Medicare Patient Access to Physical Therapists Act of 2007

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

Medicare Patient Access to Physical Therapists Act [H.R.1552/S.932]; Children's Health and Medicare Protection Act [H.R.3162]; Medicare Access to Rehabilitation Services Act [S.450/H.R.748]; Medicare Access to Physical Medicine and Rehabilitation Services Improvement Act [H.R.1846]; Long-term Care Quality and Modernization Act [H.R.4082]

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), SENATE

Medicare Patient Access to Physical Therapists Act [H.R.1552/S.932]; Children's Health and Medicare Protection Act [H.R.3162]; Medicare Access to Rehabilitation Services Act [S.450/H.R.748]; Medicare Access to Physical Medicine and Rehabilitation Services Improvement Act [H.R.1846]; Long-term Care Quality and Modernization Act [H.R.4082]

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), SENATE

HR 748 - Medicare Access to Rehabilitation Services Act, Repeal of Therapy Caps S 450 - Medicare Access to Rehabilitation Services Act, Repeal of Therapy Caps HR 1552 - Medicare Patient Access to Physical Therapists Act S 932 - Medicare Patient Access to Physical Therapists Act HR 1846 - Medicare Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 HR 5445 - To amend part B of title XVIII of the Social Security Act to increase Medicare payments for physicians' services through December 31, 2009 S 2785 - Save Medicare Act of 2008 S 2460 - To extend by one year the moratorium on implementation of a rule relating to the Federal-State financial partnership under Medicaid and the State Children's Health Insurance Program. S 787 - To impose a 2-year moratorium on implementation of a proposed rule relating to the Federal-State financial partnerships under Medicaid and the State Children's Health Insurance Program HR 5590 - Medicare Oral Health Rehabilitative Enhancement Act of 2008 HR 5613 - Protecting Medicaid Safety Net Act of 2008 HR 4105 - Medicare Recovery Audit Contractor Program Moratorium Act of 2007 H CON RES 312 - Revising the congressional budget for the United States Government for fiscal year 2008, establishing the congressional budget for the United States Government for fiscal year 2009, and setting forth appropriate budgetary levels for fiscal years 2010 through 2013 HR 1459 - To improve Medicare beneficiary access by extending the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility S 1958 - Medicare Long-Term Care Hospital Patient Safety and Improvement Act of 2007 HR 3057 - Medicare Long-Term Care Patient Safety and Improvement Act of 2007 CORF, ORF conditions of participation- social and vocational services requirements Medicaid regulations promulgated by CMS Stark provisions in Fee Schedule Rule Physician Quality Reporting Initiative Durable Medical Equipment, Prosthetic, Orthotic & Supplies (DMEPOS) Regulations Medicare Post Acute Care Demo Medicare Home Health Demo Medicare Electronic Health Record demo CMS Alternative Payment System Project Comments to American Health Information Community re: successor Payment updates for physicians, hospitals, skilled nursing facilities, and home health Medicare Manual revisions In office ancillary services exception Inpatient Rehabilitation Facilities under Medicare Improving Funding for the Medicaid Program Extending legislative moratoria on Medicaid Regulations in President's FY 2009 budget Working with plan to mandate implementation of the International Classification of Diseases, 10th edition Medicaid Federal Medical Assistance Percentage (FMAP) 2009 Medicare Physician Fee Schedule Proposed Rule HR 6331-the Medicare Improvements for Patients and Providers Act S 3101- the Medicare Improvements for Patients and Providers Act S 3118 - Preserving Access to Medicare Act of 2008 HR 6252 - Medicare DMEPOS Competive Acquisition Reform Act of 2008 S 3144- Medicare DMEPOS Competive Acquisition Reform Act of 2008 HR 4105 - Medicare Recovery Audit Contractor Program S 2812 - Medicare Telehealth Improvement Act of 2008 HR 5445 - Increase Medicare Payments for physician services S 2785 - Increase Medicare Payments for physician services HR 5704 - Home Health Flexibility Act of 2008 Outpatient Hospital Medicaid Regulations

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.

H.R.748/S.450: Medicare Access to Rehabilitation Services Act of 2007 H.R.1552/S.932: Medicare Patient Access to Physical Therapists Act of 2007

Client expense: Not reported · Firm income: $30,000

S. 450 and HR 748, The Medicare Access to Rehabilitation Services Act of 2007 - All provisions, passage. HR 1846, The Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 - Opposed based on quality, cost accountability, and scope of practice concerns. S. 1224 and HR 3269, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 - Advocated in support of the CHIP program and an expanded role for occuaptional therapy. H.R. 3162, Children's Health and Medicare Protections Act of 2007 (CHAMP) - Advocated for Medicare provision regarding therapy caps, 75% rule on inpatient rehabilitation facilities, SGR cuts and Medicaid provisions. S. 799 and H.R. 1621, The Community Choice Act - Supported all provisions. S. 578 and H.R. 1017, Protecting Children's Health in Schools Act - supported passage and maintaining Medicaid funding for school based administrative claiming and transportation services. H.R. 1809 and S. 2103, Medicare Independent Living Act - Supported the provision of improved access to mobility devices for people with disabilities. H.R. 4082 and S. 1980, Long-term Care Quality and Modernization Act of 2007 - Advocated for inclusion of occupational therapy in quality reporting. S. 932 and H.R. 1552, Medicare Patient Access to Physical Therapist Act of 2007 - Advocated regarding impact on occupational therapy. H.R. 1663, Medicare Mental Health Modernization Act of 2007 - Advocated for passage and improved role for occupational therapy. S. 1628, Nurse Faculty and Physical Therapist Education Act of 2007 - Advocated for inclusion of occupational therapy loan repayment. H.R. 4248, Ensuring Medicare Access to Recreational Thearpy Act - Opposed findings language referring to functional capacities and worked to amend that language. No bill number - Medicaid Rehabilitation Services Proposed Rule - Before Congress advocated for moratorium; opposed proposal to restrict the reimbursement of services under the rehabilitation option. HR 5704, The Medicare Home Health Flexibility Act: Advocated for the promotion of occupational therapy in home health under Medicare. No bill number: Advocated and educated about the role of occupational therapy in mental health practice. HR 5590, Medicare Oral Health Rehabilitative Enhancement Act - inclusion of occupational therapy coverage language. No bill number - Preserving Access to Medicare Act - advocated for passage and inclusion of Part B outpatient therapy cap exceptions process extension, physician fee schedule update, and physician quality review incentive (PQRI). HR 2231 and S 2931 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007 - advocated for exemption of complex rehab from competitive bidding for DMEPOS. H.R. 7130 and S. 3631 - Medically Fragile Childrens Act of 2008 - Advocated for provision of occupational therapy. H.R. 6878 - Medicare Orthotics and Prosthetics Improvement Act of 2008 - Opposed due to negative impact on occupational therapy scope of practice and reimbursement.

Medicare Patient Access to Physical Therapists Act [H.R.1552/S.932]; Children's Health and Medicare Protection Act [H.R.3162]; Medicare Access to Rehabilitation Services Act [S.450/H.R.748]; Medicare Access to Physical Medicine and Rehabilitation Services Improvement Act [H.R.1846]; Long-term Care Quality and Modernization Act [H.R.4082]

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), SENATE

S. 450 and HR 748, The Medicare Access to Rehabilitation Services Act of 2007 - All provisions, passage. HR 1846, The Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 - Opposed based on quality, cost accountability, and scope of practice concerns. S. 1224 and HR 3269, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 - Advocated in support of the CHIP program and an expanded role for occuaptional therapy. H.R. 3162, Children's Health and Medicare Protections Act of 2007 (CHAMP) - Advocated for Medicare provision regarding therapy caps, 75% rule on inpatient rehabilitation facilities, SGR cuts and Medicaid provisions. S. 799 and H.R. 1621, The Community Choice Act - Supported all provisions. S. 578 and H.R. 1017, Protecting Children's Health in Schools Act - supported passage and maintaining Medicaid funding for school based administrative claiming and transportation services. H.R. 1809 and S. 2103, Medicare Independent Living Act - Supported the provision of improved access to mobility devices for people with disabilities. H.R. 4082 and S. 1980, Long-term Care Quality and Modernization Act of 2007 - Advocated for inclusion of occupational therapy in quality reporting. S. 932 and H.R. 1552, Medicare Patient Access to Physical Therapist Act of 2007 - Advocated regarding impact on occupational therapy. H.R. 1663, Medicare Mental Health Modernization Act of 2007 - Advocated for passage and improved role for occupational therapy. S. 1628, Nurse Faculty and Physical Therapist Education Act of 2007 - Advocated for inclusion of occupational therapy loan repayment. H.R. 4248, Ensuring Medicare Access to Recreational Thearpy Act - Opposed findings language referring to functional capacities and worked to amend that language. HR 2642 (PL 110-252) Iraq War Supplemental Appropriations -Advocated for moratorium on Medicaid School-based Transportation and Administrative Claiming Costs and opposed elimination of reimbursement for rehab service option. No bill number - Medicaid Rehabilitation Services Proposed Rule - Before Congress advocated for moratorium; opposed proposal to restrict the reimbursement of services under the rehabilitation option. HR 5704, The Medicare Home Health Flexibility Act: Advocated for the promotion of occupational therapy in home health under Medicare. No bill number: Advocated and educated about the role of occupational therapy in mental health practice. HR 6331 and S 3101, Medicare Improvement for Patients and Providers act of 2008 - Advocated for passage and inclusion of following provisions: Part B Outpatient therapy cap exceptions process extension, physician fee schedule update; reduction in copay for Medicare mental health provisions, and delay competitive bidding for DMEPOS; and PQRI. HR 5590, Medicare Oral Health Rehabilitative Enhancement Act - inclusion of occupational therapy coverage language. No bill number - Preserving Access to Medicare Act - advocated for passage and inclusion of Part B outpatient therapy cap exceptions process extension, physician fee schedule update, and physician quality review incentive (PQRI). HR 2231 and S 2931 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007 - advocated for exemption of complex rehab from competitive bidding for DMEPOS. H.R. 7130 and S. 3631 - Medically Fragile Childrens Act of 2008 - Advocated for provision of occupational therapy. H.R. 6878 - Medicare Orthotics and Prosthetics Improvement Act of 2008 - Opposed due to negative impact on occupational therapy scope of practice and reimbursement.

HR 748 - Medicare Access to Rehabilitation Services Act, Repeal of Therapy Caps S 450 - Medicare Access to Rehabilitation Services Act, Repeal of Therapy Caps HR 1552 - Medicare Patient Access to Physical Therapists Act S 932 - Medicare Patient Access to Physical Therapists Act HR 1846 - Medicare Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 HR 5445 - To amend part B of title XVIII of the Social Security Act to increase Medicare payments for physicians' services through December 31, 2009 S 2785 - Save Medicare Act of 2008 S 2460 - To extend by one year the moratorium on implementation of a rule relating to the Federal-State financial partnership under Medicaid and the State Children's Health Insurance Program. S 787 - To impose a 2-year moratorium on implementation of a proposed rule relating to the Federal-State financial partnerships under Medicaid and the State Children's Health Insurance Program HR 5590 - Medicare Oral Health Rehabilitative Enhancement Act of 2008 HR 5613 - Protecting Medicaid Safety Net Act of 2008 HR 4105 - Medicare Recovery Audit Contractor Program Moratorium Act of 2007 H CON RES 312 - Revising the congressional budget for the United States Government for fiscal year 2008, establishing the congressional budget for the United States Government for fiscal year 2009, and setting forth appropriate budgetary levels for fiscal years 2010 through 2013 HR 1459 - To improve Medicare beneficiary access by extending the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility S 1958 - Medicare Long-Term Care Hospital Patient Safety and Improvement Act of 2007 HR 3057 - Medicare Long-Term Care Patient Safety and Improvement Act of 2007 CORF, ORF conditions of participation- social and vocational services requirements Medicaid regulations promulgated by CMS Stark provisions in Fee Schedule Rule Physician Quality Reporting Initiative Durable Medical Equipment, Prosthetic, Orthotic & Supplies (DMEPOS) Regulations Medicare Post Acute Care Demo Medicare Home Health Demo Medicare Electronic Health Record demo CMS Alternative Payment System Project Comments to American Health Information Community re: successor Payment updates for physicians, hospitals, skilled nursing facilities, and home health Medicare Manual revisions In office ancillary services exception Inpatient Rehabilitation Facilities under Medicare Improving Funding for the Medicaid Program Extending legislative moratoria on Medicaid Regulations in President's FY 2009 budget Working with plan to mandate implementation of the International Classification of Diseases, 10th edition Medicaid Federal Medical Assistance Percentage (FMAP) 2009 Medicare Physician Fee Schedule Proposed Rule HR 6331-the Medicare Improvements for Patients and Providers Act S 3101- the Medicare Improvements for Patients and Providers Act S 3118 - Preserving Access to Medicare Act of 2008 HR 6252 - Medicare DMEPOS Competive Acquisition Reform Act of 2008 S 3144- Medicare DMEPOS Competive Acquisition Reform Act of 2008 HR 4105 - Medicare Recovery Audit Contractor Program S 2812 - Medicare Telehealth Improvement Act of 2008 HR 5445 - Increase Medicare Payments for physician services S 2785 - Increase Medicare Payments for physician services HR 5704 - Home Health Flexibility Act of 2008 Outpatient Hospital Medicaid Regulations

Physician Payment Update H.R.748/S.450: Medicare Access to Rehabilitation Services Act of 2007 H.R.1552/S.932: Medicare Patient Access to Physical Therapists Act of 2007 H.R.6331/S.3101: Medicare Improvements for Patients and Providers Act

Client expense: Not reported · Firm income: $30,000

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.

HR 748 - Medicare Access to Rehabilitation Services Act, Repeal of Therapy Caps S 450 - Medicare Access to Rehabilitation Services Act, Repeal of Therapy Caps HR 1552 - Medicare Patient Access to Physical Therapists Act S 932 - Medicare Patient Access to Physical Therapists Act HR 1846 - Medicare Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 HR 5445 - To amend part B of title XVIII of the Social Security Act to increase Medicare payments for physicians' services through December 31, 2009 S 2785 - Save Medicare Act of 2008 S 2460 - To extend by one year the moratorium on implementation of a rule relating to the Federal-State financial partnership under Medicaid and the State Children's Health Insurance Program. S 787 - To impose a 2-year moratorium on implementation of a proposed rule relating to the Federal-State financial partnerships under Medicaid and the State Children's Health Insurance Program HR 5590 - Medicare Oral Health Rehabilitative Enhancement Act of 2008 HR 5613 - Protecting Medicaid Safety Net Act of 2008 HR 4105 - Medicare Recovery Audit Contractor Program Moratorium Act of 2007 H CON RES 312 - Revising the congressional budget for the United States Government for fiscal year 2008, establishing the congressional budget for the United States Government for fiscal year 2009, and setting forth appropriate budgetary levels for fiscal years 2010 through 2013 HR 1459 - To improve Medicare beneficiary access by extending the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility S 1958 - Medicare Long-Term Care Hospital Patient Safety and Improvement Act of 2007 HR 3057 - Medicare Long-Term Care Patient Safety and Improvement Act of 2007 CORF, ORF conditions of participation- social and vocational services requirements Medicaid regulations promulgated by CMS Stark provisions in Fee Schedule Rule Physician Quality Reporting Initiative Durable Medical Equipment, Prosthetic, Orthotic & Supplies (DMEPOS) Regulations Medicare Post Acute Care Demo Medicare Home Health Demo Medicare Electronic Health Record demo CMS Alternative Payment System Project Comments to American Health Information Community re: successor Payment updates for physicians, hospitals, skilled nursing facilities, and home health Medicare Manual revisions In office ancillary services exception Inpatient Rehabilitation Facilities under Medicare Improving Funding for the Medicaid Program Extending legislative moratoria on Medicaid Regulations in President's FY 2009 budget Working with plan to mandate implementation of the International Classification of Diseases, 10th edition Medicaid Federal Medical Assistance Percentage (FMAP) 2009 Medicare Physician Fee Schedule Proposed Rule HR 6331-the Medicare Improvements for Patients and Providers Act S 3101- the Medicare Improvements for Patients and Providers Act S 3118 - Preserving Access to Medicare Act of 2008 HR 6252 - Medicare DMEPOS Competive Acquisition Reform Act of 2008 S 3144- Medicare DMEPOS Competive Acquisition Reform Act of 2008 HR 4105 - Medicare Recovery Audit Contractor Program S 2812 - Meciare Telehealth Improvement Act of 2008 HR 5445 - Increase Medicare Payments for physician services S 2785 - Increase Medicare Payments for physician services

Physicain Payment Update H.R.748/S.450: Medicare Access to Rehabilitation Services Act of 2007 H.R.1552/S.932: Medicare Patient Access to Physical Therapists Act of 2007 H.R.3661/S.3101: Medicare Improvements for Patients and Providers Act

Client expense: Not reported · Firm income: $30,000

S. 450 and HR 748, The Medicare Access to Rehabilitation Services Act of 2007 - All provisions, passage. HR 1846, The Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 - Opposed based on quality, cost accountability, and scope of practice concerns. S. 1224 and HR 3269, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 - Advocated in support of the CHIP program and an expanded role for occuaptional therapy. H.R. 3162, Children's Health and Medicare Protections Act of 2007 (CHAMP) - Advocated for Medicare provision regarding therapy caps, 75% rule on inpatient rehabilitation facilities, SGR cuts and Medicaid provisions. S. 799 and H.R. 1621, The Community Choice Act - Supported all provisions. S. 578 and H.R. 1017, Protecting Children's Health in Schools Act - supported passage and maintaining Medicaid funding for school based administrative claiming and transportation services. H.R. 1809 and S. 2103, Medicare Independent Living Act - Supported the provision of improved access to mobility devices for people with disabilities. H.R. 4082 and S. 1980, Long-term Care Quality and Modernization Act of 2007 - Advocated for inclusion of occupational therapy in quality reporting. S. 932 and H.R. 1552, Medicare Patient Access to Physical Therapist Act of 2007 - Advocated regarding impact on occupational therapy. H.R. 1663, Medicare Mental Health Modernization Act of 2007 - Advocated for passage and improved role for occupational therapy. S. 1628, Nurse Faculty and Physical Therapist Education Act of 2007 - Advocated for inclusion of occupational therapy loan repayment. H.R. 4248, Ensuring Medicare Access to Recreational Thearpy Act - Opposed findings language referring to functional capacities and worked to amend that language. HR 2642 (PL 110-252) Iraq War Supplemental Appropriations -Advocated for moratorium on Medicaid School-based Transportation and Administrative Claiming Costs and opposed elimination of reimbursement for rehab service option. No bill number - Medicaid Rehabilitation Services Proposed Rule - Before Congress advocated for moratorium; opposed proposal to restrict the reimbursement of services under the rehabilitation option. HR 5704, The Medicare Home Health Flexibility Act: Advocated for the promotion of occupational therapy in home health under Medicare. No bill number: Advocated and educated about the role of occupational therapy in mental health practice. HR 6331 and S 3101, Medicare Improvement for Patients and Providers act of 2008 - Advocated for passage and inclusion of following provisions: Part B Outpatient therapy cap exceptions process extension, physician fee schedule update; reduction in copay for Medicare mental health provisions, and delay competitive bidding for DMEPOS; and PQRI. HR 5590, Medicare Oral Health Rehabilitative Enhancement Act - inclusion of occupational therapy coverage language. No bill number - Preserving Access to Medicare Act - advocated for passage and inclusion of Part B outpatient therapy cap exceptions process extension, physician fee schedule update, and physician quality review incentive (PQRI). HR 2231 and S 2931 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007 - advocated for exemption of complex rehab from competitive bidding for DMEPOS.

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.

Medicare Patient Access to Physical Therapists Act [H.R.1552/S.932]; Children's Health and Medicare Protection Act [H.R.3162]; Medicare Access to Rehabilitation Services Act [S.450/H.R.748]; Medicare Access to Physical Medicine and Rehabilitation Services Improvement Act [H.R.1846]; Long-term Care Quality and Modernization Act [H.R.4082]

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

Physician Payment Update S.450/H.R.748: Medicare Access and Rehabiliation Sevices Act of 2007 S.932/H.R.1552: Medicare Patient Access to Physical Therapists Act of 2007 H.R. 3162: Children's Health and Medicare Protection Act of 2007

Client expense: Not reported · Firm income: $30,000

HR 748 - Medicare Access to Rehabilitation Services Act, Repeal of Therapy Caps S 450 - Medicare Access to Rehabilitation Services Act, Repeal of Therapy Caps HR 1552 - Medicare Patient Access to Physical Therapists Act S 932 - Medicare Patient Access to Physical Therapists Act HR 1846 - Medicare Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 HR 5445 - To amend part B of title XVIII of the Social Security Act to increase Medicare payments for physicians' services through December 31, 2009 S 2785 - Save Medicare Act of 2008 S 2460 - To extend by one year the moratorium on implementation of a rule relating to the Federal-State financial partnership under Medicaid and the State Children's Health Insurance Program. S 787 - To impose a 2-year moratorium on implementation of a proposed rule relating to the Federal-State financial partnerships under Medicaid and the State Children's Health Insurance Program HR 5590 - Medicare Oral Health Rehabilitative Enhancement Act of 2008 HR 5163 - Protecting Medicaid Safety Net Act of 2008 HR 4105 - Medicare Recovery Audit Contractor Program Moratorium Act of 2007 H CON RES 312 - Revising the congressional budget for the United States Government for fiscal year 2008, establishing the congressional budget for the United States Government for fiscal year 2009, and setting forth appropriate budgetary levels for fiscal years 2010 through 2013 HR 4159 - To improve Medicare beneficiary access by extending the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility S 1958 - Medicare Long-Term Care Hospital Patient Safety and Improvement Act of 2007 HR 3057 - Medicare Long-Term Care Patient Safety and Improvement Act of 2007 CORF, ORF conditions of participation- social and vocational services requirements Medicaid regulations promulgated by CMS Stark provisions in Fee Schedule Rule PQRI DMEPOS Regs Medicare PAC demo Medicare Home Health Demo Medicare GHR demo CMS Alternative Payment System Project Comments to AHIC re: successor Payment updates for physicians, hospitals, skilled nursing facilities, and home health Medicare Manual revisions In office ancillary services exception Inpatient Rehabilitation Facilities under Medicare Improving Funding for the Medicaid Program Extending legislative moratoria on Medicaid Regulations in President's FY 2009 budget Working with plan to mandate implementation of the International Classification of Diseases, 10th edition Medicaid Federal Medical Assistance Percentage (FMAP)

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.

S. 450 and HR 748, The Medicare Access to Rehabilitation Services Act of 2007 - All provisions, passage. HR 1846, The Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 - Opposed based on quality, cost accountability, and scope of practice concerns. S. 1224, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 - Advocated in support of the CHIP program and an expanded role for occuaptional therapy. H.R. 3162, Children's Health and Medicare Protections Act of 2007 (CHAMP) - Advocated for Medicare provision regarding therapy caps, 75% rule on inpatient rehabilitation facilities, SGR cuts and Medicaid provisions. S. 799 and H.R. 1621, The Community Choice Act - Supported all provisions. S. 578 and H.R. 1017, Protecting Children's Health in Schools Act - supported passage and maintaining Medicaid funding for school based administrative claiming and transportation services. H.R. 1809 and S. 2103, Medicare Independent Living Act - Supported the provision of improved access to mobility devices for people with disabilities. H.R. 4082 and S. 1980, Long-term Care Quality and Modernization Act of 2007 - Advocated for inclusion of occupational therapy in quality reporting. S. 932 and H.R. 1552, Medicare Patient Access to Physical Therapist Act of 2007 - Advocated regarding impact on occupational therapy. H.R. 1663, Medicare Mental Health Modernization Act of 2007 - Advocated for passage and improved role for occupational therapy. S. 1628, Nurse Faculty and Physical Therapist Education Act of 2007 - Advocated for inclusion of occupational therapy loan repayment. H.R. 4248, Ensuring Medicare Access to Recreational Thearpy Act - Opposed findings language referring to functional capacities and worked to amend that language. No bill number - Medicaid School-based Transportation and Administrative Claiming Costs - Before Congress, opposed elimination of reimbursement - advocated for a moratorium. No bill number - Medicaid Rehabilitation Services Proposed Rule - Before Congress advocated for moratorium; opposed proposal to restrict the reimbursement of services under the rehabilitation option. No bill number: Advocated for the promotion of occupational therapy in home health under Medicare (Note; introduced 4/3/08 ad H.R. 5704, The Medicare Home Health Flexibility Act.). No bill number: Advocated for payment fixes to the Medicare Physician Fee Schedule. No bill number: Advocated and educated about the role of occupational therapy in mental health practice. No bill number: Advocated for an extension of the Medicare Part B Outpatient Therapy cap extension period.

S. 450 and HR 748, The Medicare Access to Rehabilitation Services Act of 2007 - All provisions, passage. HR 1846, The Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 - Opposed based on quality, cost accountability, and scope of practice concerns. S. 1224, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 - Advocated in support of the CHIP program and an expanded role for occuaptional therapy. H.R. 3162, Children's Health and Medicare Protections Act of 2007 (CHAMP) - Advocated for Medicare provision regarding therapy caps, 75% rule on inpatient rehabilitation facilities, SGR cuts and Medicaid provisions. S. 799 and H.R. 1621, The Community Choice Act - Supported all provisions. S. 578 and H.R. 1017, Protecting Children's Health in Schools Act - supported passage and maintaining Medicaid funding for school based administrative claiming and transportation services. S. 543 and H.R. 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007 - Supported this legislation as it protects access to occupational therapy in inpatient rehabilitation facilities. H.R. 1809, Medicare Independent Lliving Act - Supported the provision of improved access to mobility devices for people with disabilities. S. 2499, Medicare, Medicaid and SCHIP Extension Act of 2007 - Advocated for passage of alternative to Medicare cap on PartB outpatient rehabilitation services; physician fee schedule, 75 rule for inpatient rehabilitation facilities, and Medicaid regulatory moratorium. H.R. 4082, Long-term Care Quality and Modernization Act of 2007 - Advocated for inclusion of occupational therapy in quality reporting. S. 932 and H.R. 1552, Medicare Patient Access to Physical Therapist Act of 2007 - Advocated regarding impact on occupational therapy. H.R. 1663, Medicare Mental Health Modernization Act of 2007 - Advocated for passage and improved role for occupational therapy. S. 1628, Nurse Faculty and Physical Therapist Education Act of 2007 - Advocated for inclusion of occupational therapy loan repayment. No bill number - Medicaid School-based Transportation and Administrative Claiming Costs - Before Congress, opposed elimination of reimbursement - advocated for a moratorium. No bill number - Medicaid Rehabilitation Services Proposed Rule - Before Congress advocated for moratorium; opposed proposal to restrict the reimbursement of services under the rehabilitation option. No bill number: Advocated for the promotion of occupational therapy in home health under Medicare. No bill number: Advocated for payment fixes to the Medicare Physician Fee Schedule. No bill number: Advocated and educated about the role of occupational therapy in mental health practice.

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.

Client expense: $610,000 · 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

S450 / HR 748 - Medicare Access to Rehabilitation Services Act. S 932/HR 1552 -Medicare Direct Access to Physical Therapy. . S 578 /HR 1017 - Improve requirements under Medicaid for items and services furnished in through an educational setting. S 329 / HR 552 - Provide coverage for cardiac and pulmonary rehabilitation services.

Client expense: $900,000 · Firm income: Not reported

HR 749; HR 976; HR 1315; HR 1552; HR 1783; HR 2055; HR 2056; HR 2123; HR 2567; HR 3162; HR 3269; S 646; S 1070; S 1108; S 1628; S 1678; S 2499; Medicare Hospice Benefit Payments; Medicare Hospice Contracts and Conditions of Participation for Skilled Nursing Facilities; Medicare & Medicaid Skilled Nursing Facilities Conditions of Participation, Survey, Certification, and Enforcement

Client expense: $233,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA)

S.450/H.R.748: Medicare Access and Rehabiliation Sevices Act of 2007 S.932/H.R.1552: Medicare Patient Access to Physical Therapists Act of 2007 S.2485/H.R.1134: Physical Therapist Student Loan Repayment Eligibility Act of 2007 S.2499: Medicare, Medicaid, and SCHIP Extension Act of 2007

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

HR1934 Prompt Payment Improvement Act of 2007 HR3038 Medicare Physician Payment Reform Act of 2007 HR1408 Health Information Technology Act of 2007 HR1552/S.932 Medicare Patient Access to Physical Therapists Act of 2007 HR2749/S.1519 Voluntary Medicare Quality Reporting Act of 2007 S.1693 Wired for Health Care Quality Act Medicaid Funding Practice Expense Payment under Medicare Payment of Teaching Physicians under Medicare Payment of Graduate Medical Education under Medicare Stark II- Physician Ban on Self-Referral and other Fraud & Abuse HR1552/S.932 Medicare Patient Access to Physical Therapists Act of 2007 HR1293/S.1338 Access to Medicare Imaging Act of 2007

Client expense: $480,000 · Firm income: Not reported

HR 749, HR 976, HR 1315, HR 1552, HR 1783, HR 2055, HR 2056, HR 2123, HR 2567, HR 3162, HR 3269, S 646, S1070, S 1108, S 1628, S 1678, Medicare Hospice Benefit Payments, Medicare Hospice Contracts and Conditions of Participation for Skilled Hursing Facilities

Client expense: $240,250 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, State, Dept of (DOS), Veterans Affairs, Dept of (VA)

S 329 / HR 552 - Provide coverage for cardiac and pulmonary rehabilitation services. HR 2244 - Provide Medicare beneficiaries with access to geriatric assessments and chronic care coordination services. HR 1809 - Eliminate the in home restriction for Medicare coverage of mobility services. S 749 - Permit Medicare - eligible seniors to elect to receive a voucher for HSAs or high deductible health insurance HR 1774 Establish separate definition of outpatient speech-language pathology services. S 173 - Establish Medicare health savings accounts. S 321- Pilot projects for home health agencies to utilize home monitoring and communications technologies. S 338 / HR 562 - Establish facility and patient criteria for long-term care hospitals. S 543 / HR 1459 - Extend the 60% compliance threshold used to determine IRF status. S 630 / HR 1563 - Provide for a minimum payment rate by Medicare Advantage organizations for services at critical access hospitals and rural health clinics. HR 1013- Prohibit approval or continuation of Title XXI section 1115 waivers that provide coverage to non-pregnant adults under SCHIP. HR 1017- Improve requirements under Medicaid for items and services furnished in or through an educational setting. HR 1111- Provide health coverage for every uninsured child through Medicaid and SCHIP. HR 1535- Children's Health First Act - expansion of SCHIP. HR 1329 - Guaranteed Access for SCHIP's Target Population Act. S 95 - Provide health coverage for every uninsured child through Medicaid and SCHIP. S 1281 / HR 2034 - Medicare for All Act S450 / HR 748 - Medicare Access to Rehabilitation Services Act. S 932/HR 1552 -Medicare Direct Access to Physical Therapy. HR 1846- Medicare Access to Physical Medicine and Rehabilitation Act. S 578 /HR 1017 - Improve requirements under Medicaid for items and services furnished in through an educational setting