Medicare Durable Medical Equipment Access Act of 2007

HR1845

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Ending the Medicare Disability Waiting Period Act, H 154, S 2101 to end Medicare's 24-month waiting period. 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 people who need wheelchairs and other durable medical equipment. cont. S. 3327 - to improve the state plan option under Medicaid providing for home & community-based services -- cjamges tje 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. Community Living Assistance and Supports, CLASS Act S. 1758, Senators Edward Kennedy (D-MA) and Tom Harkin (D-IA) H.R. 3001, Reps. Frank Pallone (D-NJ) and John Dingell (D-MI) Both bills provide for a cash benefit to help obtain services and support. They would establish a national insurance plan to be financed by voluntary payroll deductions to provide benefits to adults who become severely functionally impaired. Participants would not be required to impoverish themselves in order to qualify for benefits. Center for Medicare and Medicaid Services (CMS) -- oppose the Rhode Island 1115 Waiver application that would essentially block grant Medicaid to Rhode Island -- which would jeopardize Medicaid services. 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 in the 111th Congress regarding: - physician payment rate - Medicare competitive bidding for durable medical equipment - make permanent some of the temporary delays/moratoria that were included in HR 6331 and related bills - seek permanent repeals of Medicaid rules that were delayed by legislation (e.g. enactment of HR 5613) - increasing the federal share of Medicaid (known as FMAP) including increased FMAP for direct support workers.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Social Security Administration (SSA)

H.R.1845 - Medicare Durable Medical Equipment Access Act of 2007, all titles H.R.2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007, all titles H.R.3162 - Children's Health and Medicare Protection Act of 2007, all titles H.R.3195 - ADA Restoration Act of 2007, all titles H.R.3963 Childrens Health Insurance Program Reauthorization Act of 2007, all titles H.R.6252 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles H.R.6331 - Medicare Improvements for Patients and Providers Act of 2008, all titles H.R.976 - Children's Health Insurance Program Reauthorization Act of 2007, all titles Implementation of Medicare, Medicaid, and SCHIP Extension Act of 2007 S.1428 - Medicare Durable Medical Equipment Access Act of 2007, all titles S.1893 - Children's Health Insurance Program Reauthorization Act of 2007, all titles S.2603 - Medicare Fraud Prevention Act of 2008, all titles S.2786 - Medicare Rural Health Access Improvement Act of 2008, all titles S.2931 - Medicare Access to Complex Rehabilitative and Assistive Technology Act of 2008, all titles S.3101 - Medicare Improvements for Patients and Providers Act of 2008, all titles S.3144 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.1845 - Medicare Durable Medical Equipment Access Act of 2007, all titles H.R.2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007, all titles H.R.3162 - Children's Health and Medicare Protection Act of 2007, all titles H.R.3195 - ADA Restoration Act of 2007, all titles H.R.3963 Childrens Health Insurance Program Reauthorization Act of 2007, all titles H.R.6252 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles H.R.6331 - Medicare Improvements for Patients and Providers Act of 2008, all titles H.R.976 - Children's Health Insurance Program Reauthorization Act of 2007, all titles Implementation of Medicare, Medicaid, and SCHIP Extension Act of 2007 S.1428 - Medicare Durable Medical Equipment Access Act of 2007, all titles S.1893 - Children's Health Insurance Program Reauthorization Act of 2007, all titles S.2603 - Medicare Fraud Prevention Act of 2008, all titles S.2786 - Medicare Rural Health Access Improvement Act of 2008, all titles S.2931 - Medicare Access to Complex Rehabilitative and Assistive Technology Act of 2008, all titles S.3101 - Medicare Improvements for Patients and Providers Act of 2008, all titles S.3144 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Medicare Reimbursement; Illinois Hospital Assessment Program; Sustainable Growth Rate/Physician Fee Schedule Fix; Hospital Compare Data; H.R. 1845/S. 1428, Medicare Durable Medical Equipment Access Act; H.R. 621, Home Oxygen Patient Protection Act; Medicare Moratoriums and H.R. 5613, Protecting the Medicare Safety Act of 2008; H.R. 5268/S. 2620, providing temporary increase in Federal Matching Assistance Percentage; H.R. 6331, The Medicare Improvements for Patients and Provider Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

-H.R. 1190, "Community Cancer Care Preservation Act of 2007," regarding amending title XVIII of the Social Security Act to preserve access to community cancer care by Medicare beneficiaries; -Proposed Rule (CMS-1404-P), "CY 2009 Outpatient Prospective Payment System Rules". -H.R. 1321,Medicare Advanced Laboratory Diagnostics Act of 2007, regarding amending title XVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule; -H.R. 1663, Medicare Mental Health Modernization Act of 2007, regarding amending title XVIII of the Social Security Act to expand and improve coverage of mental health services under the Medicare Program; -H.R. 1845 / S 1428, Medicare Durable Medical Equipment Access Act of 2007, regarding amending part B of title XVIII of the Social Security Act to assure access to durable medical equipment under the Medicare Program; -H.R. 2770, To amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price, all provisions; -H.R. 3011, To amend title XVIII of the Social Security Act to ensure adequate payment amounts for drugs and biologicals under part B of the Medicare Program, regarding all provisions; -H.R. 3061, Medicare Part D Drug Class Protection Act of 2007, regarding amending title XVIII of the Social Security Act to require that Medicare prescription drug plans using formularies cover all drugs included in 6 specified therapeutic categories and to establish protective requirements for coverage determinations; -H.R. 4 / S 3, Medicare Prescription Drug Price Negotiation Act of 2007, regarding amending part D of title XVIII of the Social Security Act to require the Secretary of Health and Human Services to negotiate lower covered part D drug prices on behalf of Medicare beneficiaries; -H.R. 976 / S 1893, Children's Health Insurance Program Reauthorization Act of 2007; -H.R. 3162, Children's Health and Medicare Protection Act of 2007, regarding improving enrollment and retention of eligible children; -S. 1887, Medicare Access to Critical Medications Act of 2007, regarding amending title XVIII of the Social Security Act in order to ensure access to critical medications under the Medicare part D prescription drug program; -S. 631, Remote Monitoring Access Act of 2007, regarding amending title XVIII of the Social Security Act to provide for coverage of remote patient management services for chronic health care conditions under the Medicare Program; -S. 860, Early Treatment for HIV Act of 2007, regarding amending title XIX of the Social Security Act to permit States the option to provide Medicaid coverage for low-income individuals infected with HIV; -CMS-1270-F, Medicare Program; Competitive Acquisition for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Other Issues, regarding a final rule establishing competitive bidding programs for certain Medicare Part B covered items of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) throughout the United States in accordance with sections 1847(a) and (b) of the Social Security Act; issues regarding competitive bidding, demonstrations for clinical lab services and competitive Medicare payments for lab services; issues regarding Medicare national coverage determination for the use of erythropoiesis stimulating agents in cancer and related neoplastic conditions; -CMS-2238-FC, regarding the Medicaid program, and prescription drugs; -S. 2499, "Medicare, Medicaid, and SCHIP Extension Act of 2007," all provisions. -S. 2029, "Physician Payments Sunshine Act of 2007," regarding amending title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid or SCHIP; -H.R. 5765 / S. 631, "Medicare Remote Monitoring Access Act of 2008," regarding amending title XVIII of the Social Security Act to cover remote patient management services for certain chronic health conditions under the Medicare Program; -H.R. 6252, "Medicare DMEPOS Competitive Acquisition Reform Act of 2008", To amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies, regarding all provisions; -S. 2404, "Medicare Advanced Laboratory Diagnostics Act of 2007", A bill to amend title XVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule, regarding all provisions; -H.R. 6331/ S. 3101, "Medicare Improvements for Patients and Providers Act of 2008", A bill to amend titles XVIII and XI of the Social Security Act to extend expiring provisions under the Medicare program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes, regarding all provisions; -H.R. 2770, "To amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price", regarding all provisions.

Client expense: $1,440,000 · Firm income: Not reported

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

Changes to Medicare regarding durable medical equipment benefits. H.R. 2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007; H.R. 1845/S. 1428 - Medicare Durable Medical Equipment Access Act of 2007 and H.R. 621 and S. 1484 - The Home Oxygen Patient Protection Act

Client expense: $240,000 · 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

Medicare Reimbursement; Illinois' Hospital Assessment Program; Sustainable Growth Rate/Physician Fee Schedule Fix; Hospital Compare Data; H.R. 1845/S. 1428, Medicare Durable Medical Equipment Access Act; H.R. 621, Home Oxygen Patient Protection Act; Medicare Moratoriums and H.R. 5613, Protecting the Medicare Safety Act of 2008; H.R. 5268/S. 2620, providing temporary increase of Federal Matching Assistance Percentage; H.R. 6331, The Medicare Improvements for Patients and Providers Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1845 & S 1428 - Durable Medical Equipment Access Act of 2007; all provisions; HR 3162 - Children's Health and Medicare Protection Act; all provisions; HR 621 & S 1484 - Home Oxygen Patient Protection Act; all provisions; S 2603 - Medicare Fraud Prevention Act of 2008; all provisions HR 2231 - Medicare Access to Complex Rehabilitation and Assistive Technology; all provisions; HR 6252 - Medicare DME Competitive Acquistion Reform Act of 2008; all provisions; S 3114 - Medicare DME Competitive Acquistion Reform Act of 2008; all provisions; S 3164 - Seniors & Taxpayers Obligation & Protection Act of 2008; all provisions; HR 6331 - Competitive Bidding Provisions; Medicare Improvements for Patients and Providers Act of 2008; General issues related to Home Medical Equipment.

Client expense: $90,000 · Firm income: Not reported

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

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)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)

HR1845

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

-H.R. 1190, "Community Cancer Care Preservation Act of 2007," regarding amending title XVIII of the Social Security Act to preserve access to community cancer care by Medicare beneficiaries; -Proposed Rule (CMS-1404-P), "CY 2009 Outpatient Prospective Payment System Rules". -H.R. 1321,Medicare Advanced Laboratory Diagnostics Act of 2007, regarding amending title XVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule; -H.R. 1663, Medicare Mental Health Modernization Act of 2007, regarding amending title XVIII of the Social Security Act to expand and improve coverage of mental health services under the Medicare Program; -H.R. 1845 / S 1428, Medicare Durable Medical Equipment Access Act of 2007, regarding amending part B of title XVIII of the Social Security Act to assure access to durable medical equipment under the Medicare Program; -H.R. 2770, To amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price, all provisions; -H.R. 3011, To amend title XVIII of the Social Security Act to ensure adequate payment amounts for drugs and biologicals under part B of the Medicare Program, regarding all provisions; -H.R. 3061, Medicare Part D Drug Class Protection Act of 2007, regarding amending title XVIII of the Social Security Act to require that Medicare prescription drug plans using formularies cover all drugs included in 6 specified therapeutic categories and to establish protective requirements for coverage determinations; -H.R. 4 / S 3, Medicare Prescription Drug Price Negotiation Act of 2007, regarding amending part D of title XVIII of the Social Security Act to require the Secretary of Health and Human Services to negotiate lower covered part D drug prices on behalf of Medicare beneficiaries; -H.R. 976 / S 1893, Children's Health Insurance Program Reauthorization Act of 2007; -H.R. 3162, Children's Health and Medicare Protection Act of 2007, regarding improving enrollment and retention of eligible children; -S. 1887, Medicare Access to Critical Medications Act of 2007, regarding amending title XVIII of the Social Security Act in order to ensure access to critical medications under the Medicare part D prescription drug program; -S. 631, Remote Monitoring Access Act of 2007, regarding amending title XVIII of the Social Security Act to provide for coverage of remote patient management services for chronic health care conditions under the Medicare Program; -S. 860, Early Treatment for HIV Act of 2007, regarding amending title XIX of the Social Security Act to permit States the option to provide Medicaid coverage for low-income individuals infected with HIV; -CMS-1270-F, Medicare Program; Competitive Acquisition for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Other Issues, regarding a final rule establishing competitive bidding programs for certain Medicare Part B covered items of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) throughout the United States in accordance with sections 1847(a) and (b) of the Social Security Act; issues regarding competitive bidding, demonstrations for clinical lab services and competitive Medicare payments for lab services; issues regarding Medicare national coverage determination for the use of erythropoiesis stimulating agents in cancer and related neoplastic conditions; -CMS-2238-FC, regarding the Medicaid program, and prescription drugs; -S. 2499, "Medicare, Medicaid, and SCHIP Extension Act of 2007," all provisions. -S. 2029, "Physician Payments Sunshine Act of 2007," regarding amending title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid or SCHIP; -H.R. 5765 / S. 631, "Medicare Remote Monitoring Access Act of 2008," regarding amending title XVIII of the Social Security Act to cover remote patient management services for certain chronic health conditions under the Medicare Program; -H.R. 6252, "Medicare DMEPOS Competitive Acquisition Reform Act of 2008", To amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies, regarding all provisions; -S. 2404, "Medicare Advanced Laboratory Diagnostics Act of 2007", A bill to amend title XVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule, regarding all provisions; -H.R. 6331/ S. 3101, "Medicare Improvements for Patients and Providers Act of 2008", A bill to amend titles XVIII and XI of the Social Security Act to extend expiring provisions under the Medicare program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes, regarding all provisions; -H.R. 2770, "To amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price", regarding all provisions.

Client expense: $1,500,000 · Firm income: Not reported

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

Medicare Reimbursement; Medicare funding; Sustainable Growth Rate/Physician Fee Schedule Fix; Hospital Compare Data; H.R. 1845/S. 1428, Medicare Durable Medical Equipment Access Act; H.R. 621, Home Oxygen Patient Protection Act; Medicare Moratoriums and H.R. 5613, Protecting the Medicare Safety Act of 2008; H.R. 5268/S. 2620, providing temporary increase of Federal Matching Assistance Percentage; H.R. 6331, The Medicare Improvements for Patients and Providers Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1845 - Medicare Durable Medical Equipment Access Act of 2007, all titles H.R.2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007, all titles H.R.3162 - Children's Health and Medicare Protection Act of 2007, all titles H.R.3195 - ADA Restoration Act of 2007, all titles H.R.3963 Childrens Health Insurance Program Reauthorization Act of 2007, all titles H.R.6252 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles H.R.6331 - Medicare Improvements for Patients and Providers Act of 2008, all titles H.R.976 - Children's Health Insurance Program Reauthorization Act of 2007, all titles Implementation of Medicare, Medicaid, and SCHIP Extension Act of 2007 S.1428 - Medicare Durable Medical Equipment Access Act of 2007, all titles S.1893 - Children's Health Insurance Program Reauthorization Act of 2007, all titles S.2603 - Medicare Fraud Prevention Act of 2008, all titles S.2786 - Medicare Rural Health Access Improvement Act of 2008, all titles S.2931 - Medicare Access to Complex Rehabilitative and Assistive Technology Act of 2008, all titles S.3101 - Medicare Improvements for Patients and Providers Act of 2008, all titles S.3144 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.1845 - Medicare Durable Medical Equipment Access Act of 2007, all titles H.R.2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007, all titles H.R.3162 - Children's Health and Medicare Protection Act of 2007, all titles H.R.3195 - ADA Restoration Act of 2007, all titles H.R.3963 Childrens Health Insurance Program Reauthorization Act of 2007, all titles H.R.6252 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles H.R.6331 - Medicare Improvements for Patients and Providers Act of 2008, all titles H.R.976 - Children's Health Insurance Program Reauthorization Act of 2007, all titles Implementation of Medicare, Medicaid, and SCHIP Extension Act of 2007 S.1428 - Medicare Durable Medical Equipment Access Act of 2007, all titles S.1893 - Children's Health Insurance Program Reauthorization Act of 2007, all titles S.2603 - Medicare Fraud Prevention Act of 2008, all titles S.2786 - Medicare Rural Health Access Improvement Act of 2008, all titles S.2931 - Medicare Access to Complex Rehabilitative and Assistive Technology Act of 2008, all titles S.3101 - Medicare Improvements for Patients and Providers Act of 2008, all titles S.3144 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

HR 1845 & S 1428 - Durable Medical Equipment Access Act of 2007; all provisions; HR 3162 - Children's Health and Medicare Protection Act; all provisions; HR 621 & S 1484 - Home Oxygen Patient Protection Act; all provisions; S 2603 - Medicare Fraud Prevention Act of 2008; all provisions HR 2231 - Medicare Access to Complex Rehabilitation and Assistive Technology; all provisions; HR 6252 - Medicare DME Competitive Acquistion Reform Act of 2008; all provisions; S 3114 - Medicare DME Competitive Acquistion Reform Act of 2008; all provisions; S 3164 - Seniors & Taxpayers Obligation & Protection Act of 2008; all provisions; HR 6331 - Competitive Bidding Provisions; Medicare Improvements for Patients and Providers Act of 2008; General issues related to the value of homecare.

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

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

Changes to Medicare regarding durable medical equipment benefits. H.R. 2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007; H.R. 1845/S. 1428 - Medicare Durable Medical Equipment Access Act of 2007 and H.R. 621 and S. 1484 - The Home Oxygen Patient Protection Act

Client expense: $276,000 · 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

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,

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

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

HR1845

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Reimbursement; Medicare funding; Sustainable Growth Rate/Physician Fee Schedule Fix; Hospital Compare Data; H.R. 1845/S. 1428, Medicare Durable Medical Equipment Access Act; H.R. 621, Home Oxygen Patient Protection Act; Medicare Moratoriums and H.R. 5613, Protecting the Medicare Safety Act of 2008; H.R. 5268/S. 2620, providing temporary increase of Federal Matching Assistance Percentage; H.R. 6331, The Medicare Improvements for Patients and Providers Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1845 and S 1428 - Durable Medical Equipment Access Act of 2007; all provisions HR 3162 - Children's Health and Medicare Protection Act; all provisions HR 621 & S 1484 - Home Oxygen Patient Protection Act; all provisions S 2603 - Medicare Fraud Prevention Act of 2008; all provisions HR 2231 - Medicare Access to Complex Rehabilitation and Assistive Technology; all provisions. HR 6252 - Medicare DME Competitive Acquisition Reform Act of 2008; all provisions. S 3114 - Medicare DME Competitive Acquisition Reform Act of 2008; all provisions. S 3164 Seniors & Taxpayers Obligation & Protection Act of 2008; all provisions HR 6331 - Competitive Bidding Provisions: Medicare Improvements for Patients and Providers Act of 2008 General issues related to the value of homecare.

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

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

HR1845 (Durable Medical Equipment Access Act); provision related to any willing provider claus for national competitive bidding; S.1428 (Durable Medical Equipment Access Act); provision related to any willing provider claus for national competitive bidding S.2499 (Medicare, Medicaid and SCHP Extension Act); provision related to the first month purchase option for power wheelchairs; HR6252 (Medicare DMEPOS Competitive Acquisition Program Reform Act); support the 18 month delay of competitive bidding; HR6331(Medicare Improvements for Patients and Providers Act); support provisions within the bill that delays the implementation of national competitive bidding for a period of 18-24 months;

Client expense: $160,000 · Firm income: Not reported

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

H.R. 1190, "Community Cancer Care Preservation Act of 2007," regarding amending title XVIII of the Social Security Act to preserve access to community cancer care by Medicare beneficiaries; HR 1321,Medicare Advanced Laboratory Diagnostics Act of 2007, regarding amending title XVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule; HR 1663, Medicare Mental Health Modernization Act of 2007, regarding amending title XVIII of the Social Security Act to expand and improve coverage of mental health services under the Medicare Program; HR 1845 / S 1428, Medicare Durable Medical Equipment Access Act of 2007, regarding amending part B of title XVIII of the Social Security Act to assure access to durable medical equipment under the Medicare Program; HR 2770, To amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price, all provisions; HR 3011, To amend title XVIII of the Social Security Act to ensure adequate payment amounts for drugs and biologicals under part B of the Medicare Program, regarding all provisions; HR 3061, Medicare Part D Drug Class Protection Act of 2007, regarding amending title XVIII of the Social Security Act to require that Medicare prescription drug plans using formularies cover all drugs included in 6 specified therapeutic categories and to establish protective requirements for coverage determinations; HR 4 / S 3, Medicare Prescription Drug Price Negotiation Act of 2007, regarding amending part D of title XVIII of the Social Security Act to require the Secretary of Health and Human Services to negotiate lower covered part D drug prices on behalf of Medicare beneficiaries; HR 976 / S 1893, Children's Health Insurance Program Reauthorization Act of 2007; HR 3162, Children's Health and Medicare Protection Act of 2007, regarding improving enrollment and retention of eligible children; S 1887, Medicare Access to Critical Medications Act of 2007, regarding amending title XVIII of the Social Security Act in order to ensure access to critical medications under the Medicare part D prescription drug program; S 631, Remote Monitoring Access Act of 2007, regarding amending title XVIII of the Social Security Act to provide for coverage of remote patient management services for chronic health care conditions under the Medicare Program; S 860, Early Treatment for HIV Act of 2007, regarding amending title XIX of the Social Security Act to permit States the option to provide Medicaid coverage for low-income individuals infected with HIV; CMS-1270-F, Medicare Program; Competitive Acquisition for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Other Issues, regarding a final rule establishing competitive bidding programs for certain Medicare Part B covered items of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) throughout the United States in accordance with sections 1847(a) and (b) of the Social Security Act; issues regarding competitive bidding, demonstrations for clinical lab services and competitive Medicare payments for lab services; issues regarding Medicare national coverage determination for the use of erythropoiesis stimulating agents in cancer and related neoplastic conditions; CMS-2238-FC, regarding the Medicaid program, and prescription drugs; S 2499, "Medicare, Medicaid, and SCHIP Extension Act of 2007," all provisions. S. 2029, "Physician Payments Sunshine Act of 2007," regarding amending title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid or SCHIP; H.R. 5765 / S. 631, "Medicare Remote Monitoring Access Act of 2008," regarding amending title XVIII of the Social Security Act to cover remote patient management services for certain chronic health conditions under the Medicare Program; H.R. 6252, "To amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies", regarding all provisions; S. 2404, "A bill to amend title SVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule", regarding all provisions; H.R. 6331/ S. 3101, "A bill to amend titles XVIII and XIX of the Social Security Act to extend expiring provisions under the Medicare program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes", regarding all provisions.

Client expense: $1,700,000 · Firm income: Not reported

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

H.R.1845 - Medicare Durable Medical Equipment Access Act of 2007, all titles H.R.2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007, all titles H.R.3162 - Children's Health and Medicare Protection Act of 2007, all titles H.R.3195 - ADA Restoration Act of 2007, all titles H.R.3963 Childrens Health Insurance Program Reauthorization Act of 2007, all titles H.R.6252 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles H.R.6331 - Medicare Improvements for Patients and Providers Act of 2008, all titles H.R.976 - Children's Health Insurance Program Reauthorization Act of 2007, all titles Implementation of Medicare, Medicaid, and SCHIP Extension Act of 2007 S.1428 - Medicare Durable Medical Equipment Access Act of 2007, all titles S.1893 - Children's Health Insurance Program Reauthorization Act of 2007, all titles S.2603 - Medicare Fraud Prevention Act of 2008, all titles S.2786 - Medicare Rural Health Access Improvement Act of 2008, all titles S.2931 - Medicare Access to Complex Rehabilitative and Assistive Technology Act of 2008, all titles S.3101 - Medicare Improvements for Patients and Providers Act of 2008, all titles S.3144 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.1845 - Medicare Durable Medical Equipment Access Act of 2007, all titles H.R.2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007, all titles H.R.3162 - Children's Health and Medicare Protection Act of 2007, all titles H.R.3195 - ADA Restoration Act of 2007, all titles H.R.3963 Childrens Health Insurance Program Reauthorization Act of 2007, all titles H.R.6252 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles H.R.6331 - Medicare Improvements for Patients and Providers Act of 2008, all titles H.R.976 - Children's Health Insurance Program Reauthorization Act of 2007, all titles Implementation of Medicare, Medicaid, and SCHIP Extension Act of 2007 S.1428 - Medicare Durable Medical Equipment Access Act of 2007, all titles S.1893 - Children's Health Insurance Program Reauthorization Act of 2007, all titles S.2603 - Medicare Fraud Prevention Act of 2008, all titles S.2786 - Medicare Rural Health Access Improvement Act of 2008, all titles S.2931 - Medicare Access to Complex Rehabilitative and Assistive Technology Act of 2008, all titles S.3101 - Medicare Improvements for Patients and Providers Act of 2008, all titles S.3144 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Changes to Medicare regarding durable medical equipment benefits. H.R. 2231/S. 2931 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007; H.R. 1845/S. 1428 - Medicare Durable Medical Equipment Access Act of 2007 and H.R. 621/S. 1484 - The Home Oxygen Patient Protection Act; H.R. 6331 - Medicare Improvements for Patients and Providers Act of 2008; H.R. 6252/S. 3144 - Medicare DMEPOS Competitive Acquisition Program Reform Act of 2008

Client expense: $230,000 · 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

H.R. 1190, "Community Cancer Care Preservation Act of 2007," regarding amending title XVIII of the Social Security Act to preserve access to community cancer care by Medicare beneficiaries; HR 1321,Medicare Advanced Laboratory Diagnostics Act of 2007, regarding amending title XVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule; HR 1663, Medicare Mental Health Modernization Act of 2007, regarding amending title XVIII of the Social Security Act to expand and improve coverage of mental health services under the Medicare Program; HR 1845 / S 1428, Medicare Durable Medical Equipment Access Act of 2007, regarding amending part B of title XVIII of the Social Security Act to assure access to durable medical equipment under the Medicare Program; HR 2770, To amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price, all provisions; HR 3011, To amend title XVIII of the Social Security Act to ensure adequate payment amounts for drugs and biologicals under part B of the Medicare Program, regarding all provisions; HR 3061, Medicare Part D Drug Class Protection Act of 2007, regarding amending title XVIII of the Social Security Act to require that Medicare prescription drug plans using formularies cover all drugs included in 6 specified therapeutic categories and to establish protective requirements for coverage determinations; HR 4 / S 3, Medicare Prescription Drug Price Negotiation Act of 2007, regarding amending part D of title XVIII of the Social Security Act to require the Secretary of Health and Human Services to negotiate lower covered part D drug prices on behalf of Medicare beneficiaries; HR 976 / S 1893, Children's Health Insurance Program Reauthorization Act of 2007; HR 3162, Children's Health and Medicare Protection Act of 2007, regarding improving enrollment and retention of eligible children; S 1887, Medicare Access to Critical Medications Act of 2007, regarding amending title XVIII of the Social Security Act in order to ensure access to critical medications under the Medicare part D prescription drug program; S 631, Remote Monitoring Access Act of 2007, regarding amending title XVIII of the Social Security Act to provide for coverage of remote patient management services for chronic health care conditions under the Medicare Program; S 860, Early Treatment for HIV Act of 2007, regarding amending title XIX of the Social Security Act to permit States the option to provide Medicaid coverage for low-income individuals infected with HIV; CMS-1270-F, Medicare Program; Competitive Acquisition for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Other Issues, regarding a final rule establishing competitive bidding programs for certain Medicare Part B covered items of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) throughout the United States in accordance with sections 1847(a) and (b) of the Social Security Act; issues regarding competitive bidding, demonstrations for clinical lab services and competitive Medicare payments for lab services; issues regarding Medicare national coverage determination for the use of erythropoiesis stimulating agents in cancer and related neoplastic conditions; CMS-2238-FC, regarding the Medicaid program, and prescription drugs; S 2499, "Medicare, Medicaid, and SCHIP Extension Act of 2007," all provisions. S. 2029, "Physician Payments Sunshine Act of 2007," regarding amending title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid or SCHIP; H.R. 5765 / S. 631, "Medicare Remote Monitoring Access Act of 2008," regarding amending title XVIII of the Social Security Act to cover remote patient management services for certain chronic health conditions under the Medicare Program.

Client expense: $1,440,000 · Firm income: Not reported

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

H.R.1459 and S.543, "To improve Medicare beneficiary to inpatient rehabilitation facilities," specifically to establish the criteria in HCFA Ruling 85-2, of July 31, 1985 (50 Fed. Reg. 31040), as the sole standard for determining the medical necessity of services for inpatient rehabilitation. H.R.4105, "To impose a moratorium on the use of recovery audit contractors under the Medicare Integrity Program," while supporting initiatives to ensure accountability in the Medicare program, the processes used by CMS and its contractors need to be reviewed to be sure that those processes are accurately identifying inappropriate claims No bill number at this time, support legislation that would enhance the Ethics in Patient Referrals Act of 1989 (the "Stark" law) to include physician ownership in a "whole" hospital S.458 and H.R. 1105, "physician pathology services under the Medicare program," specifically to extend the authority, currently expiring on June 30, 2008, to make direct payments to independent labs for the technical component of pathology services. H.R. 1177, "to extend and improve protections for sole community hospitals under the Medicare Program," specifically to extend the outpatient prospective payment system hold harmless provision and to permit the use of a more current cost reporting year to allow redetermination of hospital target amounts. S.630 and H.R. 2159, "to provide for a minimum payment rate by Medicare Advantage organizations for services furnished by a critical access hospital and a rural health clinic under the Medicare program," specifically to allow critical access hospitals to receive at least 101 percent of their costs for inpatient, swing-bed and outpatient hospital services S.2786, "Medicare Rural Health Access Improvement," specifically to extend th 5 percent bonus payment to physicians practicing in provider scarcity areas (critical access, sole community provider, and Medicare dependent or low-volume areas). H.R. 1845 and S.1428, "to assure access to durable medical equipment under the Medicare Program," specifically to adopt language that would allow hospital owned durable medical equipment companies that are willing to accept the competitive bid rate to provide durable medical equipment to patients upon discharge. S.1595, "flexibility in the manner in which beds are counted for purposes of determining whether a hospital may be designated as a critical access hospital under the Medicare program" specifically in favor of such increased flexibility.

Client expense: $35,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

h.r. 1845

Client expense: Not reported · Firm income: Not reported

S.1428, the Durable Medical Equipment Access Act; provision related to any willing provider claus for competitive bidding; HR.3162 Children's Health and Medicare Protection (CHAMP) Act; elimination of the first month purchase option for PMDs HR.1845, the Durable Medical Equipment Access Act; provision related to any willing provider claus for competitive bidding; S.2499, Medicare, Medicaid and SCHIP Extension Act; elimination of the first month purchase option for PMDs

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

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

H.R. 1845 & S. 1428 - Medicare DME Act of 2007; H. R. 2231 - Complex Rehab Carve Out Act of 2007; DME Competitive Bidding; Preservation of Power Wheelchair First Month Purchase Option.

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

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

HR 1845 & S. 1428 - Medicare DME Act of 2007; H.R. 2231 - Complex Rehab Carve Out Act of 2007; DME Competitive Bidding; Preservation of Power Wheelchair First Month Purchase Option.

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

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

See addendum. 1.S.242/H.R.380, the Pharmaceutical Market Access and Drug Safety Act of 2007, as related to provisions governing the importation of prescription drugs. 2.S.251, the Pharmaceutical Market Access Act of 2007, all provisions governing the importation of prescription drugs. 3.S. 484, the Enhancing Drug Safety and Innovation Act of 2007, all provisions related to the safety of prescription medicines. 4.S. 604, the Military Health Care Protection Act, as related to provider participation in the Department of Defense TRICARE program. 5.S. 980, Online Pharmacy Consumer Protection Act of 2007, as related to the regulation of online pharmacies. 6.S. 1200, Indian Health Care Improvement Act Amendments of 2007, all provisions related to reducing fraud and abuse in the Medicare program. 7.S. 1276/H.R.2747, the Methamphetamine Production Prevention Act of 2007, as related to the distribution of legal substances used in the production of methamphetamine. 8.S. 1693, the Wired for Health Care Quality Act of 2007, as related to improving health information technology. 9.S. 1695, the Biologics Price Competition and Innovation Act of 2007, as related to the approval of generic biopharmaceuticals. 10.S. 1827, Pharmacist Access and Recognition in Medicare (PhARM) Act of 2007 as related to provider participation in the Medicare program. 11.S.1915, Electronic Prescription Drug Act of 2007, as related to the regulation of electronic prescribing of pharmaceuticals 12.S.1951/H.R.3700, Fair Medicaid Drug Payment Act of 2007, as related to Medicaid provider reimbursement. 13.S.1954, Pharmacy Access Improvement (PhAIm) Act of 2007, as related to access standards to pharmacies. 14.S.2013/H.R.3090, Patient and Pharmacy Protection Act of 2007, as related to prescription requirements in the Medicaid program. 15.S.2071, Combat Methamphetamine Enhancement Act of 2007, as related to the distribution of legal substances used in the production of methamphetamine. 16.S.2274, Dextromethorphan Abuse Reduction Act of 2007, as related to steps to prevent the abuse of dextromethorphan. 17.S.2408/H.R.4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007, as related to the regulation of electronic prescribing of pharmaceuticals. 18.H.R.976, Small Business Tax Relief Act of 2007, all provisions associated with work-related tax credits. 19.H.R. 970, the Dextromethorphan Distribution Act of 2007, as related to steps to prevent the abuse of dextromethorphan. 20.H.R. 971/S.855, the Community Pharmacy Fairness Act of 2007, as related to provider negotiations in the Medicare program. 21.H.R.1038/S.623, Access to Life-Saving Medicine Act, as related to the approval of generic biopharmaceuticals. 22.H.R. 1474, the Fair and Speedy Treatment (FAST) of Medicare Prescription Drug Claims Act of 2007, as related to provider reimbursement in the Medicare program 23.H.R.1585/S.1548, National Defense Authorization Act for Fiscal Year 2008, as related to retail pharmacy participation in the Department of Defense TRICARE program. 24.H.R.1845, the Medicare Durable Medical Equipment Access Act of 2007, as related to provider inclusion in the Medicare Part B program. 25.H.R.1902, the Protecting Consumer Access to Generic Drugs Act of 2007, as related to the availability of generic pharmaceuticals. 26.H.R.2716, the Reducing Fraudulent and Imitation Drugs Act of 2007, as related to the safety of prescription drugs. 27.H.R. 2900, the Food and Drug Administration Amendments of 2007, all provisions related to prescription drug information and safety. 28.H.R.3109, the Dental Health Promotion Act of 2007, all provisions related to payment for health services. 29.H.R.3140, Saving Our Community Pharmacies Act of 2007, as related to Medicaid provider reimbursement. 30.H.R.3162, Children's Health and Medicare Protection Act of 2007, provisions related to health insurance in the Medicare program. 31.H.R.3193, Access to Community Pharmacy Preservation Act of 2007, as related to Medicaid provider reimbursement. 32.H.R.3580, Food and Drug Administration Amendments Act of 2007, all provisions related to prescription drug information and safety. 33.H.R.3610, Food and Drug Import Safety Act of 2007, provisions related to the safety of prescription drugs. 34.H.R.5268/S.2620, Temporary Increase of Medicaid FMAP, all provisions related to payments in the Medicaid program. 35.H.R.5480/S.2662, Medicare Funding Warning Response Act of 2008, all provisions related to provider access and payments in the Medicare program. 36.H.R.5491, Emilys Act, as related to the certification of pharmacy technicians. 37.H.R.5546, Credit Card Fair Fee Act of 2008, as related to fees associated with credit card purchase. 38.H.R.5613, Protecting the Medicaid Safety Net Act of 2008, all provisions related to provider participation in the Medicaid program. 39.H.R.5629, Pathway for Biosimilars Act, as related to the availability of generic pharmaceuticals. 40.H.Con.Res.312/S.Con.Res.70, Concurrent Resolution on the Budget for Fiscal Year 2009, all provisions related to healthcare providers and prescription drugs.

Client expense: $370,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Natl Drug Control Policy (NDCP), Office of Personnel Management (OPM), President of the U.S., SENATE

H. R.1845 - Medicare Durable Medical Equipment Access Act of 2007, all titles H.R.2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007, all titles H.R.3162 - Children's Health and Medicare Protection Act of 2007, all titles H.R.3195 - ADA Restoration Act of 2007, all titles H.R.3963 Childrens Health Insurance Program Reauthorization Act of 2007, all titles H.R.976 - Children's Health Insurance Program Reauthorization Act of 2007, all titles Implementation of Medicare, Medicaid, and SCHIP Extension Act of 2007 S.1428 - Medicare Durable Medical Equipment Access Act of 2007, all titles S.1893 - Children's Health Insurance Program Reauthorization Act of 2007, all titles S.2603 - Medicare Fraud Prevention Act of 2008, all titles S.2786 - Medicare Rural Health Access Improvement Act of 2008, all titles

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

H. R.1845 - Medicare Durable Medical Equipment Access Act of 2007, all titles H.R.2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007, all titles H.R.3162 - Children's Health and Medicare Protection Act of 2007, all titles H.R.3195 - ADA Restoration Act of 2007, all titles H.R.3963 Childrens Health Insurance Program Reauthorization Act of 2007, all titles H.R.976 - Children's Health Insurance Program Reauthorization Act of 2007, all titles Implementation of Medicare, Medicaid, and SCHIP Extension Act of 2007 S.1428 - Medicare Durable Medical Equipment Access Act of 2007, all titles S.1893 - Children's Health Insurance Program Reauthorization Act of 2007, all titles S.2603 - Medicare Fraud Prevention Act of 2008, all titles S.2786 - Medicare Rural Health Access Improvement Act of 2008, all titles

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

HR 1845 & S 1428 - Durable Medical Equipment Access Act of 2007; all provisions. HR 3162 - Children's Health and Medicare Protection Act; all provisions. HR 621 & S 1484 - Home Oxygen Patient Protection Act; all provisions. S 2603 - Medicare Fraud Prevention Act of 2008; all provisions. HR 2231 - Medicare Access to Complex Rehabilitation and Assistive Technology; all provisions. General issues related to the value of homecare.

Client expense: $90,000 · Firm income: Not reported

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

Medicare Reimbursement; Medicare funding; Sustainable Growth Rate/Physician Fee Schedule Fix; Hospital Compare Data; H.R. 1845/S. 1428, Medicare Durable Medical Equipment Access Act; H.R. 621, Home Oxygen Patient Protection Act; Medicare Moratoriums and H.R. 5613, Protecting the Medicare Safety Act of 2008; H.R. 5268/S. 2620, providing temporary increase of Federal Matching Assistance Percentage.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Changes to Medicare regarding durable medical equipment benefits. H.R. 2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007; H.R. 1845/S. 1428 - Medicare Durable Medical Equipment Access Act of 2007 and H.R. 621 and S. 1484 - The Home Oxygen Patient Protection Act

Client expense: $230,000 · 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

HR 4/ S 3: Medicare Prescription Drug Price Negotiation Act of 2007. Lobbied to maintain the private sector negotiations in the Medicare drug benefit. HR 2058/S.1103: Helping Fill the Medicare Rx Gap Act. Lobbied to enhance patient access to Medicare Part D drugs. H.R.1293/S. 1338-Access to Medicare Imaging Act of 2007. Lobbied for passage of bills. HR 1845/S 1428 Medicare Durable Medical Equipment Access Act. Lobbied to ensure patient access to Medicare durable medical equipment - ostomy and wound care services. Medicare Coverage Policy for Wound Care. Lobbied to ensure patient access to timely and appropriate treatment options. Home Health Prospective Payment System. Lobbied to ensure patient access to ostomy services.

Client expense: $3,000,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

H.R. 4/ S. 3, Medicare Prescription Drug Price Negotiation Act of 2007, Lobbied to maintain private sector negotiations in the Medicare drug benefit. H.R. 3963, SCHIP Extension Bill,Lobbied to maintain safety and access to prescription drugs. H.R.1293/S. 1338, Access to Medicare Imaging Act of 2007, Lobbied for passage of bills. H.R. 2058/S. 1103, Helping Fill the Medicare Rx Gap Act, Lobbied to enhance patient access to Medicare Part D drugs H.R. 1845/S. 1428, Medicare Durable Medical Equipment Access Act, Lobbied to ensure patient access to Medicare durable medical equipment - ostomy and wound care services. Medicare Coverage Policy for Wound Care, Lobbied to ensure patient access to timely and appropriate treatment options. Home Health Prospective Payment System, Lobbied to ensure patient access to ostomy services. Medicaid Rebate Policy, Lobbied to ensure proper payment of rebates.

Client expense: $2,660,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

Medicare competitive bidding issues Medicare Durable Medical Equipment Access Act of 2007 (H.R. 1845) -- all provisions Medicare policies regarding enteral nutrition

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

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

HR.1845, S.1428 Medicare Durable Medical Equipment Access Act of 2007; S.2221 Transparency in the Medical Device Price Act of 2007; S.2029 Physician Payments Sunshine Act of 2007; S.2499 Medicare, Medicaid and SCHIP Extension Act of 2007;

Client expense: $760,000 · 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, White House Office

HR 1845 & S.1428 - Medicare DME Act of 2007; HR 2231 - Complex Rehab Carve Out Act; DME Competitive Bidding; Preservation of Power Wheelchair First Month Purchase Option

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

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

Competitive Bidding for DME; HR 1845 - Tanner Hobson; S 1428 - Hatch Conrad; HR 3162 - Children's Health and Medicare Protection Act; HR 621 & S 1484 - Home Oxygen Patient Protection Act; Value of homecare; HR 2231 - Medicare Access to Complex Rehabilitation and Assistive Technology

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

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

Changes to Medicare regarding durable medical equipment benefits. H.R. 2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007; H.R. 1845/S. 1428 - Medicare Durable Medical Equipment Access Act of 2007 and H.R. 3162 Children's Health and Medicare Protection Act of 2007, H.R. 621and S.1484 - The Home Oxygen Patient Protection Act

Client expense: $370,000 · 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