Medicare Oral Health Rehabilitative Enhancement Act of 2009

H.R. 1430, Medicare Oral Health Rehabilitative Enhancement Act of 2009 H. Res. 193 Expressing support for National Facial Protection Month S. 1235, H. R. 1339 Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2009 H. R. 3200, America's Affordable Health Choices Act of 2009- Dental provider provisions, medical device tax, CARES Act provisions, physical therapy referral provisions S. 1796, America's Healthy Future Act of 2009- Dental provider provisions, medical device tax, CARES Act provisions, physical therapy referral provisions H.R. 3962, Affordable Health Care for America Act- Dental provider provisions, medical device tax, CARES Act provisions, physical therapy referral provisions H.R. 3590, The Patient Protection and Affordable Care Act- Medical device tax, Provisions relating to dental care, Provisions limiting Flexible Spending Accounts, Physician payment provisions, Medical Insurance coverage provisions HR 4872, Health Care and Education Reconciliation Act of 2010

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

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

H.R. 2220, the Essential Oral Health Care Act of 2009; H.R. 903, Dental Emergency Responder Act; H.R. 1671/S. 450, Meth Mouth Prevention and Community Recovery Act; H.R. 2, Children's Health Insurance Program Reauthorization Act of 2009: Working with CMS on implementation; H.R. 3109, Health Access and Health Professions Supply Act of 2009; S. 616/H.R. 855, Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act; Medical/Dental Coding Issues; H.Res. 648, Expressing the need for enhanced public awareness of potential health effects posed by mercury; H.R. 4615, Consumers Have Options for Molar Protection Act of 2009; H.R. 4731, Medicaid Options for Dental Fillings Act of 2010; Comparative Effectiveness regarding Dental Quality Alliance; Health Information Technology (HIT) Regulations; H.R. 870, the Medicare Medically Necessary Dental Care Act; H.R. 1339, the Children's Access to Reconstructive and Evaluative Surgery "CARES" Act, specific to dental surgery; H.R. 1430, to permit physical therapy services to be furnished under the Medicare Program to individuals under the care of a dentist; H.R. 1253, Health Insurance Restrictions and Limitations Clarification Act of 2009, a bill to require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable H.R. 2400 Strategies to Address Anti-microbial Resistance (STARR) Act, a bill to amend the Public Health Service Act to enhance efforts to address anti-microbial resistance; S. 1790, Senate Health Care Reform Bill; S. 1679, Affordable Health Choices Act, a health care reform bill; H.R. 3200, H.R. 3962, H.R. 3590, H.R. 4872, House Health Care Reform Bill; H.R. 5364, Special Care Dentistry Act of 2010 H.R. 5000, Dental Coverage Value and Transparency Act of 2010 H.R. 5466, SAMHSA Modernization Act of 2010; H.R. 5678, Universal Access to Methamphetamine Treatment Act of 2010; H.R. 2818, Methamphetamine Education, Treatment, and Hope Act of 2010; H.R. 1745, Family Health care Accessibility Act of 2010; HHS - Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020; HHS - Health People 2020; SAMHSA - National Alcohol and Drug Addiction Recovery Month.

H.R. 43/S.46 - Medicare Access to Rehabilitation Services Act of 2009 H.R. 1137 - Athletic Trainers' Equal Access to Medicare Act of 2009 H.R. 1829/ S. 950 - Medicare Patient Access to Physical Therapists Act of 2009 H.R. 1430 - The Medicare Oral Health Rehabilitative Enhancement Act Revisions to the home health assessment instrument OASIS National Quality Forum home health quality measures Cardiac and Pulmonary Rehab national coverage policies AHRQ technical assessment of negative pressure wound therapy devices Comprehensive assessment regarding the development of HCPCS codes for negative pressure wound therapy (sign on) Analysis of the Inpatient Rehabilitation Condition of Participation (COP) on rehab agencies Importance of support personnel and related services under IDEA and ESEA. Development of a Plan to Transition to a Medicare Value-Based Purchasing (VBP) Program for Physician and Other Professional Services Issues Paper (comments) Changes to Medicare payment policies (STATS workgroup), development of short-term alternatives Section 427 of Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) Quality Measures Medically Unbelievable Edits (comments) DMEPOS Accreditation AMA Physician Consortium for Performance Improvement EMG performance Physical Medicine and Rehabilitation LCD (comments) Physician Quality Reporting Initiative Provider Enrollment Post Acute Care Issues Post Acute Care Payment Reform Demonstration, including development and testing of CARE tool Development of long term alternatives to the therapy cap - "Developing Outpatient Therapy Alternatives Project" (DOTPA) Medicare Orthotics and Prosthetics Physician Fee Schedule Update Sustainable Growth Rate (SGR) Inpatient Rehab Issues Medicaid Rules Self Referral H.R. 1094- The Medicare Home Health Flexibility Act Inclusion of Physical Therapists in the Medicare & Medicaid Health Information Technology incentives S. 1213- Patient Centered Outcomes Research Act of 2009 H.R. 2068- Medicare Telehealth Enhancement Act of 2009 H.R. 1094- Medicare Home Health Flexibility Act The Addition of a program to the Center for Medicare Services Innovation Center to research direct access models for expanding access to physical therapy for Medicare beneficiaries. Medicare SNF PPS FY 2010 Medicare IRF PPS FY 2010 Medicare Home Health PPS CY 2010 H.R. 3590 Patient Protection and Affordable Care Act Physician Practice Information Survey (PPIS) H.R. 4371- To amend title XVIII of the Social Security Act to continue using 2009 Medicare practice expense relative value units for certain cardiology services. H.R. 4872- Health Care & Education Affordability Reconciliation Act H.R. 4851-Continuing Extension Act of 2010 H.R. 4154- American Workers State and Business Relief Act of 2010 H.R. 4662- Lymphedema Diagnosis and Treatment Cost Saving Act of 2010 H.R. 3962- Preservation of Access to Care for Medicare Beneficiaries & Pension Relief Act H.R. 4213- American Jobs, Closing Loopholes and Preventing Outsourcing Act 2011 Medicare Physician Fee Schedule Proposed Rule Health Care Truth and Transparency June 2010 Medpac Report to Congress-Aligning Incentives in Medicare H.R. 2575/S.3220 -Prosthetic and Custom Orthotic Parity Act of 2009 H.R. 2479- Medicare Orthotics and Prosthetics Improvement Act of 2009

H.R. 43/S.46 - Medicare Access to Rehabilitation Services Act of 2009 H.R. 1137 - Athletic Trainers' Equal Access to Medicare Act of 2009 H.R. 1829/ S. 950 - Medicare Patient Access to Physical Therapists Act of 2009 H.R. 1430 - The Medicare Oral Health Rehabilitative Enhancement Act Revisions to the home health assessment instrument OASIS National Quality Forum home health quality measures Cardiac and Pulmonary Rehab national coverage policies AHRQ technical assessment of negative pressure wound therapy devices Comprehensive assessment regarding the development of HCPCS codes for negative pressure wound therapy (sign on) Analysis of the Inpatient Rehabilitation Condition of Participation (COP) on rehab agencies Importance of support personnel and related services under IDEA and ESEA. Development of a Plan to Transition to a Medicare Value-Based Purchasing (VBP) Program for Physician and Other Professional Services Issues Paper (comments) Changes to Medicare payment policies (STATS workgroup), development of short-term alternatives Section 427 of Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) Quality Measures Medically Unbelievable Edits (comments) DMEPOS Accreditation AMA Physician Consortium for Performance Improvement EMG performance Physical Medicine and Rehabilitation LCD (comments) Physician Quality Reporting Initiative Provider Enrollment Post Acute Care Issues-HHPPS Proposed Rule 2011, SNF Updates 2011 Post Acute Care Payment Reform Demonstration, including development and testing of CARE tool Development of long term alternatives to the therapy cap - "Developing Outpatient Therapy Alternatives Project" (DOTPA) Medicare Orthotics and Prosthetics Physician Fee Schedule Update Sustainable Growth Rate (SGR) Inpatient Rehab Issues Medicaid Rules Self Referral H.R. 1094- The Medicare Home Health Flexibility Act Inclusion of Physical Therapists in the Medicare & Medicaid Health Information Technology incentives S. 1213- Patient Centered Outcomes Research Act of 2009 H.R. 2068- Medicare Telehealth Enhancement Act of 2009 H.R. 1094- Medicare Home Health Flexibility Act The Addition of a program to the Center for Medicare Services Innovation Center to research direct access models for expanding access to physical therapy for Medicare beneficiaries. Medicare SNF PPS FY 2010 Medicare IRF PPS FY 2010 Medicare Home Health PPS CY 2010 H.R. 3590 Patient Protection and Affordable Care Act Physician Practice Information Survey (PPIS) H.R. 4371- To amend title XVIII of the Social Security Act to continue using 2009 Medicare practice expense relative value units for certain cardiology services. H.R. 4872- Health Care & Education Affordability Reconciliation Act H.R. 4851-Continuing Extension Act of 2010 H.R. 4154- American Workers State and Business Relief Act of 2010 H.R. 4662- Lymphedema Diagnosis and Treatment Cost Saving Act of 2010 H.R. 3962- Preservation of Access to Care for Medicare Beneficiaries & Pension Relief Act H.R. 4213- American Jobs, Closing Loopholes and Preventing Outsourcing Act 2011 Medicare Physician Fee Schedule Proposed Rule Health Care Truth and Transparency Legislative Recommendations for Medicaid & CHIP- RFI June 2010 Medpac Report to Congress-Aligning Incentives in Medicare H.R. 2575/S.3220 -Prosthetic and Custom Orthotic Parity Act of 2009 H.R. 2479- Medicare Orthotics and Prosthetics Improvement Act of 2009 HIT Rules- Meaningful Use Health Exchanges Proposed Rule Multiple Procedure Payment Reduction In Office Ancillary Services Annual Wellness Visit Rule Extension of Federal Medical Assistance Percentages

Support for Medicare Oral Health Rehabilitative Enhancement Act (H.R. 1430) Support for long-term Medicare physician reimbursement (SGR reform)

Client expense: $22,996 · Firm income: Not reported

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

H.R. 1430, Medicare Oral Health Rehabilitative Enhancement Act of 2009 H. Res. 193 Expressing support for National Facial Protection Month S. 1235, H. R. 1339 Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2009 H. R. 3200, America's Affordable Health Choices Act of 2009- Dental provider provisions, medical device tax, CARES Act provisions, physical therapy referral provisions S. 1796, America's Healthy Future Act of 2009- Dental provider provisions, medical device tax, CARES Act provisions, physical therapy referral provisions H.R. 3962, Affordable Health Care for America Act- Dental provider provisions, medical device tax, CARES Act provisions, physical therapy referral provisions H.R. 3590, The Patient Protection and Affordable Care Act- Medical device tax, Provisions relating to dental care, Provisions limiting Flexible Spending Accounts, Physician payment provisions, Medical Insurance coverage provisions HR 4872, Health Care and Education Reconciliation Act of 2010

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

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

H.R. 2220, the Essential Oral Health Care Act of 2009; H.R. 903, Dental Emergency Responder Act; H.R. 1671/S. 450, Meth Mouth Prevention and Community Recovery Act; H.R. 2, Children's Health Insurance Program Reauthorization Act of 2009: Working with CMS on implementation; H.R. 3109, Health Access and Health Professions Supply Act of 2009; S. 616/H.R. 855, Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act; Medical/Dental Coding Issues; H.Res. 648, Expressing the need for enhanced public awareness of potential health effects posed by mercury; H.R. 4615, Consumers Have Options for Molar Protection Act of 2009; H.R. 4731, Medicaid Options for Dental Fillings Act of 2010; Comparative Effectiveness regarding Dental Quality Alliance; Health Information Technology (HIT) Regulations; H.R. 870, the Medicare Medically Necessary Dental Care Act; H.R. 1339, the Children's Access to Reconstructive and Evaluative Surgery "CARES" Act, specific to dental surgery; H.R. 1430, to permit physical therapy services to be furnished under the Medicare Program to individuals under the care of a dentist; H.R. 1253, Health Insurance Restrictions and Limitations Clarification Act of 2009, a bill to require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable H.R. 2400 Strategies to Address Anti-microbial Resistance (STARR) Act, a bill to amend the Public Health Service Act to enhance efforts to address anti-microbial resistance; S. 1790, Senate Health Care Reform Bill; S. 1679, Affordable Health Choices Act, a health care reform bill; H.R. 3200, H.R. 3962, H.R. 3590, H.R. 4872, House Health Care Reform Bill; H.R. 5364, Special Care Dentistry Act of 2010 H.R. 5000, Dental Coverage Value and Transparency Act of 2010 H.R. 5466, SAMHSA Modernization Act of 2010; HHS - Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020 HHS - Health People 2020 SAMHSA - National Alcohol and Drug Addiction Recovery Month

