Healthy Kids Act of 2007

SCHIP Reauthorization, various bills (H.R. 976, H.R. 3963) Health Equity and Accountability Act (H.R. 3014) Community Health Workers Act (S. 586, H.R. 1968) Healthy Children and Families Act (S. 1052) Legal Immigrant Childrens Health Improvement Act (S. 764, H.R. 1308) State Child Well-Being Research Act (S. 1482, H.R. 2477) Childrens Dental Health Improvement Act (S. 739) Childrens Health First Act (S.895, H.R. 1535) Children's Express Lane to Health Coverage Act (S. 1214) Healthy Schools Act (S. 1669) Healthy Kids Act (H.R. 2147, S. 1364) Indian Healthcare Improvement Act (S. 1200) Healthy Start Reauthorization Act (S. 1760, H.R. 3267) Family-Based Meth Treatment Access Act of 2007 (S. 884/HR 405) Tribal Foster Care and Adoption Access Act of 2007 (S. 1956/HR 4688) Kinship Caregiver Support Act (S. 661/HR 2188) Keeping Families Together Act of 2007 (S. 382/HR 687) State Children Well-Being Research Act (H.R. 2477) The Children's Health Protection Act (H.R. 2842) Healthy Transition Act of 2008 (H.R. 6375 & S. 3195) Family Fairness Act of 2008 (H.R. 6029) Lead Poisoning Reduction Act of 2007 (S. 1811) BPA-Free Kids Act of 2008 (S. 2928) Family Leave Insurance Act of 2008 (H.R. 5873) Lead-Safe Housing for Kids Act of 2008 (H.R. 6309) Obesity Prevention, Treatment and Research Act of 2008 (S. 3584)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.3604, "National Park Centurial Fund Act," Title III, relating to a temporary increase in Medicaid FMAP. H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, all provisions. H.R. 3162, "Children's Health and Medicare Protection Act," provisions relating to the State Children's Health Insurance Program and Medicaid. H.R. 1535, S.895, "Children's Health First Act," all provisions. H.R. 2357, "MediKids Health Insurance Act of 2007," all provisions. H.R. 2147, S.1364, "Healthy Kids Act of 2007," all provisions. S. 2819, Economic Recovery in Health Care Act of 2008, all provisions. Issues relating to the collection of Healthcare Effectiveness Data and Information Set measures from all state Medicaid programs. Issues relating to implementation of Section 6004 of the Deficit Reduction Act of 2005, which allows childrens hospitals to participate in the 340B Drug Pricing Program. S.J. Res. 44, A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States code, of the rule set forth as requirements contained in the August 17, 2007, letter to State Health Officials from the Director of the Center for Medicaid and State Operations in the Center For Medicare and Medicaid Services and that State Health Official Letter 08-003, dated May 7, 2008, from such Center. H.R. 7219, "Protecting Hospital Outpatient and Community Clinic Services Act," all provisions. H.R. 7110 Making supplemental appropriations for job creation and preservation, infrastructure investment and economic and energy assistance for the fiscal year ending September 30, 2009 and for other purposes, Title III, temporary increase in Medicaid matching rate.

Client expense: $210,000 · Firm income: Not reported

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

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. Supplemental Appropriations Act, 2008 (HR 2642) Sec. 7001. (a) Moratoria on Certain Medicaid Regulations HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program HR 7110: Job Creation and Unemployment Relief Act: Title III, temporary increase in Medicaid matching rate S 3656: Preserving Access to Healthcare (PATH) Act -- which would delay cuts to Medicare capital indirect medical education (IME) payments for six months 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 HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program 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.

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.4, Medicare Prescription Drug Price Negotiation Act H.R.2147, Healthy Kids Act (Emanuel) H.R.2945, Medicare Advantage Truth in Advertising ActH.R.3025, Medicare Prescription Drug Savings for Our Seniors Act H.R.3061, Medicare Part D. Drug Class Protection Act H.R.3162, Children's Health and Medicare Protection Act H.R.3963, Children's Health Insurance Program Reauthorization Act H.R.5998, Protecting Children's Health Coverage Act H.R.6331, Medicare Improvements for Patients and Providers Act (provisions relating to Medicare Advantage, Medicare Part D, Medigap, Medicaid, health care disparities, and electronic prescribing) H.R.6388, GAO Improvement Act (provisions relating to access to Medicare Part C/Part D data) S.706, Medicare Advantage Stabilization Fund S.799, Community Choice Act S.1224, Children's Health Insurance Program Reauthorization Act S.1893, Children's Health Insurance Program Reauthorization Act S.2219, Medicare Prescription Drug Savings and Choice Act S.3101, Medicare Improvements for Patients and Providers Act (provisions relating to Medicare Advantage, Medicare Part D, Medigap, Medicaid, health care disparities, electronic prescribing) S.3118, Preserving Access to Medicare Act (provisions relating to Medicare Advantage, Medicare Part D, Medicaid, and electronic prescribing)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4355, To impose a moratorium on certain Medicaid payment restrictions, all provisions H.R. 5173 / S. 2578, To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services, all provisions. H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, all provisions. H.R. 3162, "Children's Health and Medicare Protection Act," provisions relating to the State Children's Health Insurance Program and Medicaid. H.R. 1535, S.895, "Children's Health First Act," all provisions H.R. 2357, "MediKids Health Insurance Act of 2007," all provisions H.R. 2147, S.1364, "Healthy Kids Act of 2007," all provisions H.R. 3533, S. 2466, "The Public and Teaching Hospital Preservation Act," all provisions. S. 2578, To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services, all provisions. S. 2819, Economic Recovery in Health Care Act of 2008, all provisions. Issues relating to the collection of Healthcare Effectiveness Data and Information Set measures from all state Medicaid programs. Issues relating to implementation of Section 6004 of the Deficit Reduction Act of 2005, which allows childrens hospitals to participate in the 340B Drug Pricing Program.

Client expense: $620,000 · Firm income: Not reported

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

H.R. 4355, To impose a moratorium on certain Medicaid payment restrictions, all provisions H.R. 5173 / S. 2578, To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services, all provisions. H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, all provisions. H.R. 3162, "Children's Health and Medicare Protection Act," provisions relating to the State Children's Health Insurance Program and Medicaid. H.R. 1535, S.895, "Children's Health First Act," all provisions H.R. 2357, "MediKids Health Insurance Act of 2007," all provisions H.R. 2147, S.1364, "Healthy Kids Act of 2007," all provisions H.R. 3533, S. 2466, "The Public and Teaching Hospital Preservation Act," all provisions. S. 2578, To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services, all provisions. S. 2819, Economic Recovery in Health Care Act of 2008, all provisions. Issues relating to the collection of Healthcare Effectiveness Data and Information Set measures from all state Medicaid programs.

