Community Clinical Laboratory Fairness in Competition Act of 2007

H.R. 1501, Medicare Lab. Services Access Act of 2007; Medicare Reimburs. for Clinical Laboratories; Implementation of the Medicare Modernization Act Provs. Related to Competitive Bidding for Lab Services; H.R. 3453, Community Clinical Laboratory Fairness in Competition Act; S. 2099, Preserving Access to Laboratories Services Act of 2007; H.R. 6331, Medicare Improvements for Patients and Providers Act; H.R. 6761, Medicare Clinical Dignostic Laboratory Fee Schedule Modernization Act of 2008

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

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

H.R.7128 - To amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. 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. H.R. 2807 - To intensify stem cell research showing evidence of substantial clinical benefit to patients, and for other purposes. H.R. 1783 - To amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, & for other purposes. H.R. 2521 - To provide loans and grants for fire sprinkler retrofitting in nursing facilities. H.R. 3025 - To amend title XVII of the Social Security Act to provide comprehensive improvements to the Medicare Prescription Drug Program, and for other purposes. H.R.1046 - To amend titles XI and XVIII of the Social Security Act to modernize the quality improvement organization (QIO) program. H.R.1841 - To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. H.R.4082 - To improve the quality of, and access to, long-term care. H.R.3784 - To amend title XVIII of the Social Security Act to improve the quality of care in skilled nursing facilities under the Medicare Program through requiring the reporting of expenditures for nursing. H.R.976 - An act to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.4854 - To amend the provisions of title 31, United States Code, relating to false claims to clarify and make technical amendments to those provisions, and for other purposes. H.R.3453 - To amend title XVIII of the Social Security Act to repeal the Medicare competitive bidding demonstration project for clinical laboratory services. H.R.3180 - To amend title 31, United States Code, to clarify who is an original source for purposes of bringing a qui tam action. H.R. 5480 - To repond to a Medicare funding warning. H.R.6337 - To amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R.5878 - To authorize programs to increase the number of nurses within the Armed Forces through assistance for service as nurse faculty or education as nurses, and for other purposes. H.R.2705 - To amend the Compact of Free Association Amendments Act of 2003, and for other purposes. H.R.6252 - To amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies. H.R. 5799 - To amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. H.Res.1203 - Expressing support for designation of the week beginning May 11, 2008, as "National Nursing Home Week". S.Res.543 - A resolutioni designating the week beginning May 11, 2008, as "National Nursing Home Week". S. 2641 - A bill to amend title XVII and XIX of the Social Security Act to improve the transparenct of information on skilled nursing facilities and nursing facilities and to clarift and improce the targeting of the enforcement of requitements with respect to such facilities. S. 1980 - A bill to improve the quality of, and access to, long-term care. S. 2662 - A bill to respond to a Medicare funding warning. S. 2041 - A bill to amend the False Claims Act. S. 1693 - A bill to enhance the adoption of a nationwide interoperable health information technology system and to improce the quality and reduce the costs of health care in the United States. S. 1947 - A bill to amend title XI of the Social Security Act to improve the quality improvement organization (QIO) program. S. 2099 - A bill to amend title XVII of teh Social Security Act to repeal the medicare competitive bidding project for clinical laboratory services. S. 1070 - A bill to amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, and for other purposes. S. 1019 - A bill to provide comprehensive reform of the health care system of the United States, and for other purposes. S. 1814 - A bill to provide individuals with access to health information of which they are a subject, ensure personal privacy with respect to health related information, promote the use of non-identifiabel information for health research, impose criminal and civil penalties for unauthorized use of protected health information, to provide for the strong enforcement of these rights, and to protect States' rights. S. 1615 - A bill to provide loans and grants for fire sprinkler retrofitting in nursing facilities. S. 845 - A bill to direct the Secretary of Health and Human Services to expand and intensify programs with respect to research and related activities concerning elder falls. S. 334 - A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. S. 325 - A bill to provide for innovation in health care through State initiatives that expand coverage and access and improve quality and efficiency in the health care system. S. 1980 - A bill to improve the quality of, and access to, long-term care. S.2708 - A bill to amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. S. 3144 - A bill to amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies. S.2603 - A bill to amend title XI and XVIII of the Social Security Act to provide increased civil and criminal penalties for acts involving fraud and abuse under the Medicare program and to increase the amount of the surety bond required for suppliers of durable medical equipment. S.2641- A bill to amend title XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. H.R.1424 - A bill 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 and financial system and protecting taxpayers, to amend the Internal Revenue Code of 1986 to provide incentives for energy production and conservation, to extend certain expiring provisions, to provide individual income tax relief, and for other purposes. H.R. 5268 H.R. 5613 H.R. 6331 S. 2820

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

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 1237 and S. 2510 Cytology Proficiency Improvement Act of 2007;S. 2099 Preserving Access to Laboratory Services Act of 2007; CPT Coding; Physician Self-Referral Provisions; HR 3453, Community Clinical Laboratory Fairness in Competition Act of 2007; MUE; SGR Reform; anti mark-up regulatory reform; HR 6331, the Medicare Improvement for Patients and Providers Act of 2008; Stark Related Provisions in Medicare

Client expense: $30,293 · Firm income: Not reported

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

HR 3162,Children's Health and Medicare Protection Act of 2007; S 976 Genomics and Personalized Medicine Act of 2007; S. 736 Laboratory Test Improvement Act ; , HR 1237 and S. 2510 Cytology Proficiency Improvement Act of 2007;S. 2099 Preserving Access to Laboratory Services Act of 2007; CPT Coding; Physician Self-Referral Provisions; HR 3453, Community Clinical Laboratory Fairness in Competition Act of 2007

Client expense: $30,293 · Firm income: Not reported

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

Medicare coverage of and reimbursement for pharmaceuticals in Parts B&D, including oncology, rheumatoid arthritis and ESRD; Medicare durable medical equipment reimbursement and policy Medicare laboratory reimbursement and policy, including provisions in: H.R. 1321/S.2404, the Medicare Advance Laboratory Dianostics Act of 2007; H.R. 3453/S.2099 (to repeal the Medicare competitive bidding project for clinical; laboratory services); comparative effectiveness policies, including provisions in H.R. 3162 the Children's Health and Medicare Protection Act of 2007; Medicare coverage policy for blood glucose monitors and test strips; Medicare payments for diagnostic tests; Emergency preparedness for influenza pandemic; DACC/ Competitive Bidding; lobbied activities of the PST Coalition. The PST Coalition lobbied Cngress and CMS on matters related to reimbursement for and coverage of home prothrombin time testing.

