To impose a moratorium on certain Medicaid payment restrictions.

S. 2586, State Fiscal Relief Act of 2008 (regarding state fiscal relief) H.R. 5613, Protecting the Medicaid Safety Net Act of 2008 S. 2819, Economic Recovery in Health Care Act of 2008 H.R.5268, To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program, and for other purposes. S.2460/H.R. 3533, 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. S. 2578/ H.R. 5173, To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services. S.1200, A bill to amend the Indian Health Care Improvement Act to revise and extend the Act (provisions relating to Medicaid ID requirements and moratorium on targeted case management regulations) HR 4355, A bill to impose a moratorium on certain Medicaid payment restrictions. H.R. 3963, Childrens Health Insurance Program Reauthorization Act of 2007 (veto override)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1809, Medicare Independent Living Ct of 2007, provisions that assist persons with disabilities. P.L. 109-171, Choice Act, Direct Support Profefssioinals Fairness andSecurity Act (H.R. 1279). S. 1799 and H.R. 1621, Community Choice Act, provisions providing independence for individuals with disabilities. H.R. 1279, Direct Support Professional Fairness and Security Act of 2007, provisions dealing with direct support workers for persons with disabilities. P.L. 109-171, implementation of the Deficit ReductionAct, provisions dealing with TANF and Medicaid. S. 2499, Medicare, Medicaid and SCHIP Extension Act of 2007. Legislation not yet introduced to amend the Deficit Reduction Act of 2005 to improve usefullness of the new section 1915(i) Home and Community-Based Services Option. H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, sections pertaining to moratoria on Centers for Medicare and Medicaid Services rehabilitation option, case management and school based services/transportation regulations. S. 2819, Economic Recovery in Health Care Act of 2008, same as above as well as provision to impose a moratoria on SCHIP directive and provisions to provide state fiscal relief. S. 2578 and H.R. 5173, legisation to impose a one year moratorium on the CMS case management rule. H.R. 4355, moratorium on rehabilitation option and school-based transportation rule. S.Con.Res. 70 and H.Con.Res. 312, FY 2009 Budget Resolutions, provisions dealing with Medicaid reserve funds.

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

S 3/ HR 4 - Medicare Prescription Drug Price Negotiation Act of 2007 SCHIP Reauthorization Medicaid Regulations/Moratoria Federal Medical Assistance Percentage Increase HR 3533- The Public and Teaching Hospital Preservation Act HR 4355 - To impose a moratorium on certain Medicaid payment restrictions HR 5268/S 2620- To provide for a temporary increase of the Federal Medical Assistance Percentage under the Medicaid Program, 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

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1809, Medicare Independent Living Ct of 2007, provisions that assist persons with disabilities. S. 1799 and H.R. 1621, Community Choice Act, provisions providing independence for individuals with disabilities. P.L. 109-171, implementation of the Deficit ReductionAct, provisions dealing with Medicaid. S. 2499, Medicare, Medicaid and SCHIP Extension Act of 2007. Legislation not yet introduced to amend the Deficit Reduction Act of 2005 to improve usefullness of the new section 1915(i) Home and Community-Based Services Option. P.L. 110-252, Protecting the Medicaid Safety Net Act of 2008, sections pertaining to moratoria on Centers for Medicare and Medicaid Services rehabilitation option, case management and school based services/transportation regulations. H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008. H.R. 2642, FY 2008 Iraq/Afghanistan War Supplemental Appropriations bill, domestic provisions. S. 2819, Economic Recovery in Health Care Act of 2008, same as above as well as provision to impose a moratoria on SCHIP directive and provisions to provide state fiscal relief. S. 2578 and H.R. 5173, legisation to impose a one year moratorium on the CMS case management rule. H.R. 4355, moratorium on rehabilitation option and school-based transportation rule. S.Con.Res. 70 and H.Con.Res. 312, FY 2009 Budget Resolutions, provisions dealing with Medicaid reserve funds. Legislation dealing with direct support worker issues. Implementation of Medicaid Section 1917 (d) regarding trusts and transfer of asset rules. S.3327, the Empowered at Home Act of 2008 to amend the Medicaid Section 1915 (i) Home and Community Based Services Option. Efforts to elminate the 24-month waiting period for Medicare. Implementation of the Olmstead decision regarding community integration.

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

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

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

-H.R. 1376, Medicaid Foster Care Coverage Act of 2007, support all provisions. -H.R. 4355, To impose a moratorium on certain Medicaid payment restrictions, support passage. -S. 2578, A bill to temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services, support all provisions. -H.R. 5173, To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services, support all provisions. -H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, support all provisions. -S. 2819, Economic Recovery in Health Care Act of 2008, support all provisions. -H.R. 2642, Supplemental Appropriations Act of 2008, support delays on Medicaid regulations. -S. 3611, Medicaid Services Restoration Act, support all provisions.

Client expense: $13,333 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Office of Juvenile Justice & Delinquency Prevention, SENATE

-S. 558, Mental Health Parity Act of 2007, support all provisions. -H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, support all provisions -H.R. 1424, Emergency Economic Stabilization Act of 2008, support mental health and addiction parity provision. -H.R. 6049, Energy and Tax Extenders Act, support mental health and addiction parity provision. -H.R. 6983, Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, support all provisions. -H.R. 1376, Medicaid Foster Care Coverage Act of 2007, support all provisions. -S. 884/H.R. 405, Family-Based Meth Treatment Access Act of 2007, support all provisions. -H.R. 4355, To impose a moratorium on certain Medicaid payment restrictions, support passage. -S. 2578, A bill to temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services, support all provisions. -H.R. 5173, To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services, support all provisions. -H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, support all provisions. -S. 2819, Economic Recovery in Health Care Act of 2008, support all provisions. -H.R. 3014, Health Equity and Accountability Act of 2007, support all provisions. -S. 1760/H.R. 3267, Healthy Start Reauthorization Act of 2007, support all provisions. -H.R. 2642, Supplemental Appropriations Act of 2008, support delays on Medicaid regulations. -S. 3195/H.R. 6375, Healthy Transition Act of 2008, support all provisions. -S. 3611, Medicaid Services Restoration Act, support all provisions.

Client expense: $13,333 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Office of Juvenile Justice & Delinquency Prevention, SENATE

S 3/ HR 4 - Medicare Prescription Drug Price Negotiation Act of 2007 SCHIP Reauthorization Medicaid Regulations/Moratoria Federal Medical Assistance Percentage Increase HR 3533- The Public and Teaching Hospital Preservation Act HR 4355 - To impose a moratorium on certain Medicaid payment restrictions HR 5268/S 2620- To provide for a temporary increase of the Federal Medical Assistance Percentage under the Medicaid Program, and for other purposes HR 5613- Protecting the Medicaid Safety Net Act of 2008 HR 2642-Military Construction and Veterans Affairs Appropriations Act, 2008 HR 6331- Medicare Improvements for Patients and Providers 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

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

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

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

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

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

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

-S. 558, Mental Health Parity Act of 2007, support all provisions. -H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, support all provisions. -H.R. 1376, Medicaid Foster Care Coverage Act of 2007, support all provisions. -S. 884/H.R. 405, Family-Based Meth Treatment Access Act of 2007, support all provisions. -H.R. 4355, To impose a moratorium on certain Medicaid payment restrictions, support passage. -S. 2578, A bill to temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services, support all provisions. -H.R. 5173, To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services, support all provisions. -H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, support all provisions. -S. 2819, Economic Recovery in Health Care Act of 2008, support all provisions. -H.R. 3014, Health Equity and Accountability Act of 2007, support all provisions. -S. 1760/H.R. 3267, Healthy Start Reauthorization Act of 2007, support all provisions. -H.R. 2642, Supplemental Appropriations Act of 2008, support delays on Medicaid regulations. -S. 3195/H.R. 6375, Healthy Transition Act of 2008, support all provisions.

Client expense: $13,333 · Firm income: Not reported

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

-H.R. 1376, Medicaid Foster Care Coverage Act of 2007, support all provisions. -H.R. 4355, To impose a moratorium on certain Medicaid payment restrictions, support passage. -S. 2578, A bill to temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services, support all provisions. -H.R. 5173, To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services, support all provisions. -H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, support all provisions. -S. 2819, Economic Recovery in Health Care Act of 2008, support all provisions. -H.R. 2642, Supplemental Appropriations Act of 2008, support delays on Medicaid regulations.

Client expense: $13,333 · Firm income: Not reported

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

H.R. 1809, Medicare Independent Living Ct of 2007, provisions that assist persons with disabilities. S. 1799 and H.R. 1621, Community Choice Act, provisions providing independence for individuals with disabilities. P.L. 109-171, implementation of the Deficit ReductionAct, provisions dealing with Medicaid. S. 2499, Medicare, Medicaid and SCHIP Extension Act of 2007. Legislation not yet introduced to amend the Deficit Reduction Act of 2005 to improve usefullness of the new section 1915(i) Home and Community-Based Services Option. H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, sections pertaining to moratoria on Centers for Medicare and Medicaid Services rehabilitation option, case management and school based services/transportation regulations. H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008. H.R. 2642, FY 2008 Iraq/Afghanistan War Supplemental Appropriations bill, domestic provisions. S. 2819, Economic Recovery in Health Care Act of 2008, same as above as well as provision to impose a moratoria on SCHIP directive and provisions to provide state fiscal relief. S. 2578 and H.R. 5173, legisation to impose a one year moratorium on the CMS case management rule. H.R. 4355, moratorium on rehabilitation option and school-based transportation rule. S.Con.Res. 70 and H.Con.Res. 312, FY 2009 Budget Resolutions, provisions dealing with Medicaid reserve funds.

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

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 Guidance on SCHIP income eligibility for program--opposed guidance CMS Regulation on State Rehabilitation Option--opposed regulation A bill to provide a temporary increase in Federal Medical Assistance Percentage (S. 2620 and H.R. 5268)--supported FMAP increase 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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 3/ HR 4 - Medicare Prescription Drug Price Negotiation Act of 2007 SCHIP Reauthorization Medicaid Regulations/Moratoria Federal Medical Assistance Percentage Increase HR 3533- The Public and Teaching Hospital Preservation Act HR 4355 - To impose a moratorium on certain Medicaid payment restrictions HR 5268/S 2620- To provide for a temporary increase of the Federal Medical Assistance Percentage under the Medicaid Program, and for other purposes HR 5613- Protecting the Medicaid Safety Net Act of 2008 HR 2642-Military Construction and Veterans Affairs Appropriations Act, 2008 HR 6331- Medicare Improvements for Patients and Providers Act of 2008

Client expense: $68,000 · 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

-S. 558, Mental Health Parity Act of 2007, support all provisions. -H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, support all provisions. -H.R. 1376, Medicaid Foster Care Coverage Act of 2007, support all provisions. -S. 884/H.R. 405, Family-Based Meth Treatment Access Act of 2007, support all provisions. -H.R. 4355, To impose a moratorium on certain Medicaid payment restrictions, support passage. -S. 2578, A bill to temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services, support all provisions. -H.R. 5173, To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services, support all provisions. -H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, support all provisions. -S. 2819, Economic Recovery in Health Care Act of 2008, support all provisions. -H.R. 3014, Health Equity and Accountability Act of 2007, support all provisions. -S. 1760/H.R. 3267, Healthy Start Reauthorization Act of 2007, support all provisions.

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

-H.R. 1376, Medicaid Foster Care Coverage Act of 2007, support all provisions. -H.R. 4355, To impose a moratorium on certain Medicaid payment restrictions, support passage. -S. 2578, A bill to temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services, support all provisions. -H.R. 5173, To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services, support all provisions. -H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, support all provisions. -S. 2819, Economic Recovery in Health Care Act of 2008, support all provisions.

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

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

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

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

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 Guidance on SCHIP income eligibility for program--opposed guidance CMS Regulation on State Rehabilitation Option--opposed regulation CMS Regulation on (Targeted) Case Management--opposed regulation CMS Regulation on Public Provider taxes--opposed regulation A bill to provide a temporary increase in Federal Medical Assistance Percentage (S. 2620 and H.R. 5268)--supported FMAP increase 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

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

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

H.R. 1809, Medicare Independent Living Ct of 2007, provisions that assist persons with disabilities. S. 1799 and H.R. 1621, Community Choice Act, provisions providing independence for individuals with disabilities. H.R. 1279, Direct Support Professional Fairness and Security Act of 2007, provisions dealing with direct support workers for persons with disabilities. S. 2499, Medicare, Medicaid and SCHIP Extension Act of 2007. Legislation not yet introduced to amend the Deficit Reduction Act of 2005 to improve usefullness of the new section 1915(i) Home and Community-Based Services Option. H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, sections pertaining to moratoria on Centers for Medicare and Medicaid Services rehabilitation option, case management and school based services/transportation regulations. S. 2819, Economic Recovery in Health Care Act of 2008, same as above as well as provision to impose a moratoria on SCHIP directive and provisions to provide state fiscal relief. S. 2578 and H.R. 5173, legisation to impose a one year moratorium on the CMS case management rule. H.R. 4355, moratorium on rehabilitation option and school-based transportation rule. S.Con.Res. 70 and H.Con.Res. 312, FY 2009 Budget Resolutions, provisions dealing with Medicaid reserve funds.

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), 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

H.R. 1809, Medicare Independent Living Ct of 2007, provisions that assist persons with disabilities. P.L. 109-171, Choice Act, Direct Support Profefssioinals Fairness andSecurity Act (H.R. 1279). S. 1799 and H.R. 1621, Community Choice Act, provisions providing independence for individuals with disabilities. H.R. 1279, Direct Support Professional Fairness and Security Act of 2007, provisions dealing with direct support workers for persons with disabilities. P.L. 109-171, implementation of the Deficit ReductionAct, provisions dealing with TANF and Medicaid. S. 2499, Medicare, Medicaid and SCHIP Extension Act of 2007. Legislation not yet introduced to amend the Deficit Reduction Act of 2005 to improve usefullness of the new section 1915(i) Home and Community-Based Services Option. H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, sections pertaining to moratoria on Centers for Medicare and Medicaid Services rehabilitation option, case management and school based services/transportation regulations. S. 2819, Economic Recovery in Health Care Act of 2008, same as above as well as provision to impose a moratoria on SCHIP directive and provisions to provide state fiscal relief. S. 2578 and H.R. 5173, legisation to impose a one year moratorium on the CMS case management rule. H.R. 4355, moratorium on rehabilitation option and school-based transportation rule. S.Con.Res. 70 and H.Con.Res. 312, FY 2009 Budget Resolutions, provisions dealing with Medicaid reserve funds.

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

H.R. 4355, To impose a moratorium on certain Medicaid payment restrictions; H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, provisions relating to Medicaid rehab.

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

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

S. 3- Medicare Prescription Drug Price Negotiation Act of 2007 H.R. 4- Medicare Prescription Drug Price Negotiation Act of 2007 SCHIP Reauthorization Medicaid Regulations Medicaid Moratoria Federal Medical Assistance Percentage HR 3533- The Public and Teaching Hospital Preservation Act HR 4355- To impose a moratorium on certain Medicaid payment restrictions HR 5268- To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program, and for other purposes.

Client expense: $66,771 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, State, Dept of (DOS), Treasury, Dept of, White House Office

S. 2586, State Fiscal Relief Act of 2008 (regarding state fiscal relief) H.R. 5613, Protecting the Medicaid Safety Net Act of 2008 S. 2819, Economic Recovery in Health Care Act of 2008 H.R.5268, To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program, and for other purposes. S.2460/H.R. 3533, 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. S. 2578/ H.R. 5173, To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services. S.1200, A bill to amend the Indian Health Care Improvement Act to revise and extend the Act (provisions relating to Medicaid ID requirements and moratorium on targeted case management regulations) HR 4355, A bill to impose a moratorium on certain Medicaid payment restrictions. H.R. 3963, Childrens Health Insurance Program Reauthorization Act of 2007 (veto override)

Client expense: $120,376 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.2586, Rockefeller, To provide States with fiscal relief through a temporary increase in the Federal medical assistance percentage and direct payments to States.; S.2578, To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services. 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; HR 3963, Children's Health Insurance Program Reauthorization Act of 2007; HR 5613 Protecting the Medicaid Safety Net Act of 2008, To extend certain moratoria and impose additional moratoria on certain Medicaid regulations through April 1, 2009; HR 5173, To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services; HR 4355, To impose a moratorium on certain Medicaid payment restrictions; HR 3533, The Public and Teaching Hospital Preservation Act, 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 Medicaid rule regarding graduate medical education; Congressman Artur Davis Sign On Letter increasing state medicaid funding; medicaid rule changes.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

-H.R. 4355, To impose a moratorium on certain Medicaid payment restrictions, support passage. -H.R. 1376, Medicaid Foster Care Coverage Act of 2007, support all provisions. -S. 764/H.R. 1308, Legal Immigrant Children's Health Improvement Act, support all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), SENATE