Medicare Efficiency and Development of Improvement of Care and Services Act (MEDICS Act) of 2008

Drug Rebate Equalization Act (H.R. 3041/S. 1589) Enacting moratoria on Medicaid regulations issued by CMS since August 2007 (H.R. 5613; H.R. 2642; S. 2819) Reauthorizing the Medicare Advantage Special Needs Plan Program (H.R. 6331; H.R. 6212; S. 3101) Discussion of payment appropriate to the risk of the enrollee in Medicare Advantage Continuous Eligibility Issues for Medicaid Beneficiaries in Managed Care Support for increasing the Federal Medicaid Matching Rates as part of economic stimulus package

Client expense: $22,520 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare inpatient and outpatient hospital payments; Medicaid payments; H.R. 1177 and S. 2381 Sole Community Hospital Preservation Act of 2007, all provisions to amend title XVIII of the Social Security Act to extend and improve protections for sole community hospitals under the Medicare Program; H.R. 2159 and S. 630 Rural Health Services Preservation Act of 2007, all provisions to amend part C of title XVIII of the Social Security Act to provide for a minimum payment rate by Medicare Advantage organizations for services furnished by a critical access hospital and a rural health clinic under the Medicare Program; H.R. 1105 and S. 458 Physician Pathology Services Continuity Act of 2007, all provisions to amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; H.R. 2050 Medicaid Emergency Psychiatric Care Act of 2007, all provisions to amend title XIX of the Social Security Act to permit States to obtain reimbursement under the Medicaid Program for care or services required under the Emergency Medical Treatment and Active Labor Act that are provided in a nonpublicly owned or operated institution for mental diseases; H.R. 2860 Health Care Access and Rural Equity (H-CARE) Act of 2007, all provisions related to TITLE I--MEDICARE HOSPITAL SERVICES, including Sec. 101. Fairness in the Medicare disproportionate share hospital (DSH) adjustment for rural hospitals, Sec. 102. Treatment of Medicare hospital reclassifications, Sec. 103. Critical access hospital improvements, Sec. 104. Rebasing for sole community hospitals, Sec. 105. Establishment of rural community hospital (RCH) program and Sec. 106. Hold harmless through 2012 for small rural hospitals and sole community hospitals under the prospective payment system for hospital outpatient department services under the Medicare program; S. 1277 Critical Access to Clinical Lab Services Act of 2007, all provisions to amend title XVIII of the Social Security Act to clarify the treatment of payment under the Medicare program for clinical laboratory tests furnished by critical access hospitals; H.R. 3057 Medicare Long-Term Patient Safety and Improvement Act of 2007, all provisions related to the steps to develop and implement criteria to differentiate long-term care hospitals from other post-acute care settings; H.R. 3453 The Community Clinical Laboratory Fairness in Competition Act of 2007, all provisions related to the Medicare competitive bidding demonstration project for clinical laboratory services; H.R. 5613 Protecting the Medicaid Safety Net Act of 2008, all provisions to extend certain moratoria and impose additional moratoria on certain Medicaid regulations through April 1, 2009; S. 2819 Economic Recovery in Health Care Act,to enact moratoria on the Medicaid and CHIP regulations issued by the Administration over the last year and to provide targeted state fiscal relief; H.R. 4105 Medicare Recovery Audit Contractor Program Moratorium Act of 2007, all provisions relating to impose a moratorium on the use of recovery audit contractors under the Medicare Integrity Program; S. 1605 Craig Thomas Rural Hospital and Provider Equity Act of 2007 all provisions To amend title XVIII of the Social Security Act to protect and preserve access of Medicare beneficiaries in rural areas to health care providers under the Medicare program, and for other purposes; H.R. 615 Puerto Rico Medicare Reimbursement Act 2005, all provisions to increase of the Federal share of Medicare beneficiaries to 100% reimbursement for inpatient services; H.R. 5901Eliminating Disparities in Breast Cancer Treatment Act of 2008, to amend title XVIII of the Social Security Act to eliminate contributing factors to disparities in breast cancer treatment through the development of a uniform set of consensus-based breast cancer treatment performance measures for a 6-year quality reporting system and value-based purchasing system under the Medicare Program; H.R. 5721Strengthening the Safety Net Act of 2008, to amend title XIX of the Social Security Act to provide for a DSH redistribution pool from unexpended Medicaid DSH allotments in order to increase Medicaid DSH allotments for low DSH States and to provide grants for health access networks serving the uninsured; H.R. 2642 Supplemental Appropriations Act of 2008, Title V Medicaid Provisions, all sections related to Medicaid Rules Moratorium, banning physician self-referral and August 17th directive (contained in domestic spending amendment); Section 1011 (MMA, P.L. 108-173) Medicare Modernization Act, two year extension; H.R. 5998 Protecting Children's Health Coverage Act of 2008, to nullify any effectiveness of the August 17, 2007, State health official letter issued by the Centers for Medicare & Medicaid Services; H.R. 5953 and S. 2962 MediFair Act of 2008, to amend title XVIII of the Social Security Act to improve the provision of items and services provided to Medicare beneficiaries residing in rural areas; S. 3116 Outpatient Mental Health Modernization Act of 2008, to amend title XVIII of the Social Security Act to stabilize and modernize the provision of partial hospitalization services under the Medicare program, and for other purposes; S. 3118 Preserving Access to Medicare Act of 2008, to amend titles XVIII and XIX of the Social Security Act to preserve beneficiary access to care by preventing a reduction in the Medicare physician fee schedule, to improve the quality of care by advancing value based purchasing, electronic health records, and electronic prescribing, and to maintain and improve access to care in rural areas, and for other purposes; H.R. 6212 and S. 3101 Medicare Efficiency and Development of Improvement of Care and Services Act (MEDICS Act) of 2008 and H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, 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; H.R. 6091Save Medicare Act of 2008, to amend title XVIII of the Security Act to preserve access to physicians' services under the Medicare Program; S. 3164 Seniors and Taxpayers Obligation Protection Act of 2008, to amend title XVIII of the Social Security Act to reduce fraud under the Medicare program; H.R. 6912 and S. 3300 Rural Hospital Assistance Act of 2008, to amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes; S. 3327 Empowered at Home Act of 2008, to amend title XIX of the Social Security Act to improve the State plan amendment option for providing home and community-based services under the Medicaid program, and for other purposes; H.R. 6394 Border Health Care Relief Act of 2008, to amend the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to extend Federal reimbursement of emergency health services furnished to undocumented aliens, and for other purposes; S. 3367, to amend title XVIII of the Social Security Act to revise the timeframe for recognition of certain designations in certifying rural health clinics under the Medicare program; S. 3656 Preserving Access to Healthcare (PATH) Act of 2008, a bill to preserve access to healthcare under the Medicare and Medicaid programs. The sections related to the Medicare indirect medical education adjustment factor and the delay in implementation of Medicaid outpatient hospital services regulation; S. 1595 Critical Access Hospital Flexibility Act of 2007, all provisions to amend title XVIII of the Social Security Act to provide flexibility in the manner in which beds are counted for purposes of determining whether a hospital may be designated as a critical access hospital under the Medicare program; S. 2853, to amend title XVIII of the Social Security Act to remove the cap on disproportionate share adjustment percentages for certain rural hospitals; H. R. 7067 Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2008, to amend title XVIII of the Social Security Act to expand the development of quality measures for inpatient hospital services, to implement a performance-based payment methodology for the provision of such services under the Medicare Program; H. R. 6966 and S. 3582 Safeguarding Our Hospitals' Futures Act of 2008, all provisions to require continued application of budget neutrality on a national basis in calculation of the Medicare urban hospital wage floor.

Client expense: $3,950,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA)

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)

S. 2404, Medicare Advanced Laboratory Diagnostics Act of 2007, To provide appropriate levels of reimbursement for diagnostic tests H.R. 1321, Medicare Advanced Laboratory Diagnostics Act of 2007, To provide appropriate levels of reimbursement for diagnostic tests H.R.6331, PL 110-275, Medicare Improvements for Patients and Providers Act of 2008, Issues relating to provisions for patient access to medical devices and diagnostics S.3101, PL 110-275, Medicare Improvements for Patients and Providers Act of 2008, Issues relating to provisions for patient access to medical devices and diagnostics H.R.6212, PL 110-275, Medicare Efficiency and Development of Improvement of Care and Services Act (MEDICS Act) of 2008, Issues relating to provisions for patient access to medical devices and diagnostics

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Drug Rebate Equalization Act (H.R.3041/S.1589) Enacting moratoria on Medicaid regulations issued by CMS since August 2007 (H.R.5613; H.R. 2642; S.2819) Reauthorizing the Medicare Advantage Special Needs Plan Program (H.R.6331; H.R.6212; S.3101) Discussion of payment appropriate to the risk of the enrollee in Medicare Advantage Continuous Eligibility Issues for Medicaid Beneficiaries in Managed Care Support for increasing the Federal Medicaid Matching Rates as part of economic stimulus package

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Reimbursement for home oxygen, S. 1484, H.R. 621, S. 3101, H.R. 6212, H.R. 6331

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2053 and S. 2056 Medicare Anesthesiology Teaching Funding Restoration Act of 2007- entire legislation as seeks to amend Title XVIII of the Social Security Act to restore financial stability to Medicare anesthesiology teaching programs for resident physicians. S.3101 Medicare Improvements for Patients and Providers Act of 2008 and related H.R. 6212 Medicare Efficiency and Development of Improvement of Care and Services (MEDICS Act) of 2008 solely as these bills may be amended with language to restore financial stability to Medicare anesthesiology teaching programs for resident physicians, specifically post passage monitoring.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare inpatient and outpatient hospital payments; Medicaid payments; H.R. 1177 and S. 2381 Sole Community Hospital Preservation Act of 2007, all provisions to amend title XVIII of the Social Security Act to extend and improve protections for sole community hospitals under the Medicare Program; H.R. 2159 and S. 630 Rural Health Services Preservation Act of 2007, all provisions to amend part C of title XVIII of the Social Security Act to provide for a minimum payment rate by Medicare Advantage organizations for services furnished by a critical access hospital and a rural health clinic under the Medicare Program; H.R. 1105 and S. 458 Physician Pathology Services Continuity Act of 2007, all provisions to amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; H.R. 2050 Medicaid Emergency Psychiatric Care Act of 2007, all provisions to amend title XIX of the Social Security Act to permit States to obtain reimbursement under the Medicaid Program for care or services required under the Emergency Medical Treatment and Active Labor Act that are provided in a nonpublicly owned or operated institution for mental diseases; H.R. 2860 Health Care Access and Rural Equity (H-CARE) Act of 2007, all provisions related to TITLE I--MEDICARE HOSPITAL SERVICES, including Sec. 101. Fairness in the Medicare disproportionate share hospital (DSH) adjustment for rural hospitals, Sec. 102. Treatment of Medicare hospital reclassifications, Sec. 103. Critical access hospital improvements, Sec. 104. Rebasing for sole community hospitals, Sec. 105. Establishment of rural community hospital (RCH) program and Sec. 106. Hold harmless through 2012 for small rural hospitals and sole community hospitals under the prospective payment system for hospital outpatient department services under the Medicare program; S. 1277 Critical Access to Clinical Lab Services Act of 2007, all provisions to amend title XVIII of the Social Security Act to clarify the treatment of payment under the Medicare program for clinical laboratory tests furnished by critical access hospitals; H.R. 3057 Medicare Long-Term Patient Safety and Improvement Act of 2007, all provisions related to the steps to develop and implement criteria to differentiate long-term care hospitals from other post-acute care settings; H.R. 3162 Childrens Health and Medicare Protection Act of 2007, all provisions related to the Children's Health Insurance Program; S. 2499 Medicare, Medicaid, and SCHIP Extension Act of 2007, all provisions; H.R. 3453 The Community Clinical Laboratory Fairness in Competition Act of 2007, all provisions related to the Medicare competitive bidding demonstration project for clinical laboratory services; H.R. 3533 The Public and Teaching Hospital Preservation Act, all provisions to extend moratorium on implementation of a rule relating to the partnership under Medicaid SCHIP and finalization rule regarding GME; S. 2460 To extend by one year the moratorium on implementation of a rule relating to the Federal-State financial partnership under Medicaid and the State Children's Health Insurance Program and on finalization of a rule regarding graduate medical education under Medicaid and to include a moratorium on the finalization of the outpatient Medicaid rule making similar changes; H.R. 5613 Protecting the Medicaid Safety Net Act of 2008, all provisions to extend certain moratoria and impose additional moratoria on certain Medicaid regulations through April 1, 2009; S. 2819 Economic Recovery in Health Care Act,to enact moratoria on the Medicaid and CHIP regulations issued by the Administration over the last year and to provide targeted state fiscal relief; H.R. 4105 Medicare Recovery Audit Contractor Program Moratorium Act of 2007, all provisions relating to impose a moratorium on the use of recovery audit contractors under the Medicare Integrity Program; S. 1605 Craig Thomas Rural Hospital and Provider Equity Act of 2007 all provisions To amend title XVIII of the Social Security Act to protect and preserve access of Medicare beneficiaries in rural areas to health care providers under the Medicare program, and for other purposes; H.R. 615 Puerto Rico Medicare Reimbursement Act 2005, all provisions to increase of the Federal share of Medicare beneficiaries to 100% reimbursement for inpatient services; H.R. 5901Eliminating Disparities in Breast Cancer Treatment Act of 2008, to amend title XVIII of the Social Security Act to eliminate contributing factors to disparities in breast cancer treatment through the development of a uniform set of consensus-based breast cancer treatment performance measures for a 6-year quality reporting system and value-based purchasing system under the Medicare Program; H.R. 5721Strengthening the Safety Net Act of 2008, to amend title XIX of the Social Security Act to provide for a DSH redistribution pool from unexpended Medicaid DSH allotments in order to increase Medicaid DSH allotments for low DSH States and to provide grants for health access networks serving the uninsured; H.R. 2642 Supplemental Appropriations Act of 2008, Title V Medicaid Provisions, all sections related to Medicaid Rules Moratorium, banning physician self-referral and August 17th directive (contained in domestic spending amendment); Section 1011 (MMA, P.L. 108-173) Medicare Modernization Act, two year extension; H.R. 5998 Protecting Children's Health Coverage Act of 2008, to nullify any effectiveness of the August 17, 2007, State health official letter issued by the Centers for Medicare & Medicaid Services; H.R. 5953 and S. 2962 MediFair Act of 2008, to amend title XVIII of the Social Security Act to improve the provision of items and services provided to Medicare beneficiaries residing in rural areas; S. 3116 Outpatient Mental Health Modernization Act of 2008, to amend title XVIII of the Social Security Act to stabilize and modernize the provision of partial hospitalization services under the Medicare program, and for other purposes; S. 3118 Preserving Access to Medicare Act of 2008, to amend titles XVIII and XIX of the Social Security Act to preserve beneficiary access to care by preventing a reduction in the Medicare physician fee schedule, to improve the quality of care by advancing value based purchasing, electronic health records, and electronic prescribing, and to maintain and improve access to care in rural areas, and for other purposes; H.R. 6212 and S. 3101 Medicare Efficiency and Development of Improvement of Care and Services Act (MEDICS Act) of 2008 and H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, 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; H.R. 976 and S. 1893 Childrens Health Insurance Program Reauthorization Act of 2007, all provisions related to this bill; H.R. 6091Save Medicare Act of 2008, to amend title XVIII of the Security Act to preserve access to physicians' services under the Medicare Program; S. 3164 Seniors and Taxpayers Obligation Protection Act of 2008, to amend title XVIII of the Social Security Act to reduce fraud under the Medicare program

Client expense: $4,070,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA)

Drug Rebate Equalization Act (H.R.3041/S.1589) Enacting moratoria on Medicaid regulations issued by CMS since August 2007 (H.R.5613; H.R. 2642; S.2819) Reauthorizing the Medicare Advantage Special Needs Plan Program (H.R.6331; H.R.6212; S.3101)

Client expense: $25,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to the prevention and treatment of lung disease, including the following legislation: S. 329 Pulmonary and Cardiac Rehabilitation Act of 2007, HR 552 Pulmonary and Cardiac Rehabilitation Act of 2007, S 968 Stop Tuberculosis (TB) Now Act of 2007, HR 1567 Stop Tuberculosis (TB) Now Act of 2007, S.1551 Comprehensive Tuberculosis Elimination Act of 2007, H.R.1532 Comprehensive Tuberculosis Elimination Act of 2007, HR 621 Home Oxygen Patient Protection Act, S 1484 Home Oxygen Patient Protection Act of 2007, HR 2524 Asthma Act, S 2175 Family Asthma Act, HR 3904 Family Asthma Act, S 1753 Healthy Workforce Act of 2007, H.R.3717 Healthy Workforce Act of 2007, S 2456 Influenza Vaccine Security Act, HR 3014 Health Equity and Accountability Act of 2007, S 3230 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2009, HR 3014 Health Equity and Accountability Act of 2007, HR 6331 Medicare Improvements for Patients and Providers Act of 2008; Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2009, S 3101 Medicare Improvements for Patients and Providers Act of 2008, H.R.6212 Medicare Efficiency and Development of Improvement of Care and Services Act (MEDICS Act) of 2008

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

Issues related to the prevention and treatment of lung disease including the following legislation S. 329 Pulmonary and Cardiac Rehabilitation Act of 2007, HR 552 Pulmonary and Cardiac Rehabilitation Act of 2007, HR 621 Home Oxygen Patient Protection Act, S 1484 Home Oxygen Patient Protection Act of 2007, HR 3014 Health Equity and Accountability Act of 2007, HR 6331 Medicare Improvements for Patients and Providers Act of 2008, S 3101 Medicare Improvements for Patients and Providers Act of 2008, H.R.6212 Medicare Efficiency and Development of Improvement of Care and Services Act (MEDICS Act) of 2008, HR 6393 Quit Smoking for Life Act of 2008, S 3206 Medicare, Medicaid, and MCH Tobacco Cessation Promotion Act of 2008

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

S. 2404, Medicare Advanced Laboratory Diagnostics Act of 2007, To provide appropriate levels of reimbursement for diagnostic tests H.R. 1321, Medicare Advanced Laboratory Diagnostics Act of 2007, To provide appropriate levels of reimbursement for diagnostic tests H.R.6331, Medicare Improvements for Patients and Providers Act of 2008, Issues relating to provisions for patient access to medical devices and diagnostics S.3101, Medicare Improvements for Patients and Providers Act of 2008, Issues relating to provisions for patient access to medical devices and diagnostics H.R.6212, Medicare Efficiency and Development of Improvement of Care and Services Act (MEDICS Act) of 2008, Issues relating to provisions for patient access to medical devices and diagnostics

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Reimbursement for home oxygen, S. 1484, H.R. 621, S. 3101, H.R. 6212, H.R. 6331

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Reimbursement for home oxygen, S. 1484, H.R. 621, S. 3101, H.R. 6212, H.R. 6331

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Preliminary discussions about development of a "Troops to Healthcare Professionals" program similar in design to the Troops to Teachers program currently funded under Labor/HHS/Education Appropriations H.R. 6331, H.R. 6212, S. 3101, P.L. 110-275 -- Medicare Improvements for Patients and Providers Act of 2008 - entire bill (specifically as related to the University's School of Medicine and Health Sciences and the College of Nursing)

Client expense: Not reported · Firm income: $32,400

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5780 - Medicare Clinical Pharmacist Practitioner Services Coverage Act of 2008, Sec. 2, (a), (b), all provisions relating to Medicare coverage of clinical pharmacist practitioner services. H.R. 6212 - Medicare Efficiency and Development of Improvement Care and Services Act (MEDICS Act) of 2008, Subtitle D, Sec. 161, all provisions relating to phase-out of indirect medical education (IME); Title II, Sec. 201, all provisions relating to extension of transitional medical assistance (TMA); Sec. 202, all provisions relating to Medicaid DSH extension; Sec. 203, all provisions relating to pharmacy reimbursement under Medicaid. H.Con.Res. 312 - Resolved by the House of Representatives (the Senate concurring), Title III, Sec. 308, all provisions relating to deficit-neutral reserve fund for higher education; Sec. 312, all provisions relating to deficit-neutral reserve fund for Medicaid and other programs. S. 3101 - Medicare Improvements for Patients and Providers Act of 2008, Title II, all provisions relating to Medicaid; Sec. 201, all provisions relating to extension of transitional medical assistance (TMA) and abstinence education program; Sec. 202, all provisions relating to Medicaid DSH extension. S.Con.Res. 70 - Setting forth the congressional budget for the United States Government for fiscal year 2009 and including the appropriate budgetary levels for fiscal years 2008 and 2010 through 2013, Sec. 208, all provisions relating to deficit-neutral reserve fund for higher education; Sec. 212, all provisions relating to deficit-neutral reserve fund for Medicaid and other programs.

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

Government targets: Agriculture, Dept of (USDA), Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

Drug Rebate Equalization Act (H.R.3041/S.1589) Enacting moratoria on Medicaid regulations issued by CMS since August 2007 (H.R.5613; H.R. 2642; S.2819) Reauthorizing the Medicare Advantage Special Needs Plan Program (H.R.6331; H.R.6212; S.3101)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 3101, the Medicare Improvements for Patients and Providers Act of 2008, issues related to formularies; H.R. 6331, "Medicare Improvements for Patients and Providers Act of 2008," issues related to formularies; H.R. 6212, "Medicare Efficiency and Development of Improvement of Care and Services Act (MEDICS Act) of 2008," issues related to formularies. Issues related to e-prescribing of controlled substances.

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

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

H.R. 2053 and S. 2056 Medicare Anesthesiology Teaching Funding Restoration Act of 2007- entire legislation as seeks to amend Title XVIII of the Social Security Act to restore financial stability to Medicare anesthesiology teaching programs for resident physicians. S.3101 Medicare Improvements for Patients and Providers Act of 2008 and related H.R. 6212 Medicare Efficiency and Development of Improvement of Care and Services (MEDICS Act) of 2008 solely as these bills may be amended with language to restore financial stability to Medicare anesthesiology teaching programs for resident physicians.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE