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.

HR 1125/S 569 - Amend Title XVIII of Social Security Act to repeal Medicare outpatient rehabilitation caps; HR 792/S 493 - Amend Title XVIII of Social Security Act to authorize physical therapists to evaluate/treat Medicare beneficiaries without requirement for a physician referral; HR 810 - Medicare Regulatory & Contracting Reform Act; S 1222 - Amend Title XVIII of Social Security Act in determining eligibility for payment under PPS for inpatient rehabilitation facilities; HR 2246 - Direct the Secretary of HHS to modify treatment categories for qualification as a rehab hospital for purposes of reimbursement under Medicare PPS for inpatient rehab facilities; HR 2560 - Chiropractic Medicare Freedom & Benefit Protection Act; HR 2905 - Amend Title XVIII of Social Security Act for services of respiratory therapists under plan of care for home health services

Client expense: $920,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE

HR1/S1 Medicare Prescription Drug, Improvement, and Modernization Act of 2003. HR721/S382 Medicare Cholesterol Screening Coverage Act if 2003. HR 2343/S1179 Medicare Chronic Care Improvement Act of 2003. HR 1860 Medicare Wellness Act HR 2246 Modify Treatment categories for qualification as Rehibilitation Hospital or Facility. HR 1225/ S 632 Medicare Medical Nutrition Therapy Amendment Act.

Client expense: $340,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA), White House Office

S.607:Medical Liability Reform: Help Efficient, Accessible, Low Cost, Timely Health Care (HEALTH) Act of 2003 H.R. 1776: The Pension Preservation and Savings Expansion Act of 2003 H.R. 2246: Medicare Inpatient Rehabilitation Facility Payment Modifications H.R. 3035: Medication Errors Reduction Act of 2003 H. R. 934: The Teacher and Nurse Support Act of 2003 H.R. 501: Nurse Loan Forgiveness Act S. 720: Patient Safety Improvement Act of 2003 S. 486/H.R.953: Paul Wellstone Mental Health Treatment Parity Act S. 845/H.R.1689: The Legal Immigrant Children's Health Improvement Act of 2003 S. 1729/H.R.3035: Medication Errors Reduction Act of 2003 FFY 2005 Budget Resolution

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

FFY2005 Budget Resolution and Appropriation Bills including Hospital- Related Bioterrorism Preparedness and Workforce Funding Medical Liability Reform-H.R.5/S.607 Pension Preservation and Savings Expansion Act-P.L.108-457 Medicare Inpatient Rehabilitation Facility Payment Modifications-H.R.2246 Medication Errors Reduction Act of 2003-H.R.3035 The Teacher and Nurse Support Act of 2003-H.R.934 Nurse Loan Forgiveness Act-H.R.501 Patient Safety Improvement Act of 2003-S.720;H.R.663;H.R.877 FFY2005 Hospital-Related Bioterrorism Preparedness Funding Paul Wellstone Mental Health Treatment Parity Act-S.486;H.R.953 The Legal Immigrant Children's Health Improvement Act of 2003-S.84;H.R.1689 Medication Errors Reduction Act of 2003-S.1729;H.R.3035 Quality Improvement Act; Funding for Information Technology--S.2710;H.R.4880 Undocumented Immigrant Reporting-H.R.3722 75% Rule for Medicare Inpatient Rehabilitation Facility Prospective Payment System Medicare Inpatient Psychiatric Facility Prospective Payment System Proposed Rule Medicare Inpatient Prospective Payment System Proposed and Final Rule Medicare Skilled Nursing Facility Prospective Payment System Rule Medicare Home Health Prospective Payme System Rule Health Information and Quality Improvement Act-S.2003;S.2710;H.R.4880 Indirect Medical Education Continuation of Increased Federal Medical Assistances Percentage Payments Medicaid Act of 2004-S.2671/H.R.4961 Pregnancy and Trauma Care Access Act-S.2207 Hospital Charity Care/Financial Aid Policy

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

HR 1125/S 569 - Amend Title XVIII of Social Security Act to repeal Medicare outpatient rehabilitaiton therapy caps; HR 792/S 493 - Amend Title XVIII of Social Security Act to authorize Physical Therapists to evaluate/treat Medicare beneficiaries without requirement for a physician referral; HR 810 - Medicare Regulatory & Contracting Reform Act; S 1222 - Amend Title XVIII of Social Security Act in determining eligibility for payment under PPS for inpatient rehabilitaiton facilities; HR 2246 - Direct the Secretary of HHS to modify treatment categories for qualification as a rehab hospital for purposes of reimbursement under Medicare PPS for inpatient rehab facilities; HR 2560 - Chiropractic Medicare Freedom & Benefit Protection Act; HR 2905 - Amend Title XVIII of Social Security Act for services of respiratory therapists under plan of care for home health services

Client expense: $920,000 · Firm income: Not reported

HR 1125/S 569 - Amend Title XVIII of Social Security Act to repeal Medicare outpatient rehabilitaiton therapy caps; HR 792/S 493 - Amend Title XVIII of Social Security Act to authorize Physical Therapists to evaluate/treat Medicare beneficiaries without requirement for a physician referral; HR 810 - Medicare Regulatory & Contracting Reform Act; S 1222 - Amend Title XVIII of Social Security Act in determining eligibility for payment under PPS for inpatient rehabilitaiton facilities; HR 2246 - Direct the Secretary of HHS to modify treatment categories for qualification as a rehab hospital for purposes of reimbursement under Medicare PPS for inpatient rehab facilities; HR 2560 - Chiropractic Medicare Freedom & Benefit Protection Act; HR 2905 - Amend Title XVIII of Social Security Act for services of respiratory therapists under plan of care for home health services

Client expense: $920,000 · Firm income: Not reported

Medical Liability Reform (S.607/H.R.5); Pension Preservation and Savings Expansion Act of 2003 (H.R.1776); Medicare Inpatient Rehabilitation Facility Payment Modifications (H.R. 2246); 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 (S.720/H.R. 663 and 877); FFY 2005 Hospital-Related Bioterrorism Preparedness Funding; Paul Wellstone Mental Health Treatment Parity Act (S.486/H.R. 953); Legal Immigrant Children's Health Improvement Act of 2003 (S.845/H.R. 1689); Medication Errors Reduction Act of 2003 (S.1729/H.R. 3035)

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical Liability Reform (S.607/H.R.5); Pension Preservation and Savings Expansion Act of 2003 (H.R.1776); Medicare Inpatient Rehabilitation Facility Payment Modifications (H.R. 2246); 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 (S.720/H.R. 663 and 877); FFY 2005 Hospital-Related Bioterrorism Preparedness Funding; Paul Wellstone Mental Health Treatment Parity Act (S.486/H.R. 953); Legal Immigrant Children's Health Improvement Act of 2003 (S.845/H.R. 1689); Medication Errors Reduction Act of 2003 (S.1729/H.R. 3035)

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

HR 1/S 1 Medicare Prescription Drug Modernization Act of 2003; HR 1125/S 569 Amend Title XVIII of Social Sec Act to repeal Medicare outpatient rehabilitation therapy caps; HR 1860 Medicare Wellness Act; HR 810 Medicare Regulatory & Contracting Reform Act of 2003; HR 792/S 493, Amend Title XVIII of Soc Sec Act to authorize Physical Therapists to evaluate/treat Medicare beneficiaries without requirement for a physician referral; S 1222 Amend Title XVIII of Social Sec Act in determining eligibility for payment under PPS for inpatient rehab facilities; HR 2246 Direct Sec of HHS to modify treatment categories for qualification as a rehab hospital for purposes of reimbursement under Medicare PPS for inpatient rehab facilities; HR 2560 Chiropractic Medicare Freedom & Benefit Protection Act; HR 2905 Amend Title XVIII of Social Sec Act for services of respiratory therapists under plan of care for home health services

Client expense: $337,925 · 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

--HR 2473, Amend Title XVIII of Social Sec Act to provide for prescription drug coverage under Medicare Program --HR 1/S 1, Medicare Prescription Drug and Modernization Act of 2003 --S 569, HR 1125, Amend Title XVIII of Social Sec Act to repeal Medicare outpatient rehabilitation therapy caps --HR 792, S 493, Amend Title XVIII of Social Sec Act to authorize Physical Therapists to evaluate/treat Medicare beneficiaries without requirement for a physician referral --HR 810, Medicare REgulatory and Contracting Act of 2003 --S 1222,Amend Title XVIII of Social Sec Act in determing eligibility for payment under PPS for inpatient rehab facilities --HR 2246, Direct Secretary of HHS to modify treatment categories for qualification as a rehab hospital for purposes of reimbursment under Medicare PPS for inpatient rehab facilities HR 1860, Medicare Wellness Act

Client expense: $337,925 · Firm income: Not reported

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