Protecting the Medicaid Safety Net Act of 2008

H.R. 5613, the Protecting the Medicaid Safety Net Act. Making appropriations for Departments of Labor, Health and Human Services, and Education, and Related Agencies for the fiscal year ending September 30, 2009 and September 30, 2010, all provisions related to funding for local drug treatment programs for local governments.

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

Government targets: Agriculture, Dept of (USDA), Bureau of Justice Assistance, Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Navy, Dept of, SENATE

Medicare reimbursement Iowa hospitals; CMS interagency transfers; IME issues; Medicaid reimbursement issues; DHS; GME (dental and others); Medicare and Medicaid reimbursement issues as related to academic teaching hospitals; CMS rules as they relate to physician and hospital payments, 340 B Drug Pricing Program; H.R. 5613 Protecting the Medical Safety Act of 2008 Federal Medical Assistance Percentages; Statutory Pay As You Go Act of 2009 (H.R. 3961), Health Care Reform (H.R. 3590)

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

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

Spousal Waiver Extension H.R. 5613 Protecting the Medicaid Safety Net Act of 2008 Health Care, Medicare/Medicaid, NIH funding issues

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

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

H.R. 5613 Protecting the Medicaid Safety Net Act of 2008 Health Care, Medicare/Medicaid, NIH funding issues

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

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

H.R. 5613, the Protecting the Medicaid Safety Net Act. Making appropriations for Departments of Labor, Health and Human Services, and Education, and Related Agencies for the fiscal year ending September 30, 2009 and September 30, 2010, all provisions related to funding for local drug treatment programs for local governments.

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

Government targets: Agriculture, Dept of (USDA), Bureau of Justice Assistance, Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Navy, Dept of, SENATE

Medicare reimbursement Iowa hospitals; CMS interagency transfers; IME issues; Medicaid reimbursement issues; DHS; GME (dental and others); Medicare and Medicaid reimbursement issues as related to academic teaching hospitals; CMS rules as they relate to physician and hospital payments, 340 B Drug Pricing Program; H.R. 5613 Protecting the Medical Safety Act of 2008 Federal Medical Assistance Percentages; Statutory Pay As You Go Act of 2009 (H.R. 3961), Health Care Reform (H.R. 3590)

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

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

H.R. 5613 Protecting the Medicaid Safety Net Act of 2008 Health Care, Medicare/Medicaid, NIH funding issues

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

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

Spousal Waiver Extension H.R. 5613 Protecting the Medicaid Safety Net Act of 2008 Health Care, Medicare/Medicaid, NIH funding issues

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

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

H.R. 5613, the Protecting the Medicaid Safety Net Act. Making appropriations for Departments of Labor, Health and Human Services, and Education, and Related Agencies for the fiscal year ending September 30, 2009 and September 30, 2010, all provisions related to funding for local drug treatment programs for local governments.

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

Government targets: Agriculture, Dept of (USDA), Bureau of Justice Assistance, Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Navy, Dept of, SENATE

Medicare reimbursement Iowa hospitals; CMS interagency transfers; IME issues; Medicaid reimbursement issues; DHS; GME (dental and others); Medicare and Medicaid reimbursement issues as related to academic teaching hospitals; CMS rules as they relate to physician and hospital payments, 340 B Drug Pricing Program; H.R. 5613 Protecting the Medical Safety Act of 2008 Federal Medical Assistance Percentages; Statutory Pay As You Go Act of 2009 (H.R. 3961), Health Care Reform (H.R. 3590)

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

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

H.R. 2 - Children's Health Insurance Program Reauthorization Act; H.R. 2638 - Consolidated Security, Disaster Assistance, and Continuing Appropriations Act; H.R. 2642 - Supplemental Appropriations for FY 2008; H.R. 2945 - Medicare Advantage Truth in Advertising Act; H.R. 3172 - Senior Navigation and Planning Act; H.R. 4296 - Medicare Electronic Medication and Safety Protection Act; H.R. 5613 - Protecting the Medicaid Safety Net Act; H.R. 6331 - Medicare Improvements for Patients and Providers Act of 2008; H.R. 6365 - Medicare Special Needs Plans Extension and Amendments Act of 2008; S. 1150 - Advance Planning and Compassionate Care Act of 2009; S. 1263 - Senior Navigation and Planning Act; S. 1507 - Access to Medicare Data Act; S. 1544 - Medicare Quality Enhancement Act; S. 1954 - Pharmacy Access Improvement Act; S. 2408 - Medicare Electronic Medication and Safety Protection Act; S. 3101 - Medicare Improvements for Patients and Providers Act of 2008; S. 3236 - The Medicare and Medicaid Extensions Act of 2008; S. 3560 - QI Program Supplemental Funding Act of 2008; H.R. 2758 - Special Needs Plans Reauthorization; S. 1307 - Special Needs Plans Reauthorization

Client expense: $1,080,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

Medicare reimbursement Iowa hospitals; CMS interagency transfers; IME issues; Medicaid reimbursement issues; DHS; GME (dental and others); Medicare and Medicaid reimbursement issues as related to academic teaching hospitals; CMS rules as they relate to physician and hospital payments, 340 B Drug Pricing Program; H.R. 5613 Protecting the Medical Safety Act of 2008 Federal Medical Assistance Percentages; Statutory Pay As You Go Act of 2009 (H.R. 3961)

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

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

H.R. 5613 Protecting the Medicaid Safety Net Act of 2008 Health Care, Medicare/Medicaid, NIH funding issues

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

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

Spousal Waiver Extension H.R. 5613 Protecting the Medicaid Safety Net Act of 2008 Health Care, Medicare/Medicaid, NIH funding issues

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

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

Agriculture, Rural Development, Food & Drug Administration, and Related Agencies Appropriations Act of 2010, Title 1, Agriculture Programs, all provisions related to rural development loans to local governments and public agencies. H.R. 5613, the Protecting the Medicaid Safety Net Act. Making appropriations for Departments of Labor, Health and Human Services, and Education, and Related Agencies for the fiscal year ending September 30, 2009 and September 30, 2010, all provisions related to funding for local drug treatment programs for local governments.

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

Government targets: Agriculture, Dept of (USDA), Bureau of Justice Assistance, Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Navy, Dept of, SENATE

Medicare reimbursement Iowa hospitals; CMS interagency transfers; IME issues; Medicaid reimbursement issues; DHS; GME (dental and others); Medicare and Medicaid reimbursement issues at relate to academic teaching hospitals; CMS rules and they relate to physician and hospital payments, 340 B Drug Pricing Program; H.R. 5613 Protecting the Medical Safety Act of 2008 Federal Medical Assistance Percentages;

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

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

Spousal Waiver Extension H.R. 5613 Protecting the Medicaid Safety Net Act of 2008 Health Care, Medicare/Medicaid, NIH funding issues

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

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

H.R. 5613 Protecting the Medicaid Safety Net Act of 2008 Health Care, Medicare/Medicaid, NIH funding issues

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

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

Monitor changes in Health Care/Medicare/FMAP/TANF programs that may affect the Countys service delivery; Monitor Congressional action on H.R. 5613, the Protecting the Medicaid Safety Net Act of 2008; Monitor Congressional Action on H.R.2736, the HIV Emergency Local Partnership Act of 2007, Elder abuse legislation, the children's health insurance program legislation; Monitor Congressional action on H.R. 2464, the Reauthorization of the Wakefield Act; Monitor Congressional action on the Elder Justice Act, H.R. 1783, by Rahm Emanuel (D-IL) which directs the Secretary of Health and Human Services to make grants to eligible entities to develop expertise and provide services relating to elder abuse, neglect, and exploitation

Client expense: Not reported · Firm income: $90,000

Government targets: Army, Dept of (Corps of Engineers), Bureau of Justice Assistance, Environmental Protection Agency (EPA), Federal Emergency Management Agency (FEMA), Federal Highway Administration (FHA), Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Maritime Administration (MARAD), Natl Oceanic & Atmospheric Administration (NOAA), Office of Justice Program, Office of Management & Budget (OMB), SENATE, U.S. Fish & Wildlife Service (USFWS)

Monitor changes in Health Care/Medicare/FMAP/TANF programs that may affect the countys service delivery; Monitor Congressional action on H.R. 5613, the Protecting the Medicaid Safety Net Act of 2008; Monitor Congressional action on H.R. 5698, Restoring the Partnership for County Health Care Costs Act of 2008

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

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Justice Assistance, Economic Development Administration, Environmental Protection Agency (EPA), Federal Highway Administration (FHA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Natl Oceanic & Atmospheric Administration (NOAA), Office of Justice Program, SENATE, U.S. Fish & Wildlife Service (USFWS)

Agriculture, Rural Development, Food & Drug Administration, and Related Agencies Appropriations Act of 2010, Title 1, Agriculture Programs, all provisions related to rural development loans to local governments and public agencies. H.R. 5613, the Protecting the Medicaid Safety Net Act. Making appropriations for Departments of Labor, Health and Human Services, and Education, and Related Agencies for the fiscal year ending September 30, 2009 and September 30, 2010, all provisions related to funding for local drug treatment programs for local governments.

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

Government targets: Agriculture, Dept of (USDA), Bureau of Justice Assistance, Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Navy, Dept of, SENATE

Advocated for HR 5445 - Social Security Act to increase Medicaid payment for physician services through December 31, 2009; all provisions. Advocated for HR 5613 - Protecting the Medicaid Safety Net Act of 2008; all provisions. Advocated for HR 2860 - The Healthcare Access and Rural Equity Act; all provisions. Advocated for HR 5924 - Emergency Nursing Supply Relief Act; all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2 - Children's Health Insurance Program Reauthorization Act; H.R. 2638 - Consolidated Security, Disaster Assistance, and Continuing Appropriations Act; H.R. 2642 - Supplemental Appropriations for FY 2008; H.R. 2945 - Medicare Advantage Truth in Advertising Act; H.R. 3172 - Senior Navigation and Planning Act; H.R. 4296 - Medicare Electronic Medication and Safety Protection Act; H.R. 5613 - Protecting the Medicaid Safety Net Act; H.R. 6331 - Medicare Improvements for Patients and Providers Act of 2008; H.R. 6365 - Medicare Special Needs Plans Extension and Amendments Act of 2008; S. 1150 - Advance Planning and Compassionate Care Act of 2009; S. 1263 - Senior Navigation and Planning Act; S. 1507 - Access to Medicare Data Act; S. 1544 - Medicare Quality Enhancement Act; S. 1954 - Pharmacy Access Improvement Act; S. 2408 - Medicare Electronic Medication and Safety Protection Act; S. 3101 - Medicare Improvements for Patients and Providers Act of 2008; S. 3236 - The Medicare and Medicaid Extensions Act of 2008; S. 3560 - QI Program Supplemental Funding Act of 2008; H.R. 2758 - Special Needs Plans Reauthorization; S. 1307 - Special Needs Plans Reauthorization

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

H.R. 2 - Children's Health Insurance Program Reauthorization Act; H.R. 2638 - Consolidated Security, Disaster Assistance, and Continuing Appropriations Act; H.R. 2642 - Supplemental Appropriations for FY 2008; H.R. 2945 - Medicare Advantage Truth in Advertising Act; H.R. 3172 - Senior Navigation and Planning Act; H.R. 4296 - Medicare Electronic Medication and Safety Protection Act; H.R. 5613 - Protecting the Medicaid Safety Net Act; H.R. 6331 - Medicare Improvements for Patients and Providers Act of 2008; H.R. 6365 - Medicare Special Needs Plans Extension and Amendments Act of 2008; S. 1150 - Advance Planning and Compassionate Care Act of 2009; S. 1263 - Senior Navigation and Planning Act; S. 1507 - Access to Medicare Data Act; S. 1544 - Medicare Quality Enhancement Act; S. 1954 - Pharmacy Access Improvement Act; S. 2408 - Medicare Electronic Medication and Safety Protection Act; S. 3101 - Medicare Improvements for Patients and Providers Act of 2008; S. 3236 - The Medicare and Medicaid Extensions Act of 2008; S. 3560 - QI Program Supplemental Funding Act of 2008; H.R. 2758 - Special Needs Plans Reauthorization; S. 1307 - Special Needs Plans Reauthorization

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

Monitor changes in Health Care/Medicare/FMAP/TANF programs that may affect the Countys service delivery; Monitor Congressional action on H.R. 5613, the Protecting the Medicaid Safety Net Act of 2008; Monitor Congressional Action on H.R.2736, the HIV Emergency Local Partnership Act of 2007, Elder abuse legislation, the children's health insurance program legislation; Monitor Congressional action on H.R. 2464, the Reauthorization of the Wakefield Act; Monitor Congressional action on the Elder Justice Act, H.R. 1783, by Rahm Emanuel (D-IL) which directs the Secretary of Health and Human Services to make grants to eligible entities to develop expertise and provide services relating to elder abuse, neglect, and exploitation

Client expense: Not reported · Firm income: $90,000

Government targets: Army, Dept of (Corps of Engineers), Bureau of Justice Assistance, Environmental Protection Agency (EPA), Federal Emergency Management Agency (FEMA), Federal Highway Administration (FHA), Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Maritime Administration (MARAD), Natl Oceanic & Atmospheric Administration (NOAA), Office of Justice Program, Office of Management & Budget (OMB), SENATE, U.S. Fish & Wildlife Service (USFWS)

Monitor changes in Health Care/Medicare/FMAP/TANF programs that may affect the countys service delivery; Monitor Congressional action on H.R. 5613, the Protecting the Medicaid Safety Net Act of 2008; Monitor Congressional action on H.R. 5698, Restoring the Partnership for County Health Care Costs Act of 2008

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

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Justice Assistance, Economic Development Administration, Environmental Protection Agency (EPA), Federal Highway Administration (FHA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Natl Oceanic & Atmospheric Administration (NOAA), Office of Justice Program, SENATE, U.S. Fish & Wildlife Service (USFWS)

Spousal Waiver Extension H.R. 5613 Protecting the Medicaid Safety Net Act of 2008 Health Care, Medicare/Medicaid, NIH funding issues

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

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

H.R. 5613 Protecting the Medicaid Safety Net Act of 2008 Health Care, Medicare/Medicaid, NIH funding issues

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

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

Medicare reimbursement Iowa hospitals; CMS interagency transfers; IME issues; Medicaid reimbursement issues; DHS; GME (dental and others); Medicare and Medicaid reimbursement issues at relate to academic teaching hospitals; CMS rules and they relate to physician and hospital payments, 340 B Drug Pricing Program; H.R. 5613 Protecting the Medical Safety Act of 2008 Federal Medical Assistance Percentages;

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

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

Agriculture, Rural Development, Food & Drug Administration, and Related Agencies Appropriations Act of 2010, Title 1, Agriculture Programs, all provisions related to rural development loans to local governments and public agencies. H.R. 5613, the Protecting the Medicaid Safety Net Act. Making appropriations for Departments of Labor, Health and Human Services, and Education, and Related Agencies for the fiscal year ending September 30, 2009 and September 30, 2010, all provisions related to funding for local drug treatment programs for local governments.

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

Government targets: Agriculture, Dept of (USDA), Bureau of Justice Assistance, Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Navy, Dept of, SENATE

Advocated for HR 5445 - Social Security Act to increase Medicaid payment for physician services through December 31, 2009; all provisions. Advocated for HR 3533 - The Public and Teaching Hospital Preservation Act; all provisions. Advocated for HR 5613 - Protecting the Medicaid Safety Net Act of 2008; all provisions. Advocated for HR 2860 - The Healthcare Access and Rural Equity Act; all provisions. Advocated for HR 1424 - Paul Wellstone Mental Health and Addiction Equity Act of 2007; all provisions. Advocated for HR 2642 - Supplemental Appropration Act of 2008: Provisions relating to Medicaid payments to hospitals. Advocated for HR 6331 - Medicare Improvements for Patients and Providers Act of 2008: Provisions relating to Medicare Payments to Physicians and relating to rural hospitals. Advocated for HR 5924 - Emergency Nursing Supply Relief Act; all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocated for HR 5445 - Social Security Act to increase Medicaid payment for physician services through December 31, 2009; all provisions. Advocated for HR 3533 - The Public and Teaching Hospital Preservation Act; all provisions. Advocated for HR 5613 - Protecting the Medicaid Safety Net Act of 2008; all provisions. Advocated for HR 2860 - The Healthcare Access and Rural Equity Act; all provisions. Advocated for HR 1424 - Paul Wellstone Mental Health and Addiction Equity Act of 2007; all provisions. Advocated for HR 2642 - Supplemental Appropration Act of 2008: Provisions relating to Medicaid payments to hospitals. Advocated for HR 6331 - Medicare Improvements for Patients and Providers Act of 2008: Provisions relating to Medicare Payments to Physicians and relating to rural hospitals.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2 - Children's Health Insurance Program Reauthorization Act; HR 2638 - Consolidated Security, Disaster Assistance, and Continuing Appropriations Act; HR 2642 - Supplemental Appropriations for FY 2008; HR 2945 - Medicare Advantage Truth in Advertising Act; HR 4296 - Medicare Electronic Medication and Safety Protection Act; HR 5613 - Protecting the Medicaid Safety Net Act; HR 6331 - Medicare Improvements for Patients and Providers Act of 2008; HR 6365 - Medicare Special Needs Plans Extension and Amendments Act of 2008; S 1507 - Access to Medicare Data Act; S 1544 - Medicare Quality Enhancement Act; S 1954 - Pharmacy Access Improvement Act; S 2408 - Medicare Electronic Medicare and Safety Protection Act; S 3101 - Medicare Improvements for Patients and Providers Act of 2008; S 3236 - The Medicare and Medicaid Extensions Act of 2008; S 3560 - QI Program Supplemental Funding Act of 2008

Client expense: $1,500,000 · Firm income: Not reported

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

H.R. 5613 Protecting the Medicaid Safety Net Act of 2008 Health Care, Medicare/Medicaid, NIH funding issues

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

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

Spousal Waiver Extension H.R. 5613 Protecting the Medicaid Safety Net Act of 2008 Health Care, Medicare/Medicaid, NIH funding issues

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

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

Implementation of Medicare, Medicaid, and SCHIP Extension Act of 2007 (Pub. L. No.: 110-173); H.R. 3162: Children's Health and Medicare Protection Act of 2007; H.R. 5613: Protecting the Medicaid Safety Net Act of 2008; Medicaid moratorium regulations.; HR 2642 Supplemental Appropriations Act 2008 (Pub, L.No. 110-252); H.R. 6331: Medicare Improvements for Patients and Providers Act of 2008 (Pub L. No. 110-275). SAFETEA-LU.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), SENATE, Transportation, Dept of (DOT), Treasury, Dept of

Monitor changes in Health Care/Medicare/FMAP/TANF programs that may affect the Countys service delivery; Monitor Congressional action on H.R. 5613, the Protecting the Medicaid Safety Net Act of 2008; Monitor Congressional Action on H.R.2736, the HIV Emergency Local Partnership Act of 2007; Monitor Congressional action on H.R. 2464, the Reauthorization of the Wakefield Act; Monitor Congressional action on the Elder Justice Act, H.R. 1783, by Rahm Emanuel (D-IL) which directs the Secretary of Health and Human Services to make grants to eligible entities to develop expertise and provide services relating to elder abuse, neglect, and exploitation

Client expense: Not reported · Firm income: $90,000

Government targets: Army, Dept of (Corps of Engineers), Bureau of Justice Assistance, Environmental Protection Agency (EPA), Federal Emergency Management Agency (FEMA), Federal Highway Administration (FHA), Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Maritime Administration (MARAD), Natl Oceanic & Atmospheric Administration (NOAA), Office of Justice Program, Office of Management & Budget (OMB), SENATE, U.S. Fish & Wildlife Service (USFWS)

Monitor changes in Health Care/Medicare/FMAP/TANF programs that may affect the countys service delivery; Monitor Congressional action on H.R. 5613, the Protecting the Medicaid Safety Net Act of 2008; Monitor Congressional action on H.R. 5698, Restoring the Partnership for County Health Care Costs Act of 2008

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

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Justice Assistance, Economic Development Administration, Environmental Protection Agency (EPA), Federal Highway Administration (FHA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Natl Oceanic & Atmospheric Administration (NOAA), Office of Justice Program, SENATE, U.S. Fish & Wildlife Service (USFWS)

Medicare reimbursement Iowa hospitals; CMS interagency transfers; IME issues; Medicaid reimbursement issues; DHS; GME (dental and others); Medicare and Medicaid reimbursement issues at relate to academic teaching hospitals; CMS rules and they relate to physician and hospital payments, 340 B Drug Pricing Program; H.R. 5613 Protecting the Medical Safety Act of 2008 Federal Medical Assistance Percentages; FY 2009 Omnibus Appropriations; Economic Recovery Package

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

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

Agriculture, Rural Development, Food & Drug Administration, and Related Agencies Appropriations Act of 2010, Title 1, Agriculture Programs, all provisions related to rural development loans to local governments and public agencies. H.R. 5613, the Protecting the Medicaid Safety Net Act. Making appropriations for Departments of Labor, Health and Human Services, and Education, and Related Agencies for the fiscal year ending September 30, 2009 and September 30, 2010, all provisions related to funding for local drug treatment programs for local governments.

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

Government targets: Agriculture, Dept of (USDA), Bureau of Justice Assistance, Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Navy, Dept of, SENATE

HR5613 - medicaid safety net, shifting costs to the states; HR6331 - Medicare Improvements for Patients and Providers Act of 2008, 10.6% cut in Physician Payments; HR6163 - Medicare Telehealth Enhancement Act, payment for services;

Client expense: $85,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR5613 - medicaid safety net, shifting costs to the states; HR6331 - Medicare Improvements for Patients and Providers Act of 2008, 10.6% cut in Physician Payments; HR6163 - Medicare Telehealth Enhancement Act, payment for services;

Client expense: $81,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1552/S.932 - Medicare Patient Access to Physical Therapists Act of 2007: prevent direct access to physical therapists in order to avoid unnecessary and overuse of therapy services. H.R. 1293/S.1338 - Access to Medicare Imaging Act of 2007: place a 2 year moratorium on payment cuts to imaging services. H.R. 1934 - Prompt Payment Improvement Act of 2007: bring federal attention to prompt payment reform currently regulated on the state level. H.R. 3038 - Medicare Physician Payment Reform Act of 2007: reform Medicare physician payment formula H.R. 1408 - Health Information Technology Act of 2007: ensure investments in health to produce interoperable and compatible systems/programs. H.R. 2749/S.1519 - Voluntary Medicare Quality Reporting Act of 2007: promote a process for quality measure development, approval and implementation. Use physician's quality assistance fund toward physician payment reform. S.1693 - Wired for Health Care Quality Act: prevent the release of raw Medicare claims data that may be used/interpreted to reflect quality. Practice Expense Payment Under Medicare: ensure awareness for the rising cost of practice expenses and the levels paid through Medicare. Payment of Teaching Physicians Under Medicare: ensure that physicians who teach future healers are adequately reimbursed. Payment of Graduate Medical Education Under Medicare: promote ample/adequate federal assistance to individuals enrolled in medical school who can afford the cost. Stark II - Physician Ban on Self-Referral and Other Fraud & Abuse: ensure that Stark laws do not prevent timely access to quality medical services. H.R. 5613 - Protecting the Medicaid Safety Net Act of 2008: extend certain moratoria and impose additional moratoria on certain Medicaid regulations through April 1, 2009. Farm Bill Conference Report/H.R. 2419: ensure that provisions to restrict physicians' abilities to responsibly invest in hospitals are not included in final bill.

Client expense: $365,000 · Firm income: Not reported

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

HR 6331/S 3101 The Medicare Improvement for Patients and Providers Act, Sections 121, 122, 123, 124, 131, 132, 135, 145, 149, 150, 151, 161, 205. HR 1424 Paul Wellstone Mental Health Parity and Addictions Act, Section 106 in House bill, S 558 Mental Health Parity Act 2007, entire bill H 5998 Medicaid SHCIP Directive, entire bill HR 6357, to amend the Public Health Service Act. S 2819 Economical Recovery in Health Care Act 2008, entire bill HR 4105 RAC, entire bill HR 5924, Emergency Nursing Supply Relief Act, entire bill HR 5882 to recapture employment base immigrant visas lsot to bureacratic delawys to prevent losses of family and employemnts based immigrant visas in the future, entire bill Hr 6163 - Medicare Telehelaht enhancemetn Act of 2008 entire bill HR 6966 Safeguarding Our Hospitals' Future Acto fo 2008, entire bill HR 7110 Job Creation and Unemployment Relief Acces of Healthcare Act 2008, Title III-FMAP HR 7067 Qualtiyf FIRST, entire bill HR 7241/S 3656 Preserving Access to Health Care, entire bill HR 5613 Protect Medicaid Safety Net, entire bill HR 5942 National Trauma Center Stablizaiton Act, entire bill S 3103 the Medicare Improvement for Patiens and Providers Act, Rural Hospitals provisions, HR 4355/S 2460 to ompose moratoriium on certains Medicaid payments restrictions, entire bill. Hr 3533 Public and Teaching Hospitals Preservation Act, entire bill HR.1174 Health Hospital Act of 2007, entire bill S 1842/HR 2122 Safe Nursing and Patient Care Act of 2007, entire bill S 3656 Preserving Access to Healthcare Act of 2008, entire bill HR 7067 Quality First Act, entire bill

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE