Protecting Hospital Outpatient and Community Clinic Services Act of 2008

S.458 Physician Pathology Services Continuity Act; S.558 The Mental Health Parity Act of 2007; S.630 Rural Health Services Preservation Act; S.860 Early Treatment for HIV Act; S.969 Oppose reversal of NLRB guidance on when charge nurses are classified as supervisors; S.1041 Employee Free Choice Act-Oppose Card Check process; S.1604 Nursing Education and Quality of Health Care Act of 2007; S.1693 Health Information Exchange; S.2041 The False Claims Act Correction Act of 2007; S.2460 Extend Moratorium on medicaid regulations affecting intergovernmental transfers; S.2499 Medicare, medicaid, and SCHIP extension act of 2007; S.2620 Temporary increase in federal medical assistance percentages under Medicaid program; S.2819 Extend and establish moratorium on Medicaid rules; increase FMAP; S.3101 the Medicare improvements for patients and providers act; S.3656 Preserving access to healthcare (PATH) act of 2008; H.R.800 Employee free choice act (oppose card check process); H.R.866 Secret ballot protection act; H.R.976 Children's health insurance reauthoriation act of 2007; H.R.1105 Physician pathology services continuity act; H.R.1177 Sole commuunity hospital preservation act; H.R.1424 Paul Wellstone mental health and addiction equity act of 2007; H.R.1644 Oppose reversal of NLRB quidance on when charge nurses are classified as supervisors; H.R.1663 Medicare mental health modernization act of 2007; H.R.2159 Rural health services preservation act; H.R.2406 establishes NIST role in standard setting for health IT; H.R.2638 Consolidated security, disaster assistance, and continuing appropriations act, 2009; Continuing resolution 2009; H.R.2642 Supplemental appropriations act, 2008; H.R.3162 Children health and Medicare protection act of 2007; H.R.3326 Early treatment for HIV act; H.R.3533 Public and teaching hospital preservation Act; H.R.4105 One-year moratorium on the Recovery Audit Contractor (RAC) program; H.R.4854 False Claims Act Correction Act of 2007; H.R.5268 Temporary increase in federal medical assistance percentages under Medicaid program; H.R.5480 Medicare funding warning response act of 2008; H.R.5613 Extend and establish moratorium on Medicaid rules; H.R.5924 Emergency nursing supply relief act; H.R.6331 Physician Medicare payment releif; H.R.6357 Protecting records, optimizing treatment, and easing communication through healthcare technology; H.R.6898 Health-E IT Act of 2008; H.R.7067 Quality FIRST Act of 2008; H.R.7110 Job Creation and Unemployment Relief Act of 2008-FMAP Provision; H.R.7219 the Protecting Hospital and outpatient and community clinic services act of 2008; H.R.7241 Preserving access to health care (PATH) Act of 2008; H.Res.1368 Relating to the House procedures contained in Section 803 of the Medicare prescription drug improvement and modernization act of 2003; FFY 2009 budget and budget resolutions/Medicare and Medicaid cuts; FFY 2009 Labor, health and human services, education and pension appropriations bill; FFY 2009 Medicare Inpatient hospital PPS rules; CY 2009 Medicare inpatient Psychiatric facility PPS rules; FFY 2009 Medicare inpatient rehabiltiation facility PPS and "75% rule," rules; CY 2009 Medicare otupatient PPS rules; FFY 2009 Medicare skilled nursing facility PPS rules; CY 2009 Medicare home health agency PPS rules; CY 2009 Medicare physician fee schedule update; CMS proposed rule to limit intergovernmental transfers and certified public expenditures; CMS proposed value-based purchasing program; CMS proposed rule on Medicad graduate medical education payments; State childrens health insurance program funding; IRS Form 990 revision; "Stark" and physician self-referral regulations; Hospital pricing transparency; Not-for-profit hospital tax-exempt status; Medicaid regulations affecting public hospitals, GME, provider tax, outpatient coverage, targeted case management, rehabilitation and school based health; pay for performance/value based purchasing; health information technology; hospital charity care/financial aid; Coverage for undocumented immigrants; Associated health plans; Coverage for the uninsured; Health savings accounts and high-deductibel health plans; Emergency preparedness; Immigration; Medicare wage index; Community benefit reporting; mental health parity; Limited service hospitals; Department of Housing and Urban Development's federal housing assistance mortage program for hospitals; Defiend benefit pension plans; National Institute of Health funding; Health care workforce recruting and training funding; Hospital infection reporting; Medical error reporting; Hospital performance measure reporting; Medicare Recovery Audit contractor Demonstration Project/national expansion; Competitive bidding for clinical laboratory services; Expansion of the Medicaid 340b drug pricing program; False claims act expansion; Medicare funding warning/"trigger"; Medicare GME residency slot distribution; National Health Service Corp. funding; CMS directive to states establishing new requirements for increasing SCHIP coverage; Public Health Service Act nursing and allied health professions program funding; HRSA's health professions shortage areas and medically underserved areas.

Client expense: $240,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

H.R. 7219, Protecting Hospital Outpatient and Community Clinic Services Act of 2008 H.R. 7110, Job Creation and Unemployment Relief Act of 2008 S. 3604, S. 3688, S. 3689, Economic Recovery Act of 2008 H.R. 7067, Quality First Act H.R. 7241 and S. 3656, Preserving Access to Healthcare (PATH) Act of 2008 H.R. 5268 and S. 2620, To Provide a Temporary FMAP Increase H.R. 676, United States Health Insurance Act H.R. 6898, Health e-information Technology Act of 2008 Baucus/Grassley Value-Based Purchasing Draft Bill

Client expense: $200,000 · Firm income: Not reported

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

H.R. 7219, Protecting Hospital Outpatient and Community Clinic Services Act of 2008; H.R. 7110, Job Creation and Unemployment Relief Act of 2008; S. 3604, S. 3688, S. 3689, Economic Recovery Act of 2008; H.R. 7067, Quality First Act Administration of the Section 1011 Program; H.R. 7241 and S. 3656, Preserving Access to Healthcare (PATH) Act of 2008; H.R. 5268, Enhanced Health Care Value for All Act of 2007; H.R. 676, United States Health Insurance Act; H.R. 6898, Health-e Information Technology Act of 2008; Baucus/Grassley Value-Based Purchasing Draft Bill

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

Protecting Hospital Outpatient and Community Clinic Services Act of 2008 (HR 7219), all provisions of bill relating to placing a moratorium on and prevent implementation of the Medicaid Outpatient Hospital and Clinic regulation. Preserving Access to Healthcare (PATH) Act of 2008 (S. 3656), Section 3, all provisions of bill relating to placing a moratorium on and prevent implementation of the Medicaid Outpatient Hospital and Clinic regulation. Medicaid Services Restoration Act of 2008 (S 3611), all provisions of bill pertaining to the improvement of the provision of rehabilitation services and case management and targeted case management services under the Medicaid program.

Client expense: $24,418 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.3604, "National Park Centurial Fund Act," Title III, relating to a temporary increase in Medicaid FMAP. H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, all provisions. H.R. 3162, "Children's Health and Medicare Protection Act," provisions relating to the State Children's Health Insurance Program and Medicaid. H.R. 1535, S.895, "Children's Health First Act," all provisions. H.R. 2357, "MediKids Health Insurance Act of 2007," all provisions. H.R. 2147, S.1364, "Healthy Kids Act of 2007," all provisions. S. 2819, Economic Recovery in Health Care Act of 2008, all provisions. Issues relating to the collection of Healthcare Effectiveness Data and Information Set measures from all state Medicaid programs. Issues relating to implementation of Section 6004 of the Deficit Reduction Act of 2005, which allows childrens hospitals to participate in the 340B Drug Pricing Program. S.J. Res. 44, A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States code, of the rule set forth as requirements contained in the August 17, 2007, letter to State Health Officials from the Director of the Center for Medicaid and State Operations in the Center For Medicare and Medicaid Services and that State Health Official Letter 08-003, dated May 7, 2008, from such Center. H.R. 7219, "Protecting Hospital Outpatient and Community Clinic Services Act," all provisions. H.R. 7110 Making supplemental appropriations for job creation and preservation, infrastructure investment and economic and energy assistance for the fiscal year ending September 30, 2009 and for other purposes, Title III, temporary increase in Medicaid matching rate.

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

H.R. 5721, Strengthening the Safety Net Act of 2008; H.R. 7219, Protecting Hospital Outpatient and Community Clinic Services Act of 2008; H.R. 1781 and S. 739, Children's Dental Health Improvement Act of 2007; H.R. 7110 and S. 3604, A bill making emergency supplemental appropriations for economic recovery for the fiscal year ending September 30, 2008, and for other purposes; H.R. 7067, the Quality FIRST Act; H.R. 6394, Border Health Care Relief Act of 2008; H.R. 2638, Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009; H.R. 7241 and S. 3656, Preserving Access to Healthcare (PATH) Act of 2008; H.R. 5268; H.R. 6444, Enhanced Health Care Value for All Act of 2007; H.R. 676, United States National Health Insurance Act; H.R. 6898, Health-e Information Technology Act of 2008

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

The Medicaid Services Restoration Act of 2008 (S 3611), Sections 101-206, all provisions of the bill relating to improving the provision of rehabilitation services and case management and targeted case management services under the Medicaid program. The Reinstatement of Enrollment for Medicaid Eligibility of Disadvantaged Youth (REMEDY) Act (HR 6621), Sections 1-2, all provisions of bill relating to providing youth leaving the juvenile justice system timely access to Medicaid and State Childrens Health Insurance Program (SCHIP) benefits upon their release. Medicare Improvements for Patients and Providers Act of 2008 (HR 6331), Title I, all provisions related to blocking the 10.6 percent cut to physician payment rates under Medicare, eliminating Medicares discriminatory 50 percent outpatient copayment for mental illness, expanding access to Medicares telehealth program, and improvements to the Part D prescription drug program. Protecting Hospital Outpatient and Community Clinic Services Act of 2008 (HR 7219), Sections 1-2, all provisions related to placing a moratorium and prevent implementation of the Medicaid Outpatient Hospital and Clinic regulation. Medicare Improvements for Patients and Providers Act of 2008 (HR 6331), Title I, all provisions related to blocking the 10.6 percent cut to physician payment rates under Medicare, eliminating Medicares discriminatory 50 percent outpatient copayment for mental illness, expanding access to Medicares telehealth program, and improvements to the Part D prescription drug program.

Client expense: $51,406 · Firm income: Not reported

S.458 Physician Pathology Services Continuity Act; S.558 The Mental Health Parity Act of 2007; S.630 Rural Health Services Preservation Act; S.860 Early Treatment for HIV Act; S.969 Oppose reversal of NLRB guidance on when charge nurses are classified as supervisors; S.1041 Employee Free Choice Act-Oppose Card Check process; S.1604 Nursing Education and Quality of Health Care Act of 2007; S.1693 Health Information Exchange; S.2041 The False Claims Act Correction Act of 2007; S.2460 Extend Moratorium on medicaid regulations affecting intergovernmental transfers; S.2499 Medicare, medicaid, and SCHIP extension act of 2007; S.2620 Temporary increase in federal medical assistance percentages under Medicaid program; S.2819 Extend and establish moratorium on Medicaid rules; increase FMAP; S.3101 the Medicare improvements for patients and providers act; S.3656 Preserving access to healthcare (PATH) act of 2008; H.R.800 Employee free choice act (oppose card check process); H.R.866 Secret ballot protection act; H.R.976 Children's health insurance reauthoriation act of 2007; H.R.1105 Physician pathology services continuity act; H.R.1177 Sole commuunity hospital preservation act; H.R.1424 Paul Wellstone mental health and addiction equity act of 2007; H.R.1644 Oppose reversal of NLRB quidance on when charge nurses are classified as supervisors; H.R.1663 Medicare mental health modernization act of 2007; H.R.2159 Rural health services preservation act; H.R.2406 establishes NIST role in standard setting for health IT; H.R.2638 Consolidated security, disaster assistance, and continuing appropriations act, 2009; Continuing resolution 2009; H.R.2642 Supplemental appropriations act, 2008; H.R.3162 Children health and Medicare protection act of 2007; H.R.3326 Early treatment for HIV act; H.R.3533 Public and teaching hospital preservation Act; H.R.4105 One-year moratorium on the Recovery Audit Contractor (RAC) program; H.R.4854 False Claims Act Correction Act of 2007; H.R.5268 Temporary increase in federal medical assistance percentages under Medicaid program; H.R.5480 Medicare funding warning response act of 2008; H.R.5613 Extend and establish moratorium on Medicaid rules; H.R.5924 Emergency nursing supply relief act; H.R.6331 Physician Medicare payment releif; H.R.6357 Protecting records, optimizing treatment, and easing communication through healthcare technology; H.R.6898 Health-E IT Act of 2008; H.R.7067 Quality FIRST Act of 2008; H.R.7110 Job Creation and Unemployment Relief Act of 2008-FMAP Provision; H.R.7219 the Protecting Hospital and outpatient and community clinic services act of 2008; H.R.7241 Preserving access to health care (PATH) Act of 2008; H.Res.1368 Relating to the House procedures contained in Section 803 of the Medicare prescription drug improvement and modernization act of 2003; FFY 2009 budget and budget resolutions/Medicare and Medicaid cuts; FFY 2009 Labor, health and human services, education and pension appropriations bill; FFY 2009 Medicare Inpatient hospital PPS rules; CY 2009 Medicare inpatient Psychiatric facility PPS rules; FFY 2009 Medicare inpatient rehabiltiation facility PPS and "75% rule," rules; CY 2009 Medicare otupatient PPS rules; FFY 2009 Medicare skilled nursing facility PPS rules; CY 2009 Medicare home health agency PPS rules; CY 2009 Medicare physician fee schedule update; CMS proposed rule to limit intergovernmental transfers and certified public expenditures; CMS proposed value-based purchasing program; CMS proposed rule on Medicad graduate medical education payments; State childrens health insurance program funding; IRS Form 990 revision; "Stark" and physician self-referral regulations; Hospital pricing transparency; Not-for-profit hospital tax-exempt status; Medicaid regulations affecting public hospitals, GME, provider tax, outpatient coverage, targeted case management, rehabilitation and school based health; pay for performance/value based purchasing; health information technology; hospital charity care/financial aid; Coverage for undocumented immigrants; Associated health plans; Coverage for the uninsured; Health savings accounts and high-deductibel health plans; Emergency preparedness; Immigration; Medicare wage index; Community benefit reporting; mental health parity; Limited service hospitals; Department of Housing and Urban Development's federal housing assistance mortage program for hospitals; Defiend benefit pension plans; National Institute of Health funding; Health care workforce recruting and training funding; Hospital infection reporting; Medical error reporting; Hospital performance measure reporting; Medicare Recovery Audit contractor Demonstration Project/national expansion; Competitive bidding for clinical laboratory services; Expansion of the Medicaid 340b drug pricing program; False claims act expansion; Medicare funding warning/"trigger"; Medicare GME residency slot distribution; National Health Service Corp. funding; CMS directive to states establishing new requirements for increasing SCHIP coverage; Public Health Service Act nursing and allied health professions program funding; HRSA's health professions shortage areas and medically underserved areas.

S. 909/H.R. 1878- Legislation to amend Title XIX of the Social Security Act to permit states, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid, and for other purposes- entire bill. S.3656/HR 7241- Preserving Access to Healthcare (PATH) Act of 2008- entire bill. H.R. 5268- A bill to provide for a temporary Increase of the Federal Medical Assistance Percentage Under the Medicaid Program- entire bill. H.R. 6331- Medicare Improvements for Patients and Providers Act of 2008, provisions related to Federal Medical Assistance Percentage under Medicaid. H.R. 7219- To impose a moratorium on the implementation of a Medicaid regulation related to the outpatient clinic and hospital facility service definition and upper payment limit, provision related to CMS outpatient rule moratorium- entire bill. S. 1075/H.R. 2523- Unintended Pregnancy Reduction Act- provisions related to Medicaid family planning waiver.

Client expense: $278,579 · Firm income: Not reported

S. 909/H.R. 1878- Legislation to amend Title XIX of the Social Security Act to permit states, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid, and for other purposes- entire bill. S.3656/HR 7241- Preserving Access to Healthcare (PATH) Act of 2008- entire bill. H.R. 6331- Medicare Improvements for Patients and Providers Act of 2008, provisions related to Federal Medical Assistance Percentage under Medicaid. H.R. 7219- To impose a moratorium on the implementation of a Medicaid regulation related to the outpatient clinic and hospital facility service definition and upper payment limit, provision related to CMS outpatient rule moratorium- entire bill. S. 1075/H.R. 2523- Unintended Pregnancy Reduction Act- provisions related to Medicaid family planning waiver.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.458 Physician Pathology Services Continuity Act; S.558 The Mental Health Parity Act of 2007; S.630 Rural Health Services Preservation Act; S.860 Early Treatment for HIV Act; S.969 Oppose reversal of NLRB guidance on when charge nurses are classified as supervisors;S.1041 Employee Free Choice Act-Oppose Card Check Process; S.1604 Nursing Education and Quality of Health Care Act of 2007; S.1693 Health Information Exchange; S.2041 The False Claims Act Correction Act of 2007; S.2460 Extend Moratorium on Medicaid Regulations affecting Intergovernmental Transfers; S.2499 Medicare, Medicaid and SCHIP Extension Act of 2007; S.2620 Temporary increase in federal medical assistance percentages under Medicaid program; S.2819 Extend and Establish Moratorium on Medicaid Rules; increase FMAP; H.R. 800 Employee Free Choice Act-Oppose Card Check Process; H.r. 866 Secret Ballot Protection Act; H.R. 976 Children's Health Insurance Reauthorization Act of 2007; H.R. 1105 Physician Pathology Services Continuity Act; H.R. 1177 Sole Community Hospital Preservation Act; H.R. 1424 Paul Wellstone Mental Health & Addiction Equity Act of 2007; H.R. 1644 Oppose reversal of NLRB guidance on when charge nurses are classified as supervisors; H.R. 1663 Medicare Mental Health Modernization Act of 2007; H.R. 2159 Rural Health Services Preservation Act; H.R. 2406 Establishes NIST Role in Standard Setting for Health IT; H.R. 2642 Supplemental Appropriations Act, 2008; H.R. 3162 Children's Health and Medicare Protection Act of 2007; H.R. 3326 Early Treatment for HIV Act; H.R. 3533 Public and Teaching Hospital Preservation Act; H.R. 4105 One-Year Moratorium on the Recovery Audit Contractor (RAC) Program; H.R. 4854 False Claims Act Correction Act of 2007; H.R. 5268 Temporary increase in federal medical assistance percentages under Medicaid program; H.R. 5613 Extend and Establish Moratorium on Medicaid Rules; HR. 6331 Physician Medicare Payment Relief; H.R. 6357 Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008; FFY 2009 Budget and Budget Resolutions/Medicare and Medicaid Cuts; FFY 2009 Labor, Health and Human Services, Education and Pension Appropriations Bill; FFY 2009 Medicare Inpatient Hospital PPS Rules; CY 2009 Medicare Inpatient Psychiatric Facility PPS Rules; FFY 2009 Medicare Inpatient Rehabilitation Facility PPS and "75% Rule", Rules; CY 2009 Medicare Outpatient PPS Rules; FFY 2009 Medicare Skilled Nursing Facility PPS Rules; CY 2009 Medicare Home Health Agency PPS Rules; CY 2009 Medicare Physician Fee Schedule Update; CMS proposed Rule to Limit Intergovernmental Transfers and Certified Public Expenditures; CMS Proposed Value-Based Purchasing Program; CMS Proposed Rule on Medicaid Graduate Medical Education Payments; State Childrens Health Insurance Program Funding; IRS Form 990 Revision; "Stark" and physician self-referral regulations; Hospital pricing transparency; Not-for-profit hospital tax-exempt status; Medicaid regulations affecting public hospitals, GME, provider tax, outpatient coverage, targeted case management, rehabilitation and school based health; Pay for Performance/Value Based Purchasing; Health Information Technology; Hospital Charity Care/Financial Aid; Coverage for undocumented immigrants; Associated health plans; Coverage for the uninsured; Health savings accounts and high-deductible health plans; Emergency preparedness; Immigration, Medicare wage index; Community benefit reporting; Mental health parity; Limited service hospitals; Department of Housing and Urban Development's Federal Housing Assistance Mortgage program for Hospitals; Defined benefit pension plans; National Institute of Health funding; Health care workforce recruiting and training funding; Hospital infection reporting; Medical error reporting; Hospital performance measure reporting; Medicare Recovery Audit Contractor Demonstration Project/national expansion; Competitive bidding for clinical laboratory services; Expansion of Medicaid 340B drug pricing program; CMS August 17th directive to states establishing new requirements for increasing SCHIP coverage; False claims act expansion; Medicare funding warning/"trigger"; Medicare GME residency slot distribution; National Health Service Corp. funding; Public Health Service Act nursing and allied health professions program funding; HRSA's health professions shortage areas and medically underserved areas; S.3101 The Medicare Improvements for Patients and Providers Act; S.3656 Preserving Access to Healthcare (PATH) Act of 2008; H.R. 2638 Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009 (continuing resolution 2009); H.R. 5480 Medicare Funding Warning Response Act of 2008; H.R. 5924 Emergency Nursing Supply Relief Act; H.R. 6898 Health-e IT Act of 2008; HR. 7067 Quality FIRST Act of 2008; H.R. 7110 Job Creation and Unemployment Relief Act of 2008 (Title III includes FMAP provision); H.R. 7219 The Protecting Hospital Outpatient and Community Clinic Services Act of 2008; H.R. 7241 Preserving Access to Healthcare (PATH) Act of 2008; H.Res.1368 Relating to the House procedures contained in Section 803 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.

advocacy against funding cuts in medicare and graduate medical education HR 6331 - Medicare Improvements for Patients and Providers Act of 2008 HR 7110 - Job Creation and Unemployment Relief Act of 2008; Title III, Temporary increase in Medicaid matching rate HR 5268 - to provide for a temporary increase of the Federal medical assistance percentage under the Medicaid program, and for other purposes. HR 7219 - Protecting Hospital Outpatient and Community Clinic Services Act of 2008 HR 2642 - Supplemental Appropriations Act, 2008; Title 6, Other Health Matters

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 7110 and S. 3604, A bill making emergency supplemental appropriations for economic recovery for the fiscal year ending September 30, 2008, and for other purposes H.R. 7067, the Quality FIRST Act H.R. 6394, Border Health Care Relief Act of 2008 H.R. 2638, Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009 H.R. 5721, Strengthening the Safety Net Act of 2008 H.R. 7219, Protecting Hospital Outpatient and Community Clinic Services Act of 2008 S. 739, HR 1781 Children's Dental Health Improvement Act of 2007 S. 3656, Protecting Access to Healthcare (PATH) Act of 2008 H.R. 7241, Preserving Access to Healthcare (PATH) Act of 2008 H.R. 5268, no bill title- would increase FMAP H.R. 6444, Enhanced Health Care Value for All Act of 2007 H.R. 676, United States National Health Insurance Act H.R. 6898, Health-e Information Technology Act of 2008

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