Community Living Assistance Services and Supports Act

Followed legislation in a variety of areas of interest to American Associatin of Homes and Services for the Aging, especially Medicare and Medicaid legislatino especially with regards to S.3101-The Medicare Improvements for Patients and Providers Act and H.R. 6331- The Medicare Improvements for Patients and Providers Act; and any other legislation relating to the Medicare Payment Update and the User Fees for Nursing Homes.Assisted in developing a strategy to implement long term care reform, especially with regard to S. 1758 and H.R. 3001, the Community Living Assistance Servcies and Support Act.

Client expense: Not reported · Firm income: Not reported

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

Patients' Rights Legislation; PL 110-343 Mental Health Parity; PL 108-173 Medicare Prescription Drug and Mondernization Act of 2003; HR 3001/S 1758 Comunity Living Assistance Services and Supports Act; S 799: Community Choice Act.

Client expense: $91,018 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

Followed legislation in a variety of areas of interest to American Association of Homes and Services for the Aging, especially Medicare and Medicaid legislation, especially with regard to S. 3101 the Medicare Improvements for Patients and Providers Act: HR 6331, The Medicare Improvements for Patients and Providers Act; and any other legislation relating to the Medicare Payment Update and the User Fees for Nursing Homes; and temporary (continued) increases in the medicaid match in the House and Senate stimulas bills. Assisted in developing a strategy to implement long term care reform, especially with regard to S. 1758 and HR 3001, the Community Living Assistance Services and Support Act. Actively lobbied on the CMS recalibration of Resource Utilization Groups (RUGs).

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

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

Followed legislation in a variety of areas of interest to American Association of Homes and Services for the Aging, especially Medicare and Medicaid legislation especially with regard to S. 3101 the Medicare Improvements for Patients and Providers Act: HR 6331, The Medicare Improvements for Patients and Providers Act; and any other legislation relating to the Medicare Payment Update and the User Fees for Nursing Homes. (continued) Assisted in developing a strategy to implement long term care reform, especially with regard to S. 1758 and H.R. 3001, the Community Living Assistance Services and Support Act.

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

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

Community Choice A S.799 & HR1621 , Ending the Medicare Waiting Period S. 2102 & HR154, Class Act S.1758 & HR3001, Promoting Wellness S.1050 & HR 3294, Medicare Independent Living Act S. 2103 & HR 1809, (ALL healthcare related bills)

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, White House Office

Assistance for Individuals with Functional Impairments. H.R. 3001, S. 1758: provisions pertaining to assistance for individuals with functional impairments and for their families payments for services and supports. Health Insurance Parity. H.R. 1424, S. 558: provisions to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. Nationally-coordinated Elder Justice. H.R. 1783, S. 1070: provisions pertaining to the implementation of a nationally-coordinated elder justice strategy. Commodity Supplemental Food Program. S.1090: provision pertaining to the Commodity Supplemental Food Program for low-income seniors. Health Care Professional Training. S. 2708, S. 2708, H.R. 6337: provisions relating to the recruitment and retention of trained health care professionals and direct care workers to care for older Americans; and provisions authorizing funding to help health care practitioners gain geriatric or gerontological specialization.

Client expense: $250,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Assistance for Individuals with Functional Impairments. H.R. 3001, S. 1758: provisions pertaining to assistance for individuals with functional impairments and for their families payments for services and supports. Health Insurance Parity. H.R. 1424, S. 558: provisions to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. Nationally-coordinated Elder Justice. H.R. 1783, S. 1070: provisions pertaining to the implementation of a nationally-coordinated elder justice strategy. Commodity Supplemental Food Program. S.1090: provision pertaining to the Commodity Supplemental Food Program for low-income seniors. Health Care Professional Training. S. 2708, S. 2708, H.R. 6337: provisions relating to the recruitment and retention of trained health care professionals and direct care workers to care for older Americans; and provisions authorizing funding to help health care practitioners gain geriatric or gerontological specialization.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Assistance for Individuals with Functional Impairments. H.R. 3001, S. 1758: provisions pertaining to assistance for individuals with functional impairments and for their families payments for services and supports. Health Insurance Parity. H.R. 1424, S. 558: provisions to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. Nationally-coordinated Elder Justice. H.R. 1783, S. 1070: provisions pertaining to the implementation of a nationally-coordinated elder justice strategy. Commodity Supplemental Food Program. S.1090: provision pertaining to the Commodity Supplemental Food Program for low-income seniors. Health Care Professional Training. S. 2708: provisions relating to the recruitment and retention of trained health care professionals and direct care workers to care for older Americans.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Assistance for Individuals with Functional Impairments. H.R. 3001, S. 1758: provisions pertaining to assistance for individuals with functional impairments and for their families payments for services and supports. Health Insurance Parity. H.R. 1367, H.R. 1424, S. 558: provisions to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. Nationally-coordinated Elder Justice. H.R. 1783, S. 1070: provisions pertaining to the implementation of a nationally-coordinated elder justice strategy. Commodity Supplemental Food Program. S.1090: provision pertaining to the Commodity Supplemental Food Program for low-income seniors. Health Care Professional Training. S. 2708: provisions relating to the recruitment and retention of trained health care professionals and direct care workers to care for older Americans.

Client expense: $480,000 · Firm income: Not reported

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

Ending the Medicare Disability Waiting Period Act, H 154, S 2101 to end Medicare's 24-month waiting period. Medicare Improvements for Patients & Providers Act of 2008 , HR 6331, and related bills, HR 6252, S 3118, including provisions to fix the physician payment rate, delay Medicare competitive bidding for durable medical equipment and exempt complex rehabilitation from competitive bidding altogether -- because of impacts on people who need wheelchairs and other durable medical equipment. cont. S. 3327 - to improve the state plan option under Medicaid providing for home & community-based services -- cjamges tje home and community-based services option in the 2005 Deficit Reduction Act to allow more people to access these services. HR 1845 & S. 6252 - Medicare DMEPOS Competitive Acquisition Reform Act of 2007 regarding competitive bidding for durable medical equiptment. HR 1809/ S 2103 -- Medicare Independent Living Act -- to reverse Medicare regulations and policies that restrict payment for power mobility devices (wheelchairs) to those needed "in the home" rather than in the community -- such as for going to work, school, grocery shopping, medical appointments, places of worship and to accompany childred to school and activities. HR 1621/ S 799 - Community Choice Act of 2007 -- to support Medicaid coverage of community based services such as personal care, activities of daily living, etc. HR 1279 -- Direct Support Professional's Fairness & Security Act -- to support equalization of wages between privately and publicly employed direct support professionals. Community Living Assistance and Supports, CLASS Act S. 1758, Senators Edward Kennedy (D-MA) and Tom Harkin (D-IA) H.R. 3001, Reps. Frank Pallone (D-NJ) and John Dingell (D-MI) Both bills provide for a cash benefit to help obtain services and support. They would establish a national insurance plan to be financed by voluntary payroll deductions to provide benefits to adults who become severely functionally impaired. Participants would not be required to impoverish themselves in order to qualify for benefits. Center for Medicare and Medicaid Services (CMS) -- oppose the Rhode Island 1115 Waiver application that would essentially block grant Medicaid to Rhode Island -- which would jeopardize Medicaid services. Discussions with senior CMS officials about what will be happening with competitive bidding following enactment of HR 6331 that delayed competitive bidding temporarily and exempted complex rehabilitation from competive bidding altogether. Discussions about possible future legislation in the 111th Congress regarding: - physician payment rate - Medicare competitive bidding for durable medical equipment - make permanent some of the temporary delays/moratoria that were included in HR 6331 and related bills - seek permanent repeals of Medicaid rules that were delayed by legislation (e.g. enactment of HR 5613) - increasing the federal share of Medicaid (known as FMAP) including increased FMAP for direct support workers.

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

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

INS (Legislative): H.R. 241: Association Health Plans (Johnson); H.R. 758: Breast Cancer Patient Protection Act (DeLauro) (continued) INS (Legislative) (cont.) H.R. 1081: Insurance Industry Competition Act (DeFazio); H.R. 1282: Medigap Access Improvement Act (English); H.R. 1424: Paul Wellstone Mental Health and Addiction Equity Act (Kennedy); H.R. 2412: Equity in Prescription Insurance and Contraceptive Coverage Act (Lowey); H.R. 2676: Access to Cancer Clinical Trials Act (Pryce); H.R. 2842: Childrens Health Protection Act (Schwartz); H.R. 2851: Michelles Law (Hodes) (provisions relating to continuity of coverage for college students on medical leave); H.R. 3001: Community Living Assistance Services and Supports Act (Pallone); H.R. 3195: ADA Amendments Act (Hoyer); H.R. 3200: National Insurance Act (provisions relating to regulatory reform) (Bean); H.R. 3425: Cancer Screening Coverage Act (Maloney); H.R. 4460: Health Care Choice Act (provisions relating to health insurance reforms in individual market) (Shadegg); H.R. 5550: Coverage for Young Adult Dependents of Federal Employees (Davis); H.R. 5781: Federal Employees Paid Parental Leave Act (Maloney) (provisions relating to disability study); H.R. 5840: Insurance Information Act (Kanjorski) (provisions relating to federal Office of Insurance Information); H.R. 5938: Identity Theft Enforcement and Restitution Act (Conyers); H.R. 6049: Energy Improvement and Extension Act (provisions relating to mental health parity); H.R. 6071: Health Care Consumer Protection Act (Forbes) (provisions relating to reinstatement of health insurance following nonpayment of premiums); H.R. 6142: Lawsuits Against Employer-Sponsored Disability Benefit Plans (Andrews); H.R. 6210: Small Business Health Options Program Act (Kind-English); H.R. 6528: Health Insurance Coverage Protection Act (Eshoo) (provisions relating to limitations on lifetime limits); H.R. 6582: Small Business CHOICE Act (Velazquez) (provisions relating to health insurance); H.R. 6908: Health Insurance Restrictions and Limitations Clarifications Act (Burgess) (provisions relating to disclosure rules for coverage exclusions); H.R. 6983: Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (Kennedy) (provisions relating to mental health parity); H.R. 7129: Several Approaches to Reduce the Uninsured Act (Andrews) (relating to state regulation of employer-sponsored health benefits); S. 40: National Insurance Act (provisions relating to regulatory reform) (Sununu); S. 46: Affordability in the Individual Market Act (provisions relating to HSAs) (Ensign); S. 239: Notification of Risk to Personal Data Act (Feinstein); S. 400: Michelle's Law (provisions relating to continuity of coverage for college students on medical leave) (Sununu); S. 459: Breast Cancer Patient Protection Act (Snowe); S. 495: Personal Data Privacy and Security Act (Leahy); S. 558: Mental Health Parity Act (Domenici); S. 616: HIPAA Recreational Injury Technical Correction Act (Collins); S. 618: Insurance Industry Competition Act (Leahy); S. 1076: HIPAA Recreational Injury Technical Correction Act (Burgess); S. 1178: Identity Theft Protection Act (Inouye); S. 1260: Data Security Act (Carper); S. 1298: Healthy Businesses, Healthy Workers Reinsurance Act (Kerry); S. 1588: Children's Access to Reconstructive Evaluation and Surgery Act (Landrieu); S. 1758: Community Living Assistance Services and Supports Act (Kennedy); S. 1814: Health Information Privacy and Security Act (Leahy); S. 2168: Identify Theft Enforcement and Restitution Act (Leahy); S. 2236: Preexisting Condition Exclusion Patient Protection Act (Rockefeller); S. 2268: Long Term Care Insurance Integrity Act (Klobuchar); S. 2477: Health Care Choice Act (DeMint); S. 2706: Health Insurance Coverage Protection Act (Dorgan); S. 2795: Small Business Health Options Program Act (Durbin-Snowe); S. 2818: Small Business Health Plans Act (Enzi); S. 2948: Small Business Empowerment Act (Brown) (provisions relating to health coverage for small employers); S. 2999: Access to Cancer Clinical Trials Act (Brown); S. 3068: Equity in Prescription Insurance and Contraceptive Coverage Act (Snowe); S. 3115: Childrens Health Protection Act (Lautenberg); S. 3335: Jobs, Energy, Families, and Disaster Relief Act (provisions relating to mental health parity); S. 3554: Affordable Coverage for Small Employers Act (Smith) (provisions relating to insurance reforms, tax credits); S. 3559: Continuing Coverage Act (Coleman) (relating to third party review for rescission decisions); S. 3712: Mental Health Parity (Kennedy) (relating to a technical correction); DRAFT Senate Bill (Grassley) relating to disclosure of employee health insurance costs; Draft Senate Health Care Reform Proposal (Baucus) (relating to access, quality, and affordability issues). INS (Regulatory) Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; issues relating to the coordination of benefits between private health insurance plans and Medicaid; crossover fees for Medigap claims; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials; and implementation of the Mental Health Parity Act requirements.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

The Direct Support Professional Fairness and Security Act of 2007 (H.R. 1279)--supported bill Discussed with Senate staff possible introduction of a Direct Support Professional bill Community Living Assistance Services and Supports Act of 2007 (S 1758 and H.R. 3001)--supported bill To provide for a temporary increase in the Federal Medical Assistance Percentage, and for other purposes--supported FMAP increase (H.R. 5268) A bill to provide a temporary increase in Federal Medical Assistance Percentage and fiscal relief to states--supported FMAP increase and state fiscal relief (S. 2586) Community Choice Act of 2007: Amends title XIX (Medicaid) of the Social Security Act (SSA) to require state Medicaid plan coverage of community-based attendant services and supports for certain Medicaid-eligible individuals. (S. 799 and H.R. 1621)--supported bill Empowered at Home Act of 2008: aimed at removing existing barriers to the new Medicaid Section 1915(i) HCBS benefit, strengthening HCBS services in order to prevent or decrease the likelihood of institutionalization, provide state assistance to facilitate HCBS services, improve purchase of long term care, and improve CMS collection of state data regarding number of individuals, expenditures, types of services, and waiting lists. S. 3327 would increase income eligibility from current 150% of FPL to 300% of SSI; eliminate option to waive statewideness; expand scope of services to include "other services", and eliminate option to limit number of eligible individuals and extends time period for eligibility (S. 3327)--supported bill

Client expense: $44,500 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR. 3001 (CLASS Act) - as it relates to the insurance industry; General healthcare reform issues as they relate to the insurance industry

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Long Term Care: Class Act (S.1758, H.R.3001); General Corporate Product and Tax Issues (no bill number).

Client expense: $1,080,000 · Firm income: Not reported

Government targets: Federal Deposit Insurance Corporation (FDIC), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

S. 1758/ H.R. 3001 - CLASS Act, to establish a national insurance trust for long-term care - for Advocated for inclusion of long-term care in health care reform

Client expense: $100,140 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Family and Medical Leave Act regulations. Family Support provisons in the Developmental Disabilities Assistance and Bill of Rights pending reauthorization. Implementation of P.L. 109-171, Deficit Reduction Act of 2005, provisions dealing with TANF, Medicaid, and other human services issues. S. 1758 and H.R. 3001, CLASS Act provisions that would establish a national, voluntary, premium-based long term care insurance program. Lifespan Respie Care Act appropriations (in H.R. 3043). S. 985, Kinship Caregiver Support Act, provisions that would provide support for caregivers of individauls with special needs. S. 937 and H.R. 1881, Expanding the Promise for Individuals with Autim, provides services and supports to these families.

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

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

Patients' Rights Legislation; HR 748/S 450: Medicare Access to Rehabilitation Services Act; PL 108-173: Medicare Prescription Drug and Modernization Act of 2003; S 558: Mental Health Parity legislation; HR 1367: Paul Wellstone Mental Health & Addiction Equity Act of 2007; HR 1017/S 578: Protecting Children's Health in Schools Act; HR 3001/S 1758: Community Living Assistance Services and Supports Act (CLASS) Act; HR 2820: Reconstructive Surgery Act of 2008 S 400: Michelle's Law; HR 5617/S 3517: Group Health Plan Prosthetics Parity Act of 2007; HR 1424: Emergency Economic Stabilization Act (HR 6983: Paul Wellstone and Pete Domenici Mental Health Parity & Addiction Equity Act of 2008); HR 3690: Military Family Autism Equality Act.

Client expense: $78,906 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

S 898/HR 1560 - Alzheimer's Breakthrough Act of 2007 S 558/HR 1424 - Mental Health Parity Act of 2007 S 325/HR 506 - Health Partnership Act H.R.6282/S 2950 - Helping HANDS for Autism Act of 2008 H.R. 1669/S 982 - Positive Aging Act of 2007 H.R. 1424 - Emergency Economic Stabilization Act of 2008 H.R. 3 - Stem Cell Research Enhancement Act of 2007 H.R. 1621/ S 799- Community Choice Act of 2007 S. 2267- Americans Giving Care to Elders Act of 2007 S. 1758/HR 3001- Community Living Assistance Services and Supports Act H.R. 4897/S. 1854- Stop Senior Suicide Act H.R. 977 - The Genomic Research and Accessibility Act Long-Term Care Social Service Block Grant S 937/HR 1881 - Expanding the Promise for Individuals With Autism Act of 2007 HR 7202- Temporary Tax Relief Act of 2008 HR 6049- Renewable Energy and Job Creation Act of 2008

Client expense: $34,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), SENATE, State, Dept of (DOS), White House Office

HR 2930/ S 2736 - Section 202 Supportive Housing for the Elderly Act of 2007 HR 2895 - National Housing Trust Fund Act of 2007 HR 1851/ S. 2684 - Section 8 Voucher Reform Act of 2007 Naturally Occuring Retirement Community Program HR 3524 -HOPE VI Improvement and Reauthorization Act of 2008 HR 3001/S 1758 - To amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes.

Client expense: $34,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), SENATE, State, Dept of (DOS), White House Office

Legislative support of S. 1758/HR 3001; HR 1424/S558; HR 3195/S 1881; and HR 5613

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

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

Long term care insurance - Potential legislation concerning this issue. Insurance issues - S 618, Insurance Industry Competition Act of 2007; HR 1081, Insurance Industry Competition Act of 2007; HR 241, To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees; S 46, Affordability in the Individual Market Act; HR 1282, Medigap Access Improvement Act of 2007; HR 758, Breast Cancer Patient Protection Act of 2007; S 459, Breast Cancer Patient Protection Act of 2007; HR 2412, Equity in Prescription Insurance and Contraceptive Coverage Act of 2007; S 616, HIPAA Recreational Injury Technical Correction Act; HR 1076, HIPAA Recreational Injury Technical Correction Act; S 40, National Insurance Act of 2007; HR 3200, National Insurance Act of 2007; S 1298, Healthy Businesses, Healthy Workers Reinsurance Act of 2007; S 400, Michelle's Law; HR 2851, Michelle's Law; S 1588, CARES Act; HR 2676, Access to Cancer Clinical Trials Act of 2007; HR 3425, Cancer Screening Coverage Act of 2007; S 2236, Preexisting Condition Exclusion Patient Protection Act of 2007; S 2268, Long Term Care Insurance Integrity Act of 2007; HR 4460, Health Care Choice Act of 2007; S 2477, Health Care Choice Act of 2007; S 1758, CLASS Act; HR 3001, CLASS Act; S 2795, SHOP Act; HR 6210, SHOP Act; S 3115, Children's Health Protection Act of 2008; HR 2842, Children's Health Protection Act of 2008; HR 5840, Insurance Information Act of 2008; HR 6142, To amend title I of the Employee Retirement Income Security Act of 1974 to provide, in the case of an employee welfare benefit plan providing benefits in the event of disability, an exemption from preemption under such title for State tort actions to recover damages arising from the failure of the plan to timely provide such benefits; HR 5550, To amend title 5, United States Code, to increase the maximum age to qualify for coverage as a `child' under the health benefits program for Federal employees; S 2948, Small Business Empowerment Act; S 2818, Small Business Health Plans Act of 2008; S 2999, Access to Cancer Clinical Trials Act of 2008; HR 6071, Health Care Consumer Protection Act of 2008; S 3068, Equity in Prescription Insurance and Contraceptive Coverage Act of 2007; S 3559, Continuing Coverage Act of 2008; S 3554, Affordable Coverage for Small Employers Act of 2008; HR 6908, Health Insurance Source of Injury Clarification Act of 2008; HR 6582, Small Business CHOICE Act of 2008; HR 6528, Health Insurance Coverage Protection Act; S 2706, Health Insurance Coverage Protection Act; HR 5840, Insurance Information Act of 2008; HR 7129, Several Approaches to Reduce the Uninsured Act of 2008; proposed legislation concerning these issues. Mental health parity - HR 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007; HR 6983, Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008; S 3712, To make a technical correction in the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Family Support provisons in the Developmental Disabilities Assistance and Bill of Rights pending reauthorization. Implementation of P.L. 109-171, Deficit Reduction Act of 2005, provisions dealing with Medicaid, and other human services issues. S. 1758 and H.R. 3001, CLASS Act provisions that would establish a national, voluntary, premium-based long term care insurance program. Lifespan Respite Care Act appropriations (in H.R. 3043). S. 985, Kinship Caregiver Support Act, provisions that would provide support for caregivers of individauls with special needs.

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

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

S.46, the Affordability in the Individual Market (AIM) Act of 2007 H.R. 914, the Tax Equity and Affordability (TEA) Act of 2007 S.397, the Tax Equity and Affordability (TEA) Act of 2007 S.1019, the Universal Health Care Choice and Access Act of 2007 H.R. 2302, the Health Insurance Affordability Act of 2007 S.334, the Healthy Americans Act of 2007 S.1809, the Long-Term Care Act of 2007 H.R. 3088, the Long-Term Care Act of 2007 S.1758, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3001, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3234, the HSA Improvement & Expansion Act of 2007 H.R. 3360, the Equity for Our Nations Self-Employed Act of 2007 S.2239, the Equity for Our Nations Self-Employed Act of 2007 S.1038, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 1748, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 245, the Personal Health Investment Today (PHIT) Act of 2007 H.R. 5719, the Taxpayer Assistance and Simplification Act, Sec. 17 S.2795, the Small Business Health Options Program (SHOP) Act H.R. 6210, the Small Business Health Options Program (SHOP) Act S.2818, the Small Business Health Plans Act H.R. 6110, the Roadmap for Americas Future Act, Titles I, II (except Part 5) and III S. 3365, the Long-Term Care Family Accessibility Act H.R. 6582, the Small Business CHOICE Act S. 3327, the Empowerment at Home Act of 2008 Comments on draft legislation requiring W-2 Form reporting of employer-provided health care cost

Client expense: Not reported · Firm income: Not reported

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

S.46, the Affordability in the Individual Market (AIM) Act of 2007 H.R. 914, the Tax Equity and Affordability (TEA) ACT of 2007 S.397, the Tax Equity and Affordability (TEA) Act of 2007 S.1019, the Universal Health Care Choice and Access Act of 2007 H.R. 2302, the Health Insurance Affordability Act of 2007 S.334, the Healthy Americans Act of 2007 S.1298, the Healthy Businesses, Healthy Workers Reinsurance Act of 2007 S.1809, the Long-Term Care Act of 2007 H.R. 3088, the Long-Term Care Act of 2007 S.1758, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3001, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3234, the HSA Improvement & Expansion Act of 2007 H.R. 3360, the Equity for Our Nations Self-Employed Act of 2007 S.2239, the Equity for Our Nations Self-Employed Act of 2007 S.1038, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 1748, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 245, the Personal Health Investment Today (PHIT) Act of 2007 H.R. 4460, the Health Care Choice Act of 2007 S.2477, the Health Care Choice Act of 2007 FY2009, Labor Health & Human Services, Education & Related Agencies Appropriations, State High Risk Pool Grants Program H.R. 5719, the Taxpayer Assistance and Simplification Act, Sec. 17 S.2795, the Small Business Health Options Program (SHOP) Act H.R. 6210, the Small Business Health Options Program (SHOP) Act S.2818, the Small Business Health Plans Act H.R. 6331, the Medicare Improvements for Patients and Providers Act, Sec. 103 H.R. 6110, the Roadmap for Americas Future Act, Titles I, II (except Part 5) and III H.R. 758, the Breast Cancer Patient Protection Act, Sec. 7 S. 3365, the Long-Term Care Family Accessibility Act H.R. 6582, the Small Business CHOICE Act H.R. 6015, the Hospital and ASC Price Disclosure and Litigation Act of 2008 S. 3327, the Empowerment at Home Act of 2008 Comments on draft legislation requiring W-2 Form reporting of employer-provided health care cost

Client expense: Not reported · Firm income: Not reported

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

S.46, the Affordability in the Individual Market (AIM) Act of 2007 H.R. 914, the Tax Equity and Affordability (TEA) Act of 2007 S.397, the Tax Equity and Affordability (TEA) Act of 2007 S.1019, the Universal Health Care Choice and Access Act of 2007 H.R. 2302, the Health Insurance Affordability Act of 2007 S.334, the Healthy Americans Act of 2007 S.1298, the Healthy Businesses, Healthy Workers Reinsurance Act of 2007 S.1809, the Long-Term Care Act of 2007 H.R. 3088, the Long-Term Care Act of 2007 S.1758, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3001, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3234, the HSA Improvement & Expansion Act of 2007 H.R. 3360, the Equity for Our Nations Self-Employed Act of 2007 S.2239, the Equity for Our Nations Self-Employed Act of 2007 S.1038, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 1748, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 245, the Personal Health Investment Today (PHIT) Act of 2007 H.R. 4460, the Health Care Choice Act of 2007 S.2477, the Health Care Choice Act of 2007 FY2009, Labor Health & Human Services, Education & Related Agencies Appropriations, State High Risk Pool Grants Program H.R. 5719, the Taxpayer Assistance and Simplification Act, Sec. 17 S.2795, the Small Business Health Options Program (SHOP) Act H.R. 6210, the Small Business Health Options Program (SHOP) Act S.2818, the Small Business Health Plans Act H.R. 6331, the Medicare Improvements for Patients and Providers Act, Sec. 103 H.R. 6110, the Roadmap for Americas Future Act, Titles I, II (except Part 5) and III H.R. 758, the Breast Cancer Patient Protection Act, Sec. 7 H.R. 6582, the Small Business CHOICE Act H.R. 6015, the Hospital and ASC Price Disclosure and Litigation Act of 2008 S. 3327, the Empowerment at Home Act of 2008 Comments on draft legislation requiring W-2 Form reporting of employer-provided health care cost

Client expense: Not reported · Firm income: Not reported

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

S.46, the Affordability in the Individual Market (AIM) Act of 2007 H.R. 914, the Tax Equity and Affordability (TEA) Act of 2007 S.397, the Tax Equity and Affordability (TEA) Act of 2007 S.1019, the Universal Health Care Choice and Access Act of 2007 H.R. 2302, the Health Insurance Affordability Act of 2007 S.334, the Healthy Americans Act of 2007 S.1809, the Long-Term Care Act of 2007 H.R. 3088, the Long-Term Care Act of 2007 S.1758, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3001, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3234, the HSA Improvement & Expansion Act of 2007 H.R. 3360, the Equity for Our Nations Self-Employed Act of 2007 S.2239, the Equity for Our Nations Self-Employed Act of 2007 S.1038, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 1748, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 245, the Personal Health Investment Today (PHIT) Act of 2007 H.R. 5719, the Taxpayer Assistance and Simplification Act, Sec. 17 S.2795, the Small Business Health Options Program (SHOP) Act H.R. 6210, the Small Business Health Options Program (SHOP) Act S.2818, the Small Business Health Plans Act H.R. 6110, the Roadmap for Americas Future Act, Titles I, II (except Part 5) and III S. 3365, the Long-Term Care Family Accessibility Act H.R. 6582, the Small Business CHOICE Act H.R. 493, the Genetic Information Nondisclosure Act of 2007

Client expense: Not reported · Firm income: Not reported

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

S.46, the Affordability in the Individual Market (AIM) Act of 2007 H.R. 914, the Tax Equity and Affordability (TEA) Act of 2007 S.397, the Tax Equity and Affordability (TEA) Act of 2007 S.1019, the Universal Health Care Choice and Access Act of 2007 H.R. 2302, the Health Insurance Affordability Act of 2007 S.334, the Healthy Americans Act of 2007 S.1298, the Healthy Businesses, Healthy Workers Reinsurance Act of 2007 S.1809, the Long-Term Care Act of 2007 H.R. 3088, the Long-Term Care Act of 2007 S.1758, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3001, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3234, the HSA Improvement & Expansion Act of 2007 H.R. 3360, the Equity for Our Nations Self-Employed Act of 2007 S.2239, the Equity for Our Nations Self-Employed Act of 2007 S.1038, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 1748, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 245, the Personal Health Investment Today (PHIT) Act of 2007 H.R. 4460, the Health Care Choice Act of 2007 S.2477, the Health Care Choice Act of 2007 FY2009, Labor Health & Human Services, Education & Related Agencies Appropriations, State High Risk Pool Grants Program H.R. 5719, the Taxpayer Assistance and Simplification Act, Sec. 17 S.2795, the Small Business Health Options Program (SHOP) Act H.R. 6210, the Small Business Health Options Program (SHOP) Act S.2818, the Small Business Health Plans Act H.R. 6331, the Medicare Improvements for Patients and Providers Act, Sec. 103 H.R. 6110, the Roadmap for Americas Future Act, Titles I, II (except Part 5) and III H.R. 758, the Breast Cancer Patient Protection Act, Sec. 7 H.R. 6582, the Small Business CHOICE Act H.R. 6015, the Hospital and ASC Price Disclosure and Litigation Act of 2008

Client expense: Not reported · Firm income: Not reported

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

S.46, the Affordability in the Individual Market (AIM) Act of 2007 H.R. 914, the Tax Equity and Affordability (TEA) ACT of 2007 S.397, the Tax Equity and Affordability (TEA) Act of 2007 S.1019, the Universal Health Care Choice and Access Act of 2007 H.R. 2302, the Health Insurance Affordability Act of 2007 S.334, the Healthy Americans Act of 2007 S.1298, the Healthy Businesses, Healthy Workers Reinsurance Act of 2007 S.1809, the Long-Term Care Act of 2007 H.R. 3088, the Long-Term Care Act of 2007 S.1758, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3001, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3234, the HSA Improvement & Expansion Act of 2007 H.R. 3360, the Equity for Our Nations Self-Employed Act of 2007 S.2239, the Equity for Our Nations Self-Employed Act of 2007 S.1038, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 1748, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 245, the Personal Health Investment Today (PHIT) Act of 2007 H.R. 4460, the Health Care Choice Act of 2007 S.2477, the Health Care Choice Act of 2007 FY2009, Labor Health & Human Services, Education & Related Agencies Appropriations, State High Risk Pool Grants Program H.R. 5719, the Taxpayer Assistance and Simplification Act, Sec. 17 S.2795, the Small Business Health Options Program (SHOP) Act H.R. 6210, the Small Business Health Options Program (SHOP) Act S.2818, the Small Business Health Plans Act H.R. 6331, the Medicare Improvements for Patients and Providers Act, Sec. 103 H.R. 6110, the Roadmap for Americas Future Act, Titles I, II (except Part 5) and III H.R. 758, the Breast Cancer Patient Protection Act, Sec. 7 S. 3365, the Long-Term Care Family Accessibility Act H.R. 6582, the Small Business CHOICE Act H.R. 6015, the Hospital and ASC Price Disclosure and Litigation Act of 2008

Client expense: Not reported · Firm income: Not reported

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

Assistance for Individuals with Functional Impairments. H.R. 3001, S. 1758: provisions pertaining to assistance for individuals with functional impairments and for their families payments for services and supports. Health Insurance Parity. H.R. 1424, S. 558: provisions to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. Nationally-coordinated Elder Justice. H.R. 1783, S. 1070: provisions pertaining to the implementation of a nationally-coordinated elder justice strategy. Commodity Supplemental Food Program. S.1090: provision pertaining to the Commodity Supplemental Food Program for low-income seniors. Health Care Professional Training. S. 2708, S. 2708, H.R. 6337: provisions relating to the recruitment and retention of trained health care professionals and direct care workers to care for older Americans; and provisions authorizing funding to help health care practitioners gain geriatric or gerontological specialization.

Client expense: $250,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3001/S. 1758, the "Community Living Assistance Services and Supports (CLASS) Act"

Client expense: $42,254 · Firm income: Not reported

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

Followed legislation in a variety of areas of interest to American Association of Homes and Services for the Aging, especially Medicare and Medicaid legislation, especially with regard to S. 3101 the Medicare Improvements for Patients and Providers Act: HR 6331, The Medicare Improvements for Patients and Providers Act; and any other legislation relating to the Medicare Payment Update and the User Fees for Nursing Homes; and temporary (continued) increases in the medicaid match in the House and Senate stimulas bills. Assisted in developing a strategy to implement long term care reform, especially with regard to S. 1758 and HR 3001, the Community Living Assistance Services and Support Act. Actively lobbied on the CMS recalibration of Resource Utilization Groups (RUGs).

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

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

Followed legislation in a variety of areas of interest to American Association of Homes and Services for the Aging, especially Medicare and Medicaid legislation especially with regard to S. 3101 the Medicare Improvements for Patients and Providers Act: HR 6331, The Medicare Improvements for Patients and Providers Act; and any other legislation relating to the Medicare Payment Update and the User Fees for Nursing Homes. (continued) Assisted in developing a strategy to implement long term care reform, especially with regard to S. 1758 and H.R. 3001, the Community Living Assistance Services and Support Act.

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

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

Long Term Care: Class Act: HR 3001; S 1758. Long Term Care: Cafeteria plan: FSA Legislation: HR 3363; S 555. Pension Protection Act (Technical Correction, 2nd round): HR 6143; S 190. 401(k) plan fee issues: HR 3185. Life non-life consolidated returns: S 1366; HR 1810. Life Insurance, Annuities, Company Tax issues Education.

Client expense: $1,420,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

HR.3001 (CLASS Act) - as it relates to the insurance industry; General healthcare reform issues as they relate to the insurance industry

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

Government targets: Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, SENATE

Family Support provisons in the Developmental Disabilities Assistance and Bill of Rights pending reauthorization. Implementation of P.L. 109-171, Deficit Reduction Act of 2005, provisions dealing with Medicaid, and other human services issues. S. 1758 and H.R. 3001, CLASS Act provisions that would establish a national, voluntary, premium-based long term care insurance program. Lifespan Respite Care Act appropriations (in H.R. 3043). S. 985, Kinship Caregiver Support Act, provisions that would provide support for caregivers of individauls with special needs.

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

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

- H.R. 3001, National Defense Authorization Act for FY 2009, multi-year procurement contracts for alternative/coal-derived fuels; Authorization of funding for coal derived fuels; DOD testing, research and development.

Client expense: $1,042,960 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Land Management (BLM), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Maritime Administration (MARAD), Mine Safety & Health Administration (MSHA), Natl Oceanic & Atmospheric Administration (NOAA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, White House Office

Patients' Rights Legislation; HR 748/S 450: Medicare Access to Rehabilitation Services Act; PL 108-173: Medicare Prescription Drug and Modernization Act of 2003; S 558: Mental Health Parity legislation; HR 1367: Paul Wellstone Mental Health & Addiction Equity Act of 2007; HR 1017/S 578: Protecting Children's Health in Schools Act; HR 3001/S 1758: Community Living Assistance Services and Supports Act (CLASS) Act; HR 2820: Reconstructive Surgery Act of 2008 S 400: Michelle's Law; HR 5617/S 3517: Group Health Plan Prosthetics Parity Act of 2007; HR 1424: Emergency Economic Stabilization Act (HR 6983: Paul Wellstone and Pete Domenici Mental Health Parity & Addiction Equity Act of 2008).

Client expense: $115,423 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

Mental health parity - S 558, Mental Health Parity Act of 2007; HR 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007 AND To provide authority for the Federal Government to purchase and insure certain types of troubled assets for the purposes of providing stability to and preventing disruption in the economy; HR 4848, To extend for one year parity in the application of certain limits to mental health benefits; HR 6049, Energy Improvement and Extension Act of 2008; HR 6983, Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008; S 3335, Jobs, Energy, Families, and Disaster Relief Act of 2008. Long-term care - Proposed legislation re this issue. Insurance issues - S 618, Insurance Industry Competition Act of 2007; HR 1081, Insurance Industry Competition Act of 2007; HR 241, To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees; S 46, Affordability in the Individual Market Act; HR 1282, Medigap Access Improvement Act of 2007; HR 758, Breast Cancer Patient Protection Act of 2007; S 459, Breast Cancer Patient Protection Act of 2007; HR 2412, Equity in Prescription Insurance and Contraceptive Coverage Act of 2007; S 616, HIPAA Recreational Injury Technical Correction Act; HR 1076, HIPAA Recreational Injury Technical Correction Act; S 40, National Insurance Act of 2007; HR 3200, National Insurance Act of 2007; S 1298, Healthy Businesses, Healthy Workers Reinsurance Act of 2007; S 400, Michelle's Law; HR 2851, Michelle's Law; S 1588, CARES Act; HR 2676, Access to Cancer Clinical Trials Act of 2007; HR 3425, Cancer Screening Coverage Act of 2007; S 2236, Preexisting Condition Exclusion Patient Protection Act of 2007; S 2268, Long Term Care Insurance Integrity Act of 2007; HR 4460, Health Care Choice Act of 2007; S 2477, Health Care Choice Act of 2007; S 1758, CLASS Act; HR 3001, CLASS Act; HR 5781, Federal Employees Paid Parental Leave Act of 2008; HR 3195, ADA Restoration Act of 2007; S 2795, SHOP Act; HR 6210, SHOP Act; S 3115, Children's Health Protection Act of 2008; HR 2842, Children's Health Protection Act of 2008; HR 5840, Insurance Information Act of 2008; HR 6142, To amend title I of the Employee Retirement Income Security Act of 1974 to provide, in the case of an employee welfare benefit plan providing benefits in the event of disability, an exemption from preemption under such title for State tort actions to recover damages arising from the failure of the plan to timely provide such benefits; HR 5550, To amend title 5, United States Code, to increase the maximum age to qualify for coverage as a `child' under the health benefits program for Federal employees; S 2948, Small Business Empowerment Act; S 2818, Small Business Health Plans Act of 2008; S 2999, Access to Cancer Clinical Trials Act of 2008; HR 6071, Health Care Consumer Protection Act of 2008; S 3068, Equity in Prescription Insurance and Contraceptive Coverage Act of 2007; S 3559, Continuing Coverage Act of 2008; S 3554, Affordable Coverage for Small Employers Act of 2008; HR 6908, Health Insurance Source of Injury Clarification Act of 2008; HR 6582, Small Business CHOICE Act of 2008; HR 6528, Health Insurance Coverage Protection Act; S 2706, Health Insurance Coverage Protection Act.

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

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

Long Term Care (Class Act S. 1758, H.R. 3001); Life/Non-Life Consolidated Returns (S. 1366, H.R. 1810); General Product Tax Issues

Client expense: $1,090,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

The Direct Support Professional Fairness and Security Act of 2007 (H.R. 1279)--supported bill Community Living Assistance Services and Supports Act of 2007 (S 1758 and H.R. 3001)--supported bill CMS Regulation on State Rehabilitation Option--opposed regulation To provide for a temporary increase in the Federal Medical Assistance Percentage, and for other purposes--supported FMAP increase (H.R. 5268) A bill to provide a temporary increase in Federal Medical Assistance Percentage and fiscal relief to states--supported FMAP increase and state fiscal relief (S. 2586) To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services.(S. 2578 and H.R. 5173)--supported delaying implementation of CMS rule that would change payment rules for case management and targeted case management To impose a moratorium on Medicaid payment restrictions for rehabilitation services, or school-based administration, transportation, or medical services. (H.R. 4355)--supported bill Protecting the Medicaid Safety Net Act of 2008: To extend certain moratoria and impose additional moratoria on seven Medicaid regulations through April 1, 2009. (H.R. 5613)--supported moratoria on seven CMS regulations addressed: 1) health care provider taxes 2) case management/targeted case management 3) rehabilitation/habilitation payment restrictions 4) public provider taxes 5) transportation costs for school based services 6) graduate medical education Medicaid funding restrictions 7) Department of Appeal Board procedures Economic Recovery in Health Care Act of 2008 (H.R. 2819)--supported moratoria on seven CMS regulations cited above and supported the temporary FMAP increase and assistance to states Community Choice Act of 2007: Amends title XIX (Medicaid) of the Social Security Act (SSA) to require state Medicaid plan coverage of community-based attendant services and supports for certain Medicaid-eligible individuals. (S. 799 and H.R. 1621)--supported bill Resolution Designating the week beginning September 8, 2008, as National Direct Support Professionals Recognition Week(S.Res. 613)--supported resolution Empowered at Home Act of 2008: aimed at removing existing barriers to the new Medicaid Section 1915(i) HCBS benefit, strengthening HCBS services in order to prevent or decrease the likelihood of institutionalization, provide state assistance to facilitate HCBS sevices, improve purchase of long term care, and improve CMS collection of state data regarding number of individuals, expenditures, types of services, and waiting lists. S. 3327 would increase income eligibility from current 150% of FPL to 300% of SSI; eliminate option to waive statewideness; expand scope of services to include "other services", and eliminate option to limit number of eligible individuals and extends time period for eligibility (S. 3327)--supported bill

Client expense: $56,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislative support of S. 1758/HR 3001; HR 1424/S558; HR 3195/S 1881; and HR 5613

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

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

INS (Legislative): H.R. 241: Association Health Plans (Johnson); H.R. 758: Breast Cancer Patient Protection Act (DeLauro) (continued) INS (Legislative) (cont.) H.R. 1081: Insurance Industry Competition Act (DeFazio); H.R. 1282: Medigap Access Improvement Act (English); H.R. 1424: Paul Wellstone Mental Health and Addiction Equity Act (Kennedy); H.R. 2412: Equity in Prescription Insurance and Contraceptive Coverage Act (Lowey); H.R. 2676: Access to Cancer Clinical Trials Act (Pryce); H.R. 2842: Childrens Health Protection Act (Schwartz); H.R. 2851: Michelles Law (Hodes) (provisions relating to continuity of coverage for college students on medical leave); H.R. 3001: Community Living Assistance Services and Supports Act (Pallone); H.R. 3195: ADA Amendments Act (Hoyer); H.R. 3200: National Insurance Act (provisions relating to regulatory reform) (Bean); H.R. 3425: Cancer Screening Coverage Act (Maloney); H.R. 4460: Health Care Choice Act (provisions relating to health insurance reforms in individual market) (Shadegg); H.R. 5550: Coverage for Young Adult Dependents of Federal Employees (Davis); H.R. 5781: Federal Employees Paid Parental Leave Act (Maloney) (provisions relating to disability study); H.R. 5840: Insurance Information Act (Kanjorski) (provisions relating to federal Office of Insurance Information); H.R. 5938: Identity Theft Enforcement and Restitution Act (Conyers); H.R. 6049: Energy Improvement and Extension Act (provisions relating to mental health parity); H.R. 6071: Health Care Consumer Protection Act (Forbes) (provisions relating to reinstatement of health insurance following nonpayment of premiums); H.R. 6142: Lawsuits Against Employer-Sponsored Disability Benefit Plans (Andrews); H.R. 6210: Small Business Health Options Program Act (Kind-English); H.R. 6528: Health Insurance Coverage Protection Act (Eshoo) (provisions relating to limitations on lifetime limits); H.R. 6582: Small Business CHOICE Act (Velazquez) (provisions relating to health insurance); H.R. 6908: Health Insurance Restrictions and Limitations Clarifications Act (Burgess) (provisions relating to disclosure rules for coverage exclusions); H.R. 6983: Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (Kennedy) (provisions relating to mental health parity); S. 40: National Insurance Act (provisions relating to regulatory reform) (Sununu); S. 46: Affordability in the Individual Market Act (provisions relating to HSAs) (Ensign); S. 239: Notification of Risk to Personal Data Act (Feinstein); S. 400: Michelle's Law (provisions relating to continuity of coverage for college students on medical leave) (Sununu); S. 459: Breast Cancer Patient Protection Act (Snowe); S. 495: Personal Data Privacy and Security Act (Leahy); S. 558: Mental Health Parity Act (Domenici); S. 616: HIPAA Recreational Injury Technical Correction Act (Collins); S. 618: Insurance Industry Competition Act (Leahy); S. 1076: HIPAA Recreational Injury Technical Correction Act (Burgess); S. 1178: Identity Theft Protection Act (Inouye); S. 1260: Data Security Act (Carper); S. 1298: Healthy Businesses, Healthy Workers Reinsurance Act (Kerry); S. 1588: Children's Access to Reconstructive Evaluation and Surgery Act (Landrieu); S. 1758: Community Living Assistance Services and Supports Act (Kennedy); S. 1814: Health Information Privacy and Security Act (Leahy); S. 2168: Identify Theft Enforcement and Restitution Act (Leahy); S. 2236: Preexisting Condition Exclusion Patient Protection Act (Rockefeller); S. 2268: Long Term Care Insurance Integrity Act (Klobuchar); S. 2477: Health Care Choice Act (DeMint); S. 2706: Health Insurance Coverage Protection Act (Dorgan); S. 2795: Small Business Health Options Program Act (Durbin-Snowe); S. 2818: Small Business Health Plans Act (Enzi); S. 2948: Small Business Empowerment Act (Brown) (provisions relating to health coverage for small employers); S. 2999: Access to Cancer Clinical Trials Act (Brown); S. 3068: Equity in Prescription Insurance and Contraceptive Coverage Act (Snowe); S. 3115: Childrens Health Protection Act (Lautenberg); S. 3335: Jobs, Energy, Families, and Disaster Relief Act (provisions relating to mental health parity); S. 3554: Affordable Coverage for Small Employers Act (Smith) (provisions relating to insurance reforms, tax credits); S. 3559: Continuing Coverage Act (Coleman) (relating to third party review for rescission decisions). INS (Regulatory) Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; issues relating to the coordination of benefits between private health insurance plans and Medicaid; crossover fees for Medigap claims; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials.

Client expense: $1,630,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

S. 1758/H.R. 3001 - CLASS Act, to establish a national insurance trust for long-term care - for S. 2708/HR 6337 - Caring for an Aging America Act, to recruit and retain health professionals for the field of long-term care - for S 2641/HR 5799, Nursing Home Transparency and Improvement Act - for requirements on reporting nursing home ownership and staffing. Opposed to provisions for increased penalties for survey deficiencies. HR 7128, Nursing Home Transparency and Quality of Care Improvement Act - for requirements on reporting nursing home ownership and staffing. Opposed to provisions for increased penalties for survey deficiencies.

Client expense: $100,140 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), SENATE

S 898/HR 1560 - Alzheimer's Breakthrough Act of 2007 S 558 - Mental Health Parity Act of 2007 S 325/HR 506 - Health Partnership Act H.R.6282/S 2950 - Helping HANDS for Autism Act of 2008 H.R. 1669/S 982 - Positive Aging Act of 2007 H.R. 1424 - Emergency Economic Stabilization Act of 2008 H.R. 3 - Stem Cell Research Enhancement Act of 2007 H.R. 1621/ S 799- Community Choice Act of 2007 S. 2267- Americans Giving Care to Elders Act of 2007 S. 1758/HR 3001- Community Living Assistance Services and Supports Act H.R. 4897- Stop Senior Suicide Act H.R. 977 - The Genomic Research and Accessibility Act Long-Term Care Social Service Block Grant S 1758/HR 30001 - CLASS Act S 937/HR 1881 - Expanding the Promise for Individuals With Autism Act of 2007 HR 6983 - To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans, and for other purposes. HR 7202- Temporary Tax Relief Act of 2008 HR 6049- Renewable Energy and Job Creation Act of 2008

Client expense: $51,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), SENATE, State, Dept of (DOS), White House Office

HR 2930/ S 2736 - Section 202 Supportive Housing for the Elderly Act of 2007 HR 2895 - National Housing Trust Fund Act of 2007 HR 1851/ 2684 - Section 8 Voucher Reform Act of 2007 Naturally Occuring Retirement Community Program HR 3524 -HOPE VI Improvement and Reauthorization Act of 2008 HR 3001/S 1758 - To amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes. HR 3221 - American Housing Rescue and Foreclosure Act of 2008

Client expense: $51,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), SENATE, State, Dept of (DOS), White House Office