H.R. 43/S.46 - Medicare Access to Rehabilitation Services Act of 2009 H.R. 1137 - Athletic Trainers' Equal Access to Medicare Act of 2009 H.R. 1829/ S. 950 - Medicare Patient Access to Physical Therapists Act of 2009 H.R. 1430 - The Medicare Oral Health Rehabilitative Enhancement Act Revisions to the home health assessment instrument OASIS National Quality Forum home health quality measures Cardiac and Pulmonary Rehab national coverage policies AHRQ technical assessment of negative pressure wound therapy devices Comprehensive assessment regarding the development of HCPCS codes for negative pressure wound therapy (sign on) Analysis of the Inpatient Rehabilitation Condition of Participation (COP) on rehab agencies Importance of support personnel and related services under IDEA and ESEA. Development of a Plan to Transition to a Medicare Value-Based Purchasing (VBP) Program for Physician and Other Professional Services Issues Paper (comments) Changes to Medicare payment policies (STATS workgroup), development of short-term alternatives Section 427 of Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) Quality Measures Medically Unbelievable Edits (comments) DMEPOS Accreditation AMA Physician Consortium for Performance Improvement EMG performance Physical Medicine and Rehabilitation LCD (comments) Physician Quality Reporting Initiative Provider Enrollment Post Acute Care Issues Post Acute Care Payment Reform Demonstration, including development and testing of CARE tool Development of long term alternatives to the therapy cap - "Developing Outpatient Therapy Alternatives Project" (DOTPA) Medicare Orthotics and Prosthetics Physician Fee Schedule Update Sustainable Growth Rate (SGR) Inpatient Rehab Issues Medicaid Rules Self Referral H.R. 1094- The Medicare Home Health Flexibility Act Inclusion of Physical Therapists in the Medicare & Medicaid Health Information Technology incentives S. 1213- Patient Centered Outcomes Research Act of 2009 H.R. 2068- Medicare Telehealth Enhancement Act of 2009 H.R. 1094- Medicare Home Health Flexibility Act The Addition of a program to the Center for Medicare Services Innovation Center to research direct access models for expanding access to physical therapy for Medicare beneficiaries. Medicare SNF PPS FY 2010 Medicare IRF PPS FY 2010 Medicare Home Health PPS CY 2010 H.R. 3590 Patient Protection and Affordable Care Act Physician Practice Information Survey (PPIS) H.R. 4371- To amend title XVIII of the Social Security Act to continue using 2009 Medicare practice expense relative value units for certain cardiology services. H.R. 4872- Health Care & Education Affordability Reconciliation Act H.R. 4851-Continuing Extension Act of 2010 H.R. 4154- American Workers State and Business Relief Act of 2010 H.R. 4662- Lymphedema Diagnosis and Treatment Cost Saving Act of 2010 H.R. 3962- Preservation of Access to Care for Medicare Beneficiaries & Pension Relief Act H.R. 4213- American Jobs, Closing Loopholes and Preventing Outsourcing Act 2011 Medicare Physician Fee Schedule Proposed Rule Health Care Truth and Transparency June 2010 Medpac Report to Congress-Aligning Incentives in Medicare H.R. 2575/S.3220 -Prosthetic and Custom Orthotic Parity Act of 2009 H.R. 2479- Medicare Orthotics and Prosthetics Improvement Act of 2009

Support for Medicare Oral Health Rehabilitative Enhancement Act (H.R. 1430) Support for long-term Medicare physician reimbursement (SGR reform)

Client expense: $101,693 · Firm income: Not reported

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

H.R. 43/S.46 - Medicare Access to Rehabilitation Services Act of 2009 H.R. 1137 - Athletic Trainers' Equal Access to Medicare Act of 2009 H.R. 1829/ S. 950 - Medicare Patient Access to Physical Therapists Act of 2009 H.R. 1430 - The Medicare Oral Health Rehabilitative Enhancement Act H.R. 2 - Children's Health Insurance Program Reauthorization Act of 2009 Revisions to the home health assessment instrument OASIS National Quality Forum home health quality measures Cardiac and Pulmonary Rehab national coverage policies AHRQ technical assessment of negative pressure wound therapy devices Comprehensive assessment regarding the development of HCPCS codes for negative pressure wound therapy (sign on) Analysis of the Inpatient Rehabilitation Condition of Participation (COP) on rehab agencies Importance of support personnel and related services under IDEA and ESEA. Development of a Plan to Transition to a Medicare Value-Based Purchasing (VBP) Program for Physician and Other Professional Services Issues Paper (comments) Changes to Medicare payment policies (STATS workgroup), development of short-term alternatives Section 427 of Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) Quality Measures Medically Unbelievable Edits (comments) DMEPOS Accreditation AMA Physician Consortium for Performance Improvement EMG performance Physical Medicine and Rehabilitation LCD (comments) Physician Quality Reporting Initiative Provider Enrollment Post Acute Care Issues Post Acute Care Payment Reform Demonstration, including development and testing of CARE tool Development of long term alternatives to the therapy cap - "Developing Outpatient Therapy Alternatives Project" (DOTPA) Medicare Orthotics and Prosthetics Physician Fee Schedule Update Sustainable Growth Rate (SGR) Inpatient Rehab Issues Medicaid Rules Self Referral H.R. 1094- The Medicare Home Health Flexibility Act Inclusion of Physical Therapists in the Medicare & Medicaid Health Information Technology incentives S. 1213- Patient Centered Outcomes Research Act of 2009 H.R. 2068- Medicare Telehealth Enhancement Act of 2009 H.R. 1094- Medicare Home Health Flexibility Act The Addition of a program to the Center for Medicare Services Innovation Center to research direct access models for expanding access to physical therapy for Medicare beneficiaries. Medicare SNF PPS FY 2010 Medicare IRF PPS FY 2010 Medicare Home Health PPS CY 2010 H.R. 3962 Affordable Health Care Act for America H.R. 3590 Patient Protection and Affordable Care Act Physician Practice Information Survey (PPIS) H.R. 4371- To amend title XVIII of the Social Security Act to continue using 2009 Medicare practice expense relative value units for certain cardiology services. H.R. 4872- Health Care & Education Affordability Reconciliation Act H.R. 4691-Temporary Extension Act of 2010 H.R. 4851-Continuing Extension Act of 2010 H.R. 4231-Tax Extenders Act of 2010 H.R. 4154- American Workers State and Business Relief Act of 2010 H.R. 4662- Lymphedema Diagnosis and Treatment Cost Saving Act of 2010

H.R. 43/S.46 - Medicare Access to Rehabilitation Services Act of 2009 H.R. 1137 - Athletic Trainers' Equal Access to Medicare Act of 2009 H.R. 1829/ S. 950 - Medicare Patient Access to Physical Therapists Act of 2009 H.R. 1430 - The Medicare Oral Health Rehabilitative Enhancement Act H.R. 2 - Children's Health Insurance Program Reauthorization Act of 2009 Revisions to the home health assessment instrument OASIS National Quality Forum home health quality measures Cardiac and Pulmonary Rehab national coverage policies AHRQ technical assessment of negative pressure wound therapy devices Comprehensive assessment regarding the development of HCPCS codes for negative pressure wound therapy (sign on) Analysis of the Inpatient Rehabilitation Condition of Participation (COP) on rehab agencies Importance of support personnel and related services under IDEA and ESEA. Development of a Plan to Transition to a Medicare Value-Based Purchasing (VBP) Program for Physician and Other Professional Services Issues Paper (comments) Changes to Medicare payment policies (STATS workgroup), development of short-term alternatives Section 427 of Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) Quality Measures Medically Unbelievable Edits (comments) DMEPOS Accreditation AMA Physician Consortium for Performance Improvement EMG performance Physical Medicine and Rehabilitation LCD (comments) Physician Quality Reporting Initiative Provider Enrollment Post Acute Care Issues Post Acute Care Payment Reform Demonstration, including development and testing of CARE tool Development of long term alternatives to the therapy cap - "Developing Outpatient Therapy Alternatives Project" (DOTPA) Medicare Orthotics and Prosthetics Physician Fee Schedule Update Sustainable Growth Rate (SGR) Inpatient Rehab Issues Medicaid Rules Self Referral H.R. 1094- The Medicare Home Health Flexibility Act Inclusion of Physical Therapists in the Medicare & Medicaid Health Information Technology incentives S. 1213- Patient Centered Outcomes Research Act of 2009 H.R. 2068- Medicare Telehealth Enhancement Act of 2009 H.R. 1094- Medicare Home Health Flexibility Act The Addition of a program to the Center for Medicare Services Innovation Center to research direct access models for expanding access to physical therapy for Medicare beneficiaries. Medicare SNF PPS FY 2010 Medicare IRF PPS FY 2010 Medicare Home Health PPS CY 2010 H.R. 3962 Affordable Health Care Act for America H.R. 3590 Patient Protection and Affordable Care Act Physician Practice Information Survey (PPIS) H.R. 4371- To amend title XVIII of the Social Security Act to continue using 2009 Medicare practice expense relative value units for certain cardiology services. H.R. 4872- Health Care & Education Affordability Reconciliation Act H.R. 4691-Temporary Extension Act of 2010 H.R. 4851-Continuing Extension Act of 2010 H.R. 4231-Tax Extenders Act of 2010 H.R. 4154- American Workers State and Business Relief Act of 2010 H.R. 4662- Lymphedema Diagnosis and Treatment Cost Saving Act of 2010

H.R. 1430, Medicare Oral Health Rehabilitative Enhancement Act of 2009; H. Res. 193 Expressing support for National Facial Protection Month; S. 1235, H. R. 1339 Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2009; H. R. 3200, America's Affordable Health Choices Act of 2009- Dental provider provisions, medical device tax, CARES Act provisions, physical therapy referral provisions S. 1796, America's Healthy Future Act of 2009- Dental provider provisions, medical device tax, CARES Act provisions, physical therapy referral provisions H.R. 3962, Affordable Health Care for America Act- Dental provider provisions, medical device tax, CARES Act provisions, physical therapy referral provisions H.R. 3590, The Patient Protection and Affordable Care Act- Medical device tax, Provisions relating to dental care, Provisions limiting Flexible Spending Accounts, Physician payment provisions, Medical Insurance coverage provisions HR 4872, Health Care and Education Reconciliation Act of 2010

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

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

H.R. 2220, the Essential Oral Health Care Act of 2009; H.R. 903, Dental Emergency Responder Act; H.R. 1671/S. 450, Meth Mouth Prevention and Community Recovery Act; H.R. 2, Children's Health Insurance Program Reauthorization Act of 2009: Working with CMS on implementation; H.R. 3109, Health Access and Health Professions Supply Act of 2009; S. 616, Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act; Medical/Dental Coding Issues; H.Res. 648, Expressing the need for enhanced public awareness of potential health effects posed by mercury; H.R. 4615, Consumers Have Options for Molar Protection Act of 2009; H.R. 4731, Medicaid Options for Dental Fillings Act of 2010; Comparative Effectiveness regarding Dental Quality Alliance; Health Information Technology (HIT) Regulations; H.R. 870, the Medicare Medically Necessary Dental Care Act; H.R. 1339, the Children's Access to Reconstructive and Evaluative Surgery "CARES" Act, specific to dental surgery; H.R. 1430, to permit physical therapy services to be furnished under the Medicare Program to individuals under the care of a dentist; H.R. 1253, Health Insurance Restrictions and Limitations Clarification Act of 2009, a bill to require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable H.R. 2400 Strategies to Address Anti-microbial Resistance (STARR) Act, a bill to amend the Public Health Service Act to enhance efforts to address anti-microbial resistance; H.R. 2520/S. 1099, Patients' Choice Act, a bill to provide comprehensive solutions for the health care system of the United States, and for other purposes; S. 1790, Senate Health Care Reform Bill; S. 1679, Affordable Health Choices Act, a health care reform bill; H.R. 3200, H.R. 3962, H.R. 3590, H.R. 4872, House Health Care Reform Bill; S. 1793/H.R. 3792, Ryan White CARE Act Amendments of 2009. H.R. 3590 and HR 4872, the health reform bills that the President signed. HHS - Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020

H.R. 43/S.46 - Medicare Access to Rehabilitation Services Act of 2009 H.R. 1137 - Athletic Trainers' Equal Access to Medicare Act of 2009 H.R. 1829/ S. 950 - Medicare Patient Access to Physical Therapists Act of 2009 H.R. 1430 - The Medicare Oral Health Rehabilitative Enhancement Act H.R. 2 - Children's Health Insurance Program Reauthorization Act of 2009 Revisions to the home health assessment instrument OASIS National Quality Forum home health quality measures Cardiac and Pulmonary Rehab national coverage policies AHRQ technical assessment of negative pressure wound therapy devices Comprehensive assessment regarding the development of HCPCS codes for negative pressure wound therapy (sign on) Analysis of the Inpatient Rehabilitation Condition of Participation (COP) on rehab agencies Importance of support personnel and related services under IDEA and ESEA. Development of a Plan to Transition to a Medicare Value-Based Purchasing (VBP) Program for Physician and Other Professional Services Issues Paper (comments) Changes to Medicare payment policies (STATS workgroup), development of short-term alternatives Section 427 of Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) Quality Measures Medically Unbelievable Edits (comments) DMEPOS Accreditation AMA Physician Consortium for Performance Improvement EMG performance Physical Medicine and Rehabilitation LCD (comments) Physician Quality Reporting Initiative Provider Enrollment Post Acute Care Issues Post Acute Care Payment Reform Demonstration, including development and testing of CARE tool Development of long term alternatives to the therapy cap - "Developing Outpatient Therapy Alternatives Project" (DOTPA) Medicare Orthotics and Prosthetics Physician Fee Schedule Update Sustainable Growth Rate (SGR) Inpatient Rehab Issues Medicaid Rules Self Referral H.R. 1094- The Medicare Home Health Flexibility Act Inclusion of Physical Therapists in the Medicare & Medicaid Health Information Technology incentives S. 1213- Patient Centered Outcomes Research Act of 2009 H.R. 2068- Medicare Telehealth Enhancement Act of 2009 H.R. 1094- Medicare Home Health Flexibility Act The Addition of a program to the Center for Medicare Services Innovation Center to research direct access models for expanding access to physical therapy for Medicare beneficiaries. Medicare SNF PPS FY 2010 Medicare IRF PPS FY 2010 Medicare Home Health PPS CY 2010 H.R. 3962 Affordable Health Care Act for America H.R. 3590 Patient Protection and Affordable Care Act Physician Practice Information Survey (PPIS) H.R. 4371- To amend title XVIII of the Social Security Act to continue using 2009 Medicare practice expense relative value units for certain cardiology services. H.R. 4872- Health Care & Education Affordability Reconciliation Act H.R. 4691-Temporary Extension Act of 2010 H.R. 4851-Continuing Extension Act of 2010 H.R. 4231-Tax Extenders Act of 2010 H.R. 4154- American Workers State and Business Relief Act of 2010 H.R. 4662- Lymphedema Diagnosis and Treatment Cost Saving Act of 2010

Support for Medicare Oral Health Rehabilitative Enhancement Act (H.R. 1430) Support for long-term Medicare physician reimbursement (SGR reform)

Client expense: $24,485 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 43/S.46 - Medicare Access to Rehabilitation Services Act of 2009 HR 1137 - Athletic Trainers' Equal Access to Medicare Act of 2009 HR 1829 - Medicare Patient Access to Physical Therapists Act of 2009 HR 1430 - The Medicare Oral Health Rehabilitative Enhancement Act HR 2 - Children's Health Insurance Program Reauthorization Act of 2009 Revisions to the home health assessment instrument OASIS National Quality Forum home health quality measures (comments) Cardiac and Pulmonary Rehab national coverage policies AHRQ technical assessment of negative pressure wound therapy devices Implementation of the classification criteria for inpatient rehab facilities known as the 75 percent rule (comments) Home Health assessment instrument known as OASIS C (comments) National Coverage Determination regarding pulmonary rehab and expansion of a current national coverage determination on Cardiac Rehab (comments) Comprehensive assessment regarding the development of HCPCS codes for negative pressure wound therapy (sign on) Analysis and Alternatives to the Inpatient Rehabilitation 75 percent rule (recommendations) Condition of Participation (COP) on rehab agencies Importance of support personnel and related services under IDEA and ESEA. Development of a Plan to Transition to a Medicare Value-Based Purchasing (VBP) Program for Physician and Other Professional Services Issues Paper (comments) Changes to Medicare payment policies (STATS workgroup) Section 427 of Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) Quality Measures Medically Unbelievable Edits (comments) DMEPOS Accreditation AMA Physician Consortium for Performance Improvement EMG performance Physical Medicine and Rehabilitation LCD (comments) Physician Quality Reporting Initiative Provider Enrollment Post Acute Care Issues Post Acute Care Payment Reform Demonstration, including development and testing of CARE tool Development of long term alternatives to the therapy cap - "Developing Outpatient Therapy Alternatives Project" (DOTPA) Medicare Orthotics and Prosthetics Physician Fee Schedule Update Sustainable Growth Rate (SGR) Inpatient Rehab Issues Medicaid Rules- Definition of Outpatient Hospital Services Self Referral HR 1094- The Medicare Home Health Flexibility Act Inclusion of Physical Therapists in the Medicare & Medicaid Health Information Technology incentives

HR 43/S.46 - Medicare Access to Rehabilitation Services Act of 2009 HR 1137 - Athletic Trainers' Equal Access to Medicare Act of 2009 HR 1829 - Medicare Patient Access to Physical Therapists Act of 2009 HR 1430 - The Medicare Oral Health Rehabilitative Enhancement Act HR 2 - Children's Health Insurance Program Reauthorization Act of 2009 Revisions to the home health assessment instrument OASIS National Quality Forum home health quality measures (comments) Cardiac and Pulmonary Rehab national coverage policies AHRQ technical assessment of negative pressure wound therapy devices Implementation of the classification criteria for inpatient rehab facilities known as the 75 percent rule (comments) Home Health assessment instrument known as OASIS C (comments) National Coverage Determination regarding pulmonary rehab and expansion of a current national coverage determination on Cardiac Rehab (comments) Comprehensive assessment regarding the development of HCPCS codes for negative pressure wound therapy (sign on) Analysis and Alternatives to the Inpatient Rehabilitation 75 percent rule (recommendations) Condition of Participation (COP) on rehab agencies Importance of support personnel and related services under IDEA and ESEA. Development of a Plan to Transition to a Medicare Value-Based Purchasing (VBP) Program for Physician and Other Professional Services Issues Paper (comments) Changes to Medicare payment policies (STATS workgroup) Section 427 of Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) Quality Measures Medically Unbelievable Edits (comments) DMEPOS Accreditation AMA Physician Consortium for Performance Improvement EMG performance Physical Medicine and Rehabilitation LCD (comments) Physician Quality Reporting Initiative Provider Enrollment Post Acute Care Issues Post Acute Care Payment Reform Demonstration, including development and testing of CARE tool Development of long term alternatives to the therapy cap - "Developing Outpatient Therapy Alternatives Project" (DOTPA) Medicare Orthotics and Prosthetics Physician Fee Schedule Sustainable Growth Rate (SGR) Inpatient Rehab Issues

HR 43/S.46 - Medicare Access to Rehabilitation Services Act of 2009 HR 1137 - Athletic Trainers' Equal Access to Medicare Act of 2009 HR 1829 - Medicare Patient Access to Physical Therapists Act of 2009 HR 1430 - The Medicare Oral Health Rehabilitative Enhancement Act HR 2 - Children's Health Insurance Program Reauthorization Act of 2009 Revisions to the home health assessment instrument OASIS National Quality Forum home health quality measures (comments) Cardiac and Pulmonary Rehab national coverage policies AHRQ technical assessment of negative pressure wound therapy devices Implementation of the classification criteria for inpatient rehab facilities known as the 75 percent rule (comments) Home Health assessment instrument known as OASIS C (comments) National Coverage Determination regarding pulmonary rehab and expansion of a current national coverage determination on Cardiac Rehab (comments) Comprehensive assessment regarding the development of HCPCS codes for negative pressure wound therapy (sign on) Analysis and Alternatives to the Inpatient Rehabilitation 75 percent rule (recommendations) Condition of Participation (COP) on rehab agencies Importance of support personnel and related services under IDEA and ESEA. Development of a Plan to Transition to a Medicare Value-Based Purchasing (VBP) Program for Physician and Other Professional Services Issues Paper (comments) Changes to Medicare payment policies (STATS workgroup) Section 427 of Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) Quality Measures Medically Unbelievable Edits (comments) DMEPOS Accreditation AMA Physician Consortium for Performance Improvement EMG performance Physical Medicine and Rehabilitation LCD (comments) Physician Quality Reporting Initiative Provider Enrollment Post Acute Care Issues Post Acute Care Payment Reform Demonstration, including development and testing of CARE tool Development of long term alternatives to the therapy cap - "Developing Outpatient Therapy Alternatives Project" (DOTPA) Medicare Orthotics and Prosthetics Physician Fee Schedule Update Sustainable Growth Rate (SGR) Inpatient Rehab Issues Medicaid Rules- Definition of Outpatient Hospital Services Self Referral HR 1094- The Medicare Home Health Flexibility Act Inclusion of Physical Therapists in the Medicare & Medicaid Health Information Technology incentives

HR 43/S.46 - Medicare Access to Rehabilitation Services Act of 2009 HR 1137 - Athletic Trainers' Equal Access to Medicare Act of 2009 HR 1829 - Medicare Patient Access to Physical Therapists Act of 2009 HR 1430 - The Medicare Oral Health Rehabilitative Enhancement Act HR 2 - Children's Health Insurance Program Reauthorization Act of 2009 Revisions to the home health assessment instrument OASIS National Quality Forum home health quality measures (comments) Cardiac and Pulmonary Rehab national coverage policies AHRQ technical assessment of negative pressure wound therapy devices Implementation of the classification criteria for inpatient rehab facilities known as the 75 percent rule (comments) Home Health assessment instrument known as OASIS C (comments) National Coverage Determination regarding pulmonary rehab and expansion of a current national coverage determination on Cardiac Rehab (comments) Comprehensive assessment regarding the development of HCPCS codes for negative pressure wound therapy (sign on) Analysis and Alternatives to the Inpatient Rehabilitation 75 percent rule (recommendations) Condition of Participation (COP) on rehab agencies Importance of support personnel and related services under IDEA and ESEA. Development of a Plan to Transition to a Medicare Value-Based Purchasing (VBP) Program for Physician and Other Professional Services Issues Paper (comments) Changes to Medicare payment policies (STATS workgroup) Section 427 of Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) Quality Measures Medically Unbelievable Edits (comments) DMEPOS Accreditation AMA Physician Consortium for Performance Improvement EMG performance Physical Medicine and Rehabilitation LCD (comments) Physician Quality Reporting Initiative Provider Enrollment Post Acute Care Issues Post Acute Care Payment Reform Demonstration, including development and testing of CARE tool Development of long term alternatives to the therapy cap - "Developing Outpatient Therapy Alternatives Project" (DOTPA) Medicare Orthotics and Prosthetics Physician Fee Schedule Update Sustainable Growth Rate (SGR) Inpatient Rehab Issues Medicaid Rules- Definition of Outpatient Hospital Services Self Referral HR 1094- The Medicare Home Health Flexibility Act Inclusion of Physical Therapists in the Medicare & Medicaid Health Information Technology incentives

HR 43/S.46 - Medicare Access to Rehabilitation Services Act of 2009 HR 1137 - Athletic Trainers' Equal Access to Medicare Act of 2009 HR 1829 - Medicare Patient Access to Physical Therapists Act of 2009 HR 1430 - The Medicare Oral Health Rehabilitative Enhancement Act HR 2 - Children's Health Insurance Program Reauthorization Act of 2009 Revisions to the home health assessment instrument OASIS National Quality Forum home health quality measures (comments) Cardiac and Pulmonary Rehab national coverage policies AHRQ technical assessment of negative pressure wound therapy devices Implementation of the classification criteria for inpatient rehab facilities known as the 75 percent rule (comments) Home Health assessment instrument known as OASIS C (comments) National Coverage Determination regarding pulmonary rehab and expansion of a current national coverage determination on Cardiac Rehab (comments) Comprehensive assessment regarding the development of HCPCS codes for negative pressure wound therapy (sign on) Analysis and Alternatives to the Inpatient Rehabilitation 75 percent rule (recommendations) Condition of Participation (COP) on rehab agencies Importance of support personnel and related services under IDEA and ESEA. Development of a Plan to Transition to a Medicare Value-Based Purchasing (VBP) Program for Physician and Other Professional Services Issues Paper (comments) Changes to Medicare payment policies (STATS workgroup) Section 427 of Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) Quality Measures Medically Unbelievable Edits (comments) DMEPOS Accreditation AMA Physician Consortium for Performance Improvement EMG performance Physical Medicine and Rehabilitation LCD (comments) Physician Quality Reporting Initiative Provider Enrollment Post Acute Care Issues Post Acute Care Payment Reform Demonstration, including development and testing of CARE tool Development of long term alternatives to the therapy cap - "Developing Outpatient Therapy Alternatives Project" (DOTPA) Medicare Orthotics and Prosthetics Physician Fee Schedule Sustainable Growth Rate (SGR) Inpatient Rehab Issues

H.R. 1430 Medicare Oral Health Rehabilitative Enhancement Act of 2009; H. Res 193 Expressing support for National Facial Protection Month; S. 1235 H.R. 1339 Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2009; H.R. 3200, America's Affordable Health Care Act- dental provider provisions, medical device tax, CARES Act provisions, physical therapy referral provisions; S. 1796, America's Healthy Future Act of 2009- dental provider provisions, medical device tax, CARES Act provisions, physical therapy referral provisions; H.R. 3962, Affordable Health Care for America Act- dental provider provisions, medical device tax, CARES Act provisions, physical therapy referral provisions; H.R. 3590, The Patient Protection and Affordable Care Act.

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

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

HR 2220, the Essential Oral Health Care Act H.R. 2: Childrens Health Insurance Program Reauthorization Act of 2009: Dental Wrap Around Provision/Amendment H.R. 903 - Dental Emergency Responder Act H.R. 1671/S. 450 - Meth Mouth Prevention and Community Recovery Act HR 3109, the Health Access and Health Professions Supply Act of 2009. S. 616 - Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act American Recovery and Reinvestment Act of 2009: - Empowering Families to Make Healthy Choices (Bond/Coburn Stimulus Amendment) - NHSC dental scholarships and loan repayment, - Postgraduate dental education programs, - Upgrading dental research facilities and equipment, - Medicaid incentive payments related to the adoption of Health Information Technology (HIT), - Increase the federal share of the costs of the state Medicaid program. HRES 204, honoring the American Dental Association for its 150th Anniversary Medical/Dental Coding issues Lead in Dental Crowns Issue Comparative Effectiveness regarding Dental Quality Alliance Health Information Technology (HIT) Regulations H.R. 870, the Medicare Medically Necessary Dental Care Act S. Con. Res. 8/H. Con. Res. 56, a concurrent resolution expressing support for Children's Dental Health Month and honoring the memory of Deamonte Driver. H.R. 1339, the Childrens Access to Reconstructive and Evaluative Surgery CARES Act - specific to dental surgery. HR 1430, to permit physical therapy services to be furnished under the Medicare Program to individuals under the care of a dentist. H.Res. 193, National Facial Protection Month. H.R. 1253 Health Insurance Restrictions and Limitations Clarification Act of 2009, a bill to require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable. H.R. 2400, Strategies to Address Anti-microbial Resistance (STARR) Act, a bill to amend the Public Health Service Act to enhance efforts to address antimicrobial resistance. H.R. 2520/S. 1099, Patients' Choice Act, a bill to provide comprehensive solutions for the health care system of the United States, and for other purposes. S. 1790, Senate Health Care Reform Bill S. 1679, Affordable Health Choices Act, a health care reform bill. HR 3200, House Health Care Reform Bill -- Secretarys Advisory Committee on National Health Promotion & Disease Prevention Objectives for 2020, working to make sure oral health is a priority. National Alcohol and Drug Addiction Recovery Month, serving as a planning partner to celebrate that month. HR 3590, The Patient Protetion and Affordable Care Act HR 3962, a Health Care Reform Bill S. 1793/H.R. 3792 Ryan White CARE Act Amendments of 2009 HHS Secretarys Advisory Committee on National Health Promotion & Disease Prevention Objectives for 2020 SAMHSA National Alcohol and Drug Addiction Recovery Month

H.R. 43/S.46 - Medicare Access to Rehabilitation Services Act of 2009 H.R. 1137 - Athletic Trainers' Equal Access to Medicare Act of 2009 H.R. 1829/ S. 950 - Medicare Patient Access to Physical Therapists Act of 2009 H.R. 1430 - The Medicare Oral Health Rehabilitative Enhancement Act H.R. 2 - Children's Health Insurance Program Reauthorization Act of 2009 Revisions to the home health assessment instrument OASIS National Quality Forum home health quality measures (comments) Cardiac and Pulmonary Rehab national coverage policies AHRQ technical assessment of negative pressure wound therapy devices Implementation of the classification criteria for inpatient rehab facilities known as the 60 percent rule (comments) Home Health assessment instrument known as OASIS C (comments) Comprehensive assessment regarding the development of HCPCS codes for negative pressure wound therapy (sign on) Analysis and Alternatives to the Inpatient Rehabilitation 60 percent rule (recommendations) Condition of Participation (COP) on rehab agencies Importance of support personnel and related services under IDEA and ESEA. Development of a Plan to Transition to a Medicare Value-Based Purchasing (VBP) Program for Physician and Other Professional Services Issues Paper (comments) Changes to Medicare payment policies (STATS workgroup), development of short-term alternatives Section 427 of Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) Quality Measures Medically Unbelievable Edits (comments) DMEPOS Accreditation AMA Physician Consortium for Performance Improvement EMG performance Physical Medicine and Rehabilitation LCD (comments) Physician Quality Reporting Initiative Provider Enrollment Post Acute Care Issues Post Acute Care Payment Reform Demonstration, including development and testing of CARE tool Development of long term alternatives to the therapy cap - "Developing Outpatient Therapy Alternatives Project" (DOTPA) Medicare Orthotics and Prosthetics Physician Fee Schedule Update Sustainable Growth Rate (SGR) Inpatient Rehab Issues Medicaid Rules- Definition of Outpatient Hospital Services Self Referral H.R. 1094- The Medicare Home Health Flexibility Act Inclusion of Physical Therapists in the Medicare & Medicaid Health Information Technology incentives S. 1213- Patient Centered Outcomes Research Act of 2009 H.R. 2068- Medicare Telehealth Enhancement Act of 2009 H.R. 1094- Medicare Home Health Flexibility Act The Addition of a program to the Center for Medicare Services Innovation Center to research direct access models for expanding access to physical therapy for Medicare beneficiaries in rural areas. Medicare SNF PPS FY 2010 Proposed Rule (comments) Medicare IRF PPS FY 2010 Proposed Rule (comments) Medicare Home Health PPS CY 2010 Proposed rule (comments) Health Information Technology H.R. 3962 Affordable Health Care Act for America H.R. 3590 Patient Protection and Affordable Care Act Physician Practice Information Survey (PPIS) H.R. 4371- To amend title XVIII of the Social Security Act to continue using 2009 Medicare practice expense relative value units for certain cardiology services.

Support for Medicare Oral Health Rehabilitative Enhancement Act (H.R. 1430)

Client expense: $11,551 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for Medicare Oral Health Rehabilitative Enhancement Act (H.R. 1430)

Client expense: $18,377 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2220, the Essential Oral Health Care Act H.R. 2: Childrens Health Insurance Program Reauthorization Act of 2009: Dental Wrap Around Provision/Amendment H.R. 903 - Dental Emergency Responder Act H.R. 1671/S. 450 - Meth Mouth Prevention and Community Recovery Act HR 3109, the Health Access and Health Professions Supply Act of 2009. S. 616 - Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act American Recovery and Reinvestment Act of 2009: - Empowering Families to Make Healthy Choices (Bond/Coburn Stimulus Amendment) - NHSC dental scholarships and loan repayment, - Postgraduate dental education programs, - Upgrading dental research facilities and equipment, - Medicaid incentive payments related to the adoption of Health Information Technology (HIT), - Increase the federal share of the costs of the state Medicaid program. HRES 204, honoring the American Dental Association for its 150th Anniversary Medical/Dental Coding issues Lead in Dental Crowns Issue Comparative Effectiveness regarding Dental Quality Alliance Health Information Technology (HIT) Regulations H.R. 870, the Medicare Medically Necessary Dental Care Act S. Con. Res. 8/H. Con. Res. 56, a concurrent resolution expressing support for Children's Dental Health Month and honoring the memory of Deamonte Driver. H.R. 1339, the Childrens Access to Reconstructive and Evaluative Surgery CARES Act - specific to dental surgery. HR 1430, to permit physical therapy services to be furnished under the Medicare Program to individuals under the care of a dentist. H.Res. 193, National Facial Protection Month. H.R. 1253 Health Insurance Restrictions and Limitations Clarification Act of 2009, a bill to require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable. H.R. 2400, Strategies to Address Anti-microbial Resistance (STARR) Act, a bill to amend the Public Health Service Act to enhance efforts to address antimicrobial resistance. H.R. 2520/S. 1099, Patients' Choice Act, a bill to provide comprehensive solutions for the health care system of the United States, and for other purposes. S. 1790, Senate Health Care Reform Bill S. 1679, Affordable Health Choices Act, a health care reform bill. HR 3200, House Health Care Reform Bill -- Secretarys Advisory Committee on National Health Promotion & Disease Prevention Objectives for 2020, working to make sure oral health is a priority. National Alcohol and Drug Addiction Recovery Month, serving as a planning partner to celebrate that month.

HR 1430- Medicare Oral Health Rehabilitative Enhancement Act of 2009, H Res 193- Expressing support for National Facial Protection Month, HR 1339- Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2009, HR 3200- America's Affordable Health Choices Act of 2009 (all provisions), America's Healthy Future Act of 2009 (all provisions)

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

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

H.R. 43/S.46 - Medicare Access to Rehabilitation Services Act of 2009 H.R. 1137 - Athletic Trainers' Equal Access to Medicare Act of 2009 H.R. 1829/ S. 950 - Medicare Patient Access to Physical Therapists Act of 2009 H.R. 1430 - The Medicare Oral Health Rehabilitative Enhancement Act H.R. 2 - Children's Health Insurance Program Reauthorization Act of 2009 Revisions to the home health assessment instrument OASIS National Quality Forum home health quality measures (comments) Cardiac and Pulmonary Rehab national coverage policies AHRQ technical assessment of negative pressure wound therapy devices Implementation of the classification criteria for inpatient rehab facilities known as the 75 percent rule (comments) Home Health assessment instrument known as OASIS C (comments) National Coverage Determination regarding pulmonary rehab and expansion of a current national coverage determination on Cardiac Rehab (comments) Comprehensive assessment regarding the development of HCPCS codes for negative pressure wound therapy (sign on) Analysis and Alternatives to the Inpatient Rehabilitation 75 percent rule (recommendations) Condition of Participation (COP) on rehab agencies Importance of support personnel and related services under IDEA and ESEA. Development of a Plan to Transition to a Medicare Value-Based Purchasing (VBP) Program for Physician and Other Professional Services Issues Paper (comments) Changes to Medicare payment policies (STATS workgroup) Section 427 of Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) Quality Measures Medically Unbelievable Edits (comments) DMEPOS Accreditation AMA Physician Consortium for Performance Improvement EMG performance Physical Medicine and Rehabilitation LCD (comments) Physician Quality Reporting Initiative Provider Enrollment Post Acute Care Issues Post Acute Care Payment Reform Demonstration, including development and testing of CARE tool Development of long term alternatives to the therapy cap - "Developing Outpatient Therapy Alternatives Project" (DOTPA) Medicare Orthotics and Prosthetics Physician Fee Schedule Update Sustainable Growth Rate (SGR) Inpatient Rehab Issues Medicaid Rules- Definition of Outpatient Hospital Services Self Referral H.R. 1094- The Medicare Home Health Flexibility Act Inclusion of Physical Therapists in the Medicare & Medicaid Health Information Technology incentives S. 1213- Patient Centered Outcomes Research Act of 2009 H.R. 2068- Medicare Telehealth Enhancement Act of 2009 H.R. 1094- Medicare Home Health Flexibility Act The Addition of a program to the Center for Medicare Services Innovation Center to research direct access models for expanding access to physical therapy for Medicare beneficiaries in rural areas. Medicare SNF PPS FY 2010 Proposed Rule (comments) Medicare IRF PPS FY 2010 Proposed Rule (comments) Medicare Home Health PPS CY 2010 Proposed rule (comments)

HR 1430, Medicare Oral Health Rehabilitative Enhancement Act of 2009 H Res 193, Expressing support for National Facial PRotection Month HR 1339, Children's Access to Reconstructive Evaluation and Surgery (CARES) Act of 2009 Medicare Reimbursement Issues

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

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

HR 43/S.46 - Medicare Access to Rehabilitation Services Act of 2009 HR 1137 - Athletic Trainers' Equal Access to Medicare Act of 2009 HR 1829 - Medicare Patient Access to Physical Therapists Act of 2009 HR 1430 - The Medicare Oral Health Rehabilitative Enhancement Act HR 2 - Children's Health Insurance Program Reauthorization Act of 2009 Revisions to the home health assessment instrument OASIS National Quality Forum home health quality measures (comments) Cardiac and Pulmonary Rehab national coverage policies AHRQ technical assessment of negative pressure wound therapy devices Implementation of the classification criteria for inpatient rehab facilities known as the 75 percent rule (comments) Home Health assessment instrument known as OASIS C (comments) National Coverage Determination regarding pulmonary rehab and expansion of a current national coverage determination on Cardiac Rehab (comments) Comprehensive assessment regarding the development of HCPCS codes for negative pressure wound therapy (sign on) Analysis and Alternatives to the Inpatient Rehabilitation 75 percent rule (recommendations) Condition of Participation (COP) on rehab agencies Importance of support personnel and related services under IDEA and ESEA. Development of a Plan to Transition to a Medicare Value-Based Purchasing (VBP) Program for Physician and Other Professional Services Issues Paper (comments) Changes to Medicare payment policies (STATS workgroup) Section 427 of Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) Quality Measures Medically Unbelievable Edits (comments) DMEPOS Accreditation AMA Physician Consortium for Performance Improvement EMG performance Physical Medicine and Rehabilitation LCD (comments) Physician Quality Reporting Initiative Provider Enrollment Post Acute Care Issues Post Acute Care Payment Reform Demonstration, including development and testing of CARE tool Development of long term alternatives to the therapy cap - "Developing Outpatient Therapy Alternatives Project" (DOTPA) Medicare Orthotics and Prosthetics Physician Fee Schedule Update Sustainable Growth Rate (SGR) Inpatient Rehab Issues Medicaid Rules- Definition of Outpatient Hospital Services Self Referral HR 1094- The Medicare Home Health Flexibility Act Inclusion of Physical Therapists in the Medicare & Medicaid Health Information Technology incentives

HR 2220, the Essential Oral Health Care Act H.R. 2: Childrens Health Insurance Program Reauthorization Act of 2009: Dental Wrap Around Provision/Amendment H.R. 903 - Dental Emergency Responder Act H.R. 1671/S. 450 - Meth Mouth Prevention and Community Recovery Act HR 3109, the Health Access and Health Professions Supply Act of 2009. S. 616 - Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act American Recovery and Reinvestment Act of 2009: - Empowering Families to Make Healthy Choices (Bond/Coburn Stimulus Amendment) - NHSC dental scholarships and loan repayment, - Postgraduate dental education programs, - Upgrading dental research facilities and equipment, - Medicaid incentive payments related to the adoption of Health Information Technology (HIT), - Increase the federal share of the costs of the state Medicaid program. HRES 204, honoring the American Dental Association for its 150th Anniversary Medical/Dental Coding issues Lead in Dental Crowns Issue Comparative Effectiveness regarding Dental Quality Alliance Health Information Technology (HIT) Regulations H.R. 870, the Medicare Medically Necessary Dental Care Act S. Con. Res. 8/H. Con. Res. 56, a concurrent resolution expressing support for Children's Dental Health Month and honoring the memory of Deamonte Driver. H.R. 1339, the Childrens Access to Reconstructive and Evaluative Surgery CARES Act - specific to dental surgery. HR 1430, to permit physical therapy services to be furnished under the Medicare Program to individuals under the care of a dentist. H.Res. 193, National Facial Protection Month. H.R. 1253 Health Insurance Restrictions and Limitations Clarification Act of 2009, a bill to require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable. H.R. 2400 Strategies to Address Anti-microbial Resistance (STARR) Act, a bill to amend the Public Health Service Act to enhance efforts to address antimicrobial resistance. H.R. 2520/S. 1099 Patients' Choice Act, a bill to provide comprehensive solutions for the health care system of the United States, and for other purposes. Senate Affordable Health Choices Act (proposed). House Health Care Reform Bill (proposed).

Support for the Medicare oral Health Rehabilitative Enhancement Act (H.R. 1430)

Client expense: $98,217 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 43/S.46 - Medicare Access to Rehabilitation Services Act of 2009 HR 1137 - Athletic Trainers' Equal Access to Medicare Act of 2009 HR 1829 - Medicare Patient Access to Physical Therapists Act of 2009 HR 1430 - The Medicare Oral Health Rehabilitative Enhancement Act HR 2 - Children's Health Insurance Program Reauthorization Act of 2009 Revisions to the home health assessment instrument OASIS National Quality Forum home health quality measures (comments) Cardiac and Pulmonary Rehab national coverage policies AHRQ technical assessment of negative pressure wound therapy devices Implementation of the classification criteria for inpatient rehab facilities known as the 75 percent rule (comments) Home Health assessment instrument known as OASIS C (comments) National Coverage Determination regarding pulmonary rehab and expansion of a current national coverage determination on Cardiac Rehab (comments) Comprehensive assessment regarding the development of HCPCS codes for negative pressure wound therapy (sign on) Analysis and Alternatives to the Inpatient Rehabilitation 75 percent rule (recommendations) Condition of Participation (COP) on rehab agencies Importance of support personnel and related services under IDEA and ESEA. Development of a Plan to Transition to a Medicare Value-Based Purchasing (VBP) Program for Physician and Other Professional Services Issues Paper (comments) Changes to Medicare payment policies (STATS workgroup) Section 427 of Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) Quality Measures Medically Unbelievable Edits (comments) DMEPOS Accreditation AMA Physician Consortium for Performance Improvement EMG performance Physical Medicine and Rehabilitation LCD (comments) Physician Quality Reporting Initiative Provider Enrollment Post Acute Care Issues Post Acute Care Payment Reform Demonstration, including development and testing of CARE tool Development of long term alternatives to the therapy cap - "Developing Outpatient Therapy Alternatives Project" (DOTPA) Medicare Orthotics and Prosthetics Physician Fee Schedule Sustainable Growth Rate (SGR) Inpatient Rehab Issues

HR 1339, Children's Access to Reconstuctive Evaluation & Surgery Act HR 1430, the Medicare Oral Health Rehabilitative Act Medicare Reimbursement Issues; Access to Dental Care Legislation H Res 193, Expressing Support for National Facial Protection Month

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

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

Support for the Medicare Oral Health Rehabilitative Enchancement Act (H.R. 1430)

Client expense: $27,789 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE