Save Medicare Act of 2008

S. 1164/H.R. 1926: Colon Cancer Screen for Life Act of 2007 CY2009 Physician Fee Schedule and SGR issues CMS-1517-F: Revised Payment System Policies for Services Furnished in Ambulatory Surgery Centers (ASCs) Beginning CY 2008 (formula and adequacy for GI ASCs) CMS-1404-P: Medicare Program: Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2009 Payment Rates; Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2009 Payment Rates (Provisions affecting ASC payments) CMS-1392-FC: Final Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates (Provisions affecting ASC payments) CMS-1403-P: Proposed Revision to Payment Policies under the Physician Fee Schedule, and other Revisions to Part B for CY 2009; and Revisions to the Amendment of the E-Prescribing Exemption for Computer Generated Facsimile Transmissions (Proposed rule) (Provisions relating to anti-mark-up rule, independent diagnostic testing facilities, pay-for-performance/reporting, physician update and Welcome-to-Medicare physical) CMS0013P: HIPAA Administrative Simplification: Modification to Medical Data Code Set Standards to Adopt ICD10CM and ICD10PCS (Proposed rule) CMS0009P: Health Insurance Reform; Modifications to the Health Insurance Portability and Accountability Act (HIPAA) Electronic Transaction Standards (Proposed rule; timeframe for adoption of 5010 standard) H.R. 1823/ S. 2250 The Ambulatory Surgical Center Medicare Payment Modernization Act H.R. 3060, The Colorectal Cancer Screening and Detection Coverage Act of 2007 H.R. 3162: Childrens Health and Medicare Protection (CHAMP) Act (Provisions on physician reimbursement and preventive services) S. 2785: "Save Medicare Act of 2008 Infection control in the ambulatory setting H.R. 4879, "Virtual Screening for Cancer Act of 2007." S. 2785/H.R. 6091, "Save Medicare Act, Physician reimbursement S. 3118, Preserving Access to Medicare Act S. 3101/H.R. 6331/P.L. 110-275, "Medicare Improvements for Patients and Providers Act (MIPPA) of 2008, CMS National Coverage Analysis on Screening Computed Tomography Colonography (CTC) for Colorectal Cancer FDA labeling and approval of sedation agents used in endoscopy HR 6357: Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008' or the `PRO(TECH)T Act of 2008'. S. 3343/H.R. 6821 The Medicare Imaging Disclosure Sunshine Act of 2008 H. Res. 1381, Expressing the sense of the House that there should be an increased Federal commitment prioritizing prevention and public health for all people in the United States S. 3584, Obesity Prevention, Treatment, and Research Act of 2008 Revisions to the National Cancer Act, focus on lethal cancers

Client expense: $250,000 · 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

S. 1164/H.R. 1926: Colon Cancer Screen for Life Act of 2007 CY2009 Physician Fee Schedule and SGR issues CMS-1517-F: Revised Payment System Policies for Services Furnished in Ambulatory Surgery Centers (ASCs) Beginning CY 2008 (formula and adequacy for GI ASCs) CMS-1404-P: Medicare Program: Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2009 Payment Rates; Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2009 Payment Rates (Provisions affecting ASC payments) CMS-1392-FC: Final Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates (Provisions affecting ASC payments) CMS-1403-P: Proposed Revision to Payment Policies under the Physician Fee Schedule, and other Revisions to Part B for CY 2009; and Revisions to the Amendment of the E-Prescribing Exemption for Computer Generated Facsimile Transmissions (Proposed rule) (Provisions relating to anti-mark-up rule, independent diagnostic testing facilities, pay-for-performance/reporting, physician update and Welcome-to-Medicare physical) CMS0013P: HIPAA Administrative Simplification: Modification to Medical Data Code Set Standards to Adopt ICD10CM and ICD10PCS (Proposed rule) CMS0009P: Health Insurance Reform; Modifications to the Health Insurance Portability and Accountability Act (HIPAA) Electronic Transaction Standards (Proposed rule; timeframe for adoption of 5010 standard) H.R. 1823/ S. 2250 The Ambulatory Surgical Center Medicare Payment Modernization Act H.R. 3060, The Colorectal Cancer Screening and Detection Coverage Act of 2007 H.R. 3162: Childrens Health and Medicare Protection (CHAMP) Act (Provisions on physician reimbursement and preventive services) S. 2785: "Save Medicare Act of 2008 Infection control in the ambulatory setting H.R. 4879, "Virtual Screening for Cancer Act of 2007." S. 2785/H.R. 6091, "Save Medicare Act, Physician reimbursement S. 3118, Preserving Access to Medicare Act S. 3101/H.R. 6331/P.L. 110-275, "Medicare Improvements for Patients and Providers Act (MIPPA) of 2008, CMS National Coverage Analysis on Screening Computed Tomography Colonography (CTC) for Colorectal Cancer FDA labeling and approval of sedation agents used in endoscopy HR 6357: Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008' or the `PRO(TECH)T Act of 2008'. S. 3343/H.R. 6821 The Medicare Imaging Disclosure Sunshine Act of 2008 H. Res. 1381, Expressing the sense of the House that there should be an increased Federal commitment prioritizing prevention and public health for all people in the United States S. 3584, Obesity Prevention, Treatment, and Research Act of 2008 Revisions to the National Cancer Act, focus on lethal cancers

H.R.2050 - Medicaid Emergency Psychiatric Care Act of 2007 H.R. 2164 - Medicare Ambulance Payment Extension Act H.R.2749 - Voluntary Medicare Quality Reporting Act H.R.4736 - To Amend Part B of title XVIII of the Social Security Act to repeal limiting charges under the Medicare Program for non-participating physicians and to preempt State laws that prohibit balance billing H.R.5613 - Protecting the Medicaid Safety Net Act of 2008 H.R.6091 - Save Medicare Act of 2008 S.1310 - Medicare Ambulance Payment Extension Act S.1519 - Voluntary Medicare Quality Reporting Act S.2406 - Medicaid Emergency Psychiatric Care Act of 2007 S.2785 - Save Medicare Act of 2008

Client expense: $482,302 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.583 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007 H.R.882 - Access to Emergency Medical Services Act of 2007 H.R.1108 - Family Smoking Prevention and Tobacco Control Act H.R.1233 - Mitigating the Impact of Uncompensated Service and Time Act of 2007 H.R.2050 - Medicaid Emergency Psychiatric Care Act of 2007 H.R. 2164 - Medicare Ambulance Payment Extension Act H.R.2464 - Wakefield Act H.R.2583 - Physician Workforce and Graduate Medical Education Enhancement Act of 2007 H.R.2584 - High-Need Physician Workforce Incentives Act of 2007 H.R.2749 - Voluntary Medicare Quality Reporting Act H.R.3163 - Healthy Americans Act H.R.3344 - Treat Physicians Fairly Act of 2007 H.R.3495 - Kids in Disasters Well-Being, Safety and Health Act of 2007 H.R.3800 - Promoting Health Information Technology Act H.R.4321 - Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2007 H.R.4736 - To Amend Part B of title XVIII of the Social Security Act to repeal limiting charges under the Medicare Program for non-participating physicians and to preempt State laws that prohibit balance billing H.R.5545 - Ensuring the Future Physician Workforce Act of 2008 H.R.5605 - Physician Payments Sunshine Act of 2008 H.R.5613 - Protecting the Medicaid Safety Net Act of 2008 H.R.5942 - National Trauma Center Stabilization Act of 2008 H.R.6091 - Save Medicare Act of 2008 H.R.6357 - Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 H.R.6898 - Health-e Information Technology Act of 2008 P.L.110-343 - Emergency Economic Stabilization Act of 2008 (Specifically - Subtitle B: Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 P.L.110-355 - Health Care Safety Net Act of 2008 P.L.110-377 - Poison Center Support, Enhancement and Awareness Act of 2008 P.L. 110-379 - QI Program Supplemental Funding Act of 2008 P.L.110-381 - Michelle's Law S.60 Wakefield Act S.334 Healthy Americans Act S.625 - Family Smoking Prevention and Tobacco Control Act S.1003 - Access to Emergency Medical Services Act of 2007 S.1042 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007 S.1310 - Medicare Ambulance Payment Extension Act S.1519 - Voluntary Medicare Quality Reporting Act S.1693 - Wired for Health Care Quality Act S.1970 Kids in Disasters Well-Being, Safety and Health Act of 2007 S.2029 - Physician Payments Sunshine Act of 2007 S. 2319 - National Trauma Center Stabilization Act of 2007 S.2406 - Medicaid Emergency Psychiatric Care Act of 2007 S.2729 - Ensuring the Future Physician Workforce Act of 2008 S.2785 - Save Medicare Act of 2008 S.2819 - Economic Recovery in Health Care Act of 2008

See page 5 for Medicare/Medicaid issues Specific Medicare/Medicaid bills: H.R. 6331, the Medicare Improvements for Patients and Providers Act (MIPPA) H.R. 6091/S. 2785, the Save Medicare Act S. 3101/H.R. 6212/H.R. 6331, the Medicare Improvements for Patients and Providers Act H.R. 4935/H.R. 4778/S. 3091, the Medicare Wound Therapy Patient Protection Act H.R. 2520/S.1465 (relating to Medicare and medical mobility devices) H. Res. 1368, Medicare Funding Trigger

Client expense: $61,364 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

See page 5 for Medicare/Medicaid issues. Specific Medicare/Medicaid bills: H.R. 6331, the Medicare Improvements for Patients and Providers Act (MIPPA) H.R. 6091/S. 2785, the Save Medicare Act S. 3101/H.R. 6212/H.R. 6331, the Medicare Improvements for Patients and Providers Act H.R. 4935/H.R. 4778/S. 3091, the Medicare Wound Therapy Patient Protection Act H.R. 2520/S.1465 (relating to Medicare and medical mobility devices) H. Res. 1368, Medicare Funding Trigger

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

See page 5 for Medicare/Medicaid issues Specific Medicare/Medicaid bills: H.R. 6331, the Medicare Improvements for Patients and Providers Act (MIPPA) H.R. 6091/S. 2785, the Save Medicare Act S. 3101/H.R. 6212/H.R. 6331, the Medicare Improvements for Patients and Providers Act H.R. 4935/H.R. 4778/S. 3091, the Medicare Wound Therapy Patient Protection Act H.R. 2520/S.1465 (relating to Medicare and medical mobility devices) H. Res. 1368, Medicare Funding Trigger

Client expense: $97,022 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

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

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

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

S. 1164/H.R. 1926: Colon Cancer Screen for Life Act of 2007 CY2009 Physician Fee Schedule and SGR issues CMS-1517-F: Revised Payment System Policies for Services Furnished in Ambulatory Surgery Centers (ASCs) Beginning CY 2008 (formula and adequacy for GI ASCs) CMS-1404-P: Medicare Program: Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2009 Payment Rates; Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2009 Payment Rates (Provisions affecting ASC payments) CMS-1392-FC: Final Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates (Provisions affecting ASC payments) CMS-1403-P: Proposed Revision to Payment Policies under the Physician Fee Schedule, and other Revisions to Part B for CY 2009; and Revisions to the Amendment of the E-Prescribing; Exemption for Computer Generated Facsimile Transmissions (Proposed rule) (Provisions relating to anti-mark-up rule, independent diagnostic testing facilities, pay-for-performance/ reporting, physician update and Welcome-to-Medicare physical) CMS0013P: HIPAA Administrative Simplification: Modification to Medical Data Code Set Standards to Adopt ICD10CM and ICD10PCS (Proposed rule) CMS0009P: Health Insurance Reform; Modifications to the Health Insurance Portability and Accountability Act (HIPAA) Electronic Transaction Standards (Proposed rule; timeframe for adoption of 5010 standard) H.R. 1823/ S. 2250 The Ambulatory Surgical Center Medicare Payment Modernization Act H.R. 3060, The Colorectal Cancer Screening and Detection Coverage Act of 2007 H.R. 3162: Childrens Health and Medicare Protection (CHAMP) Act (Provisions on physician reimbursement and preventive services) S. 2785: "Save Medicare Act of 2008 Infection control in the ambulatory setting H.R. 4879, "Virtual Screening for Cancer Act of 2007." S. 2785/H.R. 6091, "Save Medicare Act, Physician reimbursement S. 3118, Preserving Access to Medicare Act S. 3101/H.R. 6331/P.L. 110-275, "Medicare Improvements for Patients and Providers Act (MIPPA) of 2008, CMS National Coverage Analysis on Screening Computed Tomography Colonography (CTC) for Colorectal Cancer FDA labeling and approval of sedation agents used in endoscopy HR 6357: Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008' or the `PRO(TECH)T Act of 2008'. S. 3343/H.R. 6821 The Medicare Imaging Disclosure Sunshine Act of 2008 H. Res. 1381, Expressing the sense of the House that there should be an increased Federal commitment prioritizing prevention and public health for all people in the United States S. 3584, Obesity Prevention, Treatment, and Research Act of 2008 Revisions to the National Cancer Act, focus on lethal cancers FDA communications to physicians on product issues

S. 1164/H.R. 1926: Colon Cancer Screen for Life Act of 2007 CY2009 Physician Fee Schedule and SGR issues CMS-1517-F: Revised Payment System Policies for Services Furnished in Ambulatory Surgery Centers (ASCs) Beginning CY 2008 (formula and adequacy for GI ASCs) CMS-1404-P: Medicare Program: Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2009 Payment Rates; Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2009 Payment Rates (Provisions affecting ASC payments) CMS-1392-FC: Final Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates (Provisions affecting ASC payments) CMS-1403-P: Proposed Revision to Payment Policies under the Physician Fee Schedule, and other Revisions to Part B for CY 2009; and Revisions to the Amendment of the E-Prescribing, Exemption for Computer Generated Facsimile Transmissions (Proposed rule) (Provisions relating to anti-mark-up rule, independent diagnostic testing facilities, pay-for- performance/ reporting, physician update and Welcome-to-Medicare physical) CMS0013P: HIPAA Administrative Simplification: Modification to Medical Data Code Set Standards to Adopt ICD10CM and ICD10PCS (Proposed rule) CMS0009P: Health Insurance Reform; Modifications to the Health Insurance Portability and Accountability Act (HIPAA) Electronic Transaction Standards (Proposed rule; timeframe for adoption of 5010 standard) H.R. 1823/ S. 2250 The Ambulatory Surgical Center Medicare Payment Modernization Act H.R. 3060, The Colorectal Cancer Screening and Detection Coverage Act of 2007 H.R. 3162: Childrens Health and Medicare Protection (CHAMP) Act (Provisions on physician reimbursement and preventive services) S. 2785: "Save Medicare Act of 2008 Infection control in the ambulatory setting H.R. 4879, "Virtual Screening for Cancer Act of 2007." S. 2785/H.R. 6091, "Save Medicare Act, Physician reimbursement S. 3118, Preserving Access to Medicare Act S. 3101/H.R. 6331/P.L. 110-275, "Medicare Improvements for Patients and Providers Act (MIPPA) of 2008, CMS National Coverage Analysis on Screening Computed Tomography Colonography (CTC) for Colorectal Cancer FDA labeling and approval of sedation agents used in endoscopy HR 6357: Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008' or the `PRO(TECH)T Act of 2008'. S. 3343/H.R. 6821 The Medicare Imaging Disclosure Sunshine Act of 2008 H. Res. 1381, Expressing the sense of the House that there should be an increased Federal commitment prioritizing prevention and public health for all people in the United States S. 3584, Obesity Prevention, Treatment, and Research Act of 2008 Revisions to the National Cancer Act, focus on lethal cancers FDA communications to physicians on product issues

HR 1647/S 399 - Amend Title XIX of the Social Security Act; S 2785, HR 5545, S 2729, HR 6091,S 3101, S 3118, HR 6331, HR 6119, HR 6252, S 3236, S 3144, HR 4105, HR 6331 - Issues related to Physician Reimbursement, Scarcity Area Bonuses, Physician Quality Reporting, DME and DME competitive bidding, RAC Moratorium; BBA97 (HR 2015) - Regulations Re DME Surety Bond Requirement

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

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

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

HR 1647/S 399 - Amend Title XIX of the Social Security Act; S 2785, HR 5545, S 2729, HR 6091,S 3101, S 3118, HR 6331, HR 6119, HR 6252, S 3236, S 3144, HR 4105 - Issues related to Physician Reimbursement, Scarcity Area Bonuses, Physician Quality Reporting, DME and DME competitive bidding, RAC Moratorium; BBA97 (HR 2015) - Regulations Re DME Surety Bond Requirement

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

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

S. 1164/H.R. 1926: Colon Cancer Screen for Life Act of 2007 CY2009 Physician Fee Schedule and SGR issues CMS-1517-F: Revised Payment System Policies for Services Furnished in Ambulatory Surgery Centers (ASCs) Beginning CY 2008 (formula and adequacy for GI ASCs) CMS-1392-P: Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates; Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2008 Rates; Medicare and Medicaid Programs; Proposed Changes to Hospital Conditions of Participation (formula and payment adequacy for GI ASCs) CMS-1392-FC Final Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates (Provisions affecting ASC payments) H.R. 1823/ S. 2250 The Ambulatory Surgical Center Medicare Payment Modernization Act H.R. 3060, The Colorectal Cancer Screening and Detection Coverage Act of 2007 H.R. 3162: Childrens Health and Medicare Protection (CHAMP) Act (Provisions on physician reimbursement and preventive services) S. 2785: "Save Medicare Act of 2008 Infection control in the ambulatory setting H. CON. RES.302: Supporting the observance of Colorectal Cancer Awareness Month, and for other purposes. H.R. 4879, "Virtual Screening for Cancer Act of 2007." S. 2785/H.R. 6091, "Save Medicare Act, Physician reimbursement S. 3118, Preserving Access to Medicare Act S. 3101: Medicare Improvements for Patients and Providers Act of 2008 H.R. 6331, "Medicare Improvements for Patients and Providers Act of 2008 CMS National Coverage Analysis on Screening Computed Tomography Colonography (CTC) for Colorectal Cancer FDA labeling and approval of sedation agents used in endoscopy

Client expense: $210,000 · Firm income: Not reported

S. 1164/H.R. 1926: Colon Cancer Screen for Life Act of 2007 CY2009 Physician Fee Schedule and SGR issues CMS-1517-F: Revised Payment System Policies for Services Furnished in Ambulatory Surgery Centers (ASCs) Beginning CY 2008 (formula and adequacy for GI ASCs) CMS-1392-P: Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates; Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2008 Rates; Medicare and Medicaid Programs; Proposed Changes to Hospital Conditions of Participation (formula and payment adequacy for GI ASCs) CMS-1392-FC Final Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates (Provisions affecting ASC payments) H.R. 1823/ S. 2250 The Ambulatory Surgical Center Medicare Payment Modernization Act H.R. 3060, The Colorectal Cancer Screening and Detection Coverage Act of 2007 H.R. 3162: Childrens Health and Medicare Protection (CHAMP) Act (Provisions on physician reimbursement and preventive services) S. 2785: "Save Medicare Act of 2008 Infection control in the ambulatory setting H. CON. RES.302: Supporting the observance of Colorectal Cancer Awareness Month, and for other purposes. H.R. 4879, "Virtual Screening for Cancer Act of 2007." S. 2785/H.R. 6091, "Save Medicare Act, Physician reimbursement S. 3118, Preserving Access to Medicare Act S. 3101: Medicare Improvements for Patients and Providers Act of 2008 H.R. 6331, "Medicare Improvements for Patients and Providers Act of 2008 CMS National Coverage Analysis on Screening Computed Tomography Colonography (CTC) for Colorectal Cancer FDA labeling and approval of sedation agents used in endoscopy

Client expense: $210,000 · Firm income: Not reported

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

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

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