Paul Cotton is the Director of Federal Affairs. He works on health reform and other initiatives to improve health care quality. Previously he was an AARP Senior Legislative Representative lobbying Congress and the Administration on Medicare, Medicaid, CHIP, health reform and quality improvement issues. He has also worked at the Center for Medicare & Medicaid Services as Hearings & Policy Presentation Director in the Office of Legislation, and as a journalist for publications including the Journal of the American Medical Association.