Medicare Access to Community Health Centers (MATCH) Act of 2009

H.R. 676, Expanded and Improved Medicare for All Act S. 648 & H.R. 1643, "Medicare Access to Community Health Center (MATCH) Act" H.R.2124, Medicare Long-Term Care Hospital Improvement Act of 2009 H.R.2700, Prescription Coverage Now Act of 2009

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Medicare Access to Community Health Centers Act (H.R.1643/S.648); Childrens Health Insurance Program Reauthorization Act of 2009 (H.R.2/S.275); Medicaid Prescription Drug Rebate Equalization Act of 2009(S.547/H.R.904); Medicare Telehealth Enhancement Act of 2009 (H.R.2068); Medicare Transitional Care Act (S.1295); AIDS/HIV/STI Screening Act (no bill#); Kids First (no bill#); Reaching Elders with Assessment and Chronic Care Management and Coordination Act (S.1004); Medicare/Medicaid inclusion of onsite translation, social worker, and non-medically needed transport (no bill#); Coordinated Care Networks (H.R.3043, H.R.1614); Medicare ER Diversion Program (no bill#); DSH Collaborative Care Network Pilot Program Act of 2009 (H.R.3430); Helping Fill the Medicine Rx Gap Act (H.R.2777).

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

-S. 560 and H.R. 1409, Employee Free Choice Act, All Titles. -S. 478 and H.R. 1176, Secret Ballot Protection Act, All Titles. -H.R. 2768 and H.R. 2769, S-MINER Act, All Titles. -HR 576, Federal Mine Ventilation Safety Act of 2007, All Titles. -S. 635, National Workers Comp Study, All Titles. -HR 1322, Emergency Retiree Health Benefits Protection Act, all provisions; -HR 1409 and S 560, Employee Free Choice Act, all provisions -HR 1355, National Labor Relations Modernization Act; all provisions - HR 800 and S. 1041, Employee Free Choice Act, All Titles. - HR 866 and S. 1312, Secret Ballot Protection Act of 2007, All Titles. -MSHA Proposed Regulations 30 CFR Part 66 -HR 3915, ADA Amendments Act, provisions regarding ameliorative measures and discrimination against those regarded as having a disability -HR 1644/S. 969, RESPECT Act, definition of supervisor -HR 2831/S.1843, Lilly Ledbetter legislation, all provisions -HR 1643/S. 1898, FMLA expansion, provision relating to leave for volunteers - HR. 1369, FMLA expansion, provision relating to parent teacher meetings or school field trips - HR. 3662/S. 1792, expansion of WARN Act, provisions requiring 90 days notice; S. 606, blacklisting for federal contractors, provisions relating to blacklisting - S.1928, provisions relating to elimination of caps on punitive and compensatory damages under civil rights laws -HR. 1338/S. 766, Paycheck Fairness Act, all provisions.

Client expense: $970,000 · Firm income: Not reported

-S. 560 and H.R. 1409, Employee Free Choice Act, All Titles. -S. 478 and H.R. 1176, Secret Ballot Protection Act, All Titles. -H.R. 2768 and H.R. 2769, S-MINER Act, All Titles. -HR 576, Federal Mine Ventilation Safety Act of 2007, All Titles. -S. 635, National Workers Comp Study, All Titles. -HR 1322, Emergency Retiree Health Benefits Protection Act, all provisions; -HR 1409 and S 560, Employee Free Choice Act, all provisions -HR 1355, National Labor Relations Modernization Act; all provisions - HR 800 and S. 1041, Employee Free Choice Act, All Titles. - HR 866 and S. 1312, Secret Ballot Protection Act of 2007, All Titles. -MSHA Proposed Regulations 30 CFR Part 66 -HR 3915, ADA Amendments Act, provisions regarding ameliorative measures and discrimination against those regarded as having a disability -HR 1644/S. 969, RESPECT Act, definition of supervisor -HR 2831/S.1843, Lilly Ledbetter legislation, all provisions -HR 1643/S. 1898, FMLA expansion, provision relating to leave for volunteers - HR. 1369, FMLA expansion, provision relating to parent teacher meetings or school field trips - HR. 3662/S. 1792, expansion of WARN Act, provisions requiring 90 days notice; S. 606, blacklisting for federal contractors, provisions relating to blacklisting - S.1928, provisions relating to elimination of caps on punitive and compensatory damages under civil rights laws -HR. 1338/S. 766, Paycheck Fairness Act, all provisions.

Client expense: $1,000,000 · Firm income: Not reported

Medicare Access to Community Health Centers Act (H.R.1643/S.648); Children's Health Insurance Program Reauthorization Act of 2009 (H.R.2/S.275); Medicaid Prescription Drug Rebate Equalization Act of 2009(S.547/H.R.904); Medicare Telehealth Enhancement Act of 2009 (H.R.2068); Medicare Transitional Care Act(S.1295); AIDS/HIV/STI Screening Act (no bill#); Kids First (no bill#); Reaching Elders with Assessment and Chronic Care Management and Coordination Act (S.1004) Medicare/Medicaid inclusion of onsite translation, social worker, and non-medically needed transport (no bill#); Coordinated Care Networks (H.R.3043, H.R.1614); Medicare ER Division Program (no bill#); DSH Collaborative Care Network Pilot Program Act of 2009 (H.R.3430); Helping Fill the Medicine Rx Gap Act (H.R. 2777).

Client expense: $230,000 · Firm income: Not reported

H.R.1643/S.648, MATCH (Medicare Access to Community Health Centers) Act, provisions relating to Community Health Centers

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Access to Community Health Centers Act (H.R.1643/S.648); Childrens Health Insurance Program Reauthorization Act of 2009 (H.R.2/S.275); Medicaid Prescription Drug Rebate Equalization Act of 2009(S.547/H.R.904); Medicare Telehealth Enhancement Act of 2009 (H.R.2068); Medicare Transitional Care Act (S.1295); AIDS/HIV/STI Screening Act (no bill#); Kids First (no bill#); Reaching Elders with Assessment and Chronic Care Management and Coordination Act (S.1004); Medicare/Medicaid inclusion of onsite translation, social worker, and non-medically needed transport (no bill#); Coordinated Care Networks (H.R.3043, H.R.1614); Medicare ER Division Program (no bill#); DSH Collaborative Care Network Pilot Program Act of 2009 (H.R.3430); Helping Fill the Medicine Rx Gap Act (H.R.2777).

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

H.R.1643/S.648, MATCH (Medicare Access to Community Health Centers) Act, provisions relating to Community Health Centers

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

-S. 560 and H.R. 1409, Employee Free Choice Act, All Titles. -S. 478 and H.R. 1176, Secret Ballot Protection Act, All Titles. -H.R. 2768 and H.R. 2769, S-MINER Act, All Titles. -HR 576, Federal Mine Ventilation Safety Act of 2007, All Titles. -S. 635, National Workers Comp Study, All Titles. -HR 1322, Emergency Retiree Health Benefits Protection Act, all provisions; -HR 1409 and S 560, Employee Free Choice Act, all provisions -HR 1355, National Labor Relations Modernization Act; all provisions - HR 800 and S. 1041, Employee Free Choice Act, All Titles. - HR 866 and S. 1312, Secret Ballot Protection Act of 2007, All Titles. -MSHA Proposed Regulations 30 CFR Part 66 -HR 3915, ADA Amendments Act, provisions regarding ameliorative measures and discrimination against those regarded as having a disability -HR 1644/S. 969, RESPECT Act, definition of supervisor -HR 2831/S.1843, Lilly Ledbetter legislation, all provisions -HR 1643/S. 1898, FMLA expansion, provision relating to leave for volunteers - HR. 1369, FMLA expansion, provision relating to parent teacher meetings or school field trips - HR. 3662/S. 1792, expansion of WARN Act, provisions requiring 90 days notice; S. 606, blacklisting for federal contractors, provisions relating to blacklisting - S.1928, provisions relating to elimination of caps on punitive and compensatory damages under civil rights laws -HR. 1338/S. 766, Paycheck Fairness Act, all provisions.

Client expense: $970,000 · Firm income: Not reported

-S. 560 and H.R. 1409, Employee Free Choice Act, All Titles. -S. 478 and H.R. 1176, Secret Ballot Protection Act, All Titles. -H.R. 2768 and H.R. 2769, S-MINER Act, All Titles. -HR 576, Federal Mine Ventilation Safety Act of 2007, All Titles. -S. 635, National Workers Comp Study, All Titles. -HR 1322, Emergency Retiree Health Benefits Protection Act, all provisions; -HR 1409 and S 560, Employee Free Choice Act, all provisions -HR 1355, National Labor Relations Modernization Act; all provisions - HR 800 and S. 1041, Employee Free Choice Act, All Titles. - HR 866 and S. 1312, Secret Ballot Protection Act of 2007, All Titles. -MSHA Proposed Regulations 30 CFR Part 66 -HR 3915, ADA Amendments Act, provisions regarding ameliorative measures and discrimination against those regarded as having a disability -HR 1644/S. 969, RESPECT Act, definition of supervisor -HR 2831/S.1843, Lilly Ledbetter legislation, all provisions -HR 1643/S. 1898, FMLA expansion, provision relating to leave for volunteers - HR. 1369, FMLA expansion, provision relating to parent teacher meetings or school field trips - HR. 3662/S. 1792, expansion of WARN Act, provisions requiring 90 days notice; S. 606, blacklisting for federal contractors, provisions relating to blacklisting - S.1928, provisions relating to elimination of caps on punitive and compensatory damages under civil rights laws -HR. 1338/S. 766, Paycheck Fairness Act, all provisions.

Client expense: $940,000 · Firm income: Not reported

Medicare Access to Community Health Centers Act (H.R.1643/S.648); Children's Health Insurance Program Reauthorization Act of 2009 (H.R.2/S.275); Medicaid Prescription Drug Rebate Equalization Act 2009 (S.547/H.R.904); Medicare Telehealth Enhancement Act of 2009 (H.R.2068); Medicare Transitional Care Act (no bill#); AIDS/HIV/STI Screening Act (no bill#); Reaching Elders w/ Assessment and Chronic Care Management and Coordination Act (S.1004); Medicare / Medicaid inclusion of onsite translation, social worker, and non medically needed transport (no bill#); Coordinated Care Networks (no bill#); Medicare ER diversion program (no bill#)

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

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

S. 168, the SCAAP Reimbursement Protection Act - entire bill H.R. 211/S. 211 - the Calling for 2-1-1 Act - entire bill H.R. 275, to repeal the imposition of withholding on certain payments made to vendors by government entities - entire bill H.R. 448 Elder Abuse Victims Act - entire bill H.R. 690/ S. 144 -The Modernize Our Bookkeeping In the Law for Employees (MOBILE) Cell Phone Act entire bill S. 795, Elder Justice Act entire bill S. 896, the Helping Families Save Their Homes Act reauthorization of McKinney-Vento Homeless Assistance Act H.R. 1032, the Heart Disease Education, Analysis, Research, and Treatment (HEART) for Women Act entire bill H.R. 1139, the COPS Improvements Act of 2009 entire bill H.R. 1404/S. 561, Federal Land Assistance Management and Enhancement Act (FLAME) Act- entire bill H.R. 1639, Border Health Care Relief Act entire bill H.R. 1643/S. 648, the Medicare Access to Community Health Centers (MATCH) Act entire bill H.R. 1906, California Ocean and Coastal Protection Act entire bill H.R. 2182, the Oversight of State and Local Economic Recovery Act entire bill H.R. 2209, the Restoring the Partnership for County Health Care Costs Act entire bill H.R. 2346, FY 2009 Supplemental Appropriations funding for local resources to fight pandemic flu outbreaks H.R. 2454, American Clean Energy & Security Act provisions relating to regulation of emissions of marine vessels FY 2010 Agriculture Appropriations - California County Pest Detection and Import Inspection Programs FY 2010 Commerce, Justice, State Appropriations funding for local law enforcement activities, including youth delinquency prevention, local law enforcement technology needs, domestic abuse programs, drug treatment, SCAAP, and the Southwest Border Prosecution Initiative FY 2010 Energy and Water Appropriations Funding for: Santa Maria River Levee; Lower Mission Creek; Lake Cachuma Recreation Area; Goleta Beach FY 2010 Homeland Security Appropriations - local homeland security and disaster preparedness activities, including public safety, public health, emergency management personnel, communications infrastructure, Assistance to Firefighters Grant program, and Emergency Management Performance Grants FY 2010 Interior Appropriations - Section 6, Cooperative Endangered Species Conservation Fund; Funding for State and local air pollution control programs; Reinstatement of moratorium on offshore drilling FY 2010 Labor, HHS, Education and Related Agencies Appropriations: Funding for public health infrastructure programs: CDC State & Local Capacity, HRSA Hospital preparedness, Title V Maternal and Child Health (MCH) Block Grant; tuberculosis control and prevention; substance abuse block grants; community health centers; immunization programs; mental health block grants; preventative health services block grant; health care safety net grants; community-based health, nutrition services for older Americans FY 2010 Transportation/HUD Appropriations Funding for Lompoc Veterans Building Renovation; funding for housing and community development programs Homeless assistance, HOPWA, Elderly Housing Anti-Gang legislation FEMA grant to assist in the construction of a new emergency operations center Ryan White CARE Act reauthorization Reinstatement of moratorium on offshore drilling Surface Transportation Programs reauthorization funding for County projects; Transit - Small Starts Program BIA Land-into-Trust Notification Procedures

S. 168, the SCAAP Reimbursement Protection Act - entire bill H.R. 211/S. 211 - the Calling for 2-1-1 Act - entire bill H.R. 275, to repeal the imposition of withholding on certain payments made to vendors by government entities - entire bill H.R. 448 Elder Abuse Victims Act - entire bill H.R. 690/ S. 144 -The Modernize Our Bookkeeping In the Law for Employees (MOBILE) Cell Phone Act entire bill S. 795, Elder Justice Act entire bill S. 896, the Helping Families Save Their Homes Act reauthorization of McKinney-Vento Homeless Assistance Act H.R. 915, FAA Reauthorization Airport Improvement Program, Contract Tower program, Firefighting regulations H.R. 1032, the Heart Disease Education, Analysis, Research, and Treatment (HEART) for Women Act entire bill H.R. 1139, the COPS Improvements Act of 2009 entire bill H.R. 1404/S. 561, Federal Land Assistance Management and Enhancement Act (FLAME) Act- entire bill H.R. 1639, Border Health Care Relief Act entire bill H.R. 1643/S. 648, the Medicare Access to Community Health Centers (MATCH) Act entire bill H.R. 1906, California Ocean and Coastal Protection Act entire bill H.R. 2182, the Oversight of State and Local Economic Recovery Act entire bill H.R. 2209, the Restoring the Partnership for County Health Care Costs Act entire bill H.R. 2276, IMPACT Act entire bill H.R. 2346, FY 2009 Supplemental Appropriations funding for local resources to fight pandemic flu outbreaks H.R. 2454, American Clean Energy & Security Act provisions relating to clean vehicles and funding for local energy efficiency programs FY 2010 Agriculture Appropriations - California County Pest Detection and Import Inspection Programs FY 2010 Commerce, Justice, State Appropriations funding for: Methamphetamine Enforcement, Regional Gang UnitForensic Scientists, DNA Services, Sexual Assault Enforcement Team, Computer Aided Dispatch Upgrade, Ventura County HUD Fraud Prevention Program; funding for local law enforcement activities, including youth delinquency prevention, local law enforcement technology needs, domestic abuse programs, drug treatment, SCAAP, and the Southwest Border Prosecution Initiative FY 2010 Energy and Water Appropriations Funding for: Matilija Dam, Santa Clara River Watershed Protection Plan, Santa Paula Creek Storm Damage Restoration Work, Mugu Lagoon and Calleguas Creek Watershed Flood Protection and Ecosystem Restoration Projects FY 2010 Homeland Security Appropriations - local homeland security and disaster preparedness activities, including public safety, public health, emergency management personnel, communications infrastructure, Assistance to Firefighters Grant program, and Emergency Management Performance Grants FY 2010 Interior Appropriations - Fire Safety and Fuels Reduction Program, Section 6, Cooperative Endangered Species Conservation Fund; Funding for State and local air pollution control programs FY 2010 Labor, HHS, Education and Related Agencies Appropriations: Funding for: Juvenile Wellness Court, Adult Protective Services Predictive Model; One-Stop Health Care Enrollment Center; Adult Protective Services Multidisciplinary Team, Pathways to Improving the Lives of Children and Families. Funding for public health infrastructure programs: CDC State & Local Capacity, HRSA Hospital preparedness, Title V Maternal and Child Health (MCH) Block Grant; tuberculosis control and prevention; substance abuse block grants; community health centers; immunization programs; mental health block grants; preventative health services block grant; health care safety net grants; community-based health, nutrition services for older Americans; and Library Services and Technology Act funding FY 2010 Transportation/HUD Appropriations - Airport Improvement Program; funding for housing and community development programs Homeless assistance, HOPWA, Elderly Housing Anti-Gang legislation Title V Maternal & Child Health program Formula Recalculation Ryan White CARE Act reauthorization Proposal to cut Medicare and Medicaid payments to Disproportionate Share Hospitals (DSH) to help fund expanded health care coverage NRCS Grant Funding for Beardsley Wash project

S. 168, the SCAAP Reimbursement Protection Act - entire bill H.R. 211/S. 211 - the Calling for 2-1-1 Act - entire bill H.R. 275, to repeal the imposition of withholding on certain payments made to vendors by government entities - entire bill H.R. 448 Elder Abuse Victims Act - entire bill S. 168, the SCAAP Reimbursement Protection Act - entire bill H.R. 211/S. 211 - the Calling for 2-1-1 Act - entire bill H.R. 275, to repeal the imposition of withholding on certain payments made to vendors by government entities - entire bill H.R. 448 Elder Abuse Victims Act - entire bill H.R. 690/ S. 144 -The Modernize Our Bookkeeping In the Law for Employees (MOBILE) Cell Phone Act entire bill S. 795, Elder Justice Act entire bill S. 896, the Helping Families Save Their Homes Act reauthorization of McKinney-Vento Homeless Assistance Act H.R. 915, FAA Reauthorization Airport Improvement Program, Firefighting regulations H.R. 1032, the Heart Disease Education, Analysis, Research, and Treatment (HEART) for Women Act entire bill H.R. 1139, the COPS Improvements Act of 2009 entire bill H.R. 1404/S. 561, Federal Land Assistance Management and Enhancement Act (FLAME) Act- entire bill H.R. 1639, Border Health Care Relief Act entire bill H.R. 1643/S. 648, the Medicare Access to Community Health Centers (MATCH) Act entire bill H.R. 2182, the Oversight of State and Local Economic Recovery Act entire bill H.R. 2209, the Restoring the Partnership for County Health Care Costs Act entire bill H.R. 2276, IMPACT Act entire bill H.R. 2346, FY 2009 Supplemental Appropriations funding for local resources to fight pandemic flu outbreaks H.R. 2454, American Clean Energy & Security Act impacts on local government FY 2010 Agriculture Appropriations - California County Pest Detection and Import Inspection Programs; funding for Thermal Affordable Housing FY 2010 Commerce, Justice, State Appropriations funding for: night vision binoculars for the Sheriffs Department, and the Sheriffs Departments digital management system; funding for local law enforcement activities, including youth delinquency prevention, local law enforcement technology needs, domestic abuse programs, drug treatment, SCAAP, and the Southwest Border Prosecution Initiative FY 2010 Energy and Water Appropriations - Riverside County Special Area Management Planning (SAMP) Program; Rancho California Water Reclamation project FY 2010 Homeland Security Appropriations - local homeland security and disaster preparedness activities, including public safety, public health, emergency management personnel, communications infrastructure, Assistance to Firefighters Grant program, and Emergency Management Performance Grants FY 2010 Interior Appropriations - Fire Safety and Fuels Reduction Program, Section 6, Cooperative Endangered Species Conservation Fund; Funding for State and local air pollution control programs; Funding for habitat acquisition in Santa Rosa/San Jacinto Mountains FY 2010 Labor, HHS, Education and Related Agencies Appropriations: Funding for public health infrastructure programs Funding for Riverside County Regional Medical Center; funding for: CDC State & Local Capacity, HRSA Hospital preparedness, MMRS, DMAT, Title V Maternal and Child Health (MCH) Block Grant; tuberculosis control and prevention; substance abuse block grants; community health centers; immunization programs; mental health block grants; preventative health services block grant; health care safety net grants; community-based health, nutrition services for older Americans; and Library Services and Technology Act funding FY 2010 Transportation/HUD Appropriations - Airport Improvement Program; Funding for Emergency rental housing vouchers for Duroville residents, and Western Regional Homeless Multi-Service Center; funding for housing and community development programs Section 8, HOME Program, Homeless assistance, HOPWA, Elderly Housing Anti-Gang legislation Title V Maternal & Child Health program Formula Recalculation Ryan White CARE Act reauthorization Proposal to cut Medicare and Medicaid payments to Disproportionate Share Hospitals (DSH) to help fund expanded health care coverage

H.r.1643/S.648, MATCH (Medicare Access to Community Health Centers) Act, Community Health Center related issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 676, Expanded and Improved Medicare for All Act S. 648 & H.R. 1643, "Medicare Access to Community Health Center (MATCH) Act" H.R.2124, Medicare Long-Term Care Hospital Improvement Act of 2009 H.R.2700, Prescription Coverage Now Act of 2009

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

MATCH Act; Medicare Access to Community Health Centers-H.R.1643/S.648; Childrens Health Insurance Program Reauthorization Act of 2009-H.R.2/S.275

Client expense: $170,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), White House Office

HR 27Medicare Fraud Prevention and Enforcement Act of 2009, a bill to amend title XVIII of the Social Security Act to establish additional provisions to combat waste, fraud, and abuse within the Medicare Program, and for other purposes; HR 43 and S 46, Medicare Access to Rehabilitation Services Act of 2009, a bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps; S 53 Nursing School Clinics Act of 2009, a bill to amend title XIX of the Social Security Act to provide for coverage of services provided by nursing school clinics under State Medicaid programs; S 54 Registered Nurse Safe Staffing Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for patient protection by establishing minimum nurse staffing ratios at certain Medicare providers, and for other purposes; S 63 Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009, a bill to amend title XIX of the Social Security Act to improve access to advanced practice nurses and physicians' assistants under the Medicaid Program; HR 319 Legal Immigrant Children's Health Improvement Act of 2009, a bill to amend titles XIX and XXI of the Social Security Act to permit States the option of coverage of legal immigrants under the Medicaid Program and the State children's health insurance program (SCHIP); S 214 Children's Health Equity Technical Amendments Act of 2009, a bill to amend title XXI of the Social Security Act to permit qualifying States to use their allotments under the State Children's Health Insurance Program for any fiscal year for certain Medicaid expenditures; HR 362 and S 318 Medicare Rural Health Access Improvement Act of 2009, a bill to amend title XVIII of the Social Security Act to improve access to health care under the Medicare program for beneficiaries residing in rural areas; HR 465,a bill to amend titles XIX and XXI of the Social Security Act to permit States to ensure coverage without a 5-year delay of certain children and pregnant women under the Medicaid program and SCHIP; HR 487, a bill to waive the 35-mile requirement for designation of a critical access hospital under the Medicare program; HR 592 and S 264 E-Centives Act of 2009, a bill to amend title XIX of the Social Security Act to encourage the use of certified health information technology by providers in the Medicaid Program and the Children's Health Insurance Program, and for other purposes; HR 619 a bill to amend title XIX of the Social Security Act to remove the exclusion from medical assistance under the Medicaid Program of items and services for patients in an institution for mental diseases; S 295 Medicare Quality and Payment Reform Act of 2009, to amend title XVIII of the Social Security Act to improve the quality and efficiency of the Medicare program through measurement of readmission rates and resource use and to develop a pilot program to provide episodic payments to organized groups of multispecialty and multilevel providers of services and suppliers for hospitalization episodes associated with select, high cost diagnoses; S 301Physician Payments Sunshine Act of 2009, a bill to amend title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, biologicals, or medical supplies for which payment is made under Medicare, Medicaid, or SCHIP; HR 668 and S 307 Critical Access Hospital Flexibility Act of 2009, a bill to amend title XVIII of the Social Security Act to provide flexibility in the manner in which beds are counted for purposes of determining whether a hospital may be designated as a critical access hospital under the Medicare program and to exempt from the critical access hospital inpatient bed limitation the number of beds provided for certain veterans; HR 902 and S. 382 MediFair Act of 2009, a bill to amend title XVIII of the Social Security Act to improve the provision of items and services provided to Medicare beneficiaries residing in States with more cost-effective health care delivery systems; HR 1094 Medicare Home Health Flexibility Act of 2009, a bill to ensure that home health agencies can assign the most appropriate skilled service to make the initial assessment visit for home health services for Medicare beneficiaries requiring rehabilitation therapy under a home health plan of care, based upon physician referral; S 434 Empowered at Home Act of 2009, a bill to amend title XIX of the Social Security Act to improve the State plan amendment option for providing home and community-based services under the Medicaid program, and for other purposes; S 438 Improved Medical Decision Incentive Act of 2009, a bill to provide for the voluntary development by States of qualifying best practices for health care and to encourage such voluntary development by amending titles XVIII and XIX of the Social Security Act to provide differential rates of payment favoring treatment provided consistent with qualifying best practices under the Medicare and Medicaid programs, and for other purposes; HR 1117 Medically Fragile Children's Act of 2009, a bill to amend title XIX of the Social Security Act to establish a State plan option under Medicaid to provide an all-inclusive program of care for children who are medically fragile or have one or more chronic conditions that impede their ability to function; HR 1118 Health Care Choices for Senior Act, a bill to amend the Social Security Act to improve choices available to Medicare eligible seniors by permitting them to elect (instead of regular Medicare benefits) to receive a voucher for a health savings acount, for premiums for a high deductible health insurance plan, or both and by suspending Medicare late enrollment penalties between ages 65 and 70; HR 1125 Long-Term Care Quality Improvement Act of 2009, a bill to amend title XVIII of the Social Security Act to improve the quality of care in skilled nursing facilities under the Medicare Program through requiring the reporting of expenditures for nursing; HR 1137 Athletic Trainers' Equal Access to Medicare Act of 2009, a bill to amend title XVIII of the Social Security Act to provide improved access to physical medicine and rehabilitation services under part B of the Medicare Program, and for other purposes; S 457 Fostering Independence Through Technology Act of 2009, a bill to establish pilot projects under the Medicare program to provide incentives for home health agencies to utilize home monitoring and communications technologies; HR 1188 and S 468 Access to Emergency Medical Services Act of 2009, a bill to amend title XVIII of the Social Security Act to improve access to emergency medical services and the quality and efficiency of care furnished in emergency departments of hospitals and critical access hospitals by establishing a bipartisan commission to examine factors that affect the effective delivery of such services, by providing for additional payments for certain physician services furnished in such emergency departments, and by establishing a Centers for Medicare & Medicaid Services Working Group, and for other purposes; HR 1643 and S 648 Medicare Access to Community Health Centers (MATCH) Act of 2009, a bill to amend title XVIII of the Social Security Act to establish a prospective payment system instead of the reasonable cost-based reimbursement method for Medicare-covered services provided by Federally qualified health centers and to expand the scope of such covered services to account for expansions in the scope of services provided by Federally qualified health centers since the inclusion of such services for coverage under the Medicare Program; S 677 Reforming an Entitlement through Premium Adjustments based on Income Resources (REPAIR) Act of 2009, a bill to amend title XVIII of the Social Security Act to require wealthy beneficiaries to pay a greater share of their premiums under the Medicare prescription drug program; S 712 Rural Medicare Equity Act of 2009, a bill to amend title XVIII of the Social Security Act to improve the Medicare program for beneficiaries residing in rural areas; HR 1776 Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2009, a bill to amend title XVIII of the Social Security Act to expand the development of quality measures for inpatient hospital services, to implement a performance-based payment methodology for the provision of such services under the Medicare Program; Senator Schumer and Senator Roberts Letter eliminating IME Cuts CMS to withdraw the Capital IME cut that was included in last years Medicare IPPS rule; Letter to President Obama from Neal/ Tiberi on Capitol IME PROTECT AMERICAS TEACHING HOSPITALS, asking him to withdraw a provision in the FY 2010 IPPS rule that would cut reimbursements to teaching hospitals. Letter to CMS asking to eliminate the state-specific budget neutrality policy for the rural and imputed rural floor indices in the upcoming FY2010 Inpatient Prospective Payment System Rule (IPPS).Working on legislation to amend the Medicare Recovery Audit Contractor Program.

H. R 684 Medicare Prescription Drug Savings and Choice Act of 2009 S. 648 Medicare Access to Community Health Center (MATCH) Act H.R. 1643 Medicare Access to Community Health Center (MATCH) Act H.R. 676 Expanded and Improved Medicare for All Act

Client expense: $260,000 · Firm income: Not reported

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