Client expense: $1,332,417 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Sustainable Growth Rate- Support legislation that would halt Medicare physician payment cuts and support a permanent replacement for the current sustainable growth rate (SGR) that reflects current medical costs. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 2626, the Comprehensive HealthCARE act of 2007, S.2785, the Save Medicare Act of 2008); Technical Component Grandfather Support legislation that provides a permanent grandfather provision allowing independent laboratories to bill Medicare directly for certain physician pathology services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 1105 and S. 458 the Physician Pathology Services Continuity Act of 2007) Competitive Bidding Demonstration Project- Support legislation that would repeal the Medicare Laboratory Competitive Bidding Demonstration project for diagnostic laboratory services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 3453, the Community Clinical Laboratory Fairness in Competition Act of 2007, S 2099, the Preserving Access to Laboratory Services Act of 2007) Relative Value Update Reform- Oppose efforts to replace the current relative value review process with a federal advisory committee. Pay for Performance/Physician Quality Reporting Initiative (PQRI)- Ensure pathologists continue to have the option to participate in PQRI program and monitor for any potential harm. Support legislation that establishes and continues a bonus payment program under the PQRI. (H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008)

Client expense: $323,257 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE

H.R. 3453, Community Clinical Laboratory Fairness in Competition Act of 2007 Reimbursement for clinical lab services under Medicare H.R. 1321 "Medicare Advanced Laboratory Diagnostics Act"; S.2404 "The Medicare Advanced Laboratory Diagnostic Act of 2007" S.976 "Genomics & Personalized Medicine Act of 2007" Competitive bidding for lab tests S.736, "The Laboratory Test Improvement Act"

Client expense: $770,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Broadband. VOIP, E911. VOIP/IP Services. Universal Service Fund. Intercarrier Compensation issues. TV White Spaces issue. S. 428, IP-Enabled Voice Communications and Public Safety Act of 2007. S. 234, Wireless Innovation Act of 2007. S. 337, White Spaces Act of 2007. S. 1492, Broadband Data Improvement Act. H.R. 1597, Wireless Innovation Act of 2007. H.R. 3453, 911 Modernization and Public Safety Act of 2007. H.R. 3919, Broadband Census of America Act of 2007.

Client expense: $1,980,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Copyright Office, U.S. Trade Representative (USTR)

Medicare inpatient and outpatient hospital payments; Medicaid payments; H.R. 1177 and S. 2381 Sole Community Hospital Preservation Act of 2007, all provisions to amend title XVIII of the Social Security Act to extend and improve protections for sole community hospitals under the Medicare Program; H.R. 2159 and S. 630 Rural Health Services Preservation Act of 2007, all provisions to amend part C of title XVIII of the Social Security Act to provide for a minimum payment rate by Medicare Advantage organizations for services furnished by a critical access hospital and a rural health clinic under the Medicare Program; H.R. 1105 and S. 458 Physician Pathology Services Continuity Act of 2007, all provisions to amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; H.R. 2050 Medicaid Emergency Psychiatric Care Act of 2007, all provisions to amend title XIX of the Social Security Act to permit States to obtain reimbursement under the Medicaid Program for care or services required under the Emergency Medical Treatment and Active Labor Act that are provided in a nonpublicly owned or operated institution for mental diseases; H.R. 2860 Health Care Access and Rural Equity (H-CARE) Act of 2007, all provisions related to TITLE I--MEDICARE HOSPITAL SERVICES, including Sec. 101. Fairness in the Medicare disproportionate share hospital (DSH) adjustment for rural hospitals, Sec. 102. Treatment of Medicare hospital reclassifications, Sec. 103. Critical access hospital improvements, Sec. 104. Rebasing for sole community hospitals, Sec. 105. Establishment of rural community hospital (RCH) program and Sec. 106. Hold harmless through 2012 for small rural hospitals and sole community hospitals under the prospective payment system for hospital outpatient department services under the Medicare program; S. 1277 Critical Access to Clinical Lab Services Act of 2007, all provisions to amend title XVIII of the Social Security Act to clarify the treatment of payment under the Medicare program for clinical laboratory tests furnished by critical access hospitals; H.R. 3057 Medicare Long-Term Patient Safety and Improvement Act of 2007, all provisions related to the steps to develop and implement criteria to differentiate long-term care hospitals from other post-acute care settings; H.R. 3453 The Community Clinical Laboratory Fairness in Competition Act of 2007, all provisions related to the Medicare competitive bidding demonstration project for clinical laboratory services; H.R. 5613 Protecting the Medicaid Safety Net Act of 2008, all provisions to extend certain moratoria and impose additional moratoria on certain Medicaid regulations through April 1, 2009; S. 2819 Economic Recovery in Health Care Act,to enact moratoria on the Medicaid and CHIP regulations issued by the Administration over the last year and to provide targeted state fiscal relief; H.R. 4105 Medicare Recovery Audit Contractor Program Moratorium Act of 2007, all provisions relating to impose a moratorium on the use of recovery audit contractors under the Medicare Integrity Program; S. 1605 Craig Thomas Rural Hospital and Provider Equity Act of 2007 all provisions To amend title XVIII of the Social Security Act to protect and preserve access of Medicare beneficiaries in rural areas to health care providers under the Medicare program, and for other purposes; H.R. 615 Puerto Rico Medicare Reimbursement Act 2005, all provisions to increase of the Federal share of Medicare beneficiaries to 100% reimbursement for inpatient services; H.R. 5901Eliminating Disparities in Breast Cancer Treatment Act of 2008, to amend title XVIII of the Social Security Act to eliminate contributing factors to disparities in breast cancer treatment through the development of a uniform set of consensus-based breast cancer treatment performance measures for a 6-year quality reporting system and value-based purchasing system under the Medicare Program; H.R. 5721Strengthening the Safety Net Act of 2008, to amend title XIX of the Social Security Act to provide for a DSH redistribution pool from unexpended Medicaid DSH allotments in order to increase Medicaid DSH allotments for low DSH States and to provide grants for health access networks serving the uninsured; H.R. 2642 Supplemental Appropriations Act of 2008, Title V Medicaid Provisions, all sections related to Medicaid Rules Moratorium, banning physician self-referral and August 17th directive (contained in domestic spending amendment); Section 1011 (MMA, P.L. 108-173) Medicare Modernization Act, two year extension; H.R. 5998 Protecting Children's Health Coverage Act of 2008, to nullify any effectiveness of the August 17, 2007, State health official letter issued by the Centers for Medicare & Medicaid Services; H.R. 5953 and S. 2962 MediFair Act of 2008, to amend title XVIII of the Social Security Act to improve the provision of items and services provided to Medicare beneficiaries residing in rural areas; S. 3116 Outpatient Mental Health Modernization Act of 2008, to amend title XVIII of the Social Security Act to stabilize and modernize the provision of partial hospitalization services under the Medicare program, and for other purposes; S. 3118 Preserving Access to Medicare Act of 2008, to amend titles XVIII and XIX of the Social Security Act to preserve beneficiary access to care by preventing a reduction in the Medicare physician fee schedule, to improve the quality of care by advancing value based purchasing, electronic health records, and electronic prescribing, and to maintain and improve access to care in rural areas, and for other purposes; H.R. 6212 and S. 3101 Medicare Efficiency and Development of Improvement of Care and Services Act (MEDICS Act) of 2008 and H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, to amend titles XVIII and XIX of the Social Security Act to extend expiring provisions under the Medicare Program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes; H.R. 6091Save Medicare Act of 2008, to amend title XVIII of the Security Act to preserve access to physicians' services under the Medicare Program; S. 3164 Seniors and Taxpayers Obligation Protection Act of 2008, to amend title XVIII of the Social Security Act to reduce fraud under the Medicare program; H.R. 6912 and S. 3300 Rural Hospital Assistance Act of 2008, to amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes; S. 3327 Empowered at Home Act of 2008, to amend title XIX of the Social Security Act to improve the State plan amendment option for providing home and community-based services under the Medicaid program, and for other purposes; H.R. 6394 Border Health Care Relief Act of 2008, to amend the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to extend Federal reimbursement of emergency health services furnished to undocumented aliens, and for other purposes; S. 3367, to amend title XVIII of the Social Security Act to revise the timeframe for recognition of certain designations in certifying rural health clinics under the Medicare program; S. 3656 Preserving Access to Healthcare (PATH) Act of 2008, a bill to preserve access to healthcare under the Medicare and Medicaid programs. The sections related to the Medicare indirect medical education adjustment factor and the delay in implementation of Medicaid outpatient hospital services regulation; S. 1595 Critical Access Hospital Flexibility Act of 2007, all provisions to amend title XVIII of the Social Security Act to provide flexibility in the manner in which beds are counted for purposes of determining whether a hospital may be designated as a critical access hospital under the Medicare program; S. 2853, to amend title XVIII of the Social Security Act to remove the cap on disproportionate share adjustment percentages for certain rural hospitals; H. R. 7067 Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2008, to amend title XVIII of the Social Security Act to expand the development of quality measures for inpatient hospital services, to implement a performance-based payment methodology for the provision of such services under the Medicare Program; H. R. 6966 and S. 3582 Safeguarding Our Hospitals' Futures Act of 2008, all provisions to require continued application of budget neutrality on a national basis in calculation of the Medicare urban hospital wage floor.

Client expense: $3,950,000 · 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), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA)

H.R. 1501, Medicare Lab. Services Access Act of 2007; Medicare Reimburs. for Clinical Laboratories; Implementation of the Medicare Modernization Act Provs. Related to Competitive Bidding for Lab Services; H.R. 3453, Community Clinical Laboratory Fairness in Competition Act; S. 2099, Preserving Access to Laboratories Services Act of 2007; H.R. 6331, Medicare Improvements for Patients and Providers Act; H.R. 6761, Medicare Clinical Dignostic Laboratory Fee Schedule Modernization Act of 2008

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

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

H.R.7128 - To amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. 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. H.R. 2807 - To intensify stem cell research showing evidence of substantial clinical benefit to patients, and for other purposes. H.R. 1783 - To amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, & for other purposes. H.R. 2521 - To provide loans and grants for fire sprinkler retrofitting in nursing facilities. H.R. 3025 - To amend title XVII of the Social Security Act to provide comprehensive improvements to the Medicare Prescription Drug Program, and for other purposes. H.R.1046 - To amend titles XI and XVIII of the Social Security Act to modernize the quality improvement organization (QIO) program. H.R.1841 - To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. H.R.4082 - To improve the quality of, and access to, long-term care. H.R.3784 - To amend title XVIII of the Social Security Act to improve the quality of care in skilled nursing facilities under the Medicare Program through requiring the reporting of expenditures for nursing. H.R.976 - An act to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.4854 - To amend the provisions of title 31, United States Code, relating to false claims to clarify and make technical amendments to those provisions, and for other purposes. H.R.3453 - To amend title XVIII of the Social Security Act to repeal the Medicare competitive bidding demonstration project for clinical laboratory services. H.R.3180 - To amend title 31, United States Code, to clarify who is an original source for purposes of bringing a qui tam action. H.R. 5480 - To repond to a Medicare funding warning. H.R.6337 - To amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R.5878 - To authorize programs to increase the number of nurses within the Armed Forces through assistance for service as nurse faculty or education as nurses, and for other purposes. H.R.2705 - To amend the Compact of Free Association Amendments Act of 2003, and for other purposes. H.R.6252 - To amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies. H.R. 5799 - To amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. H.Res.1203 - Expressing support for designation of the week beginning May 11, 2008, as "National Nursing Home Week". S.Res.543 - A resolutioni designating the week beginning May 11, 2008, as "National Nursing Home Week". S. 2641 - A bill to amend title XVII and XIX of the Social Security Act to improve the transparenct of information on skilled nursing facilities and nursing facilities and to clarift and improce the targeting of the enforcement of requitements with respect to such facilities. S. 1980 - A bill to improve the quality of, and access to, long-term care. S. 2662 - A bill to respond to a Medicare funding warning. S. 2041 - A bill to amend the False Claims Act. S. 1693 - A bill to enhance the adoption of a nationwide interoperable health information technology system and to improce the quality and reduce the costs of health care in the United States. S. 1947 - A bill to amend title XI of the Social Security Act to improve the quality improvement organization (QIO) program. S. 2099 - A bill to amend title XVII of teh Social Security Act to repeal the medicare competitive bidding project for clinical laboratory services. S. 1070 - A bill to amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, and for other purposes. S. 1019 - A bill to provide comprehensive reform of the health care system of the United States, and for other purposes. S. 1814 - A bill to provide individuals with access to health information of which they are a subject, ensure personal privacy with respect to health related information, promote the use of non-identifiabel information for health research, impose criminal and civil penalties for unauthorized use of protected health information, to provide for the strong enforcement of these rights, and to protect States' rights. S. 1615 - A bill to provide loans and grants for fire sprinkler retrofitting in nursing facilities. S. 845 - A bill to direct the Secretary of Health and Human Services to expand and intensify programs with respect to research and related activities concerning elder falls. S. 334 - A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. S. 325 - A bill to provide for innovation in health care through State initiatives that expand coverage and access and improve quality and efficiency in the health care system. S. 1980 - A bill to improve the quality of, and access to, long-term care. S.2708 - A bill to amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. S. 3144 - A bill to amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies. S.2603 - A bill to amend title XI and XVIII of the Social Security Act to provide increased civil and criminal penalties for acts involving fraud and abuse under the Medicare program and to increase the amount of the surety bond required for suppliers of durable medical equipment. S.2641- A bill to amend title XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. H.R.1424 - A bill 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 and financial system and protecting taxpayers, to amend the Internal Revenue Code of 1986 to provide incentives for energy production and conservation, to extend certain expiring provisions, to provide individual income tax relief, and for other purposes.

Client expense: $390,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S.3656, H.R. 7241 - Preserving Access to Healthcare (PATH) Act S. 2499 - Medicare, Medicaid, and SCHIP Extension Act of 2007 H.R. 2606 - The 340B Program Improvement and Integrity Act of 2007 S. 1376 - The 340B Program Improvement and Integrity Act of 2007 H.R. 3453 The Community Clinical Laboratory Fairness in Competition Act of 2007 HR 5613 - Protecting the Medicaid Safety Net Act of 2007 S.543 - Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007 S. 2099 - the Preserving Access to Laboratory Services Act of 2007 H.R. 6331/S.3101 - Medicare Improvements for Patients and Providers Act of 2008

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

Government targets: Energy, Dept of, HOUSE OF REPRESENTATIVES, SENATE

S.2099, Preserving Access to Laboratory Services Act of 2007 H.R.6761, Medicare Clinical Diagnostic Laboratory Fee Schedule Modernization Act of 2008 H.R.6331, Medicare Improvements for Patients and Providers Act of 2008 S.3101, Medicare Improvements for Patients and Providers Act of 2008 S.3118, Preserving Access to Medicare Act of 2008 H.R.3162, Children's Health and Medicare Protection Act of 2007 S.1893, Children's Health and Medicare Protection Act of 2007 H.R.1321, Medicare Advanced Laboratory Diagnostics Act of 2007 S.2404, Medicare Advanced Laboratory Diagnostics Act of 2007 H.R.3453, Community Clinical Laboratory Fairness in Competition Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.2099, Preserving Access to Laboratory Services Act of 2007 H.R.6761, Medicare Clinical Diagnostic Laboratory Fee Schedule Modernization Act of 2008 H.R.6331, Medicare Improvements for Patients and Providers Act of 2008 S.3101, Medicare Improvements for Patients and Providers Act of 2008 S.3118, Preserving Access to Medicare Act of 2008 H.R.3162, Children's Health and Medicare Protection Act of 2007 S.1893, Children's Health and Medicare Protection Act of 2007 H.R.1321, Medicare Advanced Laboratory Diagnostics Act of 2007 S.2404, Medicare Advanced Laboratory Diagnostics Act of 2007 H.R.3453, Community Clinical Laboratory Fairness in Competition Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1237 and S. 2510 Cytology Proficiency Improvement Act of 2007;S. 2099 Preserving Access to Laboratory Services Act of 2007; CPT Coding; Physician Self-Referral Provisions; HR 3453, Community Clinical Laboratory Fairness in Competition Act of 2007; MUE; SGR Reform; anti mark-up regulatory reform; HR 6331, the Medicare Improvement for Patients and Providers Act of 2008; Stark Related Provisions in Medicare

Client expense: $52,740 · Firm income: Not reported

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

HR 3162,Children's Health and Medicare Protection Act of 2007; S 976 Genomics and Personalized Medicine Act of 2007; S. 736 Laboratory Test Improvement Act ; , HR 1237 and S. 2510 Cytology Proficiency Improvement Act of 2007;S. 2099 Preserving Access to Laboratory Services Act of 2007; CPT Coding; Physician Self-Referral Provisions; HR 3453, Community Clinical Laboratory Fairness in Competition Act of 2007

Client expense: $52,740 · Firm income: Not reported

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

Support Medicare physician payment increase and quality reporting improvements HR 6331 Support repeal of Medicare competitive bidding demonstration for clinical lab services HR3453 and S2099

Client expense: $130,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support Medicare physician payment increase and quality reporting improvements HR 6331 Support repeal of clinical lab Medicare competitive bidding demonstration project HR 3453, S 2099

Client expense: $130,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare inpatient and outpatient hospital payments; Medicaid payments; H.R. 1177 and S. 2381 Sole Community Hospital Preservation Act of 2007, all provisions to amend title XVIII of the Social Security Act to extend and improve protections for sole community hospitals under the Medicare Program; H.R. 2159 and S. 630 Rural Health Services Preservation Act of 2007, all provisions to amend part C of title XVIII of the Social Security Act to provide for a minimum payment rate by Medicare Advantage organizations for services furnished by a critical access hospital and a rural health clinic under the Medicare Program; H.R. 1105 and S. 458 Physician Pathology Services Continuity Act of 2007, all provisions to amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; H.R. 2050 Medicaid Emergency Psychiatric Care Act of 2007, all provisions to amend title XIX of the Social Security Act to permit States to obtain reimbursement under the Medicaid Program for care or services required under the Emergency Medical Treatment and Active Labor Act that are provided in a nonpublicly owned or operated institution for mental diseases; H.R. 2860 Health Care Access and Rural Equity (H-CARE) Act of 2007, all provisions related to TITLE I--MEDICARE HOSPITAL SERVICES, including Sec. 101. Fairness in the Medicare disproportionate share hospital (DSH) adjustment for rural hospitals, Sec. 102. Treatment of Medicare hospital reclassifications, Sec. 103. Critical access hospital improvements, Sec. 104. Rebasing for sole community hospitals, Sec. 105. Establishment of rural community hospital (RCH) program and Sec. 106. Hold harmless through 2012 for small rural hospitals and sole community hospitals under the prospective payment system for hospital outpatient department services under the Medicare program; S. 1277 Critical Access to Clinical Lab Services Act of 2007, all provisions to amend title XVIII of the Social Security Act to clarify the treatment of payment under the Medicare program for clinical laboratory tests furnished by critical access hospitals; H.R. 3057 Medicare Long-Term Patient Safety and Improvement Act of 2007, all provisions related to the steps to develop and implement criteria to differentiate long-term care hospitals from other post-acute care settings; H.R. 3162 Childrens Health and Medicare Protection Act of 2007, all provisions related to the Children's Health Insurance Program; S. 2499 Medicare, Medicaid, and SCHIP Extension Act of 2007, all provisions; H.R. 3453 The Community Clinical Laboratory Fairness in Competition Act of 2007, all provisions related to the Medicare competitive bidding demonstration project for clinical laboratory services; H.R. 3533 The Public and Teaching Hospital Preservation Act, all provisions to extend moratorium on implementation of a rule relating to the partnership under Medicaid SCHIP and finalization rule regarding GME; S. 2460 To extend by one year the moratorium on implementation of a rule relating to the Federal-State financial partnership under Medicaid and the State Children's Health Insurance Program and on finalization of a rule regarding graduate medical education under Medicaid and to include a moratorium on the finalization of the outpatient Medicaid rule making similar changes; H.R. 5613 Protecting the Medicaid Safety Net Act of 2008, all provisions to extend certain moratoria and impose additional moratoria on certain Medicaid regulations through April 1, 2009; S. 2819 Economic Recovery in Health Care Act,to enact moratoria on the Medicaid and CHIP regulations issued by the Administration over the last year and to provide targeted state fiscal relief; H.R. 4105 Medicare Recovery Audit Contractor Program Moratorium Act of 2007, all provisions relating to impose a moratorium on the use of recovery audit contractors under the Medicare Integrity Program; S. 1605 Craig Thomas Rural Hospital and Provider Equity Act of 2007 all provisions To amend title XVIII of the Social Security Act to protect and preserve access of Medicare beneficiaries in rural areas to health care providers under the Medicare program, and for other purposes; H.R. 615 Puerto Rico Medicare Reimbursement Act 2005, all provisions to increase of the Federal share of Medicare beneficiaries to 100% reimbursement for inpatient services; H.R. 5901Eliminating Disparities in Breast Cancer Treatment Act of 2008, to amend title XVIII of the Social Security Act to eliminate contributing factors to disparities in breast cancer treatment through the development of a uniform set of consensus-based breast cancer treatment performance measures for a 6-year quality reporting system and value-based purchasing system under the Medicare Program; H.R. 5721Strengthening the Safety Net Act of 2008, to amend title XIX of the Social Security Act to provide for a DSH redistribution pool from unexpended Medicaid DSH allotments in order to increase Medicaid DSH allotments for low DSH States and to provide grants for health access networks serving the uninsured; H.R. 2642 Supplemental Appropriations Act of 2008, Title V Medicaid Provisions, all sections related to Medicaid Rules Moratorium, banning physician self-referral and August 17th directive (contained in domestic spending amendment); Section 1011 (MMA, P.L. 108-173) Medicare Modernization Act, two year extension; H.R. 5998 Protecting Children's Health Coverage Act of 2008, to nullify any effectiveness of the August 17, 2007, State health official letter issued by the Centers for Medicare & Medicaid Services; H.R. 5953 and S. 2962 MediFair Act of 2008, to amend title XVIII of the Social Security Act to improve the provision of items and services provided to Medicare beneficiaries residing in rural areas; S. 3116 Outpatient Mental Health Modernization Act of 2008, to amend title XVIII of the Social Security Act to stabilize and modernize the provision of partial hospitalization services under the Medicare program, and for other purposes; S. 3118 Preserving Access to Medicare Act of 2008, to amend titles XVIII and XIX of the Social Security Act to preserve beneficiary access to care by preventing a reduction in the Medicare physician fee schedule, to improve the quality of care by advancing value based purchasing, electronic health records, and electronic prescribing, and to maintain and improve access to care in rural areas, and for other purposes; H.R. 6212 and S. 3101 Medicare Efficiency and Development of Improvement of Care and Services Act (MEDICS Act) of 2008 and H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, to amend titles XVIII and XIX of the Social Security Act to extend expiring provisions under the Medicare Program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes; H.R. 976 and S. 1893 Childrens Health Insurance Program Reauthorization Act of 2007, all provisions related to this bill; H.R. 6091Save Medicare Act of 2008, to amend title XVIII of the Security Act to preserve access to physicians' services under the Medicare Program; S. 3164 Seniors and Taxpayers Obligation Protection Act of 2008, to amend title XVIII of the Social Security Act to reduce fraud under the Medicare program

Client expense: $4,070,000 · 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), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA)

H.R. 3453, Community Clinical Laboratory Fairness in Competition Act of 2007 Reimbursement for clinical lab services under Medicare H.R. 1321 "Medicare Advanced Laboratory Diagnostics Act"; S.2404 "The Medicare Advanced Laboratory Diagnostic Act of 2007" S.976 "Genomics & Personalized Medicine Act of 2007" Competitive bidding for lab tests S.736, "The Laboratory Test Improvement Act"

Client expense: $668,115 · Firm income: Not reported

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

H.R. 1501, Medicare Laboratory Services Access Act of 2007; Medicare Reimbursement for Clinical Laboratories; Implementation of the Medicare Modernization Act Provisions Related to Competitive Bidding for Lab Services; H.R. 3453, Community Clinical Laboratory Fairness in Competition Act; S. 2099, Preserving Access to Laboratories Services Act of 2007; H.R. 6331, Medicare Improvements for Patients and Providers Act.

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

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

Broadband. VOIP, E911. VOIP/IP Services. Universal Service Fund. Intercarrier Compensation issues. TV White Spaces issue. S. 428, IP-Enabled Voice Communications and Public Safety Act of 2007. S. 234, Wireless Innovation Act of 2007. S. 337, White Spaces Act of 2007. S. 1492, Broadband Data Improvement Act. H.R. 1597, Wireless Innovation Act of 2007. H.R. 3453, 911 Modernization and Public Safety Act of 2007. Digital Audio Broadcasting issues. Section 629, Two Way cable issue. H.R. 3919, Broadband Census of America Act of 2007. S. Res. 468, A resolution designating April 2008 as "National 9-1-1 Education Month".

Client expense: $2,340,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Copyright Office, U.S. Trade Representative (USTR)

HR 2807 - To intensify stem cell research showing evidence of substantial clinical benefit to patients, and for other purposes. HR 1783 - To amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, & for other purposes. H.R.2521 - To provide loans and grants for fire sprinkler retrofitting in nursing facilities. H.R.3025 - To amend title XVIII of the Social Security Act to provide comprehensive improvements to the Medicare Prescription Drug Program, and for other purposes. H.R.1046 - To amend titles XI and XVIII of the Social Security Act to modernize the quality improvement organization (QIO) program. H.R.1841 - To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. H.R.4082 - To improve the quality of, and access to, long-term care. H.R.976 - An act to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.3784 - To amend title XVIII of the Social Security Act to improve the quality of care in skilled nursing facilities under the Medicare Program through requiring the reporting of expenditures for nursing. H.R.3453 - To amend title XVIII of the Social Security Act to repeal the Medicare competitive bidding demonstration project for clinical laboratory services. H.R.4854 - To amend the provisions of title 31, United States Code, relating to false claims to clarify and make technical amendments to those provisions, and for other purposes. H.R.3180 - To amend title 31, United States Code, to clarify who is an original source for purposes of bringing a qui tam action. H.R.5480 - To respond to a Medicare funding warning. S.1980 - A bill to improve the quality of, and access to, long-term care. S.2662 - A bill to respond to a medicare funding warning. S.2041 - A bill to amend the False Claims Act. S.1693 - A bill to enhance the adoption of a nationwide interoperable health information technology system and to improve the quality and reduce the costs of health care in the United States. S.2641 - A bill to amend title XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. S.1947 - A bill to amend title XI of the Social Security Act to improve the quality improvement organization (QIO) program. S.2099 - A bill to amend title XVIII of the Social Security Act to repeal the Medicare competitive bidding project for clinical laboratory services. S.1070 - A bill to amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, and for other purposes. S.1019 - A bill to provide comprehensive reform of the health care system of the United States, and for other purposes. S.1814 - A bill to provide individuals with access to health information of which they are a subject, ensure personal privacy with respect to health related information, promote the use of non-identifiable information for health research, impose criminal and civil penalties for unauthorized use of protected health information, to provide for the strong enforcement of these rights, and to protect States' rights. S.1615 - A bill to provide loans and grants for fire sprinkler retrofitting in nursing facilities. S.845 - A bill to direct the Secretary of Health and Human Services to expand and intensify programs with respect to research and related activities concerning elder falls. S.334 - A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. S.325 - A bill to provide for innovation in health care through State initiatives that expand coverage and access and improve quality and efficiency in the health care system. S.1980 - A bill to improve the quality of, and access to, long-term care. S.2708 - A bill to amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R.6337 - To amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R.5878 - To authorize programs to increase the number of nurses within the Armed Forces through assistance for service as nurse faculty or education as nurses, and for other purposes. H.R.2705 - To amend the Compact of Free Association Amendments Act of 2003, and for other purposes. H.R.6252 - To amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies. S.3144 - A bill to amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies. S.2603 - A bill to amend title XI and XVIII of the Social Security Act to provide increased civil and criminal penalties for acts involving fraud and abuse under the Medicare program and to increase the amount of the surety bond required for suppliers of durable medical equipment. S.2641 - A bill to amend title XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. H.R.5799 - To amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. S.RES.543 - A resolution designating the week beginning May 11, 2008, as "National Nursing Home Week". H.RES.1203 - Expressing support for designation of the week beginning May 11, 2008, as "National Nursing Home Week".

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

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

Medicare durable medical equipment reimbursement and policy Medicare laboratory reimbursement and policy, including provisions in: H.R. 1321/S. 2404, the Medicare Advanced Laboratory Diagnostics Act of 2007 H.R. 3453/S. 2099 (to repeal the Medicare competitive bidding project for clinical laboratory services)

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Broadband. VOIP, E911. VOIP/IP Services. Universal Service Fund. Intercarrier Compensation issues. TV White Spaces issue. S. 428, IP-Enabled Voice Communications and Public Safety Act of 2007. S. 234, Wireless Innovation Act of 2007. S. 337, White Spaces Act of 2007. S. 1492, Broadband Data Improvement Act. H.R. 1597, Wireless Innovation Act of 2007. H.R. 3453, 911 Modernization and Public Safety Act of 2007. Digital Audio Broadcasting issues. Section 629, Two Way cable issue. H.R. 3919, Broadband Census of America Act of 2007. S. Res. 468, A resolution designating April 2008 as "National 9-1-1 Education Month".

Client expense: $2,300,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Copyright Office, U.S. Trade Representative (USTR)

S. 3101, S. 3118, H.R. 6331, H.R. 3162, S. 2404, H.R. 1321, H.R. 3453, S. 2099

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 3101, S. 3118, H.R. 6331, H.R. 3162, S. 2404, H.R. 1321, H.R. 3453, S. 2099

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3162,Children's Health and Medicare Protection Act of 2007; S 976 Genomics and Personalized Medicine Act of 2007; S. 736 Laboratory Test Improvement Act ; , HR 1237 and S. 2510 Cytology Proficiency Improvement Act of 2007;S. 2099 Preserving Access to Laboratory Services Act of 2007; CPT Coding; Physician Self-Referral Provisions; HR 3453, Community Clinical Laboratory Fairness in Competition Act of 2007

Client expense: $95,110 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 1237 and S. 2510 Cytology Proficiency Improvement Act of 2007;S. 2099 Preserving Access to Laboratory Services Act of 2007; CPT Coding; Physician Self-Referral Provisions; HR 3453, Community Clinical Laboratory Fairness in Competition Act of 2007; MUE; SGR Reform; anti mark-up regulatory reform; HR 6331, the Medicare Improvement for Patients and Providers Act of 2008; Stark Related Provisions in Medicare

Client expense: $95,110 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Concerned with the details of the implementation of the Medicare Competitive Bidding demonstration project for Part B clinical laboratory services mandated by the MMA. Have contacted Members of Congress regarding slowing down or repealing the program. Participated on lobbying visits in support of legislation that would repeal the competive bidding demonstration project mentioned above (HR 3453 & S 2099), and in support of HR 6331. Support inflation adjustment to Medicare specimen collection fee under Sec (h) (3) (a) of the Social Security Act. Advocated and secured cosponsors for the Medicare Labratory Services Act - HR 1501

Client expense: Not reported · Firm income: $10,000

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

Medicare Physician Payments HR 6331 Repeal Clinical Lab Competitive Bidding HR 3453, S 2099

Client expense: $130,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR3453, HR6331, SB2099, SB2499, SB2785, SB3101, SB3118 (Competitive Bidding Repeal, Physician Fee Schedule, Grandfathering Technical Component Reimbursement)

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

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

HR3453, SB2499, SB2785 (Competitive Bidding Repeal, Physician Fee Schedule, Grandfathering TC Reimbursement)

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

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

Repeal of clinical laboratory reimbursement demonstration program (H.R. 3453, S. 2099, S. 3101, H.R. 6331) Potential inclusion of renal-related drugs in bundled payments for End-Stage Renal Disease reimbursement (S. 3101, H.R. 6331) Follow-on biologics legislation (H.R. 1038, H.R. 5629, S. 1695)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2499 - Medicare, Medicaid, and SCHIP Extension Act of 2007 H.R. 2606 - The 340B Program Improvement and Integrity Act of 2007 S. 1376 - The 340B Program Improvement and Integrity Act of 2007 H.R. 3453 - The Community Clinical Laboratory Fairness in Competition Act of 2007 HR 5613 - Protecting the Medicaid Safety Net Act of 2007 S.543 - Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007 S. 2099 - the Preserving Access to Laboratory Services Act of 2007 H.R. 6331/S.3101 - Medicare Improvements for Patients and Providers Act of 2008

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

Government targets: Energy, Dept of, HOUSE OF REPRESENTATIVES, SENATE

HR 3453-Community Clinical Laboratory Fairness in Competition Act S 2099 - Preserving Access to Laboratory Services Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Competitive Bidding for Laboratory Services in Medicare PL 108-173 S 2099 HR 3453

Client expense: Not reported · Firm income: Not reported

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

Broadband. VOIP, E911. VOIP/IP Services. Universal Service Fund. Intercarrier Compensation issues. TV White Spaces issue. S. 428, IP-Enabled Voice Communications and Public Safety Act of 2007. S. 234, Wireless Innovation Act of 2007. S. 337, White Spaces Act of 2007. S. 1492, Broadband Data Improvement Act. H.R. 1597, Wireless Innovation Act of 2007. H.R. 3453, 911 Modernization and Public Safety Act of 2007. Digital Audio Broadcasting issues. Section 629, Two Way cable issue. H.R. 3919, Broadband Census of America Act of 2007. S. Res. 468, A resolution designating April 2008 as "National 9-1-1 Education Month".

Client expense: $2,560,000 · Firm income: Not reported

Support Medicare physician payment update and related amendments to Medicare reimbursement; support repeal of clinical lab competitive bidding demonstration (HR 3453, S 2099)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare inpatient and outpatient hospital payments; Medicaid payments; H.R. 1459 all provisions 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. 1177 and S. 2381 Sole Community Hospital Preservation Act of 2007, all provisions to amend title XVIII of the Social Security Act to extend and improve protections for sole community hospitals under the Medicare Program; H.R. 2159 and S. 630 Rural Health Services Preservation Act of 2007, all provisions to amend part C of title XVIII of the Social Security Act to provide for a minimum payment rate by Medicare Advantage organizations for services furnished by a critical access hospital and a rural health clinic under the Medicare Program; H.R. 1105 and S. 458 Physician Pathology Services Continuity Act of 2007, all provisions to amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; H.R. 2050 Medicaid Emergency Psychiatric Care Act of 2007, all provisions to amend title XIX of the Social Security Act to permit States to obtain reimbursement under the Medicaid Program for care or services required under the Emergency Medical Treatment and Active Labor Act that are provided in a nonpublicly owned or operated institution for mental diseases; H.R. 1741 all provisions 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; H.R. 2860 Health Care Access and Rural Equity (H-CARE) Act of 2007, all provisions related to TITLE I--MEDICARE HOSPITAL SERVICES, including Sec. 101. Fairness in the Medicare disproportionate share hospital (DSH) adjustment for rural hospitals, Sec. 102. Treatment of Medicare hospital reclassifications, Sec. 103. Critical access hospital improvements, Sec. 104. Rebasing for sole community hospitals, Sec. 105. Establishment of rural community hospital (RCH) program and Sec. 106. Hold harmless through 2012 for small rural hospitals and sole community hospitals under the prospective payment system for hospital outpatient department services under the Medicare program; S. 543 Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007, all provisions 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 under the Medicare program; S. 1277 Critical Access to Clinical Lab Services Act of 2007, all provisions to amend title XVIII of the Social Security Act to clarify the treatment of payment under the Medicare program for clinical laboratory tests furnished by critical access hospitals; H.R. 3057 Medicare Long-Term Patient Safety and Improvement Act of 2007, all provisions related to the steps to develop and implement criteria to differentiate long-term care hospitals from other post-acute care settings; H.R. 3162 Childrens Health and Medicare Protection Act of 2007, all provisions related to the Children's Health Insurance Program; S. 2499 Medicare, Medicaid, and SCHIP Extension Act of 2007, all provisions; H.R. 3453 The Community Clinical Laboratory Fairness in Competition Act of 2007, all provisions related to the Medicare competitive bidding demonstration project for clinical laboratory services; H.R. 3533 The Public and Teaching Hospital Preservation Act, all provisions to extend moratorium on implementation of a rule relating to the partnership under Medicaid SCHIP and finalization rule regarding GME; H.R. 5613 Protecting the Medicaid Safety Net Act of 2008, all provisions to extend certain moratoria and impose additional moratoria on certain Medicaid regulations through April 1, 2009; H.R. 4105 Medicare Recovery Audit Contractor Program Moratorium Act of 2007, all provisions relating to impose a moratorium on the use of recovery audit contractors under the Medicare Integrity Program; H.R. 2860 and S. 1605 Craig Thomas Rural Hospital and Provider Equity Act of 2007 all provisions To amend title XVIII of the Social Security Act to protect and preserve access of Medicare beneficiaries in rural areas to health care providers under the Medicare program, and for other purposes.

Client expense: $3,800,000 · 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), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE

HR 2807 - To intensify stem cell research showing evidence of substantial clinical benefit to patients, and for other purposes. HR 1783 - To amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, & for other purposes. H.R.2521 - To provide loans and grants for fire sprinkler retrofitting in nursing facilities. H.R.3025 - To amend title XVIII of the Social Security Act to provide comprehensive improvements to the Medicare Prescription Drug Program, and for other purposes. H.R.1046 - To amend titles XI and XVIII of the Social Security Act to modernize the quality improvement organization (QIO) program. H.R.1841 - To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. H.R.4082 - To improve the quality of, and access to, long-term care. H.R.976 - An act to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.3784 - To amend title XVIII of the Social Security Act to improve the quality of care in skilled nursing facilities under the Medicare Program through requiring the reporting of expenditures for nursing. H.R.3453 - To amend title XVIII of the Social Security Act to repeal the Medicare competitive bidding demonstration project for clinical laboratory services. H.R.4854 - To amend the provisions of title 31, United States Code, relating to false claims to clarify and make technical amendments to those provisions, and for other purposes. H.R.3180 - To amend title 31, United States Code, to clarify who is an original source for purposes of bringing a qui tam action. H.R.5480 - To respond to a Medicare funding warning. S.1980 - A bill to improve the quality of, and access to, long-term care. S.2662 - A bill to respond to a medicare funding warning. S.2041 - A bill to amend the False Claims Act. S.1693 - A bill to enhance the adoption of a nationwide interoperable health information technology system and to improve the quality and reduce the costs of health care in the United States. S.2641 - A bill to amend title XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. S.1947 - A bill to amend title XI of the Social Security Act to improve the quality improvement organization (QIO) program. S.2099 - A bill to amend title XVIII of the Social Security Act to repeal the Medicare competitive bidding project for clinical laboratory services. S.1070 - A bill to amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, and for other purposes. S.1019 - A bill to provide comprehensive reform of the health care system of the United States, and for other purposes. S.1814 - A bill to provide individuals with access to health information of which they are a subject, ensure personal privacy with respect to health related information, promote the use of non-identifiable information for health research, impose criminal and civil penalties for unauthorized use of protected health information, to provide for the strong enforcement of these rights, and to protect States' rights. S.1615 - A bill to provide loans and grants for fire sprinkler retrofitting in nursing facilities. S.845 - A bill to direct the Secretary of Health and Human Services to expand and intensify programs with respect to research and related activities concerning elder falls. S.334 - A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. S.325 - A bill to provide for innovation in health care through State initiatives that expand coverage and access and improve quality and efficiency in the health care system. S.1980 - A bill to improve the quality of, and access to, long-term care.

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

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

H.R.2807 - To intensify stem cell research showing evidence of substantial clinical benefit to patients, and for other purposes. H.R.1783 - To amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, and for other purposes. H.R.2521 - To provide loans and grants for fire sprinkler retrofitting in nursing facilities. H.R.3025 - To amend title XVIII of the Social Security Act to provide comprehensive improvements to the Medicare Prescription Drug Program, and for other purposes. H.R.1046 - To amend titles XI and XVIII of the Social Security Act to modernize the quality improvement organization (QIO) program. H.R.1841 - To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. H.R.4082 - To improve the quality of, and access to, long-term care. H.R.976 - An act to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.3784 - To amend title XVIII of the Social Security Act to improve the quality of care in skilled nursing facilities under the Medicare Program through requiring the reporting of expenditures for nursing. H.R.3453 - To amend title XVIII of the Social Security Act to repeal the Medicare competitive bidding demonstration project for clinical laboratory services. H.R.4854 - To amend the provisions of title 31, United States Code, relating to false claims to clarify and make technical amendments to those provisions, and for other purposes. H.R.3180 - To amend title 31, United States Code, to clarify who is an original source for purposes of bringing a qui tam action. H.R.5480 - To respond to a Medicare funding warning. S.1980 - A bill to improve the quality of, and access to, long-term care. S.2662 - A bill to respond to a Medicare funding warning. S.2041 - A bill to amend the False Claims Act. S.1693 - A bill to enhance the adoption of a nationwide interoperable health information technology system and to improve the quality and reduce the costs of health care in the United States. S.2641 - A bill to amend title XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. S.1947 - A bill to amend title XI of the Social Security Act to improve the quality improvement organization (QIO) program. S.2099 - A bill to amend title XVIII of the Social Security Act to repeal the Medicare competitive bidding project for clinical laboratory services. S.1070 - A bill to amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, and for other purposes. S.1019 - A bill to provide comprehensive reform of the health care system of the United States, and for other purposes. S.1814 - A bill to provide individuals with access to health information of which they are a subject, ensure personal privacy with respect to health related information, promote the use of non-identifiable information for health research, impose criminal and civil penalties for unauthorized use of protected health information, to provide for the strong enforcement of these rights, and to protect States' rights. S.1615 - A bill to provide loans and grants for fire sprinkler retrofitting in nursing facilities. S.845 - A bill to direct the Secretary of Health and Human Services to expand and intensify programs with respect to research and related activities concerning elder falls. S.334 - A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. S.325 - A bill to provide for innovation in health care through State initiatives that expand coverage and access and improve quality and efficiency in the health care system. S.1980 - A bill to improve the quality of, and access to, long-term care.

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

Support Medicare physician payment update and related amendments to Medicar reimbursement, support repeal of clinical lab competitive bidding (HR 3453, S 2099)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare coverage of and reimbursement for pharmaceuticals in Parts B&D, including oncology, rheumatoid arthritis and ESRD; Medicare durable medical equipment reimbursement and policy Medicare laboratory reimbursement and policy, including provisions in: H.R. 1321/S.2404, the Medicare Advance Laboratory Dianostics Act of 2007; H.R. 3453/S.2099 (to repeal the Medicare competitive bidding project for clinical; laboratory services); comparative effectiveness policies, including provisions in H.R. 3162 the Children's Health and Medicare Protection Act of 2007; Medicare coverage policy for blood glucose monitors and test strips; Medicare payments for diagnostic tests; Emergency preparedness for influenza pandemic; DACC/ Competitive Bidding; lobbied activities of the PST Coalition. The PST Coalition lobbied Cngress and CMS on matters related to reimbursement for and coverage of home prothrombin time testing.

Client expense: $1,296,417 · Firm income: Not reported

Medicare durable medical equipment reimbursement and policy Medicare laboratory reimbursement and policy, including provisions in: H.R. 1321/S. 2404, the Medicare Advanced Laboratory Diagnostics Act of 2007 H.R. 3453/S. 2099 (to repeal the Medicare competitive bidding project for clinical laboratory services)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE