Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009

Implementation of Medicare Improvements for Patients and Providers Act of 2008 Implementation of Psychiatric Prospective Payment System H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.1415 - Medicaid Emergency Psychiatric Care Demonstration Project Act, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles H.R.911 - Stop Child Abuse in Residential Programs for Teens Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healthy Future Act of 2009 H.R. 3962 - Presentation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R. 3590 - Patient Protection and Affordable Care Act H.R. 4213 - American Jobs and Closing Tax Loopholes Act of 2010 H.R. 4872 - Health Care and Education Reconciliation Act of 2010 H.R. 3081 - Continuing Appropriations Act of 2011

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Implementation of Medicare Improvements for Patients and Providers Act of 2008 Implementation of Psychiatric Prospective Payment System H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.1415 - Medicaid Emergency Psychiatric Care Demonstration Project Act, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles H.R.911 - Stop Child Abuse in Residential Programs for Teens Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healthy Future Act of 2009 H.R. 3962 - Presentation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R. 3590 - Patient Protection and Affordable Care Act H.R. 4213 - American Jobs and Closing Tax Loopholes Act of 2010 H.R. 4872 - Health Care and Education Reconciliation Act of 2010 H.R. 3081 - Continuing Appropriations Act of 2011

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

Medicare hospital reimbursement issues and Medicare graduate medical education reimbursement issues (American Recovery and Reinvestment Act of 2009, H.R. 1 (P.L. 111-5) provisions related to moratorium on Medicare capital IME regulation (CMS 1390-F, CMS-1406-P), Medicare HIT investments and requirements; 42 CFR 413.79; President Obama proposals on Medicare bundled payments, reimbursement for readmissions, value-based purchasing (Budget Resolutions, H Con Res 312, S Con Res 70); Resident Physician Shortage Reduction Act (H.R. 2251/S. 973); Medicare provisions in various health care reform proposals (including disproportionate share hospital, GME, bundling, readmissions, value-based purchasing, wage index, market basket, gainsharing, and other provisions in the Affordable Health Care for America Act (H.R.3962); Patient Protection and Affordable Care Act (H.R.3590, P.L. 111-148)); and Health Care and Education Affordability Reconciliation Act of 2010 (H.R. 4872), P.L. 111-152); Medicare Commission legislation (S.1110, S. 1380, H.R.2718), provisions that would empower a Commission to implement Medicare policy changes; geographic variation legislation (H.R. 2844, H.R. 2919, H.R. 2921, H.R. 2201, S.Amdt. 887) affecting hospitals and/or physician payment policy; value-based purchasing legislation (H.R. 1776); other workforce legislation (H.R. 1946, S.1569)); Puerto Rico Medicare Parity (H.R. 2680, H.R. 1501, H.R.1502); Medicare physician payment adjustment (HR. 3961, S.1776, H.R.3326, H.R. 3590, H.R. 4851, S. 3153, H.R. 4213); Section 508 wage index extension and gainsharing extension (H.R. 4213); HIT incentive payment legislation affecting hospitals and physicians in response to proposed rule CMS-0033-P (H.R. 4851, S. 3153, H.R. 4213); Medicare 72-hour payment window limitation (H.R.4213); HIT incentive payments and meaningful use requirements in final rule CMS-0033-F (H.R. 6072, S. 3708); and the "coding offset" in the proposed and final Medicare inpatient prospective payment system rule for 2011 (CMS-1498). Medicaid issues (American Recovery and Reinvestment Act of 2009, H.R. 1 (P.L.111-5) and ARRA FMAP Extension (H.R. 4263, H.R. 2847, H.R.4213) provisions related to the Federal Medical Assistance Percentage, provisions related to disproportionate share hospitals, moratoria on Medicaid regulations (CMS-2258-FC,CMS-2279-P, CMS-2213-P, CMS-2275-F, CMS-2287-P), and HIT investments; Medicaid provisions in various health care reform proposals (including the American Health Care Choices Act (Senate HELP Committee bill (S.1679), Affordable Healthcare for America Act (H.R. 3962), Patient Protection and Affordable Care Act (H.R. 3590, P.L. 111-148), and the Health and Education Affordability Reconciliation Act of 2010 (H.R. 4872, P.L. 111-152)), including disproportionate share hospital and FMAP provisions; New York State 1115 Medicaid waiver Partnership Plan extension (11-W-00114/2) provisions related to hospitals; the Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 (S.1130/H.R.1415); Medicaid incentives for HIV screening (H.R. 3091/S.1446)); HIT incentive payment legislation affecting hospitals and physicians in response to proposed rule CMS-0033-P (H.R. 4851, S. 3153, H.R. 4213); and HIT incentive payments and meaningful use requirements in final rule CMS-0033-F (H.R. 6072, S.3708).

1. Medicare Physician Fee Schedule - AAGP urges Congress to replace the current Medicare reimbursement formula with one that more accurately reflects the volume and intensity of services furnished to Medicare beneficiaries and to take action to avert future cuts in Medicare payments to physicians and other health care providers. Support H.R. 3961, the "Medicare Physcian Payment Reform Act of 2009," to permanently repeal the sustainable growth rate (SGR) formula that calls for annual cuts in Medicare physician payments and replace it with a new payment system. Support S. 1776, the "Medicare Physician Fairness Act of 2009," to eliminate Medicare's sustainable growth rate formula. 2. H. R. 1415, the "Medicaid Emergency Psychiatric Care Demonstration Project Act," a bill to provide for a demonstration project regarding Medicaid reimbursement for stabilization of emergency medical conditions by non-publicly owned or operated institutions for mental disorders. Support all provisions. 3. S. 647, the "Nursing Home Transparency and Improvement Act of 2009," to increase public transparency of nursing home owners and operators, including nursing home chains, by requiring nursing homes to disclose the corporate entities that own them and the affiliated entities that operate, manage or control them. Support all provisions. 4. Oppose any exclusion of specific medical specialties from primary care bonuses under Medicare. 5. Support bonus payments under Medicare for geriatric specialists. 6. Support extension of 5% increase in Medicare payment for psychotherapy services. 7. Support elimination of the Medicare disabililty waiting period. 8. Support S. 2908, support for family caregivers under Medicare and Medicaid. 9. Support legislative efforts to avert or repeal the elimination of the billing codes for consultation services, as called for in the Centers for Medicare and Medicaid Services final rule on the calendar year 2010 Medicare Physician Fee Schedule. (H.R. 3590). 10. S. 3028 and H.R. 6143, to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare program. Support all provisions. 11. Support extension of Medicaid assistance to states that was included as part of the American Recovery and Reinvestment Act (ARRA). 12. Support H.R. 3962, the "Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010"; support provision to prevent the 21 percent cut in Medicare payments to physicians through November 30, 2010, and give physicians a 2.2 percent increase in Medicare reimbursement.

Implementation of Medicare Improvements for Patients and Providers Act of 2008 Implementation of Psychiatric Prospective Payment System H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.1415 - Medicaid Emergency Psychiatric Care Demonstration Project Act, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles H.R.911 - Stop Child Abuse in Residential Programs for Teens Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healthy Future Act of 2009 H.R. 3962 Presentation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R. 3590 Patient Protection and Affordable Care Act

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

Implementation of Medicare Improvements for Patients and Providers Act of 2008 Implementation of Psychiatric Prospective Payment System H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.1415 - Medicaid Emergency Psychiatric Care Demonstration Project Act, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles H.R.911 - Stop Child Abuse in Residential Programs for Teens Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healthy Future Act of 2009 H.R. 3962 Presentation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R. 3590 Patient Protection and Affordable Care Act

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

1. Medicare Physician Fee Schedule - AAGP urges Congress to replace the current Medicare reimbursement formula with one that more accurately reflects the volume and intensity of services furnished to Medicare beneficiaries and to take action to avert future cuts in Medicare payments to physicians and other health care providers. Support H.R. 3961, the "Medicare Physcian Payment Reform Act of 2009," to permanently repeal the sustainable growth rate (SGR) formula that calls for annual cuts in Medicare physician payments and replace it with a new payment system. Support S. 1776, the "Medicare Physician Fairness Act of 2009," to eliminate Medicare's sustainable growth rate formula. 2. H. R. 1415, the "Medicaid Emergency Psychiatric Care Demonstration Project Act," a bill to provide for a demonstration project regarding Medicaid reimbursement for stabilization of emergency medical conditions by non-publicly owned or operated institutions for mental disorders. Support all provisions. 3. S. 647, the "Nursing Home Transparency and Improvement Act of 2009," to increase public transparency of nursing home owners and operators, including nursing home chains, by requiring nursing homes to disclose the corporate entities that own them and the affiliated entities that operate, manage or control them. Support all provisions. 4. Oppose any exclusion of specific medical specialties from primary care bonuses under Medicare. 5. Support bonus payments under Medicare for geriatric specialists. 6. Support extension of 5% increase in Medicare payment for psychotherapy services. 7. Support elimination of the Medicare disabililty waiting period. 8. Support addition of screening for depression to the list of Medicare covered preventative services in health care reform legislation (H.R. 3590). 9. Support behavioral health providers in the list of employees at community based medical homes in health care reform legislation. (H.R. 3590) 10. Support S. 2908, support for family caregivers under Medicare and Medicaid. 11. Support legislative efforts to avert or repeal the elimination of the billing codes for consultation services, as called for in the Centers for Medicare and Medicaid Services final rule on the calendar year 2010 Medicare Physician Fee Schedule. (H.R. 3590). 12. S. 3028, to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare program. Support all provisions. 13. Support extension of Medicaid assistance to states that was included as part of the American Recovery and Reinvestment Act (ARRA). 14. Support H.R. 3962, the "Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010"; support provision to prevent the 21 percent cut in Medicare payments to physicians through November 30, 2010, and give physicians a 2.2 percent increase in Medicare reimbursement.

Medicare hospital reimbursement issues and Medicare graduate medical education reimbursement issues (American Recovery and Reinvestment Act of 2009, H.R. 1 (P.L. 111-5) provisions related to moratorium on Medicare capital IME regulation (CMS 1390-F, CMS-1406-P), Medicare HIT investments and requirements; 42 CFR 413.79; President Obama proposals on Medicare bundled payments, reimbursement for readmissions, value-based purchasing (Budget Resolutions, H Con Res 312, S Con Res 70); Resident Physician Shortage Reduction Act (H.R. 2251/S. 973); Medicare provisions in various health care reform proposals (including disproportionate share hospital, GME, bundling, readmissions, value-based purchasing, wage index, market basket, gainsharing, and other provisions in the Affordable Health Care for America Act (H.R.3962); Patient Protection and Affordable Care Act (H.R.3590, P.L. 111-148)); and Health Care and Education Affordability Reconciliation Act of 2010 (H.R. 4872), P.L. 111-152); Medicare Commission legislation (S.1110, S. 1380, H.R.2718), provisions that would empower a Commission to implement Medicare policy changes; geographic variation legislation (H.R. 2844, H.R. 2919, H.R. 2921, H.R. 2201, S.Amdt. 887) affecting hospitals and/or physician payment policy; value-based purchasing legislation (H.R. 1776); other workforce legislation (H.R. 1946, S.1569)); Puerto Rico Medicare Parity (H.R. 2680, H.R. 1501, H.R.1502); Medicare physician payment adjustment (HR. 3961, S.1776, H.R.3326, H.R. 3590, H.R. 4851, S. 3153, H.R. 4213); Section 508 wage index extension and gainsharing extension (H.R. 4213); HIT incentive payment legislation affecting hospitals and physicians in response to proposed rule CMS-0033-P (H.R. 4851, S. 3153, H.R. 4213); Medicare 72-hour payment window limitation (H.R.4213); and HIT incentive payments and meaningful use requirements in proposed rule CMS-0033-P. Medicaid issues (American Recovery and Reinvestment Act of 2009, H.R. 1 (P.L.111-5) and ARRA FMAP Extension (H.R. 4263, H.R. 2847, H.R.4213) provisions related to the Federal Medical Assistance Percentage, provisions related to disproportionate share hospitals, moratoria on Medicaid regulations (CMS-2258-FC,CMS-2279-P, CMS-2213-P, CMS-2275-F, CMS-2287-P), and HIT investments; Medicaid provisions in various health care reform proposals (including the American Health Care Choices Act (Senate HELP Committee bill (S.1679), Affordable Helahtcare for America Act (H.R. 3962), Patient Protection and Affordable Care Act (H.R. 3590, P.L. 111-148), and the Health and Education Affordability Reconciliation Act of 2010 (H.R. 4872, P.L. 111-152)), including disproportionate share hospital and FMAP provisions; New York State 1115 Medicaid waiver Partnership Plan extension (11-W-00114/2) provisions related to hospitals; the Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 (S.1130/H.R.1415); Medicaid incentives for HIV screening (H.R. 3091/S.1446)); HIT incentive payment legislation affecting hospitals and physicians in response to proposed rule CMS-0033-P (H.R. 4851, S. 3153, H.R. 4213); and HIT incentive payments and meaningful use requirements in proposed rule CMS-0033-P.

Implementation of Medicare Improvements for Patients and Providers Act of 2008 Implementation of Psychiatric Prospective Payment System H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.1415 - Medicaid Emergency Psychiatric Care Demonstration Project Act, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles H.R.911 - Stop Child Abuse in Residential Programs for Teens Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009 H.R. 3962 Affordable Health Care for America Act H.R. 3590 Patient Protection and Affordable Care Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Implementation of Medicare Improvements for Patients and Providers Act of 2008 Implementation of Psychiatric Prospective Payment System H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.1415 - Medicaid Emergency Psychiatric Care Demonstration Project Act, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles H.R.911 - Stop Child Abuse in Residential Programs for Teens Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009 H.R. 3962 Affordable Health Care for America Act H.R. 3590 Patient Protection and Affordable Care Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.479-Wakefield Act [Emergency Medical Services for Children reauthorization] H.R.914-Physician Workforce Enhancement Act of 2009 H.R. 936-National Trauma Center Stabilization Act of 2009 H.R.1086-Help, Efficient, Accessible, Low Cost, Timely Healthcare Act of 2009 H.R.1188-Access to Emergency Medical Services Act of 2009 H.R.1253-Health Insurance Restrictions and Limitations Clarification Act of 2009 H.R.1321-Healthy Americans Act H.R.1377/P.L.111-137-To amend title 38, United States Code, to expand veteran eligibility for reimbursement by the Secretary of Veterans Affairs for emergency treatment furnished in a non-Department facility, and for other purposes. H.R.1384-To amend part B of title XVIII of the Social Security Act to remove limiting charges under the Medicare Program for non-participating physicians with beneficiary notice and to preempt State laws that prohibit balance billing H.R.1386-Pay for all your Undocumented Procedures (PAY UP!) Act of 2009 H.R.1415-Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 H.R.1468-Medical Justice Act of 2009 H.R.1639-Border Health Care Relief Act of 2009 H.R.1678-Mitigating the Impact of Uncompensated Service and Time Act of 2009 H.R.1796/S 1216, Residential Carbon Monoxide Poisoning Prevention Act H.R.1998-Health Care Safety Net Enhancement Act of 2009 H.R.3200-America's Affordable Health Choices Act H.R.3590/P.L.111-148-Patient Protection and Affordable Care Act H.R.3596-Health Insurance Industry Antitrust Enforcement Act of 2009 H.R.3950-Service Members Home Ownership Tax Act of 2009 H.R.3961-Medicare Physician Payment Reform Act of 2009 H.R.3962-Affordable Health Care for America Act H.R.4213-Tax Extenders Act of 2009 H.R.4626-Health Insurance Industry Fair Competition Act H.R.4691/P.L.111-144-Temporary Extension Act of 2010 H.R.4851-To Provide a Temporary Extension of Certain Programs, and for other purposes S.391-Healthy Americans Act S.408-Wakefield Act [Emergency Medical Services for Children Reauthorization] S.468-Access to Emergency Medical Services Act of 2009 S.733-National Trauma Center Stabilization Act of 2009 S.1130-Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 S.1216-Residential Carbon Monoxide Poisoning Prevention Act S.1679-Affordable Health Choices Act S.1681-Health Insurance Industry Antitrust Enforcement Act of 2009 S.1776-Medicare Physician Fairness Act of 2009 S.1796-America's Healthy Future Act S.1781-Reducing Emergency Department Utilization through Coordination and Empowerment (REDUCE) Act

H.R.1384-To amend part B of title XVIII of the Social Security Act to remove limiting charges under the Medicare Program for non-participating physicians with beneficiary notice and to preempt State laws that prohibit balance billing H.R.1415-Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 H.R.3590/P.L.111-148-Patient Protection and Affordable Care Act H.R.3961-Medicare Physician Payment Reform Act of 2009 S.1130-Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 S.1776-Medicare Physician Fairness Act of 2009

Client expense: $575,614 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. Medicare Physician Fee Schedule - AAGP urges Congress to replace the current Medicare reimbursement formula with one that more accurately reflects the volume and intensity of services furnished to Medicare beneficiaries and to take action to avert future cuts in Medicare payments to physicians and other health care providers. Support H.R. 3961, the "Medicare Physcian Payment Reform Act of 2009," to permanently repeal the sustainable growth rate (SGR) formula that calls for annual cuts in Medicare physician payments and replace it with a new payment system. Support S. 1776, the "Medicare Physician Fairness Act of 2009," to eliminate Medicare's sustainable growth rate formula. 2. H. R. 1415, the "Medicaid Emergency Psychiatric Care Demonstration Project Act," a bill to provide for a demonstration project regarding Medicaid reimbursement for stabilization of emergency medical conditions by non-publicly owned or operated institutions for mental disorders. Support all provisions. 3. S. 647, the "Nursing Home Transparency and Improvement Act of 2009," to increase public transparency of nursing home owners and operators, including nursing home chains, by requiring nursing homes to disclose the corporate entities that own them and the affiliated entities that operate, manage or control them. Support all provisions. 4. Opposed any exclusion of specific medical specialties from primary care bonuses under Medicare. 5. Support bonus payments under Medicare for geriatric specialists. 6. Support extension of 5% increase in Medicare payment for psychotherapy services. 7. Support elimination of the Medicare disabililty waiting period. 8. Support addition of screening for depression to the list of Medicare covered preventative services in health care reform legislation (H.R. 3590). 9. Support behavioral health providers in the list of employees at community based medical homes in health care reform legislation. (H.R. 3590) 10. Support S. 2908, support for family caregivers under Medicare and Medicaid. Support inclusion of that language in the Senate's health care reform bill (H.R. 3590). 11. Support legislative efforts to avert or repeal the elimination of the billing codes for consultation services, as called for in the Centers for Medicare and Medicaid Services final rule on the calendar year 2010 Medicare Physician Fee Schedule. 12. Support eligibility for Medicaid at 150 percent of the federal poverty level in health care reform legislation (H.R. 3590). 13. S. 3028, to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare program. Support all provisions. 14. H.R. 4691: Support the language providing for a one-month extension (through March 31, 2010) of the current Medicare physician fee schedule, averting a reimbursement reduction. 15. H. R. 4851, the "Continuing Extension Act of 2010": Support the language providing for a one-month delay (Until May 1, 2010) of the 21 percent cut in Medicare physician reimbursement. 16. H.R. 4213, the "American Workers, State and Business Relief Act of 2010": Support Senate amendment to delay cut in Medicare physician reimbursement until October 1, 2010. 17. Support extension of Medicaid assistance to states that was included as part of the American Recovery and Reinvestment Act (ARRA).

Medicare hospital reimbursement issues and Medicare graduate medical education reimbursement issues (American Recovery and Reinvestment Act of 2009, H.R. 1 (P.L. 111-5) provisions related to moratorium on Medicare capital IME regulation (CMS 1390-F, CMS-1406-P), Medicare HIT investments and requirements; 42 CFR 413.79; President Obama proposals on Medicare bundled payments, reimbursement for readmissions, value-based purchasing (Budget Resolutions, H Con Res 312, S Con Res 70); Resident Physician Shortage Reduction Act (H.R. 2251/S. 973); Medicare provisions in various health care reform proposals (including disproportionate share hospital, GME, bundling, readmissions, value-based purchasing, wage index, market basket, gainsharing, and other provisions in the Affordable Health Care for America Act (H.R.3962); Patient Protection and Affordable Care Act (H.R.3590)); and Health Care and Education Reconciliation Act of 2010 (H.R. 4872)); Medicare Commission legislation (S.1110, S. 1380, H.R.2718), provisions that would empower a Commission to implement Medicare policy changes; geographic variation legislation (H.R. 2844, H.R. 2919, H.R. 2921, H.R. 2201, S.Amdt. 887) affecting hospitals and/or physician payment policy; value-based purchasing legislation (H.R. 1776); other workforce legislation (H.R. 1946, S.1569)); Puerto Rico Medicare Parity (H.R. 2680, H.R. 1501, H.R.1502); Medicare physician payment adjustment (HR. 3961, S.1776, H.R.3326, H.R. 3590, H.R. 4851, S. 3153, H.R. 4213); Section 508 wage index extension and gainsharing extension (H.R. 4213); HIT incentive payment legislation affecting hospitals and physicians in response to proposed rule CMS-0033-P (H.R. 4851, S. 3153, H.R. 4213). Medicaid issues (American Recovery and Reinvestment Act of 2009, H.R. 1 (P.L.111-5) and ARRA FMAP Extension (H.R. 4263, H.R. 2847) provisions related to the Federal Medical Assistance Percentage, provisions related to disproportionate share hospitals, moratoria on Medicaid regulations (CMS-2258-FC,CMS-2279-P, CMS-2213-P, CMS-2275-F, CMS-2287-P), and HIT investments; Medicaid provisions in various health care reform proposals (including the American Health Care Choices Act (Senate HELP Committee bill (S.1679), Affordable Helahtcare for America Act (H.R. 3962), Patient Protection and Affordable Care Act (H.R. 3590), and the Health and Education Reconciliation Act of 2010 (H.R. 4872)), including disproportionate share hospital and FMAP provisions; New York State 1115 Medicaid waiver Partnership Plan extension (11-W-00114/2) provisions related to hospitals; the Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 (S.1130/H.R.1415); Medicaid incentives for HIV screening (H.R. 3091/S.1446)); HIT incentive payment legislation affecting hospitals and physicians in response to proposed rule CMS-0033-P (H.R. 4851, S. 3153, H.R. 4213).

H.R.479-Wakefield Act [Emergency Medical Services for Children reauthorization] H.R.914-Physician Workforce Enhancement Act of 2009 H.R. 936-National Trauma Center Stabilization Act of 2009 H.R.1086-Help, Efficient, Accessible, Low Cost, Timely Healthcare Act of 2009 H.R.1188-Access to Emergency Medical Services Act of 2009 H.R.1253-Health Insurance Restrictions and Limitations Clarification Act of 2009 H.R.1321-Healthy Americans Act H.R.1377-To amend title 38, United States Code, to expand veteran eligibility for reimbursement by the Secretary of Veterans Affairs for emergency treatment furnished in a non-Department facility, and for other purposes. H.R.1384-To amend part B of title XVIII of the Social Security Act to remove limiting charges under the Medicare Program for non-participating physicians with beneficiary notice and to preempt State laws that prohibit balance billing H.R.1386-Pay for all your Undocumented Procedures (PAY UP!) Act of 2009 H.R.1415-Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 H.R.1468-Medical Justice Act of 2009 H.R.1639-Border Health Care Relief Act of 2009 H.R.1678-Mitigating the Impact of Uncompensated Service and Time Act of 2009 H.R.1796/S 1216, Residential Carbon Monoxide Poisoning Prevention Act H.R.1998-Health Care Safety Net Enhancement Act of 2009 H.R.3200-America's Affordable Health Choices Act H.R.3596-Health Insurance Industry Antitrust Enforcement Act of 2009 H.R.3950-Service Members Home Ownership Tax Act of 2009 H.R.3961-Medicare Physician Payment Reform Act of 2009 H.R.3962-Affordable Health Care for America Act S.391-Healthy Americans Act S.404-Veterans' Emergency Care Fairness Act S.408-Wakefield Act [Emergency Medical Services for Children Reauthorization] S.468-Access to Emergency Medical Services Act of 2009 S.733-National Trauma Center Stabilization Act of 2009 S.1130-Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 S.1216-Residential Carbon Monoxide Poisoning Prevention Act S.1679-Affordable Health Choices Act S.1681-Health Insurance Industry Antitrust Enforcement Act of 2009 S.1776-Medicare Physician Fairness Act of 2009 S.1796-America's Healthy Future Act S.1781-Reducing Emergency Department Utilization through Coordination and Empowerment (REDUCE) Act

H.R.1384-To amend part B of title XVIII of the Social Security Act to remove limiting charges under the Medicare Program for non-participating physicians with beneficiary notice and to preempt State laws that prohibit balance billing H.R.1415-Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 H.R.3961-Medicare Physician Payment Reform Act of 2009 S.1130-Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 S.1776-Medicare Physician Fairness Act of 2009

Client expense: $619,510 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of Medicare Improvements for Patients and Providers Act of 2008 Implementation of Psychiatric Prospective Payment System H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.1415 - Medicaid Emergency Psychiatric Care Demonstration Project Act, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles H.R.911 - Stop Child Abuse in Residential Programs for Teens Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009 H.R. 3962 Affordable Health Care for America Act H.R. 3590 Patient Protection and Affordable Care Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Implementation of Medicare Improvements for Patients and Providers Act of 2008 Implementation of Psychiatric Prospective Payment System H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.1415 - Medicaid Emergency Psychiatric Care Demonstration Project Act, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles H.R.911 - Stop Child Abuse in Residential Programs for Teens Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009 H.R. 3962 Affordable Health Care for America Act H.R. 3590 Patient Protection and Affordable Care Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Medicare hospital reimbursement issues and Medicare graduate medical education reimbursement issues (American Recovery and Reinvestment Act of 2009, H.R. 1 (P.L. 111-5) provisions related to moratorium on Medicare capital IME regulation (CMS 1390-F, CMS-1406-P), Medicare HIT investments and requirements; 42 CFR 413.79; President Obama proposals on Medicare bundled payments, reimbursement for readmissions, value-based purchasing (Budget Resolutions, H Con Res 312, S Con Res 70); Resident Physician Shortage Reduction Act (H.R. 2251/S. 973); Medicare provisions in various health care reform proposals (including the American Health Care Choices Act (Senate HELP Committee bill (S.1679)); Senate Finance Committee delivery system, coverage, and financing options papers and bill (America's Healthy Futures Act of 2009); House tri-committee discussion draft bill and legislation (H.R. 3200), including disproportionate share hospital, GME, bundling, readmissions, value-based purchasing, wage index, market basket, gainsharing, and other provisions; Affordable Health Care for America Act (H.R.3962); Patient Protection and Affordable Care Act (H.R.3590)); Medicare Commission legislation (S.1110, S. 1380, H.R.2718), provisions that would empower a Commission to implement Medicare policy changes; geographic variation legislation (H.R. 2844, H.R. 2919, H.R. 2921, H.R. 2201, S.Amdt. 887) affecting hospitals and/or physician payment policy; value-based purchasing legislation (H.R. 1776); other workforce legislation (H.R. 1946, S.1569)); Puerto Rico Medicare Parity (H.R. 2680, H.R. 1501, H.R.1502); Medicare physician payment adjustment (HR. 3961, S.1776, H.R.3326). Medicaid issues (American Recovery and Reinvestment Act of 2009, H.R. 1 (P.L.111-5) and ARRA FMAP Extension (H.R. 4263, H.R. 2847) provisions related to the Federal Medical Assistance Percentage, provisions related to disproportionate share hospitals, moratoria on Medicaid regulations (CMS-2258-FC,CMS-2279-P, CMS-2213-P, CMS-2275-F, CMS-2287-P), and HIT investments; Medicaid provisions in various health care reform proposals (including the American Health Care Choices Act (Senate HELP Committee bill (S.1679)); Senate Finance Committee delivery system, coverage, and financing options papers and legislation (America's Healthy Futures Act of 2009); House tri-committee discussion draft bill and legislation (H.R. 3200), including disproportionate share hospital and FMAP provisions; New York State 1115 Medicaid waiver Partnership Plan extension (11-W-00114/2) provisions related to hospitals; the Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 (S.1130/H.R.1415); Medicaid incentives for HIV screening (H.R. 3091/S.1446)).

1. Medicare Physician Fee Schedule - AAGP urges Congress to replace the current Medicare reimbursement formula with one that more accurately reflects the volume and intensity of services furnished to Medicare beneficiaries and to take action to avert future cuts in Medicare payments to physicians and other health care providers. Support H.R. 3961, the "Medicare Physcian Payment Reform Act of 2009," to permanently repeal the sustainable growth rate (SGR) formula that calls for annual cuts in Medicare physician payments and replace it with a new payment system. Support S. 1776, the "Medicare Physician Fairness Act of 2009," to eliminate Medicare's sustainable growth rate formula. 2. H. R. 1415, the "Medicaid Emergency Psychiatric Care Demonstration Project Act," a bill to provide for a demonstration project regarding Medicaid reimbursement for stabilization of emergency medical conditions by non-publicly owned or operated institutions for mental disorders. Support all provisions. 3. S. 647, the "Nursing Home Transparency and Improvement Act of 2009," to increase public transparency of nursing home owners and operators, including nursing home chains, by requiring nursing homes to disclose the corporate entities that own them and the affiliated entities that operate, manage or control them. Support all provisions. 4. Opposed any exclusion of specific medical specialties from primary care bonuses under Medicare. 5. Support bonus payments under Medicare for geriatric specialists. 6. Support extension of 5% increase in Medicare payment for psychotherapy services. 7. Support elimination of the Medicare disabililty waiting period. 8. Support addition of screening for depression to the list of Medicare covered preventative services in health care reform legislation (H.R. 3200/S.1679/draft Senate bill) 9. Support behavioral health providers in the list of employees at community based medical homes in health care reform legislation. (H.R. 3200/S. 1679/draft Senate bill) 10. Support S. 2908, support for family caregivers under Medicare and Medicaid. Support inclusion of that language in the Senate's health care reform bill (H.R. 3590). 11. Support legislative efforts to avert or repeal the elimination of the billing codes for consultation services, as called for in the Centers for Medicare and Medicaid Services final rule on the calendar year 2010 Medicare Physician Fee Schedule.

Implementation of Medicare Improvements for Patients and Providers Act of 2008 Implementation of Psychiatric Prospective Payment System H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.1415 - Medicaid Emergency Psychiatric Care Demonstration Project Act, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles H.R.911 - Stop Child Abuse in Residential Programs for Teens Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Implementation of Medicare Improvements for Patients and Providers Act of 2008 Implementation of Psychiatric Prospective Payment System H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.1415 - Medicaid Emergency Psychiatric Care Demonstration Project Act, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles H.R.911 - Stop Child Abuse in Residential Programs for Teens Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.479 - Wakefield Act [Emergency Medical Services for Children Reauthorization] H.R.914 - Physician Workforce Enhancement Act of 2009 H.R.936 - National Trauma Center Stabilization Act of 2009 H.R.1086 - Help, Efficient, Accessible, Low Cost, Timely Healthcare Act of 2009 H.R.1188 - Access to Emergency Medical Services Act of 2009 H.R.1253 - Health Insurance Restrictions and Limitations Clarification Act of 2009 H.R.1321 - Healthy Americans Act H.R.1377 - To amend title 38, United States Code, to expand veteran eligibility for reimbursement by the Secretary of Veterans Affairs for emergency treatment furnished in a non-Department facility, and for other purposes. H.R.1384 - To amend part B of title XVIII of the Social Security Act to remove limiting charges under the Medicare Program for non-participating physicians with beneficiary notice and to preempt State laws that prohibit balance billing H.R.1386 - Pay for all your Undocumented Procedures (PAY UP!) Act of 2009 H.R. 1415 - Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 H.R.1468 - Medical Justice Act of 2009 H.R.1639 - Border Health Care Relief Act of 2009 H.R.1678 - Mitigating the Impact of Uncompensated Service and Time Act of 2009 H.R.1998 - Health Care Safety Net Enhancement Act of 2009 H.R.3200 - America's Affordable Health Choices Act S.391 - Healthy Americans Act S.404 - Veterans' Emergency Care Fairness Act S.408 - Wakefield Act [Emergency Medical Services for Children Reauthorization] S.468 - Access to Emergency Medical Services Act of 2009 S.733 - National Trauma Center Stabilization Act of 2009 S.1679 - Affordable Health Choices Act

Client expense: $600,396 · Firm income: Not reported

H.R.1188 - Access to Emergency Medical Services Act of 2009 H.R.1384 - To amend part B of title XVIII of the Social Security Act to remove limiting charges under the Medicare Program for non-participating physicians with beneficiary notice and to preempt State laws that prohibit balance billing H.R. 1415 - Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 S.468 - Access to Emergency Medical Services Act of 2009

Client expense: $600,396 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. Medicare Physician Fee Schedule - AAGP urges Congress to replace the current Medicare reimbursement formula with one that more accurately reflects the volume and intensity of services furnished to Medicare beneficiaries and to take action to avert future cuts in Medicare payments to physicians and other health care providers. 2. H. R. 1415, the "Medicaid Emergency Psychiatric Care Demonstration Project Act," a bill to provide for a demonstration project regarding Medicaid reimbursement for stabilization of emergency medical conditions by non-publicly owned or operated institutions for mental disorders. Support all provisions. 3. S. 647, the "Nursing Home Transparency and Improvement Act of 2009," to increase public transparency of nursing home owners and operators, including nursing home chains, by requiring nursing homes to disclose the corporate entities that own them and the affiliated entities that operate, manage or control them. Support all provisions. 4. Opposed any exclusion of specific medical specialties from primary care bonuses under Medicare. 5. Support bonus payments under Medicare for geriatric specialists. 6. Support extension of 5% increase in Medicare payment for psychotherapy services. 7. Support elimination of the Medicare disabililty waiting period. 8. Support addition of screening for depression to the list of Medicare covered preventative services in health care reform legislation (H.R. 3200/S.1679/draft Senate bill) 9. Support behavioral health providers in the list of employees at community based medical homes in health care reform legislation. (H.R. 3200/S. 1679/draft Senate bill)

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

Medicare hospital reimbursement issues and Medicare graduate medical education reimbursement issues (American Recovery and Reinvestment Act of 2009, H.R. 1 (P.L. 111-5) provisions related to moratorium on Medicare capital IME regulation (CMS 1390-F, CMS-1406-P), Medicare HIT investments and requirements; 42 CFR 413.79; President Obama proposals on Medicare bundled payments, reimbursement for readmissions, value-based purchasing (Budget Resolutions, H Con Res 312, S Con Res 70); Resident Physician Shortage Reduction Act (H.R. 2251/S. 973); Medicare provisions in various health care reform proposals (including the American Health Care Choices Act (Senate HELP Committee bill (S.1679)); Senate Finance Committee delivery system, coverage, and financing options papers and bill (America's Healthy Futures Act of 2009); House tri-committee discussion draft bill and legislation (H.R. 3200), including disproportionate share hospital, GME, bundling, readmissions, value-based purchasing, wage index, market basket, gainsharing, and other provisions); Medicare Commission legislation (S.1110, H.R.2718), provisions that would empower a Commission to implement Medicare policy changes; geographic variation legislation (H.R. 2844, H.R. 2919, H.R. 2921) affecting hospitals and/or physician payment policy; value-based purchasing legislation (H.R. 1776); other workforce legislation (H.R. 1946, S.1569)). Medicaid issues (American Recovery and Reinvestment Act of 2009, H.R. 1 (P.L.111-5) provisions related to the Federal Medical Assistance Percentage, provisions related to disproportionate share hospitals, moratoria on Medicaid regulations (CMS-2258-FC,CMS-2279-P, CMS-2213-P, CMS-2275-F, CMS-2287-P), and HIT investments; Medicaid provisions in various health care reform proposals (including the American Health Care Choices Act (Senate HELP Committee bill (S.1679)); Senate Finance Committee delivery system, coverage, and financing options papers and legislation (America's Healthy Futures Act of 2009); House tri-committee discussion draft bill and legislation (H.R. 3200), including disproportionate share hospital and FMAP provisions; New York State 1115 Medicaid waiver Partnership Plan extension (11-W-00114/2) provisions related to hospitals; the Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 (S.1130/H.R.1415); Medicaid incentives for HIV screening (H.R. 3091/S.1446)).

HR 1415 -- Medicaid Emergency Psychiatric Services Demonstration

Client expense: $8,581 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

1. Medicare Physician Fee Schedule - AAGP urges Congress to replace the current Medicare reimbursement formula with one that more accurately reflects the volume and intensity of services furnished to Medicare beneficiaries and to take action to avert future cuts in Medicare payments to physicians and other health care providers. 2. H. R. 1415, the "Medicaid Emergency Psychiatric Care Demonstration Project Act," a bill to provide for a demonstration project regarding Medicaid reimbursement for stabilization of emergency medical conditions by non-publicly owned or operated institutions for mental disorders. Support all provisions. 3. S. 647, the "Nursing Home Transparency and Improvement Act of 2009," to increase public transparency of nursing home owners and operators, including nursing home chains, by requiring nursing homes to disclose the corporate entities that own them and the affiliated entities that operate, manage or control them. Support all provisions. 4. Opposed any exclusion of specific medical specialties from primary care bonuses under Medicare. 5. Support bonus payments under Medicare for geriatric specialists. 6. Support extension of 5% increase in Medicare payment for psychotherapy services. 7. Support elimination of the Medicare disabililty waiting period. 8. Support addition of screening for depression to the list of Medicare covered preventative services in health care reform legislation. 9. Support behavioral health providers in the list of employees at community based medical homes in draft health care reform legislation.

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

H.R. 479 - Wakefield Act [Emergency Medical Services for Children reauthorization] H.R.914 - Physician Workforce Enhancement Act of 2009 H.R. 936 - National Trauma Center Stabilization Act of 2009 H.R.1086 - Help, Efficient, Accessible, Low Cost, Timely Healthcare Act of 2009 H.R.1188 -- Access to Emergency Medical Services Act of 2009 H.R.1253 - Health Insurance Restrictions and Limitations Clarification Act of 2009 H.R.1321 - Healthy Americans Act H.R.1377 - To amend title 38, United States Code, to expand veteran eligibility for reimbursement by the Secretary of Veterans Affairs for emergency treatment furnished in a non-Department facility, and for other purposes H.R.1384 - To amend part B of title XVIII of the Social Security Act to remove limiting charges under the Medicare Program for non-participating physicians with beneficiary notice and to preempt State laws that prohibit balance billing H.R.1415 - Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 H.R.1468 - Medical Justice Act of 2009 H.R.1639 - Border Health Care Relief Act of 2009 H.R.1678 - Mitigating the Impact of Uncompensated Service and Time Act of 2009 H.R.1998 - Health Care Safety Net Enhancement Act of 2009 S. 391 - Healthy Americans Act S.404 - Veterans' Emergency Care Fairness Act S.408 - Wakefield Act [Emergency Medical Services for Children reauthorization] S. 468 - Access to Emergency Medical Services Act of 2009 S.733 - National Trauma Center Stabilization Act of 2009 Affordable Health Choices Act (as released by the Senate HELP Committee) To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes (House Draft Health Care Reform Bill)

Client expense: $807,162 · Firm income: Not reported

H.R.1188 -- Access to Emergency Medical Services Act of 2009 H.R.1384 - To amend part B of title XVIII of the Social Security Act to remove limiting charges under the Medicare Program for non-participating physicians with beneficiary notice and to preempt State laws that prohibit balance billing H.R.1415 - Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 H.R.1998 - Health Care Safety Net Enhancement Act of 2009 S. 391 - Healthy Americans Act S. 468 - Access to Emergency Medical Services Act of 2009

Client expense: $807,162 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare hospital reimbursement issues and Medicare graduate medical education reimbursement issues (American Recovery and Reinvestment Act of 2009, H.R. 1 (P.L. 111-5) provisions related to moratorium on Medicare capital IME regulation (CMS 1390-F, CMS-1406-P), Medicare HIT investments and requirements; 42 CFR 413.79; President Obama proposals on Medicare bundled payments, reimbursement for readmissions, value-based purchasing (Budget Resolutions, H Con Res 312, S Con Res 70); Resident Physician Shortage Reduction Act (H.R. 2251/S. 973); Medicare provisions in various health care reform proposals (including the American Health Care Choices Act (Senate HELP Committee proposal); Senate Finance Committee delivery system, coverage, and financing options papers; House tri-committee discussion draft bill), including disproportionate share hospital, GME, bundling, readmissions, value-based purchasing, wage index, market basket, and other provisions). Medicaid issues (American Recovery and Reinvestment Act of 2009, H.R. 1 (P.L.111-5) provisions related to the Federal Medical Assistance Percentage, provisions related to disproportionate share hospitals, moratoria on Medicaid regulations (CMS-2258-FC,CMS-2279-P, CMS-2213-P, CMS-2275-F, CMS-2287-P), and HIT investments; Medicaid provisions in various health care reform proposals (including the American Health Care Choices Act (Senate HELP Committee proposal); Senate Finance Committee delivery system, coverage, and financing options papers; House tri-committee discussion draft bill, later H.R. 3200), including disproportionate share hospital and FMAP provisions; New York State 1115 Medicaid waiver Partnership Plan extension (11-W-00114/2) provisions related to hospitals; the Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 (S.1130/H.R.1415); Medicaid incentives for HIV screening (H.R. 3091/S.1446)).

Implementation of Medicare Improvements for Patients and Providers Act of 2008 Implementation of Psychiatric Prospective Payment System H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.1415 - Medicaid Emergency Psychiatric Care Demonstration Project Act, all titles H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Implementation of Medicare Improvements for Patients and Providers Act of 2008 Implementation of Psychiatric Prospective Payment System H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.1415 - Medicaid Emergency Psychiatric Care Demonstration Project Act, all titles H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.479 - Wakefield Act (Emergency Medical Services for Children Reauthorization) H.R.914 - Physician Workforce Enhancement Act of 2009 H.R.936 - National Trauma Center Stabilization Act of 2009 H.R.1086 - Help, Efficient, Accessible, Low Cost, Timely Healthcare Act of 2009 H.R.1188 - Access to Emergency Medical Services Act of 2009 H.R.1253 - Health Insurance Restrictions and Limitations Clarification Act of 2009 H.R.1321 - Healthy Americans Act H.R.1377 - To amend title 38, United States Code, to expand veteran eligibility for reimbursement by the Secretary of Veterans Affairs for emergency treatment furnished in a non-Department facility, and for other purposes. H.R.1384 - To amend part B of title XVIII of the Social Security Act to remove limiting charges under the Medicare Program for non-participating physicians with beneficiary notice and to preempt State laws that prohibit balance billing. H.R.1415 - Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 H.R.1468 - Medical Justice Act of 2009 H.R.1678 - Mitigating the Impact of Uncompensated Service and Time Act of 2009 PL111-3 (H.R.2) - Children's Health Insurance Program Reauthorization Act of 2009 PL111-16 (H.R.1) - American Recovery and Reinvestment Act S.60 - Wakefield Act S.391 - Healthy Americans Act S.404 - To amend title 38, United States Code, to expand veteran eligibility for reimbursement by the Secretary of Veterans Affairs for emergency treatment furnished in a non-Department facility, and for other purposes. S.468 - Access to Emergency Medical Services Act of 2009 S.733 - National Trauma Center Stabilization Act of 2009

Client expense: $568,976 · Firm income: Not reported

H.R.1384 - To amend part B of title XVIII of the Social Security Act to remove limiting charges under the Medicare Program for non-participating physicians with beneficiary notice and to preempt State laws that prohibit balance billing H.R.1415 - Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 H.R.1468 - Medical Justice Act of 2009

Client expense: $568,976 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1415, Medicaid Emergency Psychiatric Care Demonstration Project Act

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1 - American Recovery and Reinvestment Act HR 619 - Medicaid IMD HR 1415 - Medicaid Emergency Psychiatric Services

Client expense: $13,233 · Firm income: Not reported

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

Implementation of Medicare Improvements for Patients and Providers Act of 2008 Implementation of Psychiatric Prospective Payment System H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.1415 - Medicaid Emergency Psychiatric Care Demonstration Project Act, all titles H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Implementation of Medicare Improvements for Patients and Providers Act of 2008 Implementation of Psychiatric Prospective Payment System H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.1415 - Medicaid Emergency Psychiatric Care Demonstration Project Act, all titles H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

1. Medicare Physician Fee Schedule - AAGP urges Congress to replace the current Medicare reimbursement formula with one that more accurately reflects the volume and intensity of services furnished to Medicare beneficiaries and to take action to avert future cuts in Medicare payments to physicians and other health care providers. 2. H. R. 1415, the "Medicaid Emergency Psychiatric Care Demonstration Project Act," a bill to provide for a demonstration project regarding Medicaid reimbursement for stabilization of emergency medical conditions by non-publicly owned or operated institutions for mental disorders. Support all provisions. 3. H.R. 1, "American Recovery and Reinvestment Act of 2009" - support inclusion of provisions to increase Federal funding for state Medicaid programs and for the establishment of pilot programs to provide Medicaid patients equal access to all comunity inpatient psychiatric services.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE