Access to Medicare Imaging Act of 2007

S 1338, The Access to Medical Imaging Act of 2007 HR 1293, The Access to Medical Imaging Act of 2007 S 1693, Wired for Health Care Quality Act of 2007 HR 6331, Medicare Improvement for Patients and Providers Act of 2008 S 2029, Physician Sunshine Act S 1695, Wired for HC Act HR 6898, Health-e Technology Act of 2008 MIPPA implementation HR 6357, Pro(TECH)t Act HR 6331, Medicare Improvements for Patients and Providers Act HR 3610, FDA Globalization Act of 2008 S334, Healthy Americans Act Bioterrorism Health Information Technology

Client expense: $4,260,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Justice, Dept of (DOJ), Natl Aeronautics & Space Administration (NASA), Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

H.R. 3162, The Children's Health and Medicare Protection Act - provisions related to additional cuts to Medicare diagnostic services; S. 3343/H.R. 6821, Medical Imaging Sunshine Act of 2008; H.R. 1293/S. 1338, Access to Medicare Imaging Act of 2007. CMS - 1404 - P, Medicare Hospital Outpatient Prospective Payment System (proposed) for CY 2009. CMS - 1403 - P, Medicare Physician Fee Schedule (proposed) for CY 2009.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, SENATE

S 1338, The Access to Medical Imaging Act of 2007 HR 1293, The Access to Medical Imaging Act of 2007 S 1693, Wired for Health Care Quality Act of 2007 HR 6331, Medicare Improvement for Patients and Providers Act of 2008 S 2029, Physician Sunshine Act S 1695, Wired for HC Act HR 6898, Health-e Technology Act of 2008 MIPPA implementation HR 6357, Pro(TECH)t Act HR 6331, Medicare Improvements for Patients and Providers Act HR 3610, FDA Globalization Act of 2008 S334, Healthy Americans Act Bioterrorism Health Information Technology

Client expense: $4,260,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Justice, Dept of (DOJ), Natl Aeronautics & Space Administration (NASA), Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

E-Prescribing, S. 2408/HR 4296 Medicare Electronic Medication and Safety Protection Act, Physician Disclosure, HR 5605/ S 2029 - Physician Payments Sunshine Act, Physician Reimbursement/Medicare Physician Fee Schedule, HR 3162, Children's Health and Medicare Protection Act, S. 2785, Save Medicare Act, HR 5545/S.2729 Ensuring the Future Physician Workforce, HR 5445 - to increase Medicare payments for physicians' services, Imaging, HR 1293/S1338, Access to Medicare Imaging Act, Health Information Technology S 1042/HR 583 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act Appropriateness Criteria and Accreditation National Coverage Decision on CTA (CMS) National Coverage Decision on Percutaneous Transluminal Angioplasty concurrent w/Stenting (CMS) Quality Improvement (PQRI) Specialty Hospitals Comparative Effectiveness HR 6331, Medicare Improvements for Patients and Providers Act of 2008 S. 3101, the Medicare Improvements for Patients and Providers Act of 2008 S. 3118, Preserving Access to Medicare Act of 2008 Cardiac Magnetic Resonance Services Coverage for Carotid Stenting IDTF and Anti-markip rules in Physician Fee Schedule Value-based Purchasing

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

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

Legislation regarding Medicare and Medicaid Reimbursement issues which include provisions to expand access, improve services, stabilize payments to hospitals and other providers under Medicaid, Medicare, and/or SCHIP by addressing reimbursement, parity, quality, self-referral, workforce, payment issues, rehabilitation hospitals, long term care hospitals, rural hospitals and various regulations. HR 2606, 340B Drug Expansion Act of 2007, to revise and expand the drug discount program under that section to improve the provision of discounts on drug purchases for certain safety net providers. S 355, Social Security and Medicare Solvency Commission Act, to create a permanent, 15-member commission to make recommendations on how best to save the entitlement programs HR 4105; the Medicare Recovery Audit Contractor Program Moratorium Act of 2007 that would enact a one-year, nationwide moratorium on the Recovery Audit Contract (RAC) program. H Con Res 312/S Con Res 70, fiscal year (FY)2009 budget resolutions, Medicare and Medicaid reductions HR 5480/S 2662, Medicare Funding Warning Response Act, various provisions S 2785, Save Medicare Act physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index reclassification. S. 3101; Medicare Improvements for Patients and Providers physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index HR 6331, Medicare Improvements for Patients and Providers Act physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index HR 6252/S3144, would delay for 18 months the Medicare competitive bidding program for durable medical equipment, prosthetics, orthotics and supplies. Supplemental Appropriations Act, 2008 (HR 2642) Sec. 7001. (a) Moratoria on Certain Medicaid Regulations HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program HR 7110: Job Creation and Unemployment Relief Act: Title III, temporary increase in Medicaid matching rate S 3656: Preserving Access to Healthcare (PATH) Act -- which would delay cuts to Medicare capital indirect medical education (IME) payments for six months provisions in the developing economic stimulus package to temporarily increase FMAP self-referral HR 1424; Paul Wellstone Mental Health and Addiction Equity Act provision banning the growth of physician-owned specialty hospitals workforce: HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp, rural health programs, childrens hospitals GME, S 543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program. HR 3162, "Children's Health and Medicare Protection Act" payment: HR 2206, U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act supplemental appropriations bill (HR 2206) contained moratorium on medicaid regulations regarding capping payment to public providers and GME HR 1480/1741/S 787, to place a two-year moratorium on the Centers for Medicare & Medicaid Services implementation of medicaid regulations regarding capping payment to public providers and GME funding from Section 1011 of the Medicare Modernization Act of 2003 (MMA), HR 1293, Access to Medicare Imaging Act stop the reduction Medicare reimbursements for some medical imaging services HR 882, Access to Emergency Services Act that would increase by 10 percent Medicare reimbursements to physicians who provide care in emergency departments (EDs) or post-stabilization care related to emergency medical conditions in other areas of hospitals HR 552/S 329, The Pulmonary and Cardiac Rehabilitation Act of 2007 to provide for coverage of items and services under a cardiac rehabilitation program and a pulmonary rehabilitation program. HR 3533/S2460, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 3668, TMA, Abstinence Education, and QI Programs Extension Act includes provision which would mitigate the impact of the behavioral offset in the FY08 Inpatient Prospective Payment System (IPPS) final rule S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals, Section 508 hospitals HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program the Fiscal Year (FY) 2009 inpatient prospective payment system (IPPS) final rule eliminated indirect medical education (IME) adjustments to teaching hospitals' capital payments proposed rule to implement National Defense Authorization Act for Fiscal Year 2002" requirement that TRICARE payment methods for outpatient hospital care be determined outpatient reimbursement rules used by Medicare S 3656: to delay cuts to Medicare capital indirect medical education (IME) payments for six months quality S 1226, Children's Health Care Quality Act would allow the Centers for Medicare & Medicaid Services to fund evidence-based demonstrations to improve hospital care for children. HR 1666, Health Care Price Transparency Promotion Act which would build on existing state efforts to report hospital pricing data and require insurers to disclose estimated out-of-pocket costs to consumers S 465; Advance Directives Improvement and Education Act of 2007" to improve access to information about healthcare options and legal rights for care near the end of life rehabilitation hospitals, S543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, rural hospitals, S 1605/HR 2860, Health Care Access and Rural Equity Act (H-CARE) S 1595, Critical Access Hospital Flexibility Act CAHs would gain flexibility to respond to daily and seasonal fluctuations in patient load S 2499;; Medicare, Medicaid, and SCHIP Extension Act Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals long term care hospitals: HR 562/S338, Medicare Long-Term Care Hospital Improvement establishing facility and patient criteria for long-term care hospitals and related improvements under the Medicare Program. S 2499; Medicare, Medicaid, and SCHIP Extension Act Provides regulatory relief for three years to ensure continued access to current long-term care hospital services, while also imposing a limited moratorium on the development of new, long-term care facilities. Medicaid, HR 2512, Reducing Coverage Gaps for Kids Act To amend titles XIX and XXI of the Social Security Act to prohibit States from requiring eligibility determinations for children for benefits under the Medicaid Program and the State Children's Health Insurance Program (SCHIP) more frequently than once every year. HR 2147, Healthy Kids Act to amend titles XXI and XIX of the Social Security Act to extend the State Children's Health Insurance Program (SCHIP) and streamline enrollment under SCHIP and Medicaid and to amend the Internal Revenue Code of 1986 to provide for a healthy savings tax credit for purchase of children's health coverage. HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 1878, To amend title XIX of the Social Security Act to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid HR 3533/S2460 "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 5613, Protecting the Medicaid Safety Net Act, temporary, one-year moratorium on seven Medicaid regulations S 2819, Economic Recovery in Health Care Act to implement a one-year moratorium on proposed regulatory changes to Medicaid and the State Childrens Health Insurance Program (SCHIP), and to provide states in need with federal relief HR 2462, the supplemental funding bill for Iraq and Afghanistan provision to place a temporary, one-year moratorium on seven Medicaid regulations, including the rules to limit Medicaid payments to public hospitals and to eliminate Government Medical Education (GME). SCHIP: S 1224, that would reauthorize the State Childrens Health Insurance Program and expand it to allow additional coverage to six million children within 10 years S 895/HR 1535, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act S. 1893, the Children's Health Insurance Program Reauthorization Act of 2007 S 2049, The Better Health for America's Children Act," to block a new policy to limit states' ability to enroll children in the State Children's Health Insurance Program S 2152, Kids First Actalternative SCHIP bill that would restrict coverage to individuals younger than age 19 in low-income families HR 3963; Children's Health Insurance Program Reauthorization Act revised bill to extend and expand the State Childrens Health Insurance Program (SCHIP) S 2499 the bill extends SCHIP through March 31, 2009, and provides adequate funding to states to maintain their current enrollment through that date. HR 3533, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME regulations including, but not limited to, provisions of PL 106-554, Consolidated Appropriations Act, provisions related to critical access hospitals, inpatient hospital services Direct Graduate Medical Education, Hospital Outpatient Services, Skilled Nursing Facilities, State Children's Health Insurance Program PL 108-173, Medicare Prescription Drug, Improvement, and Modernization Act, provisions related to rural hospitals, inpatient hospital services, skilled nursing facilities, hospice care, hospital outpatient departments, health care quality PL 109-171; Deficit Reduction Act, provisions related to rehabilitation hospitals, medicaid DSH payment, medicare-dependent hospitals, gainsharing, Medicaid, SHCHIP the FY08 IPPS proposed rule, proposed Medicaid rule (CMS 2258-P), the Recovery Audit Contract (RAC) demonstration.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE, White House Office

H.R. 1552/S.932 - Medicare Patient Access to Physical Therapists Act of 2007: prevent direct access to physical therapists in order to avoid unnecessary and overuse of therapy services. H.R. 1293/S.1338 - Access to Medicare Imaging Act of 2007: place a 2 year moratorium on payment cuts to imaging services. H.R. 1934 - Prompt Payment Improvement Act of 2007: bring federal attention to prompt payment reform currently regulated on the state level. H.R. 3038 - Medicare Physician Payment Reform Act of 2007: reform Medicare physician payment formula H.R. 1408 - Health Information Technology Act of 2007: ensure investments in health to produce interoperable and compatible systems/programs. H.R. 2749/S.1519 - Voluntary Medicare Quality Reporting Act of 2007: promote a process for quality measure development, approval and implementation. Use physician's quality assistance fund toward physician payment reform. S.1693 - Wired for Health Care Quality Act: prevent the release of raw Medicare claims data that may be used/interpreted to reflect quality. Practice Expense Payment Under Medicare: ensure awareness for the rising cost of practice expenses and the levels paid through Medicare. Payment of Teaching Physicians Under Medicare: ensure that physicians who teach future healers are adequately reimbursed. Payment of Graduate Medical Education Under Medicare: promote ample/adequate federal assistance to individuals enrolled in medical school who can afford the cost. Stark II - Physician Ban on Self-Referral and Other Fraud & Abuse: ensure that Stark laws do not prevent timely access to quality medical services. H.R. 5613 - Protecting the Medicaid Safety Net Act of 2008: extend certain moratoria and impose additional moratoria on certain Medicaid regulations through April 1, 2009. Farm Bill Conference Report/H.R. 2419: ensure that provisions to restrict physicians' abilities to responsibly invest in hospitals are not included in final bill.

Client expense: $365,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE

H.R. 1293 / S 1338: "Access to Medical Imaging Act" - To delay for 2 years scheduled Medicare cuts to medical imaging H.R. 3162: "CHAMP" Act (secs. 301 & 309) - Oppose this bill that makes various cuts in Medicare imaging services PL 110-275: "Medicare Improvements for Patients and Providers Act" (sec. 135) - Medical imaging accreditation program; Medical imaging clinical appropriateness demonstration program H.R. 621 / S. 1484: "Home Oxygen Patient Protection Act" - Restores treatment of oxygen equipment to standards that existed prior to the enactment of the Deficit Reduction Act of 2005

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

S. 2029/H.R. 5605, Physician Payments Sunshine Act, a bill to provide for transparency in the relationship between physicians and manufacturers of drugs, medical devices, or medical supplies for which payment is made under Medicare, Medicaid or SCHIP; H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008, Section 135, provisions relating to accreditation requirements for Advanced Diagnostic Imaging Services; H.R. 1293/S. 1338, Access to Medicare Imaging Act of 2007, a bill to amend title XVIII of the Social Security Act to provide for a 2-year moratorium on certain Medicare physician payment reductions for advanced diagnostic imaging services; Centers for Medicare & Medicaid Services (CMS) proposed rule for 2009 physician fee schedule regarding Independent Diagnostic Testing Facility (IDTF) expansion

Client expense: $470,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Natl Institute of Standards & Technology (NIST), Natl Telecommunications & Information Administration (NTIA), Occupational Safety & Health Administration (OSHA), SENATE, Transportation, Dept of (DOT), U.S. Trade Representative (USTR)

S.1338/HR 1293 Access to Medical Imaging Act of 2007.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1321, Medicare Advanced Laboratory Diagnostics Act of 2007 S. 631, Remote Monitoring Access Act of 2007 S.2221, Transparency in Medical Device Pricing Act of 2007 HR 1293 / S 1338, Access to Medical Imaging Act of 2007 S 2029, Physician Payment Sunshine Act of 2007

Client expense: Not reported · Firm income: $50,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3023 & S. 2029, Physician Payment Sunshine Act; H.R. 1293 & S. 1388, 2 Year Moratorium on Medicare Reduction to Medical Imaging Services; H.R. 3162, Childrens Health & Medicare Protection Act of 2007; S. 1893 Childrens Health Insurance Program Reauthorization Act of 2007; H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008; Legislation addressing comparative effectiveness including S. 3408, Comparative Effectiveness Research Act of 2008; (more) 2009 Medicare Physician Fee Proposed Rule regarding independent diagnostic testing facilities

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. Physician payment - H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 and S. 2029/H.R. 5606, Physician Payment Sunshine Act of 2007/2008 2. Prevention - expansion of abdominal aortic aneurysm screening 3. Imaging - H.R. 1293/S. 1338 - The Access to Medicare Imaging Act, exemption of vascular ultrasound from DRA cuts and S. 3343/H.R. 6821, Medicare Imaging Disclosure Sunshine Act 4. Quality - Physician Quality Reporting Initiative and use of registries for reporting quality measures 5. Health care reform

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Support HR 1293/S. 1338; oppose cuts to diagnostic imaging in CHAMP ACT (HR 3162) and other legislative vehicles;reverse outpatient cardiac catheterization practice expense cuts; support accreditation model for diagnostic imaging; support HR 6331(MIPPA);oppose IDTF regulations in PFS

Client expense: Not reported · Firm income: $9,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support HR 1293/S. 1338; oppose cuts to diagnostic imaging in CHAMP ACT (HR 3162) and other legislative vehicles;reverse outpatient cardiac catheterization practice expense cuts; support accreditation model for diagnostic imaging; support HR 6331(MIPPA); oppose IDTF regulations in PFS

Client expense: Not reported · Firm income: $9,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support HR 1293/S. 1338; oppose cuts to diagnostic imaging in CHAMP ACT (HR 3162) and other legislative vehicles;reverse outpatient cardiac catheterization practice expense cuts; support accreditation model for diagnostic imaging; support HR 6331(MIPPA);oppose IDTF regulations in PFS

Client expense: Not reported · Firm income: $9,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

support HR 1293/S. 1338 reverse cardiac catheterization practice expense cuts

Client expense: Not reported · Firm income: $12,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

support HR 1293/S. 1338 reverse cardiac catheterization practice expense cuts

Client expense: Not reported · Firm income: $12,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

support HR 1293/S. 1338 reverse cardiac catheterization practice expense cuts

Client expense: Not reported · Firm income: $12,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 1338, The Access to Medical Imaging Act of 2007 HR 1293, The Access to Medical Imaging Act of 2007 S 1693, Wired for Health Care Quality Act of 2007 HR 6331, Medicare Improvement for Patients and Providers Act of 2008 S 2029, Physician Sunshine Act S 1695, Wired for HC Act HR 6898, Health-e Technology Act of 2008 MIPPA implementation HR 6357, Pro(TECH)t Act HR 6331, Medicare Improvements for Patients and Providers Act HR 3610, FDA Globalization Act of 2008 S334, Healthy Americans Act

Client expense: $4,800,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Justice, Dept of (DOJ), Natl Aeronautics & Space Administration (NASA), Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

H.R. 1293 / S 1338: "Access to medical Imaging Act" - To delay for 2 years scheduled Medicare cuts to medical imaging H.R. 3162: "CHAMP" Act (secs. 301 & 309) - Oppose this bill that makes various cuts in Madicare imaging services H.R. 6331: "Medicare Improvements for Patients and Providers Act" (sec. 135) - Medical imaging accreditation program; Medical imagin clinical appropriateness demonstration program H.R. 621 / S. 1484: "Home Oxygen Patient Protection Act - Restores treatment of oxygen equipment to standards that existed prior to the enactmen tof the Deficit Reduction Act of 2005

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE, White House Office

H.R. 3023 & S. 2029, Physician Payment Sunshine Act; H.R. 1293 & S. 1388, 2 Year Moratorium on Medicare Reduction to Medical Imaging Services; H.R. 3162, Childrens Health & Medicare Protection Act of 2007; S. 1893 Childrens Health Insurance Program Reauthorization Act of 2007; H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008; Legislation addressing comparative effectiveness including S. 3408, Comparative Effectiveness Research Act of 2008; (more) 2009 Medicare Physician Fee Proposed Rule regarding independent diagnositc testing facilities

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2029/H.R. 5605, Physician Payments Sunshine Act, a bill to provide for transparency in the relationship between physicians and manufacturers of drugs, medical devices, or medical supplies for which payment is made under Mediciare, Medicaid or SCHIP; H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008, Section 135, provisions relating to accreditation requirements for Advanced Diagnostic Imaging Services H.R. 1293/S. 1338, Access to Medicare Imaging Act of 2007, a bill to amend title XVIII of the Social Security Act to provide for a 2-year moratorium on certain Medicare physician payment reductions for advanced diagnostic imaging services; Centers for Medicare & Medicaid Services (CMS) proposed rule for 2009 physician fee schedule regarding Independent Diagnostic Testing Facility (IDTF) expansion

Client expense: $620,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Export-Import Bank of the United States (EXIM Bank), Federal Communications Commission (FCC), Federal Energy Regulatory Commission (FERC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Natl Institute of Standards & Technology (NIST), Natl Telecommunications & Information Administration (NTIA), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR)

Legislation regarding Medicare and Medicaid Reimbursement issues which include provisions to expand access, improve services, stabilize payments to hospitals and other providers under Medicaid, Medicare, and/or SCHIP by addressing reimbursement, parity, quality, self-referral, workforce, payment issues, rehabilitation hospitals, long term care hospitals, rural hospitals and various regulations. HR 2055 Improving Children's Access to Health Care Act, to improve children's access to health care coverage under the Medicaid Program and the State Children's Health Insurance Program (SCHIP). HR 2606, 340B Drug Expansion Act of 2007, to revise and expand the drug discount program under that section to improve the provision of discounts on drug purchases for certain safety net providers. S 355, Social Security and Medicare Solvency Commission Act, to create a permanent, 15-member commission to make recommendations on how best to save the entitlement programs HR 4105; the Medicare Recovery Audit Contractor Program Moratorium Act of 2007 that would enact a one-year, nationwide moratorium on the Recovery Audit Contract (RAC) program. H Con Res 312/S Con Res 70, fiscal year (FY)2009 budget resolutions, Medicare and Medicaid reductions HR 5480/S 2662, Medicare Funding Warning Response Act, various provisions S 2785, Save Medicare Act physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index reclassification. S. 3101; Medicare Improvements for Patients and Providers physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index HR 6331, Medicare Improvements for Patients and Providers Act physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index HR 6252/S3144, would delay for 18 months the Medicare competitive bidding program for durable medical equipment, prosthetics, orthotics and supplies. Supplemental Appropriations Act, 2008 (HR 2642) Sec. 7001. (a) Moratoria on Certain Medicaid Regulations HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program HR 7110: Job Creation and Unemployment Relief Act: Title III, temporary increase in Medicaid matching rate S 3656: Preserving Access to Healthcare (PATH) Act -- which would delay cuts to Medicare capital indirect medical education (IME) payments for six months self-referral HR 1424; Paul Wellstone Mental Health and Addiction Equity Act provision banning the growth of physician-owned specialty hospitals workforce, HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp, rural health programs, childrens hospitals GME, S 543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program. HR 3162, "Children's Health and Medicare Protection Act" payment: HR 2206, U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act supplemental appropriations bill (HR 2206) contained moratorium on medicaid regulations regarding capping payment to public providers and GME HR 1480/1741/S 787, to place a two-year moratorium on the Centers for Medicare & Medicaid Services implementation of medicaid regulations regarding capping payment to public providers and GME funding from Section 1011 of the Medicare Modernization Act of 2003 (MMA), HR 1293, Access to Medicare Imaging Act stop the reduction Medicare reimbursements for some medical imaging services HR 882, Access to Emergency Services Act that would increase by 10 percent Medicare reimbursements to physicians who provide care in emergency departments (EDs) or post-stabilization care related to emergency medical conditions in other areas of hospitals HR 552/S 329, The Pulmonary and Cardiac Rehabilitation Act of 2007 to provide for coverage of items and services under a cardiac rehabilitation program and a pulmonary rehabilitation program. HR 3533/S2460, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 3668, TMA, Abstinence Education, and QI Programs Extension Act includes provision which would mitigate the impact of the behavioral offset in the FY08 Inpatient Prospective Payment System (IPPS) final rule S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals, Section 508 hospitals HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program quality S 1226, Children's Health Care Quality Act would allow the Centers for Medicare & Medicaid Services to fund evidence-based demonstrations to improve hospital care for children. HR 1666, Health Care Price Transparency Promotion Act which would build on existing state efforts to report hospital pricing data and require insurers to disclose estimated out-of-pocket costs to consumers S 465; Advance Directives Improvement and Education Act of 2007" to improve access to information about healthcare options and legal rights for care near the end of life rehabilitation hospitals, S543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, rural hospitals, S 1605/HR 2860, Health Care Access and Rural Equity Act (H-CARE) S 1595, Critical Access Hospital Flexibility Act CAHs would gain flexibility to respond to daily and seasonal fluctuations in patient load S 2499;; Medicare, Medicaid, and SCHIP Extension Act Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals long term care hospitals: HR 562/S338, Medicare Long-Term Care Hospital Improvement establishing facility and patient criteria for long-term care hospitals and related improvements under the Medicare Program. S 2499; Medicare, Medicaid, and SCHIP Extension Act Provides regulatory relief for three years to ensure continued access to current long-term care hospital services, while also imposing a limited moratorium on the development of new, long-term care facilities. Medicaid, HR 2512, Reducing Coverage Gaps for Kids Act To amend titles XIX and XXI of the Social Security Act to prohibit States from requiring eligibility determinations for children for benefits under the Medicaid Program and the State Children's Health Insurance Program (SCHIP) more frequently than once every year. HR 2147, Healthy Kids Act to amend titles XXI and XIX of the Social Security Act to extend the State Children's Health Insurance Program (SCHIP) and streamline enrollment under SCHIP and Medicaid and to amend the Internal Revenue Code of 1986 to provide for a healthy savings tax credit for purchase of children's health coverage. HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 1878, To amend title XIX of the Social Security Act to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid HR 3533/S2460 "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 5613, Protecting the Medicaid Safety Net Act, temporary, one-year moratorium on seven Medicaid regulations S 2819, Economic Recovery in Health Care Act to implement a one-year moratorium on proposed regulatory changes to Medicaid and the State Childrens Health Insurance Program (SCHIP), and to provide states in need with federal relief HR 2462, the supplemental funding bill for Iraq and Afghanistan provision to place a temporary, one-year moratorium on seven Medicaid regulations, including the rules to limit Medicaid payments to public hospitals and to eliminate Government Medical Education (GME). SCHIP: S 1224, that would reauthorize the State Childrens Health Insurance Program and expand it to allow additional coverage to six million children within 10 years S 895/HR 1535, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act S. 1893, the Children's Health Insurance Program Reauthorization Act of 2007 S 2049, The Better Health for America's Children Act," to block a new policy to limit states' ability to enroll children in the State Children's Health Insurance Program S 2152, Kids First Actalternative SCHIP bill that would restrict coverage to individuals younger than age 19 in low-income families HR 3963; Children's Health Insurance Program Reauthorization Act revised bill to extend and expand the State Childrens Health Insurance Program (SCHIP) S 2499 the bill extends SCHIP through March 31, 2009, and provides adequate funding to states to maintain their current enrollment through that date. HR 3533, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME regulations including, but not limited to, provisions of PL 106-554, Consolidated Appropriations Act, provisions related to critical access hospitals, inpatient hospital services Direct Graduate Medical Education, Hospital Outpatient Services, Skilled Nursing Facilities, State Children's Health Insurance Program PL 108-173, Medicare Prescription Drug, Improvement, and Modernization Act, provisions related to rural hospitals, inpatient hospital services, skilled nursing facilities, hospice care, hospital outpatient departments, health care quality PL 109-171; Deficit Reduction Act, provisions related to rehabilitation hospitals, medicaid DSH payment, medicare-dependent hospitals, gainsharing, Medicaid, SHCHIP the FY08 IPPS proposed rule, proposed Medicaid rule (CMS 2258-P), the Recovery Audit Contract (RAC) demonstration.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE, White House Office

HR 1321, Medicare Advanced Laboratory Diagnostics Act of 2007 S. 631, Remote Monitoring Access Act of 2007 S.2221, Transparency in Medical Device Pricing Act of 2007 HR 1293 / S 1338, Access to Medical Imaging Act of 2007 S 2029, Physician Payment Sunshine Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1552/S.932 - Medicare Patient Access to Physical Therapists Act of 2007: prevent direct access to physical therapists in order to avoid unnecessary and overuse of therapy services. H.R. 1293/S.1338 - Access to Medicare Imaging Act of 2007: place a 2 year moratorium on payment cuts to imaging services. H.R. 1934 - Prompt Payment Improvement Act of 2007: bring federal attention to prompt payment reform currently regulated on the state level. H.R. 3038 - Medicare Physician Payment Reform Act of 2007: reform Medicare physician payment formula H.R. 1408 - Health Information Technology Act of 2007: ensure investments in health to produce interoperable and compatible systems/programs. H.R. 2749/S.1519 - Voluntary Medicare Quality Reporting Act of 2007: promote a process for quality measure development, approval and implementation. Use physician's quality assistance fund toward physician payment reform. S.1693 - Wired for Health Care Quality Act: prevent the release of raw Medicare claims data that may be used/interpreted to reflect quality. Practice Expense Payment Under Medicare: ensure awareness for the rising cost of practice expenses and the levels paid through Medicare. Payment of Teaching Physicians Under Medicare: ensure that physicians who teach future healers are adequately reimbursed. Payment of Graduate Medical Education Under Medicare: promote ample/adequate federal assistance to individuals enrolled in medical school who can afford the cost. Stark II - Physician Ban on Self-Referral and Other Fraud & Abuse: ensure that Stark laws do not prevent timely access to quality medical services. H.R. 5613 - Protecting the Medicaid Safety Net Act of 2008: extend certain moratoria and impose additional moratoria on certain Medicaid regulations through April 1, 2009. Farm Bill Conference Report/H.R. 2419: ensure that provisions to restrict physicians' abilities to responsibly invest in hospitals are not included in final bill.

Client expense: $271,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE

S.1338/HR 1293 Access to Medical Imaging Act of 2007.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1338/HR 1293 Access to Medical Imaging Act of 2007.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. Physician payment - H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 and S. 2029/H.R. 5606, Physicians Payment Sunshine Act of 2007/2008 2. Prevention - S.2115, Medicare Prevention Services Coverage Act of 2007 and expansion of abdominal aortic aneurysm screening 3. Imaging - H.R. 1293/S. 1338 - The Access to Medicare Imaging Act, exemption of vascular ultrasound from DRA cuts and S. 3343/H.R. 6821, Medicare Imaging Disclosure Sunshine Act 4. Quality - Physician Quality Reporting Initiative and use of registries for reporting quality measures 5. Competitive Bidding - H.R. 4935, Medicare Wound Therapy Patient Protection Act 6. Health care reform

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Support HR 1293/S. 1338; oppose cuts to diagnostic imaging in CHAMP ACT (HR 3162) and other legislative vehicles;reverse outpatient cardiac catheterization practice expense cuts; support accreditation model for diagnostic imaging; support HR 6331(MIPPA)

Client expense: Not reported · Firm income: $9,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support HR 1293/S. 1338; oppose cuts to diagnostic imaging in CHAMP ACT (HR 3162) and other legislative vehicles;reverse outpatient cardiac catheterization practice expense cuts; support accreditation model for diagnostic imaging; support HR 6331(MIPPA)

Client expense: Not reported · Firm income: $9,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support HR 1293/S. 1338; oppose cuts to diagnostic imaging in CHAMP ACT (HR 3162) and other legislative vehicles;reverse outpatient cardiac catheterization practice expense cuts; support accreditation model for diagnostic imaging; support HR 6331(MIPPA)

Client expense: Not reported · Firm income: $9,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

support HR 1293/S. 1338 reverse cardiac catheterization practice expense cuts

Client expense: Not reported · Firm income: $12,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

support HR 1293/S. 1338 reverse cardiac catheterization practice expense cuts

Client expense: Not reported · Firm income: $12,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

support HR 1293/S. 1338 reverse cardiac catheterization practice expense cuts

Client expense: Not reported · Firm income: $12,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

E-Prescribing, S. 2408/HR 4296 Medicare Electronic Medication and Safety Protection Act, Physician Disclosure, HR 5605/ S 2029 - Physician Payments Sunshine Act, Physician Reimbursement/Medicare Physician Fee Schedule, HR 3162, Children's Health and Medicare Protection Act, S. 2785, Save Medicare Act, HR 5545/S.2729 Ensuring the Future Physician Workforce, HR 5445 - to increase Medicare payments for physicians' services, Imaging, HR 1293/S1338, Access to Medicare Imaging Act, Health Information Technology S 1042/HR 583 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act Appropriateness Criteria and Accreditation National Coverage Decision on CTA (CMS) National Coverage Decision on Percutaneous Transluminal Angioplasty concurrent w/Stenting (CMS) Quality Improvement (PQRI) Specialty Hospitals Comparative Effectiveness HR 6331, Medicare Improvements for Patients and Providers Act of 2008 S. 3101, the Medicare Improvements for Patients and Providers Act of 2008 S. 3118, Preserving Access to Medicare Act of 2008

Client expense: $490,000 · Firm income: Not reported

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

S 1338, The Access to Medical Imaging Act of 2007 HR 1293, The Access to Medical Imaging Act of 2007 S 1693, Wired for Health Care Quality Act of 2007 HR 6331, Medicare Improvement for Patients and Providers Act of 2008 S 2449, Medicare, Medicaid and SCHIP Extension Act of 2007 S 2029, Physician Sunshine Act S 1695, Wired for HC Act HR 1293, The Access to Medical Imaging Act S 1338, The Access to Medical Imaging Act

Client expense: $5,380,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Justice, Dept of (DOJ), Natl Aeronautics & Space Administration (NASA), Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

H.R. 1293 Access to Medicare Imaging Act of 2007; (Provisions on ensuring Medicare beneficiaries have access to medical imaging procedures.)

Client expense: $1,463,960 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1293 Access to Medicare Imaging Act of 2007; (Provisions on ensuring Medicare beneficiaries have access to medical imaging procedures.)

Client expense: $1,463,960 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1293 Access to Medicare Imaging Act of 2007; (Provisions on ensuring Medicare beneficiaries have access to medical imaging procedures.)

Client expense: $1,463,960 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1293 / S 1338: "Access to medical Imaging Act" - To delay for 2 years scheduled Medicare cuts to medical imaging H.R. 3162: "CHAMP" Act (secs. 301 & 309) - Oppose this bill that makes various cuts in Madicare imaging services H.R. 6331: "Medicare Improvements for Patients and Providers Act" (sec. 135) - To prevent physicians from receiving a cut in Medicare reimbursements H.R. 621 / S. 1484: "Home Oxygen Patient Protection Act - Restores treatment of oxygen equipment to standards that existed prior to the enactmen tof the Deficit Reduction Act of 2005

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

S 631 - Remote Monitoring Access Act of 2007 - a bill to provide for coverage of remote patient management services for chronic health care conditions under the Medicare program. [Julie Cohen, Seth Radus, Brett Loper, Madeleine Smith] HR 1321/S 2404 - Medicaid Advanced Laboratory Diagnostics Act of 2007 - a bill to improve payments under the Medicare clinical laboratory fee schedule [Julie Cohen, Seth Radus, Brett Loper] S 736 - Laboratory Test Improvement Act [David Nexon] HR 1293/S 1338- Access to Medicare Imaging Act - a bill to provide for a 2-year moratorium on certain Medicare physician payment reductions for advanced diagnostic imaging service [Seth Radus, Madeleine Smith] HR 3162 - Children's Health and Medicare Protection Act of 2007 - a bill to extend and improve the children's health insurance program, to improve beneficiary protections under the Medicare, Medicaid, and the CHIP program. [Julie Cohen, Seth Radus, David Nexon] S 2029- Physician Payments Sunshine Act of 2007 - a bill to provide transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid, or SCHIP. [Seth Radus, Julie Cohen, Brett Loper, David Nexon] HR 5605 - Physician Payments Sunshine Act of 2008 - A bill to amendment title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid, or SCHIP, and for other purposes [Julie Cohen, Seth Radus, David Nexon] S 2221 - Transparency in Medical Device Pricing Act of 2007 - a bill to provide for the reporting of sales price data for implantable medical devices [ Seth Radus, Julie Cohen, David Nexon, Brett Loper, Madeleine Smith, David Nexon] HR 3023 - Drug and Medical Device Company Gift Disclosure Act - a bill to require the manufacturers, and distributors of prescription drugs and medical devices to disclosre certain gifts provided in connection with detailing, promotional, or other marketing activities. [Seth Radus, Julie Cohen, David Nexon] HR 6381 - to amend the Federal Food, Drug, and Cosmetic Act with respect to liability under State and local requirements respecting devices. [Seth Radus, Julie Cohen] S. 3010/HR 6331 - Medicare Improvements for Patients and Providers Act of 2008. A bill to amend title XVIII (medicare) of the Social Security Act (SSA) to provide for coverage of additional preventive services [Julie Cohen, Brett Loper, Seth Radus, David Nexon] HR 6252 - Medicare DMEPOS Competitive Acquisition Reform Act. A bill to amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthtics, orthotics, and supplies [Julie Cohen, David Nexon, Madeleine Smith]

Client expense: $924,074 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), White House Office

E-Prescribing, S. 2408/HR 4296 Medicare Electronic Medication and Safety Protection Act, Physician Disclosure, HR 5605/ S 2029 - Physician Payments Sunshine Act, Physician Reimbursement/Medicare Physician Fee Schedule, HR 3162, Children's Health and Medicare Protection Act, S. 2785, Save Medicare Act, HR 5545/S.2729 Ensuring the Future Physician Workforce, HR 5445 - to increase Medicare payments for physicians' services, Imaging, HR 1293/S1338, Access to Medicare Imaging Act, Health Information Technology S 1042/HR 583 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act Appropriateness Criteria and Accreditation National Coverage Decision on CTA (CMS) National Coverage Decision on Percutaneous Transluminal Angioplasty concurrent w/Stenting (CMS) Quality Improvement (PQRI) Specialty Hospitals Comparative Effectiveness HR 6331, Medicare Improvements for Patients and Providers Act of 2008 S. 3101, the Medicare Improvements for Patients and Providers Act of 2008 S. 3118, Preserving Access to Medicare Act of 2008

Client expense: $490,000 · Firm income: Not reported

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

Legislation regarding Medicare and Medicaid Reimbursement issues which include provisions to expand access, improve services, stabilize payments to hospitals and other providers under Medicaid, Medicare, and/or SCHIP by addressing reimbursement, parity, quality, self-referral, workforce, payment issues, rehabilitation hospitals, long term care hospitals, rural hospitals and various regulations. HR 2055 Improving Children's Access to Health Care Act, to improve children's access to health care coverage under the Medicaid Program and the State Children's Health Insurance Program (SCHIP). HR 2606, 340B Drug Expansion Act of 2007, to revise and expand the drug discount program under that section to improve the provision of discounts on drug purchases for certain safety net providers. S 355, Social Security and Medicare Solvency Commission Act, to create a permanent, 15-member commission to make recommendations on how best to save the entitlement programs HR 4105; the Medicare Recovery Audit Contractor Program Moratorium Act of 2007 that would enact a one-year, nationwide moratorium on the Recovery Audit Contract (RAC) program. H Con Res 312/S Con Res 70, fiscal year (FY)2009 budget resolutions, Medicare and Medicaid reductions HR 5480/S 2662, Medicare Funding Warning Response Act, various provisions S 2785, Save Medicare Act physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index reclassification. S. 3101; Medicare Improvements for Patients and Providers physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index HR 6331, Medicare Improvements for Patients and Providers Act physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index HR 6252/S3144, would delay for 18 months the Medicare competitive bidding program for durable medical equipment, prosthetics, orthotics and supplies. self-referral HR 1424; Paul Wellstone Mental Health and Addiction Equity Act provision banning the growth of physician-owned specialty hospitals workforce, HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp, rural health programs, childrens hospitals GME, S 543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program. HR 3162, "Children's Health and Medicare Protection Act" payment: HR 2206, U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act supplemental appropriations bill (HR 2206) contained moratorium on medicaid regulations regarding capping payment to public providers and GME HR 1480/1741/S 787, to place a two-year moratorium on the Centers for Medicare & Medicaid Services implementation of medicaid regulations regarding capping payment to public providers and GME funding from Section 1011 of the Medicare Modernization Act of 2003 (MMA), HR 1293, Access to Medicare Imaging Act stop the reduction Medicare reimbursements for some medical imaging services HR 882, Access to Emergency Services Act that would increase by 10 percent Medicare reimbursements to physicians who provide care in emergency departments (EDs) or post-stabilization care related to emergency medical conditions in other areas of hospitals HR 552/S 329, The Pulmonary and Cardiac Rehabilitation Act of 2007 to provide for coverage of items and services under a cardiac rehabilitation program and a pulmonary rehabilitation program. HR 3533/S2460, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 3668, TMA, Abstinence Education, and QI Programs Extension Act includes provision which would mitigate the impact of the behavioral offset in the FY08 Inpatient Prospective Payment System (IPPS) final rule S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals, Section 508 hospitals quality S 1226, Children's Health Care Quality Act would allow the Centers for Medicare & Medicaid Services to fund evidence-based demonstrations to improve hospital care for children. HR 1666, Health Care Price Transparency Promotion Act which would build on existing state efforts to report hospital pricing data and require insurers to disclose estimated out-of-pocket costs to consumers S 465; Advance Directives Improvement and Education Act of 2007" to improve access to information about healthcare options and legal rights for care near the end of life rehabilitation hospitals, S543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, rural hospitals, S 1605/HR 2860, Health Care Access and Rural Equity Act (H-CARE) S 1595, Critical Access Hospital Flexibility Act CAHs would gain flexibility to respond to daily and seasonal fluctuations in patient load S 2499;; Medicare, Medicaid, and SCHIP Extension Act Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals long term care hospitals: HR 562/S338, Medicare Long-Term Care Hospital Improvement establishing facility and patient criteria for long-term care hospitals and related improvements under the Medicare Program. S 2499; Medicare, Medicaid, and SCHIP Extension Act Provides regulatory relief for three years to ensure continued access to current long-term care hospital services, while also imposing a limited moratorium on the development of new, long-term care facilities. Medicaid, HR 2512, Reducing Coverage Gaps for Kids Act To amend titles XIX and XXI of the Social Security Act to prohibit States from requiring eligibility determinations for children for benefits under the Medicaid Program and the State Children's Health Insurance Program (SCHIP) more frequently than once every year. HR 2147, Healthy Kids Act to amend titles XXI and XIX of the Social Security Act to extend the State Children's Health Insurance Program (SCHIP) and streamline enrollment under SCHIP and Medicaid and to amend the Internal Revenue Code of 1986 to provide for a healthy savings tax credit for purchase of children's health coverage. HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 1878, To amend title XIX of the Social Security Act to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid HR 3533/S2460 "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 5613, Protecting the Medicaid Safety Net Act, temporary, one-year moratorium on seven Medicaid regulations S 2819, Economic Recovery in Health Care Act to implement a one-year moratorium on proposed regulatory changes to Medicaid and the State Childrens Health Insurance Program (SCHIP), and to provide states in need with federal relief HR 2462, the supplemental funding bill for Iraq and Afghanistan provision to place a temporary, one-year moratorium on seven Medicaid regulations, including the rules to limit Medicaid payments to public hospitals and to eliminate Government Medical Education (GME). SCHIP: S 1224, that would reauthorize the State Childrens Health Insurance Program and expand it to allow additional coverage to six million children within 10 years S 895/HR 1535, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act S. 1893, the Children's Health Insurance Program Reauthorization Act of 2007 S 2049, The Better Health for America's Children Act," to block a new policy to limit states' ability to enroll children in the State Children's Health Insurance Program S 2152, Kids First Actalternative SCHIP bill that would restrict coverage to individuals younger than age 19 in low-income families HR 3963; Children's Health Insurance Program Reauthorization Act revised bill to extend and expand the State Childrens Health Insurance Program (SCHIP) S 2499 the bill extends SCHIP through March 31, 2009, and provides adequate funding to states to maintain their current enrollment through that date. HR 3533, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME regulations including, but not limited to, provisions of PL 106-554, Consolidated Appropriations Act, provisions related to critical access hospitals, inpatient hospital services Direct Graduate Medical Education, Hospital Outpatient Services, Skilled Nursing Facilities, State Children's Health Insurance Program PL 108-173, Medicare Prescription Drug, Improvement, and Modernization Act, provisions related to rural hospitals, inpatient hospital services, skilled nursing facilities, hospice care, hospital outpatient departments, health care quality PL 109-171; Deficit Reduction Act, provisions related to rehabilitation hospitals, medicaid DSH payment, medicare-dependent hospitals, gainsharing, Medicaid, SHCHIP the FY08 IPPS proposed rule, proposed Medicaid rule (CMS 2258-P), the Recovery Audit Contract (RAC) demonstration.

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

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

HR 1321, Medicare Advanced Laboratory Diagnostics Act of 2007 S. 631, Remote Monitoring Access Act of 2007 S.2221, Transparency in Medical Device Pricing Act of 2007 HR 1293 / S 1338, Access to Medical Imaging Act of 2007 S 2029, Physician Payment Sunshine Act of 2007

Client expense: Not reported · Firm income: $70,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3023 & S. 2029, Physician Payment Sunshine Act; H.R. 1293 & S. 1388, 2 Year Moratorium on Medicare Reduction to Medical Imaging Services; H.R. 3162, Childrens Health & Medicare Protection Act of 2007; S. 1893 Childrens Health Insurance Program Reauthorization Act of 2007; H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008; Medicare Coverage of computed tomographic angiography and other reimbursement issues

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE