HQ); Hom -Barbou r, Stephanie (OS/ASPE); Howard -Jones, Valer ie (HHS/ASFR); Jilani, Shahla (HHS/1OS); Kadlec, Robert (OS/ASPR/1O); Kalavritinos, Jack (FDA/OC); Khanna, Gopal (AHRQ/IOD); Karch, George (OS/ASPR/1O); Lazare, Mary (ACL); Mccance - Katz, Elinore (SAMHSA/OAS); McMille o, Cheryl (HHS/ASFR); Moughalian , Jen (HHS/ASFR); Nelson , Beth (HHS/ 1OS); Nguyen, Von (CDC/OD/OADP); Noronha , Maya (HHS/OCR); O'Brien , John (HHS/ASPE); AMlf IC/\r-... pVERSIGHT 3 EXT-18-1509-I-000163 Required Attendees : Pelekoudas, Kristina (HHS/ IOS); Peoples, Sevetra (OS/ASPE); Roach, Angela (OS/D AB); Robertson, Lance (ACL); Robinson, Wilma (HHS/1O5); Rucker, Dona ld (OS/ONC); Severino, Roger (HHS/OCR); Sigounas, George (HRSA); Stallion , Vivian (HHS/OS); Tabak, Lawrence (NI H/OD) [E]; Tobias, Constance (HHS/D AB); Townsend, Kara (HHS/ASPE); Turk, Denise M. (IHS/HQ ); Udutha, Pranay (HH S/IOS); Weahkee, Michael (.IHS/HQ); Wright, Don (HHS/OASH); Wi lson, Lynette N . (CMS/OSORA) Purpose: CMS will b rief HHS Reviewer s on the CY 2019 Medicare Ho spital Outpatient Pto spective Payment System and Ambulatory Surgical Center Payment System proposed rule -- Segment 3. This briefing will also includ e a couple of early decis ion issues in Segment 4. Briet~o per: CMS brief mg paper attached: IIll"l:'~' :..,'"I::.1:.oof'' 11 1::1::t I~~, o,on '"" " t . .... 1 For further information please contact Reb ecca Hirshom at 202 -205-8882 or Rebecca.Hirshom@hhs.gov AMlf IC/\r-... pVERSIGHT EXT-18-1509-I-000164 Bell, Michael (OS/ASPA) Subject: Location: OCR Regulation Prep Follow -U p Start: End: Tue 4/24/2018 1:00 PM Tue 4/24/2018 1:30 PM Recurrence: Recurrence Pattern : Weekly Occurs every Tuesday from 1 :00 PM to 1:30 PM effective 4/24/2018. (UTC-05:00) Eastern Time (US & Canada) M eeting Status: Accepted Organizer: Required At tende es: Stannard, Paula (HHS/ IOS) Severino, Roger (HHS/OCR); Bell, March (HHS/OCR); Brown, Louis (HHS/OCR); Murphy, Ryan (OS/ASPA); Lloyd , Matt (OS/ASPA); Oakley, Caitlin B. (OS/AS PA) (Caitlin .Oakley@HHS.GOV); Bassett, Matthew (HHS/ASL); Kemper, Laura (HHS/ASL); Moughalian, Jen (HHS/ ASFR); Kalavritinos, Jack (O5/IEA); Trueman, Laura (HHS/IEA) ; Brady, Will (HHS/ IOS); Reilly, Erin (OS/IEA) (CTR); Stecker, Judy (OS/ASPA); Rosenberg , Jeffrey (OS/ASPA); Grossu , Arina (HHS/OCR) (CTR)i Executive Secretary Conference Room (HHS); Bowman, Matthew (HHS/OGC); Stimson, Brian (HHS/OGC); Palmer, Ashley (OS/ASFR); Street Amanda (HHS/IOS) crmObjectTypeCode : 4251 POC: Mary Jones at f~b-)(_6_ ) -- AMlf IC/\r-... pVERSIGHT Executive Secretary Conference Room (HHS) 614H or Call In Particpant !(b)(6) PAULA: l(b)(6) I I ...,!r b""'" ) '-" 16'-') ___ _. ~l or mary.jones@hhs.gov s EXT-18-1509-I-000165 Bell, Michael (OS/ASPA) Subject: Location: Monthly National HIP Conference Call Call the WebEx Audio numbe r:~Kb)-(6-) --~I Start : End: Show Time As: Tue 5/15/20 18 1:30 PM Tue 5/15/2018 2:30 PM Tentative Recurrence: Recurrence Patter n: Monthl y the third Tuesday of every 1 month from 10:30 AM to 11:30 AM Meeting Status: Not yet responded Organizer : Required Attende es: Prows, Bennett (HHS/OCR) OS - OCR ALL NATIONAL; 05 - OCR ALL NATIONAL Contractors & Access Code: k= b=)(=6~ \ --~ Attached Is the updated agenda for the month ly National HIP Conference Call oh Tuesday. All who are involved in HIP Issues are encouraged to attend. This call will feature a refres her on breach verif ications, more cybersecurity hewsletter guidance and an Interest ing RA/CAP from the Midwest Region, Chicago. The breach verification documeh t is also now attached. See you on the call. /s/ Bennett Prows Coordinator AMlf IC/\r-... pVERSIGHT 6 EXT-18-1509-I-000166 Bell, Michael {OS/ASPA) Subject: Location: 2pm -Call w ith March re CMS Clearance March and Louis wil l call Susie from March 's office Start: End: Show Time As: Tue 5/15/2018 2:00 PM Tue 5/15/2018 2:15 PM Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer: Required Attendees : Brown, Louis (HHS/OCR) Bell, March (HHS/OCR); Lorden, Susie (HHS/OCR) AMlf IC/\r-... pVERSIGHT 7 EXT-18-1509-I-000167 Bell, Michael (OS/ASPA) Subject: Location : CR and CRF Portal Reports Rosa Parks Conference Room Start : End: Show Time As: Tue 5/15/2018 3:00 PM Tue 5/15/2018 4:00 PM Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer : Required Attendees; Frohboese, Robinsue (HHS/OCR) Allen, Jane (HHS/OCR); Novy, Steve (OS/OCR);. Grossu, Arina (HHS/OCR) (CTR).; Murphy, Leo (HHS/OCR); Oliver, Andrea (HHS/OCR); Bell, March (HHS/OCR); Butterfield, Justin (HHS/OCR); Martin, Therese (HHS/OCR); Alston, Lisa (HHS/OCR) AMlf IC/\r-... pVERSIGHT 8 l..,_l (b....,_ )(.... 6'-) __ ____.I , passcode Kb)(6) EXT-18-1509-I-000168 Bell, Michael (OS/ ASPA) Subject: Location: Call with E&C Minority to Discuss Privacy Concerns with Opioid Bills kb)(6) Participant Code: ~b)(6) I ! Start : End: Show Time As: Wed 5/16/2018 9:30 AM Wed 5/16/2018 10:00 AM Tentative Recurrence: (hon e) Meeting Status: Not yet responded Organize r: Required Attendees; Kemper, Laura (HHS/ASL) Gordon-Nguyen, Marissa (HHS/OCR); Groves, Garrick (HHS/ASL); Noonan, Timothy (OS/OCR); Bell, March (HHS/OCR); Meszaros, Marie (HHS/OCR) l(b)(6) Leader Code:Vhlf R\ Participant Code: AMlf I ,.,.,l ( b....,. ) ..,..., ( 6 .,... ) ----, IC/\r-... pVERSIGHT 9 EXT-18-1509-I-000169 Bell, Michael {OS/ASPA) Subject: Location: Williams Institute Debate Prep 515-F Start: End: Show Time As: Wed 5/16/2018 1:00 PM Wed 5/16/2018 1:45 PM Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer: Required Attendees : Severino, Roger (HHS/OCR) Stannard, Paula (HHS/ IOS); Bowman, Matthew (HHS/OGC); Grossu, Arina (HHS/OCR) (CTR); Bell, March (HHS/OCR); 'Perez, Luis (CIV)'; Brown , Louis (HHS/OCR) Perez, Luis (HHS/OCR) Optional Attendees: I would appreciate your help with my debate prep for the Williams Institute Event. See the attached topics. Thanks. AMlf IC/\r-... pVERSIGHT 10 EXT-18-1509-I-000170 Bell, Michael (OS/ASPA) Subject: Location: Confirmed: mtg w/ Goog le Rosa Parks Conference Room/Call-i'n added Start: End: Show Time As: Wed 5/16/2018 2;00 PM Wed 5/16/2018 3;00 PM Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer : Required Attendees; Gordon -Nguyen. Marissa (HHS/OCR) Noonan , Timothy (OS/OCR); Meszaros, Marie (HHS/OCR); Mehta, Devi (OS/OCPO), Heesters, Nictio las (HHS/OCR); Mosley -Day, Serena (OS/OCR) (Serena.Mosley~ Day@hhs.gov) Bell, March (HHS/OCR); Frohboese, Robinsue (HHS/OCR) Optional Attendees: Google Participants: Rob Mah ini {Senior Health Policy Counsel) Stephanie Cason {Product Counsel) Jutta Williams (Product Manager) call~in number Kb)(6) AMlf IC/\r-... pVERSIGHT leade r pass code participant pass code I u EXT-18-1509-I-000171 Bell, Michael (OS/ASPA) Subject: Location: Interoperability and HIPAA Executive Secretary Conference Room (HHS) 614H Start : End: Wed 5/16/2018 4:00 PM Wed 5/16/2018 4:30 PM Recurrence: (none) Meeting Status: Accepted Organizer : Required Attendees : Stannard , Paula (HHS/ IOS) Severino, Roger (HHS/OCR); Bell, March (HHS/OCR); Meszaros, Marie (HHS/OCR); Butterfield, Justin (HHS/OCR); Morris, Genevieve (OS/ONC/10) ; Rucker, Donald (OS/ONC); Greenstein, Bruce (OS/ IOS); Simcox, Edwin (OS/IOS); O'Brien, John (HHS/ASPE); Guram, Jeet (CMS/OA); White, Jon (CMS/OA) POC: Mary Jones at ~l EXT-18-1509-I-000186 Bell, Michael (OS/ASPA) Subject: Location: HHS Reviewers Briefing: PFS NPRM Segment 4 Start : End: Show Time As: Wed 5/23/2018 10:00 AM Wed 5/23/2018 11 :00 AM Tentative Exec Sec Conf Room 614H ; Call-in : l(b)(6 ) ICode: r~b-){_6> _~ Recurrence: Meeting Statu s: Not yet responded Organizer: Required Attendee ~ Office of the Executive Secretary Maste r Calendar (HHS/OS) Fi.schbach, Aaron (OS/1OS) (Aaron .Fischbach@hhs .gov); Afable, Ma rltes (SAMHSA/OPPI ); Anthony, Elise (OS/ONC ); Aramanda, Alec (OS/ASL); ASPE Exec Sec (OS/ASPE); Bagel, Michael (OS/ASFR); Baker, Alexande r (OS/ONC) ; Ball, Nic helle (FDA/OC); Bennett - Barnes, Evonne (IHS/HQ); Berger , Mitchell (SAMHSA); Brad ley, Tasha (OS/ASPA); Brockett, Sharon (HHS/OCR) ; Bush, Laina (HHS/ ASPE); Carroll , Christopher D. (SAMHSA/OPPI); Chesemore, Scott (FDA/OC); Cintron, Michael (OS/OGC); Cornejo, Kerri (HRSA); Dav i.s, Walter (HHS/ ASFR); Delew , Nancy (HHS/ASPE); Dube , Timothy (OS/ASPE); Edwards , Susan (HHS/ASFR); Elder, Mark (HHS/ASFR); Fisher, Barba ra (HHS/OGC); Fontenot , Monique (OS/ASPA); Formoso , Paula (HHS/ASPA); Frazier, Jennifer (OS/O NC); Garver, Jennifer (HHS/OGC); Gillis, Tiffany (HRSA); Gillum, Jessica Z (FDA) (FDA/OC); Gott !ich, Vicki (ACL); Harris , Patricia (HHS/OCR); Henderson, Ha rold (HHS/OCR) ; Hernandez, Danie l (NIH/OD ) [E]; Hoffman, Janice (HHS/OGC) ; Householder , Donna (HHS/OS); Bain, Shelley (HRSA); Cesar, Steve (HRSA); Cooper, Laura (HRSA); hrsaexecsec@hrsa.gov; McBoyle , Kristina (HRSA); McNulty, Amy (HRSA); Morris , Tom (HRSA); Roche, Lori (HRSA); Scott , Wakina (HRSA); Hunsberger, Amy (HHS/OGC) ; Jackson , Caldwel l (ACL); jm40z@nih.gov ; Johnston, Darcie (HHS/I EA); Jones, Christopher (SAMHSA) ; Katz, Ruth (HHS/ASPE); Kinney, John (HHS/ASL); Laurence, Christian (HHS/ASFR); Lee, Dor is (HHS/OGC ); Lipinski , Michael (OS/ONC); Longenecker, Emmalani (IHS/HQ) ; Lopez, Elizabeth (SAMHSA/CMHS) ; Mack, LaShawn K (OIG/OCIG) ; Mazumdar, Amitava (OIG/OCIG) ; McMillen, Cheryl (HHS/ASFR); Mfum-Gyau, Akua (FDA/OC) ; Mitchell, Carl (IHS/HQ) ; Moore, Jerry (N IH/OD) [E]; Myr ie, Simone (OS/ASPA); Nicho lls, Richard (ACL); O 'Connor, Anne E. (CDC/OD/OCS); Baker, Michael (OS/IEA); Lamad ine, Beh (OS/ONC); OS - ONC.C learances (OS/ONC); Warner , Keviar (OS/ONC) ; OS - OMHA Exec Clearances ; OS OGC-CMSD, ControlDesk (HHS/OS) ; OS OGC-1O ControlDesk (HHS); Page, Ann (OS/ASPE); Parker, Don (HHS/OGC); Perry, Wendy (AHRQ/OC) ; Posnack, Steven (OS/ONC) ; rcc@cdc.gov ; Roach, Angela (OS/DAB) ; Samson , Lok Wong (HHS/ASPE); Scott , Carolyn (HRSA); Scott , Katherine (OS/DAB); Sheingo ld, Steven (HHS/ASPE); Smith, Mary (HHS/OGC); Smith, Scott R. (OS/ASPE); Smith -Simpson, Jacqlyn (HHS/ASFR); Stallion , Viv ian (HHS/OS); Stevens , Lee (OS/IEA ); Tessin, Robyn (HHS/OGC); Thompson, Gilbert (SAMHSA); Tilly , Jane A. (ACL); Toye, Sally (CDC/OD/OCS) ; Wade, Karen (HRSA); Welch , Pete (HHS/ASPE); Wittie , Michael (OS/ONC) ; Adair , Geraldine (OS/IOS) ; Agnew , An n (HHS/IOS) ; A rbes, Sarah (HHS/ASL} ; Bassett, Matthew (HHS/ASL); Bell, March (HHS/OCR) ; Bowles, Jamil (HHS/ 1OS); Buchanan , Chris (IHS/HQ) ; Charrow, Robert (HHS/OGC); Cleary, Kelly (HHS/OGC); CMS VTC; Cochran , Norr is (HHS/ASFR); Destro, Brenda (HHS/ASPE); Enomoto, Kana (SAMHSA/OA) ; Espinosa, Diana (HRSA); Gottlieb, Scott (FDA); Grabner, Juanita (HRSA); Green, Jason (HHS/OM HA); Griswold, Nancy (HHS/OMHA HQ); Ho rn- Barbour, Stephanie (OS/ASPE); Howard-Jones , Valerie (HHS/ASFR); Jilani , Shahla (HHS/1OS); AMlf IC/\r-... pVERSIGHT 3 EXT-18-1509-I-000187 Required Attendees : Kadlec, Robert (OS/ASPR/1O);Kalavrrtinos, Jack (OS/ IEA); Khanna, Gopal (AHRQ/IOD); Korch, George (OS/ASPR/1O); Lazare, Mary (ACL); Mccance - Katz, Elino re (SAMHSA/OAS); Moughalian , Jen (HHS/ASFR); Ne lson, Beth (HHS/IOS); Nguyen, Von (CDC/OD/OADP); Noronha, Maya (HHS/OCR); O'Brien, John (HHS/ASPE); Pelekoudas, Kristina (HHS/IOS); Peoples, Sevet ra (OS/ASPE); Redfield, Robert R. (CDC/OD); Robertson, Lance (ACL); Robinson, Vick i L (OIG/1O); Robinson, Wilma (HHS/1OS); Rucker, Donald (OS/ONC); Severino, Roger (HHS/OCR); Sigounas , George (HRSA); Tabak, Lawrence (NIH/OD) [E]; Tobias, Constance (HHS/DAB); Townsend , Kara (HHS/ASPE)i Turk, Denise M. (IHS/HQ) ; Udutha, Pranay (HHS/IOS); Vand ivort -Warren , Rita (HRSA); Weahkee, Michael (IHS/ HQ); Wright , Don (HHS/OASH) Purpose : CMS will brief HHS reviewers on segment 4 of the 20 19 Physician Fee Schedule proposed rule. '', '"J+N I ,uli .-.J I:'?: ~. 1::1: :ro lo':~~ 1o, f 11,Jo:~1" l_ Briefing Paper: ES POC: Aaron Fischbach AMlf IC/\r-... pVERSIGHT 4 EXT-18-1509-I-000188 Bell, Michael (OS/ASPA) Subject: Location: HHS Reviewers briefing: OPPS Seg 4 (CAR-I ) Executive Secretary Conference Room 614H ; or by phone: .... l(b_)_ (6_) __ l(b)(6) I _,, l passcode : Start: End: Show Time As: Wed 5/23/2018 12:00 PM Wed 5/23/2018 1 :00 PM Tentative Recurrence: (nohe) Meeting Status: Not yet responded Organizer: Required Attendees : Office of the Executive Secretary Master Calendar (HHS/OS) Afable , Marites (SAMHSA/OPPI); Alm li, Arathi (HHS/OGC) ; ASPE Exec Sec (0S/ASPE ); Bagel, Michael (OS/ASFR); Bain, Shelley (HRSA); Berger, Mitchell (SAMHSA); Bernstein, Maya A. (HHS/ASPE); Beswick, Aaron (HRSA); Bogasky , Susan (HHS/ASPE); Bradley , Jullia (OS/OGC); Brangan, Normandy (HRSA); Brockett, Sharon (HHS/OCR); Bush, Laina (HHS/ASP E)~Carroll, Christopher D. (SAMHSA/OPP I); CDC; Cesar, Steve (HRSA); Chesemore, Scott (FDA/OC) ; Cooper, Katherine (HHS.OGC}; Cornejo, Kerri (HRSA); Dube, Timothy (OS/ASPE); Elder, Mark (HHS/ASFR); Elliott, Athena S. (IHS/HQ); Fischbach, Aaron (OS/IOS); Fisher, Barbara (HHS/OGC); Garcia, Vanessa (CMS/OSORA); Gillum, Jessica Z (FDA) (FDA/OC); Glassman, Karen (OIG/OCIG); Gottlich, Vicki (ACL); Hackman, Thomas (OS/ASFR); Harder , Larry (HHS/OGC); Harris, Patricla (HHS/OCR) ; Henderson, Haro ld (HHS/OCR); Hirshorn, Rebecca (HHS/IOS); Hoffman, Janice (HHS/OGC) ; Householder, Donna (HHS/OS); HRSA ES; Hunt , Gregorio (HHS/ IEA); Kaylani , Al M . (CMS/OSORA); Kelley, Curtis (HHS/ASFR); Keyser, Julia (HHS/ASFR); Kinney , John (HHS/ASL); Lawver, Daniel A. (OS/ASPE); Lipinski , Michael (0S/ONC); Longenecker , Emmalani (.IHS/HQ); Lopez, Elizabeth (SAMHSA/CMHS) ; Love, Marci (HHS/OGC) ; Mark, Diana (HHS/OGC); Mazumdar, Amitava (OIG/OCIG); Mfum-Gyau, Akua (FDA/OCJ; MirskyAshby , Audrey (HHS/ASPE); Mitchell, Carl (IHS/HQ); Morris , Tom (HRSA); Nguyen, Nguyen (HHS/ASPE/ HP/HFP); Ni cho lls, Richard (ACL); ONC Executive Secretary Clearances (0S/ONC) ; OS - OMHA Exec Clearances; Perry, Wendy (AHRQ/OC) ; Posnack , Steven (OS/O NC); Potter , D.E.B. (OS/ASPE); Rafiullah , Sahira (HRSA); Robinson, Vicki L (OIG/I0); Samson, Lok Wong (HHS/ASPE); Sands, Sandra J (O IG/OCIG) ; Sanft, Corbin (HHS/OGC) ; Scott , Carolyn (HRSA); Scott , Katherine (OS/D AB); Scott , Wakina (HRSA); Sheingold, Steven (HHS/ASPE); Stevens, Lee (OS/IEA) ~ Sutherland, Neal (HHS/ASFR); T-illy, Jane A. (ACL); Tran, Donna (HHS/OGC); VandivortWar.ren, Rita (HRSA); Welch, Pete (HHS/ASPE); Wittie , Michael (OS/ONC); Adair, Geraldine (OS/I05); Agnew, Ann (HHS/IOS); Aramanda , Alec (OS/ASL); Arbes, Sarah (HHS/ASL); Bassett, Matthew (HHS/ASL); Bell, March (HHS/OCR); Bowles, Jamil (HHS/I05 ); Buchanan, Chris (IHS/HQ); Charrow, Robert (HHS/OGC); Cleary, Kelly (HHS/OGC); Cochran, Norri s (HHS/ASFR); Delew, Nancy (HHS/ASPE); Destro, Brenda (HHS/ASPE); Enomoto, Kana (SAMHSA/OA) ; Espinosa , Diana (HRSA); Executive Secretary Conference Room (HHS); Gott lieb , Scott (FDA); Grabner, Juanita (HRSA); Green, Jason (HHS/OMHA); Griswold, Nancy (HHS/OMHA HQ); Horn-Barbour, Stephanie (OS/ASPE); Howard -Jones. Valerie (HHS/ASFR); Jilani, Shahla (HHS/I05 ); Kadlec, Robert (OS/ASPR/10); Kalavr [tinos, Jack (0S/IEA); Khanna, Gopal (AHRQ/IOD); Korch, George (OS/ASPR/I0); Lazare, Mary (ACL); Mccance-Katz, Elinore (SAMHSA/OAS); McMillen , Cheryl (HHS/ASFR); Moughalian, Jen (HHS/ASFR); Nelson, Beth (HHS/IOS); Nguyen , Von (CDC/OD/OADP) ; Noronha , Maya (HHS/OCR) ; O'Brien , AMlf IC/\r-... pVERSIGHT s. EXT-18-1509-I-000189 Required Attendees : John (HHS/ASPE); Pelekoudas, Kristina (HHS/ 10S); Peoples, Sevetra (OS/ASPE); Redfield , Robert R. (CDC/OD) : Roach, Angela (OS/DAB); Robertson , Lance (ACL); Robinson, Wilma (HHS/ IOS); Rucker, Donald (OS/ONC); Severino, Roger (HHS/OCR); Sigounas , George (HRSA); Stal lion, Vivia n (HHS/OS); Tabak, Lawrence (NIH/OD) [E]; Tobias, Constance (HHS/DAB); Townsend, Kara (HHS/ASPE); Turk , Denise M. (IHS/HQ); Weahkee , Michael (IHS/ HQ); Wright, Don (HHS/OASH) Purpose: CMS will brief HHS Rev iewers on the CY 2019 Medica re Ho spital Outpatient Prnspective Payment System and Ambulatory Surgical Center Payment System proposed rule -- Segment 4 . This briefin g will focus on only tbe Cell Therapy Quality and Access (CTQA) Model proposal (Note: this bas been referred to as: Ch imeric Antigen Receptor (CAR) T-ce ll model) issue. Other significant Segment 4 issues have a lready been b1iefed to HHS- early (as part of the Segment 3 briefin g). Bri efing Paper: CMS briefin g paper attached: fl I! II~ " 111ru11:'1:''. ' , ., '" ' ""' 1,,i '.!I )lt11 till .. For further inform ation pleas e contact Rebecca llir sbom at 202-205-8 882 or Rebecca.Hirshorn@hhs.gov AMlf IC/\r-... pVERSIGHT 6 EXT-18-1509-I-000190 Bell, Michael (OS/ASPA) Subject: Location: Exec Sec Conf Room 614H ; Call-in: l(b)(6) Start : End: Show Time As: Wed 5/23/2018 1;00 PM Wed 5/23/2018 2:00 PM Tentative HHS Reviewers Briefing: CY19 ESRD/DME NPRM Segmen..,.,. t ...,... 2 ,-,-------, ICode: l~(b-)(-6)--~ Recurrence: Meeting Status: Not yet responded Organizer : Required Attendee ~ Office of the Executive Secretary Master Calendar (HHS/OS) Fischbach, Aaron (OS/1OS) (Aaron .Fischbach@hhs.gov); Wilson, Lynette N. (CMS/OSORA); Afable , Marites (SAM HSA/OPPI); ASPE Exec Sec (OS/ASPE): Berger, Mitchell (SAMHSA ); Bradley , Tasha (OS/ASPA); Brady, Jeff (AHRQ/CQulPS); Carroll , Christopher D. (SAMHSA/OPPI); Chesemore, Scott (FDA/QC); Cooper, Laura (HRSA); Davis, Daniel (ACL); Davis, Walter (HHS/ASFR); Deeri ng, Jacob (HHS/ASFR); Delew, Nancy (HHS/ASPE); Drake, Jemima (HRSA); Dube, Timothy (OS/ASPE); Edwards, Susan (HHS/ASFR); Elder, Mark (HHS/ASFR); Elliott, Athena S. (IHS/ HQ); Fisher, Barbara (HHS/OGC); Fontenot , Monique (OS/ASPA); Formoso , Paula (HHS/ASPA); Gott lich, Vicki (ACL); Hirshorn, Rebecca (HHS/IOS); Hoffman , Janice (HHS/OGC); Bain, Shelley (HRSA); Cesar, Steve (HRSA); hrsaexecsec@hrsa.gov; McBoyle, K6stina (HRSA); McNulty, Amy (HRSA); Morr ois, Tom (HRSA); Roche, Lori (HRSA); Scott, Wakina (HRSA); hrsaexecsec1 @hrsa.gov; Jackson, Caldwell (ACL); Johnston, Darcie (HHS/ IEA); Jones, Christopher (SAMHSA); Katz, Ruth (HHS/ASPE); Kraft, Kenneth D (OIG/OCIG); Lipinski , Michael (OS/ONC); Longenecker, Emmalani (IHS/HQ); Love, Marc i (HHS/OGC); Mack, LaShawn K (OIG/OCIG); Mark , Diana (HHS/OGC); Mazumdar, Amitava (OIG/OCIG); McMi llen, Cheryl (HHS/ASFR); Mfum -Gyau, Akua (FDA/OC); M ftchell, Carl (IHS/HQ); Morris , Andrew (ACL); Myrie, Simone (OS/ASPA); No'lan, Monique (HHS/OGC); O'Connor, Anne E. (CDC/OD/OCS ); Baker, Michae l (OS/IEA); Lamadine, Beh (OS/ONC); OS ONC.Clearances (OS/ONC); Warner, Keviar (OS/ONC); Adegoke, LaToya (OS/OMHA); Axeen , Amanda (OS/OM HA); Bailey, Nikisha (OS/OMHA) (CTR); Koch, Charles (HHS/OMHA); Ortega , Caro line (OS/OMHA) (CTR); Stirling , Michael (HHS/OMHA) ; Valdini, Todd (HHS/OMHA); OS OGC-CMSD, ControlDesk (HHS/OS); Randolp h, Christopher (HHS/DAB): rcc@cdc.gov; Scott, Katherine (OS/DAB); Sheingold, Steven (HHS/ASPE); Stevens, Lee (OS/IEA); Tilly, Jane A (ACL); Toye, Sally (CDC/OD/OCS); Wittie, Michael (OS/ONC); Adair, Geraldine (OS/IOS); Agnew , Ann (HHS/IOS); Aramanda, Alec (OS/ASL); Arbes, Sarah (HHS/ASL); Bassett, Matthew (HHS/ASL); Bell, March (HHS/OCR); Bowles, Jamil (HHS/IOS); Buchanan, Chris (IHS/HQ); Charrow , Robert (HHS/OGC); Cleary, Kelly (HHS/OGC); Cochran, Norris (HHS/ASFR}; Destro, Brenda (HHS/ASPE); Enomoto , Kana (SAMHSA/OA); Espinosa, Diana (HRSA); Gottlieb , Scott (FDA); Grabner, Juanita (HRSA); Green, Jason (HHS/OMHA); Griswold, Nancy (HHS/OMHA HQ); Horn-Barbour, Stephanie (OS/ASPE); Howard-Jones, Valerie (HHS/ASFR); Jilani, Shahla (HHS/ IOS); Kadlec, Robert (OS/ASPR/1O); Kalavrit inos, Jack (OS/IEA); Khanna, Gopal (AHRQ/1OD); Karch, George (OS/ASPR/1O); Lazare, Mary (ACL); McCance ~Katz, Elinore (SAMHSA/OAS); Moughalian, Jen (HHS/ASFR); Nelson , Beth (HHS/IOS); Nguyen , Von (CDC/OD/OADP); Nicholls, Richard (ACL); Noronha , Maya (HHS/OCR); O'Brien, John (HHS/ASPE); Pelekoudas, Kristina (HHS/1O$); Peop les, Sevetra (OS/ASPE); Redfield , Robert R. (CDC/OD) ; Roach, Angela (OS/DAB); Robertson , Lance (ACL); Robinson, Vick i L (OIG/10); Robinson , Wilmil (HHS/ 1OS);Rucker, Donald 1 AMlf IC/\r-... pVERSIGHT 7 EXT-18-1509-I-000191 Required Attendees : Purpose : (OS/ONC); Severino, Roger (HHS/OCR); Sigounas, George (HRSA); Stallion, Vivian (HHS/OS); Tabak, Lawrence (NIH/OD) [E]; Tobias, Constance (HHS/DAB); Townsend , Kara (HHS/ASPE);Turk, Denise M. (IHS/HQ); Udutha , Pranay (HHS/IOS); Vandivort Warren, Rita (HRSA); Weahkee, Michae l (IHS/HQ); Welch, Pete (HHS/ASPE);Wright, Don (HHS/OASH) CMS will brief HHS reviewers on segment 2 of the CY 2019 Medicare End-Stage Renal Disease/Durable Medical Equipment , Prosthetics, Orthotics and Supplies proposed rule . II 1:'.l.:11,.,,.,, ,,,,1,,r111i,,'" 1:~~ 1U) 1l111t 111 l"J ,.~~'11.... Paper: POC: AMlf IC/\r-... Aaron Fischbach pVERSIGHT 8 EXT-18-1509-I-000192 Bell, Michael (OS/ASPA) Subject: Location: OCR Regulation Prep Follow-Up Executive Secretary Conference Room (HHS) 614H or Call 11(b){6 ) Particpant l(b)(6) PAULA{b )(6) Start: End: Tue 4/24/2018 1:00 PM Tue 4/24/2018 1:30 PM Recurrence: Recurrence Pattern : Weekly Occurs every Tuesday from 1:00 PM to 1:30 PM effective 4/24/2018. (UTC-05:00) Eastern Time (US & Canada) M eeting Status: Accepted Organizer: Required At tende es: Stannard, Paula (HHS/ IOS) Severino, Roger (HHS/OCR); Bell, March (HHS/OCR); Brown, Louis (HHS/OCR); Murphy, Ryan (OS/ASPA); Lloyd , Matt (OS/ASPA); Oakley , Caitlin B. (OS/ASPA) (Caitlin .Oakley@HHS.GOV); Bassett, Matthew (HHS/ASL); Kemper, Laura (HHS/ASL); Moughalian, Jen (HHS/ASFR); Kalavritinos, Jack (O5/IEA); Trueman, Laura (HHS/IEA); Brady, Will (HHS/IOS); Reilly, Erin (OS/IEA) (CTR); Stecker, Judy (OS/ASPA); Rosenberg , Jeffrey (OS/ASPA); Grossu, Arina (HHS/OCR) (CTR)i Executive Secretary Conference Room (HHS); Bowman, Matthew (HHS/OGC); Stimson, Brian (HHS/OGC); Palmer, Ashley (OS/ASFR); Street Amanda (HHS/IOS) crmObjectTypeCode : 4251 POC: Mary Jones at kc..:. i-.: =\/=&:. -'\ __ AMlf IC/\r-... pVERSIGHT I _,lor I ~---~ mary .jones@hhs .gov EXT-18-1509-I-000193 Bell, Michael (OS/ASPA) Subject: Location: HHS Reviewers br iefing: OPPS Seg 5 Executive Secretary Con ference Room 614H ; or by phone : l(b)(6 } ~ passcode : l(b)(6) ~-~ I Start : End: Show Time As: Wed 5/30/2018 3:00 PM Wed 5/30/2018 4:00 PM Tentative Recurrence : (nohe) Meeting Status: Not yet responded Organizer : Required Att endees: Office of the Executive Secretary Master Calendar (HHS/ OS) Afable , Marite s (SAMHSA/OPPI) ; Alm li, Arathi (HHS/OGC) ; ASPE Exec Sec (OS/ASPE); Bagel, Michael (OS/ASFR); Bain, Shelley (HRSA); Berger, Mitchell (SAMHSA); Bernstein, Maya A. (HHS/ASPE); Beswick, Aaron (HRSA); Bogasky , Susan (HHS/ASPE); Bradley , Jullia (OS/OGC) ; Brangan, No rmandy (HRSA); Brockett, Sharon (HHS/OCR); Bush, Laina (HHS/ASP E); Carroll, Christopher D. (SAMHSA/OPPI); CDC; Cesar, Steve (HRSA); Chesemore, Scott (FDA/OC) ; Cooper, Katherine (HHS.OGC}; Cornejo , Kerri (HRSA); Dube , Timothy (OS/ASPE); Elder, Ma rk (HHS/ASFR); Elliott , Athena S. (IHS/HQ); Fischbach , Aaron (OS/IOS); Fisher, Barbara (HHS/OGC) ; Gillum , Jessica Z (FDA) (FDA/OC) ; Glassman , Karen (OIG/OCIG); Gottlic h, Vicki (ACL); Hackman, Thomas (OS/ASFR); Harder , Larry (HHS/OGC); Harris, Patricia (HHS/OCR); Henderson, Harold (HHS/OCR) ; Hirshorn , Rebecca (HHS/IOS) ; Hoffman, Janice (HHS/OGC); House holder, Donna (HHS/OS); HRSA ES; Hunt, Gregorio (HHS/IEA); Kayla ni, Al M. (CMS/OSORA); Kelley, Curtis (HHS/ASFR); Keyser, Julia (HHS/ASFR); Kinney, John (HHS/ASL) ; Lawver , Daniel A. (OS/ASPE); Lip inski, M ichael (OS/ONC) ; Longenecker, Emmalani (IHS/HQ) ; Lopez , Elizabeth (SAMHSNCMHS) ; Love , Marci (HHS/OGC) ; Mark , Diana (HHS/OGC) ; Mazumdar, Amitava (OIG/OCIG) ; Mfum -Gyau, Akua (FDA/OC); Mi rskyAshby, Audrey (HHS/ASPE); Mitchell , Carl (IHS/HQ) ; Morris, Tom (HRSA); Nguyen, Nguyen (HHS/ASPE/HP/HFP); ONC Executive Secretary Clearances (OS/ONC) ; OS - OMHA Exec Clearances; Perry, Wendy (AHRQ/OC); Posnack, Steven (OS/ONC); Potter, D.E.B. (OS/ASPE); Rafiullah , Sahira (HRSA); Samson , Lok Wong (HHS/ASPE); Sands, Sandra J (O IG/OCIG); Sanft, Corbin (HHS/OGC); Scott , Carolyn (HRSA); Scott, Katherine (OS/DAB) ; Scott , Wakina (HRSA); Stevens, Lee (OS/IEA); Sutherland, Neal (HHS/ASFR); Tilly , Jane A (ACL); Tran, Donna (HHS/OGC) ; Wittie , Mi chael (OS/ONC) ; Adai r, Geraldine (OS/IOS); Agnew, Ann (HHS/IOS); Aramanda, Alec (OS/ASL); Arbes, Sarah (HHS/ASL) ; Bassett, Matthew (HHS/ASL) ; Bell, March (HHS/OCR) ; Bowles , Jamil (HHS/ IOS); Buchanan, Chris (IHS/HQ); Charrow, Robert (HHS/OGC) ; Cleary, Kelly (HHS/OGC); Cochran , Norris (HHS/ASFR); Delew, Nancy (HHS/ASPE); Destro, Brenda (HHS/ASPE.); Enomoto , Kana (SAMHSNOA) ; Espinosa, Diana (HRSA); Executive Secretary Conference Room (HHS); Grabner , Juanita (HRSA); Griswold , Nancy (HHS/OMHA HQ); Horn-Barbour , .Stephanie (OS/ASPE); Howard-Jones, Va lerie (HHS/ASFR ); Jilani , Shahla (HHS/IOS ); Kadlec, Robert (OS/ASPR/IO) ; Kalavritinos, Jack (OS/ IEA); Khanna, Gopal (AHRQ/IOD ); Korch, George {OS/ASPR/IO); Lazare, Mary (ACL); McCance -Katz, Elinore (SAMHSA/OAS); McMillen, Chery l, (HHS/ASFR); Moughalian , Jen (HHS/ASFR); Nelson , Beth (HHS/IOS); Nguyen , Von (CDC/OD/OADP); Nichol ls, Richard (ACL); Noronha, Maya (HHS/OCR); O'Brien, John (HHS/ASP E); Pelekoudas, Kristina (HHS/IO$) ; Peop les, Sevetra (OS/ASPE); Redfield , Robert R. (CDC/OD) ; Roach, Angela (OS/DAB); Robertson , Lance (ACL); Robinson , Vick i L (OIG/I0) ; Rucker, Donal 'd (OS/ONC); Severino, Roge r AMlf IC/\r-... pVERSIGHT 2 EXT-18-1509-I-000194 Required Attendees: (HHS/OCR); Sheingold, Steven (HHS/ASPE); Sigounas, George (HRSA); Stallion, Vivian (HHS/OS); Tabak, Lawrence (N IH/OD) [EJ;Tobias, Constance (HHS/DAB) ; Townsend, Kara (HHS/ASPE); Turk, Denise M. (IHS/HQ); Vandivort -Warren, Rita (HRSA); Weahkee, Michael (IHS/HQ); Welch, Pete (HHS/ASPE); Wright, Don (HHS/OASH); Garcia, Vanessa (CMS/OSORA) ; Barco, Evell J. (CMS/OSORA) Purpose: CMS will brief HHS Reviewers on the CY 2019 .Medicare Hospital Outpatient Pro spective Paymen t System and Ambulatory Surgical Center Payment Systen, proposed rule -- Segment 5 .. Briefing Paper: CMS briefing paper attached: fl For further information please contact Rebecca Hirshom at 202-205-888 2 or Rebecca.Hirshom@hhs.gov AMlf IC/\r-... pVERSIGHT 3 EXT-18-1509-I-000195 Bell, Michael {OS/ASPA) Subject: Location: Connecting on FOIA's Marc h's office Start: End: Show Time As: Wed 5/30/2018 4 :30 PM Wed 5/30/2018 5:00 PM Tent ative Recurrence: (no ne) Meeting Status : Not yet responde d Organizer: Required Attendees : Frohboese, Robinsue (HHS/OCR) Bell, March (HHS/OCR) AMlf IC/\r-... pVERSIGHT 4 EXT-18-1509-I-000196 Bell, Michael (OS/ASPA) Subject: Location: AMA to meet with ASPA, Patrick Brennan and Carl Paulus Start : End: Mon 5/14/20 18 2;30 PM Mon 5/14/2018 2;45 PM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : llhl1filJ (OS/IOS); Harrison, 615-f Secretary Schedu ler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas , Kristina (HHS/10S); Ruth Fisher (Ruth .Fisher@hhs.gov ): Tigno r, Beth (HHS/ 10S) ; Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/10S); Brennan , Patrick (0S/ASPA) ; Paulus, Carl (0S/A'SPA); O'Brien , John (HHS/ASPE) Lead: ASPA To pic: Discuss speech for A EI AMlf IC/\r-... pVERSIGHT 14 EXT-18-1509-I-000197 Bell, Michael (OS/ASPA) Subject: AMA departs back to HHS Start : E'nd: Mon 5/14/2018 4:30 PM Mon 5/14/2018 S;00 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : Secretary Schedu ler (0S/10S) llhlLfill(OS/ 10S); Harrison, Brian (HHS/10S); Olson, Carolyn (0S/10S); Pelekoudas, Kristina (HHS/105); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/10S) AMlf IC/\r-... pVERSIGHT 17 EXT-18-1509-I-000198 Bell, Michael (OS/ASPA) Subject: AMA Departs for Studio Start: E'nd: Mon 5/14/2018 5:20 PM Mon 5/14/2018 5;50 PM Recurrence: (none) Meeting Status: Accepted Organizer : Required Attendees : Secretary Schedu ler (0S/10S) llhlZruJ (OS/10S); Harrison, Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas , Kristina (HHS/IOS); Ruth Fisher (Ruth.Fisher@hhs.gov); Tigno r, Beth (HHS/ 10S); Twomey, John K. (HHS/ASL); Urbanowicz , Peter (HHS/10S) AMlf IC/\r-... pVERSIGHT 1.8 EXT-18-1509-I-000199 Bell, Michael (OS/ ASPA) Subject: Location: AMA to do TV Interview with Judy Woodruff for PBS NewsHour 3620 27th St South, Arl ington, VA 22206 Start: End: Mon 5/14/2018 5:50 PM Mon 5/14/2018 6:30 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : lihlIBil(OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn Secretary Scheduler (OS/IOS) (OS/IOS); Pelekoudas , Kristina (HHS/1OS); Ruth Fisher (Ruth.Fisher@hhs.gov); Tigno r, Beth (HHS/1OS); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/1OS); Stecker, Judy (OS/ASPA); Ryan.Murphyl; Oakley, Caitlin B. (OS/ASPA) (Caitlin .Oakley@HHS.GOV); Brennan, Patrick (OS/ASPA) WHAT: National TV- PBS NEWS HOUR HOS T : Judy Woodruff WHEN: Monday 5/ 14 @ 6:00PM ET LOCATION: WETA STUDIOS-3620 S. 27th Stree t Arlington VA 22206 LENGTH: 10-15 minutes (could be as long as 20) TOPIC: drug pricing CONTACT: Jason Kane (jkane(ii~newshour.or g) Caitlin will staff https ://weta.orq/about/contact/directions AMlf IC/\r-... pVERSIGHT 19 EXT-18-1509-I-000200 Bell, Michael (OS/ASPA) Subject: Location: AMA Dinner 3251 Prospect St. NW Washington, DC 20007 Start : End: Mon 5/14/2018 7 :30 'PM Mon 5/14/2018 8:30 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : lilili:filJ (OS/IOS) lrb\(6) AMlf IC/\r-... pVERSIGHT Secretary Schedul er (OS/10S) IBeth Tignor (HHS/ IOS) (Beth.Tigno r@hhs.gov) ; Brian Harri son (HHS/10S) (Brian.Harrison@hhs.gov); Carolyn Olson (0S/10S) (Carolyn.Olson@hhs .gov) ; John K. Twomey (HHS/ASL) (John.Twomey@HHS .GOV); Kristina Pelekoudas (HHS/10S) (Kristina.Pelekoudas@hhs.gov); Peter Urbanowicz (HHS/IOS) (Peter.Urbanowjcz@hhs .gov);. Ruth Fisher 20 EXT-18-1509-I-000201 Bell, Michael (OS/ASPA) Subject: Location : AMA to do Radio Interview w/ WMAL's Mornings on The Mall 615-F / Call in Start : End: Tue 5/15/2018 7:35 AM Tue 5/15/2018 7:45 AM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : lfrilifilJ(OS/IOS); Harrison, Secretary Scheduler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas, Kristina (HHS/IOS); Ruth Fisher (Ruth.Fisher@hhs.gov); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanowict, Peter (HHS/1OS); Smith , Gavin (OS/ASPA); Ryan.Murphyl; Oakley, Caitlin B. (OS/ASPA) (Caitlin .OakJey@HHS.GOV); Stecker, Judy (OS/AS PA) WHAT: Radio Interview w/ WMAL 's Morning s on the Mall WHEN: Tuesday 5/ 15 @ 7:35am WHERE: Secretary's Confe rence Room LENGTH: 10 minutes HOS TS: Vince Coglianese and Mary Walter CALL-IN#: 202-686 -3018 BACKUP # : 202-686-3055 CONTACT: Heather Smith Hunter b)(6 ) @gmai l.com / ~l (b_)(_ 6)__ -f AMlf IC/\r-... pVERSIGHT 21 ~ EXT-18-1509-I-000202 Bell, Michael (OS/ASPA) Subject: Location : AMA to do Radio with Michael Koolidge Show 615- F/ Call in Start : End: Show Time As: Tue 5/15/2018 8:00 AM Tue 5/15/2018 8:10 AM Tentative Recurrence: (none) Meeting Status: Tentative ly accepted Org anizer : Required Attendees : Secretary Schedu ler (OS/IOS) l!hl!fill(0S/I0S); Harrison, Brian (HHS/I0S); Olson, Carolyn (0S/I0S); Pelekoudas, Kristina (HHS/I0S); Ruth Fisher (Ruth.Fisher@hhs .gov); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/IOS); Smith , Gavin (OS/ASPA); Stecker, Judy (OS/ASPA); Ryan.Murphy1; Oakley, Caitlin B. (OS/ASPA) (Caitlin.Oakley@HHS.GOV) 8:00am: Michael Koolidge Show Secretary's Personal Conference Room Dial-in: 1-815-561-7130 Duration: 5-7 minutes Type of interview: Taped AMlf IC/\r-... pVERSIGHT 22 EXT-18-1509-I-000203 Bell, Michael (OS/ASPA) Subject: Location: AMA reoccurring meeting with CDC Director Dr. Redfield Start : End: Tue 5/15/2018 10:30 AM Tue 5/15/2018 11;GOAM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlffiTI (OS/IOS); Harr ison, Brian (HHS/IOS); Olson, Carolyn 615-F Secretary Schedu ler (OS/IOS) (OS/IOS); Pelekoudas, Kristina (HHS/10S); Ruth Fisher (Ruth.Fisher@hhs.gov); Tignor, Beth (HHS/10S) ; Lap inski, Mary-Sump ter (HHS/IOS); Twom ey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/10S); Redfield, Robert R.(CDC/OD); Strength, Tracie (CDC/OD/OCS); Williams, Teresa (CDC/OD/OCS); Agnew, Arm (HHS/IOS) Reoccurrin g meet ing AMlf IC/\r-... pVERSIGHT 24 EXT-18-1509-I-000204 Bell, Michael (OS/ASPA) Subject: Location: AMA Briefings ahead of the World Heal t h Assembly (WHA Start : End: Tue 5/15/20 18 11 :00 AM Tue 5/15/2018 12:00 PM Recurrence: (no ne) Meeting Statu s: Accepted Organizer : Required Attendees : llhl:LruJ (OS/IOS) ; Harrison , Brian (HHS/IOS) ; Olson, 615-F Secretary Scheduler (OS/ IOS) Carolyn (OS/IOS) ; Pelekouda s, Kristina (HHS/IOS ); Tignor, Beth (HHS/IOS) ; Twomey, John K. (HHS/ASL ); Urbanow fcz, Peter (HHS/ 105); Grigsby , Garrett (HHS/OS/OGA) ; Zebley, Kyfe (HHS/ 105); Healy, Jenifer (HHS/0S/OGA) ; Schaeffer , Alison (HHS/ 0S/OGA); Ruth Fisher Topic: Briefings ahead of the World Health Assemb ly (WHA}. Objective: To prepare Secretary Azar for his trip to the World Health Organization ' s (WHO) WHA in Geneva. AMA's Role: To be briefed on WHA. Project Lead (IOS Senior Staff): Working Project Lead (Name , Cell and email): Alison Schaeffer , Alison .schaeffer@hhs.g ov or Jenifer Healy, jenifer .healy@hhs.gov l(b)(6) I Is Conference Call Line needed? No Who will initiate the conference call? N/ A Who will provide Brief ing materials? OGA, through Exec Sec. HHS Staff Attendees: Garrett Grigsby and Jenifer Healy. Potentia lly 2-3 addit iona l OGA staff specific t o the content of each briefing . External Attendees: None Schedule Reque st Justification : Briefing: 1. Present the background on WHA, the general overall flow of WHA and a basic overview of timeline for the meeting. 2. (b)(5) 3. Review initial schedu le recommendations 4. b)(5) 5. Review bilateral meeting and side event recommendations I\ pVERSIGHT 25 EXT-18-1509-I-000205 Bell, Michael (OS/ ASPA) Subject: Location : AMA to do TV interview with KUTV - Salt Lake Cit y HHS Studio Start : End: Tue 5/15 / 20 18 1:00 PM Tue 5/15/2018 1:10 PM Recurrence: (none ) Meeting Status: Accepted Organizer : Required Attendees: IZhlffilJ (OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn Secretary Scheduler (OS/ IOS) (OS/1OS); Pelekoudas , Kristina (HHS/IOS); Ruth Fisher (Ruth.Fisher@hhs.gov); Tigno r, Beth (HHS/ IOS); Twomey, John K. (HHS/ASL); Urbanowicz , Peter (HHS/1OS); Stecker, Judy (OS/ ASPA); Smith , Gavin (OS/ASPA); Brenn~n, Patrick (OS/ASPA); Oakley, Caitlin B. (OS/ASPA) (Caitlin.Oakley@HHS.GOV); Ryan.Murphy1 1:00pm: KUTV - Salt Lake Cit y HHS TV Studio Duration: 3-5 minutes Type of interview: TaDed AMlf IC/\r-... pVERSIGHT 27 EXT-18-1509-I-000206 Bell, Michael (OS/ASPA) Subject: Location: AMA reoccurring meet ing w it h Dep . Sec. Start : End: Tue 5/15/2 018 i: 30 PM Tue 5/15/2018 2:00 PM Recurrence: (no ne) Meeting Status: Accepted Organizer: Required Attendees : llhlLfiil(OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn AMlf IC/\r-... pVERSIGHT 615-F Secretary Scheduler (OS/ IOS) (OS/IOS); Pelekoudas , Kristina (HHS/10S); Ruth Fisher (Ruth .Fisher@hhs.gov); Tigno r, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanowict, Peter (HHS/10S); Brady, Will (HHS/10S); Callahan, Kenneth (HHS/10S); DeputySecretary (0S/ 10S); llhlLI 28 EXT-18-1509-I-000207 Bell, Michael (OS/ASPA) Subject: Location: AMA Briefing" Ebola, Lessons Learned" 615- F Start : End: Tue 5/15/2018 2:30 PM Tue 5/15/2018 3:00 PM Recurrence: (.none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlLfilJ (OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn Secretary Scheduler (OS/IOS) (OS/IOS); Pelekoudas , Kristina (HHS/IOS); Ruth Fisher (Ruth .Fisher@hhs.gov); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/IOS); Meekins, Chris (OS/ASPR/IO); Kadlec, Robert (OS/ASPR/1O); Caliguiri, Laura (HHS/IOS); Robert (Kyte) McGowan (CDC/OD) (omc2@cdc .gov) ; Grigsby , Garrett (HHS/O5/OGA); Moughalia('J, Jen (HHS/ASFR); Redd, John T. (CDC/OPHPR/OD); Berger, Sherri (CDC/OCOO/OD) ; Schuchat, Anne MD (CDC/OD); Redd, Stephen (CDC/OPHPR/OD); Redfield , Robert R. (CDC/OD) AMA & DCoS ~equested lcb.... ..... ){...., 6..... ) __ _.IPC: lcb)/6) _,IPC: ltb)C6) I leader code: ..... l(b_)_ (6_) _____ AMlf IC/\r-... pVERSIGHT 29 ! leader code : ltb)C6) EXT-18-1509-I-000208 Bell, Michael (OS/ASPA) Subject: Location: AMA prep session for AEI Speech & Breakfast with Reporters Start : End: Tue 5/15/2018 3:30 PM Tue 5/15/2018 4:30 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : llhlLfill(OS/IOS); Brennan, 615-F Secretary Scheduler (OS/IOS) Patrick (OS/ASPA); Harrison , Br.ian (HHS/IOS); Katavritinos, Jack (OS/IEA); Murphy, Ryan (O5/ASPA); Oakley , Caitlin B. (OS/ASPA); Olson, Carolyn (OS/IOS); Paulus, Carl (O5/ASPA); Pelekoudas, Kristina (HHS/IOS); Ruth Fisher (Ruth .Fisher@hhs .gov); Smith, Christopher (HHS/ASPA); Stecker, Judy (O5/ASPA); Tignor, Beth (HHS/ IO5); Trueman, Laura (HHS/IEA); Twomey, John K. (HHS/ASL); Urbanowicz , Peter (HHS/1OS) As requested by Brian Lead: ASPA- for speech prep Lead: IEA for content prep AMlf IC/\r-... pVERSIGHT 30 EXT-18-1509-I-000209 Bell, Michael (OS/ASPA) Subject: Location: AMA to Review materials for meeting with GK 615-F Start : Tue 5/15/2018 5:30 PM End: Tue 5/15/2018 6:00 PM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlffiTI (OS/IOS); Harrison, AMlf IC/\r-... pVERSIGHT Secretary Schedu ler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas , Kristina (HHS/10S); Ruth Fisher (Ruth .Fisher@hhs.gov ); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanowict, Peter (HHS/IOS); O'Bri en, John (HHS/ASPE), Best, Daniel (HHS/10S); Parker, Jim (HHS/ IOS) 31 EXT-18-1509-I-000210 Bell, Michael (OS/ASPA) Subject: Location: AMA personnel fol low up Start : End: Tue 5/15/2018 6:00 PM Tue 5/15/2018 6;30 PM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlLfill(OS/IOS); Urbanowicz, 615-F Secretary Schedu ler (OS/IOS) Peter (HHS/IOS); Harrison , Br.ian (HHS/IOS) (Brian.Harrison@hhs.gov) AMlf IC/\r-... pVERSIGHT 32 EXT-18-1509-I-000211 Bell, Michael (OS/ ASPA) Subject: AMA to do "Breakfast with Reporters" and speech at AEI, Fixing Health Care: Driving Value through Smart Purchasing and Policy event The American Enterprise lnstitue, 1789 Massachusetts Avenue NW Location: Start : End: Wed 5/16/2018 7:45 AM Wed 5/16/2018 9:30 AM Recurrence: (non e) Meeting Status: Accepted Organizer : Required Attendees : liiilifil1(OS/IOS); Brennan, Patrick IJ , Iii, ti}'.'I' '.<11,,j , /oo411r1,.,,:l.11,,:~J o .- ? AMlf Secretary Schedu ler (OS/IOS) (OS/ASPA); Harrison, Brian (HHS/IOS); Kalavritinos, Jack (OS/ IEA); Olson, Carolyn (OS/IOS); Paulus, Carl (OS/ASPA); Ruth Fisher; Pelekoudas, Kristina (HHS/IOS); Smith, Christopher (HHS/ASPA); Tignor, Beth (HHS/ IOS); Trueman, Laura (HHS/IEA); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/ IOS); Oakley , Caitlin B. (OS/ASPA) (Caitfin.Oakley@HHS.GOV); Ryan Murphy (OS/ASPA) (Ryan.Murphy1@hhs.gov) I,o~11,ll"J l:11..,ll,l;u~ ,.,,, , ...... 'f 1,1) l~: ~.'\t., t o~... 7:45 am AMA arrives at AEI, P stree t entrance; Advance Lead -Carolyn Olson- will meet AMA on arr ival and lead to HOLD room - "Board Room." (14 min) NOTE: John Cusey, Vice President of Communications and Government Relations, will greet AMA on arrival. ? 7:59 am AMA moves to breakfast event . - Room 108. (1 min) ? 8:00 am AMA participates in breakfast event with select reporte rs. (45 min) Note: AMA will be seated next to Joes Antos (Right), William Kramer and Paul Ginsberg (Left). Veronique Rodman and Michael Pratt (AEl's media team) will be present to help facilitate the discussion. ? 8:45 am Breakfast event concludes and AMA moves back to HOLD room for speech prep/REFRESH.(13 min) ? 8:58 am AMA moves to back of auditorium HOLD area. (2 min) IC/\r-... pVERSIGHT 33' EXT-18-1509-I-000212 ? 9:00 am Bill Kramer (Executive Director for National Health Policy, Pacific Business Group on Health) gives welcome remarks and introduces AMA. (1 min) ? 9:05 am AMA enters back of auditorium and goes around to STAGELEFTand gives remarks from podium. (20 min) ? 9:25 am AMA concludes remarks and opens up for a couple question moderated by Joe Antos (AEI). (5 min) ? 9:30 am AMA departs STAGELEFTand exits room back of auditorium and departs building. AMERIC/\r-... pVERSIGHT 34 EXT-18-1509-I-000213 AGENDA Fixing health care: Driving value throug h smart purchas ing and pol icy DETAILS Wednesday, May 16, 2018 9:00 AM - 12:00 PM Coffee and cookies will be available. AEI, Auditorium 1789 Massachusetts Ave, NW Washington, DC 20036 This event will be livestrea med. PARTICIPANTS/AGENDA 8:45 AM Registration and breakfast 9:00 AM Introd uction : William Kramer, Pacific Business Group on Health 9 :05 AM Keynote : Alex Azar, Secretary of Health and Human Services 9 :30 AM Q&A 9 :35 AM Panel I Introduction : Annette Guarisco Fildes, ERISAIndustry Committee Panelists: Kevin Bozic, University of Texas at Austin Dell Medica l School Rushika Fernandopulle , Iara Health Ma i Pham, Anthem Jeffery White , Boeing Moderato r : Paul Ginsburg, USC-Brookings Schaeffer Initiative fo r Health Policy AMERIC/\r-... pVERSIGHT EXT-18-1509-I-000214 10:45 AM Panel II Panelists: Lanhee Chen, Hoover Institutio n ChrisJennings, Jennings Policy Strategies Mark Miller , Laura and John Arnold Foundat ion Gail Wilensky, Project HOPE Moderato r : Joseph Antos, AEI 11:50AM Closing remarks: Joseph Antos, AEI 12:00 PM Adj ournment AMERIC/\r-... pVERSIGHT EXT-18-1509-I-000215 1. What is the location address? American Enterprise Institute 1789 Massachusetts Avenue NW Washington, DC 20036 Z. What time would you like him to start? 9:00am 3. How long would you like him to speak? 20 minutes of address, followed by 5 minutes of Q&A 4. What is the main topic you would like for the Secretary to address? Are there specifics item you would like for him to talk about? How value in health care can be driven through smart purchasing and policy. 5. Would you like him to save time for Q&A with the audience? Yes 6. What is the approximate number of people you expect in attendance? We can fit our comments to fit the audience that you expect. What groups of people will be represented in the room? Ex:Insurers, Surgeons, etc? 150-200 people in attendance With 700-1000 livestream views. There will be representative industry , non-profits, academia, media, government, general stakeholders 7. from Where should he check-in when he arrives? A member of AEl's Government Relations team wlll greet him at the front door of AEI on the corner of 18th and Massachusetts Avenue and escort him to the hold room. 8. Is the organization inviting the press? Yes. 9. Are there any other details and/or advice that you can offer? The event is co-sponsored by the American Enterprise Institute, the USC-BrookingsSchaeffer Initiative for Health Policy, and the Pacific Business Group on Health. Following Secretary Azar's remarks, there will be two panels. A "private sector innovations" panel representing large employer purchasers, payers and providers will discuss their initiatives to promote better value, greater consumer engagement, and cost containment. A "pub lic policy" panel will identify how the lessons from innovative private sector models can be applied to public policy . 10. Who is the main point on contact? Emily Rapp Government Relations, Assistant Director for Domestic Policy American Enterprise Institute (202) 419-5212 Emily.Rapp@aei.org 11 . What is the suggested attire? Business AMEf IC/\r-... pVERSIGHT EXT-18-1509-I-000216 Invitations Information Checklist* Please attach a copy of your invitation, or request and provide us with the following information : 1. Name of event: ''Fix ing Healt h Ca re : Driving Val ue through Smaii Purchasing and Policy ' 2. Date of event: May 16, 2018 3. Location of event : American Enterprise In stitute 1789 Massachusetts Avenue NW Washington , DC 20036 4. Approximate number of attendees: 150-200 in attendance plu s and 700-1000 livestream views 5. Describe the categories of anticipated attendees (industr y, government, academics ?): Industry , non -profi ts, academia, media, governmen t, genera l stakeho lders 6. Who is holding/organizing the event: The A merican Enterp rise Institute, the USC- Brook ings Schaeffe r initiative for Health Policy, and the Pacific Bus iness Group on Health 7. Name of the source of the invitation (if other than the event organizer) : Ame rican Enterpr ise Institute 8. Name of the individual extending the invitation, if other than the event organizer: Joseph R. Antos , Ph.D. Wilson H. Tay lor Scho lar in Health Care and Re tirement Policy American Enterprise In stitute Paul B. Gin sburg, Ph.D. Dire ctor , Ce nter for Health Policy USC-Brookings Schaeffer Initiative for Hea lth Polic y Bill Kramer. MBA Executive Director, National Health Policy Pacific Business Group on Health 9. Name of the point of contact for the event, the contact's telephone number and email address (in case we have follow-on questions ): Emi ly Rapp (202) 4 19-52 12 emily.rapp @aei .org AMERIC/\r-... pVERSIGHT EXT-18-1509-I-000217 10. Is the organization extending the invitation a federally registered lobbying organization? No. AEI is a 501(c)(3) tax exempt educationa l organization. 11. If you answered yes to question 10, is the organization extending the invitation a 501(c)(3) tax exempt organization under the federal Internal Revenue Code, or a media organization? AEI is a 501(C)(3) tax exempt organization. 12. Is the individual extending the invitation a federally registered lobbyist? No 13. Are you inviting the federal employee to participate as a speaker, panel member, or otherwise present information at the event, or just to attend? If yes, please describe. We are inviting the Secretary to parti cipate as the keynote speaker. 14. Is the event a charitable fundraiser? No 15. What is the ticket price or registration fee for this event, if any? Free 16. If there is no ticket price or registration fee, what is the fair market value for attendance at the event (or the per person cost to the event organizer)? NIA 17. Is a spouse or other guest invited? No 18. If you answered yes to question 17, will others in attendance generally be accompanied by a spouse or other guest? Ethics regulations provide that an employee may accept one additional invitation only when others in attendance will generally be accompanied by a spouse or other guest. NIA 19. Will attendance at this event requir e travel? No * Please note that this Checklist is not intended for use in reviewing invitations to political events. November 14, 2014 AMERIC/\r-... pVERSIGHT EXT-18-1509-I-000218 BROOKlt GS USCSchaeffer PBGH i'AOtlCBllSINfs; ljl\Qlll'I\N HrAtJH April 19, 2018 The Honorable Alex Azar Secretary U.S. Department of Health and Human Services 200 Independence Ave., SW Washington, DC 20201 Dear Secretary Azar: We would like to invite you to be the opening keynote speaker at our upcoming event, "Fixing Health Care: Driving Value through Smart Purchasing and Policy". The event is co-sponsored by the American Enterprise Institute (AEI), the USC-Brookings Schaeffer Initiative for Health Policy, the Pacific Business Group on Health (PBGH), and the ERISAIndustry Committee. The event will be held at the American Enterprise Institute in Washington DC on Wednesday, May 16, from 9:00-12:00. Our objectives for this event are to: o Raise the visibility of the "value agenda" among federal policymakers and private sector purchasers; o Promote specific value-based innovations from private sector purchasers that should be considered by Medicare and Medicaid ; o Advocate for closer alignment between public and private sector purchasers on value-based provider payment models, benefit designs and performance measures. We believe this is a great opportunity for you to send a strong message to policymakers, the health care industry, and business leaders about the importance of improving health care quality and affordability . Your remarks on the use of transparency, value-based provider payment, consumer empowerment, performance measurement and other tools to drive improvement would be an important component of our program . Our planned event is a sequel to one that was co-sponsored by AEI, Brookings, and PBGH on January 13, 2017, "Fixing Health Care: Practical Lessons from Business Leaders." (The event summary contains links to a 3-minute highlights video as well as more detailed information .) Based on our experience from last year's event, we expect to have 150-200 people in attendance and 700-1000 livestream views. The audience will consist of: o Policymakers AMERIC/\r-... pVERSIGHT EXT-18-1509-I-000219 o o o o Health care industry stakeholders : physician, hospital, health plan, suppl ier associations Health care purchasers: large employers, trade associations, regional business coalitions Policy influencers: think tanks, academics, and others Med ia Your keynote address would start at 9:00 am. We suggest that you give 20 minutes of remarks followed by about 5 minutes for audience Q&A. We are happy to adjust the schedule as needed. We are hopeful that you would see this event as a good opportunity for advance your agenda, and we look forward to a positive response. b....,. )..,., (6,.,.. )-----,1 or iantos@aei.org with any questions or comments Please contact Joseph Antos at K..,,. about this request . Thank you for your consideration. Sincerely, Joseph R. Antos , Ph.D. Wilson H. Taylor Scholar in Health Care and Retirement Polley American Enterprise lhstitute /s/ Paul B. Ginsburg, Ph.D. Director , USC-Brookings Schaeffer Initiative for Health Polky Leonard D. Schaeffer Chair in Health Policy Studies, The Brookings Institution Professor of Health Policy and Director of Public Policy, Schaeffer Center for Health Policy and Economics, University of Southern California William E. Kramer Executive Director for Health Policy Pacific Business Group on Health AMERIC/\r-... pVERSIGHT EXT-18-1509-I-000220 A BROOl I I USC Schaeffer PBGH PAClflCBUSINESS GROUPON HEALIH Fixinghealth care: Driving value through smart purchasingand policy Remarks from Secretary of Health and Human Services Alex Azar Wednesday , May 16, 20 18 9:00am -12:00pm AEI Audito rium The US health care system faces a crisis of cost, ineff iciency , low value, and compl exity. As the T rump admini stratio n and Congress work to refonn health care, they should consider the inn ovative approaches develo ped by purchase rs who cover more than half of all Americans - employe r-sponso red hea lth plans. Lar ge employers have improved q uality and controlled cos ts through patien t engagement , prov ider payme nt reform , ,md delivery system impro vement. Join AEI, the USC -Brookin gs Schaeffe r Initiati ve for Health Policy, and the Pacific Business Gr oup on Health and for an outside- the-Beltway perspect ive on fix ing the Amer ican health care system . Health and Huma n Services Secre tary Alex Azar will outline the challenges we face and opportu nities for public and pt ivate action. Attendees will also hear fro m leadin g empl oyers, payers, and prov iders abo ut their initiatives. A seco nd panel of policy experts will discuss the opp ortunities and challenges of adopting employer health innovat ions in federal health progra ms. Agenda 8:45 AM Regis tra tion and breakfas t 9:00 AM Introduc tion: William Kram er, Pacific Bu siness Grou p on Health 9:05 AM Keynote: Ale x Azar , Secretary of Hea lth and Human Serv ices 9:30 AM Q&A 9 :35 AM Introduct ion: Annette Guarisco Fildes , BRISA Industry Comm ittee AMERIC/\r-... pVERSIGHT EXT-18-1509-I-000221 Panell Jeffery White , Boeing Rushika Fernandopulle, IOR A Health Mai Pham, Anthem Kevin Bozic , UT Dell Medical School (invited) Moderator: Paul Ginsburg, USC-Brookings Schaeffer Initiative for Health Policy 10:45 AM Panel II Lanhee Chen, Hoove r Institution Chris Jennings , Jennings Policy Strategies Mark Miller, Laura and John Arnold Fou ndation Gail Wilensky, Project HOPE Moderator: Joseph Antos, AEI 12:00 PM Adjournment AMERIC/\r-... pVERSIGHT EXT-18-1509-I-000222 Bell, Michael (OS/ASPA) Subject: AMA departs back to HHS Start: E'nd: Wed 5/16/2018 9:30 AM Wed 5/16/201810:00 AM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : Secretary Schedu ler (0S/I05) llhlffiil(OS/I0S); Brennan, Patrick (OS/ASPA); Harrison 1 Brian (HHS/I0S); Katavritinos , Jack (OS/IEA); Murphy, Ryan (05/ASPA); Oakley, Caitlin B. (0S/ASPA); Olson, Carolyn (0S/I0S); Paulus, Carl (0S/ASPA); Pelekoudas, Kristina (HHS/I0S); Ruth Fisher (Ruth.Fisher@hhs.gov) : Smith, Christopher (HHS/ASPA); Stecker, Judy (0S/ASPA) ; Tignor, Beth (HHS/I05); Trueman, Laur-a (HHS/IEA); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/105) AMlf IC/\r-... pVERSIGHT 35 EXT-18-1509-I-000223 Bell, Michael (OS/ASPA) Subject: Location: AMA pre - brief with Cpt. Schmoyer Start : End: Wed 5/16/2018 11:TS AM Wed 5/16/2018 11 :30 AM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : !lhlffiil(OS/IOS); Harrison, AMlf IC/\r-... pVERSIGHT 615-F Secretary Schedu ler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (0S/IOS) ; Pelekoudas, Kristina (HHS/10S); Ruth Fisher (Ruth .Fisher@hhs.gov); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanowicz, Peter (HHS/10S}; Schmoyer, Michael (OS/OSSI}; Aguirre, Lisa (0S/10S/OSSI); Freas, Christa (0S/AS A/OSSI) (CTR) 37 EXT-18-1509-I-000224 Bell, Michael (OS/ ASPA) Subject: Location: AMA to do a drop by at KidneyX meeting hosted by CTO Start : End: Wed 5/16/2018 11:00 AM Wed 5/16/201811:15 AM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlIBll(OS/IOS); Harrison, Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas, 325A Secretary Scheduler (OS/IOS) Kristina (HHS/10S); Ruth Fisher (Ruth.Fisher@hhs.gov); Tigno r, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanowict, Peter (HHS/IOS); Patel, Sandeep (OS/ASA); Greenstein, Bruce (OS/< IOS) ,, <<.1 l:u o11: ,1,,ht11 o1 ;"1 ~ ~'!.. 11ooa~u111o11"~ 0.,1 o n:1111 o ;, 1~4111111 1, i,.. 1 JI1 ,.,,:[.. ~ (o.,-01,ri....11 .~. II1 1,1,1t,l(.j, , J; Ji,:1,,, ..o. Scheduling Request Memo for Secretary Azar Topic: M eeting with Chronic Kidney Disease Patients Obj ective: For chronic kidney disease patients from the Patient and Family Partnership Council to share their experience with kidney disease with HHS leaders from across the Depa rtment AMA 's Role: Secretary Azar's role is to listen to the patients' stories Project Lead (IOS Senior Staff) : Bruce Greenstein, HHS CTO Working Project Lead (Name, Cell and emaH): Sandeep Patel, .__! (b-').,_ (6.... ) __ ___,I Sandeep .Patel@hhs .gov Is Confer ence Call Line needed? No Who will init iat e th e confer ence call? N/A Who will provide Briefing materi als? Office of the CTO staff HHS Staff Attend ees: We are planning to invite Op/Div leaders from CMS, FDA, NIH and ASPE External Attendees : Kidney disease patients from the Patient and Family Partnership Council of the public-p r ivate Kidney Health Initiative and membe rs of the American Society of Nephrology AMlf IC/\r-... pVERSIGHT 38 EXT-18-1509-I-000225 Schedule Request Justificat ion: This meeting is a part of the Kidney Innovation Accelerator (KidneyX) which is a publicprivate partnership between HHS and the American Society of Nephrology to accelerate the development of nextgeneration devices, therapeutics, and diagnostics to curb the $35B/yr CMS spends to pay for dialysis and provide better treatment options for patients . In concert, we are creating new collaborations among CMS, FDA,and NIH to expedite and better align regulatory and reimbursement decisions. The patient voice is the most important stakeholder in this initiative and we have invited patients with kidney disease to share first-hand their experience with kidney disease. AMlf IC/\r-... pVERSIGHT 39 EXT-18-1509-I-000226 Page31 to Page32 ithheld pursuantlo exemption (b)<5) or tne Freedom or Inrormat1on Act \M_~ I AN PVERSIGHT EXT-18-1509-I-000227 - -- - - - -- - - - ..._'Sf~tl\ ' l<'t<),I co...tie!.. DEPARTMENT OF HEALTH & HUMAN SERVICES Office uf 1. he S~ (6~) ___ Is Conference Call Line needed? No Who will initiate the conference call? N/ A Who will provide Briefing materials? Chris Meekins HHS Staff Attendees: Bob Kadlec, Chris Meekins, Rick Bright, Laura Caliguiri External Attendees: N/ A Schedule Request Justification: As part of the 2is t Century Cures legislation, ASPRthrough BARDAwas instructed to create a new public-private medical countermeasure innovative partnership program. ASPR/BARDAplan to launch the program in early June. In short, the new program intends to out DARPA, DARPA. This program intends to develop innovative approaches to issues related to medical countermeasures that may not fit in the traditional BARDA advanced research and development model. It will leverage public monies (25m initial BARDA investment , as well as funds from DoD and other areas in HHSas well as public sector funds including from venture capital). The key impact areas for the program are: prevent illness from infectious exposures through early identification and action; save lives by solving sepsis; create universal treatment options for broad classes of pathogens; ensure access to life-saving medical countermeasures for all Americans; and transform the process by which medical countermea sures are developed (non-animal testing). Though a different approach, it will build on successes of the CARB-Xprogram and BARDA's 35 FDA approvals of countermeasures. We AMlf IC/\r-... pVERSIGHT EXT-18-1509-I-000243 DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the Secretary ask for 30 minutes sometime in May to brief the Secretary . The Deputy Secretary has already been briefed and is supportive of the program. Internal Use Only Who approved by Cos/ DCoS: Accepted / Decline/ Surrogate: Scheduled: AMlf IC/\r-... pVERSIGHT EXT-18-1509-I-000244 DARPA.This program intends to develop innovative approaches to issues related to medical countermeasures that may not fit in the trad it ional BARDAadvanced research and development model. It w ill leverage public monies (25m initial BARDAinvestment , as well as funds from DoD and other areas in HHS as well as public sector funds includ ing from venture capital). The key impact areas for the program are: prevent illness from infectious exposures through early identification and action; save lives by solving sepsis; create universal treatment options for broad classes of pathogens; ensure access to life -saving medical countermeasures for all Americans ; and transform the process by which medical countermeasures are developed (non-animal testing). Though a different approach, it will build on successes of the CARB-X program and BARDA's 35 FDA approvals of countermeasures. We ask for 30 minutes sometime in May to brief the Secretary. The Deputy Secretary has already been briefed and is supportive of the program. AMlf IC/\r-... pVERSIGHT 53 EXT-18-1509-I-000245 Bell, Michael (OS/ASPA) Subject: Location: AMA to do Politico Pulse Podcast W/ Dan Diamond HHS Studio Start : End: Thu 5/17/2018 10:45 AM Thu 5/17/2018 11:00 AM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : lfrilifilJ(OS/IOS); Harrison, Secretary Scheduler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas, Kristin a (HHS/IOS); Ruth Fisher (Ruth.Fisher@hhs.gov); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanowict, Peter (HHS/IOS); Stecker, Judy (OS/ASPA); Ryan.Murphy1; Oakley, Caitlin B. (OS/ASPAJ (Caitlin .Oakley@HHS.GOV); Brennan, Patrick (OS/ASPA) WHAT: In -Person "Politico Pulse" Podcast Inte rview w/ Dan Di amond WHEN: Thur sday, 5/17 @ 10:45 AM EDT LENGTH: 10-15 minutes TOPIC: drug pricing LOCATION : HHS Studio l(b_ )_ (6_)___ _. CONTACT : ddiamond (f1!po litico.com , ..... STAFF : Ryan Murph y NOTE(S): Upon aITival Dan will call Riley. He is bringing his produ cer, Micaela Rodrfg1.1ez,with him. Riley will take Dan & Micaela to the stt1dio . Ryan w ill escor t Secretary Azar post-prep to the interview at I 0;45 am. Questions will focus on drug pri cing. May include questions such as , "what has he learn ed from the dru g pricing rollo ut" and will discuss topics like:. o o o o o o Why the Trnrnp administra tion is pu shing drug price reform What's in the plan and what isn' t The Obama admini stration ' s dru g price plan (the Part B demo) failed; why will this one be a succes s How will success be judged What were the key cons iderations when crafting the dtu g plan What's being missed by the media coverage AMlf IC/\r-... pVERSIGHT 54 EXT-18-1509-I-000246 Bell, Michael (OS/ASPA) Subject: Location: AMA prep for Politico Podcast Start : End: Thu 5/17/2018 10:30 AM Thu 5/17/2018 10:45 AM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendee~ llhlLfilJ (OS/IOS); Harr ison, Brian (HHS/IOS); Olson, Carolyn AMlf IC/\r-... pVERSIGHT 615-F Secretary Schedu ler (OS/IOS) (OS/IOS); Pelekoudas, Kristin a (HHS/I0S); Ruth Fisher (Ruth .Fisher@hhs.gov); Tignor, Beth (HHS/I0S) ; Twomey, John K. (HHS/ASL); Urbanowict, Peter (HHS/IOS); Stecker, Judy (OS/ASPA); Oakley, Cait lin B. (0S/ASPA) (CaitHn.Oakley@HHS.GOV); Ryan;Murphy1; Brennan , Pat rick (0S/ASPA) 55 EXT-18-1509-I-000247 Bell, Michael (OS/ASPA) HOLD : AMA to call NIDILRR, Robert J. Jaeger, PhD Subject: Location: 615-F / call Start : End: Thu 5/17/201811:15 AM Thu 5/17/2018 11:30 AM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : liiillfill(OS/IOS); Harrison, Robert J . Secretary Schedu ler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas , Kristina (HHS/IOS); Tignor, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Ruth Fisher; Urbanowicz, Peter (HHS/1OS) Jrgr PhD I; 'i\"'': 1::i ..lt.l:11 11 11,:, ,;1.,,,. i,1,r 11,11l:f(o,oo Directo National Institute on Disability , Independent Living , and Rehabilitation Research (NIDILRR) Administration for Community Living (ACL) US Department of Health and Human Services (HHS) Office : Mary E. Switzer Building - Room 2517 330 C Street SW , Washington DC 20201 Desk: 202.795 .7459 AMlf IC/\r-... pVERSIGHT 56 EXT-18-1509-I-000248 Bell, Michael (OS/ASPA) Subject: Location: AMA meeting with IEA to review updated Memoria l Day options Start : End: Thu 5/ 17/2018 11:00 AM Thu 5/17/201811:15 AM Recurrence: (.none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlLfilJ (OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn 615-F Secretary Scheduler (OS/IOS) (OS/IOS); Pelekoudas , Kristina (HHS/10S ); Ruth Fisher (Ruth.Fisher@hhs.gov); Tigno r, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanowict, Peter (HHS/10S); Kalavritinos, Jack (OS/IEA); Trueman, Laura (HHS/IEA); Reilly, Erin (OS/IEA) (CTR) ~ IMl1,1,11Jt ll,,lil11,.,::o,.<111'i1, ',.' ',{ .,.,f,, ,u I Scheduling Request Memo for Secretary Azar Topic : Memoria l Day Events in Sal.isbury, MD Objective: In pursu ing the Wicom ico COLmtyEve nt on Monday , May 2 8 we learned that they have a long standing policy of having no elected or appointed offic ials partic ipate in their event. They want to foc us so lely on the depar ted veterans. After learning this information we have found a new even t for The Secreta 1y to attend . AMA 's Role: Attend American Legion Post 64 Event in Salisb ury, Md . The memoria l event begin s at 12:00pm on Sunday, May 27 . He wi ll have an opport u nity to give brief rem arks to the audience. o American Legion Post 64 1109 Amer ican Legion Rd Salisbury, MD 2 1801 o Dave Wharton is the Chairman of the eve nt. His cell is !~ (b~)(~6~} ___ ~ Project Lead (IOS Senior Staff): o o Jack Kalavritino s Laura Trueman Working Project Lead (Name , Cell and email) : o o I Erin Reilly ,l(b)(6) Erin.Rc11ly(a)b.bs.1? ov We are coo rdinating events w ith Rep Andy Harris' office Who will provide Briefing materials ?: AMlf IC/\r-... pVERSIGHT IEA 57 EXT-18-1509-I-000249 DEPARTMENTOF HEALTH& HUMAN SERVICES Office of the Secretary Scheduled: AMlf IC/\r-... pVERSIGHT EXT-18-1509-I-000250 HHS Staff Attendees: TBD External Attendees: Event is open to the public 5 Schedule Request Justification: ~ l(b_)(_ _) --------------~ ~o partic ipate in Memorial Day events AMlf IC/\r-... pVERSIGHT 58 EXT-18-1509-I-000251 Bell, Michael (OS/ASPA) Subject: Location: AMA pre - brief for meeting/ Start : End: Thu 5/17/2018 12:00 PM Thu 5/17/2018 12:30 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendee~ llhlmIJ (OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn lunch with Senator Todd Young 610-F Secretary Scheduler (OS/IOS) (OS/IOS); Pelekoudas, Kristina (HHS/IOS); Tignor, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/IOS); Arbes, Sarah (HHS/ASL); Bassett, Matthew (HHS/ASL); McGuffee, Tyler Ann (HHS/ASL); Morse, Sara (HHS/ASL); Ruth Fisher Pending request memo ihformation AMlf IC/\r-... pVERSIGHT 59 EXT-18-1509-I-000252 Bell, Michael (OS/ASPA) Subject: Location: AMA to have lunch with Senator Todd Young HHS, 615-F Start : End: Thu 5/17/2018 12:30 PM Thu 5/17/2018 1;30 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : llhllfill(OS/IOS); Harrison, Secretary Scheduler (OS/IOS) Brian (HHS/IOS); Olson, Carolyn (OS/IOS); Pelekoudas, Kristina (HHS/I0S); Tigno r, Beth (HHS/I0S); Twomey, John K. (HHS/ASL); Ruth Fisher; Urbanowicz, Peter (HHS/IOS); Arbes, Sarah (HHS/ASL); Morse, Sara (HHS/ASL); Lawrence, Courtney (HHS/ASL); Bassett, Matthew (HHS/ASL); McGuffee, Tyler An n (HHS/I0S); Wynne, Maggie (HHS/IOS) Topic: Welfare Reform Lunch Objective: Meet to discuss welfare refonn ideas AMA's Role: Listen and provide feedback Project Lead (IOS Senior Staff) : Maggie Wynne Working Project Lead {Name , Cell and email}: Courtney Lawrence (back up Sara Morse) Is Co11fere!'lceCall Line nee~ed? no Who will initiate the conference call? Who will provide Briefing materials? Courtney Lawrence (back up Sara Morse) HHS Staff Attendees: Matt Bassett and Courtney Lawrence (back up Sara Morse) External Attendees: Senator Young & Staff Jaymi Light and Adam Hechavarria in attendance with Senator Young. Schedule Request Justification: Per Senator' s request AMlf IC/\r-... pVERSIGHT 60 EXT-18-1509-I-000253 Bell, Michael (OS/ASPA) Subject: Location: AMA Meeting and Photo with Barbara McGarey Start : End: Thu 5/17/20181;30 PM Thu 5/17/2018 1;45 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendee~ !lhlmil(OS/IOS) lrbH6) 615-F Secretary Scheduler (OS/IOS) IBeth Tignor (HHS/105) (Beth.Tigno r@hhs.gov); Brian Harrison (HHS/IOS) (Brian.Harrison@hhs .gov); Carolyn Olson (0S/10S) (Carolyn.Olson@hhs .gov) ; John K. Twomey (HHS/ASL) (John.Twomey@HHS.GOV); Kristina Pelekoudas (HHS/105) (Kristina.Pelekoudas@hhs.gov); Peter Urbanowicz (HHS/10S) (Peter.Urbanowicz@hhs .gov);. Ruth Fisher; McGarey, Barbara (NIH/OD) [E]; Smith, Christopher (HHS/ASPA) (Christopher..Smith@HHS .GOV) Barbara McGa rey is retiring after 38 years of public serv ice to the federal government, including 23 years in the Office of Gene ral Counsel. AMlf IC/\r-... pVERSIGHT 61 EXT-18-1509-I-000254 Bell, Michael (OS/ASPA) Subject: AMA Departs for DCA Start : E'nd: Thu 5/17/2018 3:30 PM Thu 5/17 /201'8 5 :00 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : Secretary Schedu l.er (OS/1OS) llhlIB:il (OS/1OS); Harrison , Brian (HHS/1OS); Olson , Carolyn (OS/1OS);Pelekoudas , Kristina (HHS/1O5); Tignor, Beth (HHS/1OS); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/1OS) AMlf IC/\r-... pVERSIGHT 62 EXT-18-1509-I-000255 Bell, Michael (OS/ASPA) Subject: Location: AMA Wheels up DCA to IN D Personal Pay Start : End: Thu 5/ 17/2018 5:10 PM Thu 5/ 17/ 2018 7:05 PM Recurrence: (none ) Meeting Status: Accepted Organizer: Required Attendees : IZhlffill (OS/ IOS); Harrison , Brian (HHS/10S); Olson , Carolyn Secretary Schedu ler (OS/ IOS) (0S/10S ); Pelekoudas , Kristina (HHS/10S); Tigno r, Beth (HHS/IOS); Twomey, John K. (HHS/ASL); Urbanow icz, Peter (HHS/ IOS) Was hington to Indianapolis 1 Adult Thursday May 17, 2018 - Monday May 21, 2018 AA Record Locator I l(b)( 6) Your record locator is your reservation confirmation number and will be needed to retrieve or reference your reservation. Reservation Name DCA/IND Status: T icket Pendin g Your Trip Price: Bag and optional fees Top of Form Flight American Airlines AMlf IC/\r-... pVERSIGHT Depart Arrive Washington (DCA) May 17, 2018 05:10 PM Travel Time : 1 h 55 m Class : Economy Seat : 9D ChangeChange seat for flight 4466 from Washington to Indianapoli s Indianapolis (IND) May 17, 2018 07:05 PM Booking Code : V Plane Type : E75 63 EXT-18-1509-I-000256 Flight Depart Arrive Indianapolis (IND) May 21 , 2018 09:21 AM Travel Time : 1 h 39 m Class : Economy Seat : 9C ChangeChange seat for flight 4561 from Indianapoli s to Washington Washington (DCA) May 21, 2018 11 :00 AM Booking Code : V Plane Type : E75 TM 4466 Operated by Republic Airlines As American Eagle Create Not ification /AMERICAN AIRLINES 4466). Opens in a new window . American Airl ines AMlf IC/\r-... pVERSIGHT 64 EXT-18-1509-I-000257 Flight Depart Arrive " oneworld 4561 Operated by Republic Airlines As American Eagle Create Notification (AMERICAN AIRLINES 4561 ). Opens in a new window . Bottom of Form AMlf IC/\r-... pVERSIGHT 65 EXT-18-1509-I-000258 Page 64 pursuam to exemption 11hheld of the freeoom or1nrormat1onAct \M_~ I AN PVERSIGHT EXT-18-1509-I-000259 ~ - Bell, Michael (OS/ ASPA) Subject: AMA Personal Time Start: End: Sun 5/20/2018 8:00 AM Sun 5/20/2018 6:00 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : Secretary Scheduler (OS/10S) IZi:ilifill (OS/10S); Harrison , Brian (HHS/10S); Olson , Carolyn (OS/IOS); Pelekoudas , Kristina (HHS/10S); Tignor, Beth (HHS/10S); Twomey , John K. (HHS/ASL); Urbanow icz, Peter (HHS/10S) Fro m: "Alex Azar" l(b)(6) l@gmail.com> Subject: Fwd: Graduation Dinner Dance Honoring the Class of 2018 Dat e: 2 1 March 2018 21:57 To: !fb)GBP6} I (OS/IOS)" l~ (b-)(6 - )----~ Beg in forwa rded message: From: Park Tudor School Dat e: March 21, 2018 at 10:00:15 AM EDT To ~(b)(6) @g ma il.com Subject: Graduation Dinner Dance Honoring the Class of 2018 Repl y-To : info@parktudo r.o rg AMlf IC/\r-... pVERSIGHT 1 EXT-18-1509-I-000260 Bell, Michael (OS/ASPA) Subject: Location: AMA to call FDA, Scott Gottlieb 615-F/ Call Start : End: Mon 5/21/2018 12:15 PM Mon 5/21/2018 12:30 PM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : llhlLfill(OS/IOS); Harrison , Brian (HHS/IOS); Olson, Carolyn Secretary Schedu ler (OS/IOS) (OS/IOS); Pelekoudas , Kristina (HHS/10S); Ruth Fisher (Ruth .Fisher@hhs.gov); Tigno r, Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanowict, Peter (HHS/IOS); SG2@fda.hhs.gov; Sheehy, Janice (FDA/ORA) You wi ll call Dr. Gottli eb's cel l at f._b_ )t_ -6_ ) __ To pics: Hill testimo ny on 6/12 Uni vers ity Grant ___. RTT AMlf IC/\r-... pVERSIGHT 4 EXT-18-1509-I-000261 Bell, Michael (OS/ASPA) Subject: Location: AMA departs for Dulles, IAD Official Travel Start: End: Mon 5/21/2018 3;30 PM Mon 5/21/2018 5;00 PM Recurrence: (none) Meeting Statu s: Accepted Organizer : Required Attendees : llhlLfill(OS/IOS); Harr ison, Brian (HHS/IOS); Olson, Carolyn AMlf IC/\r-... pVERSIGHT Secretary Schedu ler (OS/IOS) (OS/IOS); Pelekoudas, Kristina (HHS/IOS); Ruth Fisher (Ruth.Fisher@hhs.gov); Tignor , Beth (HHS/10S); Twomey, John K. (HHS/ASL); Urbanowici, Peter (HHS/10S} s EXT-18-1509-I-000262 Bell, Michael (OS/ASPA) Subject: Location: AMA Bilateral Meeting with Germany Palais des Nations , Concordia 4 Start: End: Tue 5/22/2018 10:15 AM Tue 5/22/2018 10:45 AM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : lilili:filJ (OS/IOS) lrb\(6) AMlf IC/\r-... pVERSIGHT Secretary Scheduler (OS/IOS) IBeth Tignor (HHS/ IOS) (Beth.Tigno r@hhs.gov); Brian Harrison (HHS/IOS) (Brian.Harrison@hhs.gov); Carolyn Olson (OS/IOS) (Carolyn.Olson @hhs .gov) ; John K. Twomey {HHS/ASL) (John.Twomey@HHS.GOV); Kristina Pelekoudas (HHS/I05) (Kristina.Pelekoudas@hhs.gov); Peter Urbanowicz (HHS/I0S) (Peter.Urbanowicz@hhs.gov); . Ruth Fisher; Ryc1nMurphy (0S/ASPA) (Ryan.Murphy1@hhs.gov); Healy, Jenifer (HHS/OS/OGA) 6 EXT-18-1509-I-000263 Bell, Michael (OS/ASPA) Subject: Location: AMA Bilateral Meeting with UK Palais des Nations, Concordia 4 Start: End: Tue 5/22/2018 11 ;00 AM Tue 5/22/2018 11 ;30 AM Recurrence: (none) Meeting Status: Accepted Organizer: Required Attendees : lilili:filJ (OS/IOS) l Subject: RE: TPPP: Proposed Schedules for Oppo sition Brief Date: 05 March 2018 19:58 To: "ChaITow, Robert (HHS/OGC)" , "Stimson , Biian (HHS/OGC)" , "Bowman, Matthew (HHS/OGC)" , "McGinnis , Mark (HHS/OGC)" , "Mende lsohn, Jocelyn S. (HHS/OGC)" , "Benor, David E.(HHS/OGC)" , "McElvain, Joel L (CIV)" , "Naimon , David (HHS/OGC)" , "Rickett s, Jennifer D (CIV)" , "Shumate, Brett A. (CIV)" Cc: "Quinn, Michae l J. (CIV)" , "Hunt, Alicia (CIV)" , "Jacobson, Jonathan E. (CIV)" All: th e schedulin g ord er for th e summar y j ud gm ent mo tion is att ached_ - MJG From: Gerardi, Michael J. (CIV) Sent: Monday, March 05, 2018 1:26 PM To: 'Charrow, Robert (HHS/OGC)' ; 'Stimson, Brian (HHS/OGC)' ; 'Bowman, Matthew (HHS/OGC)' ; 'McGinnis, Mark (HHS/OGC)' ; 'Mendelsohn, Jocelyn S. (HHS/OGC)' ; 'Benor, David E.(HHS/OGC)' ; McElvain, Joel L (CIV) ; 'Naiman, David (HHS/OGC)' ; Rickett s, Jennife r D (CIV) ; Shumate, Brett A. (CIV) Cc: Quinn, Michae l J. (CIV) ; Hunt, Alicia (CIV) ; Jacobson, Jonathan E. (CIV) Subject: RE:TPPP: Proposed Schedules for Opposit ion Brief Qui ck no te (hat tip lO Jo el): th e gove rnm ent' s repl y lo SJ will be du e April 13. not 16. Fixed below. - MJG Good aftern oo n, We ju st got off th e ph one with Jud ge Ja ckso n and coun sel for plainti ff regardin g a sch edul e for bri efing on th e com bin ed motion for SJ / Pl filed in Policy & Researc h ll C. Subj ect to our r e prese nt atio n tha t HHS coul d process applica tion s for cont inu ing awards by late Jun e if it had th e plai nti ffs' app lication s in hand and r ece ived a rul ing fr om the Court in late Apri l, the plaint iff agreed t o the ext end ed sched ule. Th e bri ef ing schedul e will be as follows: f\lVILf ll\...1/\I \i pVERSIGHT 10 EXT-18-1509-J-000063 Government opposition and cross -motion for SJ : Mar . 26 Plaintiff s. reply and opposition to MSJ: April 9 Governmen t rep ly to motion for for MSJ : April -1-613 Hearing : April 18, 2018@ 10 AM. An onler formali.L.in g the schedule will folJow. Regards, MJ G From : Charrow, Robert (HHS/OGC) (mailto:Robert .Charrow@hhs.gov ) Sent: Sunday, March 04, 2018 12:02 PM To : Stimson, Brian (HHS/OGC) ; Bowman, Matthew (HHS/OGC) ; Gerardi, Michael J. (CIV) ; McGinnis, Mark (HHS/OGC) ; Mendelsohn, Jocelyn S. (HHS/OGC) ; Benor, David E.(HHS/OGC) ; McElvain, Joel L {CIV) ; Naimon, David (HHS/OGC) ; Ricketts, Jennifer D (CIV) ; Shumate, Brett A. (CIV) Cc: Quinn, Michael J. (CIV) ; Hunt, Alicia (CIV) ; Jacobson, Jonathan E. (CIV) Subject: Re: TPPP: Proposed Schedules for Oppo sition Brief On : 04 March 2018 09:56, "Stim son, Brian (HHS/OGC)" wro te: l(b)(5) From: Bowman, Matthew (HHS/OGC) Sent: Friday, March 02, 2018 3:23 PM To: Gerardi, Michael J. (CIV); McGinnis, Mark (HHS/OGC); Mendelsohn, Jocelyn S. (HHS/OGC); Benor, David E.(HHS/OGC); McElvain, Joel L (CIV); Naimon, David (HHS/OGC); Stimson, Brian (HHS/OGC); Ricketts, Jennifer D (CIV); Shumate, Brett A. (CIV); Charrow, Robert (HHS/OGC) Cc: Quinn, Michael J. (CIV); Hunt, Alicia (CIV); Jacobson, Jonathan E. (CIV) Subject: RE: TPPP: Proposed Schedu les for Opposition Brief b)(5) Confidentialpre-decisionaldeliberativeprocessand attorneyclient privilege Matt Bowman Deputy General Counsel HHSOGC 202.868.9791 f\lVILI 11\..H'\I 'I pVERSIGHT 11 EXT-18-1509-J-000064 Page065 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMLfHCA~ pVERSIGHT EXT-18-1509-J-000065 Page066 Withheld pursuant to exemption (b )(5) of the Freedom of Information Act AMLfHCA~ pVERSIGHT EXT-18-1509-J-000066 (b)(5) Confidentialpre-decisionaldeliberativeprocessand attorney cliellt privilege Matt Bowman Deputy General Counsel HHSOGC 202.868.9791 matthew .bowman @hh s.g:ov From: McGinnis, Mark (HHS/OGC) Sent: Thursday 1 March 01, 2018 12:55 PM To: Mendelsohn, Jocelyn S. (HHS/OGC); Senor, David E.(HHS/OGC); Gerardi, Michael J. (CIV); Bowman, Matthew (HHS/OGC); McElvain, Joel L (CIV); Naiman, David (HHS/OGC); Stimson, Brian (H HS/OGC); Ricketts, Jennifer D (CIV); Shumate, Brett A. (CIV); Charrow, Robert (HHS/OGC) Cc: Quinn, Michael J. (CIV); Hunt, Alicia (CIV); Jacobson, Jonathan E. (CIV) Subject: RE: TPPP: Call T his Afternoon I am available . From: Mendelsohn, Jocelyn S. (HHS/OGC) Sent : T hursday, March 01, 2018 9:51 AM To: Senor, David E.(HHS/OGC); Gerardi, Michael J. (CIV); Bowman, Matthew (HHS/OGC); McGinnis, Mark (HHS/OGC); McElvain, Joel L (CIV); Naiman, David (HHS/OGC); Stimson, Brian (HHS/OGC); Ricketts, Jennifer D (CIV); Shumate, Brett A. (CIV); Charrow, Robert (HHS/OGC) Cc: Quinn, Michael J. (CIV); Hunt, Alicia (ClV); Jacobson, Jonathan E. (CIV) Subject : RE: TPPP: Call This Afternoon I am available at 2:30 - checking with Mark now. Thanks, Jocelyn From : Benor, David E.(HHS/OGC) Se nt: Thursday, March 1, 2018 12:47 PM To : Gerardi, Michael J. (CIV) ; Bowman, Matthew (HHS/OGC) ; McGinnis, Mark (HHS/OGC) ; McElvain, Joel L (CIV) ; Naiman, David (HHS/OGC) ; Stimson , Brian (HHS/OGC) ; Mendelsohn, Jocelyn S. (HHS/OGC) ; Ricketts, Jennif er D (CIV) ; Shumate, Brett A. (CIV) ; Charrow, Robert (HHS/OGC) Cc: Quinn, Michael J. (CIV) ; Hunt , Alicia (CIV) ; Jacobson, f"'\I VI L-1 l I'-,,// \I ,. pVERSIGHT 14 EXT-18-1509-J-000067 Jonathan E. (CIV) Subject: RE:TPPP: Call This Afternoon I hope Mark or Jocelyn can join from the HHS side ; they know the program best. Dave From: Gerardi , Michael J. (CIV) [mailto:Michael.J .Gerardi@usdoj.gov ] Sent: Thursday, March 01, 2018 12:45 PM To: Bowman, Matthew (HHS/OGC) ; McGinnis, Mark (HHS/OGC) ; McElvain, Joel L (CIV) ; Benor, David E.(HHS/OGC) ; Naiman, David (HHS/OGC) ; Stimson, Brian (HHS/OGC) ; Mendelsohn, Jocelyn S. (HHS/OGC) ; Ricketts , Jennifer D (CIV) ; Shumate, Brett A. (CIV) ; Charrow, Robert (HHS/OGC) Cc: Quinn, Michae l J. (CIV) ; Hunt , Alicia (CIV) ; Jacobson, Jonathan E. (CIV) Subject: RE:TPPP: Call This Afternoon David / Matt : Thank s . Let's say 2:30 PM ? Do you an ticipat e anyon e else from H H S will need to be on th e call? On th e DOJ s ide it will be m e, Alic ia, and Jon athan. MJ G From : Bowman , Matthew (HHS/OGC) [mailto:Matthew .Bowman@hhs .gov] Sent: Thursday , March 01, 2018 12:38 PM To: Gerardi , Michae l J. (CIV) ; McGinnis , Mark (HHS/OGC) ; McElvain, Joel L (CIV) ; Benor, David E.{HHS/OGC) ; Naiman, David {HHS/OGC) ; Stimson, Brian {HHS/OGC) ; Mendelsohn , Jocelyn S. {HHS/OGC) ; Ricketts, Jennifer D {CIV) ; Shumate, Brett A. {CIV) ; Charrow, Robert (HHS/OGC) Cc: Quinn , Michae l J. {CIV) ; Hunt , Alicia (CIV) ; Jacobson, Jonat han E. (CIV) Subject: RE:TPPP: Call This Afternoon I should be avai lable anytime. Confidentialpre-decisionaldeliberativeprocessand attorney client privilege Matt Bowman Deputy General Counsel HH SOGC 202.868.9791 matthew.bowman @hhs.gov (b)(5) EXT-18-1509-J-000068 Page069 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMLfHCA~ pVERSIGHT EXT-18-1509-J-000069 Bell, Michael (OS/ASPA) Subject: Location: TPPP (DDC): Follow- Up Hearing US District Court, DC (Courtroom 17) / SEEDIAL IN 1NFORMATION BELOW Start: End: Show Time As: Thu 4/19/201'8 9:30 AM Thu 4/19/2018 10:00 AM Tentative Recurrence: (none) Meeting Status : Not yet responded Org anizer: Gerardi , Michael J. (CIV) Mr. Gerardi . The Court will be using the following confere nce line for tomorrow's 9:30 AM hearing : Call-in number: b){6) Access Code: ~(b.... )-(6_) ____ __, Best. Jennife r A. Gruda Career Law Clerk to the Honorable Ketanji Brown Jackson United States District Court for the District of Columbia (202) 354-3350 AMLfHCA~ pVERSIGHT 21 EXT-18-1509-J-000070 Bell, Michael (OS/ASPA) Subject: Location: Garza - Motion for Reconsiderat ion - NOT;-;= IC=E'---~ Passcode: l(b)(6) Co nf . Dial-In : l(b)(6) Start : End: Show Time As: Fri 4/20/2018 2;00 PM Fri 4/20/2018 2:30 PM Tentative Recurrence: (none) Meeting Status: Not yet responded Organiz er: Required Attendee s; Stimson, Brian (HHS/OGC) Leo, Sabatino F, (CIV); Shieh, Daniel (CIV) (Daniel.Shieh@usdoj.?ov); Mo lina, Ernesto H. (CIV) (Ernesto. H.Mo lina@usdoj.gov); Heyse, Michae l' (CM ; Greer, Christina P. (CIV); Bowman, Matthew (HHS/OGC) ; aflenteje@civ ,usdoj .gov I POC: Sarnantha Austin, 202-690-7741 AMLfHCA~ pVERSIGHT 23 EXT-18-1509-J-000071 Bell, Michael {OS/ASPA) Subject: Hold - Interviews Start: End: Mon 4/23/2018 9:00 AM Mon 4/23/2018 10:00 AM Recurrence: (none) Organizer: Bowman, Matthew (HHS/OGC) AMLfHCA~ pVERSIGHT 1 EXT-18-1509-J-000072 Bell, Michael (OS/ ASPA) Subject: Location: OGC Training: "U.S. v. Houser" HHH 730B/C all- ln and Connect ion Info rmation Below Start : End: Show Time As: Tue 4/24/2018 2:00 PM Tue 4/24/2018 3:00 PM Tent ative Recurrence: (hone) Meeting Status: Not yet responded Organizer : Required Attendee~ Schuham, Aaron (HHS/OGC) OS - OGC All Staff Nationwide April 24, from 2 to 3 pm EDT "U.S. v. Houser" (Humphrey Building Room 730B ; Adobe Connect and Call-In Info Below) Food was scarce and the residents went starving. Roofs and ceilings leaked profusely , damaging patient rooms , beds , and personal property . Air conditioning broke down for several hot months at a time. Multiple vendors and utility providers went unpaid. Laundry and trash piled up. Flies infested patient wounds . The facilities reeked of human waste. Important medications were unavailable to the residents. In the end , all three nursing homes were closed by the State and the residents had to be moved . The indictment charged that George Houser , a Harvard law school graduate who owned and operated three nursing homes in Georgia , had entered into a conspiracy with his wife to commit health care fraud and had provided "worthless services " to the nursing home residents . After a bench trial lasting more than a month , Houser was sentenced to 20 years ' imprisonment and was ordered to pay nearly $7 million in restitution to Medicare and Medicaid . During the sentencing , the district judge described the conditions at the nursing homes as "cruel , atrocious, barbaric , inhumane and uncivilized ." This presentation by Glenn Baker will tell the story and examine how the Eleventh Circuit decided the first appeal from a criminal judgment in a health care fraud case involving the worthless services theory . Glenn Baker is currently on detail to the CDC from the United States Attorney 's Office in Atlanta , where he is the Deputy Chief of the Criminal Division . At the U.S. Attorney 's Office , Glenn supervises and prosecutes cases involving government fraud , health care fraud , public corruption, cybercrime, and other criminal offenses. He previously served for a number of years as the health care fraud coordinator for all criminal health 3 pVERSIGHT EXT-18-1509-J-000073 care fraud matters in the office . Before joining the United States Attorney 's Office , Glenn was the Assistant Chief in the Atlanta Field Office of the Department of Justice's Antitrust Division. He supervised and prosecuted domestic and international criminal antitrust investigations involving price fixing , bid rigging and market allocations. Prior to joining the Antitrust Division, Glenn worked on the Special Matters team at the law firm of King & Spalding. Glenn has also investigated organized crime , drug cartels, and other federal criminal tax violations, while working as a United States Treasury Department Special Agent in New York. Additionally , Glenn has had the privilege of serving in the United States Air Force Strategic and Military Air Commands, specializing in intelligence operations . CONNECTION INFO : URL: (b)( 6 ) AU D10 CA~L..... L-_.. ,N~ N,... U..M..B ~E ...~ : ~~b)_(~6_)- _- _- _- _- _-_ -_: p--a_s_s_c_o---. R d:-e-: -f.__ b=)_(=6_)~~~~~ AMLfHCA~ pVERSIGHT 4 EXT-18-1509-J-000074 Bell, Michael {OS/ASPA) Subject: Important meeting ! Start: End: Thu 4/26/2018 5:30 PM Thu 4/26/2018 6:30 PM Recurrence: (none) Meeting Status: Meeting organizer Organizer: Bowman, Matthew (HHS/OGC) AMLfHCA~ pVERSIGHT 11 EXT-18-1509-J-000075 Bell, Michael {OS/ASPA) Subject: Important meeting! Start: End: Thu 4/26/2018 6:30 PM Thu 4/26/2018 7:30 PM Recurrence: (none) Organizer: Bowman, Matthew (HHS/OGC) AMLfHCA~ pVERSIGHT 12 EXT-18-1509-J-000076 Bell, Michael {OS/ASPA) Subject: Laura and Matt to Touch Base Start: End: Show Time As: Mon 4/30/2018 9:30 AM Mon 4/30/2018 10:00 AM Tentative Recurrence: (none) Meeting Status : Not yet responded Organizer: Required Attendees: Kemper, Laura (HHS/ASL) Bowman, Matthew (HHS/OGC) AMLfHCA~ pVERSIGHT 1 EXT-18-1509-J-000077 Bell, Michael {OS/ASPA) Subject: Location: GAO meeting at 1:00 Susan wil l call Matt at 202-690-7741 Start : End: Mon 4/30/20 18 11:30 AM Mon 4/30/20 18 12:00 PM Recurrence: (no ne) Meeting Status : Meeting organizer Organizer: Required Attendees : Bowman, Matthew (HHS/OGC) Sherman, Susan (HHS/OGC) POC: Samantha Austin, 202 -690 -7741 AMLfHCA~ pVERSIGHT 2 EXT-18-1509-J-000078 Bell, Michael (OS/ASPA) Subject: Location: Start : End: MDL WO 31, Cont. 4540; Call-In No. ~,_ b_)(_6_ ) ___ Show Time As: Tue 5/1/2018 2:30 PM Tue 5/1/2018 330 PM Tentatfve Recurrence: (none) Meeting Statu s: Not yet respo nded Org anizer : Dickinson, Elizabeth (FDA) AMLfHCA~ pVERSIGHT s _.IAccess Code: Ki..:.... b..:....: )( -'6)_ ____. EXT-18-1509-J-000079 Bell, Michael {OS/ASPA) Subject: Meeting Start: End: Tue 5/1/2018 3:30 PM Tue 5/1/2018 4:00 PM Recurrence: (none) Organizer: Bowman, Matthew (HHS/OGC) AMLfHCA~ pVERSIGHT 6 EXT-18-1509-J-000080 Bell, Michael (OS/ ASPA) Subject: Location: FW: 340B Discussion w/Kelly Deputy Secretary's Conference Room, 607- G Start : End: Show Time As: Wed 5/2/2018 9:00 AM Wed 5/2/2018 9:30 AM Tentative Recurrence: (hone) Meeting Status: Not yet responded Organizer : More no, Rafael (OS/ASA/10S) Matt-would you be able to make this 9:00 meeting tomorrow? CMS authorities . Topics Will wants to discuss involve both HRSAand -----Original Appointment----From: Moreno, Rafael (O5/ASA/IOS) Sent: Wednesday, April 25, 2018 9:49 AM To: Moreno, Rafael (OS/ASA/IOS); Cleary, Kelly (HHS/OGC); Brady, Will (HHS/IOS) Subject: 340B Discussion w/Kelly When: Wednesday, May 02, 2018 9:00 AM-9:30 AM (UTC-05:00) Eastern Time (US & Canada), Where: Deputy Secretary's Conference Room, 607-G Notes: Will Brady would like to have a discussion on the below slide deck. Participants : Will Brady and Kelly Cleary AMLfHCA~ pVERSIGHT 8 EXT-18-1509-J-000081 Page082 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMf::HICAN pVERSIGHT EXT-18-1509-J-000082 Page083 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMf::HICAN pVERSIGHT EXT-18-1509-J-000083 Page084 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMf::HICAN pVERSIGHT EXT-18-1509-J-000084 Page085 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMf::HICAN pVERSIGHT EXT-18-1509-J-000085 Page086 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMf::HICAN pVERSIGHT EXT-18-1509-J-000086 Page087 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMf::HICAN pVERSIGHT EXT-18-1509-J-000087 Page088 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMf::HICAN pVERSIGHT EXT-18-1509-J-000088 Page089 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMf::HICAN pVERSIGHT EXT-18-1509-J-000089 Page090 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMf::HICAN pVERSIGHT EXT-18-1509-J-000090 Page 091 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMf::HICAN pVERSIGHT EXT-18-1509-J-000091 Page092 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMf::HICAN pVERSIGHT EXT-18-1509-J-000092 Page093 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMf::HICAN pVERSIGHT EXT-18-1509-J-000093 Page094 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMf::HICAN pVERSIGHT EXT-18-1509-J-000094 Page095 Withheld pursuant to exemption (b)(5) of the Freedom of Information Act AMf::HICAN pVERSIGHT EXT-18-1509-J-000095 Bell, Michael {OS/ASPA) Subject: Meeting Start : End: Wed 5/2/2018 5:30 PM Wed 5/2/2018 6:30 PM Recurrence: (none) Meeting Status: Meeting organizer Organizer: Bowman, Matthew (HHS/OGC) AMLfHCA~ pVERSIGHT 9 EXT-18-1509-J-000096 Bell, Michael {OS/ASPA) Subject: Location: Copy: Meeting w/Mr. Charrow , Paula and Valerie Mr. (harrow 's Off ice 713-F Start : End: Thu 5/3/2018 11:30 AM Thu 5/3/2018 12:00 PM Recurrence: (no ne) Meeting Status : Not yet responded Organizer: Required Attendees : Huber, Valerie (HHS/OASH) Stannard , Paula (HHS/ 10S); Charrow , Robert (HHS/OGC) AMLfHCA~ pVERSIGHT 10 EXT-18-1509-J-000097 Bell, Michael {OS/ASPA) Subject: Lunch meeting Start: End: Thu 5/3/2018 12:00 PM Thu 5/3/2018 1:30 PM Recurrence: (none) Meeting Status: Meeting organizer Organizer: Bowman, Matthew (HHS/OGC) AMLfHCA~ pVERSIGHT 11 EXT-18-1509-J-000098 Bell, Michael (OS/ASPA) Subject: [AF] SWIFT Task: 041320182001 - New SWIFT Document 041320182001 - HHS-2017 ACF-ORR-ZU-1133 Location: Dial ln; l(b)(6) Start : End: Thu 5/3/2018 2:00 PM Thu 5/3/2018 2:30 PM Recurrence: (none) Meeting Status: Meeting organizer Organizer : Required Attendees; Optional Attendees: Bowman , Matthew (HHS/OGC) Haron, Judith (HHS/OGC); Woolford , Llewellyn (HHS/OGC) Keith , Robert (HHS/OGC); Charrow , Robert (HHS/OGC}; Stimson , Brian (HHS/OGC) 1passcode rb )(6) POC: Samantha Austin, 202-690-7741 AMLfHCA~ pVERSIGHT 12. EXT-18-1509-J-000099 Bell, Michael (OS/ ASPA) Subject: Location: Title X Litigation Start : End: Mon 5/7/2018 11 :30 AM Show Time As: Tentative Recurrence: (hone ) Meeting Status: Not yet responded Organizer : Hunt, Alicia (CIV) ~b-)(6_) __ ,.._ __.l orl(b)(6) IAccess Code:l(b)(6) Mon 5/7/2018 12:30 PM Hi all: We expect Plaintiffs to move for a Pl on Tuesday, May 8, and our response will likely be due on Tuesday, May 15. We wou ld like to discuss the briefing schedule and strategy for this case. Please invite others who should be included on this call. Dial in : l(b_)l_ ..... '6)________ AMLfHCA~ pVERSIGHT __, , Access Code: r b)(6) IPIN: ~ 1 EXT-18-1509-J-000100 Bell, Michael (OS/ASPA) Subject: Location : Regulatory Reform Task Force- Services and Other Working Group Executive Secretary Conference Room (HHS) Start : End: Show Tim e As: Wed 5/9/2018 1:00 PM Wed 5/9/2018 2:00 PM Tentative Recurrence: Recurrence Pattern : Monthly the second Wednesday of every 1 month(s) from 1:00 PM to 2:00 PM Meeting Status: Not yet responded Organizer: Required Attendees : Office of the Executive Secretary Master Calendar (HHS/OS) Keckler, Charles (HHS/IOS); Logan, Scott (ACF); Nicholls, Richard (ACL); Kelley, Curtis (HHS/ASFR); Lawrence, Courtney (HHS/ASL); Clark, Barbara (HHS/ASL); Hutchison, Undsey (0S/ASPE); Lawver, Daniel A. (0S/ASPE); Finne, Kristen (OS/ASPR/OPP); O'Connor, Anne E. (CDC/OD/OCS); Cheatham, Tina (HRSA); Schmidt, Terri (IHS/HQ) ; Frazier, Francis (IHS/HQ); Noronha, Maya (HHS/OCR); Brown , Louis (HHS/OCR); Balserak, Daniel (HHS/OCR) (CTR); Adams, Claudia (HHS/OS) ; Gordon-Nguyen, Marissa {HHS/OCR); Hargrove , Sherine (HHS/OGC); Polich, Jeffrey (HH S/OGC); Carroll , Christopher D. (SAMHSA/OPPI); Berger , M itchell (SAMHSA); Stevenson, Sarah-Lloyd .(HHS/I0S) Robinson, Wilma (HHS/IOS); Agnew, Ann (HHS/IOS); Stannard, Paula (HHS/ IOS); Wynne, Maggie (HHS/IOS); Lapinski , Mary -Sumpter (HHS/IOS); Moughalian, Jen (HHS/ASFR); Abram, An na (FDA/OC); Broo kes, Brady (CMS/OA); Hawkin s, Jamar (HHS/OS); Grove, Matthew R. (HHS/OS); Wright, Natasha (OS/JOS); Caliguiri, Laura (HHS/I0S) ; CoughHn , Janis (HHS/ASFR); Bush, Laina (HHS/ASPE); Cochran, Norris (HHS/ASFR); Bowman , Matthew (HHS/OGC); Bowles, Jamil (HHS/IOS); Pelekouda s, Kristina (HHS/IOS); Brady, Will (HHS/ IOS); Brandon, Andrea (HHS/ ASFR); Johnson, Shaunta (HHS/ASFR); Shelton, Carrie A (HHS/IOS); Campbell , Taylor (HHS/O GC) (CTR); O'Brien , John (HHS/ASPE); Destro, Brenda (HHS/ASPE); Callahan, Kenneth (HHS/IOS); Moreno, Rafael (OS/ ASA/I OS); Stettner, Joanna L. (CDC/OCOO/OGC); Udutha, Pranay (HHS/IOS ); Shipley, Samue l (HHS/IOS) Optional Attendees: Facilitator : Cha rles Keckler, Associate Deputy Secretary Agenda: TBD Materials : TBD Location: Exec Sec Conference Room (614H) Call-in#: ._ ~b_)(_6)__ ____.I Passcode~(b)(6) Contact : Taylor Campbell (202-690-8084 RegRefom@hhs.gov ] or Natasha Wright (202-260 -7513 RegReform@hhs.gov ] AMLfHCA~ pVERSIGHT EXT-18-1509-J-000101 Bell, Michael {OS/ASPA) Subject: call Start: End: Thu 5/10/2018 11:00 AM Thu 5/10/2018 11:30 AM Recurrence: (none) Organizer: Bowman, Matthew (HHS/OGC) AMLfHCA~ pVERSIGHT 3 EXT-18-1509-J-000102 Bell, Michael (OS/ASPA) Subject: Location: call ____. I Access Code: ~b ..... -)(_6_ ) ~b-)(_6)________ ._ Start : End: Fri 5/11/2018 1:00 PM Fri 5/11/2018 1;30 PM Recurrence: (none) Organizer : Bowman, Matthew (HHS/OGC) AMLfHCA~ pVERSIGHT 4 --.J EXT-18-1509-J-000103 Bell, Michael (OS/ASPA) Subj ect: Location : TRACS NO. 18- 13858 # DUE 05/17 BY 5:00 PM Matt will call Judy 202 690 7225 Start : End: Show Time As: Mon 5/14/2018 4:15 PM Mon 5/14/ 2018 4:45 PM Tentative Recurrence: (none) Meeting Status : Not yet responded Organiz er: Required Attendees : Optional Att endees: Haran, Judith (HHS/OGC) Bowman, Matthew (HHS/OGC) Wiggins , Audrey (HHS/OGC); Schuham, Aaron (HHS/OGC) Great -- I'm making it so you call me, given you pro babl y have a tnor e unpredictable schedule . Talk to you then. From: Bowman, M atthew (HHS/OGC) Sent: Monday, M ay 14, 2018 2 :45 PM To: Haran , Judith (HHS/OGC) ; Schuham, Aaron (HHS/OGC) Cc: Wiggins, Audrey (HHS/OGC) Subject: RE: TRACSNO. 18-13858 # DUE 05/17 BY 5:00 PM I should be avai lable after my 4 pm call, say at 415 Confidential pre-decisional deliberative process and attorney client privilege Matt Bowman Deput y Genera l Counse l HH SOGC 202.868.9791 matthew.bowman @hh s.gov From: Haran, Judith (HHS/OGC) Sent: Monday, May 14, 2018 2:43 PM To: Schuham, Aaro n (HHS/OGC); Bowman, Matthew (HHS/OGC) Cc: Wiggins, Audrey (HHS/OGC) Subject: RE: TRACS NO. 18-13858 # DUE 05/17 BY 5:00 PM Matt , J would sti ll like to have a call. I'll filJ Aaron in on wh ere we land . AMLfHCA~ pVERSIGHT 1 EXT-18-1509-J-000104 - Judy Haran Deputy Associate Genera l Counsel Children, Families and Agi ng Division HHS Offic e of the General Counsel (202) 690 8005 Notice: The contents of this message and any attachments may be privileged and confidential as attorney -client privileged/work product communications. Please do not disseminate without the approval of the Office of the General Counsel. If you are not an intended recipient, or have received this message in error, please delete it without reading it and please do not print, copy, forward, disseminate, or otherwise use the information. Also, please notify the sender that you have received th is communication in error. Your receipt of this message is not intended to waive any applicable privilege. This document is for INTERNAL GOVERNMENTUSE ONLYand may be exempt from disclosure under the Freedom of Informatio n Act, 5 U.S.C.?? 552(b)(S), (b)(7). From: Schuham, Aaron (HHS/OGC) Sent: Monday, May 14, 2018 2:35 PM To: Haron, Judith (HHS/OGC) ; Bowman , Matthew (HHS/OGC) Cc:Wiggins, Audrey (HHS/OGC) Subject: Re: TRAC$ NO. 18-13858 # DUE 05/17 BY 5:00 PM b)(5) On: 14 May 2018 14:26, "Haron, Judith (HHS/OGC)" wrote: Okay , can we have a quick call. I can fill Aaron in, or we can find a time that works for everyone . - Judy Haran Deputy Associate General Counsel Children, Famil ies and Agi ng Divisio n HHS Office of the General Counsel (202) 690 8005 Notice: The contents of this message and any attachments may be privileged and confidential as attorney -client privileged/work product communicat ions. Please do not disseminate without the approval of the Office of the General Counsel. If you are not an intended recipient, or have received this message in error, please delete it without reading it and please do not print, copy, forward, disseminate, or otherwise use the information. Also, please notify the sender that you have received th is communication in error. Your receipt of this message is not intended to waive any applicable privilege. This document is for INTERNAL GOVERNMENTUSE ONLYand may be exempt from disclosure under the Freedom of Information Act, 5 U.S.C.?? 552(b)(S), (b)(7). From: Bowman, Matthew (HHS/OGC) Sent: Monday, May 14, 2018 2:24 PM To: Haron, Judith (HHS/OGC) Cc:Schuham, Aaron (HHS/OGC) Subject: RE: TRAC$ NO. 18-13858 # DUE 05/17 BY 5:00 PM l(b)(5) AMLfHCA~ pVERSIGHT 2 EXT-18-1509-J-000105 Confidentialpre-decisionaldeliberativeprocessand attorney client privilege Matt Bowman Deputy General Counsel HHSOGC 202.868.9791 ma tthew.bowrnan @hhs.gov From: Haron, Judith (HHS/OGC) Sent : Monday, May 14, 2018 2:18 PM To: Bowman, Matthew (HHS/OGC) Cc: Schuham, Aaron (HHS/OGC) Subject : FW: TRACS NO. 18-13858 # DUE 05/17 BY 5:00 PM Matt, f b)(S) l(b )( 5) - Judy Haro n Dep uty Associate Gene ra l Cou n sel Childre n, Fam ilies an d Aging Divis ion HHS Office of the Genera l Cou nsel (202) 690 8005 Notice: The contents of this message and any attachments may be privileged and confidential as attorney-client privileged/work product communicat ions. Please do not disseminate without the approval of the Office of the General Counsel. If you are not an intended recipient, or have received this message in error, please delete it without reading it and please do not print, copy, forward, disseminate, or otherwise use the information. Also, please notify the sender that you have received this communication in error. Your receipt of this message is not intended to waive any applicable privilege. This document is for INTERNALGOVERNMENTUSE ONLYand may be exempt from disclosure under the Freedom of Information Act, 5 U.S.C.?? 552(b)(S), {b)(7). From : LaCheen, Cary (OS/OGC) Sent : Monday, M ay 14, 2018 2:05 PM To: OS OGC-10 ControlDesk (HHS) Cc: Schuham, Aaron (HHS/OGC) ; Haran, Judith (HHS/OGC) ; Woolford, Llewellyn (HHS/OGC) ; Keith, Robert (HHS/OGC) Subject: FW: TRACS NO. 18-13858 # DUE 05/17 BY5:00 PM Please assign make COAD a co-lead on this clearance. Thank you. Cary LaCheen 212-264-1597 cary.lacheen@hhs.gov From: GCCR, OS Sent: Monday, May 14, 2018 11:56 AM To: LaCheen, Cary (OS/OGC) Cc: Wigg ins, Aud rey (HHS/OGC); Schuham, Aaron (HHS/OGC); GCCR, OS Subject: FW: T RACS NO. 18-13858 # DUE 05/17 BY 5:00 PM Hi Cary- for your review. AMLt ll....11\l\i pVERSIGHT 3 EXT-18-1509-J-000106 Due: Thursday, 5/17 by 5PM. Thanks, Arnita From : OS OGC-IO ControlDesk (HHS) Sent : Monday, May 14, 2018 11:48 AM To : GCCR,OS <0SGCCREMAIL@hhs.gov> Cc: OS OGC-IO ControlDesk (HHS) Subject: TRAC$ NO. 18-13858 # DUE 05/17 BY 5:00 PM For clearance: Deviation Request Memo Thank you, Tabitha Caldw ell U.S. Department of Health and Human Services Office of the General Counsel 200 Independence Avenue, S.W., Room 737F.12 Washington, DC 20201 (202)205-0615 Tabitha .Caldwell@hhs .gov From : Householder, Donna (HHS/OS) Sent : Monday, May 14, 2018 11:24 AM To : Smith-Simpson, Jacqlyn (HHS/ASFR); Cottingham, Kenneth (ACF) ; Hitt, Linda (ACF) ; OS OGC-IO ControlDesk (HHS) Cc: Henderson, Harold (HHS/OCR) ; Brockett, Sharon (HHS/OCR) Subject: For clearance : Deviation Request Memo Good Morning, On behalf of Harold Henderson, Deputy Executive Officer and Executive Secretariat, Office for Civil Rights (OCR), I am forwarding the attached draft response for clearance by your agencies, at OCR Director Roger Severino's request. Please contact Harold at 202-774-3012 or Harold .Henderson@hhs .gov if you have any questions. If OCR could receive clearance or comments by COB Friday, 5-18-18 it would be greatly appreciated. Sincerely, Donna Householder Correspondence Management Specialist Office for Civil Rights 202-774-3014 AMLfHCA~ pVERSIGHT 4 EXT-18-1509-J-000107 Bell, Michael (OS/ ASPA) Subject: Location: Start: SLIDESATTACHED: OGC Training: "Depositions: How to Take Them and How to Prepare Witnesses" GLD Conference Room; Connection Information Below End: Show Time As: Tue 5/15/2018 1:30 PM Tue 5/15/2018 3:30 PM Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer: Required Attendees: Schuham, Aaron (HHS/OGC) OS - OGC All Staff Nationwide May 15, from 1:30 to 3:30 pm EDT "Depositions: How to Take Them and How to Prepare Witnesses" (GLD Conference Room; Adobe Connect and Call-In Info Below) Taking depositions can be invaluable in assessing the strengths and weaknesses of your case. The presenters , Marilyn Blandford , Caitlin Palacios , and Christopher Tully will discuss some of the considerations to think about when taking a deposition . Additionally , given that most cases settle , a deposition is often the only time your witness will testify in your case , so it is essential that the witness is well prepared . The presenters will address common mistakes made by witnesses in depositions , how to avoid common traps set by opposing counsel, and will provide a roadmap for effective deposition witness preparation in any setting . Marilyn Blandford, Assistant Deputy Associate General Counsel for Employment Law, General Law Division Ms. Blandford received her B.S. from La Salle University , where she graduated Magna Cum Laude . She received her law degree from the University of Maryland School of Law. After law school, she was an attorney with the Federal Labor Relations Authority (FLRA) for five years , drafting decisions for the FLRA and prosecuting federal agencies for unfair labor practices among other violations of labor law. Following the FLRA, Ms. Blandford worked for the U.S. Department of Commerce , where she handled all aspects of federal employment law. Ms. Blandford has worked with HHS/OGC/GLD since January 2001 and has been one of the team leaders for the employment law team since then. She handles the most complicated employment cases and routinely f\lVILt ll....11\l\i pVERSIGHT 6 EXT-18-1509-J-000108 provides legal advice to the highest levels of HHS and its operating divisions . Ms . Blandford has made significant contributions to OGC 's mission by participating on subcommittees connected with OGC 's employment conferences and presenting many training sessions on employment law issues. Caitlin Palacios , Attorney , General Law Division Caitlin Shirer Palacios is a graduate of Bates College and William and Mary Law School. She is a member of the District of Columbia and Maryland bars. She joined HHS in September 2012 from Paulson & Nace , a law firm in Washington D.C. , specializing in medical malpractice . Prior to Paulson & Nace , she worked for the American Association of Justice , primarily developing and writing litigation guides , including in the areas of medical malpractice and the FTCA. She previously worked at the American University , Washington College of Law , teaching legal writing and research ; and as a judicial law clerk for the Honorable Noel Anketell Kramer on the Superior Court of the District of Columbia. In 2015, she received the HHS Office of General Counsel "Outstanding Newcomer Award ." She recently completed a detail to the Children, Family and Aging Division at HHS . Christopher Tully, Attorney, General Law Division Christopher Tully has served as an attorney in GLD 's Claims and Employment Law Branch since February of 2004 . He specializes in labor and employment law , including matters arising under the Fair Labor Standards Act , and handles administrative litigation before the EEOC, the MSPB , and arbitrations of union grievances . Prior to coming to OGC, he worked as a union side attorney for more than eight years , as Assistant General Counsel for the Transportation Communications Union from 1997 to 2004 , and as Associate General Counsel with the Amalgamated Transit Union from 1995 to 1997. He received his J.D. from the University of Virginia, and his B.A. from Drew University in New Jersey. He is currently admitted to practice in the District of Columbia , New Jersey, New York, the U.S. District Courts for the Eastern District of Michigan and for New Jersey , and the U.S. Courts of Appeals for the Third and Fourth Circuits. CONNECTION INFO: URL: (b)(B) b; u D10 CA "::'""" L-=-L---= -1-=--= N:-:N :-:-: U ::-:::-: M=-= s=-= e=-= R =-:iiI~ 1;; ,,I ~j<= b_)=(6_.= 1 ~~~~~~~~1-= P:-a_s_s -co- d-=e- :~lr.:= ; Wright, Don (HHSIOASH) ; Michon (lo:ExchangeLabsfou=Exchange Administrative Group Giroir, Brett Subject: Dinah out of the of?ce Data: 2018f03i?06 11:45:59 Start Date: 2018f04f05 00:00:00 End Date: 2018f04f0? 00:00:00 Priority: Normal Type: Appointment Location: Attendees: Wright, Don (HHSJOASH) Huber, Valerie Valentine, Steven (Steven.Valentine@hhs.gov) Perrone, LaVonnia Michon Giroir, Brett Savitch, Michael Grav, Oneika Sender: Bembo, Dinah (HHSJOASH) Recipient: Bembo, Dinah (HHSJOASH) : Wright, Don (HHSIOASH) (Jo:ExchangeLabsfou=Exchange Administrative Group Don Huber, Valerie (HHSJOASH) do:ExchangeLabsjou=Exchange Administrative Group 1144d19bbff4c0ee2bD3ETd?Huber, Vale>,' Valentine, Steven ; Savitch, Michael (HHSIDASH) do:ExchangeLabsfou=Exchange Administrative Group Mi> Gray, Dneika (H HSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Dneik} Sent Date: 2018103,!05 11:46:59 From: Gimirl Brett (HHSIOASH) ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) To: Giroir, Brett (HHSIOASH) ?do: ExchangeLabsfou= Exchange Administrative Group 1b46fd617?Girori, Bre>; Bemho, Dinah (HHSIOASH) Subject: APHA Date: 2018f03i'12 12:09:12 Start Date: 2018f11,l'10 00:00:00 End Date: 2018f11i'15 00:00:00 Priority: Normal TYPE: Appointment Location: San Diego, CA Sender: Giroir, Brett ADMINISTRATIVE GROUP Bembo, Dinah (HHSIOASH) Recipient: Giroir, Brett (HHSIDASH) do:ExchangeLabslou=Exchange Administrative Group Bre>; Bembo, Dinah Sent Date: 2018103122 13:34:18 From: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) Subject: Do Not Schedule Date 14:26:26 Start Date: 2018f03114 12:00:00 End Date: 2013103114 13:00:00 Priority: Normal Type: Appointment Sender: Giroir, Brett ADMINISTRATIVE GROUP NTSICN FC E47 5 5 Y04C4CA031D621 346FD6F2-GIRDRI, Bembo, Dinah Recipient: Giroir, Brett (HHSIOASH) (in:ExchangeLabsfou=Exchange Administrative Group Bre> Sent Date: 2018f03l12 14:26:26 From: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) To: Giroir, Brett (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Bre>; Clark, Timothy (HHSJIDS) ; Stirrup, Heidi (HHSIIOS) Bembo, Dinah (HHSIOASH) Subject: 15 Minutes Conversation war. Tim Clark, WHL POC: Dinah Bembo 202-690-7?694 Date: 2018f?3f13 09:34:30 Start Date: 2018103113 11:00:00 End Date: 2013103113 11:30:00 Priority: Norma! Type: Appointment Location: DASH CR - Mr. Clark will initiate the call 202-690-3694 Sender: Giroir, Brett ADMINISTRATIVE GROUP Bembo, Dinah ; Ciark, Timothy ; Stirrup, Heidi (HHSIIDS) ; Bemho, Dinah (HHSIOASH) Sent Date: 2018f03fi3 09:34:30 Girair, Brett (HHSIOASH) (In:ExchangeLabsfuu=Exchange Administrative Group Fm?: Bre> Subject: Hold for potential travel Date: 2018f03f2? 10:1?:10 Start Date: 2018f07f18 14:00:00 End Date: 2013f0?18 13:00:00 Priority: Normal Type: Appointment Sender Gimir, Brett (HHSIUASH) To: Giroir, Brett (HHSIOASH) ?do:ExchangeLabsfou=Exchange Administrative Group Bre>; Bemho, Dinah (HHSIOASH) Subject: Date: Dr. Don Wright on (13MB) 2018103f22 1?:2?:35 Start Date: 2018103,!23 00:00:00 End Date: 201810380 00:00:00 Priority: Normal TYPE: Appointment Location: Personal Sender: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP Bembo, Dinah (HHSIOASH) Recipient: Giroir, Brett (HHSIDASH) do:ExchangeLabslou=Exchange Administrative Group Bre>; Bembo, Dinah Giroir, Brett (HHSIOASH) do:ExchangeLabslou=Exchange Administrative Group Bre> Subject: Hold for potential travel Date: 2018;03127 10:1?:26 Start Date: 2018f07f19 08:00:00 End Date: 2018f0?]19 13:30:00 Priority: Normal Type: Appointment From: To: The Honorable Karen Gren Scholer United States District Judge For the Northern District of Texas Thursday, July 19, 2018 3:30 pm The Bela Mansion 210] Ross Avenue Dallas, Texas Formal Inv1tat10n to Follow Giroir, Brett (HHSIOASH) (lo: ExchangeLa bsi?ou: Exchange Adminish'ative Group Bre> Giroir, Brett (HHSJOASH) (lo: ExchangeLa bsi'ou: Exchange Administrative Group Bre> Sent Date: 2013:0312? 10:1?z26 Sender: Recipient: From: Giroir, Brett ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) Subject: Deliver Remarks Healthv People 2020 Progress Review POC: Dinah Bembo 202-690-?594 Date 11:23:02 Start Date: 2018108110 12:30:00 End Date: 2013100110 14:30:00 Priority: Normal Type: Appointment Location: DASH CR 729-5 Sender: Giroir, Brett (HHSJOASH) ADMINISTRATIVE GROUP FCE47 5 5 204C4CA031D621 B46FD6FY-GI RDRI, Bemb-o, Dinah Recipient: Giroir, Brett (HHSIDASH) Subject: Transportation Driver: Date: 20131032? 12:39:02 Start Date: 20 181'04109 03:00:00 End Date: 2013f04i'09 03:30:00 Priority: Normal Type: Appointment Sender: Giroir, Brett ADMINISTRATIVE GROUP NTSICN FC E47 5 5 YD4C4CA031D621 346FD6F2-GIRDRI, Bembo, Dinah Recipient: Giroir, Brett (HHSIOASH) (lo:ExchangeLabsfou=Exchange Administrative Group Bre> Sent Date: 2018103!? 12:39:02 From: Girair, Brett Subject: Of?ce "I?Ime Date: 2018f03129 03:06:26 Start Date: 2013f04f?3 14:00:00 End Date: 2013f04f03 15:30:00 Priority: Normal Type: Appointment Sender Gimir, Brett To- Giroir, Brett (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Bre>; ?v'a?ades, Mark (HHSIDASH) ; Grav, Uneika (H ; Bemho, Dinah (HHSIOASH) Subject: Scheduling Team Decision Meeting POC: Dinah Bembo 202-690-?694 Date: 2013f04i'04 15:40:35 Start Date: 2018f04f05 15:30:00 End Date: 2018f04305 16:00:00 Priority: Normal TYPE: Appointment Location: DASH CR 716-6 Sender: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP (FYDIBO NTSICN 5 5 704C4CA031D521 Bembo, Dinah Recipient: Giroir, Brett ; Va?ades, Mark silo: ExchangeLabsjou=Exchange Administrative Group Broido, Tara (HHSIOASH) (Tara.Broido@hhs.gov) ; Bembo, Dinah (HHSJOASH) To: Giroir, Brett (HHSIGASH) do:ExchangeLabslou=Exchange Administrative Group Bre>; Valentine, Steven (Steven.Valentine@hhs.gov) ne,) ; Broido, Tara (HHSIOASH) (Tara.Broido@hhs.gov) ; Va?ades, Mark ; Perrone, LaVonnia (HHSJOASH) ; Miehon HSIDASH) Recipient: Giroir, Brett (HHSIDASH) do:ExchangeLabsfou=Exchange Administrative Group Bre>; Valentine, Steven (Steven.Valentine?hhs.gov) ; Va?ades, Mark : Perrone, LaVonnia To: Giroir, Brett (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group 1b46fd6f??Girori, Bre>; Jilani, Shahla (HHSIIDS) 1 Bembo, Dinah (HHSIOASH) ; .iilani, Shahla (HHSIIDS) Subject: SFC Hearing Date: 15:52:30 Start Date: 2018104} 19 00:00:00 End Date: 2013! 04120 00:00:00 Priority: Normal Typo: Appointment Location: Hill Thanks very much for the quick reply. We'll keep you posted once the date of the hearing is finalized and will work on all of your prep materials. Enjoy your evening! From: Giroir, Brett (HHSKOASH) Sent: Monday, April 02, 2018 5:52 PM To: Kemper, Laura Cc: Huber, Valerie Bembo, Dinah (HHSJOASH) Subject: RE: SFC Hearing April 19th: (bll5) Clearance: {bll5l Dinah runs my schedule. (W5) Thank you 86 Brett P. Giroir, MD ADM, US Public Health Service Assistant Secretary for Health Office of the Assistant Secretary for Health 200 Independence avenue, SW Washington, DC 20201 Office. Phone: 202?690-76951 From: Kemper, Laura (HHSKASLJ Sent: Monday, April 2, 2018 5:44 PM To: Giroir, Brett Cc: Huber, Valerie (HHSXOASH) Subject: RE: SFC Hearing Nice to see you at the egg roll today! I hope you and your wife had a nice time with your 7th granddaughter. We heard back that Kim Brandt is unavailable on the 1 but could testify on the 19th. Would that happen to work for you? Also, we are working on finalizing an HHS statement that will be submitted for the Senate HELP Committee hearing on opioids being held next week. We will be putting it into Department clearance tomorrow and would like to include DASH on the clearance list. Could you let us know who from DASH should be included? Thanks! From: Kemper, Laura Sent: Monday, April 02, 2018 8:19 AM To: Giroir, Brett Cc: Huber, Valerie Subject: SFC Hearing Dr. Giroir, I hope you had a wonderful Easter weekend. I am touching base because the Senate Finance Committee .has asked if you would be available to testify on opioid strategy at a hearing on April 17. They originally had asked the Secretary to testify, but we declined for a number of reasons (mostly because the Secretary typically only testi?es at budget hearings). They are very interested in having you there given last week?s announcement that you will be the Department point person on opioids. It is likely that we would also send a CMS witness. Could you let me know your availability on the 17th and whether this is something you are able to do? Thanks! Laura Giroir, Brett ADMINISTRATIVE GROUP Bembo, Dinah ?do:ExchangeLabsjou=Exchange Administrative Group Dina> Recipient: Giroir, Brett (HHSIOASH) Subject: Of?ce Time Date: 2018f03129 03:0?:05 Start Date: 2013f04}05 10:30:00 End Date: 2018f04105 12:00:00 Priority: Normal Type: Appointment Sender Gimir, Brett Sent Date: 201310329 03:07:05 From: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP Sent'll'ia: Bembo, Dinah (HHSJOASH) To: Giroir, Brett (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Baez?; Wright, Don (HHSIOASH) (Don.Wright@hhs.gov) Subject: High Level Overview Common Rule war. Jerri,l Menikoi?f, DHRP PDC: Dinah Bembo 202-690- T694 Date: 2013103122 1?:49:00 Start Date: 2013103127 14:00:00 End Date: 2013,1032? 14:45:00 Priority: Normal Type: Appointment Location: DASH CR Illa-G Subject: High Level Overview Common Rule Date: Tuesday, March 2013 Time: 2:00pm Location: DASH CR 716-6 Participants: ADM Brett P. Giroir, ASH Dr. Don Wright, Acting PDASH Paula Stannard, OS Counselor Jamar Hawkins, US, Policy Coordinator Dr. Jerry Menikoff, Director, OH RP l?v'ls. Julie Kaneshiro, Deputy Director, OHRP lvor Prichard, OHRP Steven Valentine, DCOS Ann Agnew, OS, Exec Sec Please email/call me if you or your principal would be available. Thanks, Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP NTSICN A56 55 704C4CAU31 D621 B46FD6FY-GIROR1, Bembo, Dinah ; Wright, Don (HHSJOASH) (Don.Wright@hhs.gov) do:ExchangeLabsfou=Exchange Administrative Group Don Stannard, Paula (lo:ExchangeLabsfou=Exchange Administrative Group Hawkins, Jamar do:ExchangeLabsfou=Exchange Administrative Group Menikoff, Jerry (HHSIDASH) Clo:ExchangeLabslou=Exchange Administrative Group Kaneshiro, Julie A (H ; Bembo, Dinah Sent Date: 2618f?3f22 Sender: Page 02310 Page 09? Withheld Dumber-I. to exemption (billi?ll Ufthe Freedom of Information Act From: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) ; Huber, Valerie (HHSIOASH) {Valerie.Huber@hhs.gov) Subject: Catch Up wJVaIerie Hub-er, COS FOG: Dinah Bembo 2015904694 Date: 2013f03f22 17:50:09 Start Date: 2013;03:23 16:30:00 End Date: 2013;03x23 1?:00:00 Priority: Normal W03: Appointment Location: DASH CR Sender: Giroir, Brett (HHSIUASH) ADMINISTRATIVE GROUP Bembo, Dinah Recipient: Giroir, Brett (HHSIOASH) ; Huber, Valerie {Valerie.Huber@hhs.gov) Sent Date: 201310322 17:50:09 From: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) Subject: Do Not Schedule ?:30Pm Date 2013103122 1?:51:30 Start Date: 2018f03123 1?:30:00 End Date: 2013103123 13:30:00 Priority: Normal Type: Appointment Sender: Giroir, Brett ADMINISTRATIVE GROUP NTSICN FC E47 5 5 Bembo, Dinah Recipient: Giroir, Brett (HHSIOASH) (in:ExchangeLabsfou=Exchange Administrative Group Bre> Sent Date: 2018f03f22 17:51:30 From: Giroir, Brett ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) To: Giroir, Brett (HHSIOASH) do:ExchangeLabslou=Exchange Administrative Group Bre>; Valentine, Steven (Steven.Valentine@hhs.gov) ne,) ; Bemt-o, Dinah (HHSIOASH) ; Wright, Don (HHSIOASH) [Don.Wright@hhs.gov) ; Valentine, Steven (Steven.Valentine@hhs.gov) ne,) ; Bemho, Dinah (HHSIOASH) Subject: Meeting waa'v'onnia Perrone PDC: Dinah Elembo 202-690-7694 Date: 2013103123 10:36:35 Start Date: 2018103123 11:00:00 End Date: 2018f03f23 11:30:00 Priority: Normal Tyne: Appointment Location: DASH CR Sender: Giroir, Brett ADMINISTRATIVE GROUP NTSICN FCE47 55 D521 RORL Bembo, Dinah Administrative Group Dina> Recipient: Giroir, Brett (HHSJOASH) (lo:ExchangeLabsfou=Exchange Administrative Group Brezr; Valentine, Steven (Steven.Valentinet?ihhsgov) (fd503090f3934b1caf?40 EQbCEDODdcz-Valenti ne,) <2 lo ExchangeLa bsfou Exchange Administrative Group Perrone, LaVonnia ; Huber, Valerie (HHSIOASH) {Valerie.Huber@hhs.gov) Subject: Meeting wfValerie Huber POE: Dinah Bembo 202-690-?694 Date: 2013f03f?? 15:33:28 Start Date: 2013,1030? 16:00:00 End Date: 2018f?3/U? 16:30:00 Priority: Normal Type: Appointment Location: DASH CR Sender: Giroir, Brett (HHSIUASH) ADMINISTRATIVE GROUP Bembo, Dinah Recipient: Giroir, Brett (HHSIOASH) ; Huber, Valerie {Valerie.Huber@hhs.gov) Sent Date: 2013101107 15:46:45 Delivered Date: 2013,3030? 15:33:28 From: Gimir, Brett (HHSIOASH) ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) To: Giroir, Brett (HHSIOASH) do:ExchangeLabslou=Exchange Administrative Group Bre>; Broido, Tara (HHSIOASH) (Tara.Broido@hhs.gov} ; 'v'a?ades, Mark Subject: Tara wawitter Account POC: Dinah Bembo 202-690-7694 Date: 2010/031'14 10:11:00 Start Date: 2018101114 15:00:00 End Date: 2018f03f14 15:10:00 Priority: Normal Type: Appointment Location: DASH CR Sender: Giroir, Brett (HHSIUASH) ADMINISTRATIVE GROUP 55 D62 RDRI, Bembo, Dinah (HHSIOASH) To: Girdir, Brett (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Bre> Subject: Held For Brie?ng Prep Date: 2018f03} 14 10:24 :42 Start Date: 2018103115 10:00:00 End Date: 2018f03l15 11:30:00 Priority: Normal Type: Appointment Sender: Girdir, Brett Recipient: Giroir, Brett (HHSIOASH) Sent Date: 2013103314 10:24:42 From: Giroir, Brett ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) To: Giroir, Brett (HHSIOASH) do:ExchangeLabslou=Exchange Administrative Group 1b46fd6??Girori, Baez?; Trent?Adams, Svlvia (H HSIDASH) do=ExchangeLaosjou=Exchange Administrative Group Hunter, Joan {Joan.Hunter@hhs.gov} ; Valentine, Steven (H HSJIOS) (Steven.Valentine@hhs.gov) (fd508090f8984t: lcaf04? ne,) ExchangeLa bsfou Exchange Administrative Group Subject: Follow Up WIRADM Trent-Adams and Hunter PDC: Dinah Bembo 202-590-7694 Date: 2013f03f29 1?:02:59 Start Date: 2018104304 15:00:00 End Date: 2018:04i04 16:00:00 Priority: Normal Type: Appointment Location: DASH RM HIE-G RADM Trent-Adams will call 202-690-43?9 Sender: Giroir, Brett (HHSIGASH) <10: ADMINISTRATIVE GROUP Bembo, Dinah czjo:ExchangeLabsjou=Exchange Administrative Group bb2c132 5a4caed 12-Bembo, Dina Recipient: Giroir, Brett (HHSJUASH) ; Yvonne Santiago (vvonne.santiago@hhs.gov) Kluk, Michael To: Giroir, Brett (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Bre> Subject: Uniform Fitting and Purchases Date: 2018l03f30 03:23:23 Start Data: 2018,3033!) 15:30:00 End Date: 2018f03l30 1?:00z00 Priority: Normal Type: Appointment Luca?nn: Navyr Exchange, Navy Yard Sender: Giroir, Brett (HHSIOASH) Acker, Alisha R. (1o: ExchangeLabsfou=Exchange Administrative Group Alis>; Adams, Ava (OSIDASH) Waits, Regina ; Alexander, Stephanie (DSIOASH) do:ExchangeLabsfoquxchange Administrative Group Allelv, Eric 1' HHSIOASH) Arnold, Anita ,' Artis, Shavon (OSIOASH) ; Bailev, Dennis (OSIOASHJOSGIDSUCCSB) ; Lee, Dorinda (HHSIOASH) ,' To: Banen?ee, Taraswi (OSIOASH) (CTR) ,' Bellido, Maria (DSIOASH) (CTR) do:ExchangeLabsfou=Exchange Administrative Group Ma>; Bembo, Dinah (HHSIOASH) ; Bennett, Nicole (OSIOASH) ; Bennett?Pagan, Sandra (HHSJOASH) ; Bettencourt, Alice Bettis, David (OSIDASH) do:ExchangeLabsfou=Exchange Administrative Group 108?-Bettis, Dav}; Bevington, Frances ; Bishop?Crawford, Jennifer (OSIDASH) Blakev, Carter do:ExchangeLabsfou=Exchange Administrative Group 14ca2addb3b4929e0befa-Blakev, Car>; Boglev, Brenda "Ruby? (lo:ExchangeLabsfou=Exchange Administrative Group Bre>; Bok, Karin (OSIOASH) ; Borden, ll."alerie do:ExchangeLabsfou=Exchange Administrative Group lc-Borden, Val}; Bouvion, Renee do:ExchangeLabslou=Exchange Administrative Group Bouvi Bovd, Sharon (HHSJOASH) Braun, Michelle ,' Butler, John (HHSIDASH) ; Chess, Cassandra ; Cousin, Lanita (OSJGASHJOSGIDSUCCSB) ; Devietti, Elizabeth (DSIOASH) ; Dickens, James L. (HHSIOASH) Administrative Group Jar?; Dinh, (HHSIDASH) R) ; Downs, Tanette ?:lo:ExchangeLabsfou=Exchange Administrative Group Ta nette>; Dreher, Tvnetta ; Duhart, Lisa (HHSIOPHS) ; Earl, Mvrial (HHS) do:ExchangeLabsfou=Exchange Administrative Group Myria>; East, Janet (Io:ExchangeLabsfou=Exchange Administrative Group Janet}; Elliott, Kellev (OSIDASH) ; Fan, Yi-Chiu ; Farrill, Tracv (HHSIOASH) Fecik, Nathan (OSIDASH): sfo=Exd13ngeLabsfou=Exchange Administrative Group Nath>; Fernandez, Enrique (USIOASH) do:ExchangeLabsiou=Exchange Administrative Group Field, Sarah : Ford, Ricki:I (OSIASAJOCIOJGIS) sfo=ExchangeLabsiou=Exchange Administrative Group Ricky}; Frederiksen, Brittni (OSIOASH) ?do:ExchangeLabsiou=Exchange Administrative Group (FYDIBO 6a 5 5fe4e23eb45f19t76de360a riksen Freiman, Alex (in:ExchangeLabsiou=Exchange Administrative Group Frv, Alia (HHSJOASH) (io=ExchangeLabsi'ou=Exchange Administrative Group Alia Fuller, Robin ichangeLabsiou=Exchange Administrative Group Rob> Furman, Lawrence (H HSIOASH) do:ExchangeLabsfou=Exchange Administrative Group le1?- Fu rman, Laws?; Gallardo, Daniel ; Gardner, Angela (HHSIOASH) ?Clo:ExchangeLabsfou=Exchange Administrative Group An Garisto, Russell (OSIOASH) ; Girgenti, Angela ; Glascoe, Tracv : Glass, Louis (DASH) {io=ExchangeLabsiou=Exc?nange Administrative Group Loui>,- Goh, Kim II Mark) ; Gonzales, Anna (DSIOASH) ; Gorev, Julia (HHSIOPHS) ; Hall, Cvnda (HHSJOASH) ; Hall, Tish ; Hand, Steven ; Vega, Genet ; Harper, Katja (CT R) ; Harper, Stacv <,fo=ExchangeLabsiou=Exchange Administrative Group 166cdeb0?4d l4 28d Harper, Sta Harrington, Brenda] Administrative Group Ham's, Alesha ; Harris, Linda ; Haves, Stephen (GSIOASH) ; Hunter, Mildred ; Hurvviiz, Emilv (H HSIDASH) trio:ExchangeLabsfou=Exchange Administrative Group 16005-Hurwitz, Em Hvitved, Angela ; James, Carla (HHSIOASH) ; Johnson, Avanna (OSIOASH) do:Exchangetaosfou=Exchange Administrative Group Av}; Johnson, David M. HSIOASH) ; Jones, Sharv (OS) ExchangeLabsfou=Exchange Administrative Group Sharp?; Jones, Wanda K. (DH Kamal, Sianat (OSJOASH) Kennedv, Elliot (lo:ExchangeLabsfou=Exchange Administrative Group El Khaki, Leila (OSIDASH) (lo:ExchangeLabsiou=Exchange Administrative Group Leil>,' Kigenvi, Tiffani ,' Kim, Jamie (HHSIDASH) ; Kirnos, Alla do:ExchangeLapslou=Exchange Administrative Group All} Kluk, Michael (HHSIOASH) Konsella, Laurie ; Kumar, Karan (HHSIOASH) (CTR) ; Lane, Aric (HHSIDASH) R) do:ExchangeLabslou=Exchange Administrative Group Aric>; Lau, Yvonne ?do:ExchangeLabsfou=Exchange Administraljve Group Yvonne>; Lawrence, Justina (HHSAJASH) ?do: ExchangeLabsfou=Exchange Administrative Group Lee, Jov (HHSIDASH) ; Lewis, Pandora ,' Lin, Yen silo:ExchangeLabsiou=Exchange Administrative Group Yen); Lindsay, Christina (HHSIOASH) ; Lorenzo, Felix (DSIOASH) (CTR) do:ExchangeLabsiou=Exchange Administrative Group Fe}; Loyola Brice-no, Ana Carolina <10=ExchangeLabslou=Exchange Administrative Group (FYDIBOH Brit}; Lozada, Miguel Lvons, James (Kvle) : Margolis, Amv (HHSIOASH) ; McGue, Sharnette A. (OSHASAIOPHS) ; Moncada, Victoria (HHSJOASH) Moore, Scott ; Moorhead, Dolly (OSIOASH) do:ExchangeLabsiou=Exci1arIge Administrative Group Morales, Ray (HHSIOASH) do=ExchangeLabsfou=Exchange Administrative Group 6c83fb84289 1482a59a4138ha8d683B-Ray. Morales> Morgan, Tracy (HHSIOASH) Moskosky, Susan (HHSIOASH) <1o= ExchangeLabslou=Exchange Administrative Group Sow; Mosley, Jamease (HHSIOASH) (CTR) Administrative Group Jam}; Mozer, Brian (OSIDASH) ?e:io=ExchangeLabsiou=Exchange Administrative Group =d5f6cdf5 Bria :5 Murraine, Shanae (HHSIDASH) ; Nelson, Keiva ; NguyenKhoa, Loc do:ExchangeLabsfou=Exchange Administrative Group Nieves, Annette ; Novick, Emilv (DSJOASH) atfo=ExchangeLabsfou=Exchange Administrative Group Emil-r; Nwankvvo, Renee (HHSIOASH) Administrative Group Re}; Ochiai, Emmeline (H do:ExchangeLabsfoquxchange Administrative Group =5455b90bdf?e4b30a6f02 b92?efc2e2??Ochiai, Emm O'Hara, Barbara (HHSIOASH) ,? Olscamp, Kate (OSIOASH) (CTR) ; Orr, Courtney ; Pouncv, Zenobia ; Powell, Clydette (HHSIOASH) ; Powell?Hailey, do:ExchangeLabsfoquxchange Administrative Group 152a44?oa555?05e 2863 cb5??Powell?Hail::; Price, Juliette (OSEOASH) (CTR) Quam, Julia (OSIOASH) (CT R) ,' Quiroz, Leslie (DSIOASH) ; Randolph, Tracey <30:ExchangeLabsfou=Exchange Administrative Group 12bbc61?c233494eo09 1ac?ca42a24bS-Randolph, Rao, Saranya (OSIGASHIOSGIDSUCCSB) do:ExchangeLabsfou=Exchange Administrative Group (FYDIBOH Saranyo?; Ratliff, Andrea ; Reaves, Larry sip:ExchangeLabsfou=Exchange Administrative Group Law; Remsburg, Timothy ; Roberls, Davonda (DSIOASHIDSG) ; Runnels, Keliee (HHSIOASH) Saha, Landry ; Sancho, Alfredo (OSJDASH) do:ExchangeLabsfou=Exchange Administrative Group Sanders, Tanya (HHSJOPHSIOAH) Scholle, Robert ; Sdiwarzber, Ross (OSJOASH) (CTR) Shell, Caroline (HHSIOASH) R) ; Silver, Karen (DSIDASH) <,io=Exchangetabsfou=Exchange Administrative Group Kar>; Simon, Barry (OSIUASH) silo:ExchangeLabsfou=Exthange Administrative Group Harm; Simpson, Georgia ; Singh, Vanila silo:ExchangeLabsfou=Exchange Administrative Group Vani>; Singleton, Ursuiine (HHSIOASH) (Jo:ExchangeLabsjou=Exchange Administrative Group Smith, Adrienne M. (OSJDASH) ; Smith, Damon ; Smith-Hirak, April Solomon, Brenda (HHSIOASH) ; Talev, Caroline (HHSIOASH) do:ExchangeLabslou=Exchange Administrative Group 14ae8aa2h494484e8 Caro}, Tarlton, Gail Trent-Adams, Svlvia (HHSIDASH) Administrative Group Tsai, Alice Administrative Group Yu-Ti> Tuckett, Gavle sfo=ExchangeLabsfou=Exchange Administrative Group Ga}; Turner, Lavern (HHSIUASH) do:ExchangeLabsiou=Exchange Administrative Group =dc155cce850?4 2cDQd69e0bc8dffe?86?Turner, Lav>; Turner, Latasha ; Usanase, Francine (HHSIDASH) (CTR) (lo:ExchangeLabsfou=Exchange Administrative Group Francine}; Wright, Don (HHSJOASH) <,lo=ExchangeLastou=Exchange Administrative Group Don Va?ades, Mark (HHSIDASH) do:ExchangeLabsfou=Exchange Administrative Group Mb; Valentine, Steven do:ExchangeLabsfou=Exchange Administrative Group Valloric, Anthonv (OSIOASH) ; Vaux-Bjerke, Aiison Vigo, Alexander ; Warner, Alexandra tchange Administrative Group b90?00e401b5c5-Wasem, Cath>; Wasserman, Jill (DSIOPHS) , West, Eric Wharton, Melinda Woolslaver, Christine ; Wu, Samuel ,' ann, Dewayne (HHSIOASH) ; To, John (HHSIOASH) (CTR) sip:ExchangeLabsiou=Exchange Administrative Group John>; Yu, Joyce (OSIOASH) (CTR) (To:ExchangeLabsfou=Exchange Administrative Group Joyce>; Zingman, Lisa (DSIOASH) Shaw, Frederic (CDCIOPHSSECSELSJOD) ; Abariko, Marv (DSEOASH) <10=ExchangeLabsfou=Exchange Administrative Group =cef3 l?e?c? b?4eefBee?c1 1c299f?dbc-Abariko, Ma) Abercrombie, Ann ; Aguilar, Karina ; Ai-Amin, Nadia (CTR) Arnold, Anita (OSIOASH) ; Artis, Shavon ; Bailey, Dennis Bakos, Alexis (OSIDASH) Lee, Dorinda (HHSIOASH) ; Barnes, Sandra (OSIOASH) (lo:ExchangeLabsfou=Exchange Administrative Group 1?d 5be?-Barnes, San Bartasavich, Tammy ; Beckford, Sherry (HHSJOASH) ,' Bellido, Maria (DSIOASH) (CTR) ; Bembo, Dinah (HHSIOASH) Berrvman-Gordon, Melanie (HHSIOASH) (lo:ExchangeLabsfou=Exchange Administrative Group (FYDIBOH Berrvman-Go>; Bettencourt, Alice do:ExchangeLabsiou=Exchange Administrative Group are 3c3634c939a5fa 9607bdaeafe?Bettencourt>; Bettis, David (OSIDASH) Blakev, Carter (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group =afeBEclce1a 14caI-Eaddeb4929eUbefa-Biakev, Car>; Boglev, Brenda ?Ruby? (HHSICIASH) (lo:ExchangeLabsfou=Exchange Administrative Group 195ca6f5 B-Boglev, Bren- Bok, Karin (OSIOASH) ; Boyd, Sharon Braun, Michelle (DSIOASH) Brenneisen, Margaret (OSIOASH) ; Brown, Ambriah (HHSIDASH) (CT R) ; Brunson, Roscoe (HHSJOPHS) ; Buchanan, Lisa ; Calderon, Raquel (DSJGASH) ; Carr, Nicole : Carter, Yvette M. (OSIOASH) (CTR) Administrative Group Casavale, Kellie (OSIOASH) do:ExchangeLabsiou=Exchange Administrative Group l455?1 144089a3b?dcafc46?4cb l-Casavale, Castro, Bryan (CT R) do:ExchangeLabsfou=Exchange Administrative Group Brvna- Ceinos, Gustavo ; Chambers, Lauren (HHSIOASH) (lo:ExchangeLabsfou=Exchange Administrative Group Chambers, Zakiva (DSIOASH) ', Chirinos, Cecilia (OSIDHRP) -, Cousin, Lanita <10:ExchangeLabsfou=Exchange Administrative Group Craig, Lesley (HHSIOPHS) Crump, Jacquelyn silo:ExchangeLabsfou=Exchange Administrative Group Jacqz- Dalev, Michael do:ExchangeLabsfou=Exchange Administrative Group Mich}; Daley, Monica (HHSIOASH) do:ExehangeLabsfou=Exehange Adminisirative Group Moni>; Dan, Corinna (DSIOASH) do:ExchangeLabsfou=Exchange Administrative Group 1cd3b0ab44a4?a?8 lfSaee?fddedS-Corbov, Cow; Darensbourg, Lauren ; Degrange, Elizabeth (HHSIOASH) ,? Douglas, Tracie (DSIOASH) (CT ; Downs, Tanette ; Dreher, Tvnetta (HHSIDASH) ; Duhart, Lisa (HHSIOPHS) ; Earl, Myrial (HHS) (Io:ExchangeLabsfou=Exchange Administrative Group Myria>; East, Janet (HHSIOASH) ,' Eliiott, Kellev (OSIGASH) ; Evans, Svreeta Farr, Denise (Jo:ExchangeLabslou=Exchange Administrative Group Farr}; Farrill, Tracv (HHSJOASH) ; Feaster, Shannon (OSIDASH) ; Fecik, Nathan ; Fernandez, Enrique (USIOASH) ,' Ford, Rickv Administrative Group Ricky}; Frederiksen, Brittni (DSIOASH) do:ExchangeLabsiou=Exehange Administrative Group Freiman, Alex ; Furman, Lawrence (HHSIOASH) sic:ExchangeLabsfou=Exchange Administrative Group Law>; Gallardo, Daniel (OSIDASH) do:ExchangeLabsrou=Exchange Administrative Group =e23f5488 1a654af993e3eafbd Gangavalii, Ramakrishna (OSIDSI) (CTR) do:ExchangeLaosfou=Exchange Administrative Group (FYDIBOH Gangavalli,>,- Gardner, Angela (H (lo:ExchangeLabsfou=Exchange Administrative Group An}; Garisto, Russell (GSIOASH) do: ExchangeLahsfou=Exchange Administrative Group Rm?; Gashel, Amanda (OSIOASH) (CTR) ?do:ExchangeLabsiou=Exchange Administrative Group Ama>,- Gaylord, Sanford (HHSIDASH) (CTR) ?z:fo=ExchangeLabsfou=Exchange Administrative Group 5a} Gianelli, Diane do:ExchangeLatisfou=Exchange Administrative Group Gilmer, Aquarius (OSKDASH) info:ExchangeLabsfou=Exchange Administrative Group Aqu>; Girgenti, Angela (HHSIGASH) Administrative Group Giroir, Brett (HHSJOASH) ,' Glascoe, Tracvr (HHSIOASH) : Glass, Louis (DASH) Goh, Kim (Mark) (H HSIOASH) ; Gomez, Miguel ,' Gorirossi, Karen (HHSNASH) ; Green, Sharonda (HHSXOPHS) i Gribble, Anna (OSIOASH) (CTR) (lo:ExchangeLabsfou=Exchange Administrative Group An Gronseth, DickieLvnn (HHSJOASH) ; Guv, Alicia (GSIDASH) ; Hall, Cvnda (HHSIOASH) ; Hail, Tish (HHSIOASH) (Jo:ExchangeLabsfou=Exchange Administrative Group 374d4950364fa 7ad Eife96712-Hail, Tishb; Hall?Robinson, Elvira ; Hand, Steven (HHSIGASH) ; Vega, Genet (HHSIOASH) ; Harris, Linda (lo:ExchangeLabsiou=Exchange Administrative Group Lin Harrison, Timothy ; Hayes, Stephen do=ExchangeLabsjou=Exchange Administrative Group Step}; Henderson, Gaylyn (lo:ExchangeLabsfou=Exchange Administrative Group Henley, Gorstella (HHSIOASH) ; Hernandez, Jaime (OSIOASH) Administrative Group Hoersch, Michelle (HHSIOASH) ; Holden, Charlotte Hunter, Joan (OSKOASH) ; Hurwitz, Emily (HHSIDASH) Hvitved, Angela (OSJOASH) ; Jimenez, Carol (USIOASH) (iozExchangeLabsfou=Exchange Administrative Group Ca}; Johnson, Avanna (OSIOASH) Administrative Group h-Johnson, Aw; Johnson, David M. (HHSIDASH) Kennedy, Kirnos, Alla do:ExchangeLabsfou=Exci1ange Administrative Group All} Kiuk, Michael (HHSIOASH) ; Lawrence, Justina (HHSJOASH) ; Lewis, Pandora (OSIOASH) ; Lin, Matthew (HHSAJASH) ; Lin, Yen Adminish'ative Group Yen}; Lindsay, Christina (HHSIOASH) ; Litton-Belcher, Kimberly (USIDASHIOSG) do:ExchangeLabsfou=Exchange Administrative Group (FYDIBOH F23 oce4ef1 9eoa55-Litton? Belt}; Liv, Chanva do:ExchangeLabsfou=Exchange Administrative Group Chanva>; Lorenzo, Felix (OSIDASH) (CTR) do:ExchangeLabsiou=Exchange Administrative Group Fe>; Lovola Brice-no, Ana Carolina (lo:ExchangeLabslou=Exchange Administrative Group (FYDIBOH F23 B4945ao1eaae1242ca00a- Loyola Brier?; Lozada, Miguel (OSJOASH) Lyons, James (Kyle) ; McGue, Sharnette A. ; McPeak, Holiv (HHSIOASH) : Menikoff, Jerry do:ExchangeLabsiou=Exchange Administrative Group Migiiaccio, Kate (HHSJOASH) ; Mozer, Brian ; NguvenKhoa, Loc (HHSIOASH) ?do:ExchangeLabsfou=Exchange Administrative Group Nieves, Annette (HHSIOASH) ; Novick, Emily (OSIOASH) ; vaankwo, Renee (HHSMASH) ; Orr, Courtney Partin, do:ExchangeLabsfou=Exchange Administrative Group Kat:- Paxman, Dalton (HHSIUASH) <10:ExchangeLabsiou=Exchange Administrative Group Dale; Perez, Dixie Perrone, La?v?onnia (HHSADASH) ; Pi?uto, Yema (DSMASH) ; Povodvreva, Irina ; Price, Juliette (CTR) ; Quam, Julia (OSIOASH) (lo:ExchangeLabsiou=Exchange Administrative Group Julia>; Quiroz, Leslie (DSIDASH) sIo=ExchangeLabsfou=Exchange Administrative Group Les}; Ramnath, Kemnique (CTR) ; Randolph, Tracey (HHSMASH) Reaves, Larry ; Remsburg, Timothv ; Rice, Tara ; Ring, Christine (GSIDASH) ; Roberls, Davonda (OSIDASHIDSG) ; Runnels, Kellee (HHSIDASH) Saha, Landry (H HSIOPHS) Administrative Group Landrb; Sancho, Alfredo (OSJOASH) ; Sanderson, Isoline ?do:ExchangeLabsiou=Exchange Administraljve Group Santiago, Yvonne ; Shen, Angela (OSIDASH) <10:ExchangeLabsfou=Exchange Administrative Group 14f41 SG4a?dbe3da2285af31baa?Shen, Angel SherwoodFabre, Liese A ,' Singleton, Ursuline do:ExchangeLabsfou=Exchange Administrative Group Smith, Adrienne M. (OSIDASH) Solomon, Brenda (HHSIOASH) Stevenson, Monica ; Talev, Caroline (HHSIOASH) Administrative Group Caro}; Tarlton, Gail do:ExchangeLapsfou=Exchange Administrative Group =Tariton, Gail Thanh, Hoa Tuckett, Gavle silo:ExchangeLabsfou=Exchange Administrative Group Ga}; Turner, Lavern ?do:ExchangeLabsiou=Exchange Administrative Group Lav>; Turner, Latasha (DSIDASH) ; Vaux?Bjerke, Alison (CTR) Administrative Group Velazquez, Marvbel ; Wasem, Cathy (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group =bc502feaecd p424?8a b90000e401 b?c??Wasem, Cath>; Wasserman, Jill (DSIOPHS) ; Weliwita, Rishva ; Wendt, Minn (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Wendt>; West, Eric sip:ExchangeLabsfou=Exchange Administrative Group Eric>; Wharton, Melinda ?do:ExchangeLabsiou=Exchange Administrative Group 15d0db5b00ec44f 1a9044ac95a9daf25-Wharton, Me>; Williams, Dereke (OSIDASH) Administrative Group Williams, Jacquelyn (OMH) (HHSIOASH) Wolitski, Richard ; ann, Dewayne (HHSJOASH) ; Shaw, Frederic do:ExchangeLabsfou=Exehange Administrative Group Frede>; do:ExchangeLabsfou=Exchange Administrative Group New:- Angela Johnson OS - ODPHP To: Giroir, Brett (HHSIOASH) ?do:ExchangeLabslou=Exchange Administrative Group Bre>; McGowan, Robert (Kyle) ; McGowan, Robert (Kvle) c:Jo:ExchangeLabsfou=Exchange Administrative Group Flo}; Bembo, Dinah (HHSJOASH) : Valentine, Steven (H (Steven.Valentine@hhs.govJ (f0508090f3934b1caf?4? 69bt6000d02-Valentine,) ?do: ExchangeLa bsfou Exchange Administrative Group Huber, Valerie (HHSIUASH) {Valerie.Huber@hhs.gov) ti0=ExchangeLabsiou=Exchange Administrative Group 1 144d19bbff4c0ee2b036?d-Huber, Vale> Sent Date: 2018103323 12:02:52 Delivered Date: 201810323 12:01:57 From: Giroir, Brett GROUP SentVia: Bembo, Dinah (HHSIOASH) To: Giroir; Brett (HHSIOASH) ?rip:ExchangeLabslou=Exchange Administrative Group Bre>; Kremchmaier; Michon HSIOASH) ; Va?ades, Mark (Io: ExchangeLatIsfou=Exchange Administrative Group Singh; Vaniia (HHSIOASH) {Vanila.Singh@hhs.gov) Subject: Immediate Of?ce Discussion POC: Dinah Bemb-o 202-690-?694 Date: 2018f03f01 17:01:31 Start Date: 20131'031'05 16:00:00 End Date: 2013f03i'05 16:30:00 Priority: Normal TYPE: Appointment Location: DASH CR 716-5 Sender: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP Bembo, Dinah (HHSIOASH) <10:ExchangeLabsjou=Exchange Administrative Group Dina> Recipient: Giroir; Brett (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Bre>; Michon To: Giroir, Brett (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Bre>; Kappeler, Evelyn ; Biakev, Carter (HHSIUASH) (carter.blakev@hhs.gov) EESfou=First Administrative Subject: Brief the ASH Re: QICIEMSC POC: Dinah Bemho 202-590-7594 Date: 12:33z4? Start Date: 2018f03f14 14:15:00 End Date: 2013:0314 15:00:00 Priority: Normal Type: Appointment Location: DASH CR Sender: Giroir, Brett (HHSIOASH) GROUP Bembo, Dinah ; Wolitski, Richard (HHSIOASH) : Biakev, Carter (carter.blakev@hhs.gov) To- Richmond, Holli (HHSIOASH) ; Wright, Don (Don.Wright@hhs.gov) ; Giroir, Brett (HHSIOASH) do:ExchangeLabslou=Exchange Administrative Group Bre> Subject: President?s Council on Fitness, Sports, and Nutrition Office Presentation ijolli Richmond PDC: Dinah Bembo 202-690-?594 Date: 2018f03r'15 09:33:13 Start Date: 2013f03l22 13:00:00 End Date: 2018f031'22 14:00:00 Priority: Normal Two: Appointment Location: LLIDD Tower Sender: Giroir, Brett (HHSIGASH) ADMINISTRATIVE GROUP Bembo, Dinah Recipient: Richmond, Holli (HHSIOASH) ; Wright, Don (HHSIOASH) (Don.Wright@hhs.gov) ; Huber, Valerie (HHSIUASH) (Valerie.Huber@hhs.gov) To: Giroir, Brett (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Bre>; Huber, Valerie (HHSIDASH) {Valerie.Huber@hhs.gov) ; Valentine, Steven (HHSJICIS) (Steven.Valentine@hhs.gov) Subject: Interview {bite} Position: Assistant in the D??ce of the Assistant Secretary for Health (DASH) POC: Dinah Bembo 2026904694 Date: 2018103108 15:46:50 Start Date: 2013f03f13 14:30:00 End Date: 2013103113 15:00:00 Priority: Normal TYPE: Appointment Location: DASH CR Sender: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP Bembo, Dinah (HHSIOASH) Recipient: Giroir, Brett ; Huber, Valerie (HHSIOASH) {Valerie.Huber@hhs.gov) ; Valentine, Steven (fd508090f8984b1caf040 69bc5000dc2-Valenti ne,) Subject: President?s Council on Sports, Fitness and Nutrition Date: 2018f04i'17 14:24:58 Start Date: 2018:0324 00:00:00 End Date: 2018f05i'25 00:00:00 Priority: Normal Type: Appointment Location: White House SentVia: To: Hi David, The 56 is currently scheduled to he in MN on 5?30. I will place a hold on his calendar but not reject the current event until I hear more. Thanks, Dollv Dolly Kilroy Moorhead Adviser to the Surgeon General US. Department of Health Human Services Hubert H. Humphrey Building bite) eskl202.205.6591 All mesmgesfrom this are confidante! and From: Mansdoerfer, David Sent: Tuesdav, April 17, 2018 2:01 PM To: Bembo, Dinah Adams, Jerome Moorhead, Dolly Cc: Valentine, Steven Richmond, Holli (HHSIOASH) Subject: Fwd: HHS Field Day 8: Announcement Dinah Dolly - Can you place holds for the SG and ASH for 2-5 pm both of the days listed below. Thanks. DM From: ?Miller, Adelaide E. Subject: RE: HHS Field Day 8: Announcement Date: 17 April 2018 13:49 To: "Mansdoerfer, David "Richmond, Holli "Feaster, Shannon Cc: "Giuliani, Andrew H. Sent: Tuesday, April 17, 2018 12:28 PM To: Miller, Adelaide E. EOPXWHO Richmond, Holli Feaster, Shannon 05 DASH) (Shannon.Feaster@hhs.gov> Cc: Giuliani, Andrew H. EOPIWHD Sent Date: 2013f04f1? 14:24:53 From: Giroir, Brett ADMINISTRATIVE GROUP SentVia: Bembo, Dinah (HHSIOASH) To: Giroir, Brett (HHSIOASH) do:ExchangeLabslou=Exchange Administrative Group 3113:?; Singh, Vanila (HHSIOASH) [VanilaSingh@hhs.gov) ; Huber, Valerie (HHSIOASH) (Valerie.Huher@hhs.gov) sfo=ExchangeLabsfou=Exchange Administrative Group Vale}; Valentine, Steven (H (lo: ExchangeLabsfou=Exchange Administrative Group Stevenson, Monica (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Bembo, Dinah ; Singh, Vaniia (HHSMASH) [Vanila.Singh@hhs.gov) Administrative Group Vani) Huber, Valerie (HHSIOASH) (Valerie.Huber@hhs.gov) Administrative Group Vale},- Valentine, Steven (H <10=ExchangeLabslou=Exchange Administrative Group Stevenson, Monica (HHSIOASH) Sent Date: 12:31:43 From: Giroir, Brett GROUP SenWia: Bembo, Dinah (HHS1OASH) <1o=Exd1angeLabs1ou=Exchange Administrative Group Dina> To: Giroir, Brett (HHS1OASH) <10:ExchangeLabs1ou=Exchange Administrative Group 1046fd6f3?Girori, Bre>; Hunter, Joan (OS1OASH) {Joan.Hunter@hhs.gov) <10=ExchangeLabs1ou=Exchange Administrative Group Sf1a8?4?ad84ethlce?98f? SEE-Hunter, Joa >1 Trent-Adams, Svlvia <10=ExchangeLahs1ou=Exchange Administrative Group Adamsr Jerome HS1OASH) Administrative Group Jero>; Debisette, Annette <10:ExchangeLabs1ou=Exchange Administrative Group Carr, Nicole (OS1OASH) <1o=ExchangeLabs1ou=Exchange Administrative Group 17635?4? lc-Carr, Nicol Yvonne Santiago [vvonne.santiago@hhs.gov) Kluk, Michael <1o=ExchangeLabs1ou=Exchange Administrative Group Micha> Bemho, Dinah (HHS10ASH) Administrative Group Dina:- Subject: Commissioned Corps Reform Timeline Proposal PUG: Dinah Bembo 202-690-?694 Date: 2013103115 09:59:13 Start Date: 2013103115 11:00:00 End Date: 2018103115 11:30:00 Priority: Normal TYPE: Appointment Location: DASH CR 716-6 Sender: Giroir, Brett (HHS10ASH) ADMINISTRATIVE GROUP (FYDIBO NT51 CN 5 5 704C4CA031D521 Bembo, Dinah Recipient: Giroir, Brett <1o=ExchangeLabsfou=Exchange Administrative Group Bre>; Hunter, Joan (OSIOASH) (Joan.Hunter@hhs.gov) <1o=Exd1angeLabs1ou=Exd1ange Administrative Group Joa>; Trent-Adams, Svlvia (H HS1DASH) <10:ExchangeLabs1ou=Exchange Administrative Group Adams, Jerome <10=ExchangeLahs1ou=Exchange Administrative Group Jero>; Debisette, Annette <1o=ExchangeLabs1ou=Exchange Administrative Group Carr, Nicole <1o=Exd1angeLabs1ou=Exchange Administrative Group Nicole; Yvonne Santiago (vvonne.santiago@hhs.gov) Kiuk, Michael <10=ExchangeLabs1ou=Exchange Administrative Group Micha> Bembo, Dinah <1o=Exd1angeLabsfou=Exd1ange Administrative Group ?d bec132 5a4caed 12-Bembo, Dina Sent Date: 2010103115 10:06:02 Delivered Date: 2013103115 09:59:13 From: Gimirl Brett (HHSIOASH) ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) To: Giroir, Brett (HHSIOASH) ?do:ExchangeLabsfou=Exchange Administrative Group 1b46fd6??Girori, Bre>; Nguyen, Tuan (OSIOASH) Sent Date: 2013f03f05 12:47:42 From: Giroir, Brett ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) Subject: Tentative Hold: Dr. Alexander-Scott POC: Dinah Bembo 202-690-F594 Date 2013103115 13:12:47 Start Date: 20 18f03115 14:45:00 End Date: 2013103115 15:00:00 Priority: Normal Type: Appointment Sender: Giroir, Brett ADMINISTRATIVE GROUP NTSICN FC E47 5 5 Y04C4CA031D521 Bembo, Dinah Recipient: Giroir, Brett (HHSIOASH) (lo:ExchangeLabsfou=Exchange Administrative Group Bre> Sent Date: 2018f03f15 13:12:47 From: Giroir, Brett (HHSIOASH) GROUP SentVia: Bembo, Dinah (HHSIOASH) To: Giroir, Brett (HHSIOASH) do:ExchangeLabslou=Exchange Administrative Group 1b46fd6f??Girori, Bre>,' Wright, Don (HHSIOASH) (Don.Wright@hhs.gov) ,- Bemho, Dinah (HHSJOASH) Subject: Of?ce Presentation war. Don Wright POC: Dinah Bernbo 202?690??694 Date: 2013103130 11:42:35 Start Date: 2018f04i'05 09:30:00 End Date: 2018f04105 10:30:00 Priority: Normal TYPE: Appointment Location: DASH CR Sender: Giroir, Brett (HHSIUASH) ADMINISTRATIVE GROUP Bembo, Dinah Recipient: Giroir, Brett (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Bre>; Wright, Don (HHSJOASH) (Don.Wright@hhs.gov) ; Valentine, Steven (H {Steven.Valentine@hhs.gov) (0150809 0039840 loaf-340 69bc5000dc2?Valenti ne,) fo ExchangeLa befou Exchange Administrative Group Huber, Valen?e (HHSIUASH) {Vaierie.Huber@hhs.gov) ; Bembo, Dinah (HHSJOASH) <1o=ExchangeLabsjou=Exchange Administrative Group Dina:- Sent Date:l2013fD3/3l} 11:42:35 ODPHP Briefing for the Assistant Secretary for Health Ap?|2018 3:203 He Pro 00m ion ODPHP - Overview of Mission, ValuesMission FuIfillmentOrganizational StructureFunding Signature ProgramsQuestions and Discussion 1 Office of Disease Prevenllon I uh pmmguon 2 ODPHP Overview of ODPHP I Office of Disease Prevention k)DpHp th Promotion 3 Vision, Mission, and Values VISIONA nation in which all people live long, healthy lives and mobilize actions to improve health by establishing national health priorities and translating disease prevention and health promotion science into policy, guidance, and tools for a healthier America CORE VALUES I Office of Dlsease Prevention 4 and Health Promotion 4 How We Fulfill Our Mission Work w/ national partners and stakeholders to set national disease prevention goals Provide guidance Make health on nutrition info-rmation user physical activity friendly and based on the latest accessible for all scientific evidence Americans 3' Office of Dlsease Prevention if ODPHP and Health Promotion 5 Organizational Structure ODPHP ODPHP PublicAffairs Administration Community . Prevention Science Health Care Quality . . . . Communication . . . . . . Strategies DiViSion Division Division DiViSion National Action Hea?theome -- PmnfoerE 2020 and 2030 Dietary Guidelines Health?ndengov for Americans Prevention . Physical Activity National Action Lead'llg Health Health Literacy Guidelines for Plan for the Indicators . . Americans Prevention of HAls I f's Office of Disease Prevention :2 and Health Promotion EXT-18-1509-K-000107 6 ODPHP Historical Funding ODPHP Millions 5?.er $120 $7.10 5?.00 56.110 50.80 5010 56.50 1%th ?plinth FY 2005?:l FY 2010 FY 2011 FY 2012 FY 2013 FY 301:1 FY 2015 2010 FY 201? 2018 '0 I Office of Disease Preventlon ODPHP and Health Bron-lotion 7 Congressional Mandate ODPHP ODPHP's mandate is art of the ?General authority of the Secretar (42 USC 300u) and was estab ished as art of the "National Consumer Hea th Information and Health Promotion Act of 1 76" (Public Law General authority of S_ecretary(a Development, support and implementation of programs, activities, etc. he Secretary shal formulate national goals, and a strategy to preventive health services, and education in the appropriate use 0 health care;(2) analyze the necessary and available resources for im lementing the goals and strategy formulate pursuant to paragraph (1), an recommend appropriate educational and quality assurance policies for the needed manpower resources Identi?ed by such analysis;(3) undertake and support necessary activities and programs to- (A) incorporate appropriate health education components into our somety, espeCIally into all aspects of education and health care, B) increase the application and use of health knowledge, skills and practices the general population in its patterns of daily living, and (C) establish systematic processes for the exploration, development, demonstration, and evaluation of innovative health promotion concepts; (4 undertake and support research and demonstrations respecting health in ormation_and health promotion, reventive health services, and education _in_ the ai?aropriate use of health care; 5) undertake and support appropriate training in, an undertake and support appropriate training in the operation of programs concerned with, health information and health promotion, preventive health serinces, and education in the appropriate use of health care;(6) undertake and sup ort_, through improved planning and implementation of tested models and eva uation of results effective _and efficient programs respecting health information_and health promotion, preventive health serwces, and education in Pi Office of Disease Prevention k)DpHp am! Health promotion 8 Congressional Mandate, continued develop model programs through which emplo ers in the public sector, and employers that are small businesses (as defined in section 632 of title 15 can provide for their emplo ees a program to promote healthy behaviors and to discourage participation in unhealthy behaviorS' B) provide technical assistance to public and private em loyers in implementing such programs (including private employers that are not small businesses and at will implement programs other than the programs developed by the Secretary pursuant to subparagraph and(C) in providing such technical assistance, give preference to small businesses;(8) foster the exchange of information respecting, and foster cooperation in the conduct of, research, demonstration, and training programs respecting health information and health promotion, preventive health services, and education in the ap ropriate use of health care;(9) provide technical assistance in the rograms referred to in paragraph use such other authorities for programs respecting health in ormation and health romotion, preventive health services, and education in the appropriate use of health care as are avai able and coordinate such use with programs conducted under this subchapter; and(11) establish in the Office of the Assistant Secretary for Health an Office of Disease Prevention and Health Promotion, which shall? (A) coordinate iihealth services, and health information and education with respect to the appropriate use of health care; (8) coordinate such activities with similar activities in the private sector; (C) establish a national information clearinghouse to facilitate the exchange of information concerning matters relating to health information and health promotion, preventive health services (which may include in ormation concerning models and standards for insurance coverage of such services and education in the appropriate use of health care, to facilitate access to such information, an to assist in the analysis 0 issues and problems relating to such matters; and (D support projects, conduct research, and disseminate information relating to preventive medicine, healt promotion, and physical fitness and orts medicine. 9 Secretary shall appoint a Director for the Office of Disease Prevention and Health Promotion established pursuant to aragraph (11) of this subsection. The Secretary shall administer this subchapter in cooperation with hea th care providers, educators, voluntary organizations businesses, and State and local health agencies in order to encourage the dissemination of health information and health promotion activities. Office of Disease Prevention J?ti Health Promotion 9 ODPHP Signature Programs {g ODPHP 10 ODPHP Healthy People I Office of Disease Prevention k)DpHp th Promotion 1 1 What is Healthy PeOpIe? ODPHP - Provides a strategic framework for a national prevention agenda that communicates a vision for improving health and achieving health equity Identifies science-based, measurable objectives with targets to be achieved by the end of the decadeRequires tracking of data-driven HEALTHY outcomes to monitor progress PEOPLE Healthy People and to motivate, guide, and 2020 focus actionOffers shared 2 - goals to align multiple policies and programs CIDPHP Dimer? a||thp$ SHE: mm" 12 Uses of Healthy PeOpIe ODPHP - Data SourceData tool for measuring program performanceBenchmarks to compare state and local dataConduct community health assessments and meet national accreditation . standardsSetting Policies and PrioritiesFramework for program .. . planning and development and developing community health improvement plansGoal setting and agenda buildingResource for education and collaborationTeaching public health coursesWay to develop nontraditional partnershipsModel for other countries . - - l-lealth Peo Ie? 3/4 ODPHP 3,2025 13 Healthy PeOple 2020 42 Topic Areas Access to Health ServicesAdolescent Health*Arthritis, Osteoporosis, and Chronic Back ConditionsBlood Disorders and Blood Safety*CancerChronic Kidney DiseaseDementias, including Alzheimer?s Disease*DiabetesDisability and HealthEarly and Middle Childhood*Educational and Community? Based ProgramsEnvironmental HealthFamily PlanningFood SafetyGenomics*Global Health* Health? related Quality of Life and Well- being*Health Communication and Health Information TechnolongeaIthcare?Associated Infections*Heart Disease and Stroke Hearing and Other Sensory or Communication DisordersHIVImmunization and Infectious DiseasesInjury and Violence PreventionLesbian, Gay, Bisexual, Transgender Health*Maternal, Infant, and Child HealthMedical Product SafetyMental Health and Mental DisordersNutrition and Weight ODPI-IP StatusOccupational Safety and HealthOlder Adults* Oral ActivityPublic Health DiseasesSexually Transmitted DiseasesSleep Health* Social Determinants of Health* Substance AbuseTobacco UseVision E?WesiilchgoKiQ?SE?zo 14 Leading Health Indicators 12 Topics ODPHP uh $3 ?55 Access to Clinical Environmental Injury and Health Services Preventive Quality Violence Services Maternal, Infant Mental Health Nutrition, Physical Oral Health Child Health Activity 8: Obesity i' fr rill Reproductive 8: Social Substance Tobacco Sexual Health Determinants Abuse I Office of Disease Prevention PEG '6 ODPHP and Health Promotion ea 5,202?) . EXT 18 1509 000116 15 Development and Management of r. Healthy People UDPHP HHS Secretary?s Advisory Committee out ?ednraugmcie National Center for Health Statistics 42 Topic Area Workgroups IF National-Level Stakeholders, Including State and Local Governments (51 State Coordin Members of Healthy People Consortium Community-Based Organizations, Community Health Clinics, Social Service Organizations, etc. i Individuals, Families, and Neighborhoods Across America - I Office of Disease Prevention Health People 4 and Health Promotion 16 Partnership Example: ODPHP Law and Health Policy Project PurposeIn-depth analysis of evidence-based legal interventions and strategies developed to improve health Highlight laws and policies related to specific Healthy People 2020 topic areas and objectivesDeveIOp evidence-based resources and reportsDisseminate lessons to Healthy People and relevant legal and policy stakeholdersFocusFeature progress toward HP2020 objectivesHighlight state and local laws and policies with demonstrated outcomes and effects Case studies or ?bright" spots to bring issues to lifeSupport the development of Healthy People 2030 through integrating lessons about evidence-based laws and policies and resources Office of Di [Ion . . .i . k)DpHp and Health Promotion a (H 5? Inn. I 066mm" Ptoplc Vl'ul-ml-I inn-u-Iur - I: i' .54 2020 . . Measuring the Nation?s Progress ODPHP - Topic Area Progress Reviews Webinars and working sessions Who?s Leading the Leading Health Indicators? webinars and e- bulletinsMidcourse Review Mid-decade progress assessment of Healthy People objectivesFinal Review End of decade progress assessment for all objectives See progress made toward HP2020 goals I. Office of Disease Prevention Healthy People ODPHP and Health promotion 2020 1 8 Healthy People 2020 Midcourse Progress ODPHP Ext Trackable Objective All trackable objectives: 828 [cmeeomr "in 0' The m?dmurse value was equa! to or exceeded the target, (n (n [VALuen Improving Movement ms town! the target and the percentage of targeted thongs.- achxeved was stonincony svgm?cont, or the objective had achieved 10% or more of the targeted change. If standard erred were not madame NTAG NAM Was the objective '35 a Getting worse PERCENTAGE WE worse? Movement was away from the basehne and target and the I 1 percentage change relarrve to the baseline was stanmm?y [n signi?cant, or the objective had moved 109. or relative ?0 to the bosehne. :f standard errors were not avoidable Lit?e or no Mutable change Ohms that did not meet any of the preview criteria (rule or no detectable change . Office of Disease Prevention Healthy PEOPIE {g ODPHP and Health Promotion 2020 1 9 Leading Health Indicator Topic Progress LHI topics where >50% of the objectives met/exceeded the target or were improving Clinical Preventive Services Social Determinants All-5.1 Students awarded a high school diploma 4 years after starting 9th grade (percent) Tobacco Til-1.1 Adult cigarette smoking (age-adjusted, percent. 18+ years} Til-2.2 Adolescent cigarette smoking in past 30 days I (percent. grades 9?12) Maternal. lnlanl, and Child Health I1 All Infant deaths {per 1,000 live births. <1 year) HIGH-9.1 Total preterm live births (percent. <37 completed weeks gestation) .3 6-16 Adults receiving colorectal cancer screening based on most recent guidelines [age-adjusted. percent. 50?75 years) I3 Adults with hypertension whose blood pressure is under control (age-adjusted. percent. 18+ years) 0 0-5.1 Adults with diagnosed diabetes whose A1 0 value is greater than 9% (age-adjusted. percent. 18+ years) I3 llD-? Children receiving the recommended doses of polio. MMR. Hib. HepB. varicella, and PW vaccines by age 19-35 months (percent) Environmental Quality EH-1 Air Quality Index greater than 100 (number of 1 days, weighted by population and Air Quality Index value) TU-11.1 Children exposed to secondhand smoke (percent. nonsmokers. 3?11 years] Injury and Violence PUP-1.1 injury deaths {age-adjusted, per 100,000 population) PUP-29 Homicides (age-adjusted. per 100.000 population) IZYT 1R '1an 20 Leading Health Indicator Topic Progress LHI topics where >50% of the objectives demonstrated little/no detectable changeor were getting worse Mental Health Suicide (age?adjusted, per 100,000 population) Adolescents with a maior depressive episode in the past 12 months (percent, 12?1?years} Nutrition, Physical Activity, and Obesity LHI topics with mixed progress Access to Health Services 3 AHS-1.1 Persons with medical insurance (percent, <65 years) 0 5 AHS-3 Persons with a usual primary care provider (percent) PA-2.4 Adults meeting aerobic physical activity and muscle-strengthening objectives (age-adjusted, percent. 18+ years) 0 uws-s Obesity among adults (ageadjusted, percent, 20+ years) 0 ewe-10.4 Obesity among children and adolescents (percent, 2-19 years 5 ewe-15.1 Mean daily intake of total vegetables (age- adjusted, cup equivalents per 1,000 calories. 2+ years) Reproductive and Sexual Health Oral Health 0H-il Children, adolescents, and adults who visited the dentist in the past year (age-adjusted, percent, 2+ years) FP-7.1 Sexually active females receiving reproductive health services (percent, 15?44 years) 4 HIV-13 Knowledge of serostatus among HIV-positive persons (percent, 13+ years) Substance Abuse ?l SA-13.1 Adolescents using alcohol or illicit drugs in past 30 days (percent, 12?1 7 years) 0 5 Sit-14.3 Binge drinking in past 30 days?Adults (percent. 18+ years) 21 Developing Healthy Pe0p|e 2030 ODPHP Phase [Development of Phase II Development of Objectives Framework 201 2018 2019 2020 2016 June 2017 Launch EC DEC 2018 Healthy 33:: Ongoing Public Commenti'Stakeholder Input (?Secretary?s Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 develops recommendations for HHS Secretary HP FIW develops guidance and Agency Leads develop recommendations for Healthy People 2030 framework and objectives A f? ODPHP Office of Disease Prevention 7 and Health Promotion Healthy People 2030: Challenges - Determining stakeholder base prioritiesCommunicating purposeBalancing between approach and targeted effort: Number of ObjectivesIdentifying Leading Health Indicators and selecting objectivesDefining target setting methodologyDeveloping and funding data sourcesJuggling competing and limited resourcesAvoiding redundancyMaintaining cHealltalDromoLione Elmo? Hea 23 ODPHP Healthy Aging Summit Office of Disease Prevention :2 k)DpHp th Promotion 24 2018 Healthy Aging Summit ODPHP The event will focus on keeping Americans healthy as they transition into older . adulthood and maximizing the health of I older adults through prevention strategies . . and more. The 2018 Healthy Aging Healthy Aging Summlt Summit goals are tozExplore the science July - Washington_ Dc on healthy agingIdentify knowledge gapsPromote preventionSupport people aging in place and in their communityConference tracks include . and Community Co-hosts: Office of Disease Prevention ContextMaximizing uality of LifeHealth 0:de H933: and Health CareNeig borhood and Built h'ce 0? .0?an ea ?13? Environment389 abstracts received, more age? Prevent've than 3 times the number received for the 2015 Healthy Aging Summit600+ attendees in 2015 and more than 700 anticipated for 2018 Working with NACCHO, ASTHO and NASUAD to bring a state and local perspective to the meeting - I 1 Office of Disease Prevenllon '7 and Health promotion 25 ODPHP Nutrition and Physical Activity Office of Disease Prevention :2 k)DpHp and Health Promotion 26 Dietary Guidelines for Americans ODPHP BackgroundProvides food-based recommendations A practical, adaptable framework- not a prescriptive dietFocused on disease prevention, rather than treatment Written for health professionals and policymakers who serve the general publicUnderpins all Federal food a "d "trim" ed "cation a "d food aSSi Sta nce r09 ra 5 Pa rt" ers hip healthDietaryGuidelines.gov between USDA and HHS 1' Office of Disease Prevention and Health Dromotlon 27 ll. Key Legislation ODPHP National Nutrition Monitoring and Related Research Act of 1990 (Public Law 101 -445 - Oct. 22, 1990) TITLE DIETARY GUIDANCE SEC. 301. ESTABLISHMENT OF DIETARY GUIDELINES. a. REPORT 1. IN GENERAL- At least every five years the Secretaries shall publish a report entitled 'Dietary Guidelines for Americans?. Each such report shall contain nutritional and dietary information and guidelines for the general public, and shall be promoted by each Federal agency in carrying out any Federal food, nutrition, or health program. 2. BASIS OF The information and guidelines contained in each report required under paragraph (1 shall be based on the preponderance of the scientific and medical knowledge which is current at the time the report is prepared. Agricultural Act of 2014 (H.R. 2642,- Public Law 113-79, also known as the 2014 U.S. Farm Bill) - February 7, 2014 Title IV - Nutrition; Subtitle Miscellaneous Section 4204. Dietary Guidelines for Americans; Pages 174-175 congress. go v/bill/1 1 3th-congress/ house-bill/ 2642/ text SEC. 4204. DIETARY GUIDELINES FOR AMERICANS. Section 301 of the National Nutrition Monitoring and Related Research Act of 1990 7 U.S. C. 5341 is amended by adding at the end the following: PREGNANT WOMEN AND YOUNG later than the 2020 report and in each report thereafter, the Secretaries shall include national nutritional and dietary information and guidelines for pregnant women and children from birth until the age of 2. Office of Disease Prevenllon 3K ODPHP and Health Promotion 28 . 1} Process Garners Broad Attention from Congress, Industry, and Media 2015 ODPHP DGA Experience - CongressZO Congressional letters to the HHS Secretary conveying concerns from the food industry and advocacy groupsBudget hearing QFRs on the Secretarial House hearing on DGA (Oct mandate for NAM study on DGA process?Listening sessions" with food industry and advocacy groups at least 17 during 2015 DGAC process; many more at USDA19 Freedom of Information Act (FOIA) requestsMany controversial issues in the DGA including red and processed meat, sodium, and added sugars r? ODPHP 3?1132111'11??m?111 EXT-18-1509-K-000130 29 Potential Timeline for the Next Edition ODPHP IPost topics and questions for public and I Hold advisory committee I Hold 5th advisory committee agency comment (30 public meeting? public meetingARelease advisory committee report"= I Federal topic nomination I Submit charter for Departmental I Hold oral public comment process approval*Revievv public comments on meeting on advisory committee topics and questions report?lnitiate 2020-2025 Dietary Guidelines development I Federal topic nomination I Announce intent to establish Dietary I Hold 2nd advisory committee process Guidelines Advisory Committee andSolicit public meeting? nominations (45 dii?Name affiliation of candidates posted for public comment [14 dl?Committee selection processcharter is ?led with Congress I Submit proposed slate for Departmental I Submit 2020-2D25 Dietary approval? Guidelines for USDA 8: HHS clearance? I Hold 3rd advisory committee public meeting? Finalize and sign I USDA 3i. HHS Secretaries appoint Dietary I Hold 4th advisory committee I 2020?2025 Dietary Guidelines Memorandum of Guidelines Advisory Committee? and open public meeting?lnitiate Dietary signed by USDA 8: HHS Understandingldentify topics public comment period for duration of Guidelines consumer research 2020?2025 and questions via Federal committee's work until after the last Dietary Guidelines 8: scientists DGAC public meeting)? corresponding consumer campaign If" Office of Disease Prevention and Health Promotion 3O Physical Activity Guidelines for Americans ODPHP M6 YOUR WAY February - Committee submitted Scientific Report to 2013 SecretaryCommittee disbands - Scientific Report made available for public Spring- commentAgencies provide comment to HHS HHS Summer utilizes Scientific Report, public comments, agency 2?13 feedback HHS prepares the Guidelines glitter - HHS publishes the Physical Activity Guidelines for 2018 Americans, 2nd edition girlie:taiif?n?iffmn EXT-18-1509-K-000132 31 ODPHP Health Care Quality {g ODPHP 32 HAI National Action Plan ODPHP - Acute Ca re Hospitals Phase One 0 Outpatient Settings/ Influenza Phase Two vaCCmatlon HCP National Acliun Plan to mem Hcallh Cam-Associated Infamous: ROAD MAP T0 ELIMINATION Long?Term Care Facilities Phase Three ?Coordination among Federal Partners to Leverage HAI Prevention and Phase Four Antibiotic Stewardship ?Maintained as a living document? 3" I A Office of Disease Prevention ?fg? k)DpHp and Health Promotion Antibiotic Stewardship ODPHP - On February 5th, 2018, the Federal Steering Committee for Health Care?Associated Infections approved Phase 4 of the HAI Action Plan: Coordination among Federal Partners to Leverage HAI Prevention and Antibiotic StewardshipWhy antibiotic stewardshiszrevention of HAIs leads to fewer illnesses requiring antibiotic treatmentProper use of antibiotics slows the development and spread of antibiotic resistant organisms that can be difficult to treat.Focused HAI prevention activities and improve antibiotic use are synergistic and can amplify the impact of broader efforts to slow the development of antibiotic resistance OFTEN He ailtalprornotione 34 Impact of HAIs in the United States ODPHP At any given time, 1 in 25 U.S. hospital patients has at least one health care-associated infection. - $33 billion in potentially preventable healthcare costs annually (2009). Office of Disease Prevention 1 ODPHP and Health Promotion EXT-18-1509-K-000136 35 Main HA1 Categories of Infection - Nearly 3 out of every 4 HAIs that occur in an acute care hospital setting are a result of the following categories of infection:Centra| line-associated blood stream infections (CLABSI) Catheter-associated urinary tract infections (CAUTI)Surgica| site infections (SSIs)Methicillin-resistant Staphylococcus aureus (MRSA) infectionsClostridium difficile infections (CDI) 31:: 36 HAI: National Progress Proposed ODPHP Ta rg ets Progress made as of 2020 Target 2016 Reduction CLABSI 10% I 50% CAUTI I 25% Invasive MRSA 50% Facility?onset MRSA Office of Disease Prevention '7 4 and Health Promotion 37 ADE National Action Plan oopHp 2011: Bipartisan call to HHS to prevent Steering Committee formed2014: National Prevention (ADE Action Plan) released2017: Natil measures for ADE reductions released I?lh-?vl-i 0ng Zitalpem mt: mum 38 Adverse Drug Events (ADEs) the hospital visits million ED visits annual|y~350 000 hospital Affect ~1.9 Two?thirds of ?mm? million hospital post-discharge stays annuallyAdd complications*~ 1.7 to 4.6 hospital One-half of daysCost 4.2 preventable post- billion USD discharge annually complications *Within 3 weeks of discharge Classen DC et al. Health Aft (Millwood) Rockvilie, MD, 2011 April. Bourgeois FF et al. Pharmacoepidemiol Drug Saf N, et al. HCUP Statistical Brief #109.Classen DC et alt JAMA Bates DW et al. JAMA C, et al. JAMA AJ et al. JAMA Ann Intern Med 1" Office of Disease Prevention {6 39 I a. National Targets and Measures: Inpatient Rates of adverse events from Number of U.S. hospital discharges Number of U.S. hospital discharges ODPHP Aligned with the current measure used to calculate the national hospital- anticoagulants with adverse in which 10% acquired condition rate among US. events from anticoagulants for anticoagulant adverse inpatient stays anticoagulants were administered events in the Partnership for Patients initiative Aligned with the current Rates of adverse Number of U.S. es measure used to calculate events from hospital discharges in which 9 the national hospital- hypoglycemic with adverse I cemic 10% acquired condition rate agents among U.S. events from VP 9 for diabetes agent adverse . . . agents were . . Inpatlent stays hypoglycemic agents administered events in the Partnership for Patients initiative Not currently aligned, opioid Rates of adverse Number Number analgesics in the process of events from Opioid hospital discharges hospital discharges being incorporated into the with adverse in which opioid 10% analgesics among US. inpatient stays events from opioid analgesics analgesics were administered national estimates of hospital-acquired conditions in QSRS QSRS Quality and Safety Review System 40 National Targets and Measures: Outpatient Rate of visits to U.S. hospital EDs for Number of visits to U.S. hospital EDs Number of patients receiving dispensed oral ODPHP HHS Healthy People 2020 Medical 0 adverse events for adverse events anticoagulants in 10 A: Product Safety from oral from oral 5 retail outpatient Objective 5 1 anticoagulants anticoagulants settings Rate of visits to US. Number of visits to $32331: patients HHS Healthy People hospital EDs for U.S. hospital EDs . . . . a 2020 Medical adverse events for adverse events dlspensed Insulin In 10 A) Product Safety from insulin from insulin retail outpatient Objective 5 2 settings Rate of visits to US. Number of visits to :Jeugg?sz patients HHS Health Peo le hospital EDs for U.S. hospital EDs dis ensgd ioid 2020 adverse events for adverse events 10% from therapeutic use of Opioid analgesics from therapeutic use of opioid analgesics analgesics in U.S. retail outpatient settings Product Safety Objective 2.3 4 1 Healthy People 202-} Topics and CItJJE-crr-Ies L'ituctwes Healthy People - Medical Product \223, ?rm SafetyEnsu res the ?mm apprOpriate use of medical products drugs, . biologics, and medical devices)Goal is to MIDI: Iru mam gm mm decrease adverse drug a . events and promote safety . effortsHealthcare- - - - i Associated InfectionsGoal is to prevent, reduce, and ultimately eliminate HAIs 1? Office of Disease Prevention and Health Promotion EXT-18-1509-K-000143 42 Current 2020 Objectives - Medical Product Increase the proportion of medical surgical hospitals that report adverse drug Reduce drug overdose deaths involving Opioids, excluding heroinMPS-4: Increase the number of safe and effective medical products diagnostics, drugs and biologics associated with predictive Reduce emergency department (ED) visits for common, preventable adverse events from InfectionsHAI-1: Reduce central line-associated bloodstream infectionsHAI-Z: Reduce invasive healthcare-associated methicillin-resistant Staphylococcus aureus (MRSA) infections .6 FHEH Ziti'pam Wt: m" 43 Online Trainings ODPHP ODPHP has developed a series of online trainings Partnering to Heal aimed to assist health professionals deliver appropriate and safer care. The trainings includezPartnering to HealObjective: To address the underlying thinking and behaviors of clinicians which contribute to the occurrence of health care- associated infections.Individualizing Glycemic TargetsObjective: To train health providers on the application of health literacy principles to help Adverse Drug Events patients understand and act on information to prevent ADEs due to diabetes agents. Pathways to Safer Opioid UseObjective: To promote the 3; appropriate, safe, and effective use of opioids to manage chronic pain. All trainings are available for gmw?vsl free on our website, health.gov. - - . 4: con-p 1 Office of Disease Preventlon .7 and Health promotion 44 Pathways to Safer Opioid Use ODPHP Physicians, nurses, and pharmacists: Learn about safe and appropriate practices for prescribing opioids. PATHWAYS Safer Opioid Use now offers CME and CPE credit! ?4 ODPHP .6 ODPHP ?219?? 3.11:3: Tm? 45 National Clinical Care Commission In September 2017, Congress passed the National Clinical Care Commission Act, which established the need for a National Clinical Care evaluate and make recommendations regarding improvements to the coordination and leveraging of programs within the Department and other Federal agencies related to awareness and clinical care for at least one, but not more than two, complex metabolic or autoimmune diseases resulting from issues related to insulin that represent a significant disease burden in the United States, which may include complications due to such diseases.?The Office of Disease Prevention and Health Promotion (ODPHP) will be seeking nominations for the Commission. - Office of Disease preventlon 4 ODPHP th Dramatic? 46 ., 4, ODPHP Health Literacy and healthfinder.gov {g ODPHP 47 Health Literacy ODPHP - ?Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions" Healthy People 2020Limited health literacy affects nearly 9 out of 10 English-speaking adults in the U.SOnly 12% of Americans demonstrate proficient health literacyAdults with low health literacy experience:4 times higher health care cost56% more hospital visitsZ day-longer hospitals stays 'l - Office of Disease Preventlon 4 ODPHP le?l'J Health Promotion EXT-1 8-1 509-K-000149 48 ., What Limited Health Literacy Looks Like Gaze path of a health website user with limited health literacy amokf?r g0 2 0| - me .I.?ew u? 5 II II I Qw? W25M..gm??m bum. MI In . Wei-war"? a" 13% .Wmuw 49 Health Literacy at HHS ODPHP - his Notionomcnon Plan to Improve Health Literacy is based on the principles that everyone . :Ilgst ea Ith L'te radcy workg rou pco has the right to health information that helps them make informed decisions and ill health ODPHP an FDA12 I Ag enCieS/ 0 DD ivs rep resentedThe quality of life. With these principles as a gurde. this semen suggests strata-Bur ?Hwtumne?o; services are delivered in ways that are understandable and beneficral to health. longevity. and action and identifies challenges that muSl be overcome to improve health Ii National ACtion Plan to Improve represent-stall lorresponse from organizations and indiwdualsthat areco Health LiteracyThe HHS Health '?ermwc-ew- .m Literacy Biennial 1 . a . . . Action PlanHealth Literacy and Quality The Health Literate Care Model (in Health Affairs, 2012) Health Literacy Online: A Guide 3W to Simplifying the User ExperienceHealth Literacy ai professional training with Hi Health Literacy Online - - - - Wm. Care Quality . . . . a} man-- [all Improved Outcomes I. I Office of Disease Prevention 1 ODPHP and Health Promotion 50 Health Literacy Healthy People ODPHP - ODPHP co-l eadsthe Healthy People Health Communication and Health Info Healthy People 2020 . rmation Tan?:- ?3&7 HcrHiT-a g? Hc/HiT-ai HcrHiT-s HCI HIT-12 sir Health Literacy Related 2020 Objectives Improve the health literacy of the population Increase the proportion of persons who report that their health care providers have satisfactory communication skills Increase the proportion of persons who report that their health care providers always involved them in decisions about their health care as much as they wanted (Developmentali Increase the proportion of patients whose doctor recommends personalized health information resources to help them manage their health Increase the proportion of persons who use electronic personal health management tools Increase individuals access to the Internet Increase the proportion of adults who report having friends or family members with whom they talk about their health Increase the proportion of quality, health~re|ated websites increase the proportion of online health information seekers who report easily accessing health information (Revised) Increase the proportion of medical practices that Lise electronic health records Increase the proportion of crisis and emergency risk messages intended to protect the public?s health that demonstrate the use of best practices Increase social marketing in health promotion and disease prevention {Kg ODPHP Office of Disease Prevention and Health Dromotion 5 1 myhealthfinder.gov ODPHP myhealthfinder is an interactive tool available at healthfinder.gov. Users enter age, sex, and pregnancy status to receive customized information about recommended clinical preventive services In English and in Spanish.In collaboration with AHRQContent syndication/A131: Free, publically available full- scale version of myhealthfinder provides visitors to websites with personalized recommendations for preventive serviceshealthfinder Quality Outcomes StudiesCVS Health/Minute Clinic Comparison Study (in press, Healthcare: The Journal of Delivery Science and Innovation)26% increase in pneumococcal vaccines 5% increase in flu vaccinesU.S. Preventive Services Task Force member research partnershipRTC research question: Will prescribing myhealthfinder before a wellness visit increase the use of preventive services? Redesigning for changing behavior and improving the quality of preventive careUser testing prototypes of a personalized digital patient engagement tool to support productive interactions between provider and patient/client. With the Office of Minority Health Take charge of your health! "we. may TU 95?. man-ml" 'err-rr or .3 10.411 r-rsa Sn men prim-mu Mitts you on Iowa on. my note this my. Age: 801' Female Male DPHP Office of Disease Prevention and Health Promotion IL 5 2 ODPHP . 3 IE: LI I Office of Disease Prevention '1 3/6 and Health Promotion 53 From: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP SentVia: Bembo, Dinah (HHSIOASH) To: Giroir, Brett (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group 1b46fd617?Girori, Bre>; Bemho, Dinah (HHSIOASH) Subject: VADM Jerome Adams I Date: 2018f03f23 16:20:57 Start Date: 2018103,!26 00:00:00 End Date: 201810331 00:00:00 Priority: Normal TYPE: Appointment Location: (ANS) I, Sender: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP Bembo, Dinah (HHSIOASH) Recipient: Giroir, Brett (HHSIDASH) do:ExchangeLabslou=Exchange Administrative Group Bre>; Bembo, Dinah (HHSJOASH) To: Giroir, Brett (HHSIOASH) Administrative Group Bre>; Nguyen, Tuan (OSIOASH) Sent Date: 2018f03/05 12:49:05 From: Giroir, Brett GROUP SenWia: Bembo, Dinah (HHSIOASH) To: Giroir, Brett (HHSIGASH) do:ExchangeLabsfou=Exchange Administrative Group Bre>; Thanh, Hoa (HHSIOASH) ; Alice Bettencourt (HHSIOASH) {alice.bettencourt@hhs.gov) (Jo:ExchangeLabsfou=Exchange Administrative Group Huber, Valerie {Valerie.Huber@hhs.gov) Subject: OMH FY13 Spend Plan Discussion FDIC: Dinah Bernbo Date: 2018104312 10:35:41 Start Date: 2018104312 13:00:00 End Date: 2010104312 13:45:00 Priority: Norma! Appointment Location: oasn CR 31543 ADM siroirkbuei Participants: (We) Sender: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP Bembo, Dinah Recipient: Giroir, Brett (HHSIOASH) ; Thanh, Hoa ; Wright, Don (HHSIOASH) (Dan.Wright@hhs.g cw) Sent Date: 2018f04f12 10:35:41 From: Giroir, Brett ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) To: Giroir, Brett (HHSIOASH) do:ExchangeLabslou=Exchange Administrative Group Bre>,- Wharton, Melinda Bembo, Dinah (HHSIOASH) ; Wharton, Melinda Bemho, Dinah (HHSIOASH) ; Valentine, Steven (Steven.Valentine@hhs.gov) (fd50809 [#89846 leaf-340 69bc6000dc2-Valenti ne,) ?1 fo ExchangeLa bsfou Exchange Administrative Group Mansdoerfer, David (lo=ExchangeLabsfou=Exchange Administrative Group Sent Date: 2018f04f09 16:25:34 Update Meeting w/Dr. Melinda Wharton Wednesday, April 11, 2018 4:00pm Agenda 1. FY2019 Planning From: Giroir, Brett (HHSIOASH) GROUP SenWia: Bembo, Dinah (HHSJOASH) To: Giroir, Brett (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Baez?; Broido, Tara (HHSIOASH) (Tara.Broido@hhs.gov) ; Va?ades, Mark ; Perrone, LaVonnia (HHSIOASH) ; Michon Subject: Do Not Schedule Date 2013103115 1?:21:39 Start Date: 2018f03115 13:00:00 End Date: 2013103116 14:00:00 Priority: Normal Type: Appointment Sender: Giroir, Brett ADMINISTRATIVE GROUP NTSICN FC E47 5 5 Bembo, Dinah Recipient: Giroir, Brett (HHSIOASH) (in:ExchangeLabsfou=Exchange Administrative Group Bre> Sent Date: 2018103415 1?:21:39 From: Giroir, Brett (HHSIOASH) <10: ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) Subject: Deliver Remarks: Women's Health across the Life Course through a Sex-Gender Lens Workshop POC: Dinah Bembo 202?690??694 Date: 2018103,!05 16:13:33 Start Date: 2013f03f?7 03:50:00 End Date: 2018f03107 09:10:00 Priority: Normal TYPE: Appointment Location: 421 ?th Street, NW - DC District Architecture Center Sender: Giroir, Brett ADMINISTRATIVE GROUP Bembo, Dinah (HHSJOASH) Recipient: Giroir, Brett (HHSIOASH) (in:ExchangeLabsfou=Exchange Administrative Group Bre> Sent Date: 2018f03l05 16:13:33 From: Giroir, Brett GROUP SentVia: Bembo, Dinah (HHSJOASH) To: Giroir, Brett (HHSIOASH) do:ExchangeLabslou=Exchange Administrative Group Bre>; Wright, Don (HHSIOASH) (Don.Wright@hhs.gov) Hover, Deborah do:ExchangeLabsfou=Exchange Administrative Group Debo>; Valentine, Steven (H (Steven.Valentine@hhs.gov) (fd508090f8984b1caf040 59 do: ExchangeLa bsfou Exchange Administrative Group Huber, Valerie (Valerie.Huber@hhs.gov) ; Bembo, Dinah (HHSJOASH) Recipient: Giroir, Brett (HHSIOASH) (lo:ExchangeLabslou=Exchange Administrative Group Bree: Wright, Don (HHSIOASH) [Don.Wright@hhs.gov) ?do:ExchangeLahsfou=Exchange Administrative Group Don Biakev, Carter (HHSIUASH) (carter.blakev@hhs.gov] EESfou=First Administrative Kigenvi, ??ffani (USIOASH) do:ExchangeLabsfou=Exchange Administrative Group Tif> Hover, Deborah (HHSIOASH) do:ExchangeLabslou=Exchange Administrative Group Deoo> Valentine, Steven {Steven.Valentine@hhs.gov) Sent Date: 2018103119 12:50:54 From: Giroir, Brett ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) Subject: ?st World Health Assembly Date 2013f04f13 09:13:09 Start Date: 2018f05f20 00:00:00 End Date: 2013f05l'25 00:00:00 Priority: Normal Type: Appointment Location: Switzerland, GA Sender: Giroir, Brett (HHSJOASH) ADMINISTRATIVE GROUP FCE47 5 5 YMC4CA031D621 B46FD6FY-GI RDRI, Bembo, Dinah Recipient: Giroir, Brett (HHSIDASH) Subject: BHCC Date 20 03,130 14:33:03 Start Date: 2018f11!03 13:00:00 End Date: 2013f11i'03 15:00:00 Priority: Normal Type: Appointment Sender: Giroir, Brett ADMINISTRATIVE GROUP NTSICN FC E47 5 5 Bembo, Dinah Recipient: Giroir, Brett (HHSIOASH) (in:ExchangeLabsfou=Exchange Administrative Group Bre> Sent Date: 2018f03l30 14:33:08 From: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP SentVia: Bembo, Dinah (HHSIOASH) To: Giroir, Brett (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Bre>; Greene, Nicole (DSIOASH) ?do:ExchangeLabsjou=Exchange Administrative Group Nic>; Valentine, Steven ,' Bemho, Dinah (HHSJOASH) Recipient: Giroir, Brett (HHSIGASH) Administrative Group Bree; Greene, Nicole (DSIOASH) do:ExchangeLabsiou=Exchange Administraljve Group =66b1?54ed Nic> Valentine, Steven (Steven.Valentine@hhs.gov] (fd508090f8984h1caf040 69bc6000dc2-Valenti ne,) ?c f0 Exchange-La bsfou Exchange Administrative Group Huber, Valerie (HHSJUASH) {Valerie.Huber@hh5.gov) Subject: Hold for Of?ce Work Date: 20181101120 03:20:45 Start Date: 2018f03l21 11:00:00 End Date: 2013f03!21 12:00:00 Priority: Normal Type: Appointment Sender Giroir, Brett (HHSIUASH) ; Huber, Valerie (HHSIOASH) {Valerie.Huber@hhs.gov) Subject: Update inalerie Huber PDC: Dinah Bembo 202-690-1694 Date: 2013f03f23 18:12:44 Start Date: 2018fD3/26 17:00:00 End Date: 2018;033:115 17:30:00 Priority: Normal W93: Appointment Location: DASH CR Sender: Giroir, Brett (HHSIUASH) ADMINISTRATIVE GROUP Bembo, Dinah Recipient: Giroir, Brett (HHSIOASH) ; Huber, Valerie {Valerie.Huber@hhs.gov) Sent Data: 2013f03f23 13:12:44 From: Giroir, Brett ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) ; Adams, Jerome Administrative Group Jerob; Carr, Nicole ; Nguven, Tuan (OSJOASH) Recipient: Giroir, Brett (HHSJOASH) ; Carr, Nicole ; Bemho, Dinah (HHSJOASH) To: Giroir, Brett (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Bre>; Valentine, Steven ne,) ; Huber, Valen?e (HHSIGASH) {Valerie.Huoer@hhs.gov) Subject: March of Dimes Meeting wlCindv Pellegrini; Dr. Lisa Weddell SVP, Interim Chief Medical Of?cer POC: Dinah Bembo 202?690?7594 Date: 2018f04f13 13:59:16 Start Date: 2013f05}16 16:00:00 End Date: 2018105116 16:45:00 Priority: Normal Type: Appointment Location: DASH CR Sender: Girnir, Brett (HHSIOASH) ADMINISTRATIVE GROUP Bembo, Dinah Recipient: Giroir, Brett do:ExchangeLabsfou=Exohange Administrative Group Bre>; Valentine, Steven (Steven.Valentine?hhs.gov) ; Huber, Valerie (HHSIUASH) {Valerie.Huber@hhs.gov) ; Pence, Laura (H Recipient: Giroir, Brett (HHSIOASH) ; Pence, Laura ; Adams, Jerome Subject: 1:1 Jerome Adams POC: Dinah Bembo 2112-6904694 Date: 2013f04f24 12:10:51 Start Date: 2013f06f13 08:30:00 End Date: 2010,106/13 00:00:00 Priority: Normal Type: Appointment Location: DASH CR 716-6 Sender: Giroir, Brett ADMINISTRATIVE GROUP Bembo, Dinah Recipient: Giroir, Brett ; Adams, Jerome ; Carr, Nicole Sent Date: 2013f04I24 12:10:51 From: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) Subject: Transportation Driver: Date: 2013f03f26 09:36:50 Start Date: 20 181'04109 07:00:00 End Date: 2013f04i'09 07:30:00 Priority: Normal Type: Appointment Sender: Giroir, Brett ADMINISTRATIVE GROUP NTSICN FC E47 5 5 Y04C4CA031D621 Bembo, Dinah Recipient: Giroir, Brett (HHSIOASH) (in:ExchangeLabsfou=Exchange Administrative Group Bre> Sent Date: 201810326 09:36:50 From: Gimir, Brett (HHSIOASH) ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) ; Adams, Jerome Subject: 1:1 Jerome Adams POC: Dinah Bembo 2112-6904694 Date: 2018f04f24 12:11:2r Start Date: 2018,05! 20 08:30:00 End Date: 2018106320 00:00:00 Priority: Normal Type: Appointment Location: DASH CR 716-6 Sender: Giroir, Brett ADMINISTRATIVE GROUP Bembo, Dinah Recipient: Giroir, Brett ; Adams, Jerome ; Carr, Nicole Sent Date: 2018f04f24 12:11:27 From: Giroir, Brett ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) Subject: Tentative: Introduction Call RE: POC: Dinah Bembo 202-690-?694 Date 2013f04112 14:31:04 Start Date: 2018f04f13 13:30:00 End Date: 2013f04i'13 14:00:00 Priority: Normal Type: Appointment Location: DASH will initiate the call Sender: Giroir, Brett (HHSJOASH) ADMINISTRATIVE GROUP FCE47 5 5 YMC4CA031D621 B46FD6FY-GI RDRI, Bemb-o, Dinah Recipient: Giroir, Brett (HHSIDASH) To: Lengvel, Joseph Gen USAF NG NGB (US) Subject: FW: DEC: ADM Brett Giroir Date: 2018:0326 10:25:04 Start Date: 2013f04f19 13:00:00 End oatademajoqns 13:30:00 Priority: Normal Type: Appointment Location: 1D154 NGB Conference Room Appointment From: Lengvel, Joseph Gen USAF NG N63 (US) Sent: Thursday, March 15, 2018 3:56 PM To: Lengvel, Joseph Gen USAF NG N63 Hokanson, Daniel LTG USARMY NG N63 Murphy, Patrick A MG USARMY NG NGB McNeelv, Kevin MG USARMY NG NGB Kleiman, Matthew CAPT USPHS NG N68 Bembo, Dinah Barrett, Flora NG NGB Cho, Hyo Jin (Jeane) MAJ USARMY NG NGB Daniels, Troy Tupper Col USAF NG OCNGB Lagasse, Carol CIV NG N63 Nguyen, Tuan Howland, Adam Maj USAF SAF-IA Ray, Adam MAJ USARMY NG N63 Archuleta, Andrew LTC USARMY NG N68 Bissell, Marti CDL USARMY NG NGB Fenwick, Jerry Maj Gen USAF NG MDANG Desko, Robert (Bob) Col USAF NGB 56 Pelzner, Michael A (Mike) CDL USARMY NG NGB Fletcher, Larry Jr COL USARMY NG NGB Temme, Michael CIV NG NGB Anderson, Heather USAF NG (US) Cc: Howell, Robert Jr HQE NG NGB (US) Subject: ADM Brett Giroir When: Thursday, April 19, 2018 1:00 PM Eastern Time (US 3r Canada). Where: 1D154 NGB Conference Room Update: Gen Lengvel and ADM Giroir will spend the first 15 with group then move into CNGB office for discussion. CDL JohnsonIZS March 1420 Update: Bio?s and updated attendee roster from HHS is now incorporated into the invite. Gen Lengyel and ADM Giroir will spend the first 15 with group then move into CNGB office for discussion. March 1333 Updated Attendee list and meeting guidance. COL Johnson/22 March?ZlZ HRS Requester lrank/name/phone/email}: Ms. Dinah Bembo, 202-690-?694 SEA to Asst. Sec for Health, ADM Giroir Format {in person, telephone, In Person By Name Attendee List: NO below Giroir level] Gen Lengvel ADM Giroir LTG Hokanson MG Mui'phi,f M6 McNeelv Maj Gen Fenwick RADM Trent-Adams RADM Hunter Mr. Howell CAPT Kleiman Dr: Allelv CAPT Debisetter Col Robert C. Desko COL Mike Pelzner COL Larrv Fletcher COL JohnsonfMA CA6 Rep Aid de Camp Topicfpurpose: ADM Giroir and RADM Joan Hunter's agenda is to meet, greet, and discuss potential future partnerships of mutual interest/benefit to both Services. Informational or decisional: informational RAH: If No, providejustification. NO RAH REQUIRED Meeting Length: 30 Minutes Scheduled on: 15 March Schedule POC: COL Johnson,J NOTEadvance or meeting will be cancelled or moved to the right. COL Johnson All active links contained in this email were disabled. Please verify the identity of the sender, and confirm the authenticity ofall links contained within the message prior to copying and pasting the address to a Web browser. COLJohnson, AMD Giroir would be available: April 19: 1300 Hrs. Thanks, Dinah Bembo Senior Executive Assistant to the Assistant Secretary for Health 202-690-7694 I:ZIriginal From: Johnson, Phillip [Phil] COL USARMY N6 N68 [Caution- Sent: Thursday, March 15, 2018 2:44 PM To: Nguyen, Tuan Cc: Bembo, Dinah Kleiman, Matthew CAPT USPHS NG NGB Lagasse, Carol CIV NG N63 (US) Subject: RE: Source] ASH office call Lt Nguyen, have the following DTGs: 19 March: 1400 HRS, 19 April: 1300 HRS. COL Phillip F. Johnson Military Assistant to the Chief National Guard Bureau 1536 Defense Pentagon Room 1E169 Washington D.C. 20301-1636 Office: 703-614-3831 Work Cell: Peer DSN: NIPR: SIPH: Original llv?lessagew?Fw From: Nguyen, Tuan Sent: Wednesday, March 14, 2018 6:16 PM To: Johnson, Phillip (Phil) COL USARMY NG NEE (US) Cc: Bembo, Dinah 1 Sent: Wednesday, March 14, 2018 1:16 PM To: Nguyen, Tuan Subject: Re: [Non-DoD Source] ASH office call LT. Please contact Gen Lengyel?s Assistant, COL Phil Johnson at c: Caution- and he will help you get the ball rolling. In addition to General Lengyel, recommend LTG Hokanson (Vice Chief of National Guard), myself, Maj Gen Fenwick [Joint Surgeon General}, MG Murphy (Director of Joint Staff), and MG McNeely [Director of JLManpower and Personnel) as possible attendees. Wr. CAPT Matt Kleiman, USPHS National Guard Bureau Office of Joint Surgeon General NGB: Tillie} PNT: 7 Mobile {bile} Lengyel, Joseph Gen USAF NG N63 (US) Bembo, Dinah Sender: (HHSIOASH) Recipient: Lengyel, Joseph Gen USAF NG NGB (US) Sent Date: 201810326 10:23:32 Delivered Date: 201810326 10:25:04 Admiral Brett P. Giror'r, M.D. Assistant Secretary for Health U.S. Public Health Service Commissioned Corps ADM Brett P. Giroir, M.D., was sworn in as Assistant Secretary for Health at the U.S. Department of Health and Human Services on February 15, 2018. The Assistant Secretary for Health leads development of HHS-wide public health policy recommendations, oversees 11 core public health offices including the Office of the Surgeon General and the U.S. Public Health Service Commissioned Corps, which has approximately 6,500 uniformed health officers who serve in nearly 600 locations around the world to promote, protect and advance the health and safety of our nation and our world. He also oversees three Presidential and 11 Secretarial advisory committees. Dr. Giroir is a physician, scientist and innovator. He is a former medical school executive and biotech startup CEO, and has served in a number of leadership positions in the federal government as well as academia. From 2014-2015, Dr. Giroir chaired the Veteran?s Choice Act Blue Ribbon Panel to reform the U.S. Veterans Health System. During the Ebola emergency, he directed the Texas Task Force on Infectious and Disease Preparedness Response. He was executive vice president and CEO of Texas Health Science Center from 2013-2015, having earlier served as vice chancellor of strategic initiatives [2011-2013) and vice chancellor for research (2008?2011) for the entire Texas University system. A pediatric critical care physician and a former member ofthe American Board of Pediatrics, Dr. Giroir cared for critically ill children for 14 years, and was the first chief medical of?cer of Children's Medical Center of Dallas [now Children's Health). He was also a professor at the University of Texas Southwestern Medical Center from 1993-2003, and held a number of positions in academic and hospital leadership. Dr. Giroir has had a significant federal portfolio. He directed the Defense Sciences Office of the Defense Advanced Research Projects Agency (DARPA) from 2006-2008. In this capacity, he worked regularly with the White House, Congress, and NIH, CDC, DHS and CIA leadership on national priorities, strategies and programs. He joined the of?ce in 2004 as deputy director, and between1998 and 2004, was a member of the Defense Sciences Research Council. Dr. Giroir has authored or co-a uthored almost 100 peer-reviewed scientific publications and holds patents on a number of biomedical inventions. He is the recipient of numerous honors and awards, including the U.S. Secretary of Defense Medal for Outstanding Public Service, the American Heart Association?s President Lyndon Baines Johnson Research Award and the Society of Critical Care Medicine's Annual Scientific Award. He was the nation?s high school debate champion in 1978. He received a bachelor?s degree in biology from Harvard University in 1982 and a medical degree from the University of Texas Southwestern Medical Center {Dallas} in 1986. Rear Admiral Sylvia Trent-Adams, RN, FAAN Deputy Surgeon General U.S. Public Health Service Commissioned Corps As Deputy Surgeon General, Rear Admiral (RADM) Sylvia Trent- Adams advises and supports the Surgeon General regarding operations of the US. Public Health Service (USPHS) Commissioned Corps and in communicating the best available scientific information to advance the health of the nation. She served as the Acting Surgeon General from April 2017 through September 2017 and as Chief Nurse Officer of the USPHS from November 2013 through May 2015. RADM Trent-Adams has held various positions in the Department of Health and Human Services, working to improve access to care for poor and underserved communities. As a clinician and administrator, she has had a direct impact on building systems of care to improve public health for marginalized populations domestically and internationally. Prior to joining the Office of the Surgeon General, RADM Sylvia Trent-Adams was the Deputy Associate Administratorfor the Bureau (HAB), Health Resources and Services Administration (HRSA). She assisted in managing the Ryan White Treatment Extension Act of 2009 (Ryan White Program). The $2.3 billion program funds medical care, treatment, referrals and support services for uninsured and underserved people living with HIV disease as well as training for health care professionals. RADM Trent-Adams began her career in the Commissioned Corps of the USPHS in 1992. She has published numerous articles, participated in research studies, and presented to a variety of domestic and international organizations and professional groups. Prior to joining the USPHS, RADM Trent-Adams was a nurse officer in the US Army. She also served as a research nurse at the University of Maryland. RADM Trent-Adams also completed two internships in the US Senate where she focused on the prospective payment system for skilled nursing facilities and scope of practice for nurses and She has served as guest lecturer at the University of Maryland and Hampton University. Her clinical practice was in trauma, oncology, community health, and infectious disease. She currently serves as the Chair of the Federal Public Health Nurse Leadership Council, and the Federal Nursing Service Council. RADM Trent-Adams received her Bachelor of Science in Nursing from Hampton University, a Master of Science in Nursing and Health Policy from the University of Maryland, Baltimore, and a Doctor of Philosophy from the University of Maryland, Baltimore County. She became a fellow in the American Academy of Nursing in 2014. Captain Annette Debisette, RN Chief of Staff, Of?ce of Surgeon General U.S. Public Health Service Commissioned Corps CAPT Annette Debisette, RN is the Chief of Staff to the Surgeon General and is responsible forthe direction and management of the Of?ce ofthe Surgeon General [056). CAPT Debisette provides advice and recommendations on United States Public Health Service (USPHS) Commissioned Corps policy and operations to the Surgeon General, Deputy Surgeon General and the Assistant Secretary for Health. In addition, CAPT Debisette represents the Surgeon General and Deputy Surgeon General at regional, national, and international health and professional meetings. Prior to this appointment, CAPT Debisette served as the National Training Of?cer for the Medical Device and Radiological Health Training Program in the Office of Regulatory Affairs Of?ce of Training, Education and Development (CITED), U.S. Food and Drug Administration (FDA). She had direct responsibility for training Consumer Safety Of?cers, Investigators, and who conducted global inspections of manufacturers who made FDA regulated medical devices for commerce. Du ring the ORA program alignment, CAPT Debisette served as Co-Chairman of the Device Curriculum Committee, a collaborative curricular oversight committee between ORA and the Center for Devices and Radiological Health At the FDA, CAPT Debisette was a member of three groups where team awards were received, and they were: 2015 Scientific Collaboration Award as a member ofthe Radiation Emitting Product Protocol Team, 2015 Leveraging Collaboration Award as a member of the Electronic Radiation Emitting Product Protocol Team, and 2013 Group Recognition Award as a member of the Glove Webinar Group. Prior tojoining the FDA team, CAPT Debisette served in various leadership roles to include Director of the Division of Nursing and Chair of the National Advisory Council on Nurse Education and Practice (NACNEP), Senior Advisor to the Associate Administrator for Health Professions, Chief for Advanced Nurse Education and Nurse Consultant in the Division of Nursing, Health Resources and Services Administration, Bureau of Health Professions. CAPT Debisette served as an Associate Investigator for the U.S. Public Health Service in a Tri-Service Nursing Research Study of nursing clinical knowledge development in operational environments and had a prior appointment to the Institutional Review Board at the National Naval Medical Center. She was a past Research Committee Chairman for the USPHS Nursing Professional Advisory Committee CAPT Debisette has published on nursing workforce issues and in 2011 served as a Co-Editor of the Nursing Workforce Edition in the Annual Review of Nursing Research (ARNR). In 2001 she received the USPHS RADM Julia R. Plotnick Publication Award. CAPT Debisette is a past President of Kappa chapter, Sigma Theta Tau, The Catholic University of America and a charter member of Tau Theta chapter at the Uniformed Services University of the Health Sciences She pre-deployed to Hurricane Katrina and contributed in setting up a field hospital in Baton Rouge, LA. CAPT Debisette received her Bachelors of Science and Master of Science degrees in Nursing from Syracuse University, Syracuse, New York, and Doctor of Philosophy in Nursing from The Catholic University of America, Washington, DC. She has served as adjunct faculty and lecturer at The Catholic University of America School of Nursing, USUHS Graduate School of Nursing and Walden University Graduate School of Nursing. CAPT Debisette received two prestigious alumnae awards for commitment to service and public health, the 2013 Distinguished Daughter Award from the Philadelphia High School for Girls, Philadelphia, PA and the 2012 Distinguished Alumnus Award, The Catholic University of America, Washington, DC. From: Giroir, Brett ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) ; Mansdoerfer, David {Jo=ExchangeLabsfou=Exchange Administrative Group Bembo, Dinah (HHSJOASH) Subject: Meeting wJMichael Spira, Dave Stack and Tony Moilov PACIRA POC: Dinah Bembo 202- 690-?594 Date: 2018f04f18 15:3?:04 Start Date: 2013f05/02 11:30:00 End Date: 2013f05/02 12:15:00 Priority: Normal TYPE: Appointment Location: DASH CR Sender: Giroir, Brett GROUP Bembo, Dinah Recipient: Giroir, Brett (HHSIOASH) ; Mansdoerfer, David (HHSIDASH) Sent Date: 2013f04f18 15:3?:04 PACIRA Expand Access to Non-Opioid Treatment Alternatives Through Appropriate Medicare Payments The operating room is a primary gateway to opioid misuse and addiction, as millions of patients prescribed opioids after surgery each year transition to persistent opioid use. Yet, current Medicare policies discourage hospitals from using non-opioid treatment alternatives to manage patients" pain after surgery. By urging CMS to revise Medicare's policies to enable greater access to non?opioid treatment options, Congress can take a concrete step to prevent opioid addiction before it begins for millions of patients nationwide. Postsurgical Opioid Prescriptions Lead to Opioid Misuse: Published research demonstrates that a lcey contributor to the opioid epidemic is the prescription of opioids for the treatment of postsurgical pain: i 9 in 10 patients undergoing surgical procedures receive opioid medications; I Up to 3 million individuals transition to persistent opioid use following surgery each year; and ass of all surgical patients transition to persistent opioid use after surgery, with persistent opioid use being much higher following certain procedures. In 2016, of the HS Americans who died each day from an opioid overdose, more than 46 were using prescription opioid medications. Studies have estimated that just a 10% reduction in surgery?related opioid prescribing in the U.S. would result in 300,000 fewer people each year transitioning to opioid addiction and make 332 million fevver opioid pills available for theft and abuse. Non-Opioid Treatment Options Exist: There are FDA-approved and effective alternatives to opioids for the treatment of postsurgical pain. For example, Pacira Pharmaceutical manufactures and distributes EXPAREL, a non-opioid, physician-administered pain management drug. EXPAREL has been proven eilective at managing patients? postsurgical pain while greatly reducing or eliminating patients' need for opioids. In a recent study, patients given EXPAREL after knee replacement procedures consumed 78% less opioid medication compared to patients who did not receive EXPAREL. Medicare's Packaging Policies Impact Access and New Policies are Needed: Current Medicare policies restrict access to non?opioid therapy alternatives. Two specific Medicare policies have impacted access to non?opioid treatments for postsurgical pain: 1.The outpatient hospital surgical supply packaging policy, which eliminates separate payment for drugs used to treat postsurgical pain; and 2.The outpatient hospital comprehensive APC policy, which also bundles payment for non-opioid pain management treatments into the Medicare payment for the surgical procedure. Hospitals receive the same payment from Medicare regardless of whether the physician prescribes an opioid medication {or pain management or administers a non-opioid alternative. Without appropriate reimbursement, hospitals cannot justify the additional expense to purchase and administer non-opioid alternatives. Instead, hospitals rely on opioids, which are typically dispensed by a pharmacy after discharge at little to no additional cost to the hospital. Revising these policies would have a measurable, tangible impact on the opioid crisis. See Brummett et al., New Persistent IIClpioid Use After Minor and Major Surgical Procedures in US Adults, JAMA SURGERY (Apr. 12, 2m Tl; Compton et al., United States for Nonv?ependenca, {last visited Mar. 9, 2018}. "See Compton, supra note 1. "See Mont et al.. Local In?ltration Analgesia with Liposomal Bupivacaine Improves Pain Scores and Reduces Opioid Use Alter Total Knee Arthroplasty: Results of a Randomized Controlled Trial, 33 J. ARTHROPLASTY 90 (Jan. 2018}. Pacira Pharmaceuticals, Inc. 5 Sylvan Way. Suite 300 Parsippany, New Jersey 07054 973'254?3560: F. February 16, 2018 VIA EMAIL Senator Orrin G. Hatch, Chairman Ron Wyden, Ranking Member Committee on Finance United States Senate 219 Dirksen Senate Office Building Washington, DC 20510-6200 opioidst?j?nance.senategov RE: Pacira Pharmaceuticals? Response to the Senate Finance Committee?s Request for Policy Recommendations to Address the Opioid Crisis Dear Chairman Hatch and Ranking Member Wyden: Pacira Pharmaceuticals, Inc. (Pacira) writes in response to the request from the Senate Finance Committee (the. Committee) to provide input on Medicare and Medicaid policy recommendations to address the root causes that lead to opioid use disorder (OUD) and other substance use disorders (SUDs). Pacira is a specialty pharmaceutical company dedicated to innovation in the treatments for acute and chronic pain. with a focus on pharmaceutical. products used primarily in hospitals and ambulatory care centers (ASCs). Our corporate mission is to provide alternative treatments to opioids for as many patients as possible. We commend the Committee?s focus on an area of government policy in which certain limited changes can have an outsized impact on reducing the number of patients suffering from OUD and SUDS: Medicare and Medicaid reimbursement policies. Pacira appreciates the opportunity to provide feedback to the Committee on these important issues. Since 2012, we have manufacttu?ed and distributed EXPAREL, a non-opioid, local analgesic that provides up to several days of pain relief with a single-dose administration by a physician. As an early leader in efforts to develop and encourage the adoption of non-opioid treatments for pain. Pacira works closely with many of the leading patient and clinical stakeholders. including Shatterproof (a national nonpro?t dedicated to ending the devastation addiction causes families) and the American Society for Enhanced Recovery (a nonpro?t founded by physicians dedicated to promoting the practice of optimizing patient preparation and recovery through education and research). The initial responses to the opioid crisis from the Centers for Medicare 8: Medicaid Services (CMS) and U.S. Department of Health Human Services (HHS) have focused on prescription controls, funding for treatment of OUD and SUDs, and other initiatives, but have not addressed a key finding of the President?s Commission on Combating Drug Addiction and the Opioid Crisis (the Commission): that ?current CMS reimbursement policies . . . create barriers to adoption? of effective pain management strategies. The Commission?s Final Report included the following recommendation related to this observation: The Commission recommends that CMS review and modify rate- setting policies that discourage the use of non-opioid treatments for pain, such as certain bundled payments that make alternative treatment options cost prohibitive for hospitals and doctors, particularly those options for treating immediate post-surgical pain. This letter addresses those Medicare reimbursement policies and provides recommendations for the Committee to take action, either through direct legislative action or urging HHS and CMS to act on these recommendations. Specific responses to the Committee's questions are enclosed below, all of which provide context for two key policy changes that are within the Committee?s jurisdiction over Medicare Parts A and and that would lead to a near- terrn and demonstrable reduction in the number of beneficiaries that develop OUD each year: 1. Provide separate Medicare reimbursement for non-opioid postsurgica] pain management drugs administered by healthcare providers in connection with surgical procedures; and 2. Provide appropriate reimbursement to healthcare practitioners for additional time spent screening, educating, and treating patients with opioid-sparing protocols and non-opioid pain treatments. By ensuring hospitals and physicians receive appropriate Medicare reimbursement for the implementation of opioid-sparing protocols and use of non-opioid treatments, the Committee would ensure that Medicare beneficiaries have equal access to safer pain treatment options that mitigate and prevent OUD. I. THE OPERATING ROOM IS THE PRIMARY GATEWAY TO OPIOID ADDICTION, BUT NON-OPIOID TREATMENT ALTERNATIVES EXIST. A key contributor to the opioid epidemic has been the prescription and use of opioids for the treatment of postsurgical pain. It is well-established that the operating room serves as a gateway to as approximately 40% of all outpatient prescriptions written by surgeons are for opioids;1 9 in 10 patients undergoing surgical procedures receive opioidsfI and approximately 6% of patients undergoing a surgical procedure transition to persistent opioid use after surgery.?1 Patients undergoing certain types of outpatient procedures are even more susceptible to persistent opioid use after surgery: Approximately 17.6% of patients undergoing colectomies and 163% of patients undergoing total knee replacements transition to persistent opioid use after surgery.W Researchers have estimated that as many as 3 million individuals may transition to persistent opioid use following elective surgery each year.V The risk that postsurgical opioid use will transition to OUD is even higher for patients with certain risk factors, including patients who are opioid naive, those with a history of depression, and those with a self-perceived risk of 2 addiction.?I As a result, there are more than 20 million Americans in recovery from surgery for whom opioids are contraindicated.? Moreover, the prescription of opioids for surgical patients creates a reservoir of unused opioids that fuels addiction. One study found that as much as 71% of dispensed opioids goes unused,?? and another study found that an average surgical patient was prescribed about 80 pills while taking opioids for just 7? days, leaving about 30 pills unused and available for diversion.1x Of the more than 91 Americans who die each day from an opioid overdose, more than 40 will die from prescription opioid medications such as morphine, codeine, oxycodone, or hydrocodone.? Abuse of prescription opioid products also leads to illicit drug use in many cases.XI Data from the U.S. National Survey on Drug Use and Health indicate that up to four in ?ve heroin users in the U.S. misused prescription opioids before using heroin, __underscoring the importance of preventing initial prescription opioid misuse and diversion.Ml The relationship between opioid prescription and opioid abuse has led some experts to conclude that ?[nlonopioid and pain'relief treatment options should be utilized whenever possible to provide effective pain While much of the attention to the government's response to the opioid crisis has focused importantly on prescription controls and developing new therapies to replace opioids, healthcare professionals do already have non-opioid treatment options available. A key issue is that utilization has been limited by certain reimbursement policies. For instance, Pacira?s product EXPAREL is a bupivacaine liposome injectable suspension indicated for single-dose infiltration into a surgical site to produce postsurgical analgesia. As a physician-administered, non-opioid drug effectively used to manage postsurgical pain, EXPAREL reduces or even eliminates the need for opioid medications to control acute postsurgical pain. In a recent study evaluating the use of EXPAREL as part of a multimodal pain management protocol for patients undergoing total knee arthroplasty the EXPAREL group showed a 78% reduction in opioid consumption compared to the control group at 7?2 hours Importantly, opioids were not part of the pain management protocol in this study, but rather were used only as rescue medication, which allowed 10% of patients in the EXPAREL group to remain completely opioid free (compared to 0% in the control group) for the most critical time period for controlling acute pain related to surgery. Other studies have found similar reductions in postsurgical opioid consumption when EXPAREL is'administered in connection with shoulder anhroplastyf" gynecologic oncology procedures,m breast reconstruction,""' hysterectomy,??' and colectomy.m II. CURRENT MEDICARE POLICIES RESTRICT ACCESS TO NON-OPIOID POSTSURGICAL PAIN THERAPIES. The Opioid Commission identi?ed specific Medicare payment policies that incentivize the prescribing of opioids while limiting access to non-addictive treatments for pain. Revising these policies to equalize patient access to non-opioid therapies could meaningfully reduce opioid use in the surgical setting, which is a primary gateway to OUD. First, the most important CMS policy requiring modification is the current Outpatient Prospective Payment System (OPPS) packaging policy that bundles payments to hospitals for surgical supplies. Specifically, in 2014, CMS implemented a payment policy under the OPPS whereby the Agency packages Medicare payment for all drugs and biologicals that function as supplies in a surgical procedure with the Medicare payment to the hospital or ASC for the surgical procedure itself.m Starting in 2015, CMS subjected postsurgical pain medicines to the surgical supply packaging policy, meaning Medicare does not reimburse hospitals separately for the costs of these drugs.? Hospitals and ASCs incur the cost of these drugs?including non? opioid postsurgical pain management drugs like have limited ability to recoup that cost. Though the expense is modest in the context of the cost of a typical surgical procedure (a dose of EXPAREL costs about $315), the hospital can choose to incur no cost at all by simply not stocking the drug. Without on-site access to EXPAREL, surgeons typically treat postsurgical pain by writing a prescription for pharmacy-dispensed opioids, which are then covered by a different Medicare bene?t at no cost to the hoSpital. Because the hoSpital receives the same Medicare payment for the procedure regardless of whether it assumes the added expense of providing a non?opioid treatment, the payment policy creates an effective barrier to adoption of non-opioid therapies in a time of tightening hospital operating margins and budgets.? Second, outside of the surgical supply packaging policy, CMS also packages payment for services and items provided in connection with specific outpatient procedures reimbursed under comprehensive APCs (C-APCs). This policy, which also became effective in 2015, packages payment for adjunctive and secondary items, services, and procedures into the most costly primary procedure under the Similar to the surgical packaging policy, the C-APC policy results in a single payment for the primary service, with no separate reimbursement for other items like non-opioid postsurgical pain management drugs. Accordingly, just like the surgical supply packaging policy, the C-APC policy creates a disincentive for hospitals to take on the additional expense to provide a non-opioid treatment to the patient rather than an Opioid prescription. This result drives opioid use following procedures where high numbers of patients transition to persistent opioid use, such as total knee replacements and rotator cuff repainxm Third, while an increasing number of surgical procedures occur in an outpatient setting, many procedures continue to be performed in the hospital inpatient setting, such as hip and knee repair, revision, andfor replacement, as well as colorectal, bariatric, and spinal surgeries. Some of these procedures can be performed in the outpatient setting as well, but they are most commonly transitioned to an inpatient setting when the patient suffers from comorbid conditions or other health concerns, as is often the case with Medicare bene?ciaries. Under Medicare?s Inpatient Prospective Payment System (IPPS), hospitals receive a single prospective payment for all items and services provided during the inpatient stay. For a hospital pharmacist making purchase orders based on per-procedure cost, it can be difficult to justify stocking non-opioid treatments like EXPAREL when Opioids are a less expensive pharmaceutical modality to treat postsurgical pain?regardless of whether using non?opioid treatments may be less expensive for the hospital and healthcare system in the long run. As a result, hospitals often stock less-expensive opioids to administer during admission, reducing access to non-opioid therapy alternatives. Lastly, physicians are also required to expend their most valuable resource?their time? to evaluate patients for enhanced recovery after surgery (ERAS) protocols, administer these treatments, and ensure patients understand the opioid-sparing, multi?modal pain management approach needed to reduce Opioid consumption. Under current Medicare policy, surgeons and anesthesiologists receive no additional reimbursement for time needed to screen patients for opioid-sparing protocols, or to develop and employ such a protocol with patients and their caregivers. This lack of necessary reimbursement creates a disincentive for physicians to offer this critical service RESPONSES TO THE QUESTIONS 1. How can Medicare and Medicaid payment incentives be used to promote evidence-based care for bene?ciaries with chronic pain that minimizes the risk of developing opioid use disorder (OUD) or other substance use disorders Whether opioids are prescribed to treat chronic pain or acute postsurgical pain, opioid prescriptions pose a serious risk to patients by exposing them to drugs that can lead to OUD or other SUDs. It is critical for Congress and CMS to structure Medicare payment policies so that hospitals and physicians can make evidence-based decisions regarding the most appropriate pain management therapy after surgery. Payment policies should not discourage physicians from administering non-opioid alternatives, as the current CMS payment policies described have the effect of doing. Effective, non-opioid alternatives currently exist and can be immediately employed in the operating room to reduce patients? dependence on opioids to treat acute post- surgical pain, assuming hospitals and physicians have equal access to reimbursement for these therapies. Reducing the number of Medicare patients who use opioids to manage postsurgical pain would significantly reduce the number of beneficiaries that transition to persistent opioid use and OUD after outpatient surgery. A retrospective analysis of drug prescriptions and sales conducted in September 2017 found that just a 10% reduction in surgery-related opioid prescribing could: (1) result in 300,000 fewer people each year transitioning to OUD (and at high risk of and (2) make 332 million fewer prescription opioid pills available for diversion and abuse.m Accordingly, revising Medicare payment policy to incentivize the use of non-opioid, physician- administered pain treatments would promote evidence-based care and minimize the risk of deve10ping OUD for hundreds of thousands of Medicare beneficiaries each year. 2. What barriers to non-pharmaceutical therapies for chronic pain currently exist in Medicare and Medicaid? How can those barriers be addressed to increase utilization of those non-pharmaceutical therapies where clinically appropriate? The Medicare reimbursement policies described in detail above serve as significant barriers to utilization of non-opioid treatment options. The Opioid Commission found as much, concluding that these policies act as a ?significant deterrent? to turning the tide of the opioid crisis. Revising these packaging policies to exclude non-opioid pain management therapies would equalize reimbursement and remove the financial disincentive that currently hampers hospitals? ability to stock and supply non-opioid alternatives like EXPAREL. Congress and CMS have recognized in the past that payment packaging policies can raise barriers to the use of necessary treatments, and both entities have established exceptions and exclusions to ensure Medicare beneficiaries can access those treatments. For example, at the time Congress established the OPPS, Congress recognized that packaging payment for new drug 5 therapies and medical technology would discourage hospitals from adopting innovative treatments and limit Medicare beneficiary access. As a result, Congress created temporary ?pass- through? payments under the OPPS for certain orphan drugs, cancer therapies, radiopharmaceuticals, and medical devices.?WI When that original pass-through period expired, CMS began packaging payment for some seeds (radioactive isotopes used in cancer treatments) into payment for the procedures, reducing overall reimbursement for this Congress took note, and shortly thereafter passed legislation establishing separate payment for to ensure hospitals received appropriate reimbursement for the treatmentmm Because Congress took action, Medicare payment for a hospital to administer is directly tied to the actual cost of the service. Similarly, Congress has passed legislation requiring CMS to pay separately for higher cost physician-administered drugs, recognizing that packaged payment discourages hospitals from purchasing and administering these vital drugs. In 2002, CMS determined to only pay hospitals separately for physician-administered drugs if the cost of the drug exceeded $1505?m Congress concluded that packaging payment for drugs that cost between $50 and $150 created a strong disincentive for hospitals to administer these drugs because hospitals would not receive any additional payment to administer the drugs. To ensure Medicare beneficiaries had access to critical drugs that cost between $50 and $150, Congress passed legislation to require CMS to pay separately for drugs in this price range.m While Congress has intervened to require CMS to provide separate payment for critical items, CMS has similarly recognized that packaging payment sometimes reduces beneficiary access to certain items that warrant separate payment. Specifically, prior to 2005, CMS payment policy allowed for separate reimbursement for certain anti-emetic drugs (drugs to prevent vomiting, often associated with chemotherapy), but CMS would package payment for other anti- emetic CMS observed that ?packaging some of the 5HT3 anti-emetic products and paying separately for others may negatively impact a bene?ciary?s access to the particular anti- emetic that is most effective for him or her as determined by the beneficiary and his or her physician.? As a result, CMS used its equitable adjustment authority to pay separately for all forms of anti-emetic products to ensure Medicare beneficiaries would have access to all forms of anti-emetics.W11 Like these examples, packaged payment for non-opioid therapies is a barrier to Medicare beneficiary access, and carving out payment for non-opioid alternatives to treat postsurgical pain will increase utilization of non-Opioid therapies. 3. How can Medicare and Medicaid payment incentives be used to remove barriers or create incentives to ensure bene?ciaries receive evidence-based prevention, screening, assessment, and treatment for OUD and other SUDs to improve patient outcomes? In addition to removing barriers inhibiting the use of non-opioid pain medications, Medicare payment policy should incentivize treating practitioners to spend the additional time needed to implement opioid-sparing protocols. Specifically, Medicare should reimburse healthcare practitioners for the additional time spent screening, educating, and treating patients with opioid-sparing protocols and non-opioid treatments. Physicians committed to assessing patients for risk of opioid misuse, implementing opioid-sparing protocols, and following patients? progress through postoperative care should have the opportunity to receive reimbursement for that time. Moreover, surgeons and anesthesiologists who spend additional intra-procedure time to administer a non-opioid pain management drug like EXPAREL should receive reimbursement for that additional time. Failing to recognize and reimburse physicians for the extra time and effort spent implementing opioid reduction protocols will continue to limit the adoption of these important clinical policies. Yet establishing separate payment to compensate for that practitioner time, either through legislation or through encouraging CMS to establish payment for these services through the Medicare Physician Fee Schedule, would incentivize practitioners to implement opioid-sparin pain treatment protocols. 7. What best practices employed by states through innovative Medicaid policies or the private sector can be enhanced through federal efforts or incorporated into Medicare? The private sector has already recognized the important role of non-opioid therapies, like EXPAREL, in achieving improved health outcomes at a lower cost. A large number of regional and national payors cover EXPAREL, including Aetna, Anthem, Cigna, and Wellpoint. These payors have expressed interest in not only opioid reduction, but also the reduced overall costs of major outpatient surgical episodes when EXPAREL is administered. Several commercial payors have begun demonstrations in which they pay separately for EXPAREL, while others are developing such programs. The Committee requested recommendations that are also fiscally responsible. By reducing opioid consumption following surgery and the associated adverse effects, EXPAREL can facilitate a more effective transition of procedures historically performed in the inpatient setting to an outpatient setting, greatly lowering the cost of care. EXPAREL has been demonstrated to reduce opioid use and related adverse events, thereby reducing the need for many Medicare patients to be admitted to an inpatient hospital to undergo certain surgeries. Transitioning surgeries from inpatient to outpatient settings dramatically reduces the cost of care. For example, a 2017' study published in the Orthopaedic Joarnoi of Sports Medicine found that performng knee arthroplasty in an outpatient setting instead of an inpatient setting reduced average hospital charges from $46,845 to $26,272?a 44% Because access to EXPAREL assists in transitioning procedures from inpatient to outpatient settings, and access to EXPAREL is improved through separate payment, commercial payors are increasingly interested in paying separately for EXPAREL. By separately paying for non-opioid alternative postsurgical pain management drugs administered by physicians, Medicare will not only reduce the number of beneficiaries that transition to OUD or other SUDs, but also help to reduce the cost of healthcare and financial burdens on the Medicare trust fund. IV. CONCLUSION By urging HHS and CMS to improve access to non-opioid pain treatments, or by developing legislation to accomplish the same, the Committee can take action well-within its jurisdiction to reduce the number of Medicare bene?ciaries exposed to opioids and the attendant risk of OUD. Revising Medicare?s payment policies so that hOSpitals receive separate payment for non-opioid postsurgical pain therapies will shift hospital incentives to tangibly and measurably reduce opioid consumption, OUD and SUDs. Pacira would be happy to provide any additional detail or answer any further questions the Committee may have on these issues. Sincerely, David M. Stack CEO, Chairman Pacira Pharmaceuticals, Inc. cc: Stuart S. Kurlander, Latham Watkins LLP See The American College of Surgeons Surgeon Stewardship oftiie Opioid Epidemic. An Introduction, 'd introductioni (last visited Aug. 29, 2017} (citations omitted) Compton et ai., United States for Non-Dependence, (last visited Feb. I3, 2018). This study was independently conducted by QuintileslMS institute with funding from Pacira. See Brummett et ai., New Persistent Opioid Use A?er Minor and Major Surgicai Procedures in US Adaits, 1A MA SURGERY (Apr. 12, 20W). Compton et at., United States for Non-Dependence, (last visited Feb. 13, 2018). This study was independently conducted by QuintilesIMS Institute with funding from Pacira. Compton et ai., United States for Non-Dependence, (last visited Feb. 13, 2018). This study was independently conducted by QuintileslMS Institute with funding from Pacira. See id. CasToll et al, supra note 5; Eric C. Sun et al., incidence of and Risk Factors for Chronic Opioid Use Among Opioid-Naive Patients in the Postoperative Period, 1T6 J. Am. Med. Ass?n Internal Med. l236, 1236-93 (Sept. 1, 2016), Gene M. Massey et al., Toxicoiogy Screening in Orthopedic Trauma Patients Predicting Duration of Prescription Opioid Use, 24 J. Addictive Diseases 31-41 (2005); Singh J, Lewallen D, Predictors of Pain and Use of Pain Medications oiiowtng Primary Total Hip Arthropiasty (THA): 5, 707 THAs at 2ayears and 3,289 THAs at 5vyears, ll BMC Muscutoskeletal Disorders 90 {2010). NIH, Treatment Statistics (Mar. 201 I), Bicket MC et ai, Prescription Opioid Anaigesics Commoniy Unused After Surgery: A Systematic Review, JAMA Surgery, published online Aug. 2, 2017. h" M.C. Bicket et a1., Prescription Opioid Following Orthopedic Surgery: A Prospective after! Study. 18 J. Pain 334 (Apr. 2017). Rose A. Rudd et CDC. increases in Drug and Opioid?invoit-?ed Overdose Deaths United States. 20i0?20i5 (Dec. 30. 2016]. .htrn: CDC. Drug Overdose Deaths in the United States Continue to increase in 20115 (last updated Aug. 30. 2017). ?Nat"l Acads. ol?Sci.. Med. 3.: Eng'g. Pain Management and the Opioid Epidemic {July 13. 20171. Christopher F. McNicoii et ai.. Surgieai Leadership is Required to Reverse the Opioid risis. Ball. of the Am. Cali. of Surgeons (Aug. 2, 20'! 7), npiaid?crisis {citing Pradip K. Muhuri at al.. Associations ofNanmedieai Pain Reliever Use and initiation af'Herain Use in the United States. Data Review (Aug. 2013'). See Christopher D. Prater et 31.. Suecessfid Pain Management for the Recovering Addicted Patient. 4 Primary Care Companion to J. Clin. 125 (20021. Michael A. Mont et a1.. Lanai ht?itration Anaigesiu With Lipostnnai Bupil'aeaine inmrates Pain Scores and Reduces Opioid Use A?er Tami Knee Arthrapt'asty: Results afar Randomized Cantroiied Triui. J. (2017). Hannan et ai.. Liposomai ht-ipinacaiue vs intem'eaiene nerve hioeic?ir pain enntroi ai?iershnuider arthropiasty: a retrospective cohort analysis. 45 AM. J. DRTHOPEDICS 424 [2016). Kalogera et ai.. Abdominal incision injection of'iipnsomui hunivacaine and opioid use afier gynecologic maiignaneies, 128 OBSTETRICS 1009 [2016). Jablonka et ai.. Abdaminis Piane Stocks with Singie~?nse Liposotnai Bupivaeaine in Conjunction n-?ith Pain Regimen Heir) Reduce Length. af'Stayfaiinwing Abdominaiiy Based Mierasurgicai Breast Reconstruction. 140 PLASTIC SURGERY 240 (2017]; Afonso A. et ai.. is Enhanced Recovery the New Snmdard qt Care in. Microsurgicai Breast Reconstruction? 139 PLASTIC RECUNSTRUCTWE SURGERY 1053 (2017). Hutchins et ai.. Ultrasound guided suhcastai transversus ahdatninis piane tilt-1P} in?itratian with iipasantai hupivaeaine?n patients undergoing robotic assisted hysterectomy: a prospective randomized contraiied study. 138 GYNECOLOOIC ONCOLOGY 609 (2.015]. Beck et ai.. Benefits of'a Muitimadai Regimen Postsurgicai Pain Management in Caiarectai Singer); 15 OCHSNER .1. 408 (2015). See 73 Fed. Reg. 74326. 74930 (Dec. 10. 2013]. See 79 Fed. Reg. 66770. 156374-75 (Nov. 10. 2014) See1 Deloiltc, Hospital Pro?t Margins, {last visited Feb. 13. 2013}. 79 Fed. Reg. 66770. 66793 et seq. (Nov. 10. 20141. Total knee replacement surgery. described by CPT code 27447. is assigned to AFC 5115. which is reimbursed at $10,122.92 in 2018. Shoulder arthroplasty with rolalor cui't'repair. described by CPT code 29827. is assigned to APC 5114. which is reimbursed at $5606.42 in 201 S. Compton et at, United States fin- Non-Dependence. [last visited Feb. 13. 20181. This study was independently conducted by QuintileslMS Institute with funding from Pacira. m" See Medicare. Medicaid. and SCHIP Balanced Budget Re?nement Act of 1999. Pub. L. 106'] 13, Sec- 201. 1 13 Stat. 1501A-337 (Nov. 29. 1999). See 67 Fed. Reg. 615718. 66779 (Nov. 1. 2002). min See Medicare Prescription Drug. Improvement. and. Modernization Act of 2003, Pub. L. 108?173. Sec. 621, 1 17 Stat. 2311 (Dec. 8. 2003). 67 Fed. Reg. 66718, 66771 (Nov. 1. 2002). See Medicare Prescription Drug. Improvement. and Modernization Act of 2003. Pub. L. 103?173. Sec. 021. 1 17 Stat. 2310 (Dec. 8. 2003). m? 69 Fed. Reg. 65682. 65779 etseq. (Nov. 15. 2004). sstui id. See Richter 8: Diduch. Cast Catnpa risan of Outpatient 1dentists inpatient Unicamparnnentai Knee Arthrapiasty. 5 ORTHOPAEDIC J. OF SPORTS MED. (Mar. 2017'). Preventing Opioid Addiction through Access to Non-Opioid Pain Management PACI RA We can act now to prevent opioid addiction - Non-opioid postsurgical pain management options can reduce the volume of opioids prescribed by doctors and the number of patients who transition to opioid misuse - Current CMS policies discourage physicians and hospitals from using certain non-Opioid options - To remedy this situation, the Trump Administration should make policy changes to improve access to this vital part of the solution to the opioid crisis EXLBAQQLR Pacira Pharmaceuticals offers an alternative to opioids - Pacira is a specialty pharmaceutical company dedicated to innovation for acute and chronic pain - Founded in 2006 and headquartered in Parsippany, 511 employees 0 The corporate mission is to provide an alternative to opioids for as many patients as possible - Focused on driving improved patient outcomes with opioid ?reducing strategies EXLBAQQLR Providers are demanding opioid alternatives Trinity Health CANCER I SQ - Hurra- (Emma eraser? OF AMERICA- r?O PHDUF Trinity Health published ?Reducing Opioid Harm: Promoting Peopie- Centered Care? American College of Surgeons published "The opioid epidemic: What can surgeons do about a "all to action? to 80,000 members highlighting surgeons? responsibilities American Society for Enhanced Recovery: Educating patients about alternatives to opioids following surgery Cancer Treatment Centers, Illinois Surgical Quality Improvement Collaborative, and WellStar: Educational programs and initiatives to minimize patients? exposure to opioids Shatterproof.org: Driving education and awareness to those affected by substance abuse or in recovery EXT-BAQLRA Overview of EXPAREL I EXPAREL is a long acting formulation of bupivacaine administered by infiltration to produce postsurgical local analgesia and as brachial plexus nerve block to produce regional analgesia . EXPAREL can provide significant benefit to patients 20+ million Americans in recovery 266mg vial -$315 WAC PFEVIOUS negatlve experlences/SIde Large areas: TAP blocks, TKAJTHA, from OpiOidS . ?u Colorectal, Spine, Breast ReconSection ComorbIdItIeS/hlgh rIsk of OplOId $3ng . 133mgviai-$17D WAC adverse events 7?3. 4? Small areas/peripheralnerve block: Rotator Cuff, Foot/Ankle, Hand/Wrist, ACL Repair, Oral Surgeryr Used in more than 3.5 million patients since 2012 EXT-1836593 The operating room is the gateway to opioid misuse Surgery-related overprescribing 3.3 results in BILLION unusedpills \availablefora ausb SB - 9 in 10 patients undergoing surgical procedures receive opioids1 - Nearly 2 million individuals who had surgery in 2016 became persistent opioid users2 - Among persons prescribed at least 1 day of opioids, the probability of continued opioid use at one year is and 3 years, 2.9%.3 0 ?uintileslMS, United States for Non-Dependence: An Analysis of the Impact of Opioid Uverprescribing in AmericaISept. 2017). - Brurnmett et al., New Persistent Opioid Use After Minor and Major Surgical Procedures in US Adults, JAMIE 4' Shah A et al., Characteristics of Initial Prescription Episodes and Likelihood of Long-Term Opioid Use ?015.. ?36 CTRS. FDR DISEASE CONTROL AND PREVENTION AND MORTALITY UnitedWe States. EUGE- REP. 265 ?War 301?]. Percent of newly persistent opioid patients by surgery1 Gastric sleeve 10.2% Rotator cuff 17.6% Colectomy Hernia 72%| 9.9% Total hip 16.7% Total Hysterectomy 7.5% Overall 9.5% Reducing opioid consumption can reduce opioid misuse 0 QuintileslMS Institute1 estimated that a mere 10% reduction in surgery?related opioid prescribing could: Result in 300,000 fewer people each vear becoming persistent opioid users at high risk of drug dependence and addiction Make 332 million fewer prescription opioid pills available for diversion and abuse 1. Compton et al. Dependence http: planagainstparn compr- USND This study was independently conducted by QuintileslMS Institute with funding from Pacira. A EXT- 1 569 -k Non-opioid treatments can reduce or eliminate the use of opioids while controlling pain Published data demonstrate EXPAREL use reduces or eliminates opioid consumption for postsurgical pain management For example, a recent study of total knee replacements1 showed that compared to bupivacaine HCI, EXPAREL: Decreased opioid consumption by 78% through 48-72 hours and provided significantly better pain control 10% of patients who received EXPAREL were opioid-free 48-72 hours post-surgery Patients over age 65 experienced significantly improved pain EXLBAQJSR EXPAREL reduces opioid use across surgeries Average Opioid Average Opioid . . . . . . mm Study Surgery: Consumption without Consumgtion with Reduction EXPAREL Administration EXPAREL Administration Hutchins et al. Hysterectomy 51.7 mg (at 72 hours) 24.9 mg {at 72 hours} 51.8% Shoulder Replacement Hannan 80.0% Surgery Alfonso et al. Breast Reconstruction 70.5 mg (over length or 46'0 mg (over length 0f 34.8% stay} stay) Beck et al. Colorectal Surgery 68.33 mg (at 72 hours} 38.96 mg {at 22 hours) 43.0% Jablonka et al. Breast Reconstruction 7.11 mg (on day 4) 2.00 mg {on day 4) 71.9% 100.5 62.0 th 1? Kalogera et al. Laparotomy mg (over engt 0 mg {over eng 0 38.3% stay) stay) Afonso A, Oskar S, Tan KS, Disa JJ, Mehrara BJ, Ceyhan J, et al. Is Enhanced Recovery the New Standard of Care in Microsurgical Breast Reconstruction? Plast Reconstr Surg. 2012.: Beck DE, Margolin DA, Babin Russo CT. Benefits of a Multimodal Regimen for Postsurgical Pain Management in Colorectal Surgery. Ochsner J. Hannah CV. Albrecht MJ, Petersen SA, Srikumaran U. Liposomal bUpivacaine vs interscalene nerve block for pain control after shoulder arthroplasty: a retrospective cohort analysis. Am Orthop (Belle Mead NJ). Hutchins J, Delaney D, Vogel RI, et al. Ultrasound guided subcostal transversus abdominis plane (TAP) infiltration with liposomal bupivacaine for patients undergoing robotic assisted hysterectomy: a prospective randomized controlled study. Gynecol Oncol. Jablonka EM, Lamelas AM, Kim JN, Molina B, Molina N, Okwali M, et al. Transversus Abdominis Plane Blocks with Single-Dose Liposomal Buoivacaine in Conjunction with a Nonnarcotic Pain Regimen Help Reduce Length of Stay following Abdominally Based Microsurgical Breast Reconstruction. Plast Reconstr Surg. Kalogera E, Bakkum-Gamez JN, Weaver AL, et al. Abdominal incision injection of liposomal bupivacaine and opioid use after Iaparotomy for gynecologic malignancies. Obstet Gynecol. EXT-1 A Medicare limits access to non?opioid treatment options for postsurgical pain in the outpatient setting Since 2015, physician-administered pain management drugs like EXPAREL have been considered as packaged surgical supplies for Medicare reimbursement in the outpatient setting Facilities must purchase the product with no opportunity to recoup costs that exceed the supply bundle ASP in 2017 was $304.74 per 20 mL/266 mg vial, exceeding the $120 CY 2018 packaging threshold A prescription for opioids costs facilities and payers little in the short run, but could result in significant long term spending, including: longer hospital stays opioid adverse events such as nausea and vomiting, constipation, urinary retention, respiratory depression, delirium, itching costs associated with opioid addiction EX,-,aaciR A Medicare also limits access to non?opioid treatment options for postsurgical pain in the inpatient setting - Physician-administered pain management drugs are packaged into Medicare reimbursement for procedures in the inpatient setting - Inpatient access to non?Opioid treatments is critical to reducing opioid consumption, avoiding opioid?related adverse events, and reducing length of stay - Particularly important for Medicare, where certain procedures are performed in the inpatient setting instead of outpatient due to higher prevalence of comorbidities in the elderly EXLBAQLRA President?s Commission concluded that Medicare was deterring the use of non?opioids - The President?s Commission on Combating Drug Addiction and the Opioid Crisis concluded that Medicare discourages providers from administering non-opioid drugs for postsurgical pain: "These types of policies. . . are a significant deterrent to turning the tide on the health crisis we are facing.? "In some cases, non-addictive pain medications are bundled in federal reimbursement policies 50 that hospitals and doctors are essentially not covered to prescribe non-opioid pain management alternatives." EXLBAQJZR President?s Commission recommended that CMS facilitate access to non?opioid treatment alternatives - ?Recommendation 19. The Commission recommends CMS review and modify rate-setting policies that discourage the use of non-opioid treatments for pain, such as certain bundled payments that make alternative treatment options cost prohibitive for hospitals and doctors, particularly those options for treating immediate post?surgical pain.? 0 "We should incentivize insurers and the government to pay for non?opioid treatments for pain beginning right in the operating room and at every treatment step along the urge you to order HHS to fix it.? EXLBAQZLR Access to non-opioid treatments is critical as procedures transition to outpatient settings - CMS and commercial payers increasingly recognize that historically inpatient?only procedures may be performed safely in outpatient settings (example: knee procedures) 0 Orthopedic surgery has one of the highest rates of opioid prescribing; access to non?opioid pain management options is critical as orthopedic surgeries are increasingly performed in outpatient settings - Recognizing its important role in complex outpatient surgeries, some national commercial payers have begun paying separately for EXPAREL EXLBAQZLR Opioid addiction be prevented with federal action - Addressing the continuing opioid crisis requires near?term action by CMS to reduce and help prevent opioid consumption - The operating room is a critical battleground in the opioid crisis??particu|arly with Medicare approving inpatient?only procedures like TKA to take place in the outpatient setting 0 CMS should exclude non?opioid postsurgical pain management drugs from OPPS packaging policies to level the playing field and promote beneficiary access to non- opioid treatments EXLBAQZLR From: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) ; Adams, Jerome Subject: 1:1 Jerome Adams POC: Dinah Bembo 2112-6904694 Date: 2013f04f24 12:12:39 Start Date: 2018f06/28 08:30:00 End Date: 2018106f28 00:00:00 Priority: Normal Type: Appointment Location: DASH CR 716-6 Sender: Giroir, Brett ADMINISTRATIVE GROUP Bembo, Dinah Recipient: Giroir, Brett ; Adams, Jerome ; Carr, Nicole (OSIOASM Sent Date: 2018f04f24 12:12:39 From: Giroir, Brett ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) To: Giroir, Brett (HHSIOASH) ?do:ExchangeLabsfou=Exchange Administrative Group Brez?; Valentine, Steven (HHSIIOS) (Steven.Valentine@hhs.gov) Subject: Meet and Greet Meena Wthilingam, M.D POC: Dinah Bembo Date: 2018f04j'10 10:44:29 Start Date: 2018101316 15:00:00 End Date: 2018104116 15:30:00 Priority: Normal Type: Appointment Location: DASH CR T1643 Sender: Giroir, Brett ADMINISTRATIVE GROUP ENTSICN FC 5 5 F04C4CA031 0621 RORI, Bembo, Dinah ; Valentine, Steven do:ExchangeLabsfou=Exchange Administrative Group Trent-Adams, Svlvia Sent Date: 2018f04,?10 10:53:13" Delivered Date: 2018f04/10 10:44:29 From: Pence, Laura (Io:ExchangeLabsfou=Exchange Administrative Group Laura- To: Pence, Laura Giroir, Brett (HHSIUASH) Subject: hold for travel from WH to HHS Date: 2013f04i'10 11:32:03 Start Date: 2018f04110 12:00:00 End Date: 2018f04/10 12:30:00 Priority: Normal TYPE: Appointment Attendees: Giroir, Brett (HHSJOASH) Sender: Pence, Laura do=ExchangeLabsfou=Exchange Administrative Group Lauri?: Recipient: Pence, Laura Giroir, Brett Sent Date: 2o18104x03 20:40:59 Delivered Date: 201311214310 11:32::13 From: Giroir, Brett ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) Subject: HOLIDAY Date 2013f04124 12:13:36 Start Date: 2018f07104 00:00:00 End Date: 2013107105 00:00:00 Priority: Normal Type: Appointment Sender: Giroir, Brett ADMINISTRATIVE GROUP NTSICN FC E47 5 5 Bembo, Dinah Recipient: Giroir, Brett (HHSIOASH) (in:ExchangeLabsfou=Exchange Administrative Group Bre> Sent Date: 2018f04/24 12:13:36 From: Giroir, Brett (HHSIOASH) To: Giroir, Brett (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Bre> Subject: Hold Date: 2018f04f12 16:53:05 Start Data: 201810935 00:00:00 End Date: 2013f10,?05 00:00:00 Priority: Normal Type: Appointment Sender: Giroir, Brett (HHSJOASH) Recipient: Giroir, Brett (HHSIOASH) Sent Date: 2013104312 15:53:05 From: Giroir, Brett ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) Subject: Deliver Opening Remarks: PACCARB ijomana Musmar 202-609-9233 Date 2013f03i'20 14:54:05 Start Date: 2018105116 09:00:00 End Date: 2013105116 09:30:00 Priority: Normal Type: Appointment Location: The Great Hall Sender: Giroir, Brett (HHSJOASH) ADMINISTRATIVE GROUP FCE47 5 5 YMC4CA031D621 B46FD6FY-GI RDRI, Bembo, Dinah Recipient: Giroir, Brett (HHSIOASH) Subject: Wheels Up: DCA Southwest Airlines - Flight 1587 17mm: Date 201310302 12:10:44 Start Date: 2018f06f03 19:50:00 End Date: 2013106103 22:10:00 Priority: Normal Type: Appointment Location: Wheels Down: Dallas Love Field Airport Sender: Giroir, Brett (HHSJOASH) ADMINISTRATIVE GROUP FCE47 5 5 YMC4CA031D621 B46FD6FY-GI RDRI, Bemb-o, Dinah Recipient: Giroir, Brett (HHSIDASH) ; Adams, Jerome Subject: 1:1 Jerome Adams PDC: Dinah Bembo 2112-6904694 Date: 2018f04f24 12:14:38 Start Date: ZOIBIDWCIE 08:30:00 End Date: zolaxoms 09:00:00 Priority: Normal Type: Appointment Location: DASH CR 716-6 Sender: Giroir, Brett ADMINISTRATIVE GROUP Bembo, Dinah Recipient: Giroir, Brett ; Adams, Jerome ; Carr, Nicole Sent Date: 2013f04f24 12:14:38 From: Giroir, Brett (HHSIOASH) <10: ADMINISTRATIVE GROUP SentVia: Bembo, Dinah (HHSIOASH) Subject: Deliver Remarks: Healthv Aging Summit PDC: Yen LinfDr. Don Wright POC: Dinah Bembo 202- 6904694 Date: 201810326 13:03:37? Start Date: 2013;?07116 03:30:00 End Date: 2018f0?f16 09:00:00 Priority: Normal TYPE: Appointment Location: Omni Shoreham Hotel - ZSoo Calvert Street, NW - DC Sender: Giroir, Brett ADMINISTRATIVE GROUP Bembo, Dinah (HHSIDASH) Recipient: Giroir, Brett (HHSIOASH) (in:ExchangeLabsfou=Exchange Administrative Group Bre> Sent Date: ZUIBIDBIZE- 133333? From: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) ; Adams, Jerome Subject: 1:1 Jerome Adams POC: Dinah Bembo 2112-6904694 Date: 2013f04f24 12:15:29 Start Date: 20131073311 End Date: 2018,10m1 00:00:00 Priority: Normal Type: Appointment Location: DASH CR 716-6 Sender: Giroir, Brett ADMINISTRATIVE GROUP Bembo, Dinah Recipient: Giroir, Brett ; Adams, Jerome ; Carr, Nicole Sent Date: 2013f?4f24 12:15:29 From: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) Subject: Tentative Hold: Meet and Greet waormer ASH Howard Koh Date 2013103120 14:5?33 Start Date: 2018f07f09 11:30:00 End Date: 2013f07109 12:15:00 Priority: Normal Type: Appointment Sender: Giroir, Brett ADMINISTRATIVE GROUP NTSICN FC E47 5 5 Y04C4CA031D621 Bembo, Dinah Recipient: Giroir, Brett (HHSIOASH) (in:ExchangeLabsfou=Exchange Administrative Group Bre> Sent Date: 2018f03f20 14:57:33 From: Giroir, Brett (HHSIOASH) To: Giroir, Brett (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Bre> Subject: Dinner with Dean Kamen and Tern,r Possum Date: 2018l03j'09 16:52:31 Start Data: 2018f03112 18:30:00 End Date: 2018f03!12 20:30:00 Priority: Normal Type: Appointment Location: LaPerla 2600 Avenue NW #101 Sender: Giroir, Brett (HHSIOASH) Subject: 059 Date 2013f04124 12:15:41 Start Date: 2018f07111 14:00:00 End Date: 20 131'07111 15:00:00 Priority: Normal Type: Appointment Sender: Giroir, Brett ADMINISTRATIVE GROUP NTSICN FCE47 5 5 Y04C4CA031D621 Bembo, Dinah Recipient: Giroir, Brett (HHSIOASH) (lo:ExchangeLabsfou=Exchange Administrative Group Bre> Sent Date: 2018f04/24 12:15:41 From: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) Subject: Deliver Remarks: 2018 Healthy Aging Workshop Date 2013103126 13:53:29 Start Date: 2018102113 03:30:00 End Date: 2013107113 09:00:00 Priority: Normal Type: Appointment Sender: Giroir, Brett ADMINISTRATIVE GROUP NTSICN FC E47 5 5 Y04C4CA031D621 Bembo, Dinah Recipient: Giroir, Brett (HHSIOASH) (lo:ExchangeLabsfou=Exchange Administrative Group Bre> Sent Date: 201810326 13:58:29 From: Giroir, Brett GROUP SenWia: Bembo, Dinah (HHSIOASH) To: Giroir, Brett (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Bre>; Singh, Vanila (HHSIOASH) (Vanila.Singh@hhs.gov) ; Stevenson, Monica ; Singh, Vaniia (HHSIOASH) {Vanila.Singh@hhs.gov) Administrative Group Vania; Stevenson, Monica (HHSIOASH) ,' Singh, Vaniia (HHSIOASH) {Vanila.Singh@hhs.gov) ,- Stevenson, Monica Subject: Cancelled -- Bi-Weeklv Update war. ilr'anila Singh POC: Dinah Bembo 202-690-?694 Type: ADM Giroir will be on International Travel Giroir, Brett (HHSJOASH) ; Singh, Vanila (HHSMASH) ; Stevenson, Monica <10: ExchangeLabslou=Exchange Administrative Group Recipient: nson, Valentine, Steven (Steven.Valentine@hhs.gov) From: Giroir, Brett ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) Subject: Transportation Driver: Flag-Aide Date 2013f05!02 12:14:02 Start Date: 2018f06105 1?:00:00 End Date: 2013f06105 13:00:00 Priority: Normal Type: Appointment Location: Dallas Love Field, Airport Sender: Giroir, Brett (HHSJOASH) ADMINISTRATIVE GROUP FCE47 5 5 YMC4CA0310621 B46FD6FY-GI RDRI, Bemb-o, Dinah Recipient: Giroir, Brett (HHSIDASH) ; Adams, Jerome Subject: 1:1 Jerome Adams POC: Dinah Bembo 2112-6904694 Date: 2018f04f24 12:16:35 Start Date: ZOIBIDWZS End Date: 2018,10rxzs 00:00:00 Priority: Normal Type: Appointment Location: DASH CR TIE-G Sender: Giroir, Brett ADMINISTRATIVE GROUP Bembo, Dinah Recipient: Giroir, Brett ; Adams, Jerome ; Carr, Nicole (OSIOASM Sent Date: 2018f?4f24 12:16:35 From: mereditharonson @?tness.foundation Valentine, Steven (HHSIOASH) Administrative Group Giroir, Brett (HHSJOASH) ; Feaster, Shannon (OSIDASH) (Io:ExchangeLabsfou=Exchange Administrative Group Shannon} Updated invitation: National Fitness Foundation Board Call Mon May 2013 2pm - 3:30pm Subject: (EDT) {brettgiroir?ihhS-QOV} Date: 2018f05102 03:54:22 Start Date: 2018f05f0? 14:00:00 End Date: 2018f05/?? 15:30:0'3 Priority: Normal Type: Appointment Location: Conference Linelib??) IPasscode Emma} Attend ees- Valentine, Steven Giroir, Brett Richmond, Holli Bembo, Dinah Feaster, Shannon (OSIDASH) This event has been changed. National Fitness Foundation Board Call When Mon May 2013 2pm 3:30pm Eastern Time Where Conference Line (blt?l 'asscode Calendar brett.giroir@hhs.gov Who - - organizer - steven.valentine@hhs.gov - brett.giroir@hhs.gov - holli.richmond@hhs.gov - dinah.bembo@hhs.gov - shannon.feaster@hhs.gov attachments NFF - Board Call - May 7 2018 Job Description NFF-Board Member-Biospdf If ADM Giroir is unable to participate for the entire meeting, he is requested for the ?rst 30- 45 minutes. We would like for him to share any relevant HHS updates as well as the vision for the future Council and Foundation alignment per the Executive Order. We have allocated 5-7 minutes for remarks with a brief 08A to follow. Agenda and brie?ng materials will be shared by Friday at noon. Going? Egg - Maybe - _N_o more options invitanon from Google Calendar You are receivlng this courtesy eriiail al the account because you are an attendee at We event To stop rcceivung future updates for this evenl, decline this event Alternatively you can up. for a Goggle account at liwwvv googie comi?calendarr and control y0ur notificalion settings for year entire calendar Forwarding this Invitation r-ould allow any recipient to your RSVP response. Learn More Sender: meredltharonson @?tness .fou ndation Valentine, Steven (HHSJOASH) ; Recipient: Richmond, Holli (HHSIOASH) ; Feaster, Shannon (OSIOASH) ; Adams, Jerome Subject: 1:1 Jerome Adams PDC: Dinah Bembo 2112-6904694 Date: 2018;04124 12:17:32 Start Date: 2018f08f01 08:30:00 End Date: 2018108,!01 09:00:00 Priority: Normal Type: Appointment Location: DASH CR 716-6 Sender: Giroir, Brett ADMINISTRATIVE GROUP Bembo, Dinah Recipient: Giroir, Brett ; Adams, Jerome ; Carr, Nicole Sent Date: 2018f04I24 12:17:32 From: Haigwood, Patricia BARDA) (CTR) (Io: ExchangeLabsjou= Exchange Administrative Group (FYDIBOH ba649f42369f5d200e45339841- Haigwood, Fr: To: Haigwood, Patricia (OSIASPRIBARDA) (CTR) ?:jo:ExchangeLabsfou=Exchange Administrative Group (FYDIBOH 1? Haigwood, Bright, Rick ; Giroir, Brett (HHSIOASH) Subject: Con?rmed: BARDA Innovation Discussion Date: 2010,104)09 22:23:34 Start Date: 2010104310 15:00:00 End Date: 2010/04/10 16:00:00 Priority: Normal Twe= Appointment Location: Giroir Of?ce I Attendees: Bright, Rick Giroir, Brett (HHSIOASH) Participants Rick Bright Pattv Haigwood Sender: Haigwood, Patricia (CTR) ?do: ExchangeLabsfou= Exchange Administrative Group (FYDIBDH ba?49f423 69f5d20ce4583934 1- Haigwood, Recipient: Haigwood, Patricia (CTR) Sent Date: 2018104109 22:23:34 GAO Entrance Conference Questions Opioid Public Health Emergency Declaration (102668) Overview GAO has been asked to review issues related to the public health emergency declaration for opioids. As part of our review, we plan to address the following questions: 1. What factors, including any relevant analyses, affected the decisions to declare and renew the public health emergency for opioids? 2. What supplemental authorities and resources are available to the federal government upon the declaration of the public health emergency for opioids, and how do these authorities and resources supplement other federal efforts related to the opioid crisis? 3. To what extent has the federal government used these supplemental authorities and resources, including the Public Health Emergency Fund, since declaring the public health emergency for opioids? Background We understand that the Secretary declared a public health emergency for opioids on October 26, 201?, and that the declaration was renewed on January 24, 2018 for an additional 90 days. Discussion Items Declaration of Public Health Emergency for Opioids 1. What factors, including any relevant analyses, affected the decisions to declare the initial public health emergency for opioids in October 2017 and the renewal in January 2018? a. Do officials anticipate that the declaration of a public health emergency for opioids will be renewed in April 2018 based on these factors and analyses? 2. Do you have specific goals for what you expect to accomplish under the public health emergency declaration for opioids? a. How will you determine when you have reached these goals? Use of Authorities attachment on iast 2 pages lists some authorities identi?our understanding that additional authorities and resources become available to the federal government in the event of a public health emergency declaration. To what extent has HHS used the available authorities and resources in response to the public health emergency declaration for opioids? For each authority that HHS has used, please provide the following information: a. the relevant agency, b. the relevant program, 0. a description of how HHS is using the authority, and d. the timeline of the use of the authority, including initial date of use. Please describe how the use of each of these authorities and resources supplements other federal efforts related to the opioid crisis. a. For example, did HHS use the authorities to begin new activities new grants) or to expand efforts related to existing activities? Please provide examples. b. Aside from these additional federal authorities and resources, did the public health emergency declaration have other effects on activities to respond to the opioid crisis? To what extent has HHS used the Public Health Emergency Fund during this emergency declaration for opioids? a. Has HHS requested additional monies for the Public Health Emergency Fund? If so, how does HHS plan to use these funds? In addition to the federal authorities and resources that become available upon the declaration of a public health emergency, is HHS aware of any state and local authorities or activities that may be triggered by a federal public health emergency declaration? For any of the authorities and resources listed on the following two pages that HHS has not used or determined were not relevant to this particular emergency related to opioids, please provide a brief overview of the reasons why HHS has not used them or determined they were not relevant. (In the interest of time during the entrance conference, this information could be provided in writing before or after the meeting.) Please provide contact information for each agency and program described in response to question In addition, please provide any reports or documents related to the use of each of these authorities that would be useful to understand how they are being used. Attachment - List of Authorities Identified by GAO 1 . Drug distribution supply chain requirements (see, 21 U.S.C. Distribution of a product for emergency medical reasons, including a public health emergency declaration, is exempt from certain requirements under the Drug Supply Chain Security Act, including, speci?cally, those relating to product tracing and wholesale distribution. Temporary reassignment of state and local personnel (42 U.S.C. Upon request by a state governor or tribal organization, this provision allows the Secretary to authorize the temporary reassignment of state and local public health department personnel, funded through federal programs, for purposes of addressing a public health emergency in the state or tribe. Waiver of requirements under the Paperwork Reduction Act (42 U.S.C. This provision allows the Secretary to waive requirements under the Paperwork Reduction Act for voluntary collection of information when necessary to prepare for and respond to a public health emergency. To exercise this authority, the Secretary must determine that: (1) the criteria for a public health emergency have been met; or (2) a disease or disorder is signi?cantly likely to become a public health emergency; and the circumstances of the existing or potential emergency necessitate a waiver from requirements under the Paperwork Reduction Act. Supplies and services in lieu of award funds (42 U.S.C. 247d-7c). This provision allows the Secretary to provide supplies, equipment, services, and HHS personnel to help an award recipient under the public health emergency provision carry out the purposes of the award. The Secretary is required to reduce award payments by an amount equal to the value of these supplies and services. Research on public health emergencies (42 U.S.C. 289s). If the Secretary determines that a disease or disorder constitutes a public health emergency, the Secretary, acting through the Director of NIH, must take steps to expedite research on the underlying disease or disorder and disseminate information on the cause, prevention, and treatment of the disease or disorder. The Secretary may increase existing grants and contracts to support this new research. National Disaster Medical System (42 U.S.C. 300hh-11). The National Disaster Medical System (NDMS) is a coordinated effort between federal, state, and private entities to respond to public health emergencies. This provision allows the Secretary to activate the NDMS to provide health services, health-related social services, other appropriate human services, and appropriate auxiliary services to respond to a public health emergency. Volunteer Medical Reserve Corps (42 U.S.C. 300hh-15). This provision requires the Secretary to build on state, local, and tribal programs to establish and maintain a Medical Reserve Corps to provide an adequate supply of volunteers during a public health emergency. During a public health emergency, the Secretary may activate and deploy willing members of the Corps to areas of need. Extensions and waiver of requirements for block grant funding (42 U.S.C. This provision allows the Secretary to grant an application extension or waive compliance with requirements for mental health and substance abuse block grant funding (specifically, grants for assistance in transition from homelessness, grants for community mental health services, and grants for the prevention and treatment of substance abuse) during a public health emergency. Authority to waive requirements during national emergencies (42 U.S.C. 1320b?5). This provision authorizes the Secretary to waive certain Medicare, Medicaid, and CHIP requirements (eg. conditions of participation, state licensing requirements) in an emergency area during an emergency period. For purposes of the provision, an ?emergency period" is one during which there exists (1) an emergency declaration pursuant to the National Emergencies Act or the Robert T. Stafford Disaster 10. 11. 12. 13. 14. 15. Relief and Emergency Assistance Act and a public health emergency declaration pursuant to the Public Health Service Act. Allow the Department of Labor (DOL) to issue dislocated worker program grants for disaster relief employment pursuant to 29 U.S.C. 3225. A Federal agency emergency or disaster declaration or a Stafford Act declaration triggers an opportunity for eligible entities to apply for disaster relief employment National Dislocated Worker Grants. In order for a Federal agency declaration to trigger this authority, the chief official of a Federal agency with authority for or jurisdiction over the Federal response must declare or otherwise recognize an emergency or disaster situation of national significance that could result in a potentially large loss of employment. Grant extensions or waive sanctions relating to submission of data or reports required under laws administered by the Secretary, when the Secretary determines that, wholly or partially as a result of public health emergency, individuals or public or private entities are unable to comply with deadlines for such data or reports. The Secretary must notify Congress and publish a Federal Register notice before or after granting an extension or waiver. Adjust Medicare reimbursement for certain Part drugs. Most Medicare Part drugs are paid on the basis of the manufacturer's average sales price (ASP), which manufacturers are required to report quarterly. The ASP-based payment allowance is updated prospectively each quarter, using the data manufacturers report. The statutory scheme results in a two-quarter lag between the date of the reported sale and the date that sale?s price is factored into the Medicare reimbursement rate. In the case of a public health emergency in which there is a documented inability to access drugs and biologicals and a concomitant increase in the price of a drug or biological that is not re?ected in the manufacturer's ASP for one or more quarters, the Secretary may use the wholesale acquisition cost or other reasonable measure of drug or biological price instead of the manufacturer?s ASP. The substituted price or measure may be used until the price of the drug or biological has stabilized and is substantially reflected in the manufacturer?s ASP. As of April 2013, CMS has not formally interpreted, nor exercised, this authority. However. in the event of a public health emergency in which this authority was triggered, the price change could be implemented without rulemaking. {See Section of the Social Security Act, which states that notwithstanding any other provision of law, the Secretary may implement any of the provisions of Section 184TA by program instruction or otherwise.) Make temporary (up to one year or the duration of the emergency} appointments of personnel to positions that directly respond to the public health emergency when the urgency of ?lling positions prohibits examining applicants through the competitive process. Waive certain Ryan White HIWAIDS program requirements (section 2683 of the PHS Act). Under this authority, up to ?ve percent of the funds available under each of the Parts A and supplemental pools may be shifted to ensure access to care during a public health emergency declared by the Secretary under section 319 of the PHS Act or an emergency or disaster declared by the President under the Stafford Act or the National Emergencies Act in the geographic area where the emergency, major disaster, or public health emergency exists. In addition, the Secretary may waive such requirements of title XXVI of the PHS Act to improve the health and safety of those receiving care under this title and the general public. This waiver authority is limited to the time period for which the emergency. major disaster, or public health emergency declaration exists. Modify practice of telemedicine. The Ryan Haight Online Pharmacy Consumer Protection Act and implementing regulations allow the Secretary, with concurrence of the DEA Administrator, to designate patients, patient locations. and use of controlled substances during a public health emergency declared by the Secretary. From: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSJOASH) To: Giroir, Brett (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Bre>; Adams, Jerome ; Trent-Adams, Sylvia (HHSIOASH) Administrative Group Carr, Nicole ; Santiago, Yvonne (HHSIDASHIDSG) ; Mansdoerfer, David {lo=ExchangeLaosfou=Exchange Administrative Group Valentine, Steven (HHSIIOS) (Steven.Vaientine@hhs.gov) Subject: Bi-Weeklv Discussion Jerome Adams POC: Dinah Bembo 202-690-7594 Date: 12:33:37' Start Date: 2018101725 End Date: 2018101125 Priority: Normal TYPE: Appointment Location: DASH CR Sender: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP Bemb-o, Dinah (HHSIOASH) ; Trent-Adams, Sylvia (H HSIDASH) ?a:fo=ExchangeLabsfou=Exchange Administrative Group Carr, Nicole (OSIDASH3- ; Santiago, Yvonne (HHSIDASHIDSG) do:ExchangeLabsfou=Exchange Administrative Group Yr: Hunter, Joan (DSJOASH) {Joan.Hunter@hhs.gov) ; Mansdoerfer, David Sent Date: 2018f04f24 12:33:37? From: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) To: Giroir, Brett (HHSIOASH) ?do:ExchangeLabsfou=Exchange Administrative Group Bre>; Barman, Lindsev Bembo, Dinah (HHSIDASH) ; Berman, Lindseyr ; Valentine, Steven (Steven.Vaientine?hhs.gov) Subject: All Dav Uni?ed Exercise Date 201310502 13:02:33 Start Date: 2018105103 00:00:00 End Date: 2013f05,?09 00:00:00 Priority: Normal Type: Appointment Location: Frederick, MD Sender: Giroir, Brett (HHSJOASH) ADMINISTRATIVE GROUP FCE47 5 5 YMC4CA031D621 B46FD6FY-GI RDRI, Bemb-o, Dinah Recipient: Giroir, Brett (HHSIDASH) Subject: Southwest 1587 DCA Flight Con?rmation: Date: 2018f04l'24 13:13:52 SentVia: To: Start Date: 2018f06101 19:50:00 End Date: Z?l?f??i?l 22:10:00 Priority: Norma! Type: Appointment Location: Dallas, Texas {Love ?eld Airport) Trip Trip Name: Trip from Washington to Dallas Start Date: June 01, 2018 End Date: June 06, 2018 Created: April 24. 2013. MICHAEL (Modi?ed: April 24, 2013} Description: Commissioned Of?cers Association 53rd Annual USPHS Scienti?c and Training Symposium; and Region VI Agency Record Locator: Passengers: Brett. Paul Giroir Total Estimated Cost: $638.40 USD Important: Reservations must be approved and ticketed no later than: 053042013 5:50 PM Eastern The trip will be automatically cancelled it it is not approved before the deadline. Agency Name: DTI HHS Daytime Nighttime Phon Re 5: mane n5 Friday. Jim?: 01. Flight Washington, DC (DCA) to Dallas, TX Southwest 1 58? Departure: 07:50 PM Seathlo seat assignment Washington D.C. Ronald Reagan National Airport (DCA) Duration: 3 hours, 20 minutes Nonstop Arrival: 10:10 PM Dallas Love Field (DAL) Confirmation: blt?l Status: Booked directly in Southwest Additional Details Distance: 1181 miles E-Ticket Emissions: 460.5 (102 Cabin: Gov Contract Sender: Glroir, Brett GROUP FD4C4CAU31D621 MEFDEFY-GIRORL Bembo, Dinah 4:fo=ExchangeLab5f0u=Exchange Administrative Group bb2c132 5a4caed 12-33mm, Dina Recipient: Giruir, Brett Sent Date: 2018f04f24 13:13:52 From: Giroir, Brett ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) To: Giroir, Brett (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Brez?; Naimon, David ; Valentine, Steven (Steven.Valentine@hhs.gov) Subject: David Naimon, OGC to discuss President's Foundation PDC: Dinah Bembo 202-690-7694 Date: 2013101119 14:00:53 Start Date: 2018104119 16:30:00 End Date: 2018f04f19 17:00:00 Priority: Normal Tyne: Appointment Location: DASH CR Sender: Giroir, Brett ADMINISTRATIVE GROUP (FYDIBO FCE47 55 D621 B46FD6FT-GI Bembo, Dinah Administrative Group Dina> Recipient: Giroir, Brett (HHSJOASH) <10:ExchangeLabsfou=Exchange Administrative Group Ere); Naimon, David (HHSIUGQ- Administrative Group Dav}; Valentine, Steven ?:IozExchangeLabsfou=Exchange Administrative Group Bembo, Dinah (HHSJOASH) Sent Date: 2018f04f19 14:00:53 Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP From: NTSICN SentVia- Bembo, Dinah (HHSIOASH) <1 o=ExchangeLabsfou=Exd1ange Administrative Group Dina> 1. o' Giroir, Brett (HHSIOASH) do:ExchangeLabsfou=Exchange Administrative Group Bre> Subject: Southwest 241 Dallas, TX Love Field Airport Con?rmation: I Date: 2013(04124 13:16:10 Start Date: 2018f06106 19:10:00 End Date: 2018f06f06 22:55:00 Priority: Normal Type: Appointment Location: DCA Flight Dallas, TX (DAL) to Washington. DC (DCA) Southwest 241 Departure: 07:10 PM Seattle seat assignment Dallas Love Field (DAL) Duration: 2 hours, 45 minutes Nonstop Arrival: 10:55 PM Washington D.C. Ronald Reagan National Airport (DCA) Con?rmation: 03315} Status: Booked directly in Southwest (DRE) Additional Details Distance: 1181 miles E-Tiol-tel Emissions: 460.6 602 Cabin: Gov Contract Giroir, Brett ADMINISTRATIVE GROUP Sender: Bembo, Dinah (HHSIDASH) ?a:io=ExchangeLabsfou=Exchange Administrative Group Dina> Recipient: Giroir, Brett (fa:ExchangeLabsfou=Exchange Administrative Group Bre> Sent Date: 2018f04f24 From: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) Subject: Do Not Book Date 2013f04i'24 13:1?:44 Start Date: 2018f06f01 13:00:00 End Date: 20 13f06101 19:00:00 Priority: Normal Type: Appointment Sender: Giroir, Brett ADMINISTRATIVE GROUP NTSICN FC E47 5 5 Y04C4CA031D621 Bembo, Dinah Recipient: Giroir, Brett (HHSIOASH) (lo:ExchangeLabsfou=Exchange Administrative Group Bre> Sent Date: 2018104124 18:1?:44 From: Giroir, Brett ADMINISTRATIVE GROUP SenWia: Bembo, Dinah (HHSIOASH) Subject: Deliver Remarks: CFSAC Meeting Date 2013f04f13 15:46:03 Start Date: 2018f06j'20 09:15:00 End Date: 20 13! 06! 20 09:45:00 Priority: Normal Type: Appointment Location: OWH CR 730F6- Sender: Giroir, Brett (HHSJOASH) ADMINISTRATIVE GROUP FCE47 5 5 Y04C4CA031D621 B46FD6FY-GI RDRI, Bomb-o, Dinah Recipient: Giroir, Brett (HHSIDASH) Subject: Deliver Remarks: Caring Ambassadors Program, Inc. PDC: Dinah Bembo 202-690-7094 Date: 2013f04i'13 16:02:08 Start Date: 2018105113 12:00:00 End Date: 2018f05113 12:30:00 Priority: Normal Type: Appointment Location: Senate Building - POC: Corinna Dan Sender: Giroir, Brett (HHSIOASH) ADMINISTRATIVE GROUP =A5ti 5 5 FD4C4CAU31D621 Ben'lbo, Dinah To: Giroir, Brett (HHSIOASH) ?do:ExchangeLabslou=Exchange Administrative Group Bre>; Pence, Laura (HHSIOASH) Subject: Meeting Discussion wf Brad Bauer, Appriss RE: Prescription Drug Monitoring Programs (PUMPS) POE: Dinah Bembo 202-690J594 Date: 2018f04110 12:5?z21 Start Date: 2013f04f12 11:00:00 End Date: 2013f04f12 11:45:00 Priority: Normal TYPE: Appointment Location: DASH CR HIE-G Sender: Giroir, Brett GROUP Bembo, Dinah Recipient: Giroir, Brett (HHSIOASH) ; Pence, Laura Sent Date: 2013104110 12:5?z22 Delivered Date: 2018;?04110 APPRISS HEALTH Prescription Drug Monitoring Programs Current State and Future Trends A Roadmap for Success a 1: A i a: !oday -- APPRISS HEALTH Founded in 1994, Appriss provides proprietary data and analytics solutions to address risk, fraud, safety and compliance issues for government and commercial enterprises worldwide. A I A A '43 Statewide programs delivering notification and information to crime victims -He|ping thousands of law enforcement to hold offenders accountable -Hundreds of state and federal agencies leverage Appriss data to make our nation safer and to prevent criminal fraud A EALTH '44 states depend on Appriss to deliver interstate information exchange around controlled substances (Opioids) '42 states have outsourced the management of their controlled substance database to Appriss Appriss provides the national platform (50 states) for preventing diversion of over the counter medicine containing pseudoephedrine RETAIL 'More than 150,000 retail locations use Appriss to mitigate fraud at the point of sale Many of the top retailers worldwide, across 35 countries, use Appriss to prevent loss and improve their bottom line -Appriss evaluates billions of transactions daily as we prevent fraud and abuse within the retail world 4:7? APPRISS 35-53? HEALTH PMP AWARXE: Modern Scaled PDMP Platform 42 now use Appriss to operate their platforms pup Amazon Web Services design optimizes scalability, EAWO rxe reliability, security and compliance Highly configurable to meet states? diverse needs The most cost-effective PDMP platform in the market Launched 2014 (5 2017 (42 Psopnetaryarlo Cornfioertra! Appr-ss Health 2317? 454" ?Miss HEALTH PMP InterConnect: National PDMP Data Sharing Hub PMP I 45 of 52 signed to participate in the hub Single MOU enables sharing with all states 15 million transactions per month Transaction volume is rapidly growing Provided free to all states Launched 2011 (3 2013 (45 Piupi'ietawano Cordials-Mia! Appr-ss Health 2'31.- PMP Gateway: Clinical Workflow Integration What it does What is the state of integration Performance and security Integrates PDMP information into clinical information systems and workflow. Dramatically increases the use of Live in 32 states through PMP Gateway. 1,500 Kroger stores integrated. PMP Gateway integrated with Epic, Cerner, Meditech, NextGen, ECW, 0.5/1, PDX, CV5, Pioneer and many more. PMP Gateway integrated with several Health Information Exchanges (HIEs) Performance exceeding that of access through PDMP portal. More secure than access through PDMP portal. l--11 emu E. 54.39:" 5.5 "Eatl? eoGotewoyT? Number of states Gateway is live 32 .. :y ?gr, A I A LT Number of Gateway transactions per munth 24 million ii?iterCon nect a ril ivi (3 ateway Overview HFMPINTERCONNECT Alaska, Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Georgia, Kansas,Kentucky,Louhiana, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Nevada, NewJersey, New Hampshire, New Mexico, New York, North Dakota, Ohio, Oklahoma. Rhode island, South Carolina, South Dakota,Tennessee, Texas, Utah, Vermont, Virginia, West Virginia and Wisconsin. Na?onal Interstate Data Sharing Platform l_r:1l 3; ll_| a. Gateway? Integration Managed Service . Multi-state data One connection for systems, pharmacies, Manages all state specific data access statutes 'Translates and formats PDMP data Delivery of advanced analytics APPRISS HEALTH Q9 Electronic Health Records Pharmacy Management Systems Health Information Exchanges .t APPRISS HEALTH with Naerare Enterprise coup- mu- PDMP 1.0 Putting the PDMP at the Center of the Solution - Additional data sources - Visualizations - Analytics and predictive modeling Provider and patient education and support - Care coordination kw: APPRISS HEALTH AWARXE with Naerare Enterprise J|n| r-nupnga - I'll rum-I- - I'nlwul rel-mun.- yum-- Cooper. "mm?W . mum Cam?I . cmmnum Ell-mum. -mm . Hath-um! hut-uln- .. ?an: scans: OVERDUE RISK max mammals Ia) .4 Luau.- mun.? Mummy? - . -. - w'rorll?ulni' . Narcotic Stimulant .- - - 700 I - wmn- :rL-u-der: r- Vl?Pan-H r?i Nu: rn: mumFlu-maul . . mum . L: .5 RI OWE hnlullr Imam mm ?Naif-".nl? . 1.0 . Edam Rat-nub? INquMIunu. vacuum\?nu Noon Dpumda and Btu-mm: Pam Ind Own-Ill- 0 ml?- Hut-~d mum-nu- awn-Iv -..- . Proprietary duu Amara; hes tr 20;? APPRISS HEALTH AWARXE with Naerare Enterprise Jim Huizenga 1' 5 E-?l?i Pa'llent Remuast -. Jusl-n Cooper 1" mar-m I Justin Cooper. ETM Ncr.Caro Nan: Report Remrces Justin Cooper 0 Communications Messages (1) CamI Notes Add Note . Risk NARI SCORES DVE RDDSE RISK SCORE ADDITIONAL RISK INDICATORS 4 013mm or sedan-as Unspensmg phat-names nn Elm,I 9f! day p?rnod In Ina |as1 3 fear; Narcotic Sedatlve Stimulant - Fu (mm-d or ens-dame wonder:- In any year In 41 0 240 000 {Range 0.999] the 2 Frauen! has Narcollc ovarian ri?l?-JII' Fq?n" hum: rn'. mrv. . Graphs Prescribers Pharmaciss Rx GRAPH Narcollc Sedalwe .Shmulanl Jam-:51 El manna 7_ Lll?l?n.? FI'UpiIvz-tcu'y arlu ADV 33 FIE-5 20-7 APPRISS A LT Naera re Warm ha ndoff referrals Jim Hun-Inga 1' omns . ?1 "IEI?IJl?ll??is EM Hj'ill?j'x' iJua-tln [taupe-(Lb-i" :W?ar Avenue. Fill out this Farm and we will nuniucl: run: palientwilhin II minutes. 513 a? HIE-1 conduct anamwmtand mmrg: an furl-aw up unit. C'i- .c I- SL124 ?4th h: reach .uaticr?; HAT FRUVIUEHH- Fin-:1 thr- ILIZI (Juan-A1 MAT pram-ins. Int ?14: mIIr-nl lm? pilIIr??l 5 31:1 mm :5 pm p-np-uln?ncl II Jamal-Jr: I nu.? Ir c- 4:2) EEJIUI Er pin-Mums mu! hp [Ln-in 2155 35 r'I'iJiJrIeilal'y? APPRISS Naerare: Messaging and Care Notes Physician Resource Direct and universal pipes into EHRs and pharmacy management systems are PINNACLE of care coordination Ability to exchange messages, communications, alerts, documents and other content among all parties involved in patient care - Care coordination - Referral into care management - Exchange of problem lists, goals, care plans, pain contracts and more Integration and coordination of primary care with behavioral health - Coordination of community resources - Communication to and from PDMP administrators - Enhancement of Medicaid population health efforts 1 HEALTH Brad Bauer Senior Vice President, New Business Development and Customer Relationship Management Brad Bauer brings over 28 years of professional experience working within commercial and government healthcare and strategic partner markets. Bauer?s background includes over 21 years of experience working within Healthcare Information Technology solutions to help access and mitigate risk. Prior to joining Appriss, Bauer worked with McKesson?s interoperability and healthcare technology company, RelayHealth. He worked on projects such as Provider/Supplier enrollment with CMS central office, and program integrity efforts at the state Medicaid level. Bauer has worked closely with the DEA, FDA, and CDC leveraging prescription drug diversion solutions on a national scale. For the past 12 years, Brad has been focused on state Prescription Drug Monitoring Programs and efforts to integrate PDMP data within the clinical workflow. Bauer testified before the House Energy 8: Commerce Committee on in March 2018. He holds a 3.5. in Criminal Justice from Valdosta State University, Valdosta, GA. Jim Acquisto Senior Vice President, Government Relations Jim Acquisto retired as a Detective Sergeant with the Daviess County KY Sheriff?s Office after serving 21 years, most of which was in narcotics investigation. He was certified by DEA as a Clandestine Lab Technician and Site Safety Officer in the late ?90?s, and worked over 150 math labs. Acquisto has trained law enforcement officers and prosecutors across the US in drug investigation. After retirement, he served as ED in the KY Office of Drug Control Policy, ED of KY Charitable Gaming, and Director of Enforcement for KY Alcoholic Beverage Control. He is a certified as a police instructor and chief law enforcement executive in KY. He has worked at Appriss, Inc. since 2008, where leads a multi-state regulatory effort against the diversion of methamphetamine precursors. Acquisto holds a BA in Criminal Justice from Kentucky State University.