Medicare Independent Living Act of 2007

H.R. 1809, Medicare Independent Living Act of 2007, provisions that assist persons with disabilities. S. 1799 and H.R. 1621, Community Choice Act, provisions providing independence for individuals with disabilities. P.L. 109-171, implementation of the Deficit ReductionAct, provisions dealing with Medicaid. S. 2499, Medicare, Medicaid and SCHIP Extension Act of 2007. P.L. 110-252, Protecting the Medicaid Safety Net Act of 2008, sections pertaining to moratoria on Centers for Medicare and Medicaid Services rehabilitation option, case management and school based services/transportation regulations. H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008. S. 2819, Economic Recovery in Health Care Act of 2008, same as above as well as provision to impose a moratoria on SCHIP directive and provisions to provide state fiscal relief. S.Con.Res. 70 and H.Con.Res. 312, FY 2009 Budget Resolutions, provisions dealing with Medicaid reserve funds. Legislation dealing with direct support worker issues. Implementation of Medicaid Section 1917 (d) regarding trusts and transfer of asset rules. S.3327, the Empowered at Home Act of 2008 to amend the Medicaid Section 1915 (i) Home and Community Based Services Option. Efforts to elminate the 24-month waiting period for Medicare. Implementation of the Olmstead decision regarding community integration. Health Care Reform. Federal Medical Assistance Percentage (FMAP increase.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Election Assistance Commission (EAC), Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

H.R. 1809, Medicare Independent Living Act of 2007; H.R. 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007; Ending the Two-Year Wating Period for Individuals with Disabilities to Qualify for Medicare

Client expense: Not reported · Firm income: $40,000

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), 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. 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.

Prosthetic Parity (HR 5615, S 3517), Medicare 2-year waiting period, In-home restrictions (HR 1809), Competitive bidding, State Children's Health Insurance Programs (SCHIP).

Client expense: Not reported · Firm income: Not reported

Prosthetic Parity (HR 5615, S 3517), Medicare 2-year waiting period, In-home restrictions (HR 1809), Competitive bidding, State Children's Health Insurance Programs (SCHIP).

Client expense: Not reported · Firm income: Not reported

Prosthetic Parity (HR 5615, S 3517), Medicare 2-year waiting period, In-home restrictions (HR 1809), Competitive bidding, State Children's Health Insurance Programs (SCHIP).

Client expense: Not reported · Firm income: Not reported

Prosthetic Parity (HR 5615, S 3517), Medicare 2-year waiting period, In-home restrictions (HR 1809), Competitive bidding, State Children's Health Insurance Programs (SCHIP).

Client expense: Not reported · Firm income: Not reported

Prosthetic Parity (HR 5615, S 3517), Medicare 2-year waiting period, In-home restrictions (HR 1809), Competitive bidding, State Children's Health Insurance Programs (SCHIP).

Client expense: Not reported · Firm income: Not reported

Prosthetic Parity (HR 5615, S 3517), Medicare 2-year waiting period, In-home restrictions (HR 1809), Competitive bidding, State Children's Health Insurance Programs (SCHIP).

Client expense: Not reported · Firm income: Not reported

Medicare Improvements for Patients & Providers Act of 2008, HR 6331, and related bills, HR 6252, S. 3118, including provisions to fix the physician payment rate, delay Medicare competitive bidding for durable medical equipment and exempt complex rehabilitation from competitive bidding altogether (because of impacts on popel who need wheelchairs and other durable medical equipment), provider Medicare mental health parity, delay cuts to Medicare therapies, require Medicare Part D to cover cont. certain drugs, strengthen CMS authority to require Part D plans to ensure broad coverage on prescription durg plan formularies, improve access to the Medicare Savings Program, eliminate Medicare Part D enrollment penalties, limit out-of-pocket costs for people who are qualified Medicare beneficiaries and people who are eligible for both Medicare and Medicaid (dual eligibles), simplify and align Medicare low-income assistance programs, bring outdated asset limits in line with today's cost of living, improve outreach and participation for those people currently eligible. S 3327 -- to improve the state plan option under Medicaid providing for home and community-based services -- changes the home and community-based services option in the 2005 Deficit Reduction Act to allow more people to access these services. HR 1845 & S. 6252 - Medicare DMEPOS Competitive Acquisition Reform Act of 2007 regarding competitive bidding for durable medical equiptment. HR 1809/ S 2103 -- Medicare Independent Living Act -- to reverse Medicare regulations and policies that restrict payment for power mobility devices (wheelchairs) to those needed "in the home" rather than in the community -- such as for going to work, school, grocery shopping, medical appointments, places of worship and to accompany childred to school and activities. HR 1621/ S 799 - Community Choice Act of 2007 -- to support Medicaid coverage of community based services such as personal care, activities of daily living, etc. HR 1279 -- Direct Support Professional's Fairness & Security Act -- to support equalization of wages between privately and publicly employed direct support professionals. Discussions with senior CMS officials about what will be happening with competitive bidding following enactment of HR 6331 that delayed competitive bidding temporarily and exempted complex rehabilitation from competive bidding altogether. Discussions about possible future legislation to: -- make permanent some of the temporary delays/moratoria that were included in HR 6331 and related bills -- protect the Medicaid waiver application process and require transparency on behalf of states and CMS. -- delay the Medicare 24-month waiting period -- seek permanent repeal of Medicaid rules that were delayed by legislation (e.g. enactment of HR 5613)

H.R. 1809, Medicare Independent Living Ct of 2007, provisions that assist persons with disabilities. S. 1799 and H.R. 1621, Community Choice Act, provisions providing independence for individuals with disabilities. P.L. 109-171, implementation of the Deficit ReductionAct, provisions dealing with Medicaid. S. 2499, Medicare, Medicaid and SCHIP Extension Act of 2007. Legislation not yet introduced to amend the Deficit Reduction Act of 2005 to improve usefullness of the new section 1915(i) Home and Community-Based Services Option. P.L. 110-252, Protecting the Medicaid Safety Net Act of 2008, sections pertaining to moratoria on Centers for Medicare and Medicaid Services rehabilitation option, case management and school based services/transportation regulations. H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008. H.R. 2642, FY 2008 Iraq/Afghanistan War Supplemental Appropriations bill, domestic provisions. S. 2819, Economic Recovery in Health Care Act of 2008, same as above as well as provision to impose a moratoria on SCHIP directive and provisions to provide state fiscal relief. S. 2578 and H.R. 5173, legisation to impose a one year moratorium on the CMS case management rule. H.R. 4355, moratorium on rehabilitation option and school-based transportation rule. S.Con.Res. 70 and H.Con.Res. 312, FY 2009 Budget Resolutions, provisions dealing with Medicaid reserve funds. Legislation dealing with direct support worker issues. Implementation of Medicaid Section 1917 (d) regarding trusts and transfer of asset rules. S.3327, the Empowered at Home Act of 2008 to amend the Medicaid Section 1915 (i) Home and Community Based Services Option. Efforts to elminate the 24-month waiting period for Medicare. Implementation of the Olmstead decision regarding community integration.

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

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.

H.R. 1809, Medicare Independent Living Act of 2007; H.R. 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007

Client expense: Not reported · Firm income: $40,000

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

H.R. 1809, Medicare Independent Living Ct of 2007, provisions that assist persons with disabilities. S. 1799 and H.R. 1621, Community Choice Act, provisions providing independence for individuals with disabilities. P.L. 109-171, implementation of the Deficit ReductionAct, provisions dealing with Medicaid. S. 2499, Medicare, Medicaid and SCHIP Extension Act of 2007. Legislation not yet introduced to amend the Deficit Reduction Act of 2005 to improve usefullness of the new section 1915(i) Home and Community-Based Services Option. H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, sections pertaining to moratoria on Centers for Medicare and Medicaid Services rehabilitation option, case management and school based services/transportation regulations. H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008. H.R. 2642, FY 2008 Iraq/Afghanistan War Supplemental Appropriations bill, domestic provisions. S. 2819, Economic Recovery in Health Care Act of 2008, same as above as well as provision to impose a moratoria on SCHIP directive and provisions to provide state fiscal relief. S. 2578 and H.R. 5173, legisation to impose a one year moratorium on the CMS case management rule. H.R. 4355, moratorium on rehabilitation option and school-based transportation rule. S.Con.Res. 70 and H.Con.Res. 312, FY 2009 Budget Resolutions, provisions dealing with Medicaid reserve funds.

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

HR. 3 and S. 5 - Stem Cell Enhancement Act - favorably lobbied to provide more embroynic stem cell lines available for govt. funded researsch; Lobbied for a $15 million appropriation via H.R. 3222 for MS research into the Defense budget, Lobbied for H.R. 1038 and S. 623 to provide FDA with a regulatory pathway to approve follow-on biological drugs; Lobbied for H.R. 1809 to that would require Medicare to cover wheelchairs for use outside ones home; Lobbied for drug safety provision in H.R. 3580; H.R. 1536 to provide fairer rules to Medicare Part D enrollees, H.R. 3195/S. 1881 the ADA Restoration Act to ensure original intent of the law is followed, S 358/ HR 493 for favorable passage of the Genetic Information Nondiscrimination Act,

Client expense: $321,483 · Firm income: Not reported

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

Medicare Improvements for Patients and Providers Act of 2008, HR. 6331, and related bills, HR 6252, S 3118, including provisions to fix the physician payment rate, delay Medicare competitive bidding, exempt complex rehab from competitive bidding (because of the impact of competitive bidding on people who need wheelchairs and other durable medical equipment) provide Medicare mental health parity, delay cuts to Medicare therapies, require Medicare Part D to cover certain drugs, strengthen CMS authority to require Part D plans to ensure broad coverage on prescription drug plan formularies, improve access to the Medicare Savings Program, eliminate Medicare Part D late enrollment penalties, limit out-of-poicket costs for dual eligibles and qualified Medicare beneficiaries, revise the definition of medically accepted indication for drugs, simplify and align Medicare low-income assistance programs, bring outdated asset limits in line with today's cost of living, improve outreach and participation for those currently eligible. HR 1845 and S. 1428 - Medicare Durable Medical Equipment Act of 2007 regarding competitive bidding for durable medical equipment (DME). S. 3144 and HR 6252 -- Medicare DMEPOS Competitive Acquisition Reform Act of 2007, to delay implementation of Medicare competitive bidding program. HR 2642 - Iraq War supplemental appropriation -- support provision to put a moratorium on certain Medicaid regulations. HR 5613 - Protecting Medicaid Safety Net -- support provision for moratoria on existing reguslations including those that would severely restrict rehabilitation and targeted case management. Medicare Independent Living Act (HR 1809/S 2103) to reverse Medicare regulations that restrict payment for power mobility devices (wheelchairs) to those needed "in the home" rather than in the community -- such as for going to work, school, grocery store, medical appointments, places of worship, and to accompany children to school and activities. Community Choice Act of 2007 (HR 1621/S 799) -- support Medicaid coverage of community based services such as personal care, activities of daily living, etc. Direct Support Professional's Fairness & Security Act (HR 1279) -- support equalization of wages between privately and publicly employed direct support professionals. Promoting Wellness for People with Disabilities Act of 2007 (S. 1050) -- support accessibility of medical examination and diagnostic equipment for people with disabilities. Letter to President Bush and Health & Human Services Secretary Leavitt urging CMS to change the policy in its directives of August 17, 2007 and May 7, 2008 in order to eliminate the hurdles for states to provide SCHIP (State Childrens Health Insurance Plan) coverage to uninsured children. HR 2642 -- supplemental appropriations for military consturction, Dept. of Veterans Affairs and related agencies for FY 08, including: Title III - GI bill -- Veterans Educational Assistance of 2008; Title V -- Medicaid provisions including amending the Medicare, Medicaid and SCHIP Extension Act of 2007 to extend moratorium on restrictions relating to Medicaid coverage or payment for rehabilitation services or school-based administration and school-based transportation, moratoria on specific Medicaird reguslations,

H.R. 1809, Medicare Independent Living Act of 2007; H.R. 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007

Client expense: Not reported · Firm income: $40,000

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), 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.

Protecting Medicaid Safety Net Act (HR 5613) - moratoria on existing regulations including those that would severely restrict rehabilitation and targeted case management. Medicare Independent Living Act (HR 1809/S2103) to reverse the Medicare regulation that restricts payment for power mobility devices (wheel chairs) to those needed "in the home" rather than in the community (such as for going to work, school, (continued) grocery store, pharmacy, medical appointments, places of worship, to vote, to accompany children to school). Community Choice Act of 2007 (HR 1621/S 799) -- to provide for Medicaid coverage of community based services such as personal care, activities of daily living, etc. Direct Support Professional's Fairness & Security Act (HR 1279) -- to equalize wages between privately and publicly employed direct support personnel. Promoting Wellness for People with Disabilities Act of 2007 (S. 1050) --- to promote accessibility of medical examination and diagnostic equipment for people with disabilities.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Social Security Administration (SSA), State, Dept of (DOS)

H.R. 1809, Medicare Independent Living Ct of 2007, provisions that assist persons with disabilities. S. 1799 and H.R. 1621, Community Choice Act, provisions providing independence for individuals with disabilities. H.R. 1279, Direct Support Professional Fairness and Security Act of 2007, provisions dealing with direct support workers for persons with disabilities. S. 2499, Medicare, Medicaid and SCHIP Extension Act of 2007. Legislation not yet introduced to amend the Deficit Reduction Act of 2005 to improve usefullness of the new section 1915(i) Home and Community-Based Services Option. H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, sections pertaining to moratoria on Centers for Medicare and Medicaid Services rehabilitation option, case management and school based services/transportation regulations. S. 2819, Economic Recovery in Health Care Act of 2008, same as above as well as provision to impose a moratoria on SCHIP directive and provisions to provide state fiscal relief. S. 2578 and H.R. 5173, legisation to impose a one year moratorium on the CMS case management rule. H.R. 4355, moratorium on rehabilitation option and school-based transportation rule. S.Con.Res. 70 and H.Con.Res. 312, FY 2009 Budget Resolutions, provisions dealing with Medicaid reserve funds.

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

H.R. 1809, Medicare Independent Living Ct of 2007, provisions that assist persons with disabilities. P.L. 109-171, Choice Act, Direct Support Profefssioinals Fairness andSecurity Act (H.R. 1279). S. 1799 and H.R. 1621, Community Choice Act, provisions providing independence for individuals with disabilities. H.R. 1279, Direct Support Professional Fairness and Security Act of 2007, provisions dealing with direct support workers for persons with disabilities. P.L. 109-171, implementation of the Deficit ReductionAct, provisions dealing with TANF and Medicaid. S. 2499, Medicare, Medicaid and SCHIP Extension Act of 2007. Legislation not yet introduced to amend the Deficit Reduction Act of 2005 to improve usefullness of the new section 1915(i) Home and Community-Based Services Option. H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, sections pertaining to moratoria on Centers for Medicare and Medicaid Services rehabilitation option, case management and school based services/transportation regulations. S. 2819, Economic Recovery in Health Care Act of 2008, same as above as well as provision to impose a moratoria on SCHIP directive and provisions to provide state fiscal relief. S. 2578 and H.R. 5173, legisation to impose a one year moratorium on the CMS case management rule. H.R. 4355, moratorium on rehabilitation option and school-based transportation rule. S.Con.Res. 70 and H.Con.Res. 312, FY 2009 Budget Resolutions, provisions dealing with Medicaid reserve funds.

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

HR. 3 and S. 5 - Stem Cell Enhancement Act - favorably lobbied to provide more embroynic stem cell lines available for govt. funded researsch; Lobbied for a $15 million appropriation via H.R. 3222 for MS research into the Defense budget, Lobbied for H.R. 1038 and S. 623 to provide FDA with a regulatory pathway to approve follow-on biological drugs; Lobbied for H.R. 1809 to that would require Medicare to cover wheelchairs for use outside ones home; Lobbied for drug safety provision in H.R. 3580; H.R. 1536 to provide fairer rules to Medicare Part D enrollees, H.R. 3195/S. 1881 the ADA Restoration Act to ensure original intent of the law is followed, S 358/ HR 493 for favorable passage of the Genetic Information Nondiscrimination Act,

Client expense: $71,483 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)

H.R. 1809, Medicare Independent Living Act of 2007; H.R. 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007

Client expense: Not reported · Firm income: $40,000

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), 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, 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.

[same as reported]: H.R. 3 and S. 5 - Stem Cell Enhancement Act - favorably lobbied to provide more embyonic stem cell lines available for govt. funded research; Lobbied for $15 million appropriation via H.R. 3222 for MS research in the Defense budget, Lobbied for H.R. 1038 and S. 623 to provide FDA with a regulatory pathway to approve follow-in biological drugs; Lobbied for H.R. 1809 that would require Medicare to cover wheelchairs for use outside ones home; Lobbied for drug safety provision in H.R. 3580; Lobbied for a $3.5 million line item for an MS center in West Virginia University in the Labor-HHS-Education appropriations bill; Lobbied for increased funding for NIH and the CDC in the Labor-HHS-Education appropriations bill; Lobbied for $2 million for funding for the Lifespan Respite Care Act in the Labor-HHS-Education appropriations bill.

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

Medicare "in the home" restriction for power mobility devices (HR 1809). Medicare coverage of iBOT Mobility System (HR 2520 and S 1465). Coding of Hydrophilic Catheter Kits w Extension Sleeve. Lifespan Respite Care Act (was HR 3248 in 109th). SCHIP reauthorization (HR 976, HR 3162, S 1893) including but not limited to provision to halt CMS from taking adverse administrative action or issue new Medicaid rule regarding rehabilitative services option. Community Choice Act of 2007(S. 799). Preseving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007 (S. 543 & HR 1459). Community Choice Act of 2007 (S 799 & HR 1621). Eliminate 2-year waiting period for Medicare benefits for SSDI recipients. Improve the process of developing Section 1115 Medicaid waivers. Support Medicare Payment Advisory Commission (MedPAC) recommendation re: financial neutrality between payment rates for the Medicare fee-for-service program and the Medicare Advantage program. CMS implementation of competitive bidding program for durable medical equipment, prosthetics, orthotics and supplies (DMEPOS).

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

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.

Medicare Independent Living Act regarding power mobility devices (HR 1809 and S 2103). Medicare coverage of iBOT Mobility System (HR 2520 and S 1465). SCHIP reauthorization and Medicare package legislation (S 2499, HR 976, HR 3162, S 1893) including but not limited to provision to halt CMS from taking adverse administrative action or issue new Medicaid rule regarding rehabilitative services option, access to Medicaid rehabilitation and school-based services, comparative effectiveness research, cont

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

Government targets: HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), SENATE, Social Security Administration (SSA), State, Dept of (DOS)

H.R. 1809, Medicare Independent Living Act of 2007, provisions that assist persons with disabilities. P.L. 109-171, Choice Act, Direct Support Professioinals Fairness and Security Act, H.R. 1279.

Client expense: $40,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Election Assistance Commission (EAC), Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, Natl Security Agency (NSA), Office of Justice Program, Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

H.R. 1809, Medicare Independent Living Act of 2007, provisions that assist persons with disabilties. P.L. 109-171, Choice Act, Direct Support Professioinals Fairness and Security Act, H.R. 1279.

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

HR. 3 and S. 5 - Stem Cell Enhancement Act - favorably lobbied to provide more embroynic stem cell lines available for govt. funded researsch; Lobbied for a $15 million appropriation via H.R. 3222 for MS reaserch into the Defense budget, Lobbied for H.R. 1038 and S. 623 to provide FDA with a regulatory pathway to approve follow-on biological drugs; Lobbied for H.R. 1809 to that would require Medicare to cover wheelchairs for use outside ones home; Lobbied for drug safety provision in H.R. 3580;

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA)

H.R. 1809 - Medicare Independent Living Act of 2007; H.R. 1459 - Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007

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

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

H.R. 1809, Medicare Independent Living Act of 2007, provisions that assist persons with disabilties. S. 1799 and H.R. 1621, Community Choice Act, provisions providing independence for individuals with disabilties. H.R. 1279, Direct Support Professional Fairnes and Security Act of 2007, provisions dealing with direct support workers for persons with disabilities. P.L. 109-171, Implementation of the Deficit Reduction Act, provisions dealing with TANF and Medicaid. New Freedom Initiative, including Money Follows the Person for individuals with disabilities.

Client expense: $40,000 · Firm income: Not reported

H.R. 1809, Medicare Independent Living Act of 2007, provisions that assist persons with disabilties. S. 1799 and H.R. 1621, Community Choice Act, provisions providing independence for individuals with disabilties. H.R. 1279, Direct Support Professional Fairnes and Security Act of 2007, provisions dealing with direct support workers for persons with disabilities. P.L. 109-171, Implementation of the Deficit Reduction Act, provisions dealing with TANF and Medicaid. New Freedom Initiative, including Money Follows the Person for individuals with disabilities.

Client expense: $40,000 · Firm income: Not reported

Preseving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007 (S. 543 & HR 1459). Community Choice Act of 2007 (S 799 & HR 1621). Eliminate 2-year waiting period for Medicare benefits for SSDI recipients. Improve the process of developing Section 1115 Medicaid waivers. Support Medicare Payment Advisory Commission (MedPAC) recommendation re: financial neutrality between payment rates for the Medicare fee-for-service program and the Medicare Advantage program. CMS implementation of competitive bidding program for durable medical equipment, prosthetics, orthotics and supplies (DMEPOS). Medicare "in the home" restriction for power mobility devices (HR 1809). Medicare coverage of iBOT Mobility System (HR 2520 and S 1465). Coding of Hydrophilic Catheter Kits w Extension Sleeve. Lifespan Respite Care Act (was HR 3248 in 109th). SCHIP reauthorization (HR 976, HR 3162, S 1893) including but not limited to provision to halt CMS from taking adverse administrative action or issue new Medicaid rule regarding rehabilitative services option. Community Choice Act of 2007(S. 799).

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), SENATE, Social Security Administration (SSA), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS)

H.R. 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 occupational therapy. H.R. 3162, Children's Health and Medicare Protections Act oc 2007 (CHAMP), Advocated for Medicare provision regarding therapy caps, 75% rul, SGR cuts and Medicaid provisions. S. 799 and H.R. 1621, The Community Choice Act - Support all provisions. S. 578 and H.R. 1017, Protecting Children's Health in Schools Act, Support 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 - Support this legislation as it protects access to occupational therapy in inpatient rehabilitation facilities. H.R. 1809, Medicare Independent Lliving Act - Support the provision of improved access to mobility devices for people with disabilities. 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 education about the role of occupational therapy in mental health practice. No bill number: Opposed proposed regulations impacting rehabilitation services option reimbursement under Medicaid. S. 450 and H.R. 748, The Medicare Access to Rehabilitation Services Act of 2007 - All provisions, passage.

Client expense: $280,000 · Firm income: Not reported

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

HR 3/S 5 The Stem Cell Enhancement Act - all provisions. HR 1809 the Medicare Independent Living Act - all provisions. HR 3222 FY 08 Defense Spending Bill - health research provisions. HR 1038/S 623 the Access to Lifesaving Medicine Act - all provisions. HR 3195 The ADA Resoration Act - all provisions. S. 1713 The FY 08 Labor-HHS Spending Bill - health care provisions. S. 1082 FDARA - drug safety and access provisions. HR 2900 FDARA - drug safety and access provisions.

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)

H.R. 1809, the "Medicare Independent Living Act of 2007" H.R. 2231, the "Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007" H.R. 2520, a bill to amend title XVIII of the Social Security Act to provide for coverage under the Medicar Program of certain medical mobility devices approved as class III medical devices.

Client expense: $223,531 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

H.R. 1809 Medicare Independent Living Act of 2007; H.R. 1459 Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007

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

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE