Home Health Fairness Act of 2001

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

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

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

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

S.839/HR 1556, American Hospital Preservation Act of 2001: advocated for support and cosponsorship of bills which maintain Medicare Indirect Medical Education (IME) payment at 6.5% in FY 2003 and thereafter, and provide a full inflation update for Medicare inpatient services in FY 2002 and FY 2003; HR 975, Home Health Fairness Act of 2001: monitored legislation which would eliminate the 15 percent reduction in payment rates for home health services under the Medicare Program; S. 1660/HR 3351, the Medicare Physician Payment Fairness Act of 2001; advocated for passage of this bill which would reduce the reduction in the Medicare conversion factor for physician payments from 5.4% to 0.9%; Advocated for delay of implementation of the 2002 Medicare outpatient prospective payment system (OPPS)final rule by the Centers for Medicare and Medicaid Services (CMS).

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), President of the U.S., SENATE

S.839/HR 1556, American Hospital Preservation Act of 2001: advocated for support and cosponsorship of bills which maintain Medicare Indirect Medical Education (IME) payment at 6.5% in FY 2003 and thereafter, and provide a full inflation update for Medicare inpatient services in FY 2002 and FY 2003; HR 975, Home Health Fairness Act of 2001: monitored legislation which would eliminate the 15 percent reduction in payment rates for home health services under the Medicare Program; S. 1660/HR 3351, the Medicare Physician Payment Fairness Act of 2001; advocated for passage of this bill which would reduce the reduction in the Medicare conversion factor for physician payments from 5.4% to 0.9%; Advocated for delay of implementation of the 2002 Medicare outpatient prospective payment system (OPPS)final rule by the Centers for Medicare and Medicaid Services (CMS).

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), President of the U.S., SENATE

S.839/HR 1556, American Hospital Preservation Act of 2001: advocated for support and cosponsorship of bills which maintain Medicare Indirect Medical Education (IME) payment at 6.5% in FY 2003 and thereafter, and provide a full inflation update for Medicare inpatient services in FY 2002 and FY 2003; HR 975, Home Health Fairness Act of 2001: monitored legislation which would eliminate the 15 percent reduction in payment rates for home health services under the Medicare Program; S. 1660/HR 3351, the Medicare Physician Payment Fairness Act of 2001; advocated for passage of this bill which would reduce the reduction in the Medicare conversion factor for physician payments from 5.4% to 0.9%; Advocated for delay of implementation of the 2002 Medicare outpatient prospective payment system (OPPS)final rule by the Centers for Medicare and Medicaid Services (CMS).

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), President of the U.S., SENATE

Fiscal Year 2002 Budget Resolution H.R.1556,S.839 American Hospital Preservation Act of 2001 H.R.1609,S.885 Area Wage and Base Payment Improvement Act H.R.1354,S.548 Assure Access to Mammography Act H.R.1436,S.706 Nurse Reinvestment Act H.R.1897 Nurse of Tomorrow Act S.705,H.R.3292 Health Information Technology & Quality Improvement Act H.R.1143,S.582 Immigrant Childrens' Health Improvement Act of 2001 H.R.287 Prompt Payment of Health Benefits Claims Act of 2001 H.R.975,S.326 Home Health Payment Fairness Act S.135 Direct Graduate Medical Education Improvement Act S.721 Nurse Employment and Education and Development Act H.R.519,H.R.823,S.169 Local Medical Emergency Reimbursement H.R.1331,S.683 Fair Care for the Uninsured Act H.R.584, S.572 Medicaid Safety Net Hospital Continued Preservation Act H.R.3360, S.1745 Delay in Medicaid Upper Payment Limit Reduction S.1715, H.R.3448 Bioterrorism Preparedness act of 2001 H.R.3414 State Budget Relief Act H.R.2768 Medicare Regulatory and Contracting Reform Act Nursing Immigration issues HCFA Prospective Payment System regulations for 2002 reimbursement for hospital inpatient, hospital outpatient, skilled nursing facilities, home health agencies, and inpatient rehabilitation facilities patient assessment HCFA Advanced Beneficiary Notice for Medicare Beneficiaries regulation OSHA Ergonomics regulation FDA policy on single-use medical devices Health Care Workforce issues Medicare regulatory reform and flexibility

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

S.839/HR 1556, American Hospital Preservation Act of 2001: advocated for support and cosponsorship of bills which maintain Medicare Indirect Medical Education (IME) payment at 6.5% in FY 2003 and thereafter, and provide a full inflation update for Medicare inpatient services in FY 2002 and FY 2003; HR 975, Home Health Fairness Act of 2001: monitored legislation which would eliminate the 15 percent reduction in payment rates for home health services under the Medicare Program; S. 1660/HR 3351, the Medicare Physician Payment Fairness Act of 2001; advocated for passage of this bill which would reduce the reduction in the Medicare conversion factor for physician payments from 5.4% to 0.9%; Advocated for delay of implementation of the 2002 Medicare outpatient prospective payment system (OPPS)final rule by the Centers for Medicare and Medicaid Services (CMS).

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), President of the U.S., SENATE

S.839/HR 1556, American Hospital Preservation Act of 2001: advocated for support and cosponsorship of bills which maintain Medicare Indirect Medical Education (IME) payment at 6.5% in FY 2003 and thereafter, and provide a full inflation update for Medicare inpatient services in FY 2002 and FY 2003; HR 975, Home Health Fairness Act of 2001: monitored legislation which would eliminate the 15 percent reduction in payment rates for home health services under the Medicare Program; S. 1660/HR 3351, the Medicare Physician Payment Fairness Act of 2001; advocated for passage of this bill which would reduce the reduction in the Medicare conversion factor for physician payments from 5.4% to 0.9%; Advocated for delay of implementation of the 2002 Medicare outpatient prospective payment system (OPPS)final rule by the Centers for Medicare and Medicaid Services (CMS).

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), President of the U.S., SENATE

Fiscal Year 2002 Budget Resolution H.R.1556,S.839 American Hospital Preservation Act of 2001 H.R.1609,S.885 Area Wage and Base Payment Improvement Act H.R.1354,S.548 Assure access to Mammography Act H.R.1436,S.706 Nurse Reinvestment Act H.R.1897 Nurse of Tomorrow Act S.705 Health Information Technology and Quality Improvement Act H.R.1143,S.582 Immigrant Childrens' Health Improvement Act of 2001 H.R.287 Prompt Payment of Health Benefits Claims Act of 2001 H.R.975,S.326 Home Health Payment Fairness Act S.135 Direct Graduate Medical Education Improvement Act S.721 Nurse Employment and Education Development Act H.R.519,H.R.823,S.169 Local Medical Emergency Reimbursement H.R.1331,S.683 Fair Care for the Uninsured Act H.R.584,S.572 Medicaid Safety Net Hospital Continued Preservation Act Nursing Immigration HCFA Prospective Payment System regulations for 2002 reimbursement for hospital inpatient, skilled nursing facilities, home health; and inpatient rehabilitation facility patient assessment. HCFA Advanced Beneficiary Notice for Medicare Beneficiaries regulation OSHA Ergonomics Regulation FDA Policy on single-use medical devices Workforce Issues Regulatory Flexibility Increased funding for breast and prostate cancer

Client expense: $400,000 · Firm income: Not reported