Nursing and Allied Health Education Preservation Act of 2008

GME reimbursement, H.R. 5174, S. 3468

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

Monitor legislation pertaining to healthcare: HR 5174, S 6304, HR 6331, HR 6357, HR 6394

Client expense: Not reported · Firm income: $20,000

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

See attached Iroquois Healthcare Alliance Federal legislation for July 1 through September 30, 2008 Preserving Access to Healthcare (PATH) Act, S.3656/ H.R. 7241 blocks for six months implementation of both the Medicare capital IME cut and the Medicaid outpatient regulation Rural Hospital Assistance Act of 2008 S.3300 IS / H.R.6912.IH To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes. Physician Availability Act of 2008 H.R.5739.IH Physician Workforce and Graduate Medical Education Enhancement Act of 2007 HR 2583 IH To amend title VII of the Public Health Service Act to establish a loan program for eligible hospitals to establish residency training programs. Physician Workforce Enhancement Act of 2008 HR 2583 EH Nursing and Allied Health Education Preservation Act of 2008 S.3468 IS /H.R.5174.IH To amend title XVIII of the Social Security Act to continue the ability of hospitals to supply a needed workforce of nurses and allied health professionals by preserving funding for hospital operated nursing and allied health education programs. 340B Program Improvement and Integrity Act of 2007 S.1376 Resident Physician Shortage Reduction Act of 2007 S.588.IS/ H.R.1093.IH Medicare Rural Health Access Improvement Act of 2008 S.2786.IS Physician Availability Act of 2008 HR 5739 IH To assure that the services of a nonemergency department physician are available to hospital patients 24 hours a day, seven days a week in all non-Federal hospitals with at least 100 licensed beds.

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

GME reimbursement, H.R. 5174, S. 3468.

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

Medicare hospital reimbursement issues and Medicare graduate medical education reimbursement issues (Medicare Improvement for Patients and Providers Act of 2008, H.R.6331, S.3101;CHAMP Act, H.R.3162;Preserving Access to Medicare Act of 2008, S.3118;Inpatient Medicare Prospective Payment System Rule, CMS 1390-P,F;Medicare Recovery Audit Contractor Program Moratorium Act of 2007, H.R.4105;Nursing and Allied Health Education Preservation Act of 2008;H.R.5174;Registered Nurse Safe Staffing Act of 2007, H.R.4138;42 CFR 413.75,H.R.1093,provisions related to Medicare graduate medical education and the counting of resident work hours,HR 615 & 616 relating to Medicare Parity Medicaid reimbursement issues (Iraq War Supplemental Appropriations Bill, H.R.2642-Provision to Place Moratoria on Medicaid Regulations CMS-2258-FC,CMS 2279-P,CMS 2213-P, and CMS-2275-F;Protecting the Medicaid Safety Net Act of 2008, H.R.5613;Public and Teaching Hospital Preservation Act, H.R.3533;Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2007, H.R.2066;Temporary Increase in FMAP (HR5268, S.2586, H.R.7110, S. 3656)

Client expense: $360,000 · Firm income: Not reported

H.R. 2066, S. 59: Medicaid Advanced Practice Nurse and Physician Assistant Access Act of 2007. S. 1842, H.R. 2122: The Safe Nursing and Patient Care Act of 2007. S. 73, H.R. 4138: The Registered Nurse Safe Staffing Act of 2007. H.R. 1663: Medicare Mental Health Modernization Act of 2007. H.R. 6331: Medicare Improvements for Patients and Providers Act of 2007. All provisions relating to the physician fee schedule, electronic perscribing, mental health parity, e-perscribing, and assistance for low-income beneficiaries. S. 1678, H.R. 6826: Home Health Care Planning Improvement Act. H.R. 5174. The Nursing and Allied Health Education Preservation Act of 2008. H.R. 4296, S. 2408: Medicare Electronic Medication and Safety Protection Act of 2007. H.R. 6898: Health-e Information Technology Act of 2008. All provisions related to grants to health care providers to support the adoption of electronic health records. S. 3613: Independence at Home Act of 2008.

Client expense: $369,234 · Firm income: Not reported

We sought congressional support for HR5174, a bill to restore Medicare funding for Nursing Education. We own two hospital based nursing colleges in Illinois. Implementation of CMS regulations reduces funding for these programs by more than 50%. With current nursing shortages, this funding needs to be restored. We also sought support for increasing the Illinois FMAP in an economic Stimulous bill. This will add funding to our State Medicaid.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3162, "Children's Health and Medicare Protection Act of 2007," provisions related to the Area Wage Index, specifically reimbursement rates for Medicare payments to hospitals based on geographic area and the "Prospective Payment System." HR 5174, "Nursing & Allied Health Education Preservation Act," all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

GME reimbursement, HR 5174

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

Monitor legislation pertaining to healthcare: HR 5174, S 6304, HR 6331

Client expense: Not reported · Firm income: $20,000

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

Monitor legislation pertaining to healthcare: HR 5174, S 6304, HR 6331

Client expense: Not reported · Firm income: $20,000

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

H.R. 2066/S. 59: Medicaid Advanced Practice Nurse and Physicians Assistant Access Act: All provisions related to Medicaid coverage of advanced practice registered nurses. H.R. 5613: Protecting the Medicaid Safety Net Act of 2008: All provisions related to moratorium of Medicaid regulations. S. 1842/H.R. 2122: The Safe Nursing and Patient Care Act of 2007. All provisions related to mandatory overtime. S. 1052: The Healthy Children and Families Act: All provisions encouraging states to add evidence-based nurse home visitation programs to their Medicaid and State Children's Health Insurance Program services. S. 73/H.R. 4138: The Registered Nurse Safe Staffing Act of 2007. All provisions relating to nurse staffing. H.R. 1663: Medicare Mental Health Modernization Act. All provisions related to mental health parity in Medicare. H.R. 6331: Medicare Improvement for Patients and Providers Act of 2008. All provisions relating to the physician fee schedule, and assistance for low-income beneficiaries. S. 1678: Home Health Care Planning Improvement Act of 2007: All provisions related to payment for home health care. H.R. 5174: The Nursing and Allied Health Education Preservation Act of 2008. H.R. 4296/ S. 2408: Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007: All provisions related to e-prescribing.

Client expense: $244,113 · Firm income: Not reported

OSF Healthcare System lobbied for support of equitable Medicare and Medicaid funding, including a physician payment fix, HR6331. This eliminates the physician payment decrease and implements a nominal payment increase. OSF Helathcare System lobbied for support of HR5174 in the House, preserving funding to hospital based Nursing Colleges. We also asked for future support/action from the Senators. OSF Healthcare System lobbied for support of the Medicaid moritorium that ultimately was included in the Iraq spending bill. THis placed a moritorium on 6 CMS rules that significantly reduced Medicaid payments.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare hospital reimbursement issues and Medicare graduate medical education reimbursement issues (Medicare Improvement for Patients and Providers Act of 2008, H.R.6331,S.3101;CHAMP Act,H.R.3162;Preserving Access to Medicare Act of 2008,S.3118;Inpatient Medicare Prospective Payment System Rule,CMS 1390-P;Medicare Recovery Audit Contractor Program Moratorium Act of 2007,H.R.4105;Nursing and Allied Health Education Preservation Act of 2008,H.R.5174;Registered Nurse Safe Staffing Act of 2007,H.R.4138;42 CFR 413.75,provisions related to Medicare graduate medical education and the counting of resident work hours) Medicaid reimbursement issues (Iraq War Supplemental Appropriations Bill,H.R.2642-Provision to Place Moratoria on Medicaid Regulations CMS-2258-FC,CMS 2279-P,CMS 2213-P, and CMS-2275-F;Protecting the Medicaid Safety Net Act of 2008,H.R.5613;Public and Teaching Hospital Preservation Act,H.R.3533;Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2007,H.R.2066)

Client expense: $220,000 · Firm income: Not reported

OSF Healthcare System lobbied very hard to support HR5613, new legislation to put a moratorium on new CMS regulations affecting Medicaid GME and other Medicaid reimbursement. OSF Healthcare System lobbied to support HR5174, new legislation to support nursing colleges affiliated with ho0spitals. New CMS regulations would cut much needed funding to these hospitals, this legislation stops these regulations and preserves the funding. OSF Helathcare System lobbied both the House and the Senate to develop legislation to "fix" the physician payment problem, eliminating the physician payment decresase that is scheduled for July 1, 2008. OSF Healthcare System lobbied for support in developing legislation to improve the RAC process currently in place through HHS. OSF Healthcare System lobbied a variety of Medicare and Medicaid issues in the Presidents proposed budget.

Client expense: $170,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3162, Children's Health and Medicare Protection Act of 2007, provisions related to the Area Wage Index, specifically reimbursement rates for Medicare payments to hospitals based on geographic area and the "Prospective Payment System" HR 5174 Nursing & Allied Health Education Preservation Act, all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

OSF Healthcare System lobbied very hard to support HR5613, new legislation to put a Moratorium on new CMS regulations affecting Medicaid GME and other Medicaid reimbursement. OSF Healthcare System lobbied to support HR 5174, new legislation to support nursing colleges affiliated with hospitals. New CMS regulations would cut much needed funding to these hospitals, this legislation stops these regulations and preserves the funding. OSF Healthcare System lobbied both the House and the Senate to develop legislation to "fix" the physician payment problem, eliminating the physician payment decrease that is scheduled for July 1, 2008. OSF Healthcare System lobbied for support in developing legislation to improve the RAC process currently in place through HHS. OSf Healthcare System lobbied a variety of Medicare and Medicaid issues in the Presidents proposed budget.

Client expense: $170,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1038 Access to Life Saving Medicine Act HR 1076 HIPAA Recreational Injury Technical Correction Act; HR 5442, TRUST in Health Information Act of 2008 HR 676 US National Health Insurance Act S 1490 Federal Employees Electronic Personal Health Records Act of 2007 S 1501 Affordable Biologics for Consumers Act S 1544 Medicare Quality Enhancement Act of 2007 S 1814, Health Information Privacy and Security Act S 1899 Universal Health Coverage Act of 2007 S 242 Pharmaceutical Market Access and Drug Safety Act of 2007 S 316 Preserve Access to Affordable Generics Act S 616 HIPAA Recreational Injury Technical Correction Act S 623 Access to Life Saving Medicine Act Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Uninsured: S1019 "Health Care Choice Act of 2007"; HR3163 "Healthy Americans Act" Genetic Non-discrimination: HR493 and S358 "Genetic Information Nondiscrimination Act of 2007 Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007" TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" Comparative Effectiveness Reseaarch: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Accounts/Medical Savings Accounts; SCHIP, Small Group Market/Small Business Healthcare S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims Printed S. 1783: Ten Steps to Transform Health Care in America Act H.R. 853: Wellness and Prevention Act of 2007 H.R. 2147: Healthy Kids Act of 2007 S. 1364: Healthy Kids Act of 2007 S. 334: Healthy Americans Act H.R. 5348: American Health Benefits Program Act of 2008 (AHBP Act) H.R. 1328: The Indian Health Care Improvement Act H.R. 5544: The Patients and Public Health Partnership Act of 2008 H.R. 5545: Ensuring the Future Physician Workforce Act of 2008 S. 2729: Ensuring the Future Physician Workforce Act of 2008 S. 2708: Caring for an Aging America Act of 2008 H.R. 5496: Public Health Preparedness Workforce Development Act of 2008 H.R. 2991: Independent Health Record Trust Act H.R. 5442: TRUST in Health Information Act S. 2672: A bill to provide incentives to physicians to practice in rural and medically underserved communities H.R. 5174: Nursing and Allied Health Education Preservation Act of 2008 HR 380 Pharmaceutical Market Access and Drug Safety Act of 2007 HR 493 Genetic Information Nondiscrimination Act of 2007 HR 1368 Personalized Health Information Act of 2007 HR 1432 Preserve Access to Affordable Generics Act HR 1666 Health Care Price Transparency Promotion Act of 2007 HR 1902 Protecting Consumer Access to Generic Drugs Act of HR 1956 Patient Protection and Innovative Biologic Medicines Act of 2007 HR 3800 Promoting Health Information Technology Act H.R. 5629 Pathway for Biosimilars Act S 28 Generics First Act of 2007 S 251 Pharmaceutical Market Access Act of 2007 S 273 Prescription Drug and Health Improvement Act of 2007 S 316 Preserve Access to Affordable Generics Act S 358 Genetic Information Nondiscrimination Act of 2007 S 596 Safe Internet Pharmacy Act of 2007 S 628 Critical Access to Health Information Technology Act of 2007 S 976 Genomics and Personalized Medicine Act of 2007 S 1408 Health Information Technology Act of 2007 S 1455 National Health Information Technology and Privacy Advancement Act of 2007 S 1505 Affordable Biologics for Consumers Act S 1693 Wired for Health Care Quality Act S 1695 Biologics Price Competition and Innovation Act of 2007 S. 1814 Health Information Privacy and Security Act S 2408 Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 Health Information Technology Electronic Prescribing Genetic Nondiscrimination Inappropriate use of Human Growth Hormone Confidentiality of Health Information Generic Drugs Generic Biologics S. 1456 Federal Employees Electronic Personal Health Records Act S. 1693 Wired for Health Care Quality Act S 1338/HR 1293 Access to Medicare Imaging Act of 2007 S. 1042/HR 583 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007 HR 2708 Mammogram and MRI Availability Act of 2007

S. 1783: Ten Steps to Transform Health Care in America Act H.R. 853: Wellness and Prevention Act of 2007 H.R. 2147: Healthy Kids Act of 2007 S. 1364: Healthy Kids Act of 2007 S. 334: Healthy Americans Act H.R. 5348: American Health Benefits Program Act of 2008 (AHBP Act) H.R. 1328: The Indian Health Care Improvement Act H.R. 5544: The Patients and Public Health Partnership Act of 2008 H.R. 5545: Ensuring the Future Physician Workforce Act of 2008 S. 2729: Ensuring the Future Physician Workforce Act of 2008 S. 2708: Caring for an Aging America Act of 2008 H.R. 5496: Public Health Preparedness Workforce Development Act of 2008 H.R. 2991: Independent Health Record Trust Act H.R. 5442: TRUST in Health Information Act S. 1693: Wired for Health Care Quality Act S. 1814: Health Information Privacy and Security Act S. 2672: A bill to provide incentives to physicians to practice in rural and medically underserved communities H.R. 5174: Nursing and Allied Health Education Preservation Act of 2008

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

S.1783 Ten steps to Transform Health Care in America Act H.R. 853 Wellness and Preventions Act of 2007 H.R. 2147 Healthy Kids Act of 2007 S. 1364 Health Kids Act of 2007 S. 334: Healthy Americans Act H.R. 5613: Protecting the Medicaid Safety Net Act of 2008 H.R. 5348: American Health Benefits Program Act of 2008 (AHBP Act) H.R. 1328: The Indian Health Care Improvement Act H.R. 5544: The Patients and Public Health Partnership Act of 2008 H.R. 5545: Ensuring the Future Physician Workforce Act of 2008 S. 2729: Ensuring the Future Physician Workforce Act of 2008 S. 2708: Caring for an Aging America Act of 2008 H.R. 5496: Public Health Preparedness Workforce Development Act of 2008 S. 2672: Conrad State 30 Improvement Act H.R. 5174: Nursing and Allied Health Education Preservation Act of 2008 H.R. 5613: Protecting the Medicaid Safety Net Act of 2008 H. Con. Res. 312: S. Con. Res. 70: H.R. 493: Genetic Information Nondiscrimination Act H.R. 2991: Independent Health Record Trust Act H.R. 5442: TRUST in Health Information Act S. 1693: Wired for Health Care Quality Act S. 1814: Health Information Privacy and Security Act

Client expense: $260,000 · Firm income: Not reported

OSF Healthcare System lobbied very hard to support HR5613, new legislation to put a Moratorium on new CMS regulations affecting Medicaid GME and other Medicaid reimbursement. OSF Healthcare System lobbied to support HR 5174, new legislation to support nursing colleges affiliated with hospitals. New CMS regulations would cut much needed funding to these hospitals, this legislation stops these regulations and preserves the funding. OSF Healthcare System lobbied both the House and the Senate to develop legislation to "fix" the physician payment problem, eliminating the physician payment decrease that is scheduled for July 1, 2008. OSF Healthcare System lobbied for support in developing legislation to improve the RAC process currently in place through HHS. OSf Healthcare System lobbied a variety of Medicare and Medicaid issues in the Presidents proposed budget.

Client expense: $170,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3162, Children's Health and Medicare Protection Act of 2007, provisions related to the Area Wage Index, specifically reimbursement rates for Medicare payments to hospitals based on geographic area and the "Prospective Payment System" H.R. 5174 Nursing & Allied Health Education Preservation Act, all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE