To amend part B of title XVIII of the Social Security Act to repeal limiting charges under the Medicare Program for non-participating physicians and to preempt State laws that prohibit balance billing.

HR 6331 Medicare Improvement for Patients and Providers Act of 2008 House and Senate. Medicare Physician Payment Reform Hearing: Subcommittee on Health-Ways and Means Committee US House of Representatives. Extension of the State 1115 Medicaid Waiver for the Family Planning, Access, Care and Treatment Program (FPACT) US House of Representatives, US Senate. HR 7110 and S 3604 Economic Stimulus Package Increase in California Medicaid Matching Funds (FMAP) US House of Representatives, US Senate. NPI-Related Medicare Physician Payment Problems and Stoppages House of Representatives, US Senate. Medicare Physician Payment Problems with the J1 Administrative Contractor Palmetto GBA House of Representatives, US Senate. Medicare Physician Geographic Payment Locality Updates. HR 4736 Medicare Balance Billing House of Representatives. HR 4105 Medicare Recovery Audit Contractor Program Moratorium House of Representatives. S 1947 Medicare Provider Review Organizations US Senate. Physician J-1 Visa Waiver Program House of Representatives. NPI-Related Medicare Physician Payment Problems and Stoppages House of Representatives. Medicare Physician Payment Problems with the J1 Administrative Contractor Palmetto GBA House of Representatives, US Senate. Medicaid Provider Reimbursement. CMS 1403-P: 2009 Medicare Physician Fee Schedule (MPFS). Medicare Physician Geographic Payment Locality Updates and Locality Data. State Childrens Health Insurance Program (SCHIP) - California. Extension of the State 1115 Medicaid Waiver for the Family Planning, Access, Care and Treatment Program (FPACT). Medicare Demonstration Program California Physician Performance Initiative (CPPI). Provider Conscience Regulation (RIN 0991-AB48)

Client expense: $35,000 · Firm income: Not reported

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

H.R. 6331 and S. 3101, Medicare Improvements for Patients and Providers Act of 2008, all provisions S. 3118, Preserving Access to Medicare Act of 2008, all provisions H.R. 4736, to amend Part B of title XVIII of the Social Security Act to repeal limiting charges under the Medicare Program for non-participating physicians and to preempt State laws that prohibit balance billing, all provisions H.R. 5605, Physician Payments Sunshine Act of 2008, all provisions S. 2029, Physician Payments Sunshine Act of 2007, all provisions S. 1577, Patient Safety and Abuse Prevention Act of 2007, all provisions S. 3343, Medicare Imaging Disclosure Sunshine Act of 2008, all provisions H.R. 2043, Medicaid Access Project through Information Technology (MAP IT) Act, all provisions H.R. 6582, to encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit, all provisions H.R. 1665, Medicare Hearing Health Care Enhancement Act of 2007, all provisions H.R. 820, Seniors Mental Health Access Improvement Act of 2007, all provisions H.R. 3968, Medicare Respiratory Therapy Initiative Act of 2007, all provisions H.R. 2945, Medicare Advantage Truth in Advertising Act of 2007, all provisions Proposed 2008 Physician Payment Rule, Part B Drugs, CAP, ASP, and revisions to physician enrollment appeals Proposed 2009 Physician Payment Policy Rule, provisions on payment update, quality, relative value changes, Medicare enrollment, imaging, and primary care Proposed 2009 Hospital Outpatient and Ambulatory Surgical Centers (ASC) Payment Rule, provisions on payment update, healthcare acquired conditions payment policy, and phase-in of ASC payment methodology 2009 Hospital Inpatient Payment Rule, proposed and final provisions on payment update and policy on payment for "reasonably preventable" hospital acquired conditions Medicare Program - Medicare Administrative Contractors (MACs) Medicare Program - Medicare Advantage and Prescription Drug Program Medicare Program - Productivity Growth Medicare Program - "Incident to" Billing Medicare Program - Directed Scoring Medicare Program - Physician Payment Reform/Rebasing Medicare Program - Balance Billing Medicare Program - Fraud and Abuse Medicare Program - Rural Health Clinics Medicare Program - Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2009; and Revisions to the Amendment of the E-Rx Exemption for Computer Generated Facsimile Transmissions Medicare Program - Recovery Audit Contractors (RAC) Medicare Program - 3% Withhold on Medicare Payments Medicare Program - CMS Audiology Policies Medicare Program - Conditions of Participation Medicare Program - DMEPOS Accreditation Requirements Medicare Program - Declining Growth Rate in Physician Service Volume Medicare Program - Hospital Acquired Conditions Medicare Program - National Coverage Determinations Medicare Program - Quality improvement/PQRI/PCPI Medicare Program - Gainsharing Medicare Program - National Provider Identifier Medicare Program - Enrollment Medicare Program - Consultations Medicare Program - Claims Data and BQI Pilots Medicare Program - Removal of Claim Number from Medicare Card Medicare Program - HIPPA: ICD-10 Medicare Program - HIPPA: electronic transactions version 5010

H.R.583 - Consistency, Accuracy, Responsibility, & Excellence (CARE) in Medical Imaging & Radiation Therapy Act of 2007 H.R.882 - Access to Emergency Medical Services Act of 2007 H.R.1108 - Family Smoking Prevention and Tobacco Control Act H.R.1233 - Mitigating the Impact of Uncompensated Services & Time Act of 2007 H.R.1343 - Health Centers Renewal Act of 2008 H.R.1424 - Paul Wellstone Mental Health & Addiction Equity Act of 2007 H.R.1553 - Caroline Pryce Walker Conquer Childhood Cancer Act of 2008 H.R.2164 - Medicare Ambulance Payment Extension Act H.R.2464 - Wakefield Act H.R.2583 - Physician Workforce & Guidance Medical Education Enhancement Act of 2007 H.R.2584 - High-Need Physician Workforce Incentives Act of 2007 H.R.2638 - Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009 H.R.2749 - Voluntary Medicare Quality Reporting Act H.R.2851 - Michelle's Law H.R.3163 - Healthy Americans Act H.R.3173 - Improving Emergency Medical Care & Response Act of 2007 H.R.3344 - Treat Physicians Fairly Act of 2007 H.R.3403 - 911 Modernization and Public Safety Act H.R.3495 - Kids in Disasters Well-Being, Safety & Health Act of 2007 H.R.3800 - Promoting Health Information Technology (PHIT) Act H.R.4321 - Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2007 H.R.4736 - To Amend Part B of Title XVIII of the Social Security Act to Repeal Limiting Charges Under the Medicare Program for Non-Participating Physicians and to Preempt State Laws that Prohibit Balance Billing H.R.5545 - Ensuring the Future Physician Workforce Act of 2008 H.R.5605 - Physician Payments Sunshine Act of 2008 H.R.5613 - Protecting the Medicaid Safety Net Act of 2008 H.R.5669 - Poison Center Support, Enhancement & Awareness Act of 2008 H.R.5942 - National Trauma Center Stabilization Act of 2008 H.R.6091 - Save Medicare Act of 2008 H.R.6331 - Medicare Improvements for Patients & Providers Act (MIPPA) of 2008 H.R.6357 - Protecting Records, Optimizing Treatment, and Easing Communication Through Healthcare Technology Act of 2008 H.R.6898 - Health-e Information Technology Act of 2008 P.L.110-252 - Supplemental Appropriations Act of 2008 S.60 - Wakefield Act S.334 - Healthy Americans Act S.558 - Mental Health Parity Act of 2007 S.625 - Family Smoking Prevention and Tobacco Control Act S.901 - Health Care Safety net Act of 2007 S.911 - Conquer Childhood Cancer Act of 2007 S.1003 - Access to Emergency Medical Services Act of 2007 S.1042 - Consistency, Accuracy, Responsibility, & Excellence (CARE) in Medical Imaging & Radiation Therapy Act of 2007 S.1310 - Medicare Ambulance Payment Extension Act S.1519 - Voluntary Medicare Quality Reporting Act S.1693 - Wired for Health Care Quality Act S.1873 - Improving Emergency Medical Care & Response Act of 2007 S.1970 - Kids in Disasters Well-Being, Safety & Health Act of 2007 S.2029 - Physician Payments Sunshine Act of 2007 S.2319 - National Trauma Center Stabilization Act of 2007 S.2406 - Medicaid Emergency Psychiatric Care Act of 2007 S.2729 - Ensuring the Future Physician Workforce Act of 2008 S.2785 - Save Medicare Act of 2008 S.2819 - Economic Recovery in Health Care Act of 2008 S.2932 - Poison Center Support, Enhancement & Awareness Act of 2008 S.3101 - Medicare Improvements for Patients & Providers Act (MIPPA) of 2008 S.3560 - QI Program Supplemental Funding Act of 2008

H.R.882 - Access to Emergency Medical Services Act of 2007 H.R.1424 - Paul Wellstone Mental Health & Addiction Equity Act of 2007 H.R.2050 - Medicaid Emergency Psychiatric Care Act of 2007 H.R.2164 - Medicare Ambulance Payment Extension Act H.R.2749 - Voluntary Medicare Quality Reporting Act H.R.4736 - To Amend Part B of Title XVIII of the Social Security Act to Repeal Limiting Charges Under the Medicare Program for Non-Participating Physicians and to Preempt State Laws that Prohibit Balance Billing H.R.5545 - Ensuring the Future Physician Workforce Act of 2008 H.R.5613 - Protecting the Medicaid Safety Net Act of 2008 H.R.6091 - Save Medicare Act of 2008 H.R.6331 - Medicare Improvements for Patients & Providers Act (MIPPA) of 2008 S.1003 - Access to Emergency Medical Services Act of 2007 S.1310 - Medicare Ambulance Payment Extension Act S.1519 - Voluntary Medicare Quality Reporting Act S.2406 - Medicaid Emergency Psychiatric Care Act of 2007 S.2729 - Ensuring the Future Physician Workforce Act of 2008 S.2785 - Save Medicare Act of 2008 S.2819 - Economic Recovery in Health Care Act of 2008 S.3101 - Medicare Improvements for Patients & Providers Act (MIPPA) of 2008

Client expense: $528,537 · Firm income: Not reported

H.R. 6091 and S. 2785, Save Medicare Act of 2008, all provisions S. 3101, Medicare Improvements for Patients and Physicians Act of 2008, all provisions S. 3118, Preserving Access to Medicare Act of 2008, all provisions H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008, all provisions S. 3164, Seniors & Taxpayers Obligation Protection Act of 2008, all provisions H.R. 4736, to amend part B of title XVIII of the Social Security Act to repeal limiting charges under the Medicare Program for non-participating physicians and to preempt State laws that prohibit balance billing, all provisions H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, provisions relating to the Physician Assistance and Quality Initiative (PAQI) Funds and moratorium on implementation of new Medicaid regulations, and physician-owned hospitals H.R. 4296 and S. 2408, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007, all provisions H.R. 5445, to amend part B of title XVIII of the Social Security Act to increase Medicare payments for physicians' services through December 31, 2009, all provisions H.R. 5545 and S. 2729, Ensuring the Future Physician Workforce Act of 2008, all provisions H.R. 6252, Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all provisions H.R. 1665, Medicare Hearing Health Care Enhancement Act of 2007, provisions on scope of practice H.R. 2043, Medicaid Access Project Through Information Technology (MAPIT) Act, all provisions Section 511 of the Tax Prevention and Reconciliation Act of 2005, 3 percent withhold Medicare Program - Medically Underserved Populations and Health Professional Shortage Areas Medicare Program - Hospital Inpatient Prospective Payment Systems Medicare Program - Physician Self-Referral Rules Medicare Program - Medicare Advantage Medicare Program - E-Prescribing Medicare Program - Physician Compare Website Medicare & Medicaid Programs - National Provider Identifier, compliance date extension Medicare Program - Consultations Medicare Program - EMTALA Medicare Program - Recovery Audit Contractors Medicare Program - Physician Enrollment Medicare Program - Vaccine Access Medicare Program - Conditions of Participation Medicare Program - Administrative Contractors Medicare Program - Physician Quality Reporting Initiative Medicare Program - Value-based Purchasing Medicare Program - Hospital Acquired Conditions, Present on Admission Reporting Medicare Program - Imaging Medicare Program - Comparative Effectiveness Medicare Program - Physician Practice Expenses

H.R.583 - Consistency, Accuracy, Responsibility, & Excellence (CARE) in Medical Imaging & Radiation Therapy Act of 2007 H.R.882 - Access to Emergency Medical Services Act of 2007 H.R.1233 - Mitigating the Impact of Uncompensated Services & Time Act of 2007 H.R.1343 - Health Centers Renewal Act of 2008 H.R.1424 - Paul Wellstone Mental Health & Addiction Equity Act of 2007 H.R.1553 - Caroline Pryce Walker Conquer Childhood Cancer Act of 2008 H.R.2164 - Medicare Ambulance Payment Extension Act H.R.2464 - Wakefield Act H.R.2583 - Physician Workforce & Guidance Medical Education Enhancement Act of 2007 H.R.2584 - High-Need Physician Workforce Incentives Act of 2007 H.R.2749 - Voluntary Medicare Quality Reporting Act H.R.3163 - Healthy Americans Act H.R.3173 - Improving Emergency Medical Care & Response Act of 2007 H.R.3344 - Treat Physicians Fairly Act of 2007 H.R.3403 - 911 Modernization and Public Safety Act H.R.3495 - Kids in Disasters Well-Being, Safety & Health Act of 2007 H.R.3800 - Promoting Health Information Technology (PHIT) Act H.R.4321 - Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2007 H.R.4736 - To Amend Part B of Title XVIII of the Social Security Act to Repeal Limiting Charges Under the Medicare Program for Non-Participating Physicians and to Preempt State Laws that Prohibit Balance Billing H.R.5545 - Ensuring the Future Physician Workforce Act of 2008 H.R.5605 - Physician Payments Sunshine Act of 2008 H.R.5613 - Protecting the Medicaid Safety Net Act of 2008 H.R.5669 - Poison Center Support, Enhancement & Awareness Act of 2008 H.R.5942 - National Trauma Center Stabilization Act of 2008 H.R.6091 - Save Medicare Act of 2008 H.R.6331 - Medicare Improvements for Patients & Providers Act (MIPPA) of 2008 H.R.6357 - Protecting Records, Optimizing Treatment, and Easing Communication Through Healthcare Technology Act of 2008 P.L.110-252 - Supplemental Appropriations Act of 2008 S.60 - Wakefield Act S.334 - Healthy Americans Act S.558 - Mental Health Parity Act of 2007 S.901 - Health Care Safety net Act of 2007 S.911 - Conquer Childhood Cancer Act of 2007 S.1003 - Access to Emergency Medical Services Act of 2007 S.1042 - Consistency, Accuracy, Responsibility, & Excellence (CARE) in Medical Imaging & Radiation Therapy Act of 2007 S.1310 - Medicare Ambulance Payment Extension Act S.1519 - Voluntary Medicare Quality Reporting Act S.1693 - Wired for Health Care Quality Act S.1873 - Improving Emergency Medical Care & Response Act of 2007 S.1970 - Kids in Disasters Well-Being, Safety & Health Act of 2007 S.2029 - Physician Payments Sunshine Act of 2007 S.2319 - National Trauma Center Stabilization Act of 2007 S.2406 - Medicaid Emergency Psychiatric Care Act of 2007 S.2729 - Ensuring the Future Physician Workforce Act of 2008 S.2785 - Save Medicare Act of 2008 S.2819 - Economic Recovery in Health Care Act of 2008 S.2932 - Poison Center Support, Enhancement & Awareness Act of 2008 S.3101 - Medicare Improvements for Patients & Providers Act (MIPPA) of 2008

H.R.882 - Access to Emergency Medical Services Act of 2007 H.R.1424 - Paul Wellstone Mental Health & Addiction Equity Act of 2007 H.R.2050 - Medicaid Emergency Psychiatric Care Act of 2007 H.R.2164 - Medicare Ambulance Payment Extension Act H.R.2749 - Voluntary Medicare Quality Reporting Act H.R.4736 - To Amend Part B of Title XVIII of the Social Security Act to Repeal Limiting Charges Under the Medicare Program for Non-Participating Physicians and to Preempt State Laws that Prohibit Balance Billing H.R.5545 - Ensuring the Future Physician Workforce Act of 2008 H.R.5613 - Protecting the Medicaid Safety Net Act of 2008 H.R.6091 - Save Medicare Act of 2008 H.R.6331 - Medicare Improvements for Patients & Providers Act (MIPPA) of 2008 S.1003 - Access to Emergency Medical Services Act of 2007 S.1310 - Medicare Ambulance Payment Extension Act S.1519 - Voluntary Medicare Quality Reporting Act S.2406 - Medicaid Emergency Psychiatric Care Act of 2007 S.2729 - Ensuring the Future Physician Workforce Act of 2008 S.2785 - Save Medicare Act of 2008 S.2819 - Economic Recovery in Health Care Act of 2008 S.3101 - Medicare Improvements for Patients & Providers Act (MIPPA) of 2008

Client expense: $562,449 · Firm income: Not reported

HR 3162 Children's Health and Medicare Protection Act - House of Representatives, Senate HR 2484 and S 1964 Medicare Physician Geographic Fee Schedule Areas- Senate, House of Representatives HR 4736 Medicare Balance Billing - House of Representatives HR 1665 and S 2352 Medicare Hearing Health Care Enhancement Act - Senate; House of Representatives HR 4105 Medicare Recovery Audit Contractor Program Moratorium House of Representatives S 2785 Save Medicare Act Senate S 1947 Medicare Provider Review Organizations Senate HR 5613 Medicaid Regulations Moratorium House of Representatives; Senate Physicians Quality Reporting Initiative (PQRI) Senate Medicare Physician Scarcity Areas House of Representatives Health Professional Shortage Areas House of Representatives Physician J-1 Visa Waiver Program House of Representatives S 3118 Preserving Acces to Medicare Act of 2008 House and Senate S 3101 Medicare Improvement for Patients and Providers Act of 2008 House and Senate HR 6331 Medicare Improvement for Patients and Providers Act of 2008 House and Senate NPI-Related Medicare Physician Payment Problems and Stoppages House Department of Health and Human Services/Centers for Medicare and Medicaid Services: Medicare Administrative Contractor Contract Award Jurisdiction 1 Part A/Part B-Palmetto GBA HR 3162 Childrens Health and Medicare Protection Act S 2785 Save Medicare Act HR 4105 Medicare Recovery Audit Contractor Program Moratorium HR 5613 Medicaid Regulations Moratorium Medicaid Provider Reimbursement CMS Medicaid Regulations CMS 2258-FC, 2279-P, 2213-P, 2275-P, 2261-P, 2287-P, 2237-IFC) Medicare Physician Geographic Fee Schedule Areas NPI-Related Medicare Physician Payment Problems CMS 1403-P: 2009 Medicare Physician Fee Schedule (MPFS)

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

H.R. 4736, To amend part B of title XVIII of the Social Security Act to repeal limiting charges under the Medicare Program for non-participating physicians and to preempt State laws that prohibit balance billing, all provisions H.R. 4105, Medicare Recovery Audit Contractor Program Moratorium Act of 2007, all provisions H.R. 4992, Medicare Improvement Act of 2007, all provisions S. 2785, Save Medicare Act of 2008, all provisions S. 2729, Ensuring the Future Physician Workforce Act of 2008, all provisions H.R. 5545, Ensuring the Future Physician Workforce Act of 2008, all provisions H.R. 3162, Children's Health and Medicare Protection Act of 2007, provisions relating to Medicare access, payment, and quality H.R. 5445, To amend part B of title XVIII of the Social Security Act to increase Medicare payments for physicians' services through December 31, 2009, all provisions S. 2408 and H.R. 4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007, provisions on E-Rx S. 2056 and H.R. 2053, Medicare Anesthesiology Teaching Funding Restoration Act of 2007, provisions on academic anesthesiology H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, all provisions Private Fee for Service Plans in Medicare Advantage Preservation of the whole-hospital exception to the Stark laws Medicaid Tamper Resistant Pads ICD-10 Coding transition Medicare Program - National Provider Identifier Medicare Program - Medical Home Demonstration Project Medicare Program - Physician's Quality Reporting Initiative Medicare Program - Medicare Electronic Health Record Demonstration Project Medicare Program - Proposed Standards for E-Prescribing under Medicare Part D Medicare Program - EMTALA TAG, on-call compliance Medicare Program - Uniform billing/Administrative simplification Medicare Program - Medicare Advantage Medicare Program - Recovery Audit Contractor Medicare Program - Durable Medical Equipment Medicare Program - Physician Enrollment

Medicare Physician Reimbursement; Medicare Geographic Practice Cost Indices (GPCI); Florida Medical Residency Slots; Medicare Quality Improvement Organizations (QIO); S. 588/H.R. 1093, The Resident Physician Shortage Reduction Act of 2007; S. 1947, The Continuing the Advancement of Quality Improvement Act of 2007; S. 2785, The Save Medicare Act of 2008; H.R. 4736

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3162 Childrens Health and Medicare Protection Act House of Representatives, Senate HR 2484 and S 1964 Medicare Physician Geographic Fee Schedule Areas- Senate, House of Representatives HR 4736 Medicare Balance Billing - House of Representatives HR 1665 and S 2352 Medicare Hearing Health Care Enhancement Act - Senate; House of Representatives HR 4105 Medicare Recovery Audit Contractor Program Moratorium House of Representatives S 2785 Save Medicare Act Senate S 1947 Medicare Provider Review Organizations Senate HR 5613 Medicaid Regulations Moratorium House of Representatives; Senate Physicians Quality Reporting Initiative (PQRI) Senate Medicare Physician Scarcity Areas House of Representatives Health Professional Shortage Areas House of Representatives Physician J-1 Visa Waiver Program House of Representatives Department of Health and Human Services/Centers for Medicare and Medicaid Services: Medicare Administrative Contractor Contract Award Jurisdiction 1 Part A/Part B-Palmetto GBA HR 3162 Childrens Health and Medicare Protection Act S 2785 Save Medicare Act HR 4105 Medicare Recovery Audit Contractor Program Moratorium HR 5613 Medicaid Regulations Moratorium Medicaid Provider Reimbursement CMS Medicaid Regulations CMS 2258-FC, 2279-P, 2213-P, 2275-P, 2261-P, 2287-P, 2237-IFC) Medicare Physician Geographic Fee Schedule Areas

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