Access to Hospitals Act of 2003

HR328 Amend title XIX of Soc. Sec. Act to extend modifications to DSH allotments provided under Medicare & SCHIP benefits improvement & protection Act 2000. HR816 Provide certain temp. increases in Federal medical assistance percentage FMAP under the Medicaid Program. HR1 / S1 Medicare Prescription Drug & Midernization Act of 2003 HR Medicare provider payment restoration bill.

Client expense: $31,370 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR328 Amend title XIX of Soc. Sec. Act to extend modifications to DSH allotments prvided under Medicare & SCHIP benefits improvement & protection act 2000. HR816 Provide certain temporary increases in Federal medical assistance percentage FMAP under the Medicaid Program. HR1 . S1 Medicare Prescription Drug & Modernization Act of 2003 HR Medicare provider payment restoration bill.

Client expense: $31,370 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation to expand health care coverage and access including S. 652/HR328, S845/HR1689, HR3722, HR4156, S622, HR4092; medical emergency reimbursement, S412/HR819; patient safety, S720; and emergency preparedness, S 2275/HR 4108.

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

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

HR328 Amend title XIX of Soc. Sec Act to extend modifications to DSH allotments provided under Medicare & SCHIP benefits improvement & protection act 2000 HR816 Provide certain temp increases in Federal medical assistance percentage FMAP under the Medicaid Program HR1 / S1 Medicare Prescription Drug & Modernization Act of 2003 HR Medicare provider payment restoration bill

Client expense: $15,204 · 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

Communicated to the Maryland Congressional Delegation Johns Hopkins Medicine’s support of the Senate version of HJR 2, “Consolidated Appropriations Resolution, 2003,” to provide temporary relief for certain Medicare providers; joined AAMC to advocate a re-calculation of the Medicare Economic Index. Advocated for an amendment sponsored by Hutchison and Kennedy to restore Indirect Medical Education (IME) payment to 6.5 % level that Medicare paid until last fall as set forth by S. 899, “American Hospital Preservation Act of 2003.” Monitored the Senate and House Medicare prescription drug package and HR 328, “Access to Hospitals Act of 2003.” HR 1, “Medicare Prescription Drug and Modernization Act of 2003,” and S.1, “Prescription Drug and Medicare Improvement Act of 2003,”: worked on the CMS formula for physician payments, regulatory relief in negotiation of inpatient drugs at 340B hospitals; communicated with the Maryland Congressional Delegation and with the conferees concerning various aspects of the Medicare Prescription Drug Bill. Also addressed issues concerning the increase to a positive update of the physician Medicare payments; DSH relief provision and encouraged accelerated application of relief; competitive bidding for durable medical equipment (DME); home health co-payment; the reduction in the home health market basket update; the cut in hospital payments of market basket –0.4; hospital payment improvements; the inclusion of IME relief; competitive bidding nationwide to achieve more cost savings in home health care, and average wholesale pricing of certain drugs.

Client expense: $380,000 · Firm income: Not reported

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

Communicated to the Maryland Congressional Delegation Johns Hopkins Medicine’s support of the Senate version of HJR 2, “Consolidated Appropriations Resolution, 2003,” to provide temporary relief for certain Medicare providers; joined AAMC to advocate a re-calculation of the Medicare Economic Index. Advocated for an amendment sponsored by Hutchison and Kennedy to restore Indirect Medical Education (IME) payment to 6.5% level that Medicare paid until last fall as set forth by S. 899, “American Hospital Preservation Act of 2003.” Monitored the Senate and House Medicare prescription drug package and HR 328, “Access to Hospitals Act of 2003.” HR 1, "Medicare Prescription Drug and Modernization Act of 2003," and S.1, "Prescription Drug and Medicare Improvement Act of 2003,":advocated on behalf of the CMS formula for physician payments, regulatory relief in negotiation of inpatient drugs at 340B hospitals, competitive bidding nationwide to achieve more cost savings in home health care, and average wholesale pricing of certain drugs.

Client expense: $320,000 · 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

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