Access to Emergency Medical Services Act of 2007

H.R. 1571, Seniors Access to Mental Health Act of 2007 (Medicare parity) H.R. 1663, Medicare Mental Health Modernization Act of 2007 H.R. 2626, Comprehensive HealthCARE Act of 2007 (Price Healthcare Bill) H.R. 3162, Children's Health and Medicare Protection Act of 2007 H.R. 2585, Ensuring the Future Physician Workforce Act of 2007 (Burgess SGR Bill) H.R. 3025, Medicare Prescription Drug Savings for Our Seniors (Medicare Prescription Drug SOS) Act of 2007 H.R. 3061, Medicare Part D Drug Class Protection Act of 2007 (Six Classes Bill) H.R. 820, Seniors Mental Health Access Improvement Act of 2007 (MFTs/MHCs) H.R. 1588, Seniors Mental Health Access Improvement Act of 2007 (MFTs/MHCs) H.R. 2860, Health Care Access and Rural Equity (H-CARE) Act of 2007 H.R. 2050, Medicaid Emergency Psychiatric Care Act of 2007 (IMD-EMTALA) H.R. 882, Access to Emergency Medical Services Act of 2007 (EMTALA) S. 1887, Medicare Access to Critical Medications Act (Six Classes Bill) H.R. 470, to provide Medicare coverage of benzodiazepines and off-label uses of certain prescription drugs, optional Medicaid coverage of Medicare prescription drug cost-sharing, and authorization for the Secretary of Health and Human Services to waive certain determinations denying Medicare prescription drug coverage S. 137, Preserving Medicare for All Act of 2007 (Cardin Healthcare Bill, Includes Benzos) S. 588, Physician Shortage Act S. 1715, Medicare Mental Health Copayment Equity Act of 2007 S. 2499, Medicare, Medicaid, and SCHIP Extension Act S. 2785, to amend title XVIII of the Security Act to preserve access to physicians' services under the Medicare program H.R. 5445, Ensuring the Future Physician Workforce Act of 2007 (physician payment under Medicare) H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 S. 3101, Medicare Improvements for Patients and Providers Act of 2008 Conditions selected for coverage under the chronic conditions special needs plans (SNPs) HIPAA Administrative Simplification: Modification to Medical Data Code Set Standards to Adopt ICD-10-CM and ICD-10-PCS; Proposed Rule RIN 0958-AN25 [CMS-0013-P] 73 Federal Register 49796

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Justice, Dept of (DOJ), Natl Institute of Mental Health (NIMH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA), White House Office

Legislation regarding Medicare and Medicaid Reimbursement issues which include provisions to expand access, improve services, stabilize payments to hospitals and other providers under Medicaid, Medicare, and/or SCHIP by addressing reimbursement, parity, quality, self-referral, workforce, payment issues, rehabilitation hospitals, long term care hospitals, rural hospitals and various regulations. HR 2606, 340B Drug Expansion Act of 2007, to revise and expand the drug discount program under that section to improve the provision of discounts on drug purchases for certain safety net providers. S 355, Social Security and Medicare Solvency Commission Act, to create a permanent, 15-member commission to make recommendations on how best to save the entitlement programs HR 4105; the Medicare Recovery Audit Contractor Program Moratorium Act of 2007 that would enact a one-year, nationwide moratorium on the Recovery Audit Contract (RAC) program. H Con Res 312/S Con Res 70, fiscal year (FY)2009 budget resolutions, Medicare and Medicaid reductions HR 5480/S 2662, Medicare Funding Warning Response Act, various provisions S 2785, Save Medicare Act physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index reclassification. S. 3101; Medicare Improvements for Patients and Providers physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index HR 6331, Medicare Improvements for Patients and Providers Act physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index HR 6252/S3144, would delay for 18 months the Medicare competitive bidding program for durable medical equipment, prosthetics, orthotics and supplies. Supplemental Appropriations Act, 2008 (HR 2642) Sec. 7001. (a) Moratoria on Certain Medicaid Regulations HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program HR 7110: Job Creation and Unemployment Relief Act: Title III, temporary increase in Medicaid matching rate S 3656: Preserving Access to Healthcare (PATH) Act -- which would delay cuts to Medicare capital indirect medical education (IME) payments for six months provisions in the developing economic stimulus package to temporarily increase FMAP self-referral HR 1424; Paul Wellstone Mental Health and Addiction Equity Act provision banning the growth of physician-owned specialty hospitals workforce: HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp, rural health programs, childrens hospitals GME, S 543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program. HR 3162, "Children's Health and Medicare Protection Act" payment: HR 2206, U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act supplemental appropriations bill (HR 2206) contained moratorium on medicaid regulations regarding capping payment to public providers and GME HR 1480/1741/S 787, to place a two-year moratorium on the Centers for Medicare & Medicaid Services implementation of medicaid regulations regarding capping payment to public providers and GME funding from Section 1011 of the Medicare Modernization Act of 2003 (MMA), HR 1293, Access to Medicare Imaging Act stop the reduction Medicare reimbursements for some medical imaging services HR 882, Access to Emergency Services Act that would increase by 10 percent Medicare reimbursements to physicians who provide care in emergency departments (EDs) or post-stabilization care related to emergency medical conditions in other areas of hospitals HR 552/S 329, The Pulmonary and Cardiac Rehabilitation Act of 2007 to provide for coverage of items and services under a cardiac rehabilitation program and a pulmonary rehabilitation program. HR 3533/S2460, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 3668, TMA, Abstinence Education, and QI Programs Extension Act includes provision which would mitigate the impact of the behavioral offset in the FY08 Inpatient Prospective Payment System (IPPS) final rule S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals, Section 508 hospitals HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program the Fiscal Year (FY) 2009 inpatient prospective payment system (IPPS) final rule eliminated indirect medical education (IME) adjustments to teaching hospitals' capital payments proposed rule to implement National Defense Authorization Act for Fiscal Year 2002" requirement that TRICARE payment methods for outpatient hospital care be determined outpatient reimbursement rules used by Medicare S 3656: to delay cuts to Medicare capital indirect medical education (IME) payments for six months quality S 1226, Children's Health Care Quality Act would allow the Centers for Medicare & Medicaid Services to fund evidence-based demonstrations to improve hospital care for children. HR 1666, Health Care Price Transparency Promotion Act which would build on existing state efforts to report hospital pricing data and require insurers to disclose estimated out-of-pocket costs to consumers S 465; Advance Directives Improvement and Education Act of 2007" to improve access to information about healthcare options and legal rights for care near the end of life rehabilitation hospitals, S543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, rural hospitals, S 1605/HR 2860, Health Care Access and Rural Equity Act (H-CARE) S 1595, Critical Access Hospital Flexibility Act CAHs would gain flexibility to respond to daily and seasonal fluctuations in patient load S 2499;; Medicare, Medicaid, and SCHIP Extension Act Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals long term care hospitals: HR 562/S338, Medicare Long-Term Care Hospital Improvement establishing facility and patient criteria for long-term care hospitals and related improvements under the Medicare Program. S 2499; Medicare, Medicaid, and SCHIP Extension Act Provides regulatory relief for three years to ensure continued access to current long-term care hospital services, while also imposing a limited moratorium on the development of new, long-term care facilities. Medicaid, HR 2512, Reducing Coverage Gaps for Kids Act To amend titles XIX and XXI of the Social Security Act to prohibit States from requiring eligibility determinations for children for benefits under the Medicaid Program and the State Children's Health Insurance Program (SCHIP) more frequently than once every year. HR 2147, Healthy Kids Act to amend titles XXI and XIX of the Social Security Act to extend the State Children's Health Insurance Program (SCHIP) and streamline enrollment under SCHIP and Medicaid and to amend the Internal Revenue Code of 1986 to provide for a healthy savings tax credit for purchase of children's health coverage. HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 1878, 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 HR 3533/S2460 "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 5613, Protecting the Medicaid Safety Net Act, temporary, one-year moratorium on seven Medicaid regulations S 2819, Economic Recovery in Health Care Act to implement a one-year moratorium on proposed regulatory changes to Medicaid and the State Childrens Health Insurance Program (SCHIP), and to provide states in need with federal relief HR 2462, the supplemental funding bill for Iraq and Afghanistan provision to place a temporary, one-year moratorium on seven Medicaid regulations, including the rules to limit Medicaid payments to public hospitals and to eliminate Government Medical Education (GME). SCHIP: S 1224, that would reauthorize the State Childrens Health Insurance Program and expand it to allow additional coverage to six million children within 10 years S 895/HR 1535, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act S. 1893, the Children's Health Insurance Program Reauthorization Act of 2007 S 2049, The Better Health for America's Children Act," to block a new policy to limit states' ability to enroll children in the State Children's Health Insurance Program S 2152, Kids First Actalternative SCHIP bill that would restrict coverage to individuals younger than age 19 in low-income families HR 3963; Children's Health Insurance Program Reauthorization Act revised bill to extend and expand the State Childrens Health Insurance Program (SCHIP) S 2499 the bill extends SCHIP through March 31, 2009, and provides adequate funding to states to maintain their current enrollment through that date. HR 3533, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME regulations including, but not limited to, provisions of PL 106-554, Consolidated Appropriations Act, provisions related to critical access hospitals, inpatient hospital services Direct Graduate Medical Education, Hospital Outpatient Services, Skilled Nursing Facilities, State Children's Health Insurance Program PL 108-173, Medicare Prescription Drug, Improvement, and Modernization Act, provisions related to rural hospitals, inpatient hospital services, skilled nursing facilities, hospice care, hospital outpatient departments, health care quality PL 109-171; Deficit Reduction Act, provisions related to rehabilitation hospitals, medicaid DSH payment, medicare-dependent hospitals, gainsharing, Medicaid, SHCHIP the FY08 IPPS proposed rule, proposed Medicaid rule (CMS 2258-P), the Recovery Audit Contract (RAC) demonstration.

Legislation to expand health care coverage and access including provisions contained bills in which would offer Medicare, Medicaid and/or SCHIP to more children, create parity in coverage of mental health benefits, foster reform at the state level, stabilize trauma care, prevent healthcare acquired infections, ensure hospital preparedness, expand the use of health information technology, provide funding for Ryan White programs, increase and stabilize the healthcare workforce. HR 2357; MediKids Health Insurance Act of 2007"; to create a new federal healthcare program to provide comprehensive health benefits to children S 1218 /HR 2034, Medicare for All Act; expanding the Medicare program to those under age 65. S 1169; State-Based Health Care Reform Act; to create a five-year pilot program in several states to develop coverage plans for the uninsured HR 1424; Paul Wellstone Mental Health and Addiction Equity Act require group health plans to provide comparable treatment limits and beneficiary cost sharing for medical and mental health benefits. HR 1663, Medicare Mental Health Modernization Act to provide mental health parity in private health insurance and Medicare, and improves coverage for cost-effective and community-based mental health treatment services for seniors and people with disabilities S 895/HR 1535; Children's Health First Act allow states to expand children's health coverage to families up to 400 percent of the Federal poverty level HR 1308S/764, Legal Immigrant Children's Health Improvement Act to permit states the option of coverage of legal immigrants under the Medicaid Program and the State Children's Health Insurance Program S 558, Mental Health Parity Act of 2007 would preserve state laws that are more comprehensive while creating parity in health plans offering mental health coverage by equating financial requirements and treatment limitations for mental health benefits with medical and surgical benefits. S 325/HR 506, Health Partnership Act would provide grants to individual states, groups of states, and portions of states to test various health reform strategies HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act S 2049, The Better Health for America's Children Act," to block a new policy to limit states' ability to enroll children in the State Children's Health Insurance Program S 2152, Kids First Actalternative SCHIP bill that would restrict coverage to individuals younger than age 19 in low-income families HR 3963; Children's Health Insurance Program Reauthorization Act revised bill to extend and expand the State Childrens Health Insurance Program (SCHIP) HR 2055 Improving Children's Access to Health Care Act, to improve children's access to health care coverage under the Medicaid Program and the State Children's Health Insurance Program (SCHIP). HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program HR 3221: Housing and Economic Recovery Act provision that would allow federal home loan banks to issue letters of credit for tax-exempt hospital bonds. HR 7110: Job Creation and Unemployment Relief Act: Title III, temporary increase in Medicaid matching rate Legislation to expand health care coverage and access including provisions which would stabilize medical emergency reimbursement, HR 882, Access to Emergency Services Act that would increase by 10 percent Medicare reimbursements to physicians who provide care in emergency departments (EDs) or post-stabilization care related to emergency medical conditions in other areas of hospitals S 657, A bill to amend the Public Health Service Act to add requirements regarding trauma care HR 6394: Border Health Care Relief Act of 2008 Amends the MPDIMA to extend Sec. 1011 through FY2012 for federal reimbursement of emergency health services furnished to undocumented aliens Legislation to expand health care coverage and access including provisions to ensure patient safety, H.J.RES. 20, Making further continuing appropriations for the fiscal year 2007 provision annual fit-testing of respirators for occupational exposure to tuberculosis. S 2278/HR 4214 Community and Healthcare-Associated Infections Reduction Act to improve the prevention, detection, and treatment of community and healthcare-associated infections Legislation to expand health care coverage and access including provisions to ensure emergency preparedness, HR 727, Trauma Care Systems Planning and Development Act of 2007 would authorize an additional $46 million between fiscal years 2008 and 2012 in spending for rural medical centers that treat patients during times of national crisis HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for hospital preparedness S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for hospital preparedness HR 3043; Labor, HHS Appropriations bill, provide funds for hospital preparedness Legislation to expand health care coverage and access including provisions to promote the use of health information technology: S 1418, Wired for Health Care Quality Act HR3043/S1710, Appropriations Labor, Health and Human Services (HHS), Education, and Related Agencies FY 08, funding for HIT programs HR 1467, 10,000 Trained by 2010 Act, award competitive grants for basic research on innovative approaches to improve health care information systems HR 2406, Healthcare Information Technology Enterprise Integration,guidelines and mechanisms to promote the integration of the healthcare information enterprise. S 1408, Health Information Technology Act, would provide tax incentives and resources to offset the costs of investing in new health information technology. HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for HIT S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for HIT HR 3043, Labor, HHS Appropriations bill, provide funds for HIT HR 2764; omnibus appropriations bill for FY2008 provide funds for HIT HR 6357 : Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH)T Act, Legislation to expand health care coverage and access including provisions funding HIV/AIDS programs: HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Ryan White programs S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for Ryan White programs HR3043/S1710, FY 2008 Labor HHS Appropriations Bill, funding for Ryan White programs HR 2764; omnibus appropriations bill for FY2008, funding for Ryan White programs Legislation to expand health care coverage and access including provisions to ensure sufficient workforce within in the healthcare sector S 1604, Nursing Education and Quality of Health Care Act, increases the nurse workforce in rural areas, expands nursing school faculty, and develops initiatives to integrate patient safety practices into nursing education HR 2122, Safe Nursing and Patient Care Act of 2007", limiting the number of mandatory overtime hours a nurse may be required to work S 1639, Comprehensive Immigration Reform, the point-based system for visas, to give nurses special consideration under the point system HR800/S1041, Employee Free Choice Act, require the NLRB to certify a bargaining representative if a majority of the bargaining unit employees have authorized designation of the representative (card-check) HR 2123, Nurse Staffing Standards for Patient Safety and Quality Care Act, to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals HR 378, Nurse and Patient Safety & Protection Act direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, direct-care registered nurses, and other health care providers by establishing a safe patient handling standard. HR 1644, Re-Empowerment of Skilled and Professional Employees and Construction Tradesworkers (RESPECT) Act, to amend the National Labor Relations Act to clarify the definition of "supervisor" S446, Nurse Education, Expansion, and Development (NEED) Act, grants based on the number of nursing students enrolled to hire and retain new nursing faculty S 718, The Patient-Focused Critical Care Enhancement Act, provision study the impact of differences in staffing, organization, size, and structure of intensive care units on access, quality, and efficiency of care HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Nursing Education programs, , national health service corp HR 677, Nursing School Capacity Act authorize IOM study to identify constraints encountered by schools of nursing in admitting and graduating sufficient number of nurses S1577, Patient Safety and Abuse Prevention Act screening of direct patient access employees HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp. S 588/HR 1093, Resident Physician Shortage Act, to expand the number of physician training positions in 24 states with shortages HR 5924, The Emergency Nurse Supply Relief Act, which would address the retrogression backlog of visas for internationally-educated nurses who have been hired by U.S. hospitals but are not able to come here because of the unavailability of an employment-based (EB) visa.

H.R. 3, S.5 - Stem Cell Research Enhancement Act S. 1695 - Biologics Price Competition and Innovation Act H.R.3162 - Children's Health and Medicare Protection Act S.1893 - Children's Health Insurance Program Reauthorization Act of 2007 H.R.976 - Small Business Tax Relief Act of 2007 H.R. 1781 - the Childrens Dental Health Improvement Act S.739 - the Childrens Dental Health Improvement Act H.R. 685 - Social Security and Medicare Improved Burn Injury Treatment Access Act of 2007 H.R. 882 - Access to Emergency Medical Services Act of 2007 S.1003 - Access to Emergency Medical Services Act of 2007 S.1693 - Wired for Health Care Quality Act S.558 - Mental Health Parity Act of 2007 S.2029 - Physician Payments Sunshine Act H.R. 5669/S.2932 - the Poison Center Support, Enhancement, and Awareness Act of 2008 H.R. 2676/S. 2999 - Access to Cancer Clinical Trials Act

Client expense: $110,000 · Firm income: Not reported

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

H.R.882, Access to Emergency Medical Services Act of 2007, Quality and patient safety. H.R.1093/S.588, Resident Physician Shortage Reduction Act of 2007, Workforce shortage issues. S.543, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007, Health care issues. H.R.1376/H.R.2606, 340B Program Improvement and Integrity Act, Pharmaceutical related issues. H.R.5544, Patients and Public Health Partnership Act of 2008, Uninsured and medically underserved related issues. S.1693, Wired for Health Care Quality Act , Health information technology related issues. S.1814, Health Information Privacy and Security Act, Health information technology related issues. S.2319, National Trauma Center Stabilization Act of 2007, Emergency readiness and trauma related issues. H.R.5613, Protecting the Medicaid Safety Net Act of 2008, Medicaid regulations related issues. H.R.3533, Public and Teaching Hospital Preservation Act, GME and related issues. S.2460, A bill to extend by one year the moratorium on implementation of a rule relating to the Federal-State financial partnership under Medicaid and the State Children's Health Insurance Program and on finalization of a rule regarding graduate medical education under Medicaid and to include a moratorium on the finalization of the outpatient Medicaid rule making similar changes -- Medicaid related issues. H.R.4105, Medicare Recovery Audit Contractor Program Moratorium Act of 2007, RAC related issues. H.R.1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, Mental health and addiction parity. S.1083/H.R.1930, Securing Knowledge, Innovation, and Leadership Act of 2007, Healthcare workforce shortage related issues. General monitoring of patient safety and quality issues.

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

H.R. 1571, Seniors Access to Mental Health Act of 2007 (Medicare parity) H.R. 1663, Medicare Mental Health Modernization Act of 2007 H.R. 2626, Comprehensive HealthCARE Act of 2007 (Price Healthcare Bill) H.R. 3162, Children's Health and Medicare Protection Act of 2007 H.R. 2585, Ensuring the Future Physician Workforce Act of 2007 (Burgess SGR Bill) H.R. 3025, Medicare Prescription Drug Savings for Our Seniors (Medicare Prescription Drug SOS) Act of 2007 H.R. 3061, Medicare Part D Drug Class Protection Act of 2007 (Six Classes Bill) H.R. 820, Seniors Mental Health Access Improvement Act of 2007 (MFTs/MHCs) H.R. 1588, Seniors Mental Health Access Improvement Act of 2007 (MFTs/MHCs) H.R. 2860, Health Care Access and Rural Equity (H-CARE) Act of 2007 H.R. 2050, Medicaid Emergency Psychiatric Care Act of 2007 (IMD-EMTALA) H.R. 882, Access to Emergency Medical Services Act of 2007 (EMTALA) S. 1887, Medicare Access to Critical Medications Act (Six Classes Bill) H.R. 470, to provide Medicare coverage of benzodiazepines and off-label uses of certain prescription drugs, optional Medicaid coverage of Medicare prescription drug cost-sharing, and authorization for the Secretary of Health and Human Services to waive certain determinations denying Medicare prescription drug coverage S. 137, Preserving Medicare for All Act of 2007 (Cardin Healthcare Bill, Includes Benzos) S. 588, Physician Shortage Act S. 1715, Medicare Mental Health Copayment Equity Act of 2007 S. 2499, Medicare, Medicaid, and SCHIP Extension Act S. 2785, to amend title XVIII of the Security Act to preserve access to physicians' services under the Medicare program H.R. 5445, Ensuring the Future Physician Workforce Act of 2007 (physician payment under Medicare) H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 S. 3101, Medicare Improvements for Patients and Providers Act of 2008 Notice of Proposed Rulemaking: Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2009; and Revisions to the Amendment of the E-Prescribing Exemption for Computer Generated Facsimile Transmissions Notice of Proposed Rulemaking: Proposed Changes to the Hospital Outpatient Prospective, Ambulatory Surgical Center Payment Systems and CY 2009 Payment Rates

H.R.882, Access to Emergency Medical Services Act of 2007, Quality and patient safety. H.R.1093/S.588, Resident Physician Shortage Reduction Act of 2007, Workforce shortage issues. S.543, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007, Health care issues. H.R.1376/H.R.2606, 340B Program Improvement and Integrity Act, Pharmaceutical related issues. H.R.5544, Patients and Public Health Partnership Act of 2008, Uninsured and medically underserved related issues. S.1693, Wired for Health Care Quality Act , Health information technology related issues. S.1814, Health Information Privacy and Security Act, Health information technology related issues. S.2319, National Trauma Center Stabilization Act of 2007, Emergency readiness and trauma related issues. H.R.5613, Protecting the Medicaid Safety Net Act of 2008, Medicaid regulations related issues. H.R.3533, Public and Teaching Hospital Preservation Act, GME and related issues. S.2460, A bill to extend by one year the moratorium on implementation of a rule relating to the Federal-State financial partnership under Medicaid and the State Children's Health Insurance Program and on finalization of a rule regarding graduate medical education under Medicaid and to include a moratorium on the finalization of the outpatient Medicaid rule making similar changes -- Medicaid related issues. H.R.4105, Medicare Recovery Audit Contractor Program Moratorium Act of 2007, RAC related issues. H.R.1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, Mental health and addiction parity. S.1083/H.R.1930, Securing Knowledge, Innovation, and Leadership Act of 2007, Healthcare workforce shortage related issues. General monitoring of patient safety and quality issues.

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

Legislation regarding Medicare and Medicaid Reimbursement issues which include provisions to expand access, improve services, stabilize payments to hospitals and other providers under Medicaid, Medicare, and/or SCHIP by addressing reimbursement, parity, quality, self-referral, workforce, payment issues, rehabilitation hospitals, long term care hospitals, rural hospitals and various regulations. HR 2055 Improving Children's Access to Health Care Act, to improve children's access to health care coverage under the Medicaid Program and the State Children's Health Insurance Program (SCHIP). HR 2606, 340B Drug Expansion Act of 2007, to revise and expand the drug discount program under that section to improve the provision of discounts on drug purchases for certain safety net providers. S 355, Social Security and Medicare Solvency Commission Act, to create a permanent, 15-member commission to make recommendations on how best to save the entitlement programs HR 4105; the Medicare Recovery Audit Contractor Program Moratorium Act of 2007 that would enact a one-year, nationwide moratorium on the Recovery Audit Contract (RAC) program. H Con Res 312/S Con Res 70, fiscal year (FY)2009 budget resolutions, Medicare and Medicaid reductions HR 5480/S 2662, Medicare Funding Warning Response Act, various provisions S 2785, Save Medicare Act physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index reclassification. S. 3101; Medicare Improvements for Patients and Providers physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index HR 6331, Medicare Improvements for Patients and Providers Act physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index HR 6252/S3144, would delay for 18 months the Medicare competitive bidding program for durable medical equipment, prosthetics, orthotics and supplies. Supplemental Appropriations Act, 2008 (HR 2642) Sec. 7001. (a) Moratoria on Certain Medicaid Regulations HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program HR 7110: Job Creation and Unemployment Relief Act: Title III, temporary increase in Medicaid matching rate S 3656: Preserving Access to Healthcare (PATH) Act -- which would delay cuts to Medicare capital indirect medical education (IME) payments for six months self-referral HR 1424; Paul Wellstone Mental Health and Addiction Equity Act provision banning the growth of physician-owned specialty hospitals workforce, HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp, rural health programs, childrens hospitals GME, S 543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program. HR 3162, "Children's Health and Medicare Protection Act" payment: HR 2206, U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act supplemental appropriations bill (HR 2206) contained moratorium on medicaid regulations regarding capping payment to public providers and GME HR 1480/1741/S 787, to place a two-year moratorium on the Centers for Medicare & Medicaid Services implementation of medicaid regulations regarding capping payment to public providers and GME funding from Section 1011 of the Medicare Modernization Act of 2003 (MMA), HR 1293, Access to Medicare Imaging Act stop the reduction Medicare reimbursements for some medical imaging services HR 882, Access to Emergency Services Act that would increase by 10 percent Medicare reimbursements to physicians who provide care in emergency departments (EDs) or post-stabilization care related to emergency medical conditions in other areas of hospitals HR 552/S 329, The Pulmonary and Cardiac Rehabilitation Act of 2007 to provide for coverage of items and services under a cardiac rehabilitation program and a pulmonary rehabilitation program. HR 3533/S2460, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 3668, TMA, Abstinence Education, and QI Programs Extension Act includes provision which would mitigate the impact of the behavioral offset in the FY08 Inpatient Prospective Payment System (IPPS) final rule S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals, Section 508 hospitals HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program quality S 1226, Children's Health Care Quality Act would allow the Centers for Medicare & Medicaid Services to fund evidence-based demonstrations to improve hospital care for children. HR 1666, Health Care Price Transparency Promotion Act which would build on existing state efforts to report hospital pricing data and require insurers to disclose estimated out-of-pocket costs to consumers S 465; Advance Directives Improvement and Education Act of 2007" to improve access to information about healthcare options and legal rights for care near the end of life rehabilitation hospitals, S543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, rural hospitals, S 1605/HR 2860, Health Care Access and Rural Equity Act (H-CARE) S 1595, Critical Access Hospital Flexibility Act CAHs would gain flexibility to respond to daily and seasonal fluctuations in patient load S 2499;; Medicare, Medicaid, and SCHIP Extension Act Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals long term care hospitals: HR 562/S338, Medicare Long-Term Care Hospital Improvement establishing facility and patient criteria for long-term care hospitals and related improvements under the Medicare Program. S 2499; Medicare, Medicaid, and SCHIP Extension Act Provides regulatory relief for three years to ensure continued access to current long-term care hospital services, while also imposing a limited moratorium on the development of new, long-term care facilities. Medicaid, HR 2512, Reducing Coverage Gaps for Kids Act To amend titles XIX and XXI of the Social Security Act to prohibit States from requiring eligibility determinations for children for benefits under the Medicaid Program and the State Children's Health Insurance Program (SCHIP) more frequently than once every year. HR 2147, Healthy Kids Act to amend titles XXI and XIX of the Social Security Act to extend the State Children's Health Insurance Program (SCHIP) and streamline enrollment under SCHIP and Medicaid and to amend the Internal Revenue Code of 1986 to provide for a healthy savings tax credit for purchase of children's health coverage. HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 1878, 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 HR 3533/S2460 "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 5613, Protecting the Medicaid Safety Net Act, temporary, one-year moratorium on seven Medicaid regulations S 2819, Economic Recovery in Health Care Act to implement a one-year moratorium on proposed regulatory changes to Medicaid and the State Childrens Health Insurance Program (SCHIP), and to provide states in need with federal relief HR 2462, the supplemental funding bill for Iraq and Afghanistan provision to place a temporary, one-year moratorium on seven Medicaid regulations, including the rules to limit Medicaid payments to public hospitals and to eliminate Government Medical Education (GME). SCHIP: S 1224, that would reauthorize the State Childrens Health Insurance Program and expand it to allow additional coverage to six million children within 10 years S 895/HR 1535, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act S. 1893, the Children's Health Insurance Program Reauthorization Act of 2007 S 2049, The Better Health for America's Children Act," to block a new policy to limit states' ability to enroll children in the State Children's Health Insurance Program S 2152, Kids First Actalternative SCHIP bill that would restrict coverage to individuals younger than age 19 in low-income families HR 3963; Children's Health Insurance Program Reauthorization Act revised bill to extend and expand the State Childrens Health Insurance Program (SCHIP) S 2499 the bill extends SCHIP through March 31, 2009, and provides adequate funding to states to maintain their current enrollment through that date. HR 3533, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME regulations including, but not limited to, provisions of PL 106-554, Consolidated Appropriations Act, provisions related to critical access hospitals, inpatient hospital services Direct Graduate Medical Education, Hospital Outpatient Services, Skilled Nursing Facilities, State Children's Health Insurance Program PL 108-173, Medicare Prescription Drug, Improvement, and Modernization Act, provisions related to rural hospitals, inpatient hospital services, skilled nursing facilities, hospice care, hospital outpatient departments, health care quality PL 109-171; Deficit Reduction Act, provisions related to rehabilitation hospitals, medicaid DSH payment, medicare-dependent hospitals, gainsharing, Medicaid, SHCHIP the FY08 IPPS proposed rule, proposed Medicaid rule (CMS 2258-P), the Recovery Audit Contract (RAC) demonstration.

Legislation to expand health care coverage and access including provisions contained bills in which would offer Medicare, Medicaid and/or SCHIP to more children, create parity in coverage of mental health benefits, foster reform at the state level, stabilize trauma care, prevent healthcare acquired infections, ensure hospital preparedness, expand the use of health information technology, provide funding for Ryan White programs, increase and stabilize the healthcare workforce HR 2357; MediKids Health Insurance Act of 2007"; to create a new federal healthcare program to provide comprehensive health benefits to children S 1218 /HR 2034, Medicare for All Act; expanding the Medicare program to those under age 65. S 1169; State-Based Health Care Reform Act; to create a five-year pilot program in several states to develop coverage plans for the uninsured HR 1424; Paul Wellstone Mental Health and Addiction Equity Act require group health plans to provide comparable treatment limits and beneficiary cost sharing for medical and mental health benefits. HR 1663, Medicare Mental Health Modernization Act to provide mental health parity in private health insurance and Medicare, and improves coverage for cost-effective and community-based mental health treatment services for seniors and people with disabilities S 895/HR 1535; Children's Health First Act allow states to expand children's health coverage to families up to 400 percent of the Federal poverty level HR 1308S/764, Legal Immigrant Children's Health Improvement Act to permit states the option of coverage of legal immigrants under the Medicaid Program and the State Children's Health Insurance Program S 558, Mental Health Parity Act of 2007 would preserve state laws that are more comprehensive while creating parity in health plans offering mental health coverage by equating financial requirements and treatment limitations for mental health benefits with medical and surgical benefits. S 325/HR 506, Health Partnership Act would provide grants to individual states, groups of states, and portions of states to test various health reform strategies HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act S 2049, The Better Health for America's Children Act," to block a new policy to limit states' ability to enroll children in the State Children's Health Insurance Program S 2152, Kids First Actalternative SCHIP bill that would restrict coverage to individuals younger than age 19 in low-income families HR 3963; Children's Health Insurance Program Reauthorization Act revised bill to extend and expand the State Childrens Health Insurance Program (SCHIP) HR 2055 Improving Children's Access to Health Care Act, to improve children's access to health care coverage under the Medicaid Program and the State Children's Health Insurance Program (SCHIP). HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program HR 3221: Housing and Economic Recovery Act provision that would allow federal home loan banks to issue letters of credit for tax-exempt hospital bonds. HR 7110: Job Creation and Unemployment Relief Act: Title III, temporary increase in Medicaid matching rate Legislation to expand health care coverage and access including provisions which would stabilize medical emergency reimbursement, HR 882, Access to Emergency Services Act that would increase by 10 percent Medicare reimbursements to physicians who provide care in emergency departments (EDs) or post-stabilization care related to emergency medical conditions in other areas of hospitals S 657, A bill to amend the Public Health Service Act to add requirements regarding trauma care HR 6394: Border Health Care Relief Act of 2008 Amends the MPDIMA to extend Sec. 1011 through FY2012 for federal reimbursement of emergency health services furnished to undocumented aliens Legislation to expand health care coverage and access including provisions to ensure patient safety, H.J.RES. 20, Making further continuing appropriations for the fiscal year 2007 provision annual fit-testing of respirators for occupational exposure to tuberculosis. S 2278/HR 4214 Community and Healthcare-Associated Infections Reduction Act to improve the prevention, detection, and treatment of community and healthcare-associated infections Legislation to expand health care coverage and access including provisions to ensure emergency preparedness, HR 727, Trauma Care Systems Planning and Development Act of 2007 would authorize an additional $46 million between fiscal years 2008 and 2012 in spending for rural medical centers that treat patients during times of national crisis HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for hospital preparedness S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for hospital preparedness HR 3043; Labor, HHS Appropriations bill, provide funds for hospital preparedness Legislation to expand health care coverage and access including provisions to promote the use of health information technology: S 1418, Wired for Health Care Quality Act HR3043/S1710, Appropriations Labor, Health and Human Services (HHS), Education, and Related Agencies FY 08, funding for HIT programs HR 1467, 10,000 Trained by 2010 Act, award competitive grants for basic research on innovative approaches to improve health care information systems HR 2406, Healthcare Information Technology Enterprise Integration,guidelines and mechanisms to promote the integration of the healthcare information enterprise. S 1408, Health Information Technology Act, would provide tax incentives and resources to offset the costs of investing in new health information technology. HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for HIT S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for HIT HR 3043, Labor, HHS Appropriations bill, provide funds for HIT HR 2764; omnibus appropriations bill for FY2008 provide funds for HIT HR 6357 : Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH)T Act, Legislation to expand health care coverage and access including provisions funding HIV/AIDS programs: HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Ryan White programs S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for Ryan White programs HR3043/S1710, FY 2008 Labor HHS Appropriations Bill, funding for Ryan White programs HR 2764; omnibus appropriations bill for FY2008, funding for Ryan White programs Legislation to expand health care coverage and access including provisions to ensure sufficient workforce within in the healthcare sector S 1604, Nursing Education and Quality of Health Care Act, increases the nurse workforce in rural areas, expands nursing school faculty, and develops initiatives to integrate patient safety practices into nursing education HR 2122, Safe Nursing and Patient Care Act of 2007", limiting the number of mandatory overtime hours a nurse may be required to work S 1639, Comprehensive Immigration Reform, the point-based system for visas, to give nurses special consideration under the point system HR800/S1041, Employee Free Choice Act, require the NLRB to certify a bargaining representative if a majority of the bargaining unit employees have authorized designation of the representative (card-check) HR 2123, Nurse Staffing Standards for Patient Safety and Quality Care Act, to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals HR 378, Nurse and Patient Safety & Protection Act direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, direct-care registered nurses, and other health care providers by establishing a safe patient handling standard. HR 1644, Re-Empowerment of Skilled and Professional Employees and Construction Tradesworkers (RESPECT) Act, to amend the National Labor Relations Act to clarify the definition of "supervisor" S446, Nurse Education, Expansion, and Development (NEED) Act, grants based on the number of nursing students enrolled to hire and retain new nursing faculty S 718, The Patient-Focused Critical Care Enhancement Act, provision study the impact of differences in staffing, organization, size, and structure of intensive care units on access, quality, and efficiency of care HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Nursing Education programs, , national health service corp HR 677, Nursing School Capacity Act authorize IOM study to identify constraints encountered by schools of nursing in admitting and graduating sufficient number of nurses S1577, Patient Safety and Abuse Prevention Act screening of direct patient access employees HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp. S 588/HR 1093, Resident Physician Shortage Act, to expand the number of physician training positions in 24 states with shortages HR 5924, The Emergency Nurse Supply Relief Act, which would address the retrogression backlog of visas for internationally-educated nurses who have been hired by U.S. hospitals but are not able to come here because of the unavailability of an employment-based (EB) visa.

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

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

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

H.R. 3, S.5 - Stem Cell Research Enhancement Act S. 1695 - Biologics Price Competition and Innovation Act H.R.3162 - Children's Health and Medicare Protection Act S.1893 - Children's Health Insurance Program Reauthorization Act of 2007 H.R.976 - Small Business Tax Relief Act of 2007 H.R. 1781 - the Childrens Dental Health Improvement Act S.739 - the Childrens Dental Health Improvement Act H.R. 685 - Social Security and Medicare Improved Burn Injury Treatment Access Act of 2007 H.R. 882 - Access to Emergency Medical Services Act of 2007 S.1003 - Access to Emergency Medical Services Act of 2007 S.1693 - Wired for Health Care Quality Act S.558 - Mental Health Parity Act of 2007 S.2029 - Physician Payments Sunshine Act H.R. 5669/S.2932 - the Poison Center Support, Enhancement, and Awareness Act of 2008 H.R. 2676/S. 2999 - Access to Cancer Clinical Trials Act

Client expense: $110,000 · Firm income: Not reported

Government targets: Energy, Dept of, HOUSE OF REPRESENTATIVES, SENATE

S 2663, CPSC Reform Act, issues related to CPSC funding. HR 4040, Consumer Product Safety Modernization Act. S 2045, CPSC Reform Act of 2007, issues related to CPSC funding. HR 3610, Food and Drug Import Safety Act of 2007. HR 5244, Credit Cardholders' Bill of Rights Act of 2008. HR 946, Consumer Overdraft Protection Fair Practices Act. S 2753, Credit Card Reform Act of 2008. HR 882, Access to Emergency Medical Services Act of 2007. HR 1174, Healthy Hospitals Act of 2007. HR 4214, Community and Healthcare-Associated Infections Reduction Act of 2007. MRSA legislation. Issues related to Medicare Part D reform. Issues related to product safety, food safety, and toy safety. Issues related to credit card reform. Issues related to the racial disparity study. Issues related to the quality of health technology. Issues related to the cloned food ruling. Issues related to salmon labeling/codex fish labeling. Issues related to the whistleblower protection product recall effectiveness. Issues related to garage door operators. Issues related to crib saftey. Issues related to kids and cars. Issues related to drug import safety. Issues related to the DTV transition. Issues related to lending reform. Issues related to security freeze. Issues related to overdraft loans. Issues related to medicare low income assistance. Issues related to emergency room reform. Issues related to cell phone reform auto safety.

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

HR 3162, Children's Health and Medicare Protection Act of 2007. HR 882, Access to Emergency Medical Services Act of 2007. S 2408, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007. Issues related to Medicare Part D Reform. Issues related to medicare low income assistance. Issues related to medicaid assistance in the federal relief package.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 1571, Seniors Access to Mental Health Act of 2007 (Medicare parity) H.R. 1663, Medicare Mental Health Modernization Act of 2007 H.R. 2626, Comprehensive HealthCARE Act of 2007 (Price Healthcare Bill) H.R. 3162, Children's Health and Medicare Protection Act of 2007 H.R. 2585, Ensuring the Future Physician Workforce Act of 2007 (Burgess SGR Bill) H.R. 3025, Medicare Prescription Drug Savings for Our Seniors (Medicare Prescription Drug SOS) Act of 2007 H.R. 3061, Medicare Part D Drug Class Protection Act of 2007 (Six Classes Bill) H.R. 820, Seniors Mental Health Access Improvement Act of 2007 (MFTs/MHCs) H.R. 1588, Seniors Mental Health Access Improvement Act of 2007 (MFTs/MHCs) H.R. 2860, Health Care Access and Rural Equity (H-CARE) Act of 2007 H.R. 2050, Medicaid Emergency Psychiatric Care Act of 2007 (IMD-EMTALA) H.R. 882, Access to Emergency Medical Services Act of 2007 (EMTALA) S. 1887, Medicare Access to Critical Medications Act (Six Classes Bill) H.R. 470, to provide Medicare coverage of benzodiazepines and off-label uses of certain prescription drugs, optional Medicaid coverage of Medicare prescription drug cost-sharing, and authorization for the Secretary of Health and Human Services to waive certain determinations denying Medicare prescription drug coverage S. 137, Preserving Medicare for All Act of 2007 (Cardin Healthcare Bill, Includes Benzos) S. 588, Physician Shortage Act S. 1715, Medicare Mental Health Copayment Equity Act of 2007 S. 2499, Medicare, Medicaid, and SCHIP Extension Act S. 2785, to amend title XVIII of the Security Act to preserve access to physicians' services under the Medicare program H.R. 5445, Ensuring the Future Physician Workforce Act of 2007 (physician payment under Medicare) H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 S. 3101, Medicare Improvements for Patients and Providers Act of 2008 Notice of Proposed Rulemaking for Medicare Program: Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2009 Rates; Proposed Changes to Disclosure of Physician Ownership in Hospitals and Physician Self-Referral Rules; Proposed Collection of Information Regarding Financial Relationships Between Hospitals and Physicians

Medicare Part D Reform; HR3162; HR882; medicare low income assistance; Medicare e-prescribing; S2408; medicaid assistance in federal relief package

Client expense: $137,482 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

CPSC funding , S2663, HR4040, S2045, Toy Safety, Farm Bill, Product safety, food safety, credit card reform, racial disparities study, health technology and quality; cloned food ruling; salmon labeling/codex fish labeling, whitleblower protection product recall effectiveness; garage door operator; crib safety; kids and cars; drug import safety, DTV transistion; lending reform; security freeze; overdraft loans; medicare low income assistance; emergency room reform; cell phone reform Auto safety; HR 3610 comparative effectiveness; e-prescribing; hr 5244; hr946; s2753; hr882, HR 1174, MRSA bill; S2663; HR 4214; HR 3162, Medicare Part D reform, overdraft loans,

Client expense: $137,482 · Firm income: Not reported

H.R. 1571, Seniors Access to Mental Health Act of 2007 (Medicare parity) H.R. 1663, Medicare Mental Health Modernization Act of 2007 H.R. 2626, Comprehensive HealthCARE Act of 2007 (Price Healthcare Bill) H.R. 3162, Children's Health and Medicare Protection Act of 2007 H.R. 2585, Ensuring the Future Physician Workforce Act of 2007 (Burgess SGR Bill) H.R. 3025, Medicare Prescription Drug Savings for Our Seniors (Medicare Prescription Drug SOS) Act of 2007 H.R. 3061, Medicare Part D Drug Class Protection Act of 2007 (Six Classes Bill) H.R. 820, Seniors Mental Health Access Improvement Act of 2007 (MFTs/MHCs) H.R. 1588, Seniors Mental Health Access Improvement Act of 2007 (MFTs/MHCs) H.R. 2860, Health Care Access and Rural Equity (H-CARE) Act of 2007 H.R. 2050, Medicaid Emergency Psychiatric Care Act of 2007 (IMD-EMTALA) H.R. 882, Access to Emergency Medical Services Act of 2007 (EMTALA) S. 1887, Medicare Access to Critical Medications Act (Six Classes Bill) H.R. 470, to provide Medicare coverage of benzodiazepines and off-label uses of certain prescription drugs, optional Medicaid coverage of Medicare prescription drug cost-sharing, and authorization for the Secretary of Health and Human Services to waive certain determinations denying Medicare prescription drug coverage S. 137, Preserving Medicare for All Act of 2007 (Cardin Healthcare Bill, Includes Benzos) S. 588, Physician Shortage Act S. 1715, Medicare Mental Health Copayment Equity Act of 2007 S. 2499, Medicare, Medicaid, and SCHIP Extension Act S. 2785, to amend title XVIII of the Security Act to preserve access to physicians' services under the Medicare program H.R. 5445, Ensuring the Future Physician Workforce Act of 2007 (physician payment under Medicare) H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 S. 3101, Medicare Improvements for Patients and Providers Act of 2008 Notice of Proposed Rulemaking for Medicare Program: Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2009 Rates; Proposed Changes to Disclosure of Physician Ownership in Hospitals and Physician Self-Referral Rules; Proposed Collection of Information Regarding Financial Relationships Between Hospitals and Physicians

Legislation to expand health care coverage and access including provisions contained bills in which would offer Medicare, Medicaid and/or SCHIP to more children, create parity in coverage of mental health benefits, foster reform at the state level, stabilize trauma care, prevent healthcare acquired infections, ensure hospital preparedness, expand the use of health information technology, provide funding for Ryan White programs, increase and stabilize the healthcare workforce HR 2357; MediKids Health Insurance Act of 2007"; to create a new federal healthcare program to provide comprehensive health benefits to children S 1218 /HR 2034, Medicare for All Act; expanding the Medicare program to those under age 65. S 1169; State-Based Health Care Reform Act; to create a five-year pilot program in several states to develop coverage plans for the uninsured HR 1424; Paul Wellstone Mental Health and Addiction Equity Act require group health plans to provide comparable treatment limits and beneficiary cost sharing for medical and mental health benefits. HR 1663, Medicare Mental Health Modernization Act to provide mental health parity in private health insurance and Medicare, and improves coverage for cost-effective and community-based mental health treatment services for seniors and people with disabilities S 895/HR 1535; Children's Health First Act allow states to expand children's health coverage to families up to 400 percent of the Federal poverty level HR 1308S/764, Legal Immigrant Children's Health Improvement Act to permit states the option of coverage of legal immigrants under the Medicaid Program and the State Children's Health Insurance Program S 558, Mental Health Parity Act of 2007 would preserve state laws that are more comprehensive while creating parity in health plans offering mental health coverage by equating financial requirements and treatment limitations for mental health benefits with medical and surgical benefits. S 325/HR 506, Health Partnership Act would provide grants to individual states, groups of states, and portions of states to test various health reform strategies HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act S 2049, The Better Health for America's Children Act," to block a new policy to limit states' ability to enroll children in the State Children's Health Insurance Program S 2152, Kids First Actalternative SCHIP bill that would restrict coverage to individuals younger than age 19 in low-income families HR 3963; Children's Health Insurance Program Reauthorization Act revised bill to extend and expand the State Childrens Health Insurance Program (SCHIP) HR 2055 Improving Children's Access to Health Care Act, to improve children's access to health care coverage under the Medicaid Program and the State Children's Health Insurance Program (SCHIP). Legislation to expand health care coverage and access including provisions which would stabilize medical emergency reimbursement, HR 882, Access to Emergency Services Act that would increase by 10 percent Medicare reimbursements to physicians who provide care in emergency departments (EDs) or post-stabilization care related to emergency medical conditions in other areas of hospitals S 657, A bill to amend the Public Health Service Act to add requirements regarding trauma care Legislation to expand health care coverage and access including provisions to ensure patient safety, H.J.RES. 20, Making further continuing appropriations for the fiscal year 2007 provision annual fit-testing of respirators for occupational exposure to tuberculosis. S 2278/HR 4214 Community and Healthcare-Associated Infections Reduction Act to improve the prevention, detection, and treatment of community and healthcare-associated infections Legislation to expand health care coverage and access including provisions to ensure emergency preparedness, HR 727, Trauma Care Systems Planning and Development Act of 2007 would authorize an additional $46 million between fiscal years 2008 and 2012 in spending for rural medical centers that treat patients during times of national crisis HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for hospital preparedness S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for hospital preparedness HR 3043; Labor, HHS Appropriations bill, provide funds for hospital preparedness Legislation to expand health care coverage and access including provisions to promote the use of health information technology: S 1418, Wired for Health Care Quality Act HR3043/S1710, Appropriations Labor, Health and Human Services (HHS), Education, and Related Agencies FY 08, funding for HIT programs HR 1467, 10,000 Trained by 2010 Act, award competitive grants for basic research on innovative approaches to improve health care information systems HR 2406, Healthcare Information Technology Enterprise Integration,guidelines and mechanisms to promote the integration of the healthcare information enterprise. S 1408, Health Information Technology Act, would provide tax incentives and resources to offset the costs of investing in new health information technology. HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for HIT S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for HIT HR 3043, Labor, HHS Appropriations bill, provide funds for HIT HR 2764; omnibus appropriations bill for FY2008 provide funds for HIT Legislation to expand health care coverage and access including provisions funding HIV/AIDS programs: HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Ryan White programs S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for Ryan White programs HR3043/S1710, FY 2008 Labor HHS Appropriations Bill, funding for Ryan White programs HR 2764; omnibus appropriations bill for FY2008, funding for Ryan White programs Legislation to expand health care coverage and access including provisions to ensure sufficient workforce within in the healthcare sector S 1604, Nursing Education and Quality of Health Care Act, increases the nurse workforce in rural areas, expands nursing school faculty, and develops initiatives to integrate patient safety practices into nursing education HR 2122, Safe Nursing and Patient Care Act of 2007", limiting the number of mandatory overtime hours a nurse may be required to work S 1639, Comprehensive Immigration Reform, the point-based system for visas, to give nurses special consideration under the point system HR800/S1041, Employee Free Choice Act, require the NLRB to certify a bargaining representative if a majority of the bargaining unit employees have authorized designation of the representative (card-check) HR 2123, Nurse Staffing Standards for Patient Safety and Quality Care Act, to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals HR 378, Nurse and Patient Safety & Protection Act direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, direct-care registered nurses, and other health care providers by establishing a safe patient handling standard. HR 1644, Re-Empowerment of Skilled and Professional Employees and Construction Tradesworkers (RESPECT) Act, to amend the National Labor Relations Act to clarify the definition of "supervisor" S446, Nurse Education, Expansion, and Development (NEED) Act, grants based on the number of nursing students enrolled to hire and retain new nursing faculty S 718, The Patient-Focused Critical Care Enhancement Act, provision study the impact of differences in staffing, organization, size, and structure of intensive care units on access, quality, and efficiency of care HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Nursing Education programs, , national health service corp HR 677, Nursing School Capacity Act authorize IOM study to identify constraints encountered by schools of nursing in admitting and graduating sufficient number of nurses S1577, Patient Safety and Abuse Prevention Act screening of direct patient access employees HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp. S 588/HR 1093, Resident Physician Shortage Act, to expand the number of physician training positions in 24 states with shortages HR 5924, The Emergency Nurse Supply Relief Act, which would address the retrogression backlog of visas for internationally-educated nurses who have been hired by U.S. hospitals but are not able to come here because of the unavailability of an employment-based (EB) visa.

Legislation regarding Medicare and Medicaid Reimbursement issues which include provisions to expand access, improve services, stabilize payments to hospitals and other providers under Medicaid, Medicare, and/or SCHIP by addressing reimbursement, parity, quality, self-referral, workforce, payment issues, rehabilitation hospitals, long term care hospitals, rural hospitals and various regulations. HR 2055 Improving Children's Access to Health Care Act, to improve children's access to health care coverage under the Medicaid Program and the State Children's Health Insurance Program (SCHIP). HR 2606, 340B Drug Expansion Act of 2007, to revise and expand the drug discount program under that section to improve the provision of discounts on drug purchases for certain safety net providers. S 355, Social Security and Medicare Solvency Commission Act, to create a permanent, 15-member commission to make recommendations on how best to save the entitlement programs HR 4105; the Medicare Recovery Audit Contractor Program Moratorium Act of 2007 that would enact a one-year, nationwide moratorium on the Recovery Audit Contract (RAC) program. H Con Res 312/S Con Res 70, fiscal year (FY)2009 budget resolutions, Medicare and Medicaid reductions HR 5480/S 2662, Medicare Funding Warning Response Act, various provisions S 2785, Save Medicare Act physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index reclassification. S. 3101; Medicare Improvements for Patients and Providers physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index HR 6331, Medicare Improvements for Patients and Providers Act physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index HR 6252/S3144, would delay for 18 months the Medicare competitive bidding program for durable medical equipment, prosthetics, orthotics and supplies. self-referral HR 1424; Paul Wellstone Mental Health and Addiction Equity Act provision banning the growth of physician-owned specialty hospitals workforce, HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp, rural health programs, childrens hospitals GME, S 543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program. HR 3162, "Children's Health and Medicare Protection Act" payment: HR 2206, U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act supplemental appropriations bill (HR 2206) contained moratorium on medicaid regulations regarding capping payment to public providers and GME HR 1480/1741/S 787, to place a two-year moratorium on the Centers for Medicare & Medicaid Services implementation of medicaid regulations regarding capping payment to public providers and GME funding from Section 1011 of the Medicare Modernization Act of 2003 (MMA), HR 1293, Access to Medicare Imaging Act stop the reduction Medicare reimbursements for some medical imaging services HR 882, Access to Emergency Services Act that would increase by 10 percent Medicare reimbursements to physicians who provide care in emergency departments (EDs) or post-stabilization care related to emergency medical conditions in other areas of hospitals HR 552/S 329, The Pulmonary and Cardiac Rehabilitation Act of 2007 to provide for coverage of items and services under a cardiac rehabilitation program and a pulmonary rehabilitation program. HR 3533/S2460, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 3668, TMA, Abstinence Education, and QI Programs Extension Act includes provision which would mitigate the impact of the behavioral offset in the FY08 Inpatient Prospective Payment System (IPPS) final rule S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals, Section 508 hospitals quality S 1226, Children's Health Care Quality Act would allow the Centers for Medicare & Medicaid Services to fund evidence-based demonstrations to improve hospital care for children. HR 1666, Health Care Price Transparency Promotion Act which would build on existing state efforts to report hospital pricing data and require insurers to disclose estimated out-of-pocket costs to consumers S 465; Advance Directives Improvement and Education Act of 2007" to improve access to information about healthcare options and legal rights for care near the end of life rehabilitation hospitals, S543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, rural hospitals, S 1605/HR 2860, Health Care Access and Rural Equity Act (H-CARE) S 1595, Critical Access Hospital Flexibility Act CAHs would gain flexibility to respond to daily and seasonal fluctuations in patient load S 2499;; Medicare, Medicaid, and SCHIP Extension Act Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals long term care hospitals: HR 562/S338, Medicare Long-Term Care Hospital Improvement establishing facility and patient criteria for long-term care hospitals and related improvements under the Medicare Program. S 2499; Medicare, Medicaid, and SCHIP Extension Act Provides regulatory relief for three years to ensure continued access to current long-term care hospital services, while also imposing a limited moratorium on the development of new, long-term care facilities. Medicaid, HR 2512, Reducing Coverage Gaps for Kids Act To amend titles XIX and XXI of the Social Security Act to prohibit States from requiring eligibility determinations for children for benefits under the Medicaid Program and the State Children's Health Insurance Program (SCHIP) more frequently than once every year. HR 2147, Healthy Kids Act to amend titles XXI and XIX of the Social Security Act to extend the State Children's Health Insurance Program (SCHIP) and streamline enrollment under SCHIP and Medicaid and to amend the Internal Revenue Code of 1986 to provide for a healthy savings tax credit for purchase of children's health coverage. HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 1878, 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 HR 3533/S2460 "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 5613, Protecting the Medicaid Safety Net Act, temporary, one-year moratorium on seven Medicaid regulations S 2819, Economic Recovery in Health Care Act to implement a one-year moratorium on proposed regulatory changes to Medicaid and the State Childrens Health Insurance Program (SCHIP), and to provide states in need with federal relief HR 2462, the supplemental funding bill for Iraq and Afghanistan provision to place a temporary, one-year moratorium on seven Medicaid regulations, including the rules to limit Medicaid payments to public hospitals and to eliminate Government Medical Education (GME). SCHIP: S 1224, that would reauthorize the State Childrens Health Insurance Program and expand it to allow additional coverage to six million children within 10 years S 895/HR 1535, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act S. 1893, the Children's Health Insurance Program Reauthorization Act of 2007 S 2049, The Better Health for America's Children Act," to block a new policy to limit states' ability to enroll children in the State Children's Health Insurance Program S 2152, Kids First Actalternative SCHIP bill that would restrict coverage to individuals younger than age 19 in low-income families HR 3963; Children's Health Insurance Program Reauthorization Act revised bill to extend and expand the State Childrens Health Insurance Program (SCHIP) S 2499 the bill extends SCHIP through March 31, 2009, and provides adequate funding to states to maintain their current enrollment through that date. HR 3533, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME regulations including, but not limited to, provisions of PL 106-554, Consolidated Appropriations Act, provisions related to critical access hospitals, inpatient hospital services Direct Graduate Medical Education, Hospital Outpatient Services, Skilled Nursing Facilities, State Children's Health Insurance Program PL 108-173, Medicare Prescription Drug, Improvement, and Modernization Act, provisions related to rural hospitals, inpatient hospital services, skilled nursing facilities, hospice care, hospital outpatient departments, health care quality PL 109-171; Deficit Reduction Act, provisions related to rehabilitation hospitals, medicaid DSH payment, medicare-dependent hospitals, gainsharing, Medicaid, SHCHIP the FY08 IPPS proposed rule, proposed Medicaid rule (CMS 2258-P), the Recovery Audit Contract (RAC) demonstration.

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

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

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

H.R.882, Access to Emergency Medical Services Act of 2007, Quality and patient safety. H.R.1093/S.588, Resident Physician Shortage Reduction Act of 2007, Workforce shortage issues. S.543, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007, Health care issues. H.R.1376/H.R.2606, 340B Program Improvement and Integrity Act, Pharmaceutical related issues. H.R.5544, Patients and Public Health Partnership Act of 2008, Uninsured and medically underserved related issues. S.1693, Wired for Health Care Quality Act , Health information technology related issues. S.1814, Health Information Privacy and Security Act, Health information technology related issues. S.2319, National Trauma Center Stabilization Act of 2007, Emergency readiness and trauma related issues. H.R.5613, Protecting the Medicaid Safety Net Act of 2008, Medicaid regulations related issues. H.R.3533, Public and Teaching Hospital Preservation Act, GME and related issues. S.2460, A bill to extend by one year the moratorium on implementation of a rule relating to the Federal-State financial partnership under Medicaid and the State Children's Health Insurance Program and on finalization of a rule regarding graduate medical education under Medicaid and to include a moratorium on the finalization of the outpatient Medicaid rule making similar changes -- Medicaid related issues. H.R.4105, Medicare Recovery Audit Contractor Program Moratorium Act of 2007, RAC related issues. H.R.1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, Mental health and addiction parity. S.1083/H.R.1930, Securing Knowledge, Innovation, and Leadership Act of 2007, Healthcare workforce shortage related issues. General monitoring of patient safety and quality issues.

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

H.R. 3, S.5 - Stem Cell Research Enhancement Act S. 1695 - Biologics Price Competition and Innovation Act H.R.3162 - Children's Health and Medicare Protection Act S.1893 - Children's Health Insurance Program Reauthorization Act of 2007 H.R.976 - Small Business Tax Relief Act of 2007 H.R. 1781 - the Childrens Dental Health Improvement Act S.739 - the Childrens Dental Health Improvement Act H.R. 685 - Social Security and Medicare Improved Burn Injury Treatment Access Act of 2007 H.R. 882 - Access to Emergency Medical Services Act of 2007 S.1003 - Access to Emergency Medical Services Act of 2007 S.1693 - Wired for Health Care Quality Act S.558 - Mental Health Parity Act of 2007 S.2029 - Physician Payments Sunshine Act H.R. 5669/S.2932 - the Poison Center Support, Enhancement, and Awareness Act of 2008 H.R. 2676/S. 2999 - Access to Cancer Clinical Trials Act

Client expense: $110,000 · Firm income: Not reported

Government targets: Energy, Dept of, HOUSE OF REPRESENTATIVES, SENATE

Legislation regarding Medicare and Medicaid Reimbursement issues which include provisions to expand access, improve services, stabilize payments to hospitals and other providers under Medicaid, Medicare, and/or SCHIP by addressing reimbursement, parity, quality, self-referral, workforce, payment issues, rehabilitation hospitals, long term care hospitals, rural hospitals and various regulations. HR 2055 Improving Children's Access to Health Care Act, to improve children's access to health care coverage under the Medicaid Program and the State Children's Health Insurance Program (SCHIP). HR 2606, 340B Drug Expansion Act of 2007, to revise and expand the drug discount program under that section to improve the provision of discounts on drug purchases for certain safety net providers. S 355, Social Security and Medicare Solvency Commission Act, to create a permanent, 15-member commission to make recommendations on how best to save the entitlement programs HR 4105; the Medicare Recovery Audit Contractor Program Moratorium Act of 2007 that would enact a one-year, nationwide moratorium on the Recovery Audit Contract (RAC) program. H Con Res 312/S Con Res 70, fiscal year (FY)2009 budget resolutions, Medicare and Medicaid reductions HR 5480/S 2662, Medicare Funding Warning Response Act, various provisions self-referral HR 1424; Paul Wellstone Mental Health and Addiction Equity Act provision banning the growth of physician-owned specialty hospitals workforce, HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp, rural health programs, childrens hospitals GME, S 543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program. HR 3162, "Children's Health and Medicare Protection Act" payment: HR 2206, U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act supplemental appropriations bill (HR 2206) contained moratorium on medicaid regulations regarding capping payment to public providers and GME HR 1480/1741/S 787, to place a two-year moratorium on the Centers for Medicare & Medicaid Services implementation of medicaid regulations regarding capping payment to public providers and GME funding from Section 1011 of the Medicare Modernization Act of 2003 (MMA), HR 1293, Access to Medicare Imaging Act stop the reduction Medicare reimbursements for some medical imaging services HR 882, Access to Emergency Services Act that would increase by 10 percent Medicare reimbursements to physicians who provide care in emergency departments (EDs) or post-stabilization care related to emergency medical conditions in other areas of hospitals HR 552/S 329, The Pulmonary and Cardiac Rehabilitation Act of 2007 to provide for coverage of items and services under a cardiac rehabilitation program and a pulmonary rehabilitation program. HR 3533/S2460, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 3668, TMA, Abstinence Education, and QI Programs Extension Act includes provision which would mitigate the impact of the behavioral offset in the FY08 Inpatient Prospective Payment System (IPPS) final rule S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals, Section 508 hospitals quality S 1226, Children's Health Care Quality Act would allow the Centers for Medicare & Medicaid Services to fund evidence-based demonstrations to improve hospital care for children. HR 1666, Health Care Price Transparency Promotion Act which would build on existing state efforts to report hospital pricing data and require insurers to disclose estimated out-of-pocket costs to consumers S 465; Advance Directives Improvement and Education Act of 2007" to improve access to information about healthcare options and legal rights for care near the end of life rehabilitation hospitals, S543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, rural hospitals, S 1605/HR 2860, Health Care Access and Rural Equity Act (H-CARE) S 1595, Critical Access Hospital Flexibility Act CAHs would gain flexibility to respond to daily and seasonal fluctuations in patient load S 2499;; Medicare, Medicaid, and SCHIP Extension Act Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals long term care hospitals: HR 562/S338 Medicare Long-Term Care Hospital Improvement establishing facility and patient criteria for long-term care hospitals and related improvements under the Medicare Program. S 2499; Medicare, Medicaid, and SCHIP Extension Act Provides regulatory relief for three years to ensure continued access to current long-term care hospital services, while also imposing a limited moratorium on the development of new, long-term care facilities. Medicaid, HR 2512, Reducing Coverage Gaps for Kids Act To amend titles XIX and XXI of the Social Security Act to prohibit States from requiring eligibility determinations for children for benefits under the Medicaid Program and the State Children's Health Insurance Program (SCHIP) more frequently than once every year. HR 2147, Healthy Kids Act to amend titles XXI and XIX of the Social Security Act to extend the State Children's Health Insurance Program (SCHIP) and streamline enrollment under SCHIP and Medicaid and to amend the Internal Revenue Code of 1986 to provide for a healthy savings tax credit for purchase of children's health coverage. HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 1878, 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 HR 3533/S2460 "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 5613, Protecting the Medicaid Safety Net Act, temporary, one-year moratorium on seven Medicaid regulations SCHIP: S 1224, that would reauthorize the State Childrens Health Insurance Program and expand it to allow additional coverage to six million children within 10 years S 895/HR 1535, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act S. 1893, the Children's Health Insurance Program Reauthorization Act of 2007 S 2049, The Better Health for America's Children Act," to block a new policy to limit states' ability to enroll children in the State Children's Health Insurance Program S 2152, Kids First Actalternative SCHIP bill that would restrict coverage to individuals younger than age 19 in low-income families HR 3963; Children's Health Insurance Program Reauthorization Act revised bill to extend and expand the State Childrens Health Insurance Program (SCHIP) S 2499 the bill extends SCHIP through March 31, 2009, and provides adequate funding to states to maintain their current enrollment through that date. HR 3533, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME regulations including, but not limited to, provisions of PL 106-554, Consolidated Appropriations Act, provisions related to critical access hospitals, inpatient hospital services Direct Graduate Medical Education, Hospital Outpatient Services, Skilled Nursing Facilities, State Children's Health Insurance Program PL 108-173, Medicare Prescription Drug, Improvement, and Modernization Act, provisions related to rural hospitals, inpatient hospital services, skilled nursing facilities, hospice care, hospital outpatient departments, health care quality PL 109-171; Deficit Reduction Act, provisions related to rehabilitation hospitals, medicaid DSH payment, medicare-dependent hospitals, gainsharing, Medicaid, SHCHIP the FY08 IPPS proposed rule, proposed Medicaid rule (CMS 2258-P), the Recovery Audit Contract (RAC) demonstration.

Legislation to expand health care coverage and access including provisions contained bills in which would offer Medicare, Medicaid and/or SCHIP to more children, create parity in coverage of mental health benefits, foster reform at the state level, stabilize trauma care, prevent healthcare acquired infections, ensure hospital preparedness, expand the use of health information technology, provide funding for Ryan White programs, increase and stabilize the healthcare workforce. HR 2357; MediKids Health Insurance Act of 2007"; to create a new federal healthcare program to provide comprehensive health benefits to children S 1218 /HR 2034, Medicare for All Act; expanding the Medicare program to those under age 65. S 1169; State-Based Health Care Reform Act; to create a five-year pilot program in several states to develop coverage plans for the uninsured HR 1424; Paul Wellstone Mental Health and Addiction Equity Act require group health plans to provide comparable treatment limits and beneficiary cost sharing for medical and mental health benefits. HR 1663, Medicare Mental Health Modernization Act to provide mental health parity in private health insurance and Medicare, and improves coverage for cost-effective and community-based mental health treatment services for seniors and people with disabilities S 895/HR 1535; Children's Health First Act allow states to expand children's health coverage to families up to 400 percent of the Federal poverty level HR 1308S/764, Legal Immigrant Children's Health Improvement Act to permit states the option of coverage of legal immigrants under the Medicaid Program and the State Children's Health Insurance Program S 558, Mental Health Parity Act of 2007 would preserve state laws that are more comprehensive while creating parity in health plans offering mental health coverage by equating financial requirements and treatment limitations for mental health benefits with medical and surgical benefits. S 325/HR 506, Health Partnership Act would provide grants to individual states, groups of states, and portions of states to test various health reform strategies HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act S 2049, The Better Health for America's Children Act," to block a new policy to limit states' ability to enroll children in the State Children's Health Insurance Program S 2152, Kids First Actalternative SCHIP bill that would restrict coverage to individuals younger than age 19 in low-income families HR 3963; Children's Health Insurance Program Reauthorization Act revised bill to extend and expand the State Childrens Health Insurance Program (SCHIP) HR 2055 Improving Children's Access to Health Care Act, to improve children's access to health care coverage under the Medicaid Program and the State Children's Health Insurance Program (SCHIP). Legislation to expand health care coverage and access including provisions which would stabilize medical emergency reimbursement, HR 882, Access to Emergency Services Act that would increase by 10 percent Medicare reimbursements to physicians who provide care in emergency departments (EDs) or post-stabilization care related to emergency medical conditions in other areas of hospitals S 657, A bill to amend the Public Health Service Act to add requirements regarding trauma care Legislation to expand health care coverage and access including provisions to ensure patient safety, H.J.RES. 20, Making further continuing appropriations for the fiscal year 2007 provision annual fit-testing of respirators for occupational exposure to tuberculosis. S 2278/HR 4214 Community and Healthcare-Associated Infections Reduction Act to improve the prevention, detection, and treatment of community and healthcare-associated infections Legislation to expand health care coverage and access including provisions to ensure emergency preparedness, HR 727, Trauma Care Systems Planning and Development Act of 2007 would authorize an additional $46 million between fiscal years 2008 and 2012 in spending for rural medical centers that treat patients during times of national crisis HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for hospital preparedness S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for hospital preparedness HR 3043; Labor, HHS Appropriations bill, provide funds for hospital preparedness Legislation to expand health care coverage and access including provisions to promote the use of health information technology: S 1418, Wired for Health Care Quality Act HR3043/S1710, Appropriations Labor, Health and Human Services (HHS), Education, and Related Agencies FY 08, funding for HIT programs HR 1467, 10,000 Trained by 2010 Act, award competitive grants for basic research on innovative approaches to improve health care information systems HR 2406, Healthcare Information Technology Enterprise Integration,guidelines and mechanisms to promote the integration of the healthcare information enterprise. S 1408, Health Information Technology Act, would provide tax incentives and resources to offset the costs of investing in new health information technology. HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for HIT S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for HIT HR 3043, Labor, HHS Appropriations bill, provide funds for HIT HR 2764; omnibus appropriations bill for FY2008 provide funds for HIT Legislation to expand health care coverage and access including provisions funding HIV/AIDS programs: HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Ryan White programs S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for Ryan White programs HR3043/S1710, FY 2008 Labor HHS Appropriations Bill, funding for Ryan White programs HR 2764; omnibus appropriations bill for FY2008, funding for Ryan White programs Legislation to expand health care coverage and access including provisions to ensure sufficient workforce within in the healthcare sector S 1604, Nursing Education and Quality of Health Care Act, increases the nurse workforce in rural areas, expands nursing school faculty, and develops initiatives to integrate patient safety practices into nursing education HR 2122, Safe Nursing and Patient Care Act of 2007", limiting the number of mandatory overtime hours a nurse may be required to work S 1639, Comprehensive Immigration Reform, the point-based system for visas, to give nurses special consideration under the point system HR800/S1041, Employee Free Choice Act, require the NLRB to certify a bargaining representative if a majority of the bargaining unit employees have authorized designation of the representative (card-check) HR 2123, Nurse Staffing Standards for Patient Safety and Quality Care Act, to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals HR 378, Nurse and Patient Safety & Protection Act direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, direct-care registered nurses, and other health care providers by establishing a safe patient handling standard. HR 1644, Re-Empowerment of Skilled and Professional Employees and Construction Tradesworkers (RESPECT) Act, to amend the National Labor Relations Act to clarify the definition of "supervisor" S446, Nurse Education, Expansion, and Development (NEED) Act, grants based on the number of nursing students enrolled to hire and retain new nursing faculty S 718, The Patient-Focused Critical Care Enhancement Act, provision study the impact of differences in staffing, organization, size, and structure of intensive care units on access, quality, and efficiency of care HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Nursing Education programs, , national health service corp HR 677, Nursing School Capacity Act authorize IOM study to identify constraints encountered by schools of nursing in admitting and graduating sufficient number of nurses S1577, Patient Safety and Abuse Prevention Act screening of direct patient access employees HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp. S 588/HR 1093, Resident Physician Shortage Act, to expand the number of physician training positions in 24 states with shortages

Medicare/Medicaid provider enrollment and physician fee schedule; H.R. 3162, S.2499, H.R. 882, S. 1003

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

H.R.882, Access to Emergency Medical Services Act of 2007, Quality and patient safety. H.R.1093/S.588, Resident Physician Shortage Reduction Act of 2007, Workforce shortage issues. S.543, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007, Health care issues. H.R.1376/H.R.2606, 340B Program Improvement and Integrity Act, Pharmaceutical related issues. H.R.5544, Patients and Public Health Partnership Act of 2008, Uninsured and medically underserved related issues. S.1693, Wired for Health Care Quality Act , Health information technology related issues. S.1814, Health Information Privacy and Security Act, Health information technology related issues. S.2319, National Trauma Center Stabilization Act of 2007, Emergency readiness and trauma related issues. H.R.5613, Protecting the Medicaid Safety Net Act of 2008, Medicaid regulations related issues. H.R.3533, Public and Teaching Hospital Preservation Act, GME and related issues. S.2460, A bill to extend by one year the moratorium on implementation of a rule relating to the Federal-State financial partnership under Medicaid and the State Children's Health Insurance Program and on finalization of a rule regarding graduate medical education under Medicaid and to include a moratorium on the finalization of the outpatient Medicaid rule making similar changes -- Medicaid related issues. H.R.4105, Medicare Recovery Audit Contractor Program Moratorium Act of 2007, RAC related issues. H.R.1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, Mental health and addiction parity. S.1083/H.R.1930, Securing Knowledge, Innovation, and Leadership Act of 2007, Healthcare workforce shortage related issues. General monitoring of patient safety and quality issues.

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

H.R. 1571, Seniors Access to Mental Health Act of 2007 (Medicare parity) H.R. 1663, Medicare Mental Health Modernization Act of 2007 H.R. 2626, Comprehensive HealthCARE Act of 2007 (Price Healthcare Bill) H.R. 3162, Children's Health and Medicare Protection Act of 2007 H.R. 2585, Ensuring the Future Physician Workforce Act of 2007 (Burgess SGR Bill) H.R. 3025, Medicare Prescription Drug Savings for Our Seniors (Medicare Prescription Drug SOS) Act of 2007 H.R. 3061, Medicare Part D Drug Class Protection Act of 2007 (Six Classes Bill) H.R. 820, Seniors Mental Health Access Improvement Act of 2007 (MFTs/MHCs) H.R. 1588, Seniors Mental Health Access Improvement Act of 2007 (MFTs/MHCs) H.R. 2860, Health Care Access and Rural Equity (H-CARE) Act of 2007 H.R. 2050, Medicaid Emergency Psychiatric Care Act of 2007 (IMD-EMTALA) H.R. 882, Access to Emergency Medical Services Act of 2007 (EMTALA) S. 1887, Medicare Access to Critical Medications Act (Six Classes Bill) H.R. 470, to provide Medicare coverage of benzodiazepines and off-label uses of certain prescription drugs, optional Medicaid coverage of Medicare prescription drug cost-sharing, and authorization for the Secretary of Health and Human Services to waive certain determinations denying Medicare prescription drug coverage S. 137, Preserving Medicare for All Act of 2007 (Cardin Healthcare Bill, Includes Benzos) S. 588, Physician Shortage Act S. 1715, Medicare Mental Health Copayment Equity Act of 2007 S. 2499, Medicare, Medicaid, and SCHIP Extension Act S. 2785, to amend title XVIII of the Security Act to preserve access to physicians' services under the Medicare program H.R. 5445, Ensuring the Future Physician Workforce Act of 2007 (physician payment under Medicare)

Client expense: $127,101 · Firm income: Not reported

H.R. 3, S.5 - Stem Cell Research Enhancement Act S. 1695 - Biologics Price Competition and Innovation Act H.R.3162 - Children's Health and Medicare Protection Act S.1893 - Children's Health Insurance Program Reauthorization Act of 2007 H.R.976 - Small Business Tax Relief Act of 2007 H.R. 1781 - the Childrens Dental Health Improvement Act S.739 - the Childrens Dental Health Improvement Act H.R. 685 - Social Security and Medicare Improved Burn Injury Treatment Access Act of 2007 H.R. 882 - Access to Emergency Medical Services Act of 2007 S.1003 - Access to Emergency Medical Services Act of 2007 S.1693 - Wired for Health Care Quality Act S.558 - Mental Health Parity Act of 2007 S.2029 - Physician Payments Sunshine Act

Client expense: $110,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 976, Children's Health Insurance Program Reauthorization Act of 2007 H.R. 3014 and S. 1576, legislation to reduce racial and ethnic disparities in health care and health status S. 242 and H.R. 380, the Pharmaceutical Market Access and Drug Safety Act S. 1218/H.R. 2034, Medicare for All Act H.R. 676, the United State National Health Insurance Act S. 21/H.R. 819, the Prevention First Act S.764, H.R.1308, Immigrant Children's Health Improvement Act S. 60, a bill to reauthorize the Emergency Medical Services for Children (EMSC) program H.R. 506, the Health Partnership Through Creative Federalism Act S. 325, the Health Partnership Act S. 1452, Public Mental Health Emergency Preparedness Act of 2007 H.R. 1968, the Community Health Workers Act of 2007 H.R. 2045, PLAY Every Day Act S. 968, theStopTuberculosis(TB)NowActof2007 S.1882,thePublicHealthPreparednessWorkforceDevelopmentActof2007 S. 2083, the Coordinated Environmental Public Health Network Act of 2007 H.R. 3697/S. 2313, the Strategies to Address Antimicrobial Resistance (STAAR) Act S. 2456, Influenza Vaccine Security Act H.R.3337, HIVNondiscriminationinTravelandImmigrationActof2007 S. 2424, the National Health Literacy Act S. 1970, Addressing the Disaster Needs of Children Act of 2007 S. 558/H.R. 1424/S. 1337, mental health parity legislation H.R. 882, Access to Emergency Medical Services Act S. 600, School-Based Health Clinic Establishment Act of 2007

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

S. 1173/H.R. 1964, the Freedom of Choice Act End the abstinence-only-until-marriage program funded under Title V of the Social Security Act H.R. 882, the Access to Emergency Medical Services Act. Eliminate "Mexico City policy" from the FY08State,ForeignOperationsappropriationsbill H.R. 4054/S. 2347, Prevention Through Affordable Access Act

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

H.R. 976, Children's Health Insurance Program Reauthorization Act of 2007 H.R. 3014 and S. 1576, legislation to reduce racial and ethnic disparities in health care and health status S. 242 and H.R. 380, the Pharmaceutical Market Access and Drug Safety Act S. 1218/H.R. 2034, Medicare for All Act H.R. 676, the United State National Health Insurance Act S. 21/H.R. 819, the Prevention First Act S.764, H.R.1308, Immigrant Children's Health Improvement Act S. 60, a bill to reauthorize the Emergency Medical Services for Children (EMSC) program H.R. 506, the Health Partnership Through Creative Federalism Act S. 325, the Health Partnership Act S. 1452, Public Mental Health Emergency Preparedness Act of 2007 H.R. 1968, the Community Health Workers Act of 2007 H.R. 2045, PLAY Every Day Act S. 968, theStopTuberculosis(TB)NowActof2007 S.1882,thePublicHealthPreparednessWorkforceDevelopmentActof2007 S. 2083, the Coordinated Environmental Public Health Network Act of 2007 H.R. 3697/S. 2313, the Strategies to Address Antimicrobial Resistance (STAAR) Act S. 2456, Influenza Vaccine Security Act H.R.3337, HIVNondiscriminationinTravelandImmigrationActof2007 S. 2424, the National Health Literacy Act S. 1970, Addressing the Disaster Needs of Children Act of 2007 S. 558/H.R. 1424/S. 1337, mental health parity legislation H.R. 882, Access to Emergency Medical Services Act S. 600, School-Based Health Clinic Establishment Act of 2007

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

S. 1173/H.R. 1964, the Freedom of Choice Act End the abstinence-only-until-marriage program funded under Title V of the Social Security Act H.R. 882, the Access to Emergency Medical Services Act. Eliminate "Mexico City policy" from the FY08State,ForeignOperationsappropriationsbill H.R. 4054/S. 2347, Prevention Through Affordable Access Act

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

HR 1, HR477, HR882, HR976,HR1093,HR1655,HR2050,HR2164,HR2580,HR2583,HR2584,HR2626,HR2669,HR2749,HR2764,HR2900 HR3043,HR3074,HR3162,HR3173,HR3344,HR3495,HR3533,HR3963,PL 110-53,PL110-84 & PL110-161, S4, S60,S243,S244,S588,S999,S1003,S1082,S1310,S1408,S1519,S1588,S1642,S1644,S1710,S1789,S1873,S1893,S1970,S2319 S2499

Client expense: $1,129,163 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1173/H.R. 1964, the Freedom of Choice Act End the abstinence-only-until-marriage program funded under Title V of the Social Security Act H.R. 882, the Access to Emergency Medical Services Act. Eliminate "Mexico City policy" from the FY08State,ForeignOperationsappropriationsbill

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 243, MCAP Act; S. 1003, Access to Emergency Medical Services Act of 2007; H.R. 882, Access to Emergency Medical Services Act of 2007.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General monitoring of patient safety and quality issues. H.R.882, Access to Emergency Medical Services Act of 2007, Health care issues. H.R.1093/S.588, Resident Physician Shortage Reduction Act of 2007, Workforce shortage issues. S.543, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007, Health care issues.

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

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

H.R. 727, Trauma Care Systems Planning and Development Act of 2007; S. 657, Trauma Care Systems Planning and Development Act of 2007; S. 243, MCAP Act; H.R. 2497, Fair and Reliable Medical Justice Act; S. 1481, Fair and Reliable Medical Justice Act; S. 1693, Wired for Health Care Quality Act; H.R. 1467, 10,000 Trained by 2010 Act; S. 1003, Access to Emergency Medical Services Act of 2007; H.R. 882, Access to Emergency Medical Services Act of 2007

Client expense: $160,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.976 - Small Business Tax Relief Act of 2007 H.R. 493, the Genetic Information Nondiscrimination Act (GINA) H.R. 1781 - the Children’s Dental Health Improvement Act S.739 - the Children’s Dental Health Improvement Act H.R. 685 - Social Security and Medicare Improved Burn Injury Treatment Access Act of 2007 H.R. 882 - Access to Emergency Medical Services Act of 2007 S.1003 - Access to Emergency Medical Services Act of 2007 S.1693 - Wired for Health Care Quality Act H.R. 3, S.5 - Stem Cell Research Enhancement Act S. 1695 - Biologics Price Competition and Innovation Act H.R.3162 - Children's Health and Medicare Protection Act S.1893 - Children's Health Insurance Program Reauthorization Act of 2007

Client expense: $180,000 · Firm income: Not reported

medical emergency reimbursement, HR 882, S 657; patient safety, H.J.RES. 20, S Con Res 21/H Con Res 99; emergency preparedness, HR 727, HJ Res. 20, S Con Res 21/H Con Res 99; information technology: S 1418, HR3043/S1710, HR 1467, HR 2406, S 1408, HJ Res. 20, S Con Res 21/H Con Res 99; funding for HIV/AIDS programs: HJ Res. 20, S Con Res 21/H Con Res 99, HR3043/S1710; workforce, S 1604, HR 2122, S 1639, HR800/S1041, HR 2123, HR 378, HR 1644, S446, S 718, HJ Res. 20, HR 677, S1577. Legislation to expand health care coverage and access including but not limited to HR 2357, S 1218 /HR 2034, S 1169; HR 1424, HR 1663, S 895/HR 1535; HR 1308/S764, S 558, S 325/HR 506, HR1111

Client expense: $380,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

workforce, HR3043/S1710, S 543/HR 1459; payment: HR 2206, HR 1480/1741/S 787, Section 1011 of the Medicare Modernization Act of 2003 (MMA), HR 1293, HR 882, HR 552/S 329 ; self referral ; quality S 1226, HR 1666, S 465; rehabilitation hospitals, S543/HR 1459; rural hospitals, HR 2860, S 1605, S 1595; long term care hospitals: HR 562/S338 ; Medicaid reform, HR 2512, HR 2147, HR1111, HR 1878; SCHIP: S 1224, S 895/HR 1535; Labor HR 2122, S 1639, HR800/S1041, HR 2123, HR 378, HR 1644, HR1111, HR 2147; regulations including, but not limited to, provisions of PL 106-554, PL 108-173, PL 109-171; the FY08 IPPS proposed rule, proposed Medicaid rule (CMS 2258-P); Medicare and Medicaid Reimbursement issues including HR 2055, HR 2606, S Con Res 21/H Con Res 99, HJ Res. 20, S 355;

Client expense: $380,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

General monitoring of patient safety and quality issues. H.R.882, Access to Emergency Medical Services Act of 2007, Health care issues. H.R.1093/S.588, Resident Physician Shortage Reduction Act of 2007, Workforce shortage issues. S.543, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007, Health care issues.

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

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