To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services.

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. 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

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

1. Medicare Physician Fee Schedule - AAGP urges Congress to reverse the ten percent reduction in Medicare fees to physicians that is scheduled to go into effect on July 1, 2008. AAGP also urges Congress to replace the current Medicare reimbursement formula with one that more accurately reflects the volume and intensity of services furnished to Medicare beneficiaries. 2. H.R. 1663, "Medicare Mental Health Modernization Act of 2007" - Support: Title 1: Parity of mental health services under Medicare - repealing the 50 percent copayment required by Medicare for mentalhealth services, repealing the 190-day income cap on inpatient services in psychiatric hospitals; Title 2: Expanding coverage of community-based mental health services, such as psychiatric rehabilitation and substance abuse centers. 3. S. 1715 "Medicare Mental Health Copayment Equity Act of 2007" - Support all provisions: the bill would repeal Section 1833(c) of the Social Security Act, reducing to 20 percent the current 50 percent copayment required by Medicare for outpatient mental health services over a six-year period. 4. H.R. 1571, the "Senior Access to Mental Health Act of 2007" - Support all provisions: the bill would repeal Section 1833(c) of the Social Security Act, reducing to 20 percent the current 20 percent copayment requirement by Medicare for outpatient mental health services over a six-year period. 5. S. 2578/H.R. 5173 - Support provisions to impose a moratorium on newly imposed target case management Medicaid regulations, which would unduly restrict the ability of Medicaid beneficiaries to access needed care, including community-based mental health services. 6. H.R. 6331, "Medicare Improvements for Patients and Providers Act of 2008" - Support provisions to rescind a scheduled 10.6 percent cut in payments to physicians treating Medicare patients; and to phase down 50 percent copayment rates for Medicare mental health outpatient services from 50 percent to 20 percent by 2014. 7. S. 3101, "Medicare Improvements for Patients and Providers Act of 2008" - Support provisions to rescind a scheduled 10.6 percent cut in payments to physicians treating Medicare patients; and to phase down 50 percent copayment rates for Medicare mental health outpatient services from 50 percent to 20 percent by 2014. 8. S. 2819, "Economic Recovery in Health Care Act" - Support all provisions. The bill would delay Medicaid regulations on targeted case management and other Medicaid rules.

Client expense: $40,000 · 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. 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

Supported all provisions unless otherwise indicated: S. 2578, H.R. 5173, To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services - both Senate and House Supported all provisions unless otherwise indicated: S. 2620, H.R. 5268, To provide a temporary increase of the Federal medical assistance percentage (FMAP) under the Medicaid program and for other purposes - both Senate and House S. 3101, H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 - both Senate and House S. 1200, Indian Health Care Improvement Act Amendments of 2008, supported Klobuchar-Coleman amendment on Medicaid regulations regarding target case management - Senate only S. 2586, State Fiscal Relief Act of 2008, provisions relating to providing a temporary FMAP increase, freezing the Medicaid regulations and for other purposes - Senate only S. 2819, Economic Recovery in Health Care Act of 2008 - Senate only H.R. 5613, Protecting the Medicaid Safety Net Act of 2008 - House only

Client expense: $15,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Mental Health Modernization Act: H.R. 1663 Children's Health & Medicare Protection Act of 2007: H.R. 976, H.R. 3162, S. 1893, H. Res. 594, House Rept. 110-284 Medicaid TCM Reg. Delay: H.R. 5173, S. 2578 Medicare Improvements for Patients & Providers Act of 2008: H.R. 6331, S. 3101

Client expense: $277,381 · Firm income: Not reported

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

S.2578 & H.R.5173 to delay application of proposed changes to Medicaid payment rules for case management and targeted case management services

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

Government targets: HOUSE OF REPRESENTATIVES, 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. 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

Supported all provisions unless otherwise indicated: S. 2578, H.R. 5173, to temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services - both Senate and House Supported all provisions unless otherwise indicated: S. 2620, H.R. 5268, to provide a temporary increase of the federal medical assistance percentage under the Medicaid program, and for other purposes - both Senate and House S. 1200, Indian Health Care Improvement Act Amendments of 2008, supported Klobuchar-Coleman amendment on Medicaid regulations regarding target case management - Senate only S. 2586, State Fiscal Relief Act of 2008 - Senate only

Client expense: $10,000 · 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

Medicare, Medicaid, and SCHIP Extension Act of 2007 (S. 2499), Title II, all provisions relating to a six-month moratorium on rulemaking related to the Medicaid Rehabilitation and School-Based Services regulations To temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services (HR 5173), Section 1, all provisions relating to delaying the implementation of recently released Interim Final Regulation on Medicaid case management services for one year Indian Health Care Improvement Act Amendments of 2008 (S 1200), S.AMDT.4023, provision to temporarily delay application of proposed changes to Medicaid payment rules for case management and targeted case management services To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program, and for other purposes (HR 5268), Sections 1 and 2, all provisions to temporarily increase the Medicaid FMAP by 2.95 percent from April 1, 2008 through June 30, 2009 Protecting the Medicaid Safety Net Act of 2008 (HR 5613), Sections 1 and 2, all provisions that would delay seven recent Medicaid regulations proposed by the Bush Administration, including those affecting case management and the rehabilitative service option, for one year

Client expense: $48,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Mental Health Modernization Act: HR 1663 Children's Health & Medicare Protection Act of 2007: HR 976, HR 3162, S 1893, House Report 110-284 Medicaid TCM Reg. Delay: HR 5173, S 2578

Client expense: $142,815 · Firm income: Not reported

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

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

1. Medicare Physician Fee Schedule - AAGP urges Congress to reverse the ten percent reduction in Medicare fees to physicians that is scheduled to go into effect on July 1, 2008. AAGP also urges Congress to replace the current Medicare reimbursement formula with one that more accurately reflects the volume and intensity of services furnished to Medicare beneficiaries. 2. H.R. 1663, "Medicare Mental Health Modernization Act of 2007" - Support: Title 1: Parity of mental health services under Medicare - repealing the 50 percent copayment required by Medicare for mental health services; repealing the 190-day income cap on inpatient services in psychiatric hospitals; Title 2: Expanding coverage of community-based mental heatlh services, such as psychiatric rehabilitation and substance abuse centers. 3. S. 1715, "Medicare Mental Health Copayment Equity Act of 2007" - Support all provisions: the bill would repeal Section 1833(c) of the Social Security Act, reducing to 20 percent the current 50 percent copayment required by Medicare for outpatient mental health services over a six-year period. 4. H.R. 1571, the "Senior Access to Mental Health Act of 2007" - Support all provisions: the bill would repeal Section 1833 (c) of the Social Security Act, reducing to 20 percent the current 50 percent copayment required by Medicare for outpatient mental health services over a six-year period. 5. S. 2578/H.R. 5173 - Support provisions to impose a moratorium on newly imposed target case management Medicaid regulations, which would unduly restrict the ability of Medicaid beneficiaries to access needed care, including community-based mental health services.

Client expense: $40,000 · 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

S.2578 & H.R.5173 to delay application of proposed changes to Medicaid payment rules for case management and targeted case management services

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE