American Hospital Preservation Act of 2003

S 816/HR 1675: Health Care Access and Rural Equity Act of 2003. Establishing guidelines for geographic reclassification of certain hospitals located in sparsely populated States, such as North Dakota. Equalizing urban and rural standardized payment amounts under HR 2246/ S 1222: To direct the Secretary of Health and Human Services to modify treatment categories for qualification as a rehabilitation hospital or unit for purposes of reimbursement under the Medicare prospective payment system for inpatient rehabilitation facilities. 75% rehabilitation rule. HR 1580: Medicare Area Wage Index and Standardized Rate Act of 2003. Adjustment to wage index and establishing a standardized amount under Medicare inpatient PPS. S. 899/ HR 1710: American Hospital Preservation Act of 2003. Restoring a full market basket update. S 1 / HR 1: Medicare Prescription Drug and Modernization Act of 2003. Prescription drug benefits and rural hospital adjustments.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FFY 2004 Budget Resolution FFY 2004 Labor HHS Appropriations Bill S.889,H.R.1710 The American Hospital Preservation Act of 2003 H.R.1580 the Area Wage and Standardized Rate Act S.138,H.R.816 State Budget Relief Act of 2003 S.511,S.607,H.R.5 Medical Liability Reform S.652,H.R.328 Medicaid DSH Access to Hospitals Act H.R.810 Medicare Regulatory and Contracting Reform Act H.R.1776 The Pension Preservation and Savings Expansion Act of 2003 S.1222, H.R.2246 Medicare Inpatient Rehab. Facility Payment Modifications H.R.934 The Teacher and Nurse Support Act of 2003 H.R.501 Nurse Loan Forgiveness Act S.720,H.R.663,H.R.877 Patient Safety Improvement Act S.869,H.R.817 Assure Access to Mammography Act S.412,H.R.819 Local Medical Emergency Reimbursement Act of 2003 S.486,H.R.953 Paul Wellstone Mental Health Treatment Parity Act S.845,H.R.1689 Legal Immigrant Children's Health Improvement Act of 2003 S.816, H.R.1675 Health Care Access and Rural Equity Act of 2003 H.R.3035 Medication Errors Reduction Act of 2003 H.R.3722 Reporting Undocumented Immigrants Receiving Care S.1, H.R.1 Prescription Drug Benefit P.L.108-173 Medicare Prescription Drug, Improvement and Modernization Act of 2003 P.L.108-27 Jobs & Growth Tax Relief Reconciliation Act H.R.1770 Smallpox Emergency Personnel Protection Act EMTALA Standards Sarbanes-Oxley regulation Internal Revenue Service Form 990 reporting regulations Provider-based designation regulations Indirect Medical Education Relief CMS Conditions of Participation Requirements Automatic implantable cardioverter defibrillators CMS Proposed Outlier Payment Methodology modifications CMS Proposed Patient Experiences of Care Survey Tool CMS Hospital Quality Reporting Pilot Project CMS Proposed Inpatient Rehabilitation PPS Regulations CMS Proposed Inpatient PPS Regulations CMS Proposed Outpatient PPS Regulations CMS Proposed Skilled Nursing Facility PPS Regulations CMS Proposed Inpatient Psychiatric Facility PPS Regulations FDA Bar Code Label Requirements for Human Drug Products and Blood CMS Home Health Quality Initiative CMS Occupational Case Mix Survey

Medicare and Medicaid Reimbursement (general) Medicaid, Hill contacts (H.R. 328, H.R. 1342, S. 652, S.204, H.R. 1,S.1) Prescription drugs and Medicare Reform (H.R. 1, S.1, H.R. 2473) Medicaid/SCHIP Restorations for Legal Immigrants (H.R. 1689, S. 845, H.R. 1, S.1) Extension of 340B Drug Pricing to inpatient drugs (S. 1195, H.R. 2409) Medicaid Reform (general) Medicare IME legislation (S. 899, H.R. 1710, H.R. 1, S.1)

Client expense: $200,000 · Firm income: Not reported

Medicare Inpatient Marketbasket and Indirect Medical Education: The American Hospital Preservation Act of 2003 (H.R.1710/S.899); Medicare Rural, Small Community, and Small City Hospital Package: The Area Wage Index and Standardized Rate Act (H.R.1580); Medicaid: The State Budget Relief Act of 2003 (original bill: H.R.816/S.138); Medical Liability Reform-Help Efficient, Accessible, Low Cost, Timely Health Care (HEALTH) Act of 2003 (H.R.5/S.607); Medicare Rehabilitation Hospital Inpatient Payment Modifications (H.R.2246/s.1222); Rural Hospital Package-Health Care Access and Rural Equity Act of 2003 (H.R.1675/S.816); Regulatory Reform-Medicare Regulatory and Contracting Reform Act. (H.R.810); Pension Fund Protection: The Pension Preservation and Savings Expansion Act of 2003 (H.R.1776); Medication Errors Reduction Act of 2003 (H.R.3035); Teacher and Nurse Support Act of 2003 (H.R.934); Nurse Loan Forgiveness Act (H.R.501); Patient Safety Improvement Act of 2003 (H.R.663/H.R.877/S.720); Assure Access to Mammography Act (H.R.817/869); Local Medical Emergency Reimbursement Act of 2003 (S.412/H.R.819); Paul Wellstone Mental Health Treatment Parity Act (S.486/H.R.953); Elimination of Restrictions on Federal Medicaid and S-CHIP Coverage: The Legal Immigrant Children's Health Improvement Act of 2003 (H.R.1689/S.845);

Client expense: Not reported · Firm income: Not reported

FFY 2004 Budget Resolution FFY 2004 Labor HHS Appropriations Bill S.889, H.R.1710 The American Hospital Preservation Act of 2003 H.R.1580 The Area Wage and Standardized Rate Act S.138, H.R.816 State Budget Relief Act of 2003 S.511, S.607, H.R.5 Medical Liability Reform S.652, H.R.328 Medicaid DSH: Access to Hospitals Act H.R.810 Medicare Regulatory and Contracting Reform Act H.R.1776 The Pension Preservation and Savings Expansion Act of 2003 S.1222, H.R.2246 Medicare Inaptient Rehab. Facility Payment Modifications H.R.934 The Teacher and Nurse Support Act of 2003 H.R.501 Nurse Loan Forgiveness Act S.720, H.R.663, H.R.877 Patient Safety Improvement Act S.869, H.R.817 Assure Access to Mammography Act S.412, H.R.819 Local Medical Emergency Reimbursement Act of 2003 S.486, H.R.953 Paul Wellstone Mental Health Treatment Parity Act S.845, H.R.1689 Legal Immigrant Children's Health Improvement Act of 2003 S.816, H.R.1675 Health Care Access and Rural Equity Act of 2003 S.1, H.R.1 Prescription Drug Benefit H.R.1770 Smallpox Emergency Personnel Protection Act EMTALA Standards Sarbanes-Oxley regulation Internal Revenue Service Form 990 reporting regulations Provider-based designation regulations CMS Conditions of Participation Requirements Automatic implantable cardioverter defibrillators CMS Proposed Outlier Payment Methodology modifications CMS Proposed Patient Experience of Care Survey Tool CMS Hospital Quality Reporting Pilot Project CMS Proposed Inpatient Rehablitation PPS Regulations CMS Proposed Inpatient PPS Regulations CMS Proposed Outpatient PPS Regulations CMS Proposed Skilled Nursing Facility PPS Regulations FDA Bar Code Label Requirements for Human Drug Products and Blood CMS Home Health Quality Initiative CMS Occupational Case Mix Survey

Client expense: $460,000 · Firm income: Not reported

Medicare and Medicaid Reimbursement (general) Medicaid, Hill contacts (H.R. 328, H.R. 1342, S. 652, S. 204, H.J. Res. 2, H.Con. Res.95) Extension of 340B Drug Pricing to inpatient drugs (S.1198, H.R. 2409) Prescription drugs and Medicare Reform (H.R. 1, S.1, H.R. 2473) Medicaid/SCHIP Restorations for Legal Immigrants (H.R. 1689, S. 845) Medicare IME legislation (S. 899, H.R. 1710) FMAP legislation (H.R. 2, S. 1054)

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 1/S1: Medicare Prescription Drug and Modernization Act of 2003 -- provisions relating to Indirect Medical Education payments HR 1710/S 899: The American Hospital Preservation Act of 2003 -- entire bill

Client expense: $110,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Inpatient Marketbasket and Indirect Medical Education: The American Hospital Preservation Act of 2003 (S899/H.R.1710); Medicare Rural, Small Community, and Small City Hospital Package: The Area Wage and Standardized Rate Act (S.pending/H.R.1580); Medicaid: State Budget Relief Act of 2003 (S.138/H.R.816); Medical Liability Reform: Help Efficient, Accessible, Low Cost, Timely Health Care (HEALTH) Act of 2003 (S.607/H.R.5); Medicaid DSH: Access to Hospitals Act (S.652/H.R.328); Regulatory Reform: Medicare Regulatory and Contracting Reform Act (S.pending/H.R.810); The Pension Preservation and Savings Expansion Act of 2003 (S.pending/H.R.1776); Medicare Inpatient Rehabilitation Facility Payment Modifications (S.pending/H.R.2246); The Teacher and Nurse Support Act of 2003 (S.pending/H.R.934); Nurse Loan Forgiveness Act (S.pending/H.R.501); Patient Safety Improvement Act of 2003 (S.720/H.R.663 & 877); FFY 2004 Hospital-Related Bioterrorism Preparedness Funding (President's FFY 2004 Budget Proposal); Assure Access to Mammography Act (S.869/H.R.817); Local Medical Emergency Reimbursement Act of 2003 (S.412/H.R.819); Paul Wellstone Mental Health Treatment Parity Act (S.486/H.R.953); The Legal Immigrant Children's Health Improvement Act of 2003 (S.845/H.R.1689)

Client expense: Not reported · Firm income: Not reported