To amend title XIX of the Social Security Act to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid, and for other purposes.

S. 909/H.R. 1878- Legislation to amend Title XIX of the Social Security Act to permit states, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid, and for other purposes- entire bill. S.3656/HR 7241- Preserving Access to Healthcare (PATH) Act of 2008- entire bill. H.R. 5268- A bill to provide for a temporary Increase of the Federal Medical Assistance Percentage Under the Medicaid Program- entire bill. H.R. 6331- Medicare Improvements for Patients and Providers Act of 2008, provisions related to Federal Medical Assistance Percentage under Medicaid. H.R. 7219- To impose a moratorium on the implementation of a Medicaid regulation related to the outpatient clinic and hospital facility service definition and upper payment limit, provision related to CMS outpatient rule moratorium- entire bill. S. 1075/H.R. 2523- Unintended Pregnancy Reduction Act- provisions related to Medicaid family planning waiver.

Client expense: $278,579 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 909/H.R. 1878- Legislation to amend Title XIX of the Social Security Act to permit states, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid, and for other purposes- entire bill. S.3656/HR 7241- Preserving Access to Healthcare (PATH) Act of 2008- entire bill. H.R. 6331- Medicare Improvements for Patients and Providers Act of 2008, provisions related to Federal Medical Assistance Percentage under Medicaid. H.R. 7219- To impose a moratorium on the implementation of a Medicaid regulation related to the outpatient clinic and hospital facility service definition and upper payment limit, provision related to CMS outpatient rule moratorium- entire bill. S. 1075/H.R. 2523- Unintended Pregnancy Reduction Act- provisions related to Medicaid family planning waiver.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 909/H.R. 1878- Legislation to amend Title XIX of the Social Security Act to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid, and for other purposes- entire bill. S. 1075/H.R. 2523- Unintended Pregnancy Reduction Act- entire bill.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 909/H.R. 1878- Legislation to amend Title XIX of the Social Security Act to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid, and for other purposes- entire bill. S. 1075/H.R. 2523- Unintended Pregnancy Reduction Act- entire bill.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

S. 895/H.R. 1535- Children's Health First Act- entire bill. S. 909/H.R. 1878- Legislation to amend Title XIX of the Social Security Act to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid, and for other purposes- entire bill. S. 1075/H.R. 2523- Unintended Pregnancy Reduction Act- entire bill.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 895/H.R. 1535- Children's Health First Act- entire bill. S. 909/H.R. 1878- Legislation to amend Title XIX of the Social Security Act to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid, and for other purposes- entire bill. S. 1075/H.R. 2523- Unintended Pregnancy Reduction Act- entire bill.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3162, Childrens Health and Medicare Protection Act of 2007 H.R. 976, Senate substitute amendment reauthorizing the Childrens Health Insurance Program S. 1224, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 S. 909/H.R. 1878, Amending Medicaid to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid, and for other purposes. S. 751, A bill to amend Medicaid to modify certain administrative eligibility rules relating to children born in the United States to Medicaid-eligible mothers

Client expense: $251,938 · Firm income: Not reported

S. 895/H.R. 1535- Children's Health First Act- entire bill. S. 909/H.R. 1878- Legislation to amend Title XIX of the Social Security Act to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid, and for other purposes- entire bill. S. 1075/H.R. 2523- Unintended Pregnancy Reduction Act- entire bill. S.1893/H.R. 3162/S. 1224/S. 3963/H.R. 976- Children's Health Insurance Program Reauthorization Act of 2007/Children's Health and Medicare Protection Act of 2007 - provisions related to family planning, abortion, coverage for pregnant and postpartum women, codification of unborn child regulation and Medicaid citizenship documentation requirement. S. 2499- Medicare, Medicaid, and SCHIP Extension Act of 2007- potential provisions related to family planning.

Client expense: Not reported · Firm income: Not reported

S. 895/H.R. 1535- Children's Health First Act- entire bill. S. 909/H.R. 1878- Legislation to amend Title XIX of the Social Security Act to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid, and for other purposes- entire bill. S. 1075/H.R. 2523- Unintended Pregnancy Reduction Act- entire bill. S.1893/H.R. 3162/S. 1224/S. 3963/H.R. 976- Children's Health Insurance Program Reauthorization Act of 2007/Children's Health and Medicare Protection Act of 2007 - provisions related to family planning, abortion, coverage for pregnant and postpartum women, codification of unborn child regulation and Medicaid citizenship documentation requirement. S. 2499- Medicare, Medicaid, and SCHIP Extension Act of 2007- potential provisions related to family planning.

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

S. 895/H.R. 1535- Children's Health First Act- entire bill. S. 909/H.R. 1878- Legislation to amend Title XIX of the Social Security Act to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid, and for other purposes- entire bill.

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

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

S. 895/H.R. 1535- Children's Health First Act- entire bill. S. 909/H.R. 1878- Legislation to amend Title XIX of the Social Security Act to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid, and for other purposes- entire bill.

Client expense: Not reported · Firm income: Not reported

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

S. 1224, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 S. 909/H.R. 1878, Amending Medicaid to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid, and for other purposes. S. 751, A bill to amend Medicaid to modify certain administrative eligibility rules relating to children born in the United States to Medicaid-eligible mothers H.R. 3162, Children’s Health and Medicare Protection Act of 2007 H.R. 976, Senate substitute amendment reauthorizing the Children’s Health Insurance Program

Client expense: $251,938 · Firm income: Not reported

S. 909/H.R. 1878- Legislation to amend Title XIX of the Social Security Act to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid, and for other purposes- entire bill. S. 1075/H.R. 2523- Unintended Pregnancy Reduction Act- entire bill. S. 1224- Children's Health Insurance Program (CHIP) Reauthorization Act of 2007, a bill to amend title XXI of the Social Security Act to reauthorize the State Children's Health Insurance Program, and for other purposes- provisions related to citizenship documentation requirement. S.1893/H.R. 3162- Children's Health Insurance Program Reauthorization Act of 2007, an original bill to amend title XXI of the Social Security Act to reauthorize the State Children's Health Insurance Program, and for other purposes- provisions related to family planning, abortion, coverage for pregnant women and Medicaid citizenship documentation requirement. S. 895/H.R. 1535- Children’s Health First Act- entire bill.

Client expense: Not reported · Firm income: Not reported

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

S. 909/H.R. 1878- Legislation to amend Title XIX of the Social Security Act to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid, and for other purposes- entire bill. S. 1075/H.R. 2523- Unintended Pregnancy Reduction Act- entire bill. S. 1224- Children's Health Insurance Program (CHIP) Reauthorization Act of 2007, a bill to amend title XXI of the Social Security Act to reauthorize the State Children's Health Insurance Program, and for other purposes- provisions related to citizenship documentation requirement. S.1893/H.R. 3162- Children's Health Insurance Program Reauthorization Act of 2007, an original bill to amend title XXI of the Social Security Act to reauthorize the State Children's Health Insurance Program, and for other purposes- provisions related to family planning, abortion, coverage for pregnant women and Medicaid citizenship documentation requirement. S. 895/H.R. 1535- Children’s Health First Act- entire bill.

Client expense: $183,834 · Firm income: Not reported

H.R.98 BY Dreier, David To amend the Immigration and Nationality Act to enforce restrictions on employment in the United States of unauthorized aliens through the use of improved Social Security cards and an Employment Eligibility Database, and for other purposes. (All Provisions) H.R.78 BY Bartlett, Roscoe G. To amend the Immigration and Nationality Act and title IV of the Social Security Act to provide for the denial of family classification petitions filed by an individual who owes child support arrearages. (All Provisions) H.R.1 BY Thompson, Bennie G. To provide for the implementation of the recommendations of the National Commission on Terrorist Attacks Upon the United States. (All Provisions) S.1684 by Biden, Joseph R., Jr. A bill to establish the Return of Talent Program to allow aliens who are legally present in the United States to return temporarily to the country of citizenship of the alien if that country is engaged in post-conflict or natural disaster reconstruction, and for other purposes. (All Provisions) S.1639 by Kennedy, Edward M. A bill to provide for comprehensive immigration reform and for other purposes. (All Provisions) S.1460 by Harkin, Tom A bill to amend the Immigration and Nationality Act to reduce fraud in certain visa programs for aliens working temporarily in the United States. (All Provisions) S.31 by Collins, Susan M. A bill to amend the Immigration and Nationality Act to reduce fraud in certain visa programs for aliens working temporarily in the United States. (All Provisions) S.1397 by Lieberman, Joseph I. A bill to increase the allocation of visas for certain highly skilled workers and to reduce fraud and abuse in certain visa programs for aliens working temporarily in the United States. (All Provisions) S.1393 by Alexander, Lamar A bill to amend the Immigration and Nationality Act to prescribe the binding oath or affirmation of renunciation and allegiance required to be naturalized as a citizen of the United States, to encourage and support the efforts of prospective citizens of the United States to become citizens, and for other purposes. (All Provisions) S.1351 by Gregg, Judd A bill to amend the Immigration and Nationality Act to improve the competitiveness of the United States in the global economy and to protect against potential visa fraud and abuse. (All Provisions) S.1350 by Gregg, Judd A bill to amend title II of the Immigration and Nationality Act to reform the diversity visa program and create a program that awards visas to aliens with an advanced degree. (All Provisions) S.1348 by Reid, Harry A bill to provide for comprehensive immigration reform and for other purposes. (All Provisions) S.1328 by Leahy, Patrick J. A bill to amend the Immigration and Nationality Act to eliminate discrimination in the immigration laws by permitting permanent partners of United States citizens and lawful permanent residents to obtain lawful permanent resident status in the same manner as spouses of citizens and lawful permanent residents and to penalize immigration fraud in connection with permanent partnerships. (All Provisions) S.1269 by Inhofe, James M. A bill to improve border security in the United States and for other purposes. (All Provisions) S.1225 by Hagel, Chuck bill to establish a process for aliens who meet certain conditions to be granted permanent resident status. (All Provisions) S.1192 by Domenici, Pete V. A bill to increase the number of Federal judgeships in certain judicial districts with heavy caseloads of criminal immigration cases. (All Provisions) S.1104 by Lugar, Richard G. A bill to increase the number of Iraqi and Afghani translators and interpreters who may be admitted to the United States as special immigrants. (All Provisions) S.1092 by Sen. Chuck Hagel A bill to temporarily increase the number of visas which may be issued to certain highly skilled workers. (All Provisions) S.1083 by Cornyn, John A bill to amend the Immigration and Nationality Act to increase competitiveness in the United States, and for other purposes. (All Provisions) S.1035 by Durbin, Richard A bill to amend the Immigration and Nationality Act to reduce fraud and abuse in certain visa programs for aliens working temporarily in the United States. (All Provisions) S.9 by Reid, Harry A bill to recognize the heritage of the United States as a nation of immigrants and to amend the Immigration and Nationality Act to provide for more effective border and employment enforcement, to prevent illegal immigration, and to reform and rationalize avenues for legal immigration, and for other purposes. (All Provisions) To include other immigration issues including DHS and immigration related legislation. H.R.1151 BY Fortenberry, Jeff To provide for a temporary increase in the number of Iraqi and Afghan translators in the United States Armed Forces who may be provided status as special immigrants. (All Provisions) H.R.1071 BY Maloney, Carolyn C. To provide the nonimmigrant spouses and children of nonimmigrant aliens who perished in the September 11 terrorist attacks an opportunity to adjust their status to that of an alien lawfully admitted for permanent residence, and for other purposes. (All Provisions) H.R.997 BY King, Steve To declare English as the official language of the United States, to establish a uniform English language rule for naturalization, and to avoid misconstructions of the English language texts of the laws of the United States, pursuant to Congress' powers to provide for the general welfare of the United States and to establish a uniform rule of naturalization under article I, section 8, of the Constitution. (All Provisions) H.R.939 BY Goode, Virgil H., Jr. To amend title 10, United States Code, to authorize the Secretary of Defense to assign members of the regular or reserve components of the Army, Navy, Air Force, and Marine Corps, under certain circumstances and subject to certain conditions, to assist the Department of Homeland Security in the performance of border protection functions. (Immigration Related Provisions) H.R.938 BY Gingrey, Phil To amend the Immigration and Nationality Act to make changes related to family-sponsored immigrants and to reduce the number of such immigrants. (All Provisions) H.R.934 BY Davis, Lincoln To amend section 218 of the Immigration and Nationality Act to modify the method of calculating the wages to be paid to H-2A workers. (All Provisions) H.R.842 BY Norwood, Charles W. To provide for enhanced Federal, State, and local assistance in the enforcement of the immigration laws, to amend the Immigration and Nationality Act, to authorize appropriations to carry out the State Criminal Alien Assistance Program, and for other purposes. (All Provisions) H.R.750 BY Jackson-Lee, Sheila To amend the Immigration and Nationality Act to comprehensively reform immigration law, and for other purposes. (All Provisions) H.R.736 BY Rohrabacher, Dana To amend title II of the Social Security Act to exclude from creditable wages and self-employment income wages earned for services by aliens illegally performed in the United States and self-employment income derived from a trade or business illegally conducted in the United States. (All Provisions) H.R.702 BY Cuellar, Henry To authorize any alien who has been issued a valid machine-readable biometric border crossing identification card to be temporarily admitted into the United States upon successfully completing a background check. (All Provisions) H.R.613 BY Fortuno, Luis G. To amend section 1011 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to permit Puerto Rico to qualify for Federal reimbursement of emergency health services furnished to undocumented aliens. (Immigration Related Provisions) H.R.572 BY Towns, Edolphus To establish the Comprehensive Immigration Reform Commission. (All Provisions) H.R.522 BY Hastings, Alcee L To designate Haiti under section 244 of the Immigration and Nationality Act in order to render nationals of Haiti eligible for temporary protected status under such section. (All Provisions) H.R.519 BY Doolittle, John T. To amend the Immigration and Nationality Act to remove the discretion of the Secretary of Homeland Security with respect to expedited removal under section 235(b)(1)(A)(iii)(I) of such Act. (All Provisions) H.R.454 BY Meek, Kendrick B. To amend the Haitian Refugee Immigration Fairness Act of 1998. (All Provisions) H.R.427 BY Towns, Edolphus To amend title XIX of the Social Security Act to assure coverage for legal immigrant children and pregnant women under the Medicaid Program and the State children's health insurance program (SCHIP). (All Provisions) H.R.416 BY Gallegly, Elton To amend the Higher Education Act of 1965 to prohibit assistance to institutions of higher education located in States that provide in-State tuition or other forms of student financial assistance to illegal aliens. (All Provisions) H.R.371 BY Berman, Howard L. To improve agricultural job opportunities, benefits, and security for aliens in the United States, and for other purposes. (All Provisions) H.R.311 BY Pearce, Stevan To amend title 5, United States Code, to increase the maximum age for the original appointment of a retired member of the Armed Forces to a border patrol agent position, and for other purposes. (All Provisions) H.R.306 BY Pearce, Stevan To provide for an initial period of admission of 36 months for aliens employed as dairy workers. (All Provisions) H.R.1758 BY Wu, David To amend the Immigration and Nationality Act to provide status in each of fiscal years 2008 through 2012 for 65,000 H-1B nonimmigrants who have a master's or Ph.D. degree and meet the requirements for such status and whose employers make scholarship payments to institutions of higher education for undergraduate and postgraduate education. (All Provisions) H.R.1756 BY Hunter, Duncan To prohibit Mexico-domiciled motor carriers from operating beyond United States municipalities and commercial zones on the United States-Mexico border until certain conditions are met to ensure the safety of such operations. (All Provisions) H.R.1745 BY Ortiz, Solomon P. To amend the Immigration and Nationality Act to waive inadmissibility based on a misrepresentation in the case of an immediate relative of an active duty or reserve member of the Armed Forces and to extend the V nonimmigrant visa program for spouses and children of such a member. (All Provisions) H.R.1735 BY Buchanan, Vern To amend title 18, United States Code, to provide mandatory imprisonment for certain kidnapings by illegal aliens. (All Provisions) H.R.1645 BY Gutierrez, Luis V. To provide for comprehensive immigration reform, and for other purposes. H.R.1631 BY Rangel, Charles B. To amend section 245(i) of the Immigration and Nationality Act to eliminate the deadline for classification petition and labor certification filings. (Immigration Related Provisions) H.R.1628 BY Pallone, Frank, Jr. To amend the Immigration and Nationality Act to permit the admission to the United States of nonimmigrant students and visitors who are the spouses and children of United States permanent resident aliens, and for other purposes. (Immigration Related Provisions) H.R.1543 BY Emanuel, Rahm To expand visa waiver program to countries on a probationary basis, and for other purposes. (All Provisions) H.R.1512 BY Sanchez, Linda T. To amend the Immigration and Nationality Act to provide for compensation to States incarcerating undocumented aliens charged with a felony or two or more misdemeanors. (All Provisions) H.R.1465 BY Wexler, Robert To provide additional discretion to the Secretary of Homeland Security in designating countries eligible to participate in the visa waiver program under section 217 of the Immigration and Nationality Act, and for other purposes. (All Provisions) H.R.1397 BY Honda, Michael M. To provide for immigration relief in the case of certain immigrants who are innocent victims of immigration fraud. (All Provisions) H.R.1379 BY Gutierrez, Luis V. To assist aliens who have been lawfully admitted in becoming citizens of the United States, and for other purposes. (All Provisions) H.R.1355 BY Myrick, Sue Wilkins To improve sharing of immigration information among Federal, State, and local law enforcement officials, to improve State and local enforcement of immigration laws, and for other purposes. (All Provisions) H.R.1314 BY Blackburn, Marsha To provide that only certain forms of identification of individuals may be accepted by the Federal Government and by financial institutions. (Immigration Related Provisions) H.R.1312 BY Berman, Howard L. To expedite adjudication of employer petitions for aliens of extraordinary artistic ability. (All Provisions) H.R.1308 BY Diaz-Balart, Lincoln To amend titles XIX and XXI of the Social Security Act to permit States the option of coverage of legal immigrants under the Medicaid Program and the State children's health insurance program (SCHIP). (All Provisions) H.R.1291 BY Larsen, Rick To authorize the Attorney General to carry out a program, known as the Northern Border Prosecution Initiative, to provide funds to northern border States to reimburse county and municipal governments for costs associated with certain criminal activities, and for other purposes. (Immigration Related Provisions) H.R.1287 BY Hirono, Mazie K. To exempt children of certain Filipino World War II veterans from the numerical limitations on immigrant visas. (All Provisions) H.R.1275 BY Berman, Howard L. To amend the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 to permit States to determine State residency for higher education purposes and to authorize the cancellation of removal and adjustment of status of certain alien students who are long-term United States residents and who entered the United States as children, and for other purposes. (All Provisions) H.R.1238 BY Green, Gene To amend title XIX of the Social Security Act with respect to meeting the citizenship documentation requirement for children born in the United States. (All Provisions) H.R.1176 BY Serrano, Jose E. To provide discretionary authority to an immigration judge to determine that an alien parent of a United States citizen child should not be ordered removed, deported, or excluded from the United States. (All Provisions) H.R.1427 - H.AMDT.216 BY Price, Tom An amendment numbered 8 printed in the Congressional Record to prevent illegal immigrants from owning or renting housing built by funds from the affordable housing fund by requiring adult occupants of that housing to establish their legal residency through the use of secure forms of identification. (All Provisions) H.R.2310 BY Wilson, Heather To amend the Immigration and Nationality Act to permit certain E-2 nonimmigrant investors to adjust status to lawful permanent resident status. (All Provisions) H.R.2271 BY Gonzalez, Charles A. To amend the Immigration and Nationality Act to improve enforcement of restrictions on employment in the United States of unauthorized aliens and to reimburse State and local governments for costs associated with serving illegal aliens. (All Provisions) H.R.2221 BY Nadler, Jerrold To amend the Immigration and Nationality Act to eliminate discrimination in the immigration laws by permitting permanent partners of United States citizens and lawful permanent residents to obtain lawful permanent resident status in the same manner as spouses of citizens and lawful permanent residents and to penalize immigration fraud in connection with permanent partnerships. (All Provisions) H.R.2109 BY Drake, Thelma D. To amend title 18, United States Code, to provide Federal penalties for certain killings by illegal aliens, and for other purposes. (All Provisions) H.R.2100 BY Tancredo, Thomas G. To provide for equal protection of the law and to prohibit discrimination and preferential treatment on the basis of race, color, national origin, or sex in Federal actions, and for other purposes. H.R.2068 BY Reyes, Silvestre To establish the Southwest Regional Border Authority. (All Provisions) H.R.2006 BY Thompson, Bennie G. To improve the Nation's homeland security by strengthening the security of the visa waiver program under section 217 of the Immigration and Nationality Act, and for other purposes. (All Provisions) H.R.1962 BY McCarthy, Carolyn To authorize the Secretary of Homeland Security to award competitive grants to units of local government for innovative programs that address expenses incurred in responding to the needs of undocumented immigrants. (All Provisions) H.R.1951 BY Ellsworth, Brad To establish a mandatory system for employers to verify the employment eligibility of potential employees, and for other purposes. (All Provisions) H.R.1941 BY Kennedy, Patrick J. To adjust the immigration status of certain Liberian nationals who were provided refuge in the United States. (All Provisions) H.R.1940 BY Deal, Nathan To amend section 301 of the Immigration and Nationality Act to clarify those classes of individuals born in the United States who are nationals and citizens of the United States at birth. (All Provisions) H.R.1930 BY Shadegg, John B. To amend the Immigration and Nationality Act to increase competitiveness in the United States, and for other purposes. (All Provisions) H.R.1909 BY Cuellar, Henry To increase the number of Federal judgeships in certain judicial districts with heavy caseloads of criminal immigration cases. (All Provisions) H.R.1878 BY Brown, Corrine To amend title XIX of the Social Security Act to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid, and for other purposes. (All Provisions) H.R.1822 BY McKeon, Howard P. "Buck" To amend the National Labor Relations Act to require attestation and proof of citizenship or lawful residency from employees seeking labor representation by way of a process other than through a secret ballot election. (All Provisions) H.R.1792 BY Goodlatte, Bob To simplify the process for admitting temporary alien agricultural workers under section 101(a)(15)(H)(ii)(a) of the Immigration and Nationality Act, to increase access to such workers, and for other purposes. (All Provisions) H.R.1790 BY Fortenberry, Jeff To amend the National Defense Authorization Act for Fiscal Year 2006 to expand the provision of special immigrant status for certain aliens, including translators or interpreters, serving with Federal agencies in Iraq and Afghanistan. (All Provisions) H.R.1773 BY Boyda, Nancy E. To limit the authority of the Secretary of Transportation to grant authority to motor carriers domiciled in Mexico to operate beyond United States municipalities and commercial zones on the United States-Mexico border. (All Provisions) H.R.2940 BY Rep. Perlmutter, Ed To amend section 212 of the Immigration and Nationality Act with respect to discretionary determinations waiving an alien's inadmissibility based on certain activities, and for other purposes. (All Provisions) H.R.2829 BY Rep. Serrano, Jose E. Making appropriations for financial services and general government for the fiscal year ending September 30, 2008, and for other purposes. (Immigration Related Provisions) H.R.2764 BY Rep. Nita Lowey A bill making appropriations for the department of state, foreign operations, USAID, and related programs for the fiscal year ending September 30, 2008, and for other purposes. (Immigration Related Provisions) H.R.2643 BY Dicks, Norman D. Making appropriations for the Department of Homeland Security for the fiscal year ending September 30, 2008, and for other purposes. (Immigration Related Provisions) H.R.2638 BY Price, David E. Making appropriations for the Department of Homeland Security for the fiscal year ending September 30, 2008, and for other purposes. (Immigration Related Provisions) H.R.2608 BY McDermott, Jim To amend section 402 of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 to provide, in fiscal years 2008 through 2010, extensions of supplemental security income for refugees, asylees, and certain other humanitarian immigrants, and to amend the Internal Revenue Code to collect unemployment compensation debts resulting from fraud. (All Provisions) H.R.2593 BY Grijalva, Raul M. To secure and conserve Federal public lands and natural resources along the international land borders of the United States, and for other purposes. (Immigration Related Provisions) H.R.2561 BY Dent, Charles W. To protect the United States by targeting terrorists at the border, and for other purposes.(All Provisions) H.Res.440 BY Gillmor, Paul E. Expressing the sense of the House of Representatives that any comprehensive plan to combat illegal immigration must increase resources for border patrol, establish an instant employment eligibility verification system, renew a limited temporary worker program, prohibit blanket amnesty for illegal aliens who have deliberately broken the law, and give priority to law-abiding, highly-skilled immigrants applying for legal citizenship. (All Provisions) H.R.2538 BY Pascrell, Bill, Jr. To amend the Immigration and Nationality Act to provide greater protections to domestic and foreign workers under the H-1B nonimmigrant worker program. (All Provisions) H.R.2526 BY Maloney, Carolyn B. To designate Greece as a program country for purposes of the visa waiver program established under section 217 of the Immigration and Nationality Act. (All Provisions) H.R.2542 BY Rodriguez, Ciro D. To authorize the Secretary of Homeland Security to make grants to hire, train, and equip local law enforcement officials on and near the southern border of the United States, as well as to reimburse the costs of paying overtime to such officials, and for other purposes. (All Provisions) H.R.2508 BY Elton Gallegly (R-CA) A bill to require Federal contractors to participate in the basic pilot program for employment eligibility verification. (All Provisions) H.R.2504 BY Rosa DeLauro TA bill to amend the Immigration and Nationality Act with respect to the admission of L-1 intra-company transferee nonimmigrants. (All Provisions) H.R.2490 BY Bilirakis, Gus M. To require the Secretary of Homeland Security to conduct a pilot program for the mobile biometric identification in the maritime environment of aliens unlawfully attempting to enter the United States. (All Provisions) H.R.2431 BY Cuellar, Henry To authorize appropriations for border and transportation security personnel and technology, and for other purposes. (All Provisions) H.R.2413 BY Lungren, Daniel E. To amend the Immigration and Nationality Act to provide for an increase in border patrol agents and other immigration enforcement activities, for a temporary agricultural worker program, and for a program to adjust the status of certain qualified long-term residents. (All Provisions) H.R.2405 BY Farr, Sam To require the Secretary of Homeland Security to provide for ceremonies on or near Independence Day for administering oaths of allegiance to legal immigrants whose applications for naturalization have been approved. (All Provisions) H.R.2399 BY Hill, Baron P. To amend the Immigration and Nationality Act and title 18, United States Code, to combat the crime of alien smuggling and related activities, and for other purposes. (All Provisions) H.R.2388 BY Schakowsky, Janice D. To amend the Immigration and Nationality Act to enhance protections for immigrant victims of domestic violence, sexual assault, and trafficking. (All Provisions) See attached

workforce, HR3043/S1710, S 543/HR 1459; payment: HR 2206, HR 1480/1741/S 787, Section 1011 of the Medicare Modernization Act of 2003 (MMA), HR 1293, HR 882, HR 552/S 329 ; self referral ; quality S 1226, HR 1666, S 465; rehabilitation hospitals, S543/HR 1459; rural hospitals, HR 2860, S 1605, S 1595; long term care hospitals: HR 562/S338 ; Medicaid reform, HR 2512, HR 2147, HR1111, HR 1878; SCHIP: S 1224, S 895/HR 1535; Labor HR 2122, S 1639, HR800/S1041, HR 2123, HR 378, HR 1644, HR1111, HR 2147; regulations including, but not limited to, provisions of PL 106-554, PL 108-173, PL 109-171; the FY08 IPPS proposed rule, proposed Medicaid rule (CMS 2258-P); Medicare and Medicaid Reimbursement issues including HR 2055, HR 2606, S Con Res 21/H Con Res 99, HJ Res. 20, S 355;

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

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

S. 1224, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 S. 909/H.R. 1878, Amending Medicaid to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid, and for other purposes. S. 751, A bill to amend Medicaid to modify certain administrative eligibility rules relating to children born in the United States to Medicaid-eligible mothers H.R. 3162, Children’s Health and Medicare Protection Act of 2007 H.R. 976, Senate substitute amendment reauthorizing the Children’s Health Insurance Program

Client expense: $251,938 · Firm income: Not reported