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

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

MMM (Legislative Issues): H.R. 4: Medicare Prescription Drug Price Negotiation Act (Dingell); H.R. 976: Childrens Health Insurance Program Reauthorization Act (Rangel); H.R. 1535: Children's Health First Act (Dingell); H.R. 1663: Medicare Mental Health Modernization Act (Stark) (continued) H.R. 1990: Medicare Cost Contract Extension and Refinement Act (Pomeroy); H.R. 2147: Healthy Kids Act (Emanuel); H.R. 2945: Medicare Advantage Truth in Advertising Act (Stark); H.R. 2642: Supplemental Appropriations Act (provisions relating to moratoria on Medicaid regulations); H.R. 2842: Childrens Health Protection Act (Schwartz); H.R. 3025: Medicare Prescription Drug Savings for Our Seniors Act (Doggett); H.R. 3061: Medicare Part D Drug Class Protection Act (Doggett); H.R. 3162: Childrens Health and Medicare Protection Act (Dingell); H.R. 3195: ADA Amendments Act (Hoyer); H.R. 3932: Medicare Prescription Drug Savings and Choice Act (Berry); H.R. 3963: Childrens Health Insurance Program Reauthorization Act (Dingell); H.R. 4296: Medicare Electronic Medication and Safety Protection Act (Schwartz); H.R. 5268: Medicaid FMAP (Pallone); H.R. 5480: Medicare Funding Warning Response Act (Hoyer-Boehner); H.R. 5550: Coverage for Young Adult Dependents of Federal Employees (Davis); H.R. 5613: Protecting the Medicaid Safety Net Act (Dingell); H.R. 5683: GAO Act (provisions relating to access to Medicare part C/part D data) (Davis); H.R. 5781: Federal Employees Paid Parental Leave Act (Maloney); H.R. 5840: Insurance Information Act (Kanjorski); H.R. 5918: Small Business Health Options Program Act (Barrow); H.R. 5923: Patients Health Care Reform Act (Shadegg); H.R. 5955: Making Health Care More Affordable Act (Walberg); H.R. 5998: Protecting Children's Health Coverage Act (Pallone); H.R. 6071: Health Care Consumer Protection Act (provisions relating to reinstatement of health insurance following nonpayment of premiums) (Forbes); H.R. 6081: Heroes Earning Assistance and Relief Tax Act (mental health parity and FSA provisions); H.R. 6142: Lawsuits Against Employer-Sponsored Disability Benefit Plans (Andrews); H.R. 6210: Small Business Health Options Program Act (Kind-English); H.R. 6331: Medicare Improvements for Patients and Providers Act (provisions relating to Medicare Advantage, Medicare Part D, Medigap, Medicaid, health care disparities, and electronic prescribing) (Rangel-Dingell); H.R. 6388: GAO Improvement Act (provisions relating to access to Medicare part C/part D data) (Waxman); H.R. 6359: Medicare Beneficiary Protection Act (Biggert); H.R. 6365: Medicare Special Needs Plans Extension and Amendments Act (Kind); S. 3: Medicare Prescription Drug Price Negotiation Act (Reid); S. 130: Medicare Cost Contract Extension and Refinement Act (Allard); S. 401: Keep Children Covered Act (Rockefeller); S. 706: Medicare Advantage Stabilization Fund (Feingold); S. 799: Community Choice Act (Harkin); S. 895: Children's Health First Act (Clinton); S. 1102: Part D Equity for Low-Income Seniors Act (Bingaman); S. 1103: Helping Fill the Medicare Rx Gap Act (Bingaman); S. 1107: Home and Community Services Copayment Equity Act (Smith); S. 1108: Medicare Part D Outreach and Enrollment Enhancement Act (Smith); S. 1200: Indian Health Care Improvement Act (includes Medicaid/MA provisions); S. 1224: Children's Health Insurance Program Reauthorization Act (Rockefeller); S. 1507: Access to Medicare Data Act (Grassley); S. 1544: Medicare Quality Enhancement Act (Gregg); S. 1827: Pharmacist Access and Recognition in Medicare Act (Cochran); S. 1893: Childrens Health Insurance Program Reauthorization Act (Baucus); S. 1954: Pharmacy Access Improvement Act (Baucus); S. 2219: Medicare Prescription Drug Savings and Choice Act (Durbin); S. 2408: Medicare Electronic Medication and Safety Protection Act (Kerry); S. 2620: Medicaid FMAP (Rockefeller); S. 2662: Medicare Funding Warning Response Act (Baucus-Gregg); S. 2795: Small Business Health Options Program Act (Durbin-Snowe); S. 2819: Economic Recovery in Health Care Act (provisions relating to Medicaid funding) (Rockefeller); S. 2948: Small Business Empowerment Act (Brown); S. 2818: Small Business Health Plans Act (Enzi); S. 2999: Access to Cancer Clinical Trials Act (Brown); S. 3068: Equity in Prescription Insurance and Contraceptive Coverage Act (Snowe); S. 3101: Medicare Improvements for Patients and Providers Act (provisions relating to Medicare Advantage, Medicare Part D, Medigap, Medicaid, health care disparities, electronic prescribing) (Baucus); S. 3115: Childrens Health Protection Act (Lautenberg); S. 3118: Preserving Access to Medicare Act (provisions relating to Medicare Advantage, Medicare Part D, Medicaid, and electronic prescribing)(Grassley). MMM (Regulatory Issues) Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology and data issues, (including encounter data issues) bidding and payment issues (including MA coding intensity, Part D reinsurance, low income subsidies, application process, and audits), application process, and audits, benefit design rules, SSA and CMS premium withhold processing issues, systems issues affecting enrollment and disenrollment processing, enrollment rules, marketing materials review and approval, marketing activities, including conduct of brokers and agents and plan sponsor marketing staff and issues raised by CMS about Private Fee-for-Service (PFFS) plan marketing, measurement and oversight of plan performance including Special Needs Plans (SNPs); grievance and appeals processes, compliance/fraud and abuse training, and Medicare/Medicaid integration issues for Special Needs Plans (SNPs); Federal premption of State authorization over MA and Part D plans, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, and other operational issues; Medicare creditable drug coverage reporting requirements; implementation issues for the Medicare Retiree Drug Subsidy program; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education program; ongoing implementation issues for the Medicare cost plan program including enrollment, marketing materials review and approval, systems issues affecting enrollment and disenrollment processing, payment and other operational issues; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting inititiative; issues relating to Medicare coverage policy and national coverage decisions; Medicare clinical trials; Medicaid managed care regulations and policies, including the Medicaid managed care actuarial soundness standard, quality oversight, grievance and appeals processes, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including intergovernmental transfers (IGTs) and federal matching funds for graduate medical education; coordination of benefits with state Medicaid programs; Medicaid prescription drug cost/rebate issues affecting Medicaid health plans; health plan-related State Childrens Health Insurance Program (SCHIP) issues, including eligibility and outreach issues; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including documentation of citizenship requirements, state benefit flexibility options, and Medicaid managed care organization provider tax issues; standards for electronic prescribing; and health information technology standards and policies.

Client expense: $1,850,000 · 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), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

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.

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

SCHIP Reauthorization, various bills (H.R. 976, H.R. 3963) Health Equity and Accountability Act (H.R. 3014) Community Health Workers Act (S. 586, H.R. 1968) Healthy Children and Families Act (S. 1052) Legal Immigrant Childrens Health Improvement Act (S. 764, H.R. 1308) State Child Well-Being Research Act (S. 1482, H.R. 2477) Childrens Dental Health Improvement Act (S. 739) Childrens Health First Act (S.895, H.R. 1535) Children's Express Lane to Health Coverage Act (S. 1214) Healthy Schools Act (S. 1669) Healthy Kids Act (H.R. 2147, S. 1364) Indian Healthcare Improvement Act (S. 1200) Healthy Start Reauthorization Act (S. 1760, H.R. 3267) Family-Based Meth Treatment Access Act of 2007 (S. 884/HR 405) Tribal Foster Care and Adoption Access Act of 2007 (S. 1956/HR 4688) Kinship Caregiver Support Act (S. 661/HR 2188) Keeping Families Together Act of 2007 (S. 382/HR 687) State Children Well-Being Research Act (H.R. 2477) The Children's Health Protection Act (H.R. 2842) Healthy Transition Act of 2008 (H.R. 6375 & S. 3195) Family Fairness Act of 2008 (H.R. 6029) Lead Poisoning Reduction Act of 2007 (S. 1811) BPA-Free Kids Act of 2008 (S. 2928) Family Leave Insurance Act of 2008 (H.R. 5873) Lead-Safe Housing for Kids Act of 2008 (H.R. 6309)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1408 - Health Information Technology Acct of 2007 S. 1455 - To provide for the establishment of a health information technology and privacy system S. 1364 - Healthy Kids Act of 2007 H.R. 2147 - "Healthy Kids Act" of 2007 H.R. 2580 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 H.R. 3162 - Children's Health and Medicare Protection Acvt H.R. 3176 - SCHIP Reauthorization and Reform Act H.R. 3584 - Extending Funding for SCHIP H.R. 6357 - Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH)T Act of 2008

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

SCHIP Reauthorization, various bills (H.R. 976, H.R. 3963) Health Equity and Accountability Act (H.R. 3014) Community Health Workers Act (S. 586, H.R. 1968) Healthy Children and Families Act (S. 1052) Legal Immigrant Childrens Health Improvement Act (S. 764, H.R. 1308) State Child Well-Being Research Act (S. 1482, H.R. 2477) Childrens Dental Health Improvement Act (S. 739) Childrens Health First Act (S.895, H.R. 1535) Children's Express Lane to Health Coverage Act (S. 1214) Healthy Schools Act (S. 1669) Healthy Kids Act (H.R. 2147, S. 1364) Indian Healthcare Improvement Act (S. 1200) Healthy Start Reauthorization Act (S. 1760, H.R. 3267) Family-Based Meth Treatment Access Act of 2007 (S. 884/HR 405) Tribal Foster Care and Adoption Access Act of 2007 (S. 1956/HR 4688) Kinship Caregiver Support Act (S. 661/HR 2188) Keeping Families Together Act of 2007 (S. 382/HR 687) State Children Well-Being Research Act (H.R. 2477)

Client expense: $50,000 · 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 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.

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

FY 2009 Departments of Labor, HHS, Education Appropriations bill and P.L. 110-161 - Consolidated Appropriations issues related to Kansas SRS Medicare and Medicaid; SCHIP Funding levels; H.R.2147/S.1364 - Healthy Kids Act of 2007, S. 2499/H.R.3963/etc. SCHIP program funding issues; No bill number - Repeal of CMS Regulations and directive letters; H.R. 5140 - Economic Stimulus Act of 2008 FMAP adjustments, and state block grants.

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

H.Con.Res. 99: Budget Resolution HR 1535: Children's Health First Act HR 2147: Healthy Kids Act HR 2851 Michelle's Law HR 2900: FDA Amendments Act HR 3341 Quality Health Care Coalition Act of 2007 HR 3425 Cancer Screening Coverage Act of 2007 HR 4460 Health Care Choice Act of 2007 HR 758 Breast Cancer Patient Protection Act of 2007 HR 836 Cyber-Security Enhancement and Consumer Data Protection Act of 2007 HR 948 Social Security Number Protection Act of 2007 HR 976 Childrens Health Insurance Program Reauthorization Act of 2007 S 1102: Part D Equity for Low-Income Seniors Act S 1224: Children's Health Insurance Program Reauthorization Act S 1408 Health Information Technology Act of 2007 S 1507: Access to Medicare Data Act S 1588 Children's Access to Reconstructive Evaluation and Surgery Act S 1893 Childrens Health Insurance Program Reauthorization Act of 2007 S 358 Genetic Nondiscrimination Act of 2007 S 40 National Insurance Act of 2007 S 400 Michelle's Law S 401: Keep Children Covered Act S 459 Breast Cancer Patient Protection Act of 2007 S 493 Genetic Information Nondiscrimination Act of 2007 S 495 Personal Data Privacy and Security of 2007 S 895: Children's Health First Act S ConRes. 21: Budget Resolution H.R.2761Terrorism Risk Insurance Extension Act Federal Terrorism Risk Insurance HR 2761 Terrorism Risk Insurance Act of 2007: All provisions related to housing and multifamily property insurance S. 558 Mental Health Parity Act H.R. 1424 Paul Wellstone Mental Health and Addiction Equity Act H.R. 493 Genetic Information Nondiscrimination Act H.R. 1424 Paul Wellstone Mental Health and Addiction Equity Act H.R. 3997 Tax Relief Act with MHP Extension S. 46 Affordability in the Individual Market Act S. 558 Mental Health Parity Act S. 2477 Health Care Choice Act H.R.920 To amend the National Flood Insurance Act of 1968 to provide for the national flood insurance program to make available multiperil coverage for damage resulting from windstorms or floods, and for other purposes. S.2449 : A bill to amend chapter 111 of title 28, United States Code, relating to protective orders, sealing of cases, disclosures of discovery information in civil actions, and for other purposes. S.1782 : A bill to amend chapter 1 of title 9 of United States Code with respect to arbitration.

Client expense: Not reported · Firm income: $75,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1038 Access to Life Saving Medicine Act HR 1076 HIPAA Recreational Injury Technical Correction Act; HR 5442, TRUST in Health Information Act of 2008 HR 676 US National Health Insurance Act S 1490 Federal Employees Electronic Personal Health Records Act of 2007 S 1501 Affordable Biologics for Consumers Act S 1544 Medicare Quality Enhancement Act of 2007 S 1814, Health Information Privacy and Security Act S 1899 Universal Health Coverage Act of 2007 S 242 Pharmaceutical Market Access and Drug Safety Act of 2007 S 316 Preserve Access to Affordable Generics Act S 616 HIPAA Recreational Injury Technical Correction Act S 623 Access to Life Saving Medicine Act Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Uninsured: S1019 "Health Care Choice Act of 2007"; HR3163 "Healthy Americans Act" Genetic Non-discrimination: HR493 and S358 "Genetic Information Nondiscrimination Act of 2007 Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007" TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" Comparative Effectiveness Reseaarch: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Accounts/Medical Savings Accounts; SCHIP, Small Group Market/Small Business Healthcare S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims Printed S. 1783: Ten Steps to Transform Health Care in America Act H.R. 853: Wellness and Prevention Act of 2007 H.R. 2147: Healthy Kids Act of 2007 S. 1364: Healthy Kids Act of 2007 S. 334: Healthy Americans Act H.R. 5348: American Health Benefits Program Act of 2008 (AHBP Act) H.R. 1328: The Indian Health Care Improvement Act H.R. 5544: The Patients and Public Health Partnership Act of 2008 H.R. 5545: Ensuring the Future Physician Workforce Act of 2008 S. 2729: Ensuring the Future Physician Workforce Act of 2008 S. 2708: Caring for an Aging America Act of 2008 H.R. 5496: Public Health Preparedness Workforce Development Act of 2008 H.R. 2991: Independent Health Record Trust Act H.R. 5442: TRUST in Health Information Act S. 2672: A bill to provide incentives to physicians to practice in rural and medically underserved communities H.R. 5174: Nursing and Allied Health Education Preservation Act of 2008 HR 380 Pharmaceutical Market Access and Drug Safety Act of 2007 HR 493 Genetic Information Nondiscrimination Act of 2007 HR 1368 Personalized Health Information Act of 2007 HR 1432 Preserve Access to Affordable Generics Act HR 1666 Health Care Price Transparency Promotion Act of 2007 HR 1902 Protecting Consumer Access to Generic Drugs Act of HR 1956 Patient Protection and Innovative Biologic Medicines Act of 2007 HR 3800 Promoting Health Information Technology Act H.R. 5629 Pathway for Biosimilars Act S 28 Generics First Act of 2007 S 251 Pharmaceutical Market Access Act of 2007 S 273 Prescription Drug and Health Improvement Act of 2007 S 316 Preserve Access to Affordable Generics Act S 358 Genetic Information Nondiscrimination Act of 2007 S 596 Safe Internet Pharmacy Act of 2007 S 628 Critical Access to Health Information Technology Act of 2007 S 976 Genomics and Personalized Medicine Act of 2007 S 1408 Health Information Technology Act of 2007 S 1455 National Health Information Technology and Privacy Advancement Act of 2007 S 1505 Affordable Biologics for Consumers Act S 1693 Wired for Health Care Quality Act S 1695 Biologics Price Competition and Innovation Act of 2007 S. 1814 Health Information Privacy and Security Act S 2408 Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 Health Information Technology Electronic Prescribing Genetic Nondiscrimination Inappropriate use of Human Growth Hormone Confidentiality of Health Information Generic Drugs Generic Biologics S. 1456 Federal Employees Electronic Personal Health Records Act S. 1693 Wired for Health Care Quality Act S 1338/HR 1293 Access to Medicare Imaging Act of 2007 S. 1042/HR 583 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007 HR 2708 Mammogram and MRI Availability Act of 2007

Client expense: Not reported · Firm income: $75,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 976, Small Business Tax Relief Act of 2007 , all provisions. HR 1328, Indian Health Care Improvement Act Amendments of 2007, all provisions. HR 1983, Optometric Equity in Medicaid Act of 2007, all provisions. HR 2147, Healthy Kids Act of 2007, all provisions. HR 3963, Children's Health Insurance Program Reauthorization Act of 2007, all provisions. S 1224, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007, all provisions. S 2376, Medical Homes Act of 2007, all provisions. S 2785, Save Medicare Act of 2008, all provisions. DMEPOS Quality Standards for Supplier Enrollment, educating offices on Capitol Hill regarding regulatory concerns with new DMEPOS standards. PQRI general education on optometrists participation in PQRI process on Capitol Hill and within CMS. Medical Home educating offices on Capitol Hill regarding inclusion of optometrists in medical home interdisciplinary team. Medicare Physician Payment Reform meeting with offices on Capitol Hill to advocate for physician payment fix.

Client expense: $300,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2009 Departments of Labor, HHS, Education Appropriations bill and P.L. 110-161 - Consolidated Appropriations issues related to Kansas SRS Medicare and Medicaid; SCHIP Funding levels; H.R.2147/S.1364 - Healthy Kids Act of 2007, S. 2499/H.R.3963/etc. SCHIP program funding issues; No bill number - Repeal of CMS Regulations and directive letters; H.R. 5140 - Economic Stimulus Act of 2008 FMAP adjustments, and state block grants.

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

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Executive Office of the President (EOP), Federal Highway Administration (FHA), Federal Railroad Administration, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

H.R. 4355, To impose a moratorium on certain Medicaid payment restrictions, all provisions H.R. 5173 / S. 2578, To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services, all provisions. H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, all provisions. H.R. 3162, "Children's Health and Medicare Protection Act," provisions relating to the State Children's Health Insurance Program and Medicaid. H.R. 1535, S.895, "Children's Health First Act," all provisions H.R. 2357, "MediKids Health Insurance Act of 2007," all provisions H.R. 2147, S.1364, "Healthy Kids Act of 2007," all provisions H.R. 3533, S. 2466, "The Public and Teaching Hospital Preservation Act," all provisions. S. 2578, To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services, all provisions. S. 2819, Economic Recovery in Health Care Act of 2008, all provisions. Issues relating to the collection of Healthcare Effectiveness Data and Information Set measures from all state Medicaid programs.

Client expense: $1,140,000 · Firm income: Not reported

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

SCHIP Reauthorization, various bills (H.R. 976, H.R. 3963) Health Equity and Accountability Act (H.R. 3014) Community Health Workers Act (S. 586, H.R. 1968) Healthy Children and Families Act (S. 1052) Legal Immigrant Childrens Health Improvement Act (S. 764, H.R. 1308) State Child Well-Being Research Act (S. 1482, H.R. 2477) Childrens Dental Health Improvement Act (S. 739) Childrens Health First Act (S.895, H.R. 1535) Children's Express Lane to Health Coverage Act (S. 1214) Healthy Schools Act (S. 1669) Healthy Kids Act (H.R. 2147, S. 1364) Indian Healthcare Improvement Act (S. 1200) Healthy Start Reauthorization Act (S. 1760, H.R. 3267) Family-Based Meth Treatment Access Act of 2007 (S. 884/HR 405) Tribal Foster Care and Adoption Access Act of 2007 (S. 1956/HR 4688) Kinship Caregiver Support Act (S. 661/HR 2188) Keeping Families Together Act of 2007 (S. 382/HR 687) State Children Well-Being Research Act (H.R. 2477)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

MMM (Legislative Issues): H.R. 4: Medicare Prescription Drug Price Negotiation Act (Dingell); H.R. 976: Childrens Health Insurance Program Reauthorization Act (Rangel); H.R. 1535: Children's Health First Act (Dingell); H.R. 1663: Medicare Mental Health Modernization Act (Stark) (continued) H.R. 1990: Medicare Cost Contract Extension and Refinement Act (Pomeroy); H.R. 2147: Healthy Kids Act (Emanuel); H.R. 2945: Medicare Advantage Truth in Advertising Act (Stark); H.R. 3025: Medicare Prescription Drug Savings for Our Seniors Act (Doggett); H.R. 3061: Medicare Part D Drug Class Protection Act (Doggett); H.R. 3162: Childrens Health and Medicare Protection Act (Dingell); H.R. 3932: Medicare Prescription Drug Savings and Choice Act (Berry); H.R. 3963: Childrens Health Insurance Program Reauthorization Act (Dingell); H.R. 4296: Medicare Electronic Medication and Safety Protection Act (Schwartz); H.R. 5268: Medicaid FMAP (Pallone); H.R. 5480: Medicare Funding Warning Response Act (Hoyer-Boehner); H.R. 5613: Protecting the Medicaid Safety Net Act (Dingell); S. 3: Medicare Prescription Drug Price Negotiation Act (Reid); S. 130: Medicare Cost Contract Extension and Refinement Act (Allard); S. 401: Keep Children Covered Act (Rockefeller); S. 706: Medicare Advantage Stabilization Fund (Feingold); S. 799: Community Choice Act (Harkin); S. 895: Children's Health First Act (Clinton); S. 1102: Part D Equity for Low-Income Seniors Act (Bingaman); S. 1103: Helping Fill the Medicare Rx Gap Act (Bingaman); S. 1107: Home and Community Services Copayment Equity Act (Smith); S. 1108: Medicare Part D Outreach and Enrollment Enhancement Act (Smith); S. 1200: Indian Health Care Improvement Act (includes Medicaid/MA provisions); S. 1224: Children's Health Insurance Program Reauthorization Act (Rockefeller); S. 1507: Access to Medicare Data Act (Grassley); S. 1544: Medicare Quality Enhancement Act (Gregg); S. 1827: Pharmacist Access and Recognition in Medicare Act (Cochran); S. 1893: Childrens Health Insurance Program Reauthorization Act (Baucus); S. 1954: Pharmacy Access Improvement Act (Baucus); S. 2219: Medicare Prescription Drug Savings and Choice Act (Durbin); S. 2408: Medicare Electronic Medication and Safety Protection Act (Kerry); S. 2620: Medicaid FMAP (Rockefeller); S. 2662: Medicare Funding Warning Response Act (Baucus-Gregg); S. Con. Res. 70: Budget Resolution; (Conrad); H. Con. Res. 312: Budget Resolution, section 201 (Spratt). MMM (Regulatory Issues) Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology and data issues, bidding and payment issues (including MA coding intensity, Part D reinsurance, and low income subsidies), benefit design rules, SSA and CMS premium withhold processing issues, systems issues affecting enrollment and disenrollment processing, enrollment rules, marketing materials review and approval, marketing activities, including conduct of brokers and agents and plan sponsor marketing staff and issues raised by CMS about Private Fee-for-Service (PFFS) plan marketing, measurement and oversight of plan performance including Special Needs Plans (SNPs), grievance and appeals processes, Medicare/Medicaid integration issues for Special Needs Plans (SNPs), Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, and other operational issues; Medicare creditable drug coverage reporting requirements; implementation issues for the Medicare Retiree Drug Subsidy program; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education program; ongoing implementation issues for the Medicare cost plan program including enrollment, marketing materials review and approval, systems issues affecting enrollment and disenrollment processing, payment and other operational issues; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting inititiative; issues relating to Medicare coverage policy and national coverage decisions; Medicare clinical trials; Medicaid managed care regulations and policies, including the Medicaid managed care actuarial soundness standard, quality oversight, grievance and appeals processes, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including intergovernmental transfers (IGTs) and federal matching funds for graduate medical education; coordination of benefits with state Medicaid programs; Medicaid prescription drug cost/rebate issues affecting Medicaid health plans; health plan-related State Childrens Health Insurance Program (SCHIP) issues, including eligibility and outreach issues; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including documentation of citizenship requirements, state benefit flexibility options, and Medicaid managed care organization provider tax issues; standards for electronic prescribing; and health information technology standards and policies.

Client expense: $1,820,000 · 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), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

H.Con.Res. 99: Budget Resolution HR 1535: Children's Health First Act HR 2147: Healthy Kids Act HR 2761 Terrorism Risk Insurance Revision and Extension Act of 2007 HR 2851 Michelle's Law HR 2900: FDA Amendments Act HR 3341 Quality Health Care Coalition Act of 2007 HR 3425 Cancer Screening Coverage Act of 2007 HR 4460 Health Care Choice Act of 2007 HR 758 Breast Cancer Patient Protection Act of 2007 HR 836 Cyber-Security Enhancement and Consumer Data Protection Act of 2007 HR 948 Social Security Number Protection Act of 2007 HR 976 Childrens Health Insurance Program Reauthorization Act of 2007 S 1102: Part D Equity for Low-Income Seniors Act S 1224: Children's Health Insurance Program Reauthorization Act S 1408 Health Information Technology Act of 2007 S 1507: Access to Medicare Data Act S 1588 Children's Access to Reconstructive Evaluation and Surgery Act S 1893 Childrens Health Insurance Program Reauthorization Act of 2007 S 358 Genetic Nondiscrimination Act of 2007 S 40 National Insurance Act of 2007 S 400 Michelle's Law S 401: Keep Children Covered Act S 459 Breast Cancer Patient Protection Act of 2007 S 493 Genetic Information Nondiscrimination Act of 2007 S 495 Personal Data Privacy and Security of 2007 S 895: Children's Health First Act S ConRes. 21: Budget Resolution

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1783: Ten Steps to Transform Health Care in America Act H.R. 853: Wellness and Prevention Act of 2007 H.R. 2147: Healthy Kids Act of 2007 S. 1364: Healthy Kids Act of 2007 S. 334: Healthy Americans Act H.R. 5348: American Health Benefits Program Act of 2008 (AHBP Act) H.R. 1328: The Indian Health Care Improvement Act H.R. 5544: The Patients and Public Health Partnership Act of 2008 H.R. 5545: Ensuring the Future Physician Workforce Act of 2008 S. 2729: Ensuring the Future Physician Workforce Act of 2008 S. 2708: Caring for an Aging America Act of 2008 H.R. 5496: Public Health Preparedness Workforce Development Act of 2008 H.R. 2991: Independent Health Record Trust Act H.R. 5442: TRUST in Health Information Act S. 1693: Wired for Health Care Quality Act S. 1814: Health Information Privacy and Security Act S. 2672: A bill to provide incentives to physicians to practice in rural and medically underserved communities H.R. 5174: Nursing and Allied Health Education Preservation Act of 2008

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Advantage - HR 3963, Children's Health Insurance Program Reauthorization Act of 2007; HConRes 312, CONCURRENT RESOLUTION ON THE BUDGET FOR FISCAL YEAR 2009; SConRes 70, Setting forth the congressional budget for the United States Government for fiscal year 2009. Medicare issues - S 706, Medicare Advantage Stabilization Fund; S 130, Medicare Cost Contract Extension/Refinement; HR 1990, Medicare Cost Contract Extension/Refinement; HR 4, Medicare Prescription Drug Price Negotiation; S 3, Medicare Prescription Drug Price Negotiation; S 1102, Medicare Part D Equity for Low Income Seniors; S 1103, Helping Fill the Medicare RX Gap; S 1107, Home-Community Services Copayment Equity; S 1108, Medicare Part D Outreach /Enrollment; HR 1663, Medicare Mental Health Modernization; HR 1535, Children's Health First Act; S 895, Children's Health First Act; S 1224, Children's Health Insurance Program Reauthorization; HR 2147, Healthy Kids Act; HR 2945, Medicare Advantage Truth in Advertising; S 799, Community Choice Act; S 401, Keep Children Covered Act; S 1544, Medicare Quality Enhancement Act; S 1507, Access to Medicare Data; S 1827, Pharmacist Access/Recognition in Medicare; HR 3025, Medicare Prescription Drug Savings for Seniors; HR 3061, Medicare Part D Drug Class Protection; HR 3162, Children's Health and Medicare Protection; HR 976, Children's Health Insurance Program Reauthorization; S 1893, Children's Health Insurance Program Reauthorization; S 1954, Pharmacy Access Improvement; S 2219, Medicare Prescription Drug Savings and Choice; HR 3932, Medicare Prescription Drug Savings and Choice; S 2408, Medicare Electronic Medication and Safety Protection; HR 4296, Medicare Electronic Medication and Safety Protection; S 1200, Indian Health Care Improvement Act; HR 5480, Medicare Funding Warning Response Act; S 2662, Medicare Funding Warning Response Act; HR 5268, Medicaid FMAP; S 2620, Medicaid FMAP

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

S.1783 Ten steps to Transform Health Care in America Act H.R. 853 Wellness and Preventions Act of 2007 H.R. 2147 Healthy Kids Act of 2007 S. 1364 Health Kids Act of 2007 S. 334: Healthy Americans Act H.R. 5613: Protecting the Medicaid Safety Net Act of 2008 H.R. 5348: American Health Benefits Program Act of 2008 (AHBP Act) H.R. 1328: The Indian Health Care Improvement Act H.R. 5544: The Patients and Public Health Partnership Act of 2008 H.R. 5545: Ensuring the Future Physician Workforce Act of 2008 S. 2729: Ensuring the Future Physician Workforce Act of 2008 S. 2708: Caring for an Aging America Act of 2008 H.R. 5496: Public Health Preparedness Workforce Development Act of 2008 S. 2672: Conrad State 30 Improvement Act H.R. 5174: Nursing and Allied Health Education Preservation Act of 2008 H.R. 5613: Protecting the Medicaid Safety Net Act of 2008 H. Con. Res. 312: S. Con. Res. 70: H.R. 493: Genetic Information Nondiscrimination Act H.R. 2991: Independent Health Record Trust Act H.R. 5442: TRUST in Health Information Act S. 1693: Wired for Health Care Quality Act S. 1814: Health Information Privacy and Security Act

Client expense: $260,000 · Firm income: Not reported

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

S. 1408 - Health Information Technology Acct of 2007 S. 1455 - To provide for the establishment of a health information technology and privacy system S. 1364 - Healthy Kids Act of 2007 H.R. 2147 - "Healthy Kids Act" of 2007 H.R. 2580 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 H.R. 3162 - Children's Health and Medicare Protection Acvt H.R. 3176 - SCHIP Reauthorization and Reform Act H.R. 3584 - Extending Funding for SCHIP

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1480, H.R. 1741, S. 787, To impose a 2-year moratorium on implementation of a proposed rule relating to the Federal-State financial partnerships under Medicaid and the State Children's Health Insurance Program, all provisions. H.R. 3162 "Children's Health and Medicare Protection Act," provisions relating to the State Children's Health Insurance Program and Medicaid. S. 1893, H.R. 976 "Children's Health Insurance Program Reauthorization Act of 2007," all provisions. H.R. 1535, S. 895, "Children's Health First Act," all provisions H.R. 1111, S. 95, "Kids Come First Act," all provisions. H.R. 3176, "SCHIP Reauthorization and Reform Act of 2007," all provisions. H.R. 2357, "MediKids Health Insurance Act of 2007," all provisions. S. 1224, "Children's Health Insurance Program (CHIP) Reauthorization Act of 2007," all provisions. H.R. 3963, Children's Health Insurance Program Reauthorization Act, all provisions. S. 2499, Medicare, Medicaid, and SCHIP Extension Act of 2007, provisions relating to Medicaid and SCHIP. H.R. 3269, Children's Health Insurance Program Reauthorization Act, all provisions. H.R. 2147/S. 1364, Healthy Kids Act of 2007, all provisions. H.R. 3533/S. 2466, The Public and Teaching Hospital Preservation Act, all provisions. S. 2578, To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services, all provisions.

Client expense: $834,165 · Firm income: Not reported

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

MMM (Legislative Issues): H.R. 4: Medicare Prescription Drug Price Negotiation Act (Dingell); H.R. 1535: Children's Health First Act (Dingell); H.R. 1663: Medicare Mental Health Modernization Act (Stark) (continued) H.R. 1990: Medicare Cost Contract Extension and Refinement Act (Pomeroy); H.R. 2147: Healthy Kids Act (Emanuel); H.R. 2206: Supplemental Appropriations Act (Obey); H.R. 2945: Medicare Advantage Truth in Advertising Act (Stark); H.Con.Res. 99: Budget Resolution (Spratt); S. 3: Medicare Prescription Drug Price Negotiation Act (Reid); S. 130: Medicare Cost Contract Extension and Refinement Act (Allard); S. 401: Keep Children Covered Act (Rockefeller); S. 706: Medicare Advantage Stabilization Fund (Feingold); S. 799: Community Choice Act (Harkin); S. 895: Children's Health First Act (Clinton); S. 1102: Part D Equity for Low-Income Seniors Act (Bingaman); S. 1103: Helping Fill the Medicare Rx Gap Act (Bingaman); S. 1107: Home and Community Services Copayment Equity Act (Smith); S. 1108: Medicare Part D Outreach and Enrollment Enhancement Act (Smith); S. 1224: Children's Health Insurance Program Reauthorization Act (Rockefeller); S. 1507: Access to Medicare Data Act (Grassley); S. 1544: Medicare Quality Enhancement Act (Gregg); S. 1701: TMA/Medicare Advantage (Baucus); S.Con.Res. 21: Budget Resolution (Conrad) MMM (Regulatory Issues) Ongoing implementation issues for the Medicare Advantage and Medicare Part D prescription drug programs, including risk adjustment methodology and data issues, bidding and payment (including Part D reinsurance and low income subsidies), benefit design rules, SSA and CMS premium withhold processing issues, systems issues affecting enrollment and disenrollment processing, enrollment rules, marketing materials review and approval, marketing activities, including conduct of brokers and agents and plan sponsor marketing staff and issues raised by CMS about Private Fee-for-Service (PFFS) plan marketing, measurement and oversight of plan performance, grievance and appeals processes, Medicare/Medicaid integration issues for Special Needs Plans (SNPs), Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, and other operational issues; Medicare creditable drug coverage reporting requirements; implementation issues for the Medicare Retiree Drug Subsidy program; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education program; ongoing implementation issues for the Medicare cost plan program including enrollment, marketing materials review and approval, systems issues affecting enrollment and disenrollment processing, payment and other operational issues; Medicare demonstration program on performance-based payments for physician groups; Medicare coverage policy and national coverage decisions; Medicare clinical trials; Medicaid managed care regulations and policies, including the Medicaid managed care actuarial soundness standard, quality oversight, grievance and appeals processes, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including intergovernmental transfers (IGTs) and federal matching funds for graduate medical education; coordination of benefits with state Medicaid programs; Medicaid prescription drug cost/rebate issues affecting Medicaid health plans; health plan-related State Children's Health Insurance Program (SCHIP) issues, including eligibility and outreach issues; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including documentation of citizenship requirements, state benefit flexibility options, and Medicaid managed care organization provider tax issues; standards for electronic prescribing; and CMS RFI concerning health information technology.

Client expense: $3,420,000 · 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), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of, UNDETERMINED

SCHIP Reauthorization, various bills (H.R. 976, H.R. 3963) Health Equity and Accountability Act (H.R. 3014) Community Health Workers Act (S. 586, H.R. 1968) Healthy Children and Families Act (S. 1052) Legal Immigrant Childrens Health Improvement Act (S. 764, H.R. 1308) State Child Well-Being Research Act (S. 1482, H.R. 2477) Childrens Dental Health Improvement Act (S. 739) Childrens Health First Act (S.895, H.R. 1535) Children's Express Lane to Health Coverage Act (S. 1214) Healthy Schools Act (S. 1669) Healthy Kids Act (H.R. 2147, S. 1364) Indian Healthcare Improvement Act (S. 1200) Healthy Start Reauthorization Act (S. 1760, H.R. 3267) Family-Based Meth Treatment Access Act of 2007 (S. 884/HR 405) Tribal Foster Care and Adoption Access Act of 2007 (S. 1956/HR 4688) Kinship Caregiver Support Act (S. 661/HR 2188) Keeping Families Together Act of 2007 (S. 382/HR 687) State Children Well-Being Research Act (H.R. 2477)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3043/S.1710 Departments of Labor, HHS, Education Appropriations bill and P.L. 110-161 - Consolidated Appropriations issues related to Kansas SRS Medicare and Medicaid; SCHIP Funding levels; H.R.2147/S.1364 - Healthy Kids Act of 2007, S. 2499/H.R.3963/etc. SCHIP program funding issues;

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

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Park Service (NPS), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

HR 4-Drug Price Negotiation; HR 976-Children's Health Ins. Reauthorization Act; HR 1535-Children's Health First Act; HR 2147-Healthy Kids Act; HR 2945-Medicare Advantage Truth in Advertising Act; HR 3162- Children's Health and Medicare Protection Act; HR 3693-Children's Health Ins. Program Reauthorization Act; S. 3-Drug Price Negotiation; S. 401-Keep Children Covered Act; S. 1102-Part D Equity for Low-Income Seniors Act; S. 1103-Helping Fill the Medicare Rx Gap Act;

Client expense: $2,240,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Deposit Insurance Corporation (FDIC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of

HR 976, HR 1328, HR 1983, HR 2147, HR 3162, HR 3668 and HR 3963 S 1224, S 2085, S 2376 and S 2499

Client expense: $549,302 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1535 Children's Health First Act H.R. 2147 Healthy Kids Act S. 401 Keep Children Covered Act S. 1102 Part D Equity for Low-Income Seniors Act

Client expense: Not reported · Firm income: $150,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1108 - Family Smoking Prevention and Tobacco Control Act; all provisions of the bill HR 2147 - Healthy Kids Act of 2007; all provisions of the bill HR 2932 - A bill to amend Title 39, United States Code, to make cigarettes and certain other tobacco products nonmailable, and for other purposes; all provisions of the bill S 625 - Family Smoking Prevention and Tobacco Control Act; all provisions of the bill S 1013 - Smoke Free Mothers and Babies Act of 2007; all provisions of the bill HR 4081/S 1027 - Prevent All Cigarette Trafficking (PACT) Act; all provisions of the bill S 1162 - Cigarette Litter Prevention Act of 2007; all provisions of the bill S 1224 - Children's Health Insurance Program (CHIP) Reauthorization Act of 2007; funding provisions, federal excise tax provisions HR 976/S 1893 - Children's Health Insurance Program (CHIP) Reauthorization Act of 2007; funding provisions, federal excise tax provisions S 1834 - A bill to improve the health of Americans through the gradual elimination of tobacco products; all provisions of the bill S 2499 - Medicare, Medicaid and CHIP Extension Act; funding provisions, federal excise tax increases HR 2357 - MediKids Health Insurance Act of 2007; funding provisions, federal excise tax provisions S 2005 - Secondhand Smoke Education and Outreach Act of 2007; all provisions of the bill HR 3963 - Children's Health Insurance Program Reauthorization Act of 2007; funding provisions, federal excise tax provisions HR 3162 - Children's Health & Medicare Protection (CHAMP) Act of 2007; funding provisions, federal excise tax provisions S 1799 - A bill to amend the Internal Revenue Code of 1986 to apply rate parity to the excise tax on small cigars and small cigarettes, and for other purposes; federal excise tax provisions

Client expense: $7,180,000 · Firm income: Not reported

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

H.R. 1459/S. 543 - 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 H.R. 2606 - 340B Program Improvement and Integrity Act of 2007 H.R. 2147/S. 1364 - Healthy Kids Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.95/H.R.1111- Kids Come First Act of 2007 H.R.3176 - SCHIP Reauthorization and Reform Act of 2007 H.R.2147 - Healthy Kids Act of 2007 H.R.3162 Children's Health and Medicare Protection Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.95/H.R.1111- Kids Come First Act of 2007 H.R.3176 - SCHIP Reauthorization and Reform Act of 2007 H.R.2147 - Healthy Kids Act of 2007 H.R.3162 Children's Health and Medicare Protection Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.95/H.R.1111- Kids Come First Act of 2007 H.R.3176 - SCHIP Reauthorization and Reform Act of 2007; H.R.2147 - Healthy Kids Act of 2007 H.R.3162 Children's Health and Medicare Protection Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.95/H.R.1111- Kids Come First Act of 2007 H.R.3176 - SCHIP Reauthorization and Reform Act of 2007 H.R.2147 - Healthy Kids Act of 2007 H.R.3162 Children's Health and Medicare Protection Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legal Immigrant Children’s Health Improvement Act (S. 764, H.R. 1308), all provisions State Child Well-Being Research Act (S. 1482), all provisions Children’s Dental Health Improvement Act (S. 739), all provisions Healthy Schools Act (S. 1669), all provisions Children's Express Lane to Health Coverage Act (S. 1214), all provisions Children’s Health First Act (S.895, H.R. 1535), all provisions Healthy Kids Act (H.R. 2147, S. 1364), all provisions Minority Health Improvement and Health Disparity Elimination Act (H.R. 3333, S. 1576, provisions related to Association Health Plans) SCHIP Reauthorization, various bills including S. 1224, S. 1893, H.R. 3162, all provisions Health Equity and Accountability Act (H.R. 3014), all provisions Community Health Workers Act (S. 586, H.R. 1968), all provisions Healthy Children and Families Act (S. 1052), all provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Children's Express Lane to Health Coverage Act (S. 1214), all provisions Healthy Kids Act (H.R. 2147, S. 1364), all provisions Citizenship documentation legislation (S. 909), all provisions Medikids Health Insurance Act (H.R. 2357), all provisions Healthy Schools Act (S. 1669), all provisions SCHIP Reauthorization, various bills (S. 1224, S. 1893, H.R. 3162), all provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.2147/S.1364 - Healthy Kids Act of 2007, H.R.3162/H.Res.594/H.R.976/S.1893 Children's Health and Medicare Protection Act – SCHIP program funding issues H.R. 3043/S.1710 – Departments of Labor, HHS, Education Appropriations bill – issues related to Kansas SRS Medicare and Medicaid; SCHIP Funding levels;

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

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Park Service (NPS), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

S. 706: Medicare Advantage Stabilization Fund H.R. 4: Medicare Prescription Drug Price Negotiation Act S. 3: Medicare Prescription Drug Price Negotiation Act S. 1102: Part D Equity for Low-Income Seniors Act S. 1103: Helping Fill the Medicare Rx Gap Act S. 1108: Medicare Part D Outreach and Enrollment Enhancement Act H.R. 1663: Medicare Mental Health Modernization Act S.Con.Res. 21: Budget Resolution H.Con.Res. 99: Budget Resolution H.R. 1535: Children's Health First Act S. 895: Children's Health First Act S. 1224: Children's Health Insurance Program Reauthorization Act H.R. 2147: Healthy Kids Act S. 1701: TMA/Medicare Advantage S. 401: Keep Children Covered Act S. 1544: Medicare Quality Enhancement Act S. 1507: Access to Medicare Data Act H.R. 2058 Helping Fill the Medicare Rx Gap Act of 2007 S. 1218 Medicare for All Act H.R. 2034 Medicare for All Act H.R. 2065 Medicare Drug Savings through Choice Act of 2007 S. 137 Preserving Medicare for All Act of 2007 H.R. 205 Medicare Prescription Drug Enrollment Extension Act of 2007 H.R. 1521 Universal Health Act of 2007: Repeal of the Late Enrollment Penalty in Medicare Part D H.R. 118 To amend part D title XVIII of the Social Security Act to authorize the Secretary of Health and Human Services to negotiate prices for part D covered drugs for Medicare beneficiaries H.R. 2056 Medicare Part D Improvement Act of 2007 S. 1507 Access to Medicare Data Act of 2007 H.R. 1536 Prescription Coverage Now Act of 2007 S. 28 Generics First Act of 2007 H.R. 932 To amend part D of title XVIII of the Social Security Act to limit the monthly amount of prescription drug cost-sharing for full-benefit dual eligible individuals H.R. 2945 Medicare Advantage Truth in Advertising Act of 2007 S. 273 Prescription Drug and Health Improvement Act of 2007 S. 1108 Medicare Part D Outreach and Enrollment Enhancement Act of 2007 HR 205 Medicare Prescription Drug Enrollment Extension Act of 2007 HR 1218 Medicare Prescription Drug Improvement Act HR 1521 Universal Health Act of 2007: Repeal of the Late Enrollment Penalty in Medicare Part D HR 2009 To repeal the Medicare cost containment provisions contained in subtitle A of title VIII of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. HR 2043 Medicare for All Act HR 2058 Helping Fill the Medicare Rx Gap Act of 2007 HR 2065 Medicare Drug Savings Through Choice Act of 2007 HR 2149 Healthcare Eligibility for Late Participants (HELP) in Medicare Part D Act of 2007 HR 2307 Preventing Medicare Seniors from being Confused due to Abusive Marketing (Prevent Medicare SCAMs) Act of 2007 HR 2827 Medicare Equity and Accessibility Act of 2007 S 130 Medicare Cost Contract Extension and Refinement Act of 2007 S 137 Preserving Medicare for All Act of 2007 S 173 Medicare Health Savings Accounts Act of 2007 S 1338 Access to Medicare Imaging Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1082: FDA Revitalization Act S. 623: Access to Life-Saving Medicine Act H.R. 1038: Access to Life-Saving Medicine Act H.R. 1368: Personalized Health Information Act S. 1695: Biologics Price Competition and Innovation Act S. 1693: Wired for Health Care Quality Act H.R. 2900: FDA Amendments Act S. 334 Healthy Americans Act H.R. 1535 Children’s Health First Act S. 895 Children’s Health First Act S. 628 Critical Access to Health Information Technology Act of 2007 S. 1408 Health Information Technology Act of 2007 S. 1577 Patient Safety and Abuse Prevention Act of 2007 H.R. 2723 Children’s Health Care Quality Act S. 1226 Children’s Health Care Quality Act S. 1364 Healthy Kids Act of 2007 H.R. 1368 Personalized Health Information Act of 2007 S. 1714 Small Business Children’s Health Education Act of 2007 H.R. 2132 Small Business Health Plans Act of 2007 S. 158 Access to Affordable Health Care Act H.R. 2147 Health Kids Act of 2007 S. 401 Keep Children Covered Act of 2007 S. 1753 Health Workforce Act of 2007 S. 1455 National Health Information Technology and Privacy Advancement Act of 2007 HR 788 Food and Drug Administration Safety Act of 2007 HR 1432 Preserve Access to Affordable Generics Act HR 1666 Health Care Price Transparency Promotion Act of 2007 HR 1902 Protecting Consumer Access to Generic Drugs Act of HR 1952 National Health Information Incentive Act of 2007 HR 1956 Patient Protection and Innovative Biologic Medicines Act of 2007 HR 2273 Food and Drug Administration Improvement Act of 2007 HR 2592 Safe and Effective Drug Development Act of 2007 HR 2626 Comprehensive HealthCARE Act of 2007 S 28 Generics First Act of 2007 S 158 Access to Affordable Health Care Act S 242 Pharmaceutical Market Access and Drug Safety Act of 2007 S 251 Pharmaceutical Market Access Act of 2007 S 273 Prescription Drug and Health Improvement Act of 2007 S 316 Preserve Access to Affordable Generics Act S 468 Food and Drug Administration Safety Act of 2007 S 976 Genomics and Personalized Medicine Act of 2007 S 1505 Affordable Biologics for Consumers Act Antitrust and Health Insurance Reform: S 618 “Insurance Industry Competition Act of 2007” Health Information Technology Standards; Electronic Health Records; ICD 10 Implementation; HR1368 “Personalized Health Information Act of 2007” ; S 1693 and S 1783 “Wired for Health Care Quality Act”; Insurance Market Reform; Association Health Plans; Uninsured: S 1019 “Health Care Choice of 2007” Genetic Non-discrimination: HR 493 and S 358 “Genetic Information Nondiscrimination Act of 2007 Mental Health Parity: HR 1424 “Paul Wellstone Mental Health and Addiction Equity Act of 2007” and S 558 “Mental Health Parity Act of 2007” H.R. 2184 Enhanced Health Care Value for All Act S. 1490 Federal Employees Electronic Personal Health Records Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 1224, HR 2147 and HR 1983

Client expense: $816,178 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4-Drug Price Negotiation; HConRes 99-Budget Resolution; HR 1535-Children's Health First Act; HR 2147-Healthy Kids Act; S 3-Drug Price Negotiation; SConRes 21-Budget Resolution; S 401-Keep Children Covered Act; S 1102-Part D Equity for Low-Income Seniors Act; S 1103-Helping Fill the Medicare Rx Gap Act; S 1224-Children's Health Insurance Program Reauthorization Act; S 1507-Access to Medicare Data Act; S 1544-Medicare Quality Enhancement Act; S 1701-TMA/Medicare Advantage

Client expense: $2,320,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Deposit Insurance Corporation (FDIC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of