Medicare Access to Rehabilitation Services Act of 2007

Medicare/General. H.R. 205, H.R. 748, H.R. 1218, H.R. 1277, H.R. 1310, H.R. 1521, H.R. 2009, H.R. 2056, H.R. 2065, H.R. 2149, H.R. 3025, H.R. 3061, H.R. 3162, H.R. 3932, H.R. 6331, S. 137, S. 250, S. 450, S. 706, S. 1887, S. 2089, S. 2115, S. 2219, S. 3101: Medicare/General (continued). provisions relating to enrollment periods and the late enrollment penalty, physician reimbursement rates, creating a Medicare-operated prescription drug plan, drug price negotiations, Medicare beneficiary improvements, repealing cost containment mandates, Medicare Advantage payments, Medicare Advantage stabilization fund, and comparative cost adjustment demonstration projects under the Medicare Modernization Act, therapy caps, liberalizing asset test limits, reducing the Part D benefit gap and guaranteeing prescription drug benefits. Medicare/Prescription Drug Price Negotiation. H.R. 4, H.R. 118, H.R. 5317, S. 3, S. 273: provisions pertaining to the negotiation of prescription drug prices under Medicare Part D. Medicare/Medicare Advantage. H.R. 2945: provision to provide beneficiary protections against excessive cost-sharing under the Medicare Advantage Program. Medicare/Importation of Prescription Drugs. S. 242, H.R. 380, S.Amdt. 4299: provisions pertaining to the importation of prescription drugs. Medicare/Outpatient Psychiatric Services. H.R. 1571, H.R. 1663, H.R. 4897, S. 1715, S. 1854: provisions to eliminate discriminatory copayment rates for outpatient psychiatric services under Medicare Part B. Medicare/Geriatric Assessments. H.R. 2244, S. 1340: provisions to provide Medicare beneficiaries with access to geriatric assessments and chronic care coordination services. Medicare/Generic Drugs Market Exclusivity. H.R. 1432, H.R. 1902, S. 316, S. 1088: pertaining to market exclusivity for generic drugs. Medicare/Prescription Drug Benefits for Low Income Beneficiaries. H.R. 470, H.R. 932, H.R. 1536, H.R. 2058, H.R. 3127, S. 1102, S. 1103, S. 1107, S. 1108, S. 2101: provisions affecting prescription drug benefits for low-income beneficiaries under Medicare Parts B and D. Medicare/Part B Late Enrollment. H.R. 2591: provision limiting the penalty for late enrollment under Medicare Part B. Medicare/Marketing. H.R. 2307, H.R. 4790, S. 1883, S. 2687: provisions relating to the marketing of Medicare Advantage and Medicare Part D plans. Medicare/Health Care Vouchers. H.R. 749: provision to establish health care vouchers for seniors. Medicare/Medicare Savings Accounts. H.R. 2639, S. 173, S. 1019: provisions pertaining to Medicare Savings Accounts. Medicare/End-of-Life Planning. S. 464, S. 465, S. 466: pertaining to advance directives and end-of-life planning. Medicare/Means-testing. H.R. 4295, H.R. 4330, S. 2414, S.Amdt. 4240: pertaining to means-testing of Medicare Part D. Medicare/Presidents Funding Warning. H.R. 5480, S. 2662: proposals responding to the Presidents Medicare funding warning. H. Res. 1368, to suspend section 803 of the Medicare Modernization Act of 2003 (known as the Medicare trigger") for the remainder of the 110th Congress. Medicare/24-month Waiting Period. H.R.154, S. 2101: provisions phasing out the 24-month waiting period for disabled individuals to become eligible for Medicare benefits and eliminating the waiting period for individuals with life-threatening conditions. Medicare/Identity Theft Prevention. H.R. 6600, provisions related to removal of Social Security numbers from Medicare cards. Medicaid/Federal Match. H.R. 5140: provisions pertaining to temporary increases in the federal Medicaid match. Medicaid/Targeted Case Management. Targeted Case Management: interim final rule to implement Section 6052 of the Deficit Reduction Act.

Client expense: $280,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare/General. H.R. 205, H.R. 748, H.R. 1218, H.R. 1277, H.R. 1310, H.R. 1521, H.R. 2009, H.R. 2056, H.R. 2065, H.R. 2149, H.R. 3025, H.R. 3061, H.R. 3162, H.R. 3932, H.R. 6331, S. 137, S. 250, S. 450, S. 706, S. 1887, S. 2089, S. 2115, S. 2219, S. 3101: provisions relating to enrollment periods and the late enrollment penalty, physician reimbursement rates, creating a Medicare-operated prescription drug plan, drug price negotiations, Medicare beneficiary improvements, repealing cost containment mandates, Medicare Advantage payments, Medicare Advantage stabilization fund, and comparative cost adjustment demonstration projects under the Medicare Modernization Act, therapy caps, liberalizing asset test limits, reducing the Part D benefit gap and guaranteeing prescription drug benefits. Medicare/Prescription Drug Price Negotiation. H.R. 4, H.R. 118, H.R. 5317, S. 3, S. 273: provisions pertaining to the negotiation of prescription drug prices under Medicare Part D. Medicare/Medicare Advantage. H.R. 2945: provision to provide beneficiary protections against excessive cost-sharing under the Medicare Advantage Program. Medicare/Importation of Prescription Drugs. S. 242, H.R. 380, S.Amdt. 4299: provisions pertaining to the importation of prescription drugs. Medicare/Outpatient Psychiatric Services. H.R. 1571, H.R. 1663, H.R. 4897, S. 1715, S. 1854: provisions to eliminate discriminatory copayment rates for outpatient psychiatric services under Medicare Part B. Medicare/Geriatric Assessments. H.R. 2244, S. 1340: provisions to provide Medicare beneficiaries with access to geriatric assessments and chronic care coordination services. Medicare/Generic Drugs Market Exclusivity. H.R. 1432, H.R. 1902, S. 316, S. 1088: pertaining to market exclusivity for generic drugs. Medicare/Prescription Drug Benefits for Low Income Beneficiaries. H.R. 470, H.R. 932, H.R. 1536, H.R. 2058, H.R. 3127, S. 1102, S. 1103, S. 1107, S. 1108, S. 2101: provisions affecting prescription drug benefits for low-income beneficiaries under Medicare Parts B and D. Medicare/Part B Late Enrollment. H.R. 2591: provision limiting the penalty for late enrollment under Medicare Part B. Medicare/Marketing. H.R. 2307, H.R. 4790, S. 1883, S. 2687: provisions relating to the marketing of Medicare Advantage and Medicare Part D plans. Medicare/Health Care Vouchers. H.R. 749: provision to establish health care vouchers for seniors. Medicare/Medicare Savings Accounts. H.R. 2639, S. 173, S. 1019: provisions pertaining to Medicare Savings Accounts. Medicare/End-of-Life Planning. S. 464, S. 465, S. 466: pertaining to advance directives and end-of-life planning. Medicare/Means-testing. H.R. 4295, H.R. 4330, S. 2414, S.Amdt. 4240: pertaining to means-testing of Medicare Part D. Medicare/Presidents Funding Warning. H.R. 5480, S. 2662: proposals responding to the Presidents Medicare funding warning. Medicare/24-month Waiting Period. H.R.154, S. 2101: provisions phasing out the 24-month waiting period for disabled individuals to become eligible for Medicare benefits and eliminating the waiting period for individuals with life-threatening conditions. Medicaid/Federal Match. H.R. 5140: provisions pertaining to temporary increases in the federal Medicaid match. Medicaid/Targeted Case Management. Targeted Case Management: Interim final rule to implement Section 6052 of the Deficit Reduction Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare/General. H.R. 205, H.R. 748, H.R. 1218, H.R. 1277, H.R. 1310, H.R. 1521, H.R. 2009, H.R. 2056, H.R. 2065, H.R. 2149, H.R. 3025, H.R. 3061, H.R. 3162, H.R. 3932, S. 137, S. 250, S. 450, S. 706, S. 1887, S. 2089, S. 2115, S. 2219: provisions relating to enrollment periods and the late enrollment penalty, physician reimbursement rates, creating a Medicare-operated prescription drug plan, drug price negotiations, Medicare beneficiary improvements, repealing cost containment mandates, Medicare Advantage payments, Medicare Advantage stabilization fund, and comparative cost adjustment demonstration projects under the Medicare Modernization Act, therapy caps, liberalizing asset test limits, Medicare Secondary Payer clarification, reducing the Part D benefit gap and guaranteeing prescription drug benefits. Medicare/Prescription Drug Price Negotiation. H.R. 4, H.R. 118, H.R. 5317, S. 3, S. 273: provisions pertaining to the negotiation of prescription drug prices under Medicare Part D. Medicare/Medicare Advantage. H.R. 2945: provision to provide beneficiary protections against excessive cost-sharing under the Medicare Advantage Program. Medicare/Importation of Prescription Drugs. S. 242, H.R. 380, S.Amdt. 4299: provisions pertaining to the importation of prescription drugs. Medicare/Outpatient Psychiatric Services. H.R. 1571, H.R. 1663, H.R. 4897, S. 1715, S. 1854: provisions to eliminate discriminatory copayment rates for outpatient psychiatric services under Medicare Part B. Medicare/Geriatric Assessments. H.R. 2244, S. 1340: provisions to provide Medicare beneficiaries with access to geriatric assessments and chronic care coordination services. Medicare/Generic Drugs Market Exclusivity. H.R. 1432, H.R. 1902, S. 316, S. 1088: pertaining to market exclusivity for generic drugs. Medicare/Prescription Drug Benefits for Low Income Beneficiaries. H.R. 470, H.R. 932, H.R. 1536, H.R. 2058, H.R. 3127, S. 1102, S. 1103, S. 1107, S. 1108, S. 2101: provisions affecting prescription drug benefits for low-income beneficiaries under Medicare Parts B and D. Medicare/Part B Late Enrollment. H.R. 2591: provision limiting the penalty for late enrollment under Medicare Part B. Medicare/Marketing. H.R. 2307, H.R. 4790, S. 1883, S. 2687: provisions relating to the marketing of Medicare Advantage and Medicare Part D plans. Medicare/Health Care Vouchers. H.R. 749: provision to establish health care vouchers for seniors. Medicare/Medicare Savings Accounts. H.R. 2639, S. 173, S. 1019: provisions pertaining to Medicare Savings Accounts. Medicare/End-of-Life Planning. S. 464, S. 465, S. 466: pertaining to advance directives and end-of-life planning. Medicare/Means-testing. H.R. 4295, H.R. 4330, S. 2414, S.Amdt. 4240: pertaining to means-testing of Medicare Part D. Medicare/Presidents Funding Warning. H.R. 5480, S. 2662: proposals responding to the Presidents Medicare funding warning. Medicare/24-month Waiting Period. H.R.154, S. 2101: provisions phasing out the 24-month waiting period for disabled individuals to become eligible for Medicare benefits and eliminating the waiting period for individuals with life-threatening conditions. Medicaid/Federal Match. H.R. 5140: provisions pertaining to temporary increases in the federal Medicaid match. Medicaid/Targeted Case Management. Targeted Case Management: interim final rule to implement Section 6052 of the Deficit Reduction Act.

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

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

Medicare Patient Access to Physical Therapists Act [H.R.1552/S.932]; Children's Health and Medicare Protection Act [H.R.3162]; Medicare Access to Rehabilitation Services Act [S.450/H.R.748]; Medicare Access to Physical Medicine and Rehabilitation Services Improvement Act [H.R.1846]; Long-term Care Quality and Modernization Act [H.R.4082]

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), SENATE

Medicare Patient Access to Physical Therapists Act [H.R.1552/S.932]; Children's Health and Medicare Protection Act [H.R.3162]; Medicare Access to Rehabilitation Services Act [S.450/H.R.748]; Medicare Access to Physical Medicine and Rehabilitation Services Improvement Act [H.R.1846]; Long-term Care Quality and Modernization Act [H.R.4082]

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), SENATE

Medicare Access to Rehabilitation Services Act of 2007 (S. 450/H.R. 748) Medicare Improvements for Patients and Providers Act (S. 3101/H.R. 6331) Preserving Access to Medicare Act (S. 3118) Public Law No: 110-85 (H.R. 3580) Public Law 110-173 (S. 2499) Medically Fragile Children's Act (H.R. 7130/S. 3631)

Client expense: $269,618 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

HR 748 - Medicare Access to Rehabilitation Services Act, Repeal of Therapy Caps S 450 - Medicare Access to Rehabilitation Services Act, Repeal of Therapy Caps HR 1552 - Medicare Patient Access to Physical Therapists Act S 932 - Medicare Patient Access to Physical Therapists Act HR 1846 - Medicare Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 HR 5445 - To amend part B of title XVIII of the Social Security Act to increase Medicare payments for physicians' services through December 31, 2009 S 2785 - Save Medicare Act of 2008 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. S 787 - To impose a 2-year moratorium on implementation of a proposed rule relating to the Federal-State financial partnerships under Medicaid and the State Children's Health Insurance Program HR 5590 - Medicare Oral Health Rehabilitative Enhancement Act of 2008 HR 5613 - Protecting Medicaid Safety Net Act of 2008 HR 4105 - Medicare Recovery Audit Contractor Program Moratorium Act of 2007 H CON RES 312 - Revising the congressional budget for the United States Government for fiscal year 2008, establishing the congressional budget for the United States Government for fiscal year 2009, and setting forth appropriate budgetary levels for fiscal years 2010 through 2013 HR 1459 - To improve Medicare beneficiary access by extending the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility S 1958 - Medicare Long-Term Care Hospital Patient Safety and Improvement Act of 2007 HR 3057 - Medicare Long-Term Care Patient Safety and Improvement Act of 2007 CORF, ORF conditions of participation- social and vocational services requirements Medicaid regulations promulgated by CMS Stark provisions in Fee Schedule Rule Physician Quality Reporting Initiative Durable Medical Equipment, Prosthetic, Orthotic & Supplies (DMEPOS) Regulations Medicare Post Acute Care Demo Medicare Home Health Demo Medicare Electronic Health Record demo CMS Alternative Payment System Project Comments to American Health Information Community re: successor Payment updates for physicians, hospitals, skilled nursing facilities, and home health Medicare Manual revisions In office ancillary services exception Inpatient Rehabilitation Facilities under Medicare Improving Funding for the Medicaid Program Extending legislative moratoria on Medicaid Regulations in President's FY 2009 budget Working with plan to mandate implementation of the International Classification of Diseases, 10th edition Medicaid Federal Medical Assistance Percentage (FMAP) 2009 Medicare Physician Fee Schedule Proposed Rule HR 6331-the Medicare Improvements for Patients and Providers Act S 3101- the Medicare Improvements for Patients and Providers Act S 3118 - Preserving Access to Medicare Act of 2008 HR 6252 - Medicare DMEPOS Competive Acquisition Reform Act of 2008 S 3144- Medicare DMEPOS Competive Acquisition Reform Act of 2008 HR 4105 - Medicare Recovery Audit Contractor Program S 2812 - Medicare Telehealth Improvement Act of 2008 HR 5445 - Increase Medicare Payments for physician services S 2785 - Increase Medicare Payments for physician services HR 5704 - Home Health Flexibility Act of 2008 Outpatient Hospital Medicaid Regulations

Client expense: $378,766 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

Patients' Rights Legislation; HR 748/S 450: Medicare Access to Rehabilitation Services Act; PL 108-173: Medicare Prescription Drug and Modernization Act of 2003; S 558: Mental Health Parity legislation; HR 1367: Paul Wellstone Mental Health & Addiction Equity Act of 2007; HR 1017/S 578: Protecting Children's Health in Schools Act; HR 3001/S 1758: Community Living Assistance Services and Supports Act (CLASS) Act; HR 2820: Reconstructive Surgery Act of 2008 S 400: Michelle's Law; HR 5617/S 3517: Group Health Plan Prosthetics Parity Act of 2007; HR 1424: Emergency Economic Stabilization Act (HR 6983: Paul Wellstone and Pete Domenici Mental Health Parity & Addiction Equity Act of 2008); HR 3690: Military Family Autism Equality Act.

Client expense: $78,906 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

HR 3248/S 1283: Managed Care Reform/Patients' rights legislation; HR 3248/S 1283: Lifespan Respite Care Act of 2005; HR 4281: Small Business Health Fairness Act; S 558: Mental Health Parity Legislation; HR 1367: Paul Wellstone Mental Health & Addiction Equity Act of 2007; PL 109-365: Older Americans Act Amendments of 2006; S 845: Safety of Seniors Act of 2007; HR 6331/S 3101: Medicare Improvements for Patients and Providers Act of 2008; Health care reform policy HR 3267/S 1760: Health Start Reauthorization Act of 2007; HR 2642: Military Construction and Veterans Affairs Appropriation Act of 2008; HR 1017/S 578: Protecting Children's Health in Schools Act; HR 6111: Tax Relief and Health Care Act of 2006; S 543: Preserving Access to Inpatient Rehabilitation Hospitals Act of 2007; HR 748/S 450: Medicare Access to Rehabilitative Services Act; HR 5613: Protecting the Medicaid Safety Net Act of 2008; HR 3014: Health Equity and Accountability Act of 2007; Combating Autism Act; HR 1881/S 937: Expanding the Promise for Individuals with Autism Act; S 3230: FY2009 Labor-HHS-Education Appropriations; HR 5615/S 3517: Group Health Plan Prosthetic Parity Act of 2007; HR 1134/S 2485: Physical Therapy Student Loan Repayment Eligibility Act of 2007; HR 1424: Emergency Economic Stabilization Act (HR 6983: Paul Wellstone and Pete Domenici Mental Health Parity & Addiction Equity Act of 2008); HR 3690: Miltary Family Autism Equity Act.

Client expense: $78,906 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

H.R.748/S.450: Medicare Access to Rehabilitation Services Act of 2007 H.R.1552/S.932: Medicare Patient Access to Physical Therapists Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

To improve Medicare, Medicaid equity. S.456,S773,S.1075,S.2785,S.2799,S.3101 HR748,HR1108,HR2319,HR3038,HR4107,HR5465,HR6185,HR6331,HR6600,HR6832

Client expense: $408,526 · Firm income: Not reported

Government targets: Air Force, Dept of, Army, Dept of (Other), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA)

Medicare/General. H.R. 205, H.R. 748, H.R. 1218, H.R. 1277, H.R. 1310, H.R. 1521, H.R. 2009, H.R. 2056, H.R. 2065, H.R. 2149, H.R. 3025, H.R. 3061, H.R. 3162, H.R. 3932, H.R. 6331, S. 137, S. 250, S. 450, S. 706, S. 1887, S. 2089, S. 2115, S. 2219, S. 3101: provisions relating to enrollment periods and the late enrollment penalty, physician reimbursement rates, creating a Medicare-operated prescription drug plan, drug price negotiations, Medicare beneficiary improvements, repealing cost containment mandates, Medicare Advantage payments, Medicare Advantage stabilization fund, and comparative cost adjustment demonstration projects under the Medicare Modernization Act, therapy caps, liberalizing asset test limits, reducing the Part D benefit gap and guaranteeing prescription drug benefits. Medicare/Prescription Drug Price Negotiation. H.R. 4, H.R. 118, H.R. 5317, S. 3, S. 273: provisions pertaining to the negotiation of prescription drug prices under Medicare Part D. Medicare/Medicare Advantage. H.R. 2945: provision to provide beneficiary protections against excessive cost-sharing under the Medicare Advantage Program. Medicare/Importation of Prescription Drugs. S. 242, H.R. 380, S.Amdt. 4299: provisions pertaining to the importation of prescription drugs. Medicare/Outpatient Psychiatric Services. H.R. 1571, H.R. 1663, H.R. 4897, S. 1715, S. 1854: provisions to eliminate discriminatory copayment rates for outpatient psychiatric services under Medicare Part B. Medicare/Geriatric Assessments. H.R. 2244, S. 1340: provisions to provide Medicare beneficiaries with access to geriatric assessments and chronic care coordination services. Medicare/Generic Drugs Market Exclusivity. H.R. 1432, H.R. 1902, S. 316, S. 1088: pertaining to market exclusivity for generic drugs. Medicare/Prescription Drug Benefits for Low Income Beneficiaries. H.R. 470, H.R. 932, H.R. 1536, H.R. 2058, H.R. 3127, S. 1102, S. 1103, S. 1107, S. 1108, S. 2101: provisions affecting prescription drug benefits for low-income beneficiaries under Medicare Parts B and D. Medicare/Part B Late Enrollment. H.R. 2591: provision limiting the penalty for late enrollment under Medicare Part B. Medicare/Marketing. H.R. 2307, H.R. 4790, S. 1883, S. 2687: provisions relating to the marketing of Medicare Advantage and Medicare Part D plans. Medicare/Health Care Vouchers. H.R. 749: provision to establish health care vouchers for seniors. Medicare/Medicare Savings Accounts. H.R. 2639, S. 173, S. 1019: provisions pertaining to Medicare Savings Accounts. Medicare/End-of-Life Planning. S. 464, S. 465, S. 466: pertaining to advance directives and end-of-life planning. Medicare/Means-testing. H.R. 4295, H.R. 4330, S. 2414, S.Amdt. 4240: pertaining to means-testing of Medicare Part D. Medicare/Presidents Funding Warning. H.R. 5480, S. 2662: proposals responding to the Presidents Medicare funding warning. H. Res. 1368, to suspend section 803 of the Medicare Modernization Act of 2003 (known as the Medicare trigger") for the remainder of the 110th Congress. Medicare/24-month Waiting Period. H.R.154, S. 2101: provisions phasing out the 24-month waiting period for disabled individuals to become eligible for Medicare benefits and eliminating the waiting period for individuals with life-threatening conditions. Medicaid/Federal Match. H.R. 5140: provisions pertaining to temporary increases in the federal Medicaid match. Medicaid/Targeted Case Management. Targeted Case Management: interim final rule to implement Section 6052 of the Deficit Medicaid/Targeted Case Management (continued). Reduction Act.

Client expense: $250,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 450 and HR 748, The Medicare Access to Rehabilitation Services Act of 2007 - All provisions, passage. HR 1846, The Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 - Opposed based on quality, cost accountability, and scope of practice concerns. S. 1224 and HR 3269, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 - Advocated in support of the CHIP program and an expanded role for occuaptional therapy. H.R. 3162, Children's Health and Medicare Protections Act of 2007 (CHAMP) - Advocated for Medicare provision regarding therapy caps, 75% rule on inpatient rehabilitation facilities, SGR cuts and Medicaid provisions. S. 799 and H.R. 1621, The Community Choice Act - Supported all provisions. S. 578 and H.R. 1017, Protecting Children's Health in Schools Act - supported passage and maintaining Medicaid funding for school based administrative claiming and transportation services. H.R. 1809 and S. 2103, Medicare Independent Living Act - Supported the provision of improved access to mobility devices for people with disabilities. H.R. 4082 and S. 1980, Long-term Care Quality and Modernization Act of 2007 - Advocated for inclusion of occupational therapy in quality reporting. S. 932 and H.R. 1552, Medicare Patient Access to Physical Therapist Act of 2007 - Advocated regarding impact on occupational therapy. H.R. 1663, Medicare Mental Health Modernization Act of 2007 - Advocated for passage and improved role for occupational therapy. S. 1628, Nurse Faculty and Physical Therapist Education Act of 2007 - Advocated for inclusion of occupational therapy loan repayment. H.R. 4248, Ensuring Medicare Access to Recreational Thearpy Act - Opposed findings language referring to functional capacities and worked to amend that language. No bill number - Medicaid Rehabilitation Services Proposed Rule - Before Congress advocated for moratorium; opposed proposal to restrict the reimbursement of services under the rehabilitation option. HR 5704, The Medicare Home Health Flexibility Act: Advocated for the promotion of occupational therapy in home health under Medicare. No bill number: Advocated and educated about the role of occupational therapy in mental health practice. HR 5590, Medicare Oral Health Rehabilitative Enhancement Act - inclusion of occupational therapy coverage language. No bill number - Preserving Access to Medicare Act - advocated for passage and inclusion of Part B outpatient therapy cap exceptions process extension, physician fee schedule update, and physician quality review incentive (PQRI). HR 2231 and S 2931 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007 - advocated for exemption of complex rehab from competitive bidding for DMEPOS. H.R. 7130 and S. 3631 - Medically Fragile Childrens Act of 2008 - Advocated for provision of occupational therapy. H.R. 6878 - Medicare Orthotics and Prosthetics Improvement Act of 2008 - Opposed due to negative impact on occupational therapy scope of practice and reimbursement.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Patient Access to Physical Therapists Act [H.R.1552/S.932]; Children's Health and Medicare Protection Act [H.R.3162]; Medicare Access to Rehabilitation Services Act [S.450/H.R.748]; Medicare Access to Physical Medicine and Rehabilitation Services Improvement Act [H.R.1846]; Long-term Care Quality and Modernization Act [H.R.4082]

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), SENATE

Medicare Access to Rehabilitation Services Act of 2007 (S. 450/H.R. 748) Medicare Improvements for Patients and Providers Act (S. 3101/H.R. 6331) Preserving Access to Medicare Act (S. 3118) Public Law No: 110-85 (H.R. 3580) Public Law 110-173 (S. 2499) Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY2009 (CMS-1403-P) National Coverage Analysis of Pharmacogenomic Testing for Warfarin Response (CAG-00400N)

Client expense: $411,823 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

HR 3248/S 1283: Managed Care Reform/Patients' rights legislation; HR 3248/S 1283: Lifespan Respite Care Act of 2005; HR 4281: Small Business Health Fairness Act; S 558: Mental Health Parity Legislation; HR 1367: Paul Wellstone Mental Health & Addiction Equity Act of 2007; PL 109-365: Older Americans Act Amendments of 2006; S 845: Safety of Seniors Act of 2007; HR 6331/S 3101: Medicare Improvements for Patients and Providers Act of 2008 HR 3267/S 1760: Health Start Reauthorization Act of 2007; HR 2642: Military Construction and Veterans Affairs Appropriation Act of 2008; HR 1017/S 578: Protecting Children's Health in Schools Act; HR 6111: Tax Relief and Health Care Act of 2006; S 543: Preserving Access to Inpatient Rehabilitation Hospitals Act of 2007; HR 748/S 450: Medicare Access to Rehabilitative Services Act; HR 3043/S 1710: FY2008 Labor-HHS-Education Appropriations; H. Con. Res 99/S. Con. Res. 21: FY2009 Budget Resolution; HR 5613: Protecting the Medicaid Safety Net Act of 2008; HR 3014: Health Equity and Accountability Act of 2007; Combating Autism Act; HR 1881/S 937: Expanding the Promise for Individuals with Autism Act; S 3230: FY2009 Labor-HHS-Education Appropriations; HR 5615/S 3517: Group Health Plan Prosthetic Parity Act of 2007; HR 1134/S 2485: Physical Therapy Student Loan Repayment Eligibility Act of 2007; HR 1424: Emergency Economic Stabilization Act (HR 6983: Paul Wellstone and Pete Domenici Mental Health Parity & Addiction Equity Act of 2008).

Client expense: $115,423 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

Patients' Rights Legislation; HR 748/S 450: Medicare Access to Rehabilitation Services Act; PL 108-173: Medicare Prescription Drug and Modernization Act of 2003; S 558: Mental Health Parity legislation; HR 1367: Paul Wellstone Mental Health & Addiction Equity Act of 2007; HR 1017/S 578: Protecting Children's Health in Schools Act; HR 3001/S 1758: Community Living Assistance Services and Supports Act (CLASS) Act; HR 2820: Reconstructive Surgery Act of 2008 S 400: Michelle's Law; HR 5617/S 3517: Group Health Plan Prosthetics Parity Act of 2007; HR 1424: Emergency Economic Stabilization Act (HR 6983: Paul Wellstone and Pete Domenici Mental Health Parity & Addiction Equity Act of 2008).

Client expense: $115,423 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

S. 450 and HR 748, The Medicare Access to Rehabilitation Services Act of 2007 - All provisions, passage. HR 1846, The Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 - Opposed based on quality, cost accountability, and scope of practice concerns. S. 1224 and HR 3269, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 - Advocated in support of the CHIP program and an expanded role for occuaptional therapy. H.R. 3162, Children's Health and Medicare Protections Act of 2007 (CHAMP) - Advocated for Medicare provision regarding therapy caps, 75% rule on inpatient rehabilitation facilities, SGR cuts and Medicaid provisions. S. 799 and H.R. 1621, The Community Choice Act - Supported all provisions. S. 578 and H.R. 1017, Protecting Children's Health in Schools Act - supported passage and maintaining Medicaid funding for school based administrative claiming and transportation services. H.R. 1809 and S. 2103, Medicare Independent Living Act - Supported the provision of improved access to mobility devices for people with disabilities. H.R. 4082 and S. 1980, Long-term Care Quality and Modernization Act of 2007 - Advocated for inclusion of occupational therapy in quality reporting. S. 932 and H.R. 1552, Medicare Patient Access to Physical Therapist Act of 2007 - Advocated regarding impact on occupational therapy. H.R. 1663, Medicare Mental Health Modernization Act of 2007 - Advocated for passage and improved role for occupational therapy. S. 1628, Nurse Faculty and Physical Therapist Education Act of 2007 - Advocated for inclusion of occupational therapy loan repayment. H.R. 4248, Ensuring Medicare Access to Recreational Thearpy Act - Opposed findings language referring to functional capacities and worked to amend that language. HR 2642 (PL 110-252) Iraq War Supplemental Appropriations -Advocated for moratorium on Medicaid School-based Transportation and Administrative Claiming Costs and opposed elimination of reimbursement for rehab service option. No bill number - Medicaid Rehabilitation Services Proposed Rule - Before Congress advocated for moratorium; opposed proposal to restrict the reimbursement of services under the rehabilitation option. HR 5704, The Medicare Home Health Flexibility Act: Advocated for the promotion of occupational therapy in home health under Medicare. No bill number: Advocated and educated about the role of occupational therapy in mental health practice. HR 6331 and S 3101, Medicare Improvement for Patients and Providers act of 2008 - Advocated for passage and inclusion of following provisions: Part B Outpatient therapy cap exceptions process extension, physician fee schedule update; reduction in copay for Medicare mental health provisions, and delay competitive bidding for DMEPOS; and PQRI. HR 5590, Medicare Oral Health Rehabilitative Enhancement Act - inclusion of occupational therapy coverage language. No bill number - Preserving Access to Medicare Act - advocated for passage and inclusion of Part B outpatient therapy cap exceptions process extension, physician fee schedule update, and physician quality review incentive (PQRI). HR 2231 and S 2931 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007 - advocated for exemption of complex rehab from competitive bidding for DMEPOS. H.R. 7130 and S. 3631 - Medically Fragile Childrens Act of 2008 - Advocated for provision of occupational therapy. H.R. 6878 - Medicare Orthotics and Prosthetics Improvement Act of 2008 - Opposed due to negative impact on occupational therapy scope of practice and reimbursement.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

HR 748 - Medicare Access to Rehabilitation Services Act, Repeal of Therapy Caps S 450 - Medicare Access to Rehabilitation Services Act, Repeal of Therapy Caps HR 1552 - Medicare Patient Access to Physical Therapists Act S 932 - Medicare Patient Access to Physical Therapists Act HR 1846 - Medicare Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 HR 5445 - To amend part B of title XVIII of the Social Security Act to increase Medicare payments for physicians' services through December 31, 2009 S 2785 - Save Medicare Act of 2008 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. S 787 - To impose a 2-year moratorium on implementation of a proposed rule relating to the Federal-State financial partnerships under Medicaid and the State Children's Health Insurance Program HR 5590 - Medicare Oral Health Rehabilitative Enhancement Act of 2008 HR 5613 - Protecting Medicaid Safety Net Act of 2008 HR 4105 - Medicare Recovery Audit Contractor Program Moratorium Act of 2007 H CON RES 312 - Revising the congressional budget for the United States Government for fiscal year 2008, establishing the congressional budget for the United States Government for fiscal year 2009, and setting forth appropriate budgetary levels for fiscal years 2010 through 2013 HR 1459 - To improve Medicare beneficiary access by extending the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility S 1958 - Medicare Long-Term Care Hospital Patient Safety and Improvement Act of 2007 HR 3057 - Medicare Long-Term Care Patient Safety and Improvement Act of 2007 CORF, ORF conditions of participation- social and vocational services requirements Medicaid regulations promulgated by CMS Stark provisions in Fee Schedule Rule Physician Quality Reporting Initiative Durable Medical Equipment, Prosthetic, Orthotic & Supplies (DMEPOS) Regulations Medicare Post Acute Care Demo Medicare Home Health Demo Medicare Electronic Health Record demo CMS Alternative Payment System Project Comments to American Health Information Community re: successor Payment updates for physicians, hospitals, skilled nursing facilities, and home health Medicare Manual revisions In office ancillary services exception Inpatient Rehabilitation Facilities under Medicare Improving Funding for the Medicaid Program Extending legislative moratoria on Medicaid Regulations in President's FY 2009 budget Working with plan to mandate implementation of the International Classification of Diseases, 10th edition Medicaid Federal Medical Assistance Percentage (FMAP) 2009 Medicare Physician Fee Schedule Proposed Rule HR 6331-the Medicare Improvements for Patients and Providers Act S 3101- the Medicare Improvements for Patients and Providers Act S 3118 - Preserving Access to Medicare Act of 2008 HR 6252 - Medicare DMEPOS Competive Acquisition Reform Act of 2008 S 3144- Medicare DMEPOS Competive Acquisition Reform Act of 2008 HR 4105 - Medicare Recovery Audit Contractor Program S 2812 - Medicare Telehealth Improvement Act of 2008 HR 5445 - Increase Medicare Payments for physician services S 2785 - Increase Medicare Payments for physician services HR 5704 - Home Health Flexibility Act of 2008 Outpatient Hospital Medicaid Regulations

Client expense: $355,739 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

Physician Payment Update H.R.748/S.450: Medicare Access to Rehabilitation Services Act of 2007 H.R.1552/S.932: Medicare Patient Access to Physical Therapists Act of 2007 H.R.6331/S.3101: Medicare Improvements for Patients and Providers Act

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA)

To improve Medicare, Medicaid equity. S.456,S.773,S.1075,S.2785,S.3101 HR748,HR1108,HR2319,HR3038,HR5465,HR6185,HR6331,HR6600

Client expense: $429,304 · Firm income: Not reported

Government targets: Air Force, Dept of, Army, Dept of (Other), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA)

Medicare/General. H.R. 205, H.R. 748, H.R. 1218, H.R. 1277, H.R. 1310, H.R. 1521, H.R. 2009, H.R. 2056, H.R. 2065, H.R. 2149, H.R. 3025, H.R. 3061, H.R. 3162, H.R. 3932, H.R. 6331, S. 137, S. 250, S. 450, S. 706, S. 1887, S. 2089, S. 2115, S. 2219, S. 3101: Medicare/General (continued). provisions relating to enrollment periods and the late enrollment penalty, physician reimbursement rates, creating a Medicare-operated prescription drug plan, drug price negotiations, Medicare beneficiary improvements, repealing cost containment mandates, Medicare Advantage payments, Medicare Advantage stabilization fund, and comparative cost adjustment demonstration projects under the Medicare Modernization Act, therapy caps, liberalizing asset test limits, reducing the Part D benefit gap and guaranteeing prescription drug benefits. Medicare/Prescription Drug Price Negotiation. H.R. 4, H.R. 118, H.R. 5317, S. 3, S. 273: provisions pertaining to the negotiation of prescription drug prices under Medicare Part D. Medicare/Medicare Advantage. H.R. 2945: provision to provide beneficiary protections against excessive cost-sharing under the Medicare Advantage Program. Medicare/Importation of Prescription Drugs. S. 242, H.R. 380, S.Amdt. 4299: provisions pertaining to the importation of prescription drugs. Medicare/Outpatient Psychiatric Services. H.R. 1571, H.R. 1663, H.R. 4897, S. 1715, S. 1854: provisions to eliminate discriminatory copayment rates for outpatient psychiatric services under Medicare Part B. Medicare/Geriatric Assessments. H.R. 2244, S. 1340: provisions to provide Medicare beneficiaries with access to geriatric assessments and chronic care coordination services. Medicare/Generic Drugs Market Exclusivity. H.R. 1432, H.R. 1902, S. 316, S. 1088: pertaining to market exclusivity for generic drugs. Medicare/Prescription Drug Benefits for Low Income Beneficiaries. H.R. 470, H.R. 932, H.R. 1536, H.R. 2058, H.R. 3127, S. 1102, S. 1103, S. 1107, S. 1108, S. 2101: provisions affecting prescription drug benefits for low-income beneficiaries under Medicare Parts B and D. Medicare/Part B Late Enrollment. H.R. 2591: provision limiting the penalty for late enrollment under Medicare Part B. Medicare/Marketing. H.R. 2307, H.R. 4790, S. 1883, S. 2687: provisions relating to the marketing of Medicare Advantage and Medicare Part D plans. Medicare/Health Care Vouchers. H.R. 749: provision to establish health care vouchers for seniors. Medicare/Medicare Savings Accounts. H.R. 2639, S. 173, S. 1019: provisions pertaining to Medicare Savings Accounts. Medicare/End-of-Life Planning. S. 464, S. 465, S. 466: pertaining to advance directives and end-of-life planning. Medicare/Means-testing. H.R. 4295, H.R. 4330, S. 2414, S.Amdt. 4240: pertaining to means-testing of Medicare Part D. Medicare/Presidents Funding Warning. H.R. 5480, S. 2662: proposals responding to the Presidents Medicare funding warning. H. Res. 1368, to suspend section 803 of the Medicare Modernization Act of 2003 (known as the Medicare trigger") for the remainder of the 110th Congress. Medicare/24-month Waiting Period. H.R.154, S. 2101: provisions phasing out the 24-month waiting period for disabled individuals to become eligible for Medicare benefits and eliminating the waiting period for individuals with life-threatening conditions. Medicare/Identity Theft Prevention. H.R. 6600, provisions related to removal of Social Security numbers from Medicare cards. Medicaid/Federal Match. H.R. 5140: provisions pertaining to temporary increases in the federal Medicaid match. Medicaid/Targeted Case Management. Targeted Case Management: interim final rule to implement Section 6052 of the Deficit Reduction Act.

Client expense: $280,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Access to Rehabilitation Services Act of 2007 (S. 450/H.R. 748) Geriatric Assessment and Chronic Care Coordination Act (S. 1340/H.R. 2244) State Children's Health Insurance Program (SCHIP) reauthorization (H.R. 976) (H.R. 3162) Medicare Imrpovements for Patients and Providers Act (S. 3101/H.R. 6331) Preserving Access to Medicare Act (S. 3118) Public Law No: 110-85 (H.R. 3580) Public Law 110-173 (S. 2499) CMS Hospotal Inpatient Prospective Payment System and Fiscal Year 2009 Rates (CMS-1390-P) CMS Evidenting Priorities for Medicare (CMS-3196-N)

Client expense: $453,031 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

HR 748 - Medicare Access to Rehabilitation Services Act, Repeal of Therapy Caps S 450 - Medicare Access to Rehabilitation Services Act, Repeal of Therapy Caps HR 1552 - Medicare Patient Access to Physical Therapists Act S 932 - Medicare Patient Access to Physical Therapists Act HR 1846 - Medicare Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 HR 5445 - To amend part B of title XVIII of the Social Security Act to increase Medicare payments for physicians' services through December 31, 2009 S 2785 - Save Medicare Act of 2008 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. S 787 - To impose a 2-year moratorium on implementation of a proposed rule relating to the Federal-State financial partnerships under Medicaid and the State Children's Health Insurance Program HR 5590 - Medicare Oral Health Rehabilitative Enhancement Act of 2008 HR 5613 - Protecting Medicaid Safety Net Act of 2008 HR 4105 - Medicare Recovery Audit Contractor Program Moratorium Act of 2007 H CON RES 312 - Revising the congressional budget for the United States Government for fiscal year 2008, establishing the congressional budget for the United States Government for fiscal year 2009, and setting forth appropriate budgetary levels for fiscal years 2010 through 2013 HR 1459 - To improve Medicare beneficiary access by extending the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility S 1958 - Medicare Long-Term Care Hospital Patient Safety and Improvement Act of 2007 HR 3057 - Medicare Long-Term Care Patient Safety and Improvement Act of 2007 CORF, ORF conditions of participation- social and vocational services requirements Medicaid regulations promulgated by CMS Stark provisions in Fee Schedule Rule Physician Quality Reporting Initiative Durable Medical Equipment, Prosthetic, Orthotic & Supplies (DMEPOS) Regulations Medicare Post Acute Care Demo Medicare Home Health Demo Medicare Electronic Health Record demo CMS Alternative Payment System Project Comments to American Health Information Community re: successor Payment updates for physicians, hospitals, skilled nursing facilities, and home health Medicare Manual revisions In office ancillary services exception Inpatient Rehabilitation Facilities under Medicare Improving Funding for the Medicaid Program Extending legislative moratoria on Medicaid Regulations in President's FY 2009 budget Working with plan to mandate implementation of the International Classification of Diseases, 10th edition Medicaid Federal Medical Assistance Percentage (FMAP) 2009 Medicare Physician Fee Schedule Proposed Rule HR 6331-the Medicare Improvements for Patients and Providers Act S 3101- the Medicare Improvements for Patients and Providers Act S 3118 - Preserving Access to Medicare Act of 2008 HR 6252 - Medicare DMEPOS Competive Acquisition Reform Act of 2008 S 3144- Medicare DMEPOS Competive Acquisition Reform Act of 2008 HR 4105 - Medicare Recovery Audit Contractor Program S 2812 - Meciare Telehealth Improvement Act of 2008 HR 5445 - Increase Medicare Payments for physician services S 2785 - Increase Medicare Payments for physician services

Client expense: $566,146 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

Medicare Access to Rehabilitation Services Act of 2007 (S. 450/H.R. 748) Geriatric Assessment and Chronic Care Coordination Act (S. 1340/H.R. 2244) State Children's Health Insurance Program (SCHIP) reauthorization (H.R. 976) (H.R. 3162) Medicare Imrpovements for Patients and Providers Act (S. 3101/H.R. 6331) Preserving Access to Medicare Act (S. 3118) Public Law No: 110-85 (H.R. 3580) Public Law 110-173 (S. 2499) CMS Hospotal Inpatient Prospective Payment System and Fiscal Year 2009 Rates (CMS-1390-P) CMS Evidenting Priorities for Medicare (CMS-3196-N)

Client expense: $453,031 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

H.R. 748/S. 450, "Medicare Access to Rehabilitation Services Act of 2007." Extension of therapy caps exceptions process. H.R. 6331, "Medicare Improvements for Patients and Providers Act of 2008," Sec. 141 S. 3101, "Medicare Improvements for Patients and Providers Act of 2008," Sec. 141 S. 3118, "Preserving Access to Medicare Act of 2008," Sec. 139

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Physicain Payment Update H.R.748/S.450: Medicare Access to Rehabilitation Services Act of 2007 H.R.1552/S.932: Medicare Patient Access to Physical Therapists Act of 2007 H.R.3661/S.3101: Medicare Improvements for Patients and Providers Act

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA)

S. 450 and HR 748, The Medicare Access to Rehabilitation Services Act of 2007 - All provisions, passage. HR 1846, The Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 - Opposed based on quality, cost accountability, and scope of practice concerns. S. 1224 and HR 3269, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 - Advocated in support of the CHIP program and an expanded role for occuaptional therapy. H.R. 3162, Children's Health and Medicare Protections Act of 2007 (CHAMP) - Advocated for Medicare provision regarding therapy caps, 75% rule on inpatient rehabilitation facilities, SGR cuts and Medicaid provisions. S. 799 and H.R. 1621, The Community Choice Act - Supported all provisions. S. 578 and H.R. 1017, Protecting Children's Health in Schools Act - supported passage and maintaining Medicaid funding for school based administrative claiming and transportation services. H.R. 1809 and S. 2103, Medicare Independent Living Act - Supported the provision of improved access to mobility devices for people with disabilities. H.R. 4082 and S. 1980, Long-term Care Quality and Modernization Act of 2007 - Advocated for inclusion of occupational therapy in quality reporting. S. 932 and H.R. 1552, Medicare Patient Access to Physical Therapist Act of 2007 - Advocated regarding impact on occupational therapy. H.R. 1663, Medicare Mental Health Modernization Act of 2007 - Advocated for passage and improved role for occupational therapy. S. 1628, Nurse Faculty and Physical Therapist Education Act of 2007 - Advocated for inclusion of occupational therapy loan repayment. H.R. 4248, Ensuring Medicare Access to Recreational Thearpy Act - Opposed findings language referring to functional capacities and worked to amend that language. HR 2642 (PL 110-252) Iraq War Supplemental Appropriations -Advocated for moratorium on Medicaid School-based Transportation and Administrative Claiming Costs and opposed elimination of reimbursement for rehab service option. No bill number - Medicaid Rehabilitation Services Proposed Rule - Before Congress advocated for moratorium; opposed proposal to restrict the reimbursement of services under the rehabilitation option. HR 5704, The Medicare Home Health Flexibility Act: Advocated for the promotion of occupational therapy in home health under Medicare. No bill number: Advocated and educated about the role of occupational therapy in mental health practice. HR 6331 and S 3101, Medicare Improvement for Patients and Providers act of 2008 - Advocated for passage and inclusion of following provisions: Part B Outpatient therapy cap exceptions process extension, physician fee schedule update; reduction in copay for Medicare mental health provisions, and delay competitive bidding for DMEPOS; and PQRI. HR 5590, Medicare Oral Health Rehabilitative Enhancement Act - inclusion of occupational therapy coverage language. No bill number - Preserving Access to Medicare Act - advocated for passage and inclusion of Part B outpatient therapy cap exceptions process extension, physician fee schedule update, and physician quality review incentive (PQRI). HR 2231 and S 2931 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007 - advocated for exemption of complex rehab from competitive bidding for DMEPOS.

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

Government targets: Centers For Disease Control & Prevention (CDC), Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

Patients' Rights Legislation; HR 748/S 450: Medicare Access to Rehabilitation Services Act; PL 108-173: Medicare Prescription Drug and Modernization Act of 2003; S 558: Mental Health Parity legislation; HR 1424: Paul Wellstone Mental Health & Addiction Equality Act of 2007; HR 1017/S 578: Protecting Children's Health in Schools Act; HR 3001/S 1758: Community Living Assistance Services and Supports Act (CLASS) Act; HR 2820: Reconstructive Surgery Act of 2008 S 400: Michelle's Law; FY2009 Budget Resolution.

Client expense: $121,956 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

HR 3248/S 1283: Managed Care Reform/Patients' rights legislation; HR 3248/S 1283: Lifespan Respite Care Act of 2005; HR 4281: Small Business Health Fairness Act; S 558: Mental Health Parity Legislation; HR 1424: Paul Wellstone Mental Health & Addiction Equality Act of 2007; PL 109-365: Older Americans Act Amendments of 2006; S 845: Safety of Seniors Act of 2007; HR 6331/S 3101: Medicare Improvements for Patients and Providers Act of 2008 HR 3267/S 1760: Health Start Reauthorization Act of 2007; HR 5748: Ryan Dant Health Care Opportunity Act of 2008; HR 2642: Military Construction and Veterans Affairs Appropriation Act of 2008; HR 1017/S 578: Protecting Children's Health in Schools Act; HR 5399/S 2810: Medicare Late Enrollment Assistance Act of 2006; HR 6111: Tax Relief and Health Care Act of 2006; S 543: Preserving Access to Inpatient Rehabilitation Hospitals Act of 2007; HR 748/S 450: Medicare Access to Rehabilitative Services Act; HR 3043/S 1710: FY2008 Labor-HHS-Education Appropriations; H. Con. Res 99/S. Con. Res. 21: FY2009 Budget Resolution; HR 5613: Protecting the Medicaid Safety Net Act of 2008; HR 3825/S 1858 Newborn Screening Saves Lives Act of 2007; HR 3014: Health Equity and Accountability Act of 2007; Combating Autism Act; HR 1881/S 937 Expanding the Promise for Individuals with Autism Act; FY2009 Labor-HHS-Education Appropriations.

Client expense: $121,956 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

To improve Medicare, Medicaid equity. S456,S773,S2785,S3101 HR748,HR2319,HR3038,HR5465,HR6185,HR6331

Client expense: $626,803 · Firm income: Not reported

Government targets: Air Force, Dept of, Army, Dept of (Other), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Navy, Dept of, Office of Management & Budget (OMB), SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA)

Medicare/General. H.R. 205, H.R. 748, H.R. 1218, H.R. 1277, H.R. 1310, H.R. 1521, H.R. 2009, H.R. 2056, H.R. 2065, H.R. 2149, H.R. 3025, H.R. 3061, H.R. 3162, H.R. 3932, H.R. 6331, S. 137, S. 250, S. 450, S. 706, S. 1887, S. 2089, S. 2115, S. 2219, S. 3101: provisions relating to enrollment periods and the late enrollment penalty, physician reimbursement rates, creating a Medicare-operated prescription drug plan, drug price negotiations, Medicare beneficiary improvements, repealing cost containment mandates, Medicare Advantage payments, Medicare Advantage stabilization fund, and comparative cost adjustment demonstration projects under the Medicare Modernization Act, therapy caps, liberalizing asset test limits, reducing the Part D benefit gap and guaranteeing prescription drug benefits. Medicare/Prescription Drug Price Negotiation. H.R. 4, H.R. 118, H.R. 5317, S. 3, S. 273: provisions pertaining to the negotiation of prescription drug prices under Medicare Part D. Medicare/Medicare Advantage. H.R. 2945: provision to provide beneficiary protections against excessive cost-sharing under the Medicare Advantage Program. Medicare/Importation of Prescription Drugs. S. 242, H.R. 380, S.Amdt. 4299: provisions pertaining to the importation of prescription drugs. Medicare/Outpatient Psychiatric Services. H.R. 1571, H.R. 1663, H.R. 4897, S. 1715, S. 1854: provisions to eliminate discriminatory copayment rates for outpatient psychiatric services under Medicare Part B. Medicare/Geriatric Assessments. H.R. 2244, S. 1340: provisions to provide Medicare beneficiaries with access to geriatric assessments and chronic care coordination services. Medicare/Generic Drugs Market Exclusivity. H.R. 1432, H.R. 1902, S. 316, S. 1088: pertaining to market exclusivity for generic drugs. Medicare/Prescription Drug Benefits for Low Income Beneficiaries. H.R. 470, H.R. 932, H.R. 1536, H.R. 2058, H.R. 3127, S. 1102, S. 1103, S. 1107, S. 1108, S. 2101: provisions affecting prescription drug benefits for low-income beneficiaries under Medicare Parts B and D. Medicare/Part B Late Enrollment. H.R. 2591: provision limiting the penalty for late enrollment under Medicare Part B. Medicare/Marketing. H.R. 2307, H.R. 4790, S. 1883, S. 2687: provisions relating to the marketing of Medicare Advantage and Medicare Part D plans. Medicare/Health Care Vouchers. H.R. 749: provision to establish health care vouchers for seniors. Medicare/Medicare Savings Accounts. H.R. 2639, S. 173, S. 1019: provisions pertaining to Medicare Savings Accounts. Medicare/End-of-Life Planning. S. 464, S. 465, S. 466: pertaining to advance directives and end-of-life planning. Medicare/Means-testing. H.R. 4295, H.R. 4330, S. 2414, S.Amdt. 4240: pertaining to means-testing of Medicare Part D. Medicare/Presidents Funding Warning. H.R. 5480, S. 2662: proposals responding to the Presidents Medicare funding warning. Medicare/24-month Waiting Period. H.R.154, S. 2101: provisions phasing out the 24-month waiting period for disabled individuals to become eligible for Medicare benefits and eliminating the waiting period for individuals with life-threatening conditions. Medicaid/Federal Match. H.R. 5140: provisions pertaining to temporary increases in the federal Medicaid match. Medicaid/Targeted Case Management. Targeted Case Management: Interim final rule to implement Section 6052 of the Deficit Reduction Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

To improve Medicare, Medicaid equity. S.450,S.2785 HR748,HR2741,HR3038

Client expense: $515,000 · Firm income: Not reported

Medicare Patient Access to Physical Therapists Act [H.R.1552/S.932]; Children's Health and Medicare Protection Act [H.R.3162]; Medicare Access to Rehabilitation Services Act [S.450/H.R.748]; Medicare Access to Physical Medicine and Rehabilitation Services Improvement Act [H.R.1846]; Long-term Care Quality and Modernization Act [H.R.4082]

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

H.R. 748/S. 450, "Medicare Access to Rehabilitation Services Act of 2007." Extension of therapy caps exceptions process.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Physician Payment Update S.450/H.R.748: Medicare Access and Rehabiliation Sevices Act of 2007 S.932/H.R.1552: Medicare Patient Access to Physical Therapists Act of 2007 H.R. 3162: Children's Health and Medicare Protection Act of 2007

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

Medicare Access to Rehabilitation Services Act of 2007 (S. 450/H.R. 748) Geriatric Assessment and Chronic Care Coordination Act (S. 1340/H.R. 2244) State Children's Health Insurance Program (SCHIP) reauthorization (H.R. 976) (H.R. 3162) Public Law No: 110-85 (H.R. 3580) Public Law 110-173 (S. 2499) CMS National Coverage Determination for Computed Tomographic Angiography (CAG-00385N) CMS National Coverage Analysis for PTA of the Carotid Artery Concurrent with Stenting (CAG-00085RG)

Client expense: $157,992 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

HR 748 - Medicare Access to Rehabilitation Services Act, Repeal of Therapy Caps S 450 - Medicare Access to Rehabilitation Services Act, Repeal of Therapy Caps HR 1552 - Medicare Patient Access to Physical Therapists Act S 932 - Medicare Patient Access to Physical Therapists Act HR 1846 - Medicare Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 HR 5445 - To amend part B of title XVIII of the Social Security Act to increase Medicare payments for physicians' services through December 31, 2009 S 2785 - Save Medicare Act of 2008 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. S 787 - To impose a 2-year moratorium on implementation of a proposed rule relating to the Federal-State financial partnerships under Medicaid and the State Children's Health Insurance Program HR 5590 - Medicare Oral Health Rehabilitative Enhancement Act of 2008 HR 5163 - Protecting Medicaid Safety Net Act of 2008 HR 4105 - Medicare Recovery Audit Contractor Program Moratorium Act of 2007 H CON RES 312 - Revising the congressional budget for the United States Government for fiscal year 2008, establishing the congressional budget for the United States Government for fiscal year 2009, and setting forth appropriate budgetary levels for fiscal years 2010 through 2013 HR 4159 - To improve Medicare beneficiary access by extending the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility S 1958 - Medicare Long-Term Care Hospital Patient Safety and Improvement Act of 2007 HR 3057 - Medicare Long-Term Care Patient Safety and Improvement Act of 2007 CORF, ORF conditions of participation- social and vocational services requirements Medicaid regulations promulgated by CMS Stark provisions in Fee Schedule Rule PQRI DMEPOS Regs Medicare PAC demo Medicare Home Health Demo Medicare GHR demo CMS Alternative Payment System Project Comments to AHIC re: successor Payment updates for physicians, hospitals, skilled nursing facilities, and home health Medicare Manual revisions In office ancillary services exception Inpatient Rehabilitation Facilities under Medicare Improving Funding for the Medicaid Program Extending legislative moratoria on Medicaid Regulations in President's FY 2009 budget Working with plan to mandate implementation of the International Classification of Diseases, 10th edition Medicaid Federal Medical Assistance Percentage (FMAP)

Client expense: $330,575 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

Medicare/General. H.R. 205, H.R. 748, H.R. 1218, H.R. 1277, H.R. 1310, H.R. 1521, H.R. 2009, H.R. 2056, H.R. 2065, H.R. 2149, H.R. 3025, H.R. 3061, H.R. 3162, H.R. 3932, S. 137, S. 250, S. 450, S. 706, S. 1887, S. 2089, S. 2115, S. 2219: provisions relating to enrollment periods and the late enrollment penalty, physician reimbursement rates, creating a Medicare-operated prescription drug plan, drug price negotiations, Medicare beneficiary improvements, repealing cost containment mandates, Medicare Advantage payments, Medicare Advantage stabilization fund, and comparative cost adjustment demonstration projects under the Medicare Modernization Act, therapy caps, liberalizing asset test limits, Medicare Secondary Payer clarification, reducing the Part D benefit gap and guaranteeing prescription drug benefits. Medicare/Prescription Drug Price Negotiation. H.R. 4, H.R. 118, H.R. 5317, S. 3, S. 273: provisions pertaining to the negotiation of prescription drug prices under Medicare Part D. Medicare/Medicare Advantage. H.R. 2945: provision to provide beneficiary protections against excessive cost-sharing under the Medicare Advantage Program. Medicare/Importation of Prescription Drugs. S. 242, H.R. 380, S.Amdt. 4299: provisions pertaining to the importation of prescription drugs. Medicare/Outpatient Psychiatric Services. H.R. 1571, H.R. 1663, H.R. 4897, S. 1715, S. 1854: provisions to eliminate discriminatory copayment rates for outpatient psychiatric services under Medicare Part B. Medicare/Geriatric Assessments. H.R. 2244, S. 1340: provisions to provide Medicare beneficiaries with access to geriatric assessments and chronic care coordination services. Medicare/Generic Drugs Market Exclusivity. H.R. 1432, H.R. 1902, S. 316, S. 1088: pertaining to market exclusivity for generic drugs. Medicare/Prescription Drug Benefits for Low Income Beneficiaries. H.R. 470, H.R. 932, H.R. 1536, H.R. 2058, H.R. 3127, S. 1102, S. 1103, S. 1107, S. 1108, S. 2101: provisions affecting prescription drug benefits for low-income beneficiaries under Medicare Parts B and D. Medicare/Part B Late Enrollment. H.R. 2591: provision limiting the penalty for late enrollment under Medicare Part B. Medicare/Marketing. H.R. 2307, H.R. 4790, S. 1883, S. 2687: provisions relating to the marketing of Medicare Advantage and Medicare Part D plans. Medicare/Health Care Vouchers. H.R. 749: provision to establish health care vouchers for seniors. Medicare/Medicare Savings Accounts. H.R. 2639, S. 173, S. 1019: provisions pertaining to Medicare Savings Accounts. Medicare/End-of-Life Planning. S. 464, S. 465, S. 466: pertaining to advance directives and end-of-life planning. Medicare/Means-testing. H.R. 4295, H.R. 4330, S. 2414, S.Amdt. 4240: pertaining to means-testing of Medicare Part D. Medicare/Presidents Funding Warning. H.R. 5480, S. 2662: proposals responding to the Presidents Medicare funding warning. Medicare/24-month Waiting Period. H.R.154, S. 2101: provisions phasing out the 24-month waiting period for disabled individuals to become eligible for Medicare benefits and eliminating the waiting period for individuals with life-threatening conditions. Medicaid/Federal Match. H.R. 5140: provisions pertaining to temporary increases in the federal Medicaid match. Medicaid/Targeted Case Management. Targeted Case Management: interim final rule to implement Section 6052 of the Deficit Reduction Act.

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

S. 450 and HR 748, The Medicare Access to Rehabilitation Services Act of 2007 - All provisions, passage. HR 1846, The Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 - Opposed based on quality, cost accountability, and scope of practice concerns. S. 1224, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 - Advocated in support of the CHIP program and an expanded role for occuaptional therapy. H.R. 3162, Children's Health and Medicare Protections Act of 2007 (CHAMP) - Advocated for Medicare provision regarding therapy caps, 75% rule on inpatient rehabilitation facilities, SGR cuts and Medicaid provisions. S. 799 and H.R. 1621, The Community Choice Act - Supported all provisions. S. 578 and H.R. 1017, Protecting Children's Health in Schools Act - supported passage and maintaining Medicaid funding for school based administrative claiming and transportation services. H.R. 1809 and S. 2103, Medicare Independent Living Act - Supported the provision of improved access to mobility devices for people with disabilities. H.R. 4082 and S. 1980, Long-term Care Quality and Modernization Act of 2007 - Advocated for inclusion of occupational therapy in quality reporting. S. 932 and H.R. 1552, Medicare Patient Access to Physical Therapist Act of 2007 - Advocated regarding impact on occupational therapy. H.R. 1663, Medicare Mental Health Modernization Act of 2007 - Advocated for passage and improved role for occupational therapy. S. 1628, Nurse Faculty and Physical Therapist Education Act of 2007 - Advocated for inclusion of occupational therapy loan repayment. H.R. 4248, Ensuring Medicare Access to Recreational Thearpy Act - Opposed findings language referring to functional capacities and worked to amend that language. No bill number - Medicaid School-based Transportation and Administrative Claiming Costs - Before Congress, opposed elimination of reimbursement - advocated for a moratorium. No bill number - Medicaid Rehabilitation Services Proposed Rule - Before Congress advocated for moratorium; opposed proposal to restrict the reimbursement of services under the rehabilitation option. No bill number: Advocated for the promotion of occupational therapy in home health under Medicare (Note; introduced 4/3/08 ad H.R. 5704, The Medicare Home Health Flexibility Act.). No bill number: Advocated for payment fixes to the Medicare Physician Fee Schedule. No bill number: Advocated and educated about the role of occupational therapy in mental health practice. No bill number: Advocated for an extension of the Medicare Part B Outpatient Therapy cap extension period.

Client expense: $130,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

Patients' Rights Legislation; HR 748/S 450: Medicare Access to Rehabilitation Services Act; PL 108-173: Medicare Prescription Drug and Modernization Act of 2003; S 558: Mental Health Parity legislation; HR 1424: Paul Wellstone Mental Health & Addiction Equality Act of 2007; HR 1893/S 1893: State Children's Health Insurance Program; HR 3963: Children's Health Insurance Program Reauthorization Act of 2007; HR 1017/S 578: Protecting Children's Health in Schools Act HR 3001/S 1758: Community Living Assistance Services and Supports Act (CLASS) Act; H. Con. Res. 99/S. Con. Res. 21: FY2008 Budget Resolution; HR 2820: Reconstructive Surgery Act of 2008; S 400: Michelle's Law; FY2009 Budget Resolution.

Client expense: $125,221 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

HR 3248/S 1283: Managed Care Reform/Patients' rights legislation; HR 3248/S 1283: Lifespan Respite Care Act of 2005; HR 4281: Small Business Health Fairness Act; HR 976/S 1893: State Children's Health Insurance Program; HR 3963: Children's Health Insurance Program Reauthorization Act of 2007; S 558: Mental Health Parity Legislation; HR 1424: Paul Wellstone Mental Health & Addiction Equality Act of 2007; PL 109-365: Older Americans Act Amendments of 2006 HR 1017/S 578: Protecting Children's Health in Schools Act; HR 5399/S 2810: Medicare Late Enrollment Assistance Act of 2006; HR 6111: Tax Relief and Health Care Act of 2006; S 543: Preserving Access to Inpatient Rehabilitation Hospitals Act of 2007; HR 748/S 450: Medicare Access to Rehabilitative Services Act; HR 3043/S 1710: FY2008 Labor-HHS-Education Appropriations; H. Con. Res 99/S. Con. Res. 21: FY2008 Budget Resolution; HR 5613: Protecting the Medicaid Safety Net Act of 2008; HR 3825/S 1858 Newborn Screening Saves Lives Act of 2007; HR 3014: Health Equity and Accountability Act of 2007; Combating Autism Act; HR 1881/S 937 Expanding the Promise for Individuals with Autism Act; FY2009 Labor-HHS-Education Appropriations.

Client expense: $125,221 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

Medicare. 1) H.R. 4, H.R. 118, S. 3, S. 273: provisions pertaining to the negotiation of prescription drug prices under Medicare Part D. 2) H.R. 205, H.R. 748, H.R. 1218, H.R. 1277, H.R. 1310, H.R. 1521, H.R. 2009, H.R. 2056, H.R. 2065, H.R. 2149, H.R. 3025, H.R. 3061, H.R. 3162, H.R. 3932, S. 137, S. 250, S.450, S. 706, S. 1887, S. 2115, S. 2219, S. 2499, S.Amdt. 508: provisions relating to the late enrollment penalty, physician reimbursement rates, creation of a Medicare operated prescription drug plan, drug price negotiations, Medicare beneficiary improvements, repeal of cost containment provisions, Medicare Advantage payments, the Medicare Advantage stabilization fund and comparative cost adjustment demonstration projects under the Medicare Modernization Act, therapy caps, liberalization of asset test limits, the reduction of the benefit gap and guaranteeing drug benefits. 3) H.R. 2945: provisions to provide beneficiary protections against excessive cost-sharing under the Medicare Advantage Program. 4) S. 242, H.R. 380, S.Amdt. 1010: pertaining to the importation of prescription drugs. 5) H.R. 1571, H.R. 1663, H.R. 4897, S. 1715, S. 1854: provisions to eliminate discriminatory copayment rates for outpatient psychiatric services under the Medicare Program. 6) S. 1340, H.R. 2244: provisions to provide Medicare beneficiaries with access to geriatric assessments and chronic care coordination services. 7) S. 316, S. 1088, H.R. 1432, H.R. 1902: pertaining to market exclusivity for generic drugs. 8) S. 1102, S. 1103, S. 1107, S. 1108, S. 2101, H.R. 470, H.R. 932, H.R. 1536, H.R. 2058, H.R. 3127, H.R. 3668: provisions to improve benefits for low-income beneficiaries under Medicare Parts B and D. 9) S. 1082: amendments pertaining to citizen petitions to the Federal Drug Administration relating to generic drugs and to importation of prescription drugs under the Medicare program. 10) H.R. 2591: limiting the penalty for late enrollment under Medicare Part B. 11) H.R. 2307, H.R. 4790, S. 1883: provisions regarding the marketing of Medicare Advantage and Medicare Part D plans. 12) H.R. 749: establishing health care vouchers for seniors. 13) S. 173, S. 1019, H.R. 2639: provisions pertaining to Medicare Savings Accounts. 14) S. 464, S. 465, S. 466: provisions pertaining to advance directives and end-of-life planning. 15) S.Amdt. 472: provisions pertaining to means-testing of Medicare Part D. 16) S.Amdt. 525: pertaining to across-the-board cuts to Medicare providers. 17) S. 543, H.R. 1459: rules pertaining to Inpatient Rehabilitation Facilities. 18) Pertaining to Congressional efforts petitioning the Center for Medicare and Medicaid Services to create a public nursing home watch list of repeat offenders on surveys (no legislation).

Client expense: $4,440,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 450 and HR 748, The Medicare Access to Rehabilitation Services Act of 2007 - All provisions, passage. HR 1846, The Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 - Opposed based on quality, cost accountability, and scope of practice concerns. S. 1224, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 - Advocated in support of the CHIP program and an expanded role for occuaptional therapy. H.R. 3162, Children's Health and Medicare Protections Act of 2007 (CHAMP) - Advocated for Medicare provision regarding therapy caps, 75% rule on inpatient rehabilitation facilities, SGR cuts and Medicaid provisions. S. 799 and H.R. 1621, The Community Choice Act - Supported all provisions. S. 578 and H.R. 1017, Protecting Children's Health in Schools Act - supported passage and maintaining Medicaid funding for school based administrative claiming and transportation services. S. 543 and H.R. 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007 - Supported this legislation as it protects access to occupational therapy in inpatient rehabilitation facilities. H.R. 1809, Medicare Independent Lliving Act - Supported the provision of improved access to mobility devices for people with disabilities. S. 2499, Medicare, Medicaid and SCHIP Extension Act of 2007 - Advocated for passage of alternative to Medicare cap on PartB outpatient rehabilitation services; physician fee schedule, 75 rule for inpatient rehabilitation facilities, and Medicaid regulatory moratorium. H.R. 4082, Long-term Care Quality and Modernization Act of 2007 - Advocated for inclusion of occupational therapy in quality reporting. S. 932 and H.R. 1552, Medicare Patient Access to Physical Therapist Act of 2007 - Advocated regarding impact on occupational therapy. H.R. 1663, Medicare Mental Health Modernization Act of 2007 - Advocated for passage and improved role for occupational therapy. S. 1628, Nurse Faculty and Physical Therapist Education Act of 2007 - Advocated for inclusion of occupational therapy loan repayment. No bill number - Medicaid School-based Transportation and Administrative Claiming Costs - Before Congress, opposed elimination of reimbursement - advocated for a moratorium. No bill number - Medicaid Rehabilitation Services Proposed Rule - Before Congress advocated for moratorium; opposed proposal to restrict the reimbursement of services under the rehabilitation option. No bill number: Advocated for the promotion of occupational therapy in home health under Medicare. No bill number: Advocated for payment fixes to the Medicare Physician Fee Schedule. No bill number: Advocated and educated about the role of occupational therapy in mental health practice.

Client expense: $280,000 · Firm income: Not reported

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE, UNDETERMINED

HR 748/S 450, "The Medicare Access to Rehabilitation Services Act," all sections.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE