Safe Nursing and Patient Care Act of 2007

HR 4355/S 2460, To impose moratorium on certain Medicaid payment restrictions, Entire Bill. HR 3533, Public and Teaching Hospital Preservation Act, Entire Bill. HR 5613, Protecting the Medicaid Safety Net Act of 2008, Entire Bill. S 2819, Economical Recovery in Health Care Act of 2008, Entire Bill. HR 4105, Medicare Recovery in Audit Contractor Program Moratorium Act of 2007, Entire Bill. HR 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, Section 106 Limitation on Physician Ownership of Hospital. HR 1174, Health Hospitals Act of 2007, Entire Bill. S 1842/HR 2122, Safe Nursing and Patient Care Act of 2007, Entire Bill. Social Security Income Days-Disporportionate Share Hospital Payments, Miscalculation of SSI Days by CMS.

Client expense: $110,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1842/H.R. 2122 - RN Mandatory Overtime Legislation H.R. 2123 - Nurse Staffing Standards for Patient Quality Act S. 73/H.R. 4138 - Quality Nursing Care Act H.R. 2384 - Nurse Faculty Higher Education Act S. 1298 - Healthy Business, Healthy Workers Reinsurance Act of 2007 S. 95/H.R. 1111 - Kids Come First Act of 2007 H.R. 1367 - Paul Wellstone Mental Health and Addition Equity Act of 2007 S. 1693 - Wired for Health Care Quality Act H.R. 3542 - 9/11 Health & Compesation Act S. 334 Healthy American Act Retiree Health Care Legislation Pandemic Flu Preparedness H.R. 1424 - Emergency Economic Stabilization Act - Mental Health Parity

Client expense: $18,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation to expand health care coverage and access including provisions contained bills in which would offer Medicare, Medicaid and/or SCHIP to more children, create parity in coverage of mental health benefits, foster reform at the state level, stabilize trauma care, prevent healthcare acquired infections, ensure hospital preparedness, expand the use of health information technology, provide funding for Ryan White programs, increase and stabilize the healthcare workforce. HR 2357; MediKids Health Insurance Act of 2007"; to create a new federal healthcare program to provide comprehensive health benefits to children S 1218 /HR 2034, Medicare for All Act; expanding the Medicare program to those under age 65. S 1169; State-Based Health Care Reform Act; to create a five-year pilot program in several states to develop coverage plans for the uninsured HR 1424; Paul Wellstone Mental Health and Addiction Equity Act require group health plans to provide comparable treatment limits and beneficiary cost sharing for medical and mental health benefits. HR 1663, Medicare Mental Health Modernization Act to provide mental health parity in private health insurance and Medicare, and improves coverage for cost-effective and community-based mental health treatment services for seniors and people with disabilities S 895/HR 1535; Children's Health First Act allow states to expand children's health coverage to families up to 400 percent of the Federal poverty level HR 1308S/764, Legal Immigrant Children's Health Improvement Act to permit states the option of coverage of legal immigrants under the Medicaid Program and the State Children's Health Insurance Program S 558, Mental Health Parity Act of 2007 would preserve state laws that are more comprehensive while creating parity in health plans offering mental health coverage by equating financial requirements and treatment limitations for mental health benefits with medical and surgical benefits. S 325/HR 506, Health Partnership Act would provide grants to individual states, groups of states, and portions of states to test various health reform strategies HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act 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) 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 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program HR 3221: Housing and Economic Recovery Act provision that would allow federal home loan banks to issue letters of credit for tax-exempt hospital bonds. HR 7110: Job Creation and Unemployment Relief Act: Title III, temporary increase in Medicaid matching rate Legislation to expand health care coverage and access including provisions which would stabilize medical emergency reimbursement, 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 S 657, A bill to amend the Public Health Service Act to add requirements regarding trauma care HR 6394: Border Health Care Relief Act of 2008 Amends the MPDIMA to extend Sec. 1011 through FY2012 for federal reimbursement of emergency health services furnished to undocumented aliens Legislation to expand health care coverage and access including provisions to ensure patient safety, H.J.RES. 20, Making further continuing appropriations for the fiscal year 2007 provision annual fit-testing of respirators for occupational exposure to tuberculosis. S 2278/HR 4214 Community and Healthcare-Associated Infections Reduction Act to improve the prevention, detection, and treatment of community and healthcare-associated infections Legislation to expand health care coverage and access including provisions to ensure emergency preparedness, HR 727, Trauma Care Systems Planning and Development Act of 2007 would authorize an additional $46 million between fiscal years 2008 and 2012 in spending for rural medical centers that treat patients during times of national crisis HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for hospital preparedness S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for hospital preparedness HR 3043; Labor, HHS Appropriations bill, provide funds for hospital preparedness Legislation to expand health care coverage and access including provisions to promote the use of health information technology: S 1418, Wired for Health Care Quality Act HR3043/S1710, Appropriations Labor, Health and Human Services (HHS), Education, and Related Agencies FY 08, funding for HIT programs HR 1467, 10,000 Trained by 2010 Act, award competitive grants for basic research on innovative approaches to improve health care information systems HR 2406, Healthcare Information Technology Enterprise Integration,guidelines and mechanisms to promote the integration of the healthcare information enterprise. S 1408, Health Information Technology Act, would provide tax incentives and resources to offset the costs of investing in new health information technology. HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for HIT S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for HIT HR 3043, Labor, HHS Appropriations bill, provide funds for HIT HR 2764; omnibus appropriations bill for FY2008 provide funds for HIT HR 6357 : Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH)T Act, Legislation to expand health care coverage and access including provisions funding HIV/AIDS programs: HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Ryan White programs S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for Ryan White programs HR3043/S1710, FY 2008 Labor HHS Appropriations Bill, funding for Ryan White programs HR 2764; omnibus appropriations bill for FY2008, funding for Ryan White programs Legislation to expand health care coverage and access including provisions to ensure sufficient workforce within in the healthcare sector S 1604, Nursing Education and Quality of Health Care Act, increases the nurse workforce in rural areas, expands nursing school faculty, and develops initiatives to integrate patient safety practices into nursing education HR 2122, Safe Nursing and Patient Care Act of 2007", limiting the number of mandatory overtime hours a nurse may be required to work S 1639, Comprehensive Immigration Reform, the point-based system for visas, to give nurses special consideration under the point system HR800/S1041, Employee Free Choice Act, require the NLRB to certify a bargaining representative if a majority of the bargaining unit employees have authorized designation of the representative (card-check) HR 2123, Nurse Staffing Standards for Patient Safety and Quality Care Act, to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals HR 378, Nurse and Patient Safety & Protection Act direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, direct-care registered nurses, and other health care providers by establishing a safe patient handling standard. HR 1644, Re-Empowerment of Skilled and Professional Employees and Construction Tradesworkers (RESPECT) Act, to amend the National Labor Relations Act to clarify the definition of "supervisor" S446, Nurse Education, Expansion, and Development (NEED) Act, grants based on the number of nursing students enrolled to hire and retain new nursing faculty S 718, The Patient-Focused Critical Care Enhancement Act, provision study the impact of differences in staffing, organization, size, and structure of intensive care units on access, quality, and efficiency of care HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Nursing Education programs, , national health service corp HR 677, Nursing School Capacity Act authorize IOM study to identify constraints encountered by schools of nursing in admitting and graduating sufficient number of nurses S1577, Patient Safety and Abuse Prevention Act screening of direct patient access employees HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp. S 588/HR 1093, Resident Physician Shortage Act, to expand the number of physician training positions in 24 states with shortages HR 5924, The Emergency Nurse Supply Relief Act, which would address the retrogression backlog of visas for internationally-educated nurses who have been hired by U.S. hospitals but are not able to come here because of the unavailability of an employment-based (EB) visa.

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

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

H.R. 2066, S. 59: Medicaid Advanced Practice Nurse and Physician Assistant Access Act of 2007. S. 1842, H.R. 2122: The Safe Nursing and Patient Care Act of 2007. S. 73, H.R. 4138: The Registered Nurse Safe Staffing Act of 2007. S. 1678, H.R. 6826: Home Health Care Planning Improvement Act. H.R. 5174: The Nursing and Allied Health Education Preservation Act of 2008. H.R. 4296, S. 2408: Medicare Electronic Medication and Safety Protection Act of 2007. H.R. 6898: Health-e Information Technology Act of 2008. All provisions related to grants to health care providers to support the adoption of electronic health records. S. 3613: Independence at Home Act of 2008.

Client expense: $328,742 · Firm income: Not reported

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

H.R. 6331/S. 3101 The Medicare Improvements for Patients and Providers Act, Sections 121, 122, 123, 124, 131, 132, 135, 145, 149, 150, 151, 161, 205. H.R. 1424 Paul Wellstone Mental Health Parity and Addiction Act, Section 106 in House Bill. S. 558 Mental Health Parity Act 2007, Entire Bill. H.R. 5998 Medicaid SCHIP Directive, Entire Bill. H.R. 6357 To amend the Public Health Service Act. S. 2819 Economical Recovery in Health Care Act of 2008, Entire Bill. H.R. 4105 RAC, Entire Bill. H.R. 5924 Emergency Nursing Supply Relief Act, Entire Bill. H.R. 5882 To recapture employment-based immigrant visas lost to bureaucratic delays and to prevent losses of family-and employment-based immigrant visas in the future, Entire Bill. H.R. 6163 Medicare Telehealth Enhancement Act of 2008, Entire Bill. H.R. 6966 Safeguarding Our Hospitals' Futures Act of 2008, Entire Bill. H.R. 7110 Job Creation and Unemployment Relief Act of 2008, Title III-FMAP. H.R. 7067 Quality FIRST, Entire Bill. H.R. 7241/S. 3656 Preserving Access to Healthcare Act of 2008, Entire Bill. H.R. 5613 Protect Medicaid Safety Net, Entire Bill. H.R. 5942 National Trauma Center Stabilization Act, Entire Bill. S. 3101 The Medicare Improvements for Patients and Providers Act, Rural Hospital provisions. H.R. 4355/S. 2460 To impose moratorium on certain Medicaid payment restrictions, Entire Bill. H.R. 3533 Public and Teaching Hospital Preservation Act, Entire Bill. H.R. 1174 Health Hospitals Act of 2007, Entire Bill. S. 1842/H.R. 2122 Safe Nursing and Patient Care Act of 2007, Entire Bill. S. 3656 Preserving Access to Healthcare (PATH) Act of 2008, Entire Bill. H.R. 7241 Preserving Access to Heatlhcare (PATH) Act of 2008, Entire Bill. H.R. 7067 Quality First Act, Entire Bill.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation to expand health care coverage and access including provisions contained bills in which would offer Medicare, Medicaid and/or SCHIP to more children, create parity in coverage of mental health benefits, foster reform at the state level, stabilize trauma care, prevent healthcare acquired infections, ensure hospital preparedness, expand the use of health information technology, provide funding for Ryan White programs, increase and stabilize the healthcare workforce HR 2357; MediKids Health Insurance Act of 2007"; to create a new federal healthcare program to provide comprehensive health benefits to children S 1218 /HR 2034, Medicare for All Act; expanding the Medicare program to those under age 65. S 1169; State-Based Health Care Reform Act; to create a five-year pilot program in several states to develop coverage plans for the uninsured HR 1424; Paul Wellstone Mental Health and Addiction Equity Act require group health plans to provide comparable treatment limits and beneficiary cost sharing for medical and mental health benefits. HR 1663, Medicare Mental Health Modernization Act to provide mental health parity in private health insurance and Medicare, and improves coverage for cost-effective and community-based mental health treatment services for seniors and people with disabilities S 895/HR 1535; Children's Health First Act allow states to expand children's health coverage to families up to 400 percent of the Federal poverty level HR 1308S/764, Legal Immigrant Children's Health Improvement Act to permit states the option of coverage of legal immigrants under the Medicaid Program and the State Children's Health Insurance Program S 558, Mental Health Parity Act of 2007 would preserve state laws that are more comprehensive while creating parity in health plans offering mental health coverage by equating financial requirements and treatment limitations for mental health benefits with medical and surgical benefits. S 325/HR 506, Health Partnership Act would provide grants to individual states, groups of states, and portions of states to test various health reform strategies HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act 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) 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 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program HR 3221: Housing and Economic Recovery Act provision that would allow federal home loan banks to issue letters of credit for tax-exempt hospital bonds. HR 7110: Job Creation and Unemployment Relief Act: Title III, temporary increase in Medicaid matching rate Legislation to expand health care coverage and access including provisions which would stabilize medical emergency reimbursement, 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 S 657, A bill to amend the Public Health Service Act to add requirements regarding trauma care HR 6394: Border Health Care Relief Act of 2008 Amends the MPDIMA to extend Sec. 1011 through FY2012 for federal reimbursement of emergency health services furnished to undocumented aliens Legislation to expand health care coverage and access including provisions to ensure patient safety, H.J.RES. 20, Making further continuing appropriations for the fiscal year 2007 provision annual fit-testing of respirators for occupational exposure to tuberculosis. S 2278/HR 4214 Community and Healthcare-Associated Infections Reduction Act to improve the prevention, detection, and treatment of community and healthcare-associated infections Legislation to expand health care coverage and access including provisions to ensure emergency preparedness, HR 727, Trauma Care Systems Planning and Development Act of 2007 would authorize an additional $46 million between fiscal years 2008 and 2012 in spending for rural medical centers that treat patients during times of national crisis HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for hospital preparedness S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for hospital preparedness HR 3043; Labor, HHS Appropriations bill, provide funds for hospital preparedness Legislation to expand health care coverage and access including provisions to promote the use of health information technology: S 1418, Wired for Health Care Quality Act HR3043/S1710, Appropriations Labor, Health and Human Services (HHS), Education, and Related Agencies FY 08, funding for HIT programs HR 1467, 10,000 Trained by 2010 Act, award competitive grants for basic research on innovative approaches to improve health care information systems HR 2406, Healthcare Information Technology Enterprise Integration,guidelines and mechanisms to promote the integration of the healthcare information enterprise. S 1408, Health Information Technology Act, would provide tax incentives and resources to offset the costs of investing in new health information technology. HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for HIT S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for HIT HR 3043, Labor, HHS Appropriations bill, provide funds for HIT HR 2764; omnibus appropriations bill for FY2008 provide funds for HIT HR 6357 : Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH)T Act, Legislation to expand health care coverage and access including provisions funding HIV/AIDS programs: HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Ryan White programs S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for Ryan White programs HR3043/S1710, FY 2008 Labor HHS Appropriations Bill, funding for Ryan White programs HR 2764; omnibus appropriations bill for FY2008, funding for Ryan White programs Legislation to expand health care coverage and access including provisions to ensure sufficient workforce within in the healthcare sector S 1604, Nursing Education and Quality of Health Care Act, increases the nurse workforce in rural areas, expands nursing school faculty, and develops initiatives to integrate patient safety practices into nursing education HR 2122, Safe Nursing and Patient Care Act of 2007", limiting the number of mandatory overtime hours a nurse may be required to work S 1639, Comprehensive Immigration Reform, the point-based system for visas, to give nurses special consideration under the point system HR800/S1041, Employee Free Choice Act, require the NLRB to certify a bargaining representative if a majority of the bargaining unit employees have authorized designation of the representative (card-check) HR 2123, Nurse Staffing Standards for Patient Safety and Quality Care Act, to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals HR 378, Nurse and Patient Safety & Protection Act direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, direct-care registered nurses, and other health care providers by establishing a safe patient handling standard. HR 1644, Re-Empowerment of Skilled and Professional Employees and Construction Tradesworkers (RESPECT) Act, to amend the National Labor Relations Act to clarify the definition of "supervisor" S446, Nurse Education, Expansion, and Development (NEED) Act, grants based on the number of nursing students enrolled to hire and retain new nursing faculty S 718, The Patient-Focused Critical Care Enhancement Act, provision study the impact of differences in staffing, organization, size, and structure of intensive care units on access, quality, and efficiency of care HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Nursing Education programs, , national health service corp HR 677, Nursing School Capacity Act authorize IOM study to identify constraints encountered by schools of nursing in admitting and graduating sufficient number of nurses S1577, Patient Safety and Abuse Prevention Act screening of direct patient access employees HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp. S 588/HR 1093, Resident Physician Shortage Act, to expand the number of physician training positions in 24 states with shortages HR 5924, The Emergency Nurse Supply Relief Act, which would address the retrogression backlog of visas for internationally-educated nurses who have been hired by U.S. hospitals but are not able to come here because of the unavailability of an employment-based (EB) visa.

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

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

H.R. 6331/S. 3101 The Medicare Improvements for Patients and Providers Act, Sections 121, 122, 123, 124, 131, 132, 135, 145, 149, 150, 151, 161, 205. H.R. 1424 Paul Wellstone Mental Health Parity and Addiction Act, Section 106 in House Bill. S. 558 Mental Health Parity Act 2007, Entire Bill. H.R. 5998 Medicaid SCHIP Directive, Entire Bill. H.R. 6357 To amend the Public Health Service Act. S. 2819 Economical Recovery in Health Care Act of 2008, Entire Bill. H.R. 4105 RAC, Entire Bill. H.R. 5924 Emergency Nursing Supply Relief Act, Entire Bill. H.R. 5882 To recapture employment-based immigrant visas lost to bureaucratic delays and to prevent losses of family-and employment-based immigrant visas in the future, Entire Bill. H.R. 6163 Medicare Telehealth Enhancement Act of 2008, Entire Bill. H.R. 6966 Safeguarding Our Hospitals' Futures Act of 2008, Entire Bill. H.R. 7110 Job Creation and Unemployment Relief Act of 2008, Title III-FMAP. H.R. 7067 Quality FIRST, Enire Bill. H.R. 7241/S. 3656 Preserving Access to Healthcare Act of 2008, Entire Bill. H.R. 5613 Protect Medicaid Safety Net, Entire Bill. H.R. 5942 National Trauma Center Stabilization Act, Entire Bill. S 3101 The Medicare Improvements for Patients and Providers Act, Rural Hospital provisions. H.R. 4355/S. 2460 To impose moratorium on certain Medicaid payment restrictions, Entire Bill. H.R. 3533 Public and Teaching Hospital Preservation Act, Entire Bill. H.R. 1174 Health Hospitals Act of 2007, Entire Bill. S 1842/H.R. 2122 Safe Nursing and Patient Care Act of 2007, Entire Bill.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1842/H.R. 2122 - RN Mandatory Overtime Legislation H.R. 2123 - Nurse Staffing Standards for Patient Quality Act S. 73/H.R. 4138 - Quality Nursing Care Act H.R. 2384 - Nurse Faculty Higher Education Act S. 1298 - Healthy Business, Healthy Workers Reinsurance Act of 2007 S. 95/H.R. 1111 - Kids Come First Act of 2007 H.R. 1367 - Paul Wellstone Mental Health and Addition Equity Act of 2007 S. 1693 - Wired for Health Care Quality Act H.R. 3542 - 9/11 Health & Compesation Act S. 334 Healthy American Act Retiree Health Care Legislation Pandemic Flu Preparedness H.R. 1424 - Emergency Economic Stabilization Act - Mental Health Parity

Client expense: $18,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2066, S. 59: Medicaid Advanced Practice Nurse and Physician Assistant Access Act of 2007. S. 1842, H.R. 2122: The Safe Nursing and Patient Care Act of 2007. S. 73, H.R. 4138: The Registered Nurse Safe Staffing Act of 2007. H.R. 1663: Medicare Mental Health Modernization Act of 2007. H.R. 6331: Medicare Improvements for Patients and Providers Act of 2007. All provisions relating to the physician fee schedule, electronic perscribing, mental health parity, e-perscribing, and assistance for low-income beneficiaries. S. 1678, H.R. 6826: Home Health Care Planning Improvement Act. H.R. 5174. The Nursing and Allied Health Education Preservation Act of 2008. H.R. 4296, S. 2408: Medicare Electronic Medication and Safety Protection Act of 2007. H.R. 6898: Health-e Information Technology Act of 2008. All provisions related to grants to health care providers to support the adoption of electronic health records. S. 3613: Independence at Home Act of 2008.

Client expense: $369,234 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE

HR 4355/S 2460, To impose moratorium on certain Medicaid payment restrictions, Entire Bill. HR 3533, Public and Teaching Hospital Preservation Act, Entire Bill. HR 5613, Protecting the Medicaid Safety Net Act of 2008, Entire Bill. S 2819, Economical Recovery in Health Care Act of 2008, Entire Bill. HR 5942, National Trauma Center Stabilization Act, Entire Bill. HR 5998, Medicaid SCHIP Directive, Entire Bill. HR 4105, Medicare Recovery in Audit Contractor Program Moratorium Act of 2007, Entire Bill. HR 1424/S 558, Paul Wellstone Mental Health and Addiction Equity Act of 2007, Section 106 Limitation on Physician Ownership of Hospitals. HR 1174, Healthy Hospitals Act of 2007, Entire Bill. S 1842/HR 2122, Safe Nursing and Patient Care Act of 2007, Entire Bill. Social Security Income Days-Disproportionate Share Hospital Payments, Miscalulation of SSI Days by CMS. S 3101, The Medicare Improvements for Patients and Providers Act, Rural Hospital provisions. HR 6357, To amend the Public Health Service Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation to expand health care coverage and access including provisions contained bills in which would offer Medicare, Medicaid and/or SCHIP to more children, create parity in coverage of mental health benefits, foster reform at the state level, stabilize trauma care, prevent healthcare acquired infections, ensure hospital preparedness, expand the use of health information technology, provide funding for Ryan White programs, increase and stabilize the healthcare workforce HR 2357; MediKids Health Insurance Act of 2007"; to create a new federal healthcare program to provide comprehensive health benefits to children S 1218 /HR 2034, Medicare for All Act; expanding the Medicare program to those under age 65. S 1169; State-Based Health Care Reform Act; to create a five-year pilot program in several states to develop coverage plans for the uninsured HR 1424; Paul Wellstone Mental Health and Addiction Equity Act require group health plans to provide comparable treatment limits and beneficiary cost sharing for medical and mental health benefits. HR 1663, Medicare Mental Health Modernization Act to provide mental health parity in private health insurance and Medicare, and improves coverage for cost-effective and community-based mental health treatment services for seniors and people with disabilities S 895/HR 1535; Children's Health First Act allow states to expand children's health coverage to families up to 400 percent of the Federal poverty level HR 1308S/764, Legal Immigrant Children's Health Improvement Act to permit states the option of coverage of legal immigrants under the Medicaid Program and the State Children's Health Insurance Program S 558, Mental Health Parity Act of 2007 would preserve state laws that are more comprehensive while creating parity in health plans offering mental health coverage by equating financial requirements and treatment limitations for mental health benefits with medical and surgical benefits. S 325/HR 506, Health Partnership Act would provide grants to individual states, groups of states, and portions of states to test various health reform strategies HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act 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) 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). Legislation to expand health care coverage and access including provisions which would stabilize medical emergency reimbursement, 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 S 657, A bill to amend the Public Health Service Act to add requirements regarding trauma care Legislation to expand health care coverage and access including provisions to ensure patient safety, H.J.RES. 20, Making further continuing appropriations for the fiscal year 2007 provision annual fit-testing of respirators for occupational exposure to tuberculosis. S 2278/HR 4214 Community and Healthcare-Associated Infections Reduction Act to improve the prevention, detection, and treatment of community and healthcare-associated infections Legislation to expand health care coverage and access including provisions to ensure emergency preparedness, HR 727, Trauma Care Systems Planning and Development Act of 2007 would authorize an additional $46 million between fiscal years 2008 and 2012 in spending for rural medical centers that treat patients during times of national crisis HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for hospital preparedness S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for hospital preparedness HR 3043; Labor, HHS Appropriations bill, provide funds for hospital preparedness Legislation to expand health care coverage and access including provisions to promote the use of health information technology: S 1418, Wired for Health Care Quality Act HR3043/S1710, Appropriations Labor, Health and Human Services (HHS), Education, and Related Agencies FY 08, funding for HIT programs HR 1467, 10,000 Trained by 2010 Act, award competitive grants for basic research on innovative approaches to improve health care information systems HR 2406, Healthcare Information Technology Enterprise Integration,guidelines and mechanisms to promote the integration of the healthcare information enterprise. S 1408, Health Information Technology Act, would provide tax incentives and resources to offset the costs of investing in new health information technology. HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for HIT S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for HIT HR 3043, Labor, HHS Appropriations bill, provide funds for HIT HR 2764; omnibus appropriations bill for FY2008 provide funds for HIT Legislation to expand health care coverage and access including provisions funding HIV/AIDS programs: HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Ryan White programs S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for Ryan White programs HR3043/S1710, FY 2008 Labor HHS Appropriations Bill, funding for Ryan White programs HR 2764; omnibus appropriations bill for FY2008, funding for Ryan White programs Legislation to expand health care coverage and access including provisions to ensure sufficient workforce within in the healthcare sector S 1604, Nursing Education and Quality of Health Care Act, increases the nurse workforce in rural areas, expands nursing school faculty, and develops initiatives to integrate patient safety practices into nursing education HR 2122, Safe Nursing and Patient Care Act of 2007", limiting the number of mandatory overtime hours a nurse may be required to work S 1639, Comprehensive Immigration Reform, the point-based system for visas, to give nurses special consideration under the point system HR800/S1041, Employee Free Choice Act, require the NLRB to certify a bargaining representative if a majority of the bargaining unit employees have authorized designation of the representative (card-check) HR 2123, Nurse Staffing Standards for Patient Safety and Quality Care Act, to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals HR 378, Nurse and Patient Safety & Protection Act direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, direct-care registered nurses, and other health care providers by establishing a safe patient handling standard. HR 1644, Re-Empowerment of Skilled and Professional Employees and Construction Tradesworkers (RESPECT) Act, to amend the National Labor Relations Act to clarify the definition of "supervisor" S446, Nurse Education, Expansion, and Development (NEED) Act, grants based on the number of nursing students enrolled to hire and retain new nursing faculty S 718, The Patient-Focused Critical Care Enhancement Act, provision study the impact of differences in staffing, organization, size, and structure of intensive care units on access, quality, and efficiency of care HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Nursing Education programs, , national health service corp HR 677, Nursing School Capacity Act authorize IOM study to identify constraints encountered by schools of nursing in admitting and graduating sufficient number of nurses S1577, Patient Safety and Abuse Prevention Act screening of direct patient access employees HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp. S 588/HR 1093, Resident Physician Shortage Act, to expand the number of physician training positions in 24 states with shortages HR 5924, The Emergency Nurse Supply Relief Act, which would address the retrogression backlog of visas for internationally-educated nurses who have been hired by U.S. hospitals but are not able to come here because of the unavailability of an employment-based (EB) visa.

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

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

H.R. 2066/S. 59: Medicaid Advanced Practice Nurse and Physicians Assistant Access Act: All provisions related to Medicaid coverage of advanced practice registered nurses. H.R. 5613: Protecting the Medicaid Safety Net Act of 2008: All provisions related to moratorium of Medicaid regulations. S. 1842/H.R. 2122: The Safe Nursing and Patient Care Act of 2007. All provisions related to mandatory overtime. S. 1052: The Healthy Children and Families Act: All provisions encouraging states to add evidence-based nurse home visitation programs to their Medicaid and State Children's Health Insurance Program services. S. 73/H.R. 4138: The Registered Nurse Safe Staffing Act of 2007. All provisions relating to nurse staffing. H.R. 1663: Medicare Mental Health Modernization Act. All provisions related to mental health parity in Medicare. H.R. 6331: Medicare Improvement for Patients and Providers Act of 2008. All provisions relating to the physician fee schedule, and assistance for low-income beneficiaries. S. 1678: Home Health Care Planning Improvement Act of 2007: All provisions related to payment for home health care. H.R. 5174: The Nursing and Allied Health Education Preservation Act of 2008. H.R. 4296/ S. 2408: Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007: All provisions related to e-prescribing.

Client expense: $244,113 · Firm income: Not reported

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

S. 1842/H.R. 2122 - RN Mandatory Overtime Legislation H.R. 2123 - Nurse Staffing Standards for Patient Quality Act S. 73/H.R. 4138 - Quality Nursing Care Act H.R. 2384 - Nurse Faculty Higher Education Act S. 1298 - Healthy Business, Healthy Workers Reinsurance Act of 2007 S. 95/H.R. 1111 - Kids Come First Act of 2007 H.R. 1367 - Paul Wellstone Mental Health and Addition Equity Act of 2007 S. 1693 - Wired for Health Care Quality Act H.R. 3542 - 9/11 Health & Compesation Act S. 334 Healthy American Act Retiree Health Care Legislation Pandemic Flu Preparedness

Client expense: $18,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation to expand health care coverage and access including provisions contained bills in which would offer Medicare, Medicaid and/or SCHIP to more children, create parity in coverage of mental health benefits, foster reform at the state level, stabilize trauma care, prevent healthcare acquired infections, ensure hospital preparedness, expand the use of health information technology, provide funding for Ryan White programs, increase and stabilize the healthcare workforce. HR 2357; MediKids Health Insurance Act of 2007"; to create a new federal healthcare program to provide comprehensive health benefits to children S 1218 /HR 2034, Medicare for All Act; expanding the Medicare program to those under age 65. S 1169; State-Based Health Care Reform Act; to create a five-year pilot program in several states to develop coverage plans for the uninsured HR 1424; Paul Wellstone Mental Health and Addiction Equity Act require group health plans to provide comparable treatment limits and beneficiary cost sharing for medical and mental health benefits. HR 1663, Medicare Mental Health Modernization Act to provide mental health parity in private health insurance and Medicare, and improves coverage for cost-effective and community-based mental health treatment services for seniors and people with disabilities S 895/HR 1535; Children's Health First Act allow states to expand children's health coverage to families up to 400 percent of the Federal poverty level HR 1308S/764, Legal Immigrant Children's Health Improvement Act to permit states the option of coverage of legal immigrants under the Medicaid Program and the State Children's Health Insurance Program S 558, Mental Health Parity Act of 2007 would preserve state laws that are more comprehensive while creating parity in health plans offering mental health coverage by equating financial requirements and treatment limitations for mental health benefits with medical and surgical benefits. S 325/HR 506, Health Partnership Act would provide grants to individual states, groups of states, and portions of states to test various health reform strategies HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act 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) 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). Legislation to expand health care coverage and access including provisions which would stabilize medical emergency reimbursement, 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 S 657, A bill to amend the Public Health Service Act to add requirements regarding trauma care Legislation to expand health care coverage and access including provisions to ensure patient safety, H.J.RES. 20, Making further continuing appropriations for the fiscal year 2007 provision annual fit-testing of respirators for occupational exposure to tuberculosis. S 2278/HR 4214 Community and Healthcare-Associated Infections Reduction Act to improve the prevention, detection, and treatment of community and healthcare-associated infections Legislation to expand health care coverage and access including provisions to ensure emergency preparedness, HR 727, Trauma Care Systems Planning and Development Act of 2007 would authorize an additional $46 million between fiscal years 2008 and 2012 in spending for rural medical centers that treat patients during times of national crisis HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for hospital preparedness S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for hospital preparedness HR 3043; Labor, HHS Appropriations bill, provide funds for hospital preparedness Legislation to expand health care coverage and access including provisions to promote the use of health information technology: S 1418, Wired for Health Care Quality Act HR3043/S1710, Appropriations Labor, Health and Human Services (HHS), Education, and Related Agencies FY 08, funding for HIT programs HR 1467, 10,000 Trained by 2010 Act, award competitive grants for basic research on innovative approaches to improve health care information systems HR 2406, Healthcare Information Technology Enterprise Integration,guidelines and mechanisms to promote the integration of the healthcare information enterprise. S 1408, Health Information Technology Act, would provide tax incentives and resources to offset the costs of investing in new health information technology. HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for HIT S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for HIT HR 3043, Labor, HHS Appropriations bill, provide funds for HIT HR 2764; omnibus appropriations bill for FY2008 provide funds for HIT Legislation to expand health care coverage and access including provisions funding HIV/AIDS programs: HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Ryan White programs S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for Ryan White programs HR3043/S1710, FY 2008 Labor HHS Appropriations Bill, funding for Ryan White programs HR 2764; omnibus appropriations bill for FY2008, funding for Ryan White programs Legislation to expand health care coverage and access including provisions to ensure sufficient workforce within in the healthcare sector S 1604, Nursing Education and Quality of Health Care Act, increases the nurse workforce in rural areas, expands nursing school faculty, and develops initiatives to integrate patient safety practices into nursing education HR 2122, Safe Nursing and Patient Care Act of 2007", limiting the number of mandatory overtime hours a nurse may be required to work S 1639, Comprehensive Immigration Reform, the point-based system for visas, to give nurses special consideration under the point system HR800/S1041, Employee Free Choice Act, require the NLRB to certify a bargaining representative if a majority of the bargaining unit employees have authorized designation of the representative (card-check) HR 2123, Nurse Staffing Standards for Patient Safety and Quality Care Act, to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals HR 378, Nurse and Patient Safety & Protection Act direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, direct-care registered nurses, and other health care providers by establishing a safe patient handling standard. HR 1644, Re-Empowerment of Skilled and Professional Employees and Construction Tradesworkers (RESPECT) Act, to amend the National Labor Relations Act to clarify the definition of "supervisor" S446, Nurse Education, Expansion, and Development (NEED) Act, grants based on the number of nursing students enrolled to hire and retain new nursing faculty S 718, The Patient-Focused Critical Care Enhancement Act, provision study the impact of differences in staffing, organization, size, and structure of intensive care units on access, quality, and efficiency of care HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Nursing Education programs, , national health service corp HR 677, Nursing School Capacity Act authorize IOM study to identify constraints encountered by schools of nursing in admitting and graduating sufficient number of nurses S1577, Patient Safety and Abuse Prevention Act screening of direct patient access employees HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp. S 588/HR 1093, Resident Physician Shortage Act, to expand the number of physician training positions in 24 states with shortages

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

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

H.R. 2066/S. 59: Medicaid Advanced Practice Nurse and Physicians Assistant Access Act: All provisions related to Medicaid coverage of advanced practice registered nurses. H.R. 5613: Protecting the Medicaid Safety Net Act of 2008: All provisions related to moratorium of Medicaid regulations. S. 1842/H.R. 2122: The Safe Nursing and Patient Care Act of 2007. All provisions related to mandatory overtime. S. 1052: The Healthy Children and Families Act: All provisions encouraging states to add evidence-based nurse home visitation programs to their Medicaid and State Children's Health Insurance Program services. S. 73/H.R. 4138: The Registered Nurse Safe Staffing Act of 2007. All provisions relating to nurse staffing. H.R. 1663: Medicare Mental Health Modernization Act. All provisions related to mental health parity in Medicare. S. 1678: Home Health Care Planning Improvement Act of 2007: All provisions related to payment for home health care services.

Client expense: $254,621 · Firm income: Not reported

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

S. 1693; HR 4248; Small Business Health Options Bill; S2641; S2064; Federal Rebalancing; S.910/H.R.1542; H.R. 2122; S. 1842; 12 month extension of the Medicare Secondary Payer provision for End State Renal Disease patients in Medicare legiislation being assembled by Senate Finance Committee

Client expense: $471,984 · Firm income: Not reported

HR 2703; H.R. 2122; S. 1842; H.R. 2831; H.R. 1542; S. 910; Oversight authority to protect nursing home residents, their families, and taxpayers as the Carlyle Group prepares to take Manor Care private; S. 306; H.R. 82

Client expense: $471,984 · Firm income: Not reported

S. 1842/H.R. 2122 - RN Mandatory Overtime Legislation H.R. 2123 - Nurse Staffing Standards for Patient Quality Act S. 73/H.R. 4138 - Quality Nursing Care Act H.R. 2384 - Nurse Faculty Higher Education Act S. 1298 Healthy Business, Healthy Workers Reinsurance Act of 2007 S. 95/H.R. 1111 Kids Come First Act of 2007 H.R. 1367 Paul Wellstone Mental Health and Addition Equity Act of 2007 S. 1693 Wired for Health Care Quality Act H.R. 3963 SCHIP Extension bill Retiree Health Care Legislation Pandemic Flu Preparedness

Client expense: $18,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3162, HR 976 - Children's Health & Medicare Protection Act of 2007 HR 3963, S 1893 - State Children's Health Insurance Program reauthorization and extension S 2499 - Medicare, Medicaid and SCHIP Extension Act of 2007 HR 3043 - Camp Amendment to Labor, HHS, Education Appropriations FY 2008 HR 2034, S 1218, HR 1841, HR 676 - Health Care Reform HR 3995 - Protecting the interests of residents of intermediate care facilities for the mentally retarded HR 2122, S 1842 - Safe Nursing and Patient Care Act of 2007 HR 1638, HR 3543 - James Zadroga 9/11 Health and Compensation Act (Long-term monitoring, treatment and compensation for workers made ill by work at Ground Zero in NYC) Ensuring adequate planning to protect health care and emergency workers from exposure during public health emergencies S 2525 - MRSA Infection Prevention and Patient Protection Act S 2526 - Worker Infection Protection Act S 1693 - Wired for Health Care Quality Act S 1695 - Generic biotech drugs HR 3932, S 2219 - Medicare Prescription Drug Savings and Choice Act of 2007 HR 1424 - Paul Wellstone Mental Health and Addiction Equity Act of 2007

Client expense: $1,240,000 · Firm income: Not reported

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

Paul Wellstone Mental Health and Addiction Equity Act of 2007 (HR 1424) Safe Nursing and Patient Care Act of 2007 (HR 2122) Pharmaceutical Market Access and Drug Safety Act of 2007 (HR 380) State Children's Health Insurance Program reauthorization funding for monitoring and treatment of World Trade Center workers Long term monitoring, treatment and compensation for workers made ill by work at Ground Zero in NYC (HR 1638) Children's Health Care legislation (HR 1535, S 895) Health Care Reform (HR 2034, S 1218, HR 1841, HR 676) Genetic Nondiscriminatin (HR 493, S 358) Wired for Health Care Quality Act (S 1693)

Client expense: $1,060,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1842/H.R. 2122 - RN Mandatory Overtime Legislation H.R. 2123 - Nurse Staffing Standards for Patient Quality Act S. 73/H.R. 4138 - Quality Nursing Care Act H.R. 2384 - Nurse Faculty Higher Education Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

* HR 3162, Children's Health and Medicare Protection Act of 2007; HR 976, Small Business Tax Relief Act of 2007; HR 562, Medicare Long-Term Care Hospital Improvement Act of 2007; S 338 Medicare Long-Term Care Hospital Improvement Act of 2007; S 1842, Safe Nursing and Patient Care Act of 2007; HR 2122, Safe Nursing and Patient Care Act of 2007; S 543, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007; S 2319, National Trauma Center Stabilization Act of 2007; HR 1459, To improve Medicare beneficiary access by extending the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility; S 1490, Federal Employees Electronic Personal Health Records Act of 2007; HR 1591, U.S. Troop Readiness, Veterans' Health, and Iraq Accountability Act, 2007; HR 2050, Medicaid Emergency Psychiatric Care Act of 2007; HR 3963, Children's Health Insurance Program Reauthorization Act of 2007; S 2499, Medicare, Medicaid, and SCHIP Extension Act of 2007; HR 2764, Department of State, Foreign Operations Appropriations for Fiscal Year 2008; HR 4355, To impose a moratorium on certain Medicaid payment restrictions; S 2460, To impose a moratorium on certain Medicaid payment restrictions. HR 1459, To improve Medicare beneficiary access by extending the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility; S 1490, Federal Employees Electronic Personal Health Records Act of 2007; HR 1591, U.S. Troop Readiness, Veterans' Health, and Iraq Accountability Act, 2007; HR 2050, Medicaid Emergency Psychiatric Care Act of 2007; HR 3963, Children's Health Insurance Program Reauthorization Act of 2007; S 2499, Medicare, Medicaid, and SCHIP Extension Act of 2007; HR 2764, Department of State, Foreign Operations Appropriations for Fiscal Year 2008; HR 4355, To impose a moratorium on certain Medicaid payment restrictions; S 2460, To impose a moratorium on certain Medicaid payment restrictions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare home health reimbursement; continuation of the home care rural add-on; market basket update; Home Health Access Protection Act of 2007 (HR 3865/S 2181); telehealth/health information technology (HR 1952, HR 2174/S 1032, S 321, S 716); pay for performance in home care; Medicaid reform; labor HHS (HJRes 20); home care coverage (HR 2567/S 870); long-term care (HR 2244/S. 1340); health care coverage/safety/quality (HR 1651, S 1052, S 1605, HR 378, HR 2122, HR 1621/S 799, S 1577)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

* H.R. 3162, Children's Health and Medicare Protection Act of 2007; H.R. 976, Small Business Tax Relief Act of 2007; H.R. 562, Medicare Long-Term Care Hospital Improvement Act of 2007; S. 338, Medicare Long-Term Care Hospital Improvement Act of 2007; S. 1842, Safe Nursing and Patient Care Act of 2007; H.R. 2122, Safe Nursing and Patient Care Act of 2007; H.R. 1459, To improve Medicare beneficiary access by extending the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility; S. 543, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007; S. 1490, Federal Employees Electronic Personal Health Records Act of 2007; H.R. 1591, U.S. Troop Readiness, Veterans' Health, and Iraq Accountability Act, 2007; H.R. 2050, Medicaid Emergency Psychiatric Care Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Paul Wellstone Mental Health and Addiction Equity Act of 2007 (HR 1424) Safe Nursing and Patient Care Act of 2007 (HR 2122) Pharmaceutical Market Access and Drug Safety Act of 2007 (HR 380) State Children's Health Insurance Program reauthorization funding for monitoring and treatment of World Trade Center workers Long term monitoring, treatment and compensation for workers made ill by work at Ground Zero in NYC (HR 1638) Children's Health Care legislation (HR 1535, S 895) Health Care Reform (HR 2034, S 1218, HR 1841, HR 676) Genetic Nondiscrimination (HR 493, S 358) Wired for Health Care Quality Act (S 1693)

Client expense: $1,060,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FFY 2008 Budget and budget resolutions/Medicare and Medicaid cuts FFY 2008 Labor, Health and Human Services, Education and Pension Appropriations bill FFY 2008 Medicare Inpatient Hospital PPS rules CY 2008 Medicare Inpatient Psychiatric Facility PPS rules FFY 2008 Medicare Inpatient Rehabilitation Facility PPS and "75% Rule" rules CY 2008 Medicare Outpatient PPS rules FFY 2008 Medicare Skilled Nursing Facility PPS rules CY 2008 Medicare Home Health Agency PPS rules CY 2008 Medicare Physician Fee Schedule update CMS Proposed rule to limit intergovernmental transfers and certified public expenditures CMS Proposed value-based purchasing program CMS Proposed rule on Medicaid Graduate Medical Education payments State Childrens health Insurance program funding IRS Form 990 revision "Stark" and physician self-referral regulations Hospital pricing transparency Not-for-profit hospital tax-exempt status Medicaid regulations affecting states' Medicaid financing mechanisms Pay for performance Health information technology Hospital charity care/financial aid Coverage for undocumented immigrants Associated health plans Coverage for the uninsured Health savings accounts and high-deductible health plans emergency preparedness Immigration Medicare wage index Community benefit reporting Mental health parity Limited service hospitals HUD Federal housing assistance mortgage program for hospitals Defined benefit pension plans National Institute of Health funding Heath care workforce recruiting and training funding Hospital infection and performance measure reporting Medical error reporting S.354/H.R.534 Medicaid liability reform S.473/H.R.215 Allied health professions reinvestment act of 2005 S.543/H.R.1459 Inpatient rehabilitation facilities' 75% rule mitigation S.544 Patient safety and quality improvement act of 2005 S.681 Umbilical cord blood stem cell research S.896 Physician shortage elimination act of 2007 S.898/H.R.1812 Patient navigator outreach & chronic disease prevention act of 2005 S.933/H.R.2350 rural community hospital assistance act S.1041/H.R.800 Employee free choice act--card check S.1049 Covering Kids Act of 2005 S.1262/H.R.2234 Health technology to enhance quality act of 2005 & 21st century health information act s.1348 National immigration reform bill S.1355 & S.1262 Better healthcare through information technology act S.1356/H.R.3617 Medicare value purchasing act of 2005 S.1418 Wired for health care quality act S.1481/H.R.2497 Fair and reliable medical justice act S.1604 Nursing education and quality of health care act of 2007 S.1693 Health information exchange--funding for IT S.1784 National medical error disclosure & compensation act of 2005 S.1955 Health insurance marketplace modernization & affordability act of 2005 S.3042 All-hazards public health emergency & bioterrorism preparedness & response act H.R.139 Health improvement and professionals act of 2005 H.R.534/H.R.880 Rural health equity act H.R.1663 Medicare Mental health modernization act of 2007 H.R.2050 Medicaid psychiatric hospital fairness act H.R.2122 Mandatory overtime limits for nurse H.R.2206 Emergency supplemental spending bill H.R.3173 Nurse faculty higher education act H.R.3373/S.1405 Preserving patient access to inpatient rehabilitation hospitals act H.R.3607 The future of health care-granting access to innovation in America act H.R.4157 Health information technology promotion act of 2005/hospital pricing transparency S.4 Health Technology to Enhance Quality Act of 2005 S.22 Medical Care Access Protection Act of 2006 S.23 Healthy Mothers and Healthy Babies Access S.338/H.R.985 Bipartisan Medicaid Commission

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

medical emergency reimbursement, HR 882, S 657; patient safety, H.J.RES. 20, S Con Res 21/H Con Res 99; emergency preparedness, HR 727, HJ Res. 20, S Con Res 21/H Con Res 99; information technology: S 1418, HR3043/S1710, HR 1467, HR 2406, S 1408, HJ Res. 20, S Con Res 21/H Con Res 99; funding for HIV/AIDS programs: HJ Res. 20, S Con Res 21/H Con Res 99, HR3043/S1710; workforce, S 1604, HR 2122, S 1639, HR800/S1041, HR 2123, HR 378, HR 1644, S446, S 718, HJ Res. 20, HR 677, S1577. Legislation to expand health care coverage and access including but not limited to HR 2357, S 1218 /HR 2034, S 1169; HR 1424, HR 1663, S 895/HR 1535; HR 1308/S764, S 558, S 325/HR 506, HR1111

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

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

Medicare home health reimbursement; continuation of the home health rural add-on (??); workforce issues (HR 1279, HR 1178, HR800/S1041); telehealth/health information technology (HR1952, HR2174/S1032, S321, S716); pay for performance in home care; medicaid reform; labor HHS (HJ Res 20); home care coverage (HR 2567/S 870); long-term care (HR 2244/S 1340); health care coverage/safety/quality (HR 1651, S1052, S1605, HR378, HR2122, HR1621/S799, S1577)

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

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

Health Information Act (S.1262/H.R.2234); Better Healthcare Through Information Technology Act (S.1355/S.1262); Medicare Value Purchasing Act of 2005 (S.1356/H.R.3617); Wired for Health Care Quality Act (S.1418); Nursing Education and Quality of Health Care Act of 2007 (S.1604); Rural Health Equity Act (H.R.534/H.R.880); Inpatient Rehabilitation Facilities' 75% Rule Mitigation; Mandatory Overtime Limits for Nurses (H.R.2122); FFY 2008 Budget and budget Resolutions/Medicare and Medicaid Cuts; FFY 2008 Medicare Inpatient Rehabilitation Facility PPS and 75% Rules; Medicare Skilled Nursing Facility PPS Rules; CMS proposed Rule to Limit Intergovernmental Transfers and Certified Public Expenditures; State Childrens Health Insurance Program Funding; IRS Form 990 Revision; Hospital Pricing Transparency; Medicaid Regulations Affecting States' Medicaid Financing Mechanisms; Coverage for the Uninsured; Emergency Preparedness; Medicare Wage Index; Hospital Infection Reporting; Medical Error Reporting Health Technology to Enhance Quality Act of 2005 (S4); Medical Care Access Protection Act of 2006 (S.22); Bipartisan Medicaid Commission (S.338/H.R.985); Medicaid Liability Reform (S.354/H.R.534); IP Rehabilitation Facilities' 75% Rule Mitigation (S.543); Patient Safety and Quality Improvement Act of 2005 (S.544); Physician Shortage Elimination Act of 2007 (S.896); Rural Community Hospital Assistance Act (S.933/H.R.2350); Health Technology to Enhance Quality Act of 2005 & the 21st Century

Client expense: Not reported · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

Not-for-profit hospital tax-exempt status Medicaid regulations affecting states’ Medicaid financing mechanisms Pay for Performance Health information technology Hospital charity care/financial aid Coverage for undocumented immigrants Associated health plans Coverage for the uninsured Health savings accounts and high-deductible health plans Emergency Preparedness Immigration Medicare Wage Index Community Benefit Reporting Mental Health Parity Limited Service Hospitals Dept. of Housing and Urban Development's Federal Housing Assistance mortage program for hospitals Defined benefit pension plans National Institute of Health funding Health care workforce recruiting and training funding Hospital Infection reporting Medical Error reporting Hospital performance measure reporting S.354/H.R.534 Medicaid Liability Reform S.473/H.R.215 Allied Health Professions Reinvestment Act of 2005 Act S. 543 Inpatient Rehabilitation Facilities 75% Rule of Mitigation S.544 Patient Safety and Quality Improvement Act of 2005 S.681 Umbilical Cord Blood Stem Cell Research S.896 Physician Shortage Elimnation Act of 2007 S.898/H.R.1812 Patient Navigator Outreach & Chronic Disease Prevention Act of 2005 S.933/H.R.2350 Rural Community Hospital Assistance Act S.1041/H.R.800 Employee Free Choice Act - Card Check S.1049 Covering Kids Act of 2005 S.1262/H.R.2234 Health Technology to Enhance Quality Act of 2005 & the 21st Century Health Information Act S.1355 & S.1262 Better Healthcare Through Information Technology Act S.1356/H.R.3617 Medicare Value Purchasing Act of 2005 S.1348 National Immigration Reform Act S.1356/H.R.3617 Medicare Value Purchasing Act of 2005 S.1418 Wired for Health Care Quality Act S.1481/H.R.2497 Fair and Reliable Medical Justice Act S. 1604 Nursing Education and Quality of Health Care Act of 2007 S.1693 Health Information Exchange - funding for IT S.1784 National Medical Error Disclosure & Compensation Act of 2005 S.1955 Health Insurance Marketplace Modernization & Affordability Act of 2005 S.3042 All-Hazards Public Health Emergency and Bioterrorism Preparedness and Response Act H.R.139 Health Improvement and Professionals Act of 2005 H.R.534 Rural Health Equity Act H.R.880 Rural Health Equity Act H.R. 1459 Inpatinet Rehabilitation Facilities 74% Rule Mitigation H.R. 1663 Medicare Mental Health Modernization Act of 2007 H.R. 2050 Medicaid Psychiatric Hospital Fairness Act H.R. 2122 Mandatory Overtime Limits for Nurses H.R. 2206 Emergency Supplemental Spending Bill H.R.3173 Nurse Faculty Higher Education Act H.R.3373/S.1405 Preserving Patient Access to Inpatient Rehabilitation Hospitals Act H.R.3607 The Future of Health Care-Granting Access to Innovation in America Act H.R.4157 Health Information Technology Promotion Act of 2005/Hospital Pricing Transparency FFY 2008 Budget and Budget Resolutions/Medicare and Medicaid Cuts FFY 2008Labor, Health and Human Services, Education and Pension Appropriations bill FFY 2008 Medicare Inpatient Hospital PPS Rules CY 2008 Medicare Inpatient Psychiatric Facility PPS Rules FFY 2008 Medicare Inpatient Rehabilitation Facility PPS and “75% Rule”, Rules CY 2008 Medicare Outpatient PPS Rules FFY 2008 Medicare Skilled Nursing Facility PPS Rules CY 2008 Medicare Home Health Agency PPS Rules CY 2008 Medicare Physician Fee Schedule Update CMS Proposed Rule to Limit Intergovernmental Transfers and Certified Public Expenditures CMS Proposed Value-Based Purchasing Program CMS Proposed Rule on Medicaid Graduate Medical Education Payments State Childrens Health Insurance Program funding IRS Form 990 Revision “Stark” and physician self-referral regulations Hospital pricing transparency S.4 Health Technology to Enhance Quality Act of 2005 S.22 Medical Care Access Protection Act of 2006 S.23 Healthy Mothers and Healthy Babies Access S.338/H.R.985 Bipartisan Medicaid Commission

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

H.R. 2122: The Safe Nursing and Patient Care Act of 2007. All provisions related to mandatory overtime. S. 73: The Registered Nurse Safe Staffing Act of 2007. All provisions relating to nurse staffing. H.R. 1663: Medicare Mental Health Modernization Act. All provisions related to mental health parity in Medicare. S.3/ H.R. 4: Medicare Prescription Drug Price Negotiation Act of 2007: All provisions relating to Medicare payments for prescription drugs. S. 450/H.R. 748: Medicare Access to Rehabilitation Services Act of 2007: All provisions related to outpatient therapy caps. S.1678: Home Health Care Planning Improvement Act of 2007: All provisions related to payment for home health care services. H.R. 748 / S. 450: Medicare Access to Rehabilitation Services Act: All provisions related to the outpatient therapy cap. S. 1544: Medicare Quality Enhancement Act: Provisions related to the collection and evaluation of Medicare data for quality reports. CMS-1533-P Medicare Program: Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2008 Rates. Sections related to relative weight calculations and hospital-acquired conditions, including infections. CMS - 1321- P - Proposed changes to the Criteria for National Certifying Bodies - Advanced Practice Nurses. H.R. 2066 / S. 59: Medicaid Advanced Practice Nurse and Physicians Assistant Access Act: All provisions related to Medicaid coverage of advanced practice registered nurses. H.R. 864 / S. 507: Midwifery Care Access and Reimbursement Act: All provisions related to Medicare reimbursement for certified nurse midwife services.

Client expense: $497,766 · 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

S. 1298 Healthy Business, Healthy Workers Reinsurance Act of 2007 S. 95/H.R. 1111 Kids Come First Act 2007 H.R. 1367 Paul Wellstone Mental Health and Addition Equity Act 2007 S. 1693 Wired for Health Care Quality Act S. 1942/H.R. 2122 RN Mandatory Overtime Legislation H.R. 2123 Nurse Staffing Standards for Patient Quality Act S. 73 Quality Nursing Care Act H.R. 2384 Nurse Faculity Higher Education Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE