Medicare Remote Monitoring Access Act of 2008

H.R. 1321, Medicare Advanced Laboratory Diagnostics Act of 2007; H.R. 5765, to amend title XVIII of the Social Security Act to cover remote patient management services for certain chronic health conditions under the Medicare Program; address the consequences of the inappropriate applications of comparative effectiveness research when used simply as a cost containment mechanism.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Education and support for population-based health programs, such as disease and care management in FFS Medicare and Medicare Advantage, including Special Needs Plans (specifically, the reauthorization of Chronic Care Special Needs Plans, or C-SNPs, the incorporation of reasonable process measures and standards for SNP evaluation, and recommendations for CMS' Chronic Conditions SNP Panel); Medicare pilots and demonstrations such as the Medicare Medical Home Demonstration, Senior Risk Reduction Dem- onstration, Medicare Physician Group Practice Demonstration, Medicare Electronic Health Records Demonstration, the Medicare Coordinated Care Demonstration (MCCD, as authorized under Section 4016 of the Balanced Budget Act of 1997), and Medicare Health Support (as authorized under Section 721 of the Medicare Prescription Drug, Improvement and Modernization Act (MMA), which created the "Voluntary Chronic Care Improvement Program" now called Medicare Health Support). Provision of suggestions and recommendations for consideration of the broader inclusion of coordinated chronic care and health service stakeholder expertise in the feasibility study of a Medicare Chronic Care Practice Research Network demonstration program and in outcomes reporting for comparative effectiveness research (authorized in the Medicare Improvements for Patients and Providers Act of 2008). Analysis and discussions regarding the expanded hospital re-admission reporting requirements included in Final IPPS & OPPS Rules and participation in the listening session for development of transition to a Medicare Value Based Purchasing Program for physician & other professional services. Analysis of Congressional Budget Office reports on health care reform key issues and budget options, and promotion of successful outcomes in population health improvement programs as a component of national reform of care delivery, financing and design, particularly in public sector programs. Encouragement of efforts to preserve HIPAA provisions permitting exchange of protected health information for care coordination and disease management, efforts to advance health information technology deployment, particularly as it would affect individuals with chronic conditions, including e-prescribing, and the creation of interoperability standards and priority use cases and best practices for technology deployment and promotion in care coordination. Education regarding effectiveness of chronic condition care and its benefits to Medicaid and other populations via the sharing of published quality improvement studies that reported cost or utilization outcomes from the intervention and which are target clinical conditions relevant for Medicaid programs. Advocacy for priorities of all stakeholders providing services along the care continuum toward the goal of population health improvement in proposed and realized legislation, including S. 3613 & H.R. 7114, the Independence at Home Act of 2008; S. 631 & H.R. 5765, the Remote Monitoring Access Act of 2007; S. 334, the Healthy Americans Act; S. 1340, the Geriatric Assessment and Chronic Care Coordination Act of 2007; S. 1753, the Healthy Workforce Act of 2007; H.R. 3800, the Wired for Healthcare Quality Act; H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology PRO(TECH)T Act of 2008; H.R. 6898, the Health-e Information Technology Act of 2008; H.R. 5442, TRUST in Health Information Act of 2008; S. 3101, Medicare Improvements for Patients and Providers Act of 2008; S. 3118, Preserving Access to Medicare Act of 2008; H.R. 853, Wellness and Prevention Act of 2007; H.R.6331, Medicare Improvements for Patients and Providers Act of 2008; initiatives pertaining to the treatment and prevention of obesity as a chronic disease generally and specifically as related to Medicare Part D coverage of pharmacotherapy as a component of population health improvement approaches to addressing the obesity epidemic. Advocacy and support for expansion of Medicare-covered clinical preventive services as recommended by the U.S. Preventive Services Task Force and provided for in the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA). Endorsement of the Office of the National Nurse initiative, efforts to rename the Chief Nurse Officer of the U.S. Public Health Services as the "National Nurse". General advocacy for population health improvement as a tool to improve the quality of health care and health care outcomes, and reduce preventable health care costs.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

-H.R. 1190, "Community Cancer Care Preservation Act of 2007," regarding amending title XVIII of the Social Security Act to preserve access to community cancer care by Medicare beneficiaries; -Proposed Rule (CMS-1404-P), "CY 2009 Outpatient Prospective Payment System Rules". -H.R. 1321,Medicare Advanced Laboratory Diagnostics Act of 2007, regarding amending title XVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule; -H.R. 1663, Medicare Mental Health Modernization Act of 2007, regarding amending title XVIII of the Social Security Act to expand and improve coverage of mental health services under the Medicare Program; -H.R. 1845 / S 1428, Medicare Durable Medical Equipment Access Act of 2007, regarding amending part B of title XVIII of the Social Security Act to assure access to durable medical equipment under the Medicare Program; -H.R. 2770, To amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price, all provisions; -H.R. 3011, To amend title XVIII of the Social Security Act to ensure adequate payment amounts for drugs and biologicals under part B of the Medicare Program, regarding all provisions; -H.R. 3061, Medicare Part D Drug Class Protection Act of 2007, regarding amending title XVIII of the Social Security Act to require that Medicare prescription drug plans using formularies cover all drugs included in 6 specified therapeutic categories and to establish protective requirements for coverage determinations; -H.R. 4 / S 3, Medicare Prescription Drug Price Negotiation Act of 2007, regarding amending part D of title XVIII of the Social Security Act to require the Secretary of Health and Human Services to negotiate lower covered part D drug prices on behalf of Medicare beneficiaries; -H.R. 976 / S 1893, Children's Health Insurance Program Reauthorization Act of 2007; -H.R. 3162, Children's Health and Medicare Protection Act of 2007, regarding improving enrollment and retention of eligible children; -S. 1887, Medicare Access to Critical Medications Act of 2007, regarding amending title XVIII of the Social Security Act in order to ensure access to critical medications under the Medicare part D prescription drug program; -S. 631, Remote Monitoring Access Act of 2007, regarding amending title XVIII of the Social Security Act to provide for coverage of remote patient management services for chronic health care conditions under the Medicare Program; -S. 860, Early Treatment for HIV Act of 2007, regarding amending title XIX of the Social Security Act to permit States the option to provide Medicaid coverage for low-income individuals infected with HIV; -CMS-1270-F, Medicare Program; Competitive Acquisition for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Other Issues, regarding a final rule establishing competitive bidding programs for certain Medicare Part B covered items of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) throughout the United States in accordance with sections 1847(a) and (b) of the Social Security Act; issues regarding competitive bidding, demonstrations for clinical lab services and competitive Medicare payments for lab services; issues regarding Medicare national coverage determination for the use of erythropoiesis stimulating agents in cancer and related neoplastic conditions; -CMS-2238-FC, regarding the Medicaid program, and prescription drugs; -S. 2499, "Medicare, Medicaid, and SCHIP Extension Act of 2007," all provisions. -S. 2029, "Physician Payments Sunshine Act of 2007," regarding amending title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid or SCHIP; -H.R. 5765 / S. 631, "Medicare Remote Monitoring Access Act of 2008," regarding amending title XVIII of the Social Security Act to cover remote patient management services for certain chronic health conditions under the Medicare Program; -H.R. 6252, "Medicare DMEPOS Competitive Acquisition Reform Act of 2008", To amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies, regarding all provisions; -S. 2404, "Medicare Advanced Laboratory Diagnostics Act of 2007", A bill to amend title XVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule, regarding all provisions; -H.R. 6331/ S. 3101, "Medicare Improvements for Patients and Providers Act of 2008", A bill to amend titles XVIII and XI of the Social Security Act to extend expiring provisions under the Medicare program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes, regarding all provisions; -H.R. 2770, "To amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price", regarding all provisions.

Client expense: $1,440,000 · Firm income: Not reported

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

- HR 6331 Medicare Improvements for Patients and Providers Act of 2008, possible inclusion of remote monitoring provisions. - HR 5765 Medicare Remote Monitoring Access Act, a bill to provide Medicare reimbursement for doctors who remotely monitor chronically ill patients. - HR 2994 National Pain Care Policy Act, a bill to promote greater access to chronic pain therapies. - S. 3387 National Pain Care Policy Act, a bill to promote greater access to chronic pain therapies. - S. 631 Remote Monitoring Access Act of 2007a bill to provide Medicare reimbursement for doctors who remotely monitor chronically ill patients. - S. 2029 Physican Payments Sunshine Act, a bill that would require disclosure of the relationships between physicians and the manufacturers of drugs and devices. - HR 5605 Physican Payments Sunshine Act, a bill that would require disclosure of the relationships between physicians and the manufacturers of drugs and devices. - Medicare Coverage of Intracranial Angioplasty and Stenting. - Medicare Payment of Inpatient Hospital Services. - Medicare Coverage of Renal Stenting. - Medicare Coverage of Carotid Stenting. - Regulatory and Reimbursement Issues for Medical Devices in Medicare. - S. 3408 Comparative Effectiveness Research Act to compare cinical effectiveness of medical treatments, services and items.

Client expense: $390,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Intl Trade Administration (ITA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

**see addendum page Medicare reimbursement issues for medical devices, remote monitoring S. 631/H.R. 5765 - Remote Monitoring Access of 2007 S. 2029 - Physician Payments Sunshine Act of 2007, disclosure H.R. 5605 - Physician Payments Sunshine Act of 2008, disclosure ***, no specific bill(s), regulatory and reimbursement issues for medical devices in medicare

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

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

HR 1424 Paul Wellstone Mental Health and Addiction Equity Act, sec 105, provisions related to Medicaid Drug Rebate; HR 5606 Physicians Payments Sunshine Act of 2008; S 2029 Physician Payments Sunshine Act of 2007; HR 6631 Medicare Improvements for Patients and Providers Act; S 3101 Medicare Improvements for Patients and Providers Act of 2008/S 3118 Preserving Access to Medicare Act 2008 HR 5765 Medicare Remote Monitoring Access Act of 2008; S 3144/HR 6252, Medicare DMEPOS Competitive Acquisition Reform Act 2008; S 2221 Transparency in Medical Device Pricing Act; Issues related to oxygen provisions, competitive bidding and bariatric surgery.

Client expense: $480,000 · Firm income: Not reported

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

Assisting client with tracking and monitoring of HR 5765 (the Medicare Remote Monitoring Access Act of 2008). Promote passage of HR 5846 (the Wirleless Internet Nationwide for Families Act) and S. 3420 (the Open Wireless Internet Act).

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

Government targets: Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, SENATE

H.R. 1321 & S. 2404, Medicare Advanced Laboratory Diagnostics Act of 2007; H.R. 5765, Medicare Remote Monitoring Access Act of 2008; S. 631 Remote Monitoring Act of 2007; S. 2221, Transparency in Medical Device Pricing Act of 2007; H.R. 6331, Medicare Improvements for Patients & Providers Act of 2008; H.R. 3162, Childrens Health & Medicare Protection Act of 2007; S. 2029, Physician Payment Sunshine Act; H.R. 3023, Drug & Medical Device Company Gift Disclosure Act S. 1893, Children's Health Insurance Program Reauthorization Act of 2007; Legislation addressing Comparative Effectiveness including S. 3408, Comparative Effectiveness Research Act of 2008

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5765, "Medicare Remote Monitoring Access Act of 2008", regarding amendments to Title XVIII of the Social Security Act to cover remote patient management services for certain chronic health conditions under the Medicare Program; -H.R. 4218, "Medicare Diabetes Self-Management Training Act of 2007", regarding amendments to title XVIII of the Social Security Act to improve access to diabetes self-management training by designating certain certified diabetes educators as certified providers for purposes of outpatient diabetes self-management training services under part B of the Medicare Program. -H.R. 6252/S. 3144, "Medicare DMEPOS Competitive Acquisition Reform Act of 2008" regarding provisions to amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies. -H.R. 6331, "Medicare Improvements for Patients and Providers Act of 2008", regarding amendments to titles XVIII and XIX of the Social Security Act to extend expiring provisions under the Medicare Program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes. Comparative Effectiveness: Potential legislation that would create a mechanism for the government to assess the merits of two comparable therapeutic agents.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4105 - Medicare Recovery Audit Contractor Moratorium Act of 2007 - provisions related to impact on medical technology H.R. 6331 - Medicare Improvements for Patients and Providers Act of 2008 - provisions relationed to healthcare disparaties, preventive health care, access to care in rural areas, physician fee schedule and medical technology H.R.6163 - To improve the provision of telehealth services under the Medicare Program - to provide grants for the development of telehealth networks, and for other purposes - provisions related to remote monitoring S 631- Remote Monitoring Access Act of 2007 - provisions related to coverage of remote patient management services for chronic health care conditions under the Medicare Program. HR 5765 - Medicare Remote Monitoring Access Act of 2008 - provisions related to coverage of remote patient management services for certain chronic health conditions under the Medicare Program.

Client expense: $1,270,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 631 - Remote Monitoring Access Act of 2007 - a bill to provide for coverage of remote patient management services for chronic healthcare conditions under the Medicare program. [Julie Cohen] HR 1321/S 2404 - Medicare Advanced Laboratory Diagnostics Act of 2007 - a bill to improve payments under the Medicare clinical laboratory fee schedule. [Julie Cohen, Elizabeth Pika Sharp] HR 3162 - Children's Health and Medicare Protection Act of 2007 - a bill to extend and improve the children's health insurance program, to improve beneficiary protections under the Medicare, Medicaid, and the CHIP program. [Julie Cohen] S. 2029/HR 5605 - Physician Payments Sunshine Act of 2007 - a bill to provide transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid, or SCHIP. [Julie Cohen, Brett Loper] S. 2221 - Transparency in Medical Device Pricing Act of 2007 - a bill to provide for the reporting of sales prices data for implantable medical devices [Brett Loper, Julie Cohen] HR 3023 - Drug and Medical Device Company Gift Disclosure Act - a bill to require the manufacturers, and distributors of prescription drugs and medical devices to disclose certain gifts provided in connection with detailing, promotional, or other marketing activities. [Julie Cohen] S. 3101/HR 6331 - Medicare Improvements for Patients and Providers Act of 2008 - a bill to amend Title XVIII (Medicare) of the Social Security Act (SSA) to provide for coverage of additional preventive services. [Julie Cohen, Brett Loper] HR 2184 - Enhanced Health Care Value for All Act of 2007 - bill to amend the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to expand comparative effectiveness research and to increase funding for such research to improve the value of health care. [Julie Cohen, Brett Loper] HR 5765 - Medicare Remote Monitoring Acess Act of 2008 - to amend Title XVIII of the Social Security Act to cover remote patient management services for certain chronic health conditions under the Medicare Program. [Julie Cohen] HR 6761 - to require the Secretary of Health and Human Services to enter into negotiated rulemaking to modernize the Medicare Part B fee schedule for clinical diagnostic laboratory tests. [Elizabeth Pika Sharp] * Shared savings programs betwen hospitals and physicians - No specific bill - [Julie Cohen, Elizabeth Kegler, Brett Loper]

Client expense: $484,537 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA)

Education and support for population-based health programs, such as disease and care management in FFS Medicare and Medicare Advantage, including Special Needs Plans (specifically, the reauthorization of Chronic Care Special Needs Plans, or C-SNPs, the incorporation of reasonable process measures and standards for SNP evaluation, and recommendations for CMS' Chronic Conditions SNP Panel); Medicare pilots and demonstrations such as the Medicare Medical Home Demonstration, Senior Risk Reduction Dem- onstration, Medicare Physician Group Practice Demonstration, Medicare Electronic Health Records Demonstration, the Medicare Coordinated Care Demonstration (MCCD, as authorized under Section 4016 of the Balanced Budget Act of 1997), and Medicare Health Support (as authorized under Section 721 of the Medicare Prescription Drug, Improvement and Modernization Act (MMA), which created the "Voluntary Chronic Care Improvement Program" now called Medicare Health Support). Provision of suggestions and recommendations for consideration of the broader inclusion of coordinated chronic care and health service stakeholder expertise in the feasibility study of a Medicare Chronic Care Practice Research Network demonstration program and in outcomes reporting for comparative effectiveness research (authorized in the Medicare Improvements for Patients and Providers Act of 2008). Provision of comments on the CMS-proposed rule for the Physician Fee Schedule for CY2009, specifically regarding expansion of the Physician Quality Reporting Initiative (PQRI). Encouragement of efforts to preserve HIPAA provisions permitting exchange of protected health information for care coordination and disease management, efforts to advance HIT deployment, particularly as it would effect individuals with chronic conditions, including e-prescribing, and the creation of interoperability standards and priority use cases and best practices for technologies that merge classical medical devices and telecommunications (American Health Information Community Chronic Care Workgroup initiatives). Education regarding effectiveness of chronic condition care and its benefits to Medicaid and other populations via the sharing of published quality improvement studies that reported cost or utilization outcomes from the intervention and which are target clinical conditions relevant for Medicaid programs. Advocacy for priorities of all stakeholders providing services along the care continuum toward the goal of population health improvement in proposed and realized legislation, including S. 3613 & H.R. 7114, the Independence at Home Act of 2008; S. 631 & H.R. 5765, the Remote Monitoring Access Act of 2007; S. 334, the Healthy Americans Act; S. 1340, the Geriatric Assessment and Chronic Care Coordination Act of 2007; S. 1753, the Healthy Workforce Act of 2007; H.R. 3800, the Wired for Healthcare Quality Act; H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology PRO(TECH)T Act of 2008; H.R. 6898, the Health-e Information Technology Act of 2008; H.R. 5442, TRUST in Health Information Act of 2008; S. 3101, Medicare Improvements for Patients and Providers Act of 2008; S. 3118, Preserving Access to Medicare Act of 2008; H.R. 853, Wellness and Prevention Act of 2007; H.R.6331, Medicare Improvements for Patients and Providers Act of 2008; initiatives pertaining to the treatment and prevention of obesity as a chronic disease generally and specifically as related to Medicare Part D coverage of pharmacotherapy as a component of population health improvement approaches to addressing the obesity epidemic. Education and coordination of briefings for congressional staff and agency representatives regarding the value for employers and employees of wellness programs and preventive health services as made available in the workplace. General advocacy for population health improvement as a tool to improve the quality of health care and health care outcomes, and reduce preventable health care costs.

Client expense: $95,000 · 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), Medicare Payment Advisory Commission (MedPAC), SENATE

HR 1424 Paul Wellstone Mental Health and Addiction Equity Act, sec. 105, provisions related to Medicaid Drug Rebate; HR 5605 Physician Payments Sunshine Act of 2008; S 2029 Physician Payments Sunshine Act of 2007; HR 6331 Medicare Improvements for Patients and Provides Act; S 3101 Medicare Improvements for Patients and Providers Act of 2008/ S 3118 Preserving Access to Medicare Act 2008; HR 5765 Medicare Remote Monitoring Access Act of 2008; S 3144/HR 6252, Medicare DMEPOS Competitive Acquisition Reform Act 2008; Issues related to oxygen provisions, competitive bidding and bariatric surgery.

Client expense: $450,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of

H.R. 1321 & S. 2404, Medicare Advanced Laboratory Diagnostics Act of 2007; H.R. 5765, Medicare Remote Monitoring Access Act of 2008; S. 631 Remote Monitoring Act of 2007; S. 2221, Transparency in Medical Device Pricing Act of 2007; H.R. 6331, Medicare Improvements for Patients & Providers Act of 2008; H.R. 3162, Childrens Health & Medicare Protection Act of 2007; S. 2029, Physician Payment Sunshine Act; H.R. 3023, Drug & Medical Device Company Gift Disclosure Act S. 1893, Children's Health Insurance Program Reauthorization Act of 2007; Legislation addressing Comparative Effectiveness including S. 3408, Comparative Effectiveness Research Act of 2008

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

-H.R. 1190, "Community Cancer Care Preservation Act of 2007," regarding amending title XVIII of the Social Security Act to preserve access to community cancer care by Medicare beneficiaries; -Proposed Rule (CMS-1404-P), "CY 2009 Outpatient Prospective Payment System Rules". -H.R. 1321,Medicare Advanced Laboratory Diagnostics Act of 2007, regarding amending title XVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule; -H.R. 1663, Medicare Mental Health Modernization Act of 2007, regarding amending title XVIII of the Social Security Act to expand and improve coverage of mental health services under the Medicare Program; -H.R. 1845 / S 1428, Medicare Durable Medical Equipment Access Act of 2007, regarding amending part B of title XVIII of the Social Security Act to assure access to durable medical equipment under the Medicare Program; -H.R. 2770, To amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price, all provisions; -H.R. 3011, To amend title XVIII of the Social Security Act to ensure adequate payment amounts for drugs and biologicals under part B of the Medicare Program, regarding all provisions; -H.R. 3061, Medicare Part D Drug Class Protection Act of 2007, regarding amending title XVIII of the Social Security Act to require that Medicare prescription drug plans using formularies cover all drugs included in 6 specified therapeutic categories and to establish protective requirements for coverage determinations; -H.R. 4 / S 3, Medicare Prescription Drug Price Negotiation Act of 2007, regarding amending part D of title XVIII of the Social Security Act to require the Secretary of Health and Human Services to negotiate lower covered part D drug prices on behalf of Medicare beneficiaries; -H.R. 976 / S 1893, Children's Health Insurance Program Reauthorization Act of 2007; -H.R. 3162, Children's Health and Medicare Protection Act of 2007, regarding improving enrollment and retention of eligible children; -S. 1887, Medicare Access to Critical Medications Act of 2007, regarding amending title XVIII of the Social Security Act in order to ensure access to critical medications under the Medicare part D prescription drug program; -S. 631, Remote Monitoring Access Act of 2007, regarding amending title XVIII of the Social Security Act to provide for coverage of remote patient management services for chronic health care conditions under the Medicare Program; -S. 860, Early Treatment for HIV Act of 2007, regarding amending title XIX of the Social Security Act to permit States the option to provide Medicaid coverage for low-income individuals infected with HIV; -CMS-1270-F, Medicare Program; Competitive Acquisition for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Other Issues, regarding a final rule establishing competitive bidding programs for certain Medicare Part B covered items of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) throughout the United States in accordance with sections 1847(a) and (b) of the Social Security Act; issues regarding competitive bidding, demonstrations for clinical lab services and competitive Medicare payments for lab services; issues regarding Medicare national coverage determination for the use of erythropoiesis stimulating agents in cancer and related neoplastic conditions; -CMS-2238-FC, regarding the Medicaid program, and prescription drugs; -S. 2499, "Medicare, Medicaid, and SCHIP Extension Act of 2007," all provisions. -S. 2029, "Physician Payments Sunshine Act of 2007," regarding amending title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid or SCHIP; -H.R. 5765 / S. 631, "Medicare Remote Monitoring Access Act of 2008," regarding amending title XVIII of the Social Security Act to cover remote patient management services for certain chronic health conditions under the Medicare Program; -H.R. 6252, "Medicare DMEPOS Competitive Acquisition Reform Act of 2008", To amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies, regarding all provisions; -S. 2404, "Medicare Advanced Laboratory Diagnostics Act of 2007", A bill to amend title XVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule, regarding all provisions; -H.R. 6331/ S. 3101, "Medicare Improvements for Patients and Providers Act of 2008", A bill to amend titles XVIII and XI of the Social Security Act to extend expiring provisions under the Medicare program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes, regarding all provisions; -H.R. 2770, "To amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price", regarding all provisions.

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

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

H.R. 1321, Medicare Advanced Laboratory Diagnostics Act of 2007. H.R. 5765, to amend title XVIII of the Social Security Act to cover remote patient management services for certain chronic health conditions under the Medicare Program; address the consequences of the inappropriate applications of comparative effectiveness research when used simply as a cost containment mechanism.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 6331 - Medicare Improvements for Patiens and Providers Act of 2008: Support physician payment update Support inclusion of H.R. 5765, Medicare Remote Monitoring Access Support inclusion of S. 2029, Physician Payments Sunshine Act

Client expense: $125,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

**see addendum page Medicare reimbursement issues for medical devices, remote monitoring H.R. 6331/S. 3101 - Medicare Improvements for Patients and Providers Act of 2008 S. 3118 - Preserving Access to Medicare Act of 2008 S. 631/H.R. 5765 - Remote Monitoring Access of 2007 S. 2029 - Physician Payments Sunshine Act 2007, disclosure H.R. 5605 - Physician Payments Sunshine Act 2008, disclosure ***, no specific bill(s), regulatory and reimbursement issues for medical devices in medicare

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

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

- HR 6331 Medicare Improvements for Patients and Providers Act of 2008, possible inclusion of remote monitoring provisions. - HR 5765 Medicare Remote Monitoring Access Act, a bill to provide Medicare reimbursement for doctors who remotely monitor chronically ill patients. - HR 2994 National Pain Care Policy Act, a bill to promote greater access to chronic pain therapies. - S. 3387 National Pain Care Policy Act, a bill to promote greater access to chronic pain therapies. - S. 631 Remote Monitoring Access Act of 2007a bill to provide Medicare reimbursement for doctors who remotely monitor chronically ill patients. - S. 2029 Physican Payments Sunshine Act, a bill that would require disclosure of the relationships between physicians and the manufacturers of drugs and devices. - HR 5605 Physican Payments Sunshine Act, a bill that would require disclosure of the relationships between physicians and the manufacturers of drugs and devices. - Medicare Coverage of Intracranial Angioplasty and Stenting. - Medicare Payment of Inpatient Hospital Services. - Medicare Coverage of Renal Stenting. - Medicare Coverage of Carotid Stenting. - Regulatory and Reimbursement Issues for Medical Devices in Medicare. - S. 3408 Comparative Effectiveness Research Act to compare cinical effectiveness of medical treatments, services and items.

Client expense: $410,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Intl Trade Administration (ITA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

Assisting client with tracking and monitoring of HR 5765 (the Medicare Remote Monitoring Access Act of 2008). Promote passage of HR 5846 (the Wirleless Internet Nationwide for Families Act) and S. 3420 (the Open Wireless Internet Act).

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

Government targets: Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, SENATE

H.R. 6331- Medicare Improvements for Patients and Providers Act of 2008: Support physcian payment update Support inclusion of H.R. 5765, Medicare Remote Monitoring Access Act (S. 631) Support inclusion of S. 2029, Physician Payments Sunsine Act (H.R. 5605)

Client expense: $125,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR6331 "Medicare Improvement for Patients and Providers Act" S2785- Save Medicare Acot of 2008 S1042- Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007 S 631- Remote Monitoring Access Act of 2008 HR 4105- Medicare Recovery Audit Contractor Program Moratorium Act of 2007 HR 5765- Medicare Remote Monitoring Access Act of 2008 S 3118- Preserving Access to Medicare Act of 2008 S 3101- Medicare Improvements for Patients and Providers Act of 2008

Client expense: $41,291 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1424, Paul Wellstone Mental Health and Addiction Equity Act - provisions related to Medicaid Drug Rebates HR 5605, Physician Payments Sunshine Act of 2008 S 2029, Physician Payments Sunshine Act of 2007 HR 6331, Medicare Improvements for Patients and Provides Act S 3101, Medicare Improvements for Patients and Providers Act of 2008/ S 3118, Preserving Access to Medicare Act 2008 HR 5765, Medicare Remote Monitoring Access Act of 2008 S 3144/HR 6252, Medicare DMEPOS Competitive Acquisition Reform Act 2008 S 2221, Transparency in Medicare Device Pricing Act Issues related to updated physician payments, oxygen provisions, competitive bidding and bariatric surgery.

Client expense: $370,000 · Firm income: Not reported

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

H.R. 1321, Medicare Advanced Laboratory Diagnostics Act of 2007. H.R. 5765, to amend title XVIII of the Social Security Act to cover remote patient management services for certain chronic health conditions under the Medicare Program; address the consequences of the inappropriate applications of comparative effectiveness research when used simply as a cost containment mechanism.

Client expense: $150,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

- Regulatory and Reimbursement Issues for Medical Devices in Medicare. - Implementation of Coverage, Coding and Reimbursement under 2003 Medicare Prescription Drug Improvement and Modernization Act. - HR 3162 Children's Health and Medicare Protection Act of 2007 - HR 976, Small Business Tax Relief Act of 2007 - Medicare Coverage of Intracranial Angioplasty and Stenting - Medicare Payment of Inpatient Hospital Services - S. 631 Remote Monitoring Access Act of 2007 - HR 5765 Medicare Remote Monitoring Access Act - Medicare Clinical Research Policy - S. 2029 Physican Payments Sunshine Act -HR 5605 Physican Payments Sunshine Act - S. 2221 Transparency Medical Device Pricing Act - HR 2994 National Pain Care Policy Act - Medicare Coverage of Renal Stenting - Comparative Effectiveness research - S. 999 Stop Stroke - HR 477 Stroke Treatment & Prevention Act

Client expense: $400,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Intl Trade Administration (ITA), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

Education and support for population-based health programs, including disease and care management in FFS Medicare and Medicare Advantage, including Special Needs Plans (specifically the reauthorization of Chronic Care Special Needs Plans, or C-SNPs and the incorporation of reasonable process measures and standards for SNP evaluation); Medicare pilots including Medicare Health Support (as authorized under Section 721 of the Medicare Prescription Drug, Improvement and Modernization Act (MMA), which created the "Voluntary Chronic Care Improvement Program," now called Medicare Health Support (MHS)); and Medicare demonstrations, including the Medicare Coordinated Care Demonstration (MCCD, as authorized under Section 4016 of the Balanced Budget Act of 1997), and the Senior Risk Reduction Demonstration (SRRD). Provision of comments on CMS proposed and developed evaluations of care and disease management programs in Medicare Advantage. Advocacy for population health improvement as a tool to improve the quality of health care and health care outcomes, and reduce preventable health care costs. Encouragement of efforts to preserve HIPAA provisions permitting exchange of protected health information for care coordination and disease management, efforts to advance HIT deployment, particularly as it would effect individuals with chronic conditions, including e-prescribing, and the creation of interoperability standards and priority use cases and best practices for technologies that merge classical medical devices and telecommunications (American Health Information Community Chronic Care Workgroup initiatives). Education regarding effectiveness of chronic condition care and its benefits to Medicaid and other populations via the sharing of published quality improvement studies that reported cost or utilization outcomes from the intervention and which are target clinical conditions relevant for Medicaid programs. Advocacy around the CMS Medical Home Demonstration; S. 631 & H.R. 5765, the Remote Monitoring Access Act of 2007; S. 334, the Healthy Americans Act; S. 1340, the Geriatric Assessment and Chronic Care Coordination Act of 2007; S. 1753, the Health Workforce Act of 2007; H.R. 3800, the Wired for Healthcare Quality Act and discussion drafts of HIT & privacy legislation; H.R. 5442, TRUST in Health Information Act of 2008; S. 3101, Medicare Improvements for Patients and Providers Act of 2008; S. 3118, Preserving Access to Medicare Act of 2008; H.R. 853, Wellness and Prevention Act of 2007; H.R.6331, Medicare Improvements for Patients and Providers Act of 2008 and the broader inclusion of coordinated care stakeholder expertise in studies and proposals around a Medicare chronic care practice research network; initiatives pertaining to the treatment and prevention of obesity as a chronic disease generally and specifically as related to Medicare Part D coverage of pharmacotherapy as a component of population health improvement approaches to addressing the obesity epidemic.

Client expense: $125,000 · Firm income: Not reported

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

Seeking legislation to require that CMS provide Congress with a report detailing the impact of Round 1 of DMEPOS competitive bidding on patient access to care, cost, and quality prior to implementation of Round 2; H.R. 5765, Medicare Remote Monitoring Access Act of 2008, regarding to amending title XVIII of the Social Security Act to cover remote patient management services for certain chronic health conditions under the Medicare Program. H.R. 4218, Medicare Diabetes Self-Management Training Act of 2007, regarding amending title XVIII of the Social Security Act to improve access to diabetes self-management training by designating certain certified diabetes educators as certified providers for purposes of outpatient diabetes self-management training services under part B of the Medicare Program.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5765, Medicare Remote Monitoring Access Act of 2008, regarding to amending title XVIII of the Social Security Act to cover remote patient management services for certain chronic health conditions under the Medicare Program. H.R. 4218, Medicare Diabetes Self-Management Training Act of 2007, regarding amending title XVIII of the Social Security Act to improve access to diabetes self-management training by designating certain certified diabetes educators as certified providers for purposes of outpatient diabetes self-management training services under part B of the Medicare Program. H.R. 6252/S. 3144, To amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies. H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008, regarding amending titles XVIII and XIX of the Social Security Act to extend expiring provisions under the Medicare Program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes. Comparative Effectiveness: Potential legislation that would create a mechanism for the government to assess the merits of two comparable therapeutic agents.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1190, "Community Cancer Care Preservation Act of 2007," regarding amending title XVIII of the Social Security Act to preserve access to community cancer care by Medicare beneficiaries; HR 1321,Medicare Advanced Laboratory Diagnostics Act of 2007, regarding amending title XVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule; HR 1663, Medicare Mental Health Modernization Act of 2007, regarding amending title XVIII of the Social Security Act to expand and improve coverage of mental health services under the Medicare Program; HR 1845 / S 1428, Medicare Durable Medical Equipment Access Act of 2007, regarding amending part B of title XVIII of the Social Security Act to assure access to durable medical equipment under the Medicare Program; HR 2770, To amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price, all provisions; HR 3011, To amend title XVIII of the Social Security Act to ensure adequate payment amounts for drugs and biologicals under part B of the Medicare Program, regarding all provisions; HR 3061, Medicare Part D Drug Class Protection Act of 2007, regarding amending title XVIII of the Social Security Act to require that Medicare prescription drug plans using formularies cover all drugs included in 6 specified therapeutic categories and to establish protective requirements for coverage determinations; HR 4 / S 3, Medicare Prescription Drug Price Negotiation Act of 2007, regarding amending part D of title XVIII of the Social Security Act to require the Secretary of Health and Human Services to negotiate lower covered part D drug prices on behalf of Medicare beneficiaries; HR 976 / S 1893, Children's Health Insurance Program Reauthorization Act of 2007; HR 3162, Children's Health and Medicare Protection Act of 2007, regarding improving enrollment and retention of eligible children; S 1887, Medicare Access to Critical Medications Act of 2007, regarding amending title XVIII of the Social Security Act in order to ensure access to critical medications under the Medicare part D prescription drug program; S 631, Remote Monitoring Access Act of 2007, regarding amending title XVIII of the Social Security Act to provide for coverage of remote patient management services for chronic health care conditions under the Medicare Program; S 860, Early Treatment for HIV Act of 2007, regarding amending title XIX of the Social Security Act to permit States the option to provide Medicaid coverage for low-income individuals infected with HIV; CMS-1270-F, Medicare Program; Competitive Acquisition for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Other Issues, regarding a final rule establishing competitive bidding programs for certain Medicare Part B covered items of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) throughout the United States in accordance with sections 1847(a) and (b) of the Social Security Act; issues regarding competitive bidding, demonstrations for clinical lab services and competitive Medicare payments for lab services; issues regarding Medicare national coverage determination for the use of erythropoiesis stimulating agents in cancer and related neoplastic conditions; CMS-2238-FC, regarding the Medicaid program, and prescription drugs; S 2499, "Medicare, Medicaid, and SCHIP Extension Act of 2007," all provisions. S. 2029, "Physician Payments Sunshine Act of 2007," regarding amending title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid or SCHIP; H.R. 5765 / S. 631, "Medicare Remote Monitoring Access Act of 2008," regarding amending title XVIII of the Social Security Act to cover remote patient management services for certain chronic health conditions under the Medicare Program; H.R. 6252, "To amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies", regarding all provisions; S. 2404, "A bill to amend title SVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule", regarding all provisions; H.R. 6331/ S. 3101, "A bill to amend titles XVIII and XIX of the Social Security Act to extend expiring provisions under the Medicare program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes", regarding all provisions.

Client expense: $1,700,000 · Firm income: Not reported

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

H.R. 1321 & S. 2404, Medicare Advanced Laboratory Diagnostics Act of 2007; H.R. 5765, Medicare Remote Monitoring Access Act of 2008; S. 631 Remote Monitoring Act of 2007; S. 2221, Transparency in Medical Device Pricing Act of 2007; H.R. 6331, Medicare Improvements for Patients & Providers Act of 2008; H.R. 3162, Childrens Health & Medicare Protection Act of 2007; S. 2029, Physician Payment Sunshine Act; H.R. 3023, Drug & Medical Device Company Gift Disclosure Act S. 1893, Childrens Health Insurance Program Reauthorization Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

**see addendum page Medicare reimbursement issues for medical devices, remote monitoring H.R. 6331/S.3101 - Medicare Improvements for Patients and Providers Act of 2008 S. 3118 - Preserving Access to Medicare Act of 2008 ***no specific bill(s), regulatory and reimbursement issues for medical devices in medicare S. 631/H.R. 5765 - Remote Monitoring Access Act of 2007 S. 2029/H.R. 5605 - Physician Payments Sunshine Act

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

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

- HR 6331 Medicare Improvements for Patients and Providers Act of 2008, possible inclusion of remote monitoring provisions - HR 5765 Medicare Remote Monitoring Access Act, a bill to provide Medicare reimbursement for doctors who remotely monitor chronically ill patients. - HR 2994 National Pain Care Policy Act, a bill to promote greater access to chronic pain therapies. - S. 631 Remote Monitoring Access Act of 2007a bill to provide Medicare reimbursement for doctors who remotely monitor chronically ill patients. - S. 2029 Physican Payments Sunshine Act, a bill that would require disclosure of the relationships between physicians and the manufacturers of drugs and devices - HR 5605 Physican Payments Sunshine Act, a bill that would require disclosure of the relationships between physicians and the manufacturers of drugs and devices - S. 2221 Transparency Medical Device Pricing Act, a bill that would require thedislosure of pricing for medical devices. - S. 999 Stop Stroke, a bill to improve stroke prevention, diagnosis, treatment, and rehabilitation. - HR 477 Stroke Treatment & Prevention Act, a bill to improve stroke prevention, diagnosis, treatment, and rehabilitation - HR 3162 Children's Health and Medicare Protection Act of 2007, a bill to extend and improve the children's health insurance program. - HR 976, Small Business Tax Relief Act of 2007, a bill to extend and improve the Children's Health Insurance Program. - Medicare Coverage of Intracranial Angioplasty and Stenting - Medicare Payment of Inpatient Hospital Services - Medicare Coverage of Renal Stenting - Comparative Effectiveness research - Medicare Coverage of Carotid Stenting - Regulatory and Reimbursement Issues for Medical Devices in Medicare

Client expense: $400,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Intl Trade Administration (ITA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

S 631 Remote Monitoring Access Act of 2007 S 2499 Medicare, Medicaid, and SCHIP Extension Act of 2007 HR 5765 Medicare Remote Monitoring Access Act HR 6331 Medicare Improvements for Patients and Providers Act of 2008

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Assisting client with tracking and monitoring of HR 5765 (the Medicare Remote Monitoring Access Act of 2008).

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

Government targets: Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, SENATE

H.R. 1190, "Community Cancer Care Preservation Act of 2007," regarding amending title XVIII of the Social Security Act to preserve access to community cancer care by Medicare beneficiaries; HR 1321,Medicare Advanced Laboratory Diagnostics Act of 2007, regarding amending title XVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule; HR 1663, Medicare Mental Health Modernization Act of 2007, regarding amending title XVIII of the Social Security Act to expand and improve coverage of mental health services under the Medicare Program; HR 1845 / S 1428, Medicare Durable Medical Equipment Access Act of 2007, regarding amending part B of title XVIII of the Social Security Act to assure access to durable medical equipment under the Medicare Program; HR 2770, To amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price, all provisions; HR 3011, To amend title XVIII of the Social Security Act to ensure adequate payment amounts for drugs and biologicals under part B of the Medicare Program, regarding all provisions; HR 3061, Medicare Part D Drug Class Protection Act of 2007, regarding amending title XVIII of the Social Security Act to require that Medicare prescription drug plans using formularies cover all drugs included in 6 specified therapeutic categories and to establish protective requirements for coverage determinations; HR 4 / S 3, Medicare Prescription Drug Price Negotiation Act of 2007, regarding amending part D of title XVIII of the Social Security Act to require the Secretary of Health and Human Services to negotiate lower covered part D drug prices on behalf of Medicare beneficiaries; HR 976 / S 1893, Children's Health Insurance Program Reauthorization Act of 2007; HR 3162, Children's Health and Medicare Protection Act of 2007, regarding improving enrollment and retention of eligible children; S 1887, Medicare Access to Critical Medications Act of 2007, regarding amending title XVIII of the Social Security Act in order to ensure access to critical medications under the Medicare part D prescription drug program; S 631, Remote Monitoring Access Act of 2007, regarding amending title XVIII of the Social Security Act to provide for coverage of remote patient management services for chronic health care conditions under the Medicare Program; S 860, Early Treatment for HIV Act of 2007, regarding amending title XIX of the Social Security Act to permit States the option to provide Medicaid coverage for low-income individuals infected with HIV; CMS-1270-F, Medicare Program; Competitive Acquisition for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Other Issues, regarding a final rule establishing competitive bidding programs for certain Medicare Part B covered items of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) throughout the United States in accordance with sections 1847(a) and (b) of the Social Security Act; issues regarding competitive bidding, demonstrations for clinical lab services and competitive Medicare payments for lab services; issues regarding Medicare national coverage determination for the use of erythropoiesis stimulating agents in cancer and related neoplastic conditions; CMS-2238-FC, regarding the Medicaid program, and prescription drugs; S 2499, "Medicare, Medicaid, and SCHIP Extension Act of 2007," all provisions. S. 2029, "Physician Payments Sunshine Act of 2007," regarding amending title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid or SCHIP; H.R. 5765 / S. 631, "Medicare Remote Monitoring Access Act of 2008," regarding amending title XVIII of the Social Security Act to cover remote patient management services for certain chronic health conditions under the Medicare Program.

Client expense: $1,440,000 · Firm income: Not reported

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

Seeking legislation to require that CMS provide Congress with a report detailing the impact of Round 1 of DMEPOS competitive bidding on patient access to care, cost, and quality prior to implementation of Round 2; H.R. 5765, Medicare Remote Monitoring Access Act of 2008, regarding to amending title XVIII of the Social Security Act to cover remote patient management services for certain chronic health conditions under the Medicare Program. H.R. 4218, Medicare Diabetes Self-Management Training Act of 2007, regarding amending title XVIII of the Social Security Act to improve access to diabetes self-management training by designating certain certified diabetes educators as certified providers for purposes of outpatient diabetes self-management training services under part B of the Medicare Program.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.2785 Save Medicare Act of 2008 (Physician Payment) S.1042 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007 (CARE Act) Remote Monitoring Access Act of 2007 S.631 Medicare Remote Monitoring Access Act of 2008 H.R.5765 Medicare Recovery Audit Contractor Program Moratorium Act of 2007 H.R.4105 (RAC)

Client expense: $21,291 · Firm income: Not reported

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

- Regulatory and Reimbursement Issues for Medical Devices in Medicare. - Implementation of Coverage, Coding and Reimbursement under 2003 Medicare Prescription Drug Improvement and Modernization Act. - HR 3162 Children's Health and Medicare Protection Act of 2007 - HR 976, Small Business Tax Relief Act of 2007 - Medicare Coverage of Intracranial Angioplasty and Stenting - Medicare Payment of Inpatient Hospital Services - S. 631 Remote Monitoring Access Act of 2007 - HR 5765 Medicare Remote Monitoring Access Act - Medicare Clinical Research Policy - S. 2029 Physican Payments Sunshine Act -HR 5605 Physican Payments Sunshine Act - S. 2221 Transparency Medical Device Pricing Act - HR 2994 National Pain Care Policy Act - Medicare Coverage of Renal Stenting - Comparative Effectiveness research - S. 999 Stop Stroke - HR 477 Stroke Treatment & Prevention Act

Client expense: $400,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Intl Trade Administration (ITA), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)