Medicare Modernization and Prescription Drug Act of 2002

H.R. 4954, Medicare/Medicaid Modernization and Prescription Act of 2002 S.1135, Medicare Reform Act of 2001 Medicare/Medicaid

Client expense: Not reported · Firm income: $9,532

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 4954, Medicare/Medicaid Modernization and Prescription Act of 2002 S.1135, Medicare Reform Act of 2001 Medicare/Medicaid

Client expense: Not reported · Firm income: $28,456

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 4954, Medicare/Medicaid Modernization and Prescription Act of 2002 S.1135, Medicare Reform Act of 2001 Medicare/Medicaid

Client expense: Not reported · Firm income: $27,357

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 4954, Medicare/Medicaid Modernization and Prescription Act of 2002 S.1135, Medicare Reform Act of 2001 Medicare/Medicaid

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 4954, Medicare Modernization and Prescription Act of 2002 S. 1135, Medicare Reform Act of 2001 Medicare/Medicaid

Client expense: Not reported · Firm income: $46,875

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 4954, Medicare Modernization and Prescription Act of 2002 S. 1135, Medicare Reform Act of 2001 Medicare/Medicaid

Client expense: Not reported · Firm income: $37,500

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 4954, Medicare Modernization and Prescription Act of 2002 S. 1135, Medicare Reform Act of 2001 Medicare/Medicaid

Client expense: Not reported · Firm income: $57,349

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 1, Medicare Prescription Drug and Modernization Act of 2003, All provisions H.R. 4066, Mental Health Equitable Treatment Act of 2002, All provisions H.R. 4600, Help Efficient, Accessible, Low Cost, Timely Health Care Act of 2002, All provisions H.R. 4673, Medication Error Prevention Act of 2002, All provisions H.R. 4678, Consumer Privacy Protection Act of 2002, All provisions H.R. 4889, Patient Safety Improvement Act of 2002, All provisions H.R. 4954, Medicare Modernization and Prescription Drug Act of 2002, All provisions H.R. 5646, Stop Taking Our Health Privacy Act of 2002, All provisions S. 1995, Prescription Drug and Medicare Implementation Act of 2003, All provisions S. 318, Genetic Nondiscrimination in Health Insurance and Employment Act, All provisions S. 423, Health Care Parity for Legal Transportation and Recreational Activities Act, All provisions S. 486, Mental Health Parity Bill, All provisions S. 710, Eliminate Colorectal Cancer Act of 2002, All provisions S. 1053, Genetic Information Nondiscrimination Act of 2002, All provisions S. 1929, Mental Health Parity Reauthorization Act of 2003, All provisions S. 1995, Genetic Information Nondiscrimination Act of 2002, All provisions S. 2590, Patient Safety and Quality Improvement Act, All provisions S. 2638, Efficiency in Health Care Act of 2002, All provisions S. 2729, 21st Century Medicare Act, All provisions S. 3018, Beneficiary Access to Care and Medicare Equity Act of 2002, All provisions EEOC Proposed Rules, Erie/ADEA HSA Medicare Regulations Healthcare Issues

Client expense: $100,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Council of Economic Advisers (CEA), Equal Employment Opportunity Commission (EEOC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Pension & Welfare Benefits Administration, Pension Benefit Guaranty Corporation (PBGC), SENATE, Treasury, Dept of

H.R. 1774 Small Business Health Fairness Act of 2001 H.R. 2036 Social Security Number Privacy and Identity Theft Prevention Act of 2001 H.R. 3009 Andean Trade Preference Expansion Act H.R. 3529 Economic Security and Worker Assistance Act of 2001 H.R. 4066 Mental Health Equitable Treatment Act of 2002 H.R. 4600 Help Efficient, Accessible, Low Cost, Timely Health Care Act of 2002 H.R. 4673 Medication Error Prevention Act of 2002 H.R. 4678 Consumer Privacy Protection Act of 2002 H.R. 4889 Patient Safety Improvement Act of 2002 H.R. 4954 Medicare Modernization and Prescription Drug Act of 2002 H.R. 5646 Stop Taking Our Health Privacy Act of 2002 S. 318 Genetic Nondiscrimination in Health Insurance and Employment Act S. 543 Mental Health Equitable Treatment Act of 2001 S. 710 Eliminate Colorectal Cancer Act of 2002 S. 812 Greater Access to Affordable Pharmaceuticals Act of 2002 S. 848 Social Security Number Misuse Prevention Act of 2002 S. 1135 Medicare Reform Act of 2001 S. 1209 Customs Border Security Act of 2002 S. 1995 Genetic Information Nondiscrimination Act of 2002 S. 2201 Online Personal Privacy Act S. 2590 Patient Safety and Quality Improvement Act S. 2625 Medicare Outpatient Prescription Drug Act of 2002 S. 2638 Efficiency in Health Care Act of 2002 S. 2729 21st Century Medicare Act S. 3018 Beneficiary Access to Care and Medicare Equity Act of 2002

Client expense: $180,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Pension & Welfare Benefits Administration, Pension Benefit Guaranty Corporation (PBGC), SENATE, Treasury, Dept of

HR 2660 Making Appropriation for the Dept of Labor, Health and Human Services, and Education, and related agencies for the fiscal yr 2004, HR 3009 Trade Act of 2001, HR 4954 the Medicare Modernization & Prescription Drug Act of 2002, HR 3061 Dept of Labor, Health and Human Services and Eduation and Related Agencies Appropriations Act of 2002, HR 2563 Bipartisan Patient Protection Act, S. 1052 Bipartisan Patient Protecgtion Act

Client expense: $160,000 · Firm income: Not reported

Government targets: Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

HR 4954: Medicare Modernization and Prescription Drug Act of 2002. Establishing a medicare prescription drug benefit and offering qualified prescription drug coverage under the Medicare+Choice program. Increased Medicaid funding. HR 1609: To offer national standardized payment amounts for inpatient hospital services furnished under the Medicare Program. Increased incentives under Medicare.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.839/HR 1556,American Hospital Preservation Act of 2001:advocated for support;S.326/HR 975,Home Health Fairness Act of 2001:advocated for support and co-sponsorship;S.1707/HR 3351,Medicare Physician Payment Fairness Act:advocated for support;Proposed Rule (Centers for Medicare and Medicaid Services)entitled, "Medicaid Program;Medicaid Managed Care,"66 Fed.Reg.43614 (August 20,2001):advocated and supported interpretation of rule which would allow state Medicaid programs to continue to make payment directly to teaching hospitals that are under contract with Medicaid managed care plans, to help offset the higher costs associated with the special missions of teaching hospitals (so-called direct graduate medical payments);monitored Medicare reform and Prescription Drug Benefit legislation;Monitored HR 4954, The Medicare Modernization and Prescription Drug Act of 2002.

Client expense: $240,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S.839/HR 1556,American Hospital Preservation Act of 2001:advocated for support;S.326/HR 975,Home Health Fairness Act of 2001:advocated for support and co-sponsorship;S.1707/HR 3351,Medicare Physician Payment Fairness Act:advocated for support;Proposed Rule (Centers for Medicare and Medicaid Services)entitled, "Medicaid Program;Medicaid Managed Care,"66 Fed.Reg.43614 (August 20,2001):advocated and supported interpretation of rule which would allow state Medicaid programs to continue to make payment directly to teaching hospitals that are under contract with Medicaid managed care plans, to help offset the higher costs associated with the special missions of teaching hospitals (so-called direct graduate medical payments);monitored Medicare reform and Prescription Drug Benefit legislation;Monitored HR 4954, The Medicare Modernization and Prescription Drug Act of 2002.

Client expense: $240,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 3572 Medicare Remote Monitoring Services S. 2638 The Efficiency in Health Care (eHealth) Act H.R. 4954 Medicare Modernization and Prescription Drug Act of 2002 All issues related to use of information technology

Client expense: $2,560,641 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of the Secretary of Defense, SENATE, Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

H.R. 3572 Medicare Remote Monitoring Services S. 2638 The Efficiency in Health Care (eHealth) Act H.R. 4954 Medicare Modernization and Prescription Drug Act of 2002 All issues related to use of information technology

Client expense: $2,560,641 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of the Secretary of Defense, SENATE, Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

H.R.1078 HCR Broken Promises Retiree Health Coverage Act of 2001 H.R.1322 HCR Emergency Retiree Health Benefits Protection Act of 2001 H.R.1774 HCR Small Business Health Fairness Act of 2001 H.R.1809 HCR Cancer Screening Coverage Act of 2002 H.R.2036 HCR Social Security Number Privacy and Identity Theft Prevention Act of 2001 H.R.2563 HCR Bipartisan Patient Protection Act H.R.2658 HCR Health Care Account Act of 2001 H.R.3009 HCR Trade Act of 2002 H.R.3040 HCR COBRA Coverage Act of 2001 H.R.3529 HCR Economic Security and Worker Assistance Act of 2001 H.R.3684 HCR Early Medicare Access and Affordability Act of 2002 H.R.4066 HCR Mental Health Equitable Treatment Act of 2002, Entire H.R.4600 HCR Help Efficient, Accessible, Low Cost, Timely Health Care (HEALTH) Act of 2002 H.R.4889 HCR Patient Safety Improvement Act of 2002 H.R.4954 HCR Medicare Modernization and Prescription Drug Act of 2002 H.R.5646 HCR Stop Taking Our Health Privacy (STOHP) Act of 2002 H.R.5716 HCR Mental Health Parity Reauthorization Act of 2002 S.104 HCR Equity in Prescription Insurance and Contraceptive Coverage Act of 2001 S.318 HCR Genetic Nondiscrimination in Health Insurance and Employment Act S.543 HCR Mental Health Equitable Treatment Act of 2001, Entire S.590 HCR Relief, Equity, Access, and Coverage for Health (REACH) Act S.710 HCR Eliminate Colorectal Cancer Act of 2001, Entire S.812 HCR Greater Access to Affordable Pharmaceuticals Act of 2001 S.848 HCR Social Security Number Misuse Prevention Act of 2002 S.1052 HCR Bipartisan Patient Protection Act S.1209 HCR Trade Adjustment Assistance for Workers, Farmers, Communities, and Firms S.1454 HCR Displaced Workers Assistance Act S.1502 HCR COBRA Plus Act of 2001 S.1995 HCR Genetic Information Nondiscrimination Act of 2002 S.2042 HCR Access to Affordable Health Care Act S.2328 HCR SMART Mom Act S.2590 HCR Patient Safety and Quality Improvement Act, Entire S.2590 HCR Patient Safety and Quality Improvement Act S.2625 HCR Medicare Outpatient Prescription Drug Act of 2002 S.2679 HCR Health Insurance Access Act of 2002 S.2729 HCR 21st Century Medicare Act S.2736 HCR Medicare Rx Drug Discount and Security Act of 2002 S.2766 HCR Department of Labor, HHS, and Education Appropriations, FY2003 bill  S.2904 HCR Emergency Retiree Health Benefits Protection Act of 2002 S.3018 HCR Beneficiary Access to Care and Medicare Equity Act of 2002

Client expense: $160,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Council of Economic Advisers (CEA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Pension & Welfare Benefits Administration, Pension Benefit Guaranty Corporation (PBGC), SENATE, Treasury, Dept of

H.R.4954-The Medicare Modernization and Prescription Drug Act of 2002 S.2547-Medicare Hospital Outpatient Department Fair Payment Act of 2002 S.2625-Medicare Outpatient Prescription Drug Actof 2002 H.R.4986-To amend part B of title XVIII of the Social Security Act to improve payments for physicians' services and other outpatient services furnished under the Medicare program, and for other purposes S.2729-Medicare Prescription Drug Benefit S.357-Medicare Preservaton and Improvement Act of 2001 S.358-Medicare Prescription Drug and Modernization Act of 2001 H.R.1798/S.1066-Medicare Patient Access to Preventive and Disgnostic Tests Act S.1135-Medicare Reform Act of 2001 S.705-Health Information Technology and Quality Improvement Act of 2001 H.R.2768/H.R.3391-Medicare Regulatory and Contracting Reform Act of 2001 S.1738-Medicare, Appeals, Regulatory, and Contracting Improvement Act of 2001 H.R.2973-Medicare Innovation Responsiveness Act of 2001 H.R.3284-Medicare Outpatient Copayment Reduction Act of 2001 S.3041-To require the HHS Secretary to conduct a study and submit a report to Congress on new technology payments under the Medicare prospective payment system for hospital outpatient department services S.3042-A bill to provide for the recognition of new medical technologies under the Medicare inpatient hospital prospective payment system S.554-Access to Innovation for Medicare Patients Act of 2001 S.3018-Beneficiary Accessto Care and Medicare Equity Act of 2002 S.3098-Medicare Competitive Acquisition Act of 2002 S.3063-Health Care That Works for All Americans Act of 2002 (Bills under the Medicare reform program including coverage issues for medical technology on inpatient and outpatient issues, and bills to provide regulatory relief, appeals process reforms, contracting flexibility, and education improvements.)

Client expense: $2,860,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 4954, Medicare Modernization and Prescription Drug Act; H.R. 1798/S. 1066, Medicare Patient Access to Preventive and Diagnostic Tests Act; and discussions regarding medicare payment.

Client expense: Not reported · Firm income: $120,000

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Fiscal Year 2003 Budget Resolution S.839,H.R.4954,H.R.1556 The American Hospital Preservation Act S.885,H.R.4954,H.R.1609 The Rural & Small Community Hospital Area Wage and Base Payment Improvement Act S.2547 The Hospital Outpatient Fair Payment Act of 2002 S.2555 The Revitalizing Under-Served Rural Areas and Localities Act S.2615,H.R.4515 The Rural Community Hospital Assistance Act S.326,H.R.4954,H.R.975 The Home Health Payment Fairness Act S.2490,H.R.4954 Medicare Skilled Nursing Beneficiary Protection Act of 2002 S.812,H.R.3414,S.2110 State Budget Relief Act of 2001 S.J.Res.37/H.J.Res.92 Resolution of Disapproval--Overturn Medicaid Upper Payment Limit Reduction S.1745,H.R.3360 Delay in Medicaid Upper Payment Limit Reduction S.572,H.R.854 Medicaid Safety Net Hospital Continued Preservation Act H.R.287 Prompt Payment of Health Benefits Claims Act H.R.4600 Helping to Ensure Affordable, Low-Cost, Timely Health Care Act of 2002 S.706,H.R.1436 The Nurse Reinvestment Act H.R.1897 The Nurse of Tomorrow Act S.705,H.R.3292 The Health Information Technology and Quality Improvement Act/Medication Errors Reduction Act of 2001 S.548,H.R.4954,H.R.1354 Assure Access to Mammography Act S.582,H.R.1143 The Immigrant Children's Health Improvement Act of 2001 S.2449 Federal Responsibility for Immigrant Health Act S.169,H.R.519 Local Medical Emergency Reimbursement Act S.1715,H.R.3448 Public Health Security and Bioterrorism Response Act of 2001 HHS Emergency Readiness Funding for Health Care Providers Disaster Relief Funding for Health Care Providers Medicare Prescription Drug Coverage & Provider Payment Increase Legislation Inpatient, Outpatient, Home Health, Skilled Nursing Facility and Long Term Care Hospital (LTCH) PPS Regulations Continuation of Agriculture Department's J-1 Visa Program CMS Seventh Scope of Work for Quality Improvement Organizations CMS Outcomes-based Quality Improvement in Home Health Care CMS Proposed Expansion of Post-Acute Care Transfer Payment EMTALA Regulations Provider-based Regulations Corporate Compliance Department of Labor Regulations on Benefit Claim Appeals HHS Regulatory Reform Efforts IRS Intermediate Sanction Rules Upper Payment Limit Rules HIPAA Rules Medical Malpractice

Client expense: $360,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of the Vice President of the United States, SENATE

1) S.2801 and H.R.5263, FY 2003 AG Appropriations. 2) S.812, Greater Access to Affordable Pharmaceuticals Act. 3) H.R.4954, Medicare Modernization Prescription Drug Act. 4) S.2729, 21st Century Medicare Act. 5) S.1229, Personal Prescription Drug Import Fairness Act.

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.4954/H.RES.465:To amend title XVIII of the Social Security Act to provide for a voluntary program for prescription drug coverage under the Medicare Program, to modernize and reform payments and the regulatory structure of the Medicare Program. H.R.2073: To amend title XVIII of the Social Security Act to waive the part B late enrollment penalty for military retirees who enroll by December 31, 2002, and to provide a special part B enrollment period for such retirees. H.R.179:To restore health care coverage to retired members of the uniformed services. S.1707: A bill to amend title XVIII of the Social Security Act to specify the update for payments under the medicare physician fee schedule for 2002 and to direct the Medicare Payment Advisory Commission to conduct a study on replacing the use of the sustainable growth rate as a factor in determining such update in subsequent years S.278:A bill to restore health care coverage to retired members of the uniformed services.Directs the Secretary of Defense to enter into an agreement with the Office of Personnel Management to provide FEHBcoverage to the following eligible beneficiaries: (1) a member or former member entitled to military retired or retainer pay; (2)an unremarried former spouse who was married to a member for at least 20 years, during which such member performed at east 20 years of retirement-creditable military service; (3) a dependent of a deceased qualifying member or former member;(4) a dependent of a living member or former member; and (5) a family member.

Client expense: $80,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), President of the U.S., SENATE

S. 2625 - Medicare Outpatient Prescription Drug Act (Trigger) S. 812, HR 4832 - Medicare Drugs (catastrophic) HR 4954 - Medicare modernization & Prescription Drug Act

Client expense: $131,540 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Federal Communications Commission (FCC), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), U.S. Trade Representative (USTR)

H.R. 3351/S.1707-Medicare Physician Payment Fairness Act. Appropriations Issues (Veterans Administration, AHRQ, NIH,CDC). H.R.4954 - Medicare Modernization and Prescription Drug Act of 2002. H.R. 4200 - Health Act 2002. Issues related to proposed reform of the A.W.P. drug pricing methodology.

Client expense: Not reported · Firm income: $60,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 4954, The Medicare Modernization and Prescription Drug Act of 2002; S. 2675, Medicare Outpatient Prescription Drug Act of 2002; and S. 2729, 21st Century Medicare Act.

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

The Medicare Physician Payment Fairness Act of 2001, S. 1707 and HR 3351, introduced by Senator James Jeffords and Rep. Michael Bilirakis to reduce an across the board cut of 5.4% in Medicare payments to physicians and set the conversion factor (update) for payments under the Medicare physician fee schedule for 2002 at 0.9 percent less than the conversion factor for 2001. The bills also direct the Medicare Payment Advisory Commission (MedPAC) to study and report to Congress on replacing the use of the sustainable growth rate as a factor in determining the update for such payments with a factor that more fully accounts for changes in the unit costs of providing physicians' services. Modification of Medicare physician fee schedule geographic work adjustor. HR 3569, the Rural Equity Payment Index Reform Act (REPAIR) introduced by Rep. Doug Bereuter, would lessen the disparity in Medicare physician payment that currently exists between urban and rural areas. S. 1953, Feingold legislation to eliminate the geographic physician work adjustment factor from the geographic indices used to adjust payments under the Medicare physician fee schedule. S. 2752 by Jeffords authorizing the Centers for Medicare and Medicaid Services to conduct research demonstrations to examine health delivery factors that encourage the delivery of improved quality in patient care. S. 2555, the “Revitalizing Underserved Rural Areas and Localities (RURAL) Act of 2002” introduced by Senator Baucus with provisions to increase the geographic adjustment of physician reimbursement in low payment areas. The Medicare Modernization and Prescription Drug Act (HR 4954) introduced by Reps. Thomas, Tauzin, Johnson and Bilirakis, provisions establishing a 2% Medicare Part B conversion factor update in 2003, 2004 and 2005; provisions instructing GAO to examine the impact of the geographic adjustment factor on physician payments under the Medicare physician fee schedule; increasing Medicare+Choice payments; and delaying “Lock-in” requirements for one year; establishing competitive bidding for certain Part B services. The Medical Excellence Demonstration Program Act of 2001 (S. 1756 introduced by Senator Jeffords, and HR 3746 introduced by Rep. Houghton) to establish demonstration projects to examine health care delivery factors that encourage improved quality of care. The conference report on HR 3448 the Public Health Security and Bioterrorism Preparedness and Response Act changed the Medicare+Choice “lock-in” provisions governing marketing and enrollment in M+C plans. The new provisions would postpone for three years limits determining when Medicare beneficiaries can switch health plans. These provisions also set limits on the period when M+C enrollment could be marketed to beneficiaries. Full reimbursement of Medicare Allowed Costs under Medicare Part B. Acceleration of Risk Adjustment implementation under Medicare+Choice. Preservation of floor payments in rural areas under Medicare+Choice. Waiver and or delay of Medicare+Choice “lock-in” enrollment limitations for 2002-2005. Extension of the New Entry bonus under Medicare+Choice. Demonstration programs under Medicare to increase beneficiary and plan participation in the Medicare +Choice Program. “Medicare Equity” concepts developed by Senate Finance Committee taking incremental steps towards Medicare reform, including restructuring CMS, improving Medicare+Choice, increasing the number of plans in rural areas, and easing payment inequities between urban and rural providers. HHS Initiative on Rural Communities, DHHS Secretary Thompson's call for a department-wide examination of federal health programs and how the federal programs respond to the needs of rural areas. Regulatory reform of CMS, through select provisions of the Medicare Education and Regulatory Fairness Act (S. 452, H.R. 858), H.R. 3046, the Medicare Regulatory, Appeals, Contracting, and Education Reform Act (The Medicare RACER Act) and the H.R. 2768, the “Medicare Regulatory And Contract Reform Act of 2001,” and H.R. 3391, The Medicare Regulatory and Contracting Reform Act” HR 3584, “The Medicare+Choice Improvement and Stabilization Act of 2001” legislation that would revise the payment structure of the Medicare managed care program for the year 2003 and make other changes to the program basing M+C payment on 100 percent of fee-for-service costs for 2003 only. Plans would then be paid based on whichever option was greatest: 100 percent of fee-for-service; a modified blend that re-weights the national average using M+C enrollment; floor payments as enacted in the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000; or a 2 percent minimum increase. The bill would also delay the onset of the “lock-in” period by one year and enable demonstration projects for preferred provider organizations and disease management programs. Save this template.Issue Template Text ACC accounting Or S. 3018, by Senators Baucus and Grassley, the Beneficiary Access to Care and Medicare Equity Act of 2002. Provisions calling for a statutory increase in medicare physician payments for 2003-2005; provisions equalizing payments for physicians in rural areas for 2003?2005 by implementing a floor of 1.0 for the geographic adjustment of physician work, holding all other areas harmless. Incentive payments for physicians in underserved areas. Provisions of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000, HR 5661. Section 412. HHS will be required to conduct a Physician Group Practice Demonstration to test, and expand the use of incentives to health care groups participating under Medicare. Section 429. BIPA requires GAO to study and submit a report to Congress and the Secretary on the reimbursement for drugs and biologicals and related services under Medicare. On September 27, the Centers for Medicare and Medicaid Services published a notice in the Federal Register informing interested parties of an opportunity to submit proposals for participation in the Medicare Physician Group Practice Demonstration (PGP) project to test a hybrid payment methodology that combines Medicare fee-for-service payments with a bonus pool derived from savings achieved by improvements in patient care management. Medicare reimbursement for recovery care center services. Medicare Evaluation and Management Documentation Coding. Clarification of Medicare Formatting of Advance Beneficiary Notices. Medicare coverage of injected drugs HR 5063, a bill extending unemployment benefits, but also including a provision written by Ways and Means Committee Chairman Bill Thomas (R-CA) granting the Centers for Medicare and Medicaid Services (CMS) immunity from “retroactive lawsuits” for Medicare+Choice overestimates and accounting mistakes made in 1998 and 1999 in the calculation of Medicare physician fees.

Client expense: $122,924 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Council of Economic Advisers (CEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

Medicare psyment and coverage; health care legislation and related services. H.R. 4954, "Medicare Modernization and Prescription Drug Act of 2002." SAMDTS 4310 and 4309 to S. 812,"Greater Access to Affordable Pharmaceuticals Act of 2001"

Client expense: Not reported · Firm income: $60,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 4954 Medicare Modernization and Prescription Drug Act of 2002 S 582 Immigrant Children's Health Improvement Act of 2001 HR 1143 legal Immigrant Children's Health Improvement Act of 2001 HR 854 Medicaid Safety Net Hospital Continued Preservation Act of 2001 S 572 Medicaid Safety Net Hospital Continued Preservation Act of 2001 HR 519 to amend section 4723 of the Balanced Budget Act of 1997 to assure that the additional funds provided for State emergency health services furnished to undocumented aliens are used to reimburse hospitals...

Client expense: Not reported · Firm income: $65,000

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

HR 4954 - Medicare Modernization and Prescription Drug Act of 2002 Medicare Reimbursement - Medicare Disproportionate Share Medicaid Reimbursement

Client expense: Not reported · Firm income: $45,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 4954 - Medicare Modernization and Prescription Drug Act of 2002 Medicare Reimbursement Medicaid Reimbursement Bad Debt Payments medicare Disproportionate Share Payments Medicaid Disproportionate Share Payments

Client expense: Not reported · Firm income: $12,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1) S.2801 and H.R.5263, FY 2003 AG Approprations. 2) S.812, Greater Access to Affordable Pharmaceuticals Act. 3) H.R.4954, Medicare Modernization and Prescription Drug Act. 4) S.826, Improved Acess to Osteporosis Testing Act.

Client expense: Not reported · Firm income: $60,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 357, Medicare Preservation and Improvement Act of 2001; S. 358, Medicare Prescription Drug and Modernization Act of 2001; S. 1135, Medicare Reform Act of 2001; and H.R. 4954, Medicare Modernization and Prescription Drug Act of 2002.

Client expense: Not reported · Firm income: $40,000

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 854/S. 572, Medicaid Safety Net Hospital Continued Preservation Act of 2001; H.R. 1604/S. 776, Medicaid Safety Net Improvement Act of 2001; H.R. 4954, Medicare Modernization and Prescription Drug Act of 2002; and S. 812, Greater Access to Affordable Pharmaceuticals Act of 2001.

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY '03 Appropriations for Labor, HHS and Education; Commerce, Justice, State; Transportation; VA-HUD; and Interior. H.R. 4954, FY '02 Supplemental Appropriations Bill.

Client expense: Not reported · Firm income: $100,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

The IBEW opposed several health care proposals such as “Medicare Modernization and Prescription Drug Act of 2002.” (H.R. 4954), written for the pharmaceutical industry that would have provided a privatized drug plan outside the scope of Medicare, where benefits would be neither assured nor guaranteed. IBEW also opposed a Medicare prescription drug plan, the “21st Century Medicare Act.” (S. 2) that would have created a voluntary drug benefit for seniors under the existing Medicare system and used private drug-only insurance policies to set premiums and determine benefits. IBEW supported "Greater Access to Affordable Pharmaceuticals Act" (S. 812) that would have reduced the time pharmaceutical companies are allowed to hold a drug patent. Such a change would have sped up the process to get generic drugs to market.

Client expense: $300,000 · Firm income: Not reported

Government targets: Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE

H.R.1078, Broken Promises Retiree Health Coverage Act of 2001, Entire H.R.1322, Emergency Retiree Health Benefits Protection Act of 2001, Entire H.R.1809, Cancer Screening Coverage Act of 2002, Entire H.R.2658, Health Care Account Act of 2001, Entire H.R.3009, Trade Act of 2002, Health insurance tax credit provisions ONLY H.R.3529, Economic Security and Worker Assistance Act of 2001, Titles VIII-X ONLY (Unemployed workers health insurance provisions H.R.4066, Mental Health Equitable Treatment Act of 2002, Entire H.R.4954, Medicare Modernization and Prescription Drug Act of 2002, Entire S.104, Equity in Prescription Insurance and Contraceptive Coverage Act of 2001, ENTIRE S.318, Genetic Nondiscrimination in Health Insurance and Employment Act, Health Insurance provisions ONLY (Title I) S.543, Mental Health Equitable Treatment Act of 2001, Entire S.590, Relief, Equity, Access, and Coverage for Health (REACH) Act, Entire S.710, Eliminate Colorectal Cancer Act of 2001, Entire S.1209, Trade Adjustment Assistance for Workers, Farmers, Communities, and Firms Act of 2001, Health Insurance Subsidy Provisions ONLY (Title VI) S.1454, Displaced Workers Assistance Act, Entire S.1502, COBRA Plus Act of 2001, Entire S.1995, Genetic Information Nondiscrimination Act of 2002, Health Insurance Nondiscrimination provisions only (Title I) S.2042, Access to Affordable Health Care Act, Entire S.2590, Patient Safety and Quality Improvement Act, Entire S.2625, Medicare Outpatient Prescription Drug Act of 2002, Entire

Client expense: $360,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Council of Economic Advisers (CEA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Pension & Welfare Benefits Administration, Pension Benefit Guaranty Corporation (PBGC), SENATE, Treasury, Dept of

Fiscal Year 2003 Budget Resolution S.839,H.R.4954,H.R.1556 The American Hospital Preservation Act S.885,H.R.4954,H.R.1609 The Rural & Small Community Hospital Area Wage and Base Payment Improvement Act S.2547 The Hospital Outpatient Fair Payment Act of 2002 S.2555 The Revitalizing Under-Served Rural Areas and Localities Act S.2615,H.R.4515 The Rural Community Hospital Assistance Act S.326,H.R.4954,H.R.975 The Home Health Payment Fairness Act S.2490,H.R.4954 Medicare Skilled Nursing Beneficiary Protection Act of 2002 S.812,H.R.3414,S.2110 State Budget Relief Act of 2001 S.J.Res.37/H.J.Res.92 Resolution of Disapproval--Overturn Medicaid Upper Payment Limit Reduction S.1745,H.R.3360 Delay in Medicaid Upper Payment Limit Reduction S.572,H.R.854 Medicaid Safety Net Hospital Continued Preservation Act H.R.287 Prompt Payment of Health Benefits Claims Act H.R.4600 Helping to Ensure Affordable, Low-Cost, Timely Health Care Act of 2002 S.706,H.R.1436 The Nurse Reinvestment Act H.R.1897 The Nurse of Tomorrow Act S.705,H.R.3292 The Health Information Technology and Quality Improvement Act/Medication Errors Reduction Act of 2001 S.548,H.R.4954,H.R.1354 Assure Access to Mammography Act S.582,H.R.1143 The Immigrant Children's Health Improvement Act of 2001 S.2449 Federal Responsibility for Immigrant Health Act S.169,H.R.519 Local Medical Emergency Reimbursement Act S.1715,H.R.3448 Public Health Security and Bioterrorism Response Act of 2001 HHS Emergency Readiness Funding for Health Care Providers Disaster Relief Funding for Health Care Providers Medicare Prescription Drug Coverage & Provider Payment Increase Legislation Inpatient, Outpatient, Skilled Nursing Facility and Long Term Care Hospital (LTCH) PPS Regulations Continuation of Agriculture Department's J-1 Visa Program CMS Seventh Scope of Work for Quality Improvement Organizations CMS Outcomes-based Qulaity Improvement in Home Health Care CMS Proposed Expansion of Post-Acute Care Transfer Payment EMTALA Regulations Provider-based Regulations Corporate Compliance Department of Labor Regulations on Benefit Claim Appeals HHS Regulatory Reform Efforts IRS Intermediate Sanction Rules Upper Payment Limit Rules HIPAA Rules

Client expense: $320,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of the Vice President of the United States, SENATE

Patient Bill of Rights - HR 2315, HR 526, HR 2563, S1052 HHS Privacy Regulations - standards for privacy of individually identifiable health infomration (65 Federal Register 82476) Medicare + Choice Funding, including S1317, HR 2836, HR 2980, HR 3584 U.S. Department of Labor Erisa Claims Procedure (65 Federal Register 70246) S543, HR 2768, HR 3267, S761, HR 5661, HR 3323, HR 3061, HR 4954, HR 803

Client expense: Not reported · Firm income: $206,778

Government targets: Centers For Medicare and Medicaid Services (CMS), Council of Economic Advisers (CEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

S.839/HR 1556, American Hospital Preservation Act of 2001:advocated for support; S.326/HR 975, Home Health Fairness Act of 2001: advocated for support and co-sponsorship; S.1707/HR 3351, Medicare Physician Payment Fairness Act: advocated for support;Proposed Rule (Centers for Medicare and Medicaid Services) entitled, "Medicaid Program;Medicaid Managed Care," 66 Fed.Reg. 43614 (August 20,2001):advocated and supported interpretation of rule which would allow state Medicaid programs to continue to make payments directly to teaching hospitals that are under contract with Medicaid managed care plans, to help offset the higher costs associated with the special missions of teaching hospitals (so-called direct graduate medical payments); monitored Medicare reform and Prescription Drug Benefit legislation; Monitored HR 4954, The Medicare Modernization and Prescription Drug Act of 2002.

Client expense: $140,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S2244 - Prescription Drug Parity Act, HR4833 - Accuracy in Pharmaceuticals Advertising Act, HR3448, S2692 - Reauthorization of the Prescription Drug User Fee Act, S812, HR1862 - Greater Access to Afordable Pharmaceuticals Act, S1052 - Patient Bill of Rights HR4600 - HELP Act Health Issues related to economic stimulus bills (HR3259, HR622, HR30390) HR4954, HR4832, HR490, S2625 - Prescription Drugs Generic Drugs, medical devices, drug reimportation, children's health issues

Client expense: $167,892 · Firm income: Not reported

Government targets: Consumer Product Safety Commission (CPSC), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), Natl Highway Traffic Safety Administration (NHTSA), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Drug Discount Program (Section 340 B of the Public Health Service Act); Bioterrorism Preparedness Act- S. 1715; Public Health Security and Bioterrorism Response Act- H.R. 3448, P.L. 107-188; Medicare Reform and Prescription Drug Coverage- S. 812, H.R. 4954

Client expense: $240,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Medicare Reform and Medicare Prescription Drug Coverage- H.R. 4954, S. 812; National Commission on Farmworkers and Federal Health Coverage Act of 2001- H.R. 2642; Federal Health Coverage Expansions- S. 582, S. 827, S. 1016, S. 1244, H.R. 2630, H.R. 1143, H.R. 1733; Medicare Safety Net Access Act of 2002- H.R. 4000, S. 2067; Health Center Issues in Medicaid/SCHIP; Implementation of the Medicare Prospective Payment System for FQHCs; Children's Dental Health- S. 1626, H.R. 3659; Oral Health Promotion Act of 2002- H.R. 5191; Dental Health Improvement Act- H.R. 4476; Children's Health Improvement Act of 2002- H.R. 4764, S. 1390; Legislation to temporarily increase the federal medical assistance percentage for the Medicaid program- S. 2570; Medicare Telehealth Validation Act of 2002- S. 2750

Client expense: $240,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Medicare + Choice Medicare Prescription Drug Benefits Medicare Modernization and Prescription Drug Act of 2002/ H.R. 4954

Client expense: $40,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1606: "Equal Access to Care Act of 2001" Legislation to amend title XI of the Social Security Act to prohibit Federal funds from being used to provide payments under a Federal health care program to any health care provider who charges a membership or any other extraneous or incidental fee to a patient as a prerequisite for the provision of an item or service to the patient. H.R. 4954, H. Res. 465: "Medicare Modernization and Prescription Drug Act of 2002" Legislation to amend title XVIII of the Social Security Act to provide for a voluntary program for prescription drug coverage under the Medicare Program, to modernize and reform payments and the regulatory structure of the Medicare Program, and for other purposes. S. 1660, H.R. 3351: "Medicare Physician Payment Fairness Act of 2001" Legislation to amend title XVIII of the Social Security Act to specify the update for payments under the Medicare physician fee schedule for 2002 and to direct the Medicare Payment Advisory Commission to conduct a study on replacing the use of the sustainable growth rate as a factor in determining such update in subsequent years. H.R. 3882: "Preserving Patient Access to Physicians Act of 2002" Legislation to amend title XVIII of the Social Security Act to reform the Medicare physician payment update system through repeal of the sustainable growth rate (SGR) payment update system. S. 2547, H.R. 5234: "Medicare Hospital Outpatient Department Fair Payment Act of 2002" Legislation to amend title XVIII of the Social Security Act to provide for fair payments under the Medicare hospital outpatient department prospective payment system. Department of Health and Human Services, Centers for Medicare and Medicaid Services, 42 CFR Parts 410 and 414 Medicare Program; Fee Schedule and Revisions to the Physician Certification Requirements for Coverage of Nonemergency Ambulance Services; Final Rule, February 27, 2002. Department of Health and Human Services, Centers for Medicare and Medicaid Services, 42 CRF Parts 413, 419, and 489 Medicare Program; Correction of Certain Calendar Year 2002 Payment Rates Under the Hospital Outpatient Prospective Payment System and the Pro Rata Reduction on Transitional Pass-Through Payments; Correction of Technical and Typographical Errors; Final Rule, March 1, 2002 Department of Health and Human Services, Centers for Medicare and Medicaid Services, 42 CFR Parts 405, 412 et al. Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2003 Rates; Proposed Rule, May 9, 2002. Communications with Centers for Medicare and Medicaid Services regarding changes in status indicator for New Tech APC for radiotherapy. Communications with Centers for Medicare and Medicaid Services requesting initial DRG assignment for CRT-D therapy. Communications with Centers for Medicare and Medicaid Services requesting National Coverage Decision for MADIT II indication for ICDs and provided supporting information.

Client expense: Not reported · Firm income: $80,000

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

HR 4954 - Medicare Modernization and Prescription Drug Act of 2002 Medicare Reimbursement - Medicare Disproportionate Share Medicaid Reimbusement

Client expense: Not reported · Firm income: $30,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE