Medicare Long-Term Care Hospital Improvement Act of 2009

H.R.444/S.1239, 340B Program Improvement and Integrity Act of 2009, Medicare Recovery Audit Contractor (RAC) Program. President's Budget, Medicare and Medicaid hospital reimbursement issues. H.R.4213, American Jobs and Closing Tax Loopholes Act of 2010, Medicare payment related issues. Public Law 111-226, Education and Medicaid Funding for States Act, FMAP issues. H.R.2124/S.935, Medicare Long-Term Care Hospital Improvement Act of 2009, Long term care related issues. H.R.1776, Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2009, Heatlh Quality related issues. S.301, Physician Payments Sunshine Act of 2009, Health Transparency related issues. Health care reform, Hospital related issues and initiatives. Public Law 111-148, The Patient Protection and Affordable Care Act, Hospital related issues and initiatives. H.R.4872, Health Care and Education Reconciliation Act of 2010, Hospital related issues and initiatives. H.R.5712, Veterans', Seniors' and Childrens Technical Corrections Acto f 2010, 340B program issues. S.3793, Job Creation and Tax Cuts Act of 2010, 340B program issues. H.R.444/S.1239, 340B Program IMprovement and Integrity Act of 2009, 340B program issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 973/HR 2251, Resident Physician shortage Reductions Act of 2009, To amend title XVIII of the Social Security Act (SSA) to provide the distributions of additional residency positions, and for other purposes, S 1355, Rural Health Clinic Patient Access and Improvement Act of undeserved rural area and for other purposes HR 2350, Preserving Patient Access of Primary Care Act of 2009, to amend the Public Health Service Act and the SSA to increase the number of primary care physicians and primary care provider and to improve patient access to primary care services and physicians and primary care provider and to improve patient access to primary care services and for other purposes. HR 2176, Nursing and Allied Health Education Preservations Act of 2009, to amend title XVIII of SSA to continue the ability of hospitals to supply a needed workforce of nurses and allied health professional by preserving funding for hospitals operating nursing and allied health educations programs. S 935/HR 2124 Medicare Long-Term Care Hospital Improvement Act of 2009, to extend subsections (c) and (d) of sections 114 of the Medicare,Medicaid and SCHIP Extension Act of 2007 to provide for regulatory stability during the development of facility and patients criteria for long-term care hospitals under the Medicare Program and for other purposes. S 254/HR 254 Medicare Home Infusion Therapy coverage Act of 2009., to amend title XVIII of the Social Security Act to provide for the coverage of home infusion therapy under the Medicare Program HR 1776, Quality FIRST, to amend title XVIII of the SSA to implement a performance-based payment methodology for the provisions of such service under the Medicare Program, and for other purposes. S 1796/ HR 3200 Americans Healthy Future Act. Senate bill, all Medicare provisions, to provide affordable, quality hearth care for all Americans and reduce the growth in health care spending, and for other purposes HR 2753, Inpatient Psychiatric Service for Individuals Under Aged 21 in Psychiatric Facilities or Programs, 42 CFR 441.151. (a)(2), centers for Medicare and Medicaid Services. To delay the implementations of new Medicare hospital geographic wage reclassifications criteria until the Secretary of Heath and Human Services issues a proposal to revise the hospital wage index classifications system that addresses certain considerations. S 1679/ HR 3962 Affordable Health Choices Act, entire bill, an original bill to make quality, affordable health care available to all Americans, reduce the cost, improve health care quality all Americans and reduce the growth in health care spending and for other purposes. HR 3961, Medicare Physician Payments Reforms Act of 2009. entire bill, to amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physicians and to reinstitution and update the Pay-As-you- Go requirements of budget neutrally on new tax and mandatory spending legislation, enforces by the of annual automatic sequestrations. HR 3590 - the Patient Protections and Affordable Care Act, entire bill, An act entitled The Patient Protection and Affordable Care Act. HR 4851 - The Continuing Extension of Act 2010 HR 4691- Temporary Extension Act 2010 HR 4872, Health Care and Education Reconciliation Act of 2010 HR 2847 - Hiring Incentive to Restore Employment HR 4213, American Workers, State and Business Relief Incentive Program CMS Proposed Rule: Electronic Health Record Incentive Program CME Interim Final Rule: Health Information's Technology, Initial Set of Standards, Implementations Specification and Certification Criteria for Electronic Health Record Technology

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Annual Update for Inpatient Hospital Prospective Payment System Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009, all titles H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.275 - Children's Health Insurance Program Reauthorization Act of 2009, all titles S.935 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healthy Future Act of 2009 H.R. 3962 Presentation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R. 3590 Patient Protection and Affordable Care Act H.R. 4213 American Jobs and Closing Tax Loophole Act of 2010 H.R. 4872 Health Care and Education Reconciliation Act of 2010

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

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

Annual Update for Inpatient Hospital Prospective Payment System Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009, all titles H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.275 - Children's Health Insurance Program Reauthorization Act of 2009, all titles S.935 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healthy Future Act of 2009 H.R. 3962 Presentation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R. 3590 Patient Protection and Affordable Care Act H.R. 4213 American Jobs and Closing Tax Loophole Act of 2010 H.R. 4872 Health Care and Education Reconciliation Act of 2010

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

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

H.R.444/S.1239, 340B Program Improvement and Integrity Act of 2009, Medicare Recovery Audit Contractor (RAC) Program. President's Budget, Medicare and Medicaid hospital reimbursement issues. H.R.4213, American Jobs and Closing Tax Loopholes Act of 2010, Medicare payment related issues. H.R.2124/S.935, Medicare Long-Term Care Hospital Improvement Act of 2009, Long term care related issues. H.R.1776, Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2009, Heatlh Quality related issues. S.301, Physician Payments Sunshine Act of 2009, Health Transparency related issues. Health care reform, Hospital related issues and initiatives. Public Law 111-148, The Patient Protection and Affordable Care Act, Hospital related issues and initiatives. H.R.4872, Health Care and Education Reconciliation Act of 2010, Hospital related issues and initiatives.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Annual Update for Inpatient Hospital Prospective Payment System Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009, all titles H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.275 - Children's Health Insurance Program Reauthorization Act of 2009, all titles S.935 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009 H.R. 3962 Affordable Health Care for America Act H.R. 3590 Patient Protection and Affordable Care Act

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

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

Annual Update for Inpatient Hospital Prospective Payment System Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009, all titles H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.275 - Children's Health Insurance Program Reauthorization Act of 2009, all titles S.935 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009 H.R. 3962 Affordable Health Care for America Act H.R. 3590 Patient Protection and Affordable Care Act

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

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

Indian healthcare reauthorization--all provisions HR 2124 Medicare Long-Term Care Hospital Improvement Act of 2009--all provisions H.R. 3590 Patient Protection and Affordable Care Act--tribal and long-term care hospital provisions HR 3608 Tribal Health Benefits Clarification Act of 2009--all provisions H.R. 4872 Health Care and Education Reconciliation Act of 2010--long-term care hospital provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY11 Commerce, Justice, Science appropriations bill--Office of Justice Programs funding FY11 Interior, Environment appropriations bill--BIA and IHS funding Monitor gaming legislation, regulations and National Indian Gaming Commission Indian healthcare reauthorization--all provisions HR 2124 Medicare Long-Term Care Hospital Improvement Act of 2009--all provisions H.R. 3590 Patient Protection and Affordable Care Act--tribal and long-term care hospital provisions HR 3608 Tribal Health Benefits Clarification Act of 2009--all provisions H.R. 4872 Health Care and Education Reconciliation Act of 2010--long-term care hospital provisions HR 1409/S 560 Employee Free Choice Act--all provisions Monitor legislation and regulations on 8(a) small business programs

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.444/S.1239, 340B Program Improvement and Integrity Act of 2009, Medicare Recovery Audit Contractor (RAC) Program. President's Budget, Medicare and Medicaid hospital reimbursement issues. H.R.2124/S.935, Medicare Long-Term Care Hospital Improvement Act of 2009, Long term care related issues. H.R.1776, Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2009, Heatlh Quality related issues. S.301, Physician Payments Sunshine Act of 2009, Health Transparency related issues. Health care reform, Hospital related issues and initiatives. H.R.3200, America's Affordable Health Choices Act of 2009, Hospital related issues and initiatives. S.1679, Affordable Health Choices Act, Hospital related issues and initiatives. Public Law 111-148, The Patient Protection and Affordable Care Act, Hospital related issues and initiatives. H.R.4872, Health Care and Education Reconciliation Act of 2010, Hospital related issues and initiatives.

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

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

S 973/HR 2251, Resident Physician shortage Reductions Act of 2009, To amend title XVIII of the Social Security Act (SSA) to provide the distributions of additional residency positions, and for other purposes, S 1355, Rural Health Clinic Patient Access and Improvement Act of undeserved rural area and for other purposes HR 2350, Preserving Patient Access of Primary Care Act of 2009, to amend the Public Health Service Act and the SSA to increase the number of primary care physicians and primary care provider and to improve patient access to primary care services and physicians and primary care provider and to improve patient access to primary care services and for other purposes. HR 2176, Nursing and Allied Health Education Preservations Act of 2009, to amend title XVIII of SSA to continue the ability of hospitals to supply a needed workforce of nurses and allied health professional by preserving funding for hospitals operating nursing and allied health educations programs. S 935/HR 2124 Medicare Long-Term Care Hospital Improvement Act of 2009, to extend subsections (c) and (d) of sections 114 of the Medicare,Medicaid and SCHIP Extension Act of 2007 to provide for regulatory stability during the development of facility and patients criteria for long-term care hospitals under the Medicare Program and for other purposes. S 254/HR 254 Medicare Home Infusion Therapy coverage Act of 2009., to amend title XVIII of the Social Security Act to provide for the coverage of home infusion therapy under the Medicare Program HR 1776, Quality FIRST, to amend title XVIII of the SSA to implement a performance-based payment methodology for the provisions of such service under the Medicare Program, and for other purposes. S 1796/ HR 3200 Americans Healthy Future Act. Senate bill, all Medicare provisions, to provide affordable, quality hearth care for all Americans and reduce the growth in health care spending, and for other purposes HR 2753, Inpatient Psychiatric Service for Individuals Under Aged 21 in Psychiatric Facilities or Programs, 42 CFR 441.151. (a)(2), centers for Medicare and Medicaid Services. To delay the implementations of new Medicare hospital geographic wage reclassifications criteria until the Secretary of Heath and Human Services issues a proposal to revise the hospital wage index classifications system that addresses certain considerations. S 1679/ HR 3962 Affordable Health Choices Act, entire bill, an original bill to make quality, affordable health care available to all Americans, reduce the cost, improve health care quality all Americans and reduce the growth in health care spending and for other purposes. HR 3961, Medicare Physician Payments Reforms Act of 2009. entire bill, to amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physicians and to reinstitution and update the Pay-As-you- Go requirements of budget neutrally on new tax and mandatory spending legislation, enforces by the of annual automatic sequestrations. HR 3590 - the Patient Protections and Affordable Care Act, entire bill, An act entitled The Patient Protectiom and Affordable Care Act.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 973/HR 2251, Resident Physician shortage Reductions Act of 2009, To amend title XVIII of the Social Security Act (SSA) to provide the distributions of additional residency positions, and for other purposes, S 1355, Rural Health Clinic Patient Access and Improvement Act of undeserved rural area and for other purposes HR 2350, Preserving Patient Access of Primary Care Act of 2009, to amend the Public Health Service Act and the SSA to increase the number of primary care physicians and primary care provider and to improve patient access to primary care services and physicians and primary care provider and to improve patient access to primary care services and for other purposes. HR 2176, Nursing and Allied Health Education Preservations Act of 2009, to amend title XVIII of SSA to continue the ability of hospitals to supply a needed workforce of nurses and allied health professional by preserving funding for hospitals operating nursing and allied health educations programs. S 935/HR 2124 Medicare Long-Term Care Hospital Improvement Act of 2009, to extend subsections (c) and (d) of sections 114 of the Medicare,Medicaid and SCHIP Extension Act of 2007 to provide for regulatory stability during the development of facility and patients criteria for long-term care hospitals under the Medicare Program and for other purposes. S 254/HR 254 Medicare Home Infusion Therapy coverage Act of 2009., to amend title XVIII of the Social Security Act to provide for the coverage of home infusion therapy under the Medicare Program HR 1776, Quality FIRST, to amend title XVIII of the SSA to implement a performance-based payment methodology for the provisions of such service under the Medicare Program, and for other purposes. HR 3200 Americans Healthy Future Act. Senate bill, all Medicare provisions, to provide affordable, quality hearlth care for all Americans and reduce the growth in health care spending, and for other purposes HR 2753, Inpatient Psychiatric Service for Individuals Under Aged 21 in Psychiatric Facilities or Programs, 42 CFR 441.151. (a)(2), centers for Medicare and Medicaid Services. To delay the implementations of new Medicare hospital geographic wage reclassifications criteria until the Secretary of Heath and Human Services issues a proposal to revise the hospital wage index classificatins system that addresses certain considerations.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare prospective payment system; Long Term Acute Care Hospitals (CTCH); In-office ancillary services; HR 2124; HR 3590

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Annual Update for Inpatient Hospital Prospective Payment System Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009, all titles H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.275 - Children's Health Insurance Program Reauthorization Act of 2009, all titles S.935 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009 H.R. 3962 Affordable Health Care for America Act H.R. 3590 Patient Protection and Affordable Care Act

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

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

Annual Update for Inpatient Hospital Prospective Payment System Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009, all titles H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.275 - Children's Health Insurance Program Reauthorization Act of 2009, all titles S.935 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009 H.R. 3962 Affordable Health Care for America Act H.R. 3590 Patient Protection and Affordable Care Act

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

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

H.R.444/S.1239, 340B Program Improvement and Integrity Act of 2009, Medicare Recovery Audit Contractor (RAC) Program. President's Budget, Medicare and Medicaid hospital reimbursement issues. H.R.2124/S.935, Medicare Long-Term Care Hospital Improvement Act of 2009, Long term care related issues. H.R.1776, Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2009, Heatlh Quality related issues. S.301, Physician Payments Sunshine Act of 2009, Health Transparency related issues. Health care reform, Hospital related issues and initiatives. H.R.3200, America's Affordable Health Choices Act of 2009, Hospital related issues and initiatives. S.1679, Affordable Health Choices Act, Hospital related issues and initiatives.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Indian healthcare reauthorization--all provisions HR 2124 Medicare Long-Term Care Hospital Improvement Act of 2009--all provisions HR 3200 America's Affordable Health Choices Act of 2009--tribal and long-term care hospital provisions H.R. 3590 Patient Protection and Affordable Care Act--tribal and long-term care hospital provisions HR 3608 Tribal Health Benefits Clarification Act of 2009--all provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2847, FY10 Commerce, Justice, Science appropriations bill--Office of Justice Programs funding HR 2996, FY10 Interior, Environment appropriations bill--BIA and IHS funding Gaming: Monitor legislation, regulations and National Indian Gaming Commission Indian healthcare reauthorization--all provisions HR 2124 Medicare Long-Term Care Hospital Improvement Act of 2009--all provisions HR 3200 America's Affordable Health Choices Act of 2009--tribal and long-term care hospital provisions H.R. 3590 Patient Protection and Affordable Care Act--tribal and long-term care hospital provisions HR 3608 Tribal Health Benefits Clarification Act of 2009--all provisions HR 1409/S 560 Employee Free Choice Act--all provisions Small Business: Monitor legislation and regulations on 8(a) programs

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2124 Medicare Long-Term Care Hospital Improvement Act of 2009--all provisions HR 3200 America's Affordable Health Choices Act of 2009--tribal and long-term care hospital provisions H.R. 3590 Patient Protection and Affordable Care Act--tribal and long-term care hospital provisions HR 3608 Tribal Health Benefits Clarification Act of 2009--all provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1217 - Medicaid Services Restoration Act Senate Finance Committee Policy Options Affordable Health Choices Act (Senate) H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009 H.R.27 -Medicare Fraud Prevention and Enforcement Act of 2009 H.R.464 - More Children, More Choices Act of 2009 H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009 H.R.2209 - Restoring the Partnership for County Health Care Costs Act of 2009 H.R.2390 - Guidance, Understanding, and Information for Dual Eligibles (GUIDE) Act

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

Government targets: Administration for Children & Families (ACF), Administration on Aging, Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Motor Carrier Safety Administration, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Indian Health Service, Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Highway Traffic Safety Administration (NHTSA), Natl Institute of Mental Health (NIMH), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office on Violence Against Women, SENATE, Social Security Administration (SSA), Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA), White House Office

S. 935, Medicare Long Term Care Hospital Improvement Act of 2009, all sections. To extend section 114, subsection (c) and (d) of the Medicare, Medicaid, SCHIP Extension Act of 2007 to provide regulatory stability during the development of facility and patient criteria for long term care hospitals. H.R. 2124, Medicare Long Term Care Hospital Improvement Act of 2009, all sections. To extend section 114, subsection (c) and (d) of the Medicare, Medicaid, SCHIP Extension Act of 2007 to provide regulatory stability during the development of facility and patient criteria for long term care hospitals. H.R. 43, Medicare Access to Rehabilitation Services Act of 2009, section 1 and 2. To repeal the Medicare outpatient therapy cap. S. 46, Medicare Access to Rehabilitation Services Act of 2009, section 1 and 2. To repeal the Medicare outpatient therapy cap. S. 697, Community Living Assistance Services and Support Act, Title I, section 101, Title II, section 201-204. Calls for the establishment of a national, voluntary insurance program for purchasing community living assistance and support services and other purposes. H.R. 3590, The Patient Protection and Affordable Care Act, all sections related to post-acute Medicare reimbursements,delivery system reforms, pilots and demonstration projects, care coordination and quality and transparency. S. 1110, Medicare Payment Advisory Commission (MedPAC) Reform Act, all sections. To make the Medicare Payment Advisory Commission an executive branch agency and providing the Commission new resources and authority to implement Medicare payment policy.

Client expense: $830,000 · Firm income: Not reported

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

Issues involving Medicare, long term care hospitals & health care reform in S.935 & H.R.2124, the Patient Protection & Affordable Care Act (Mgr. Amdt. sponsor by Senator Harry Reid in 12/09), the America's Healthy Future Act, S. 1796 (sponsored by Senator Max Baucus), the Affordable Health Choices Act (Reported from the Senate Health, Education, Labor and Pensions Committee) and H.R. 3200 (America's Affordable Health Choices Act of 2009) which are under consideration by the 111th Congress.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

America's Affordable Health Choices Act of 2009 (HR 3200); Affordable Health Choices Act (S. 1679); House and Senate Health Reform Proposals; Employee Free Choice Act of 2009 (H.R. 1409/S.560); Long-Term Care Hospital Bills (H.R. 2124/S. 935; MedPAC Reform Act of 2009 (S. 1110, S.1380); Medicare Program: Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2010.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE

HR 27 Medicare 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 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; 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; 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; 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 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; 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 Capital 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; S 852 a bill to apply an alternative payment amount under the Medicare program for certain graduate medical education programs established to train residents displaced by natural disasters; HR 2068 Medicare Telehealth Enhancement Act of 2009, a bill to improve the provision of telehealth services under the Medicare Program; HR 2094 Physician Training Promotion Act of 2009, a bill to amend title XVIII of the Social Security Act to increase the per resident payment floor for direct graduate medical education payments under the Medicare Program; HR 2124 Medicare Long-Term Care Hospital Improvement Act of 2009, a bill to extend subsections (c) and (d) of section 114 of the Medicare, Medicaid, & SCHIP Extension Act of 2007 (Public Law 110-173) to provide for regulatory stability during the development of facility and patient criteria for long-term care hospitals under the Medicare program; HR 2204 Medicare Access to Rural Anesthesiology Act of 2009, a bill to amend title XVIII of the Social Security Act to provide payment under part A of the Medicare Program on a reasonable cost basis for anesthesia services furnished by an anesthesiologist in certain rural hospitals in the same manner as payments are provided for anesthesia services furnished by anesthesiologist assistants and certified registered nurse anesthetists in such hospitals; S 935 Medicare Long-Term Care Hospital Improvement Act of 2009, a bill to extend subsections (c) and (d) of section 114 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Public Law 110-173) to provide for regulatory stability during the development of facility and patient criteria for long-term care hospitals under the Medicare program; HR 2443 Medicare Ambulance Access Preservation Act of 2009, a bill to amend title XVIII of the Social Security Act to preserve access to ambulance services under the Medicare Program; S 1079 Medicare Cost Contract Extension and Refinement Act of 2009, a bill to amend title XVIII of the Social Security Act to extend reasonable cost contracts under the Medicare program; HR 2525 Safeguarding Our Hospitals' Futures Act of 2009, a bill to require application of budget neutrality on a national basis in the calculation of the Medicare hospital wage index floor for each all-urban and rural State; HR 2534 Physician Pathology Services Continuity Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; S 1108 Safeguarding Our Hospitals' Futures Act of 2009, a bill to require application of budget neutrality on a national basis in the calculation of the Medicare hospital wage index floor for each all-urban and rural State; S 1110 Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009, a bill to amend title XVIII of the Social Security Act to create a sensible infrastructure for delivery system reform by renaming the Medicare Payment Advisory Commission, making the Commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy; S 1114 Medical Homes Act of 2009, a bill to establish a demonstration project to provide for patient-centered medical homes to improve the effectiveness and efficiency in providing medical assistance under the Medicaid program and child health assistance under the State Children's Health Insurance Program; Letters and further discussions to CMS, Physician Supervision for Outpatient Service, resend policy changes requiring direct physician supervision for all PSO therapeutic Outpatient Service provided in and on hospital campus under Medicare, and withdraw change to minimize legal risk for years 2001-2009; HR 2688 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; HR 2692 and S 1171CAH Designation Waiver Authority Act of 2009, a bill to amend title XVIII of the Social Security Act to restore State authority to waive the 35-mile rule for designating critical access hospitals under the Medicare Program; HR 2718 Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009, a bill to amend title XVIII of the Social Security Act to create a sensible infrastructure for delivery system reform by renaming the Medicare Payment Advisory Commission, making the Commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy; S 1185 Medicare Financial Stability for Beneficiaries Act of 2009, a bill to amend titles XVIII and XIX of the Social Security Act to ensure that low-income beneficiaries have improved access to health care under the Medicare and Medicaid programs; S 1181 Healthy Living and Health Aging Demonstration Project Act of 2009, a bill to provide for a demonstration project to examine whether community-level public health interventions can result in lower rates of chronic disease for individuals entering the Medicare program; HR 2753 a bill to delay the implementation of new Medicare hospital geographic wage reclassification criteria until the Secretary of Health and Human Services issues a proposal to revise the hospital wage index classification system that addresses certain considerations; HR 2758 Medicare Specialty Care Improvement and Protection Act of 2009, a bill to amend part C of title XVIII of the Social Security Act with respect to Medicare special needs plans and the alignment of Medicare and Medicaid for dually eligible individuals; HR 2773 Medicare Transitional Care Act of 2009, a bill to amend title XVIII of the Social Security Act to cover transitional care services to improve the quality and cost effectiveness of care under the Medicare Program; S 1218 Urban Medicare-Dependent Hospitals Preservation Act of 2009, a bill to amend title XVIII of the Social Security Act to preserve access to urban Medicare-dependent hospitals; HR 2784 Partnership to Improve Seniors Access to Medicare Act, a bill to establish a loan repayment program for qualifying physicians and nurse practitioners participating in the Medicare Program; HR 2805 Ensuring Continuous Medicaid Coverage for Children Act of 2009, a bill to amend title XIX of the Social Security Act to require 12-month continuous coverage for children under Medicaid; HR 2844 Medicare Payment Improvement Act of 2009, a bill to amend title XVIII of the Social Security Act to create a value indexing mechanism for the physician work component of the Medicare physician fee schedule; HR 2859 Strengthening Medicaid for America's Children Act of 2009, a bill to amend title XIX of the Social Security Act to provide for application of an enhanced Federal matching rate for children under the Medicaid Program if certain conditions are met; S 1262 Medical Efficiency and Delivery Improvement of Care Act (MEDIC) of 2009, a bill to amend title VII of the Public Health Service Act and titles XVIII and XIX of the Social Security Act to provide additional resources for primary care services, to create new payment models for services under Medicare, to expand provision of non-institutionally-based long-term services, and for other purposes; S 1263 Senior Navigation and Planning Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for advanced illness care management services for Medicare beneficiaries, and for other purposes; HR 2919 Medicare Efficiency Incentive Act of 2009, a bill to amend part B of title XVIII of the Social Security Act to provide Medicare physician incentive payments for efficient areas; HR 2921a bill to amend title XVIII of the Social Security Act to provide for an annual review by the MedPAC on geographic access to services; S 1279 TARP Recipient Ownership Trust Act of 2009, a bill to amend the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to extend the Rural Community Hospital Demonstration Program; HR 2959 Accountable Care Promotion Act of 2009, a bill to amend title XVIII of the Social Security Act to establish an accountable care organization pilot program to reduce the growth of expenditures and improve health outcomes under the Medicare Program; S 1300 Community and Rural Medical Residency Preservation Act of 2009, a bill to amend title XVIII of the Social Security Act to clarify intent regarding the counting of residents in a nonhospital setting under the Medicare program; S 1380 MedPAC Reform Act of 2009, a bill to amend title XVIII of the Social Security Act to create a sensible infrastructure for delivery system reform by renaming the MedPAC, making the commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy; H.R. 3138 Physician 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 3141 Strengthening the Health Care Safety Net Act of 2009, a bill to amend title XIX of the Social Security Act to provide for a DSH redistribution pool from unexpended Medicaid DSH allotments in order to increase Medicaid DSH allotments for low DSH States and to provide grants for health access networks serving the uninsured; H.R. 3152 Helping Seniors Choose their Medicare Drug Plan Act, a bill to amend titles XVIII of the Social Security Act to ensure that low-income beneficiaries have improved access to prescription drugs under the Medicare and Medicaid programs; S. 1423 Medicaid Birth Center Reimbursement Act, a bill to amend title XIX of the Social Security Act to require coverage under the Medicaid Program for freestanding birth center services; S. 1427 Department of Veterans Affairs Hospital Quality Report Card Act of 2009, a bill to amend title 38, United States Code, to establish a Hospital Quality Report Card Initiative to report on health care quality in Department of Veterans Affairs Medical Centers, and for other purposes; H.R. 3172 Senior Navigation and Planning Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for advanced illness care management services for Medicare beneficiaries, and for other purposes; H.R. 3184 Medicare Independent Living Act of 2009, a bill to amend title XVIII of the Social Security Act to eliminate the in the home restriction for Medicare coverage of mobility devices for individuals with expected long-term needs; H.R. 3256 Rural Community Hospital Demonstration Extension Act of 2009, a bill to amend the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to extend the Rural Community Hospital Demonstration Program; H.R. 3356 Medicare Beneficiary Freedom to Choose Act of 2009, a bill to amend title XVIII of the Social Security Act to clarify the use of private contracts by Medicare beneficiaries for professional services and to allow individuals to choose to opt out of the Medicare part A benefits; H.R. 3361 Medicare Patient Safeguards Act of 2009, a bill to provide a process for public comment and Medicare Evidence Development & Coverage Advisory Committee review of certain Medicare national coverage determinations, and for other purposes; HR 3369 and S.1521 Improve Act of 2009, a bill to amend titles XVIII and XIX of the Social Security Act to require provider payments under Medicare and Medicaid to be made through direct deposit or electronic funds transfer (EFT) at insured depository institutions; S.1522 Outpatient Mental Health Modernization Act of 2009, a bill to amend title XVIII of the Social Security Act to stabilize and modernize the provision of partial hospitalization services under the Medicare program; H.R. 3374 Medicare and Medicaid Access Project through Information Technology (MAP IT) Act, a bill to provide for a demonstration project relating to the impact of health information technology on chronic disease management under the Medicare and Medicaid programs; H.R. 3422 Medicare Support for Rural Hospitals Act, a bill to amend title XVIII of the Social Security Act to make temporary improvements to the Medicare inpatient payment adjustment for low-volume hospitals; H.R. 3430 DSH Collaborative Care Network Pilot Program Act of 2009, a bill to establish a Medicare DSH pilot program under which participants shall establish collaborative care networks to reduce the use of emergency departments, inpatient and other expensive resources of hospitals and other providers and provide more comprehensive and coordinated care to low-income individuals, including those without health insurance coverage, and to establish a Collaborative Care Network Center; Neal Letter to Pelosi, Opposition to the Independent Medicare Advisory Council (IMAC) and MedPAC Reform Act (HR 2718, S1110, S 1380); HR 3556 NO TITLE, a bill to require the Secretary of Health and Human Services to establish a self-referral disclosure protocol under the Medicare Program to enable health care providers of services and suppliers to disclose violations of section 1877 of the Social Security Act; S 1669 Equal Access to Medicare Options Act of 2009, a bill to provide all Medicare beneficiaries with the right to guaranteed issue of a Medicare supplemental policy; HR 3631 Medicare Premium Fairness Act, a bill to amend title XVIII to provide for the application of a consistent Medicare part B premium for all Medicare beneficiaries in a budget neutral manner for 2010; HR 3653 Medicare Card Security Act of 2009, a bill to amend title II of the Social Security Act to prohibit the display of Social Security account numbers on Medicare cards; HR 3663 NO TITLE, a bill to amend title XVIII of the Social Security Act to delay the date on which the accreditation requirement under the Medicare Program applies to suppliers of durable medical equipment that are pharmacies; HR 3665 Ryan White Grantee Medicaid Payment Equity Act of 2009, a bill to amend title XIX of the Social Security Act to provide for payment for Medicaid services furnished by Ryan White part C grantees under a cost-based prospective payment system; HR 3675 National Quality Cancer Care Demonstration Project Act of 2009, a bill to improve the quality and cost effectiveness of cancer care to Medicare beneficiaries by establishing a national demonstration project; HR 2962 Integrity in Medicare Advanced Diagnostic Imaging Act of 2009, a bill to amend title XVIII of the Social Security Act to exclude certain advanced diagnostic imaging services from the in-office ancillary services exception to the prohibition on physician self-referral.

Client expense: $3,830,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, White House Office

Annual Update for Inpatient Hospital Prospective Payment System Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009, all titles H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.275 - Children's Health Insurance Program Reauthorization Act of 2009, all titles S.935 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009

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

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

Annual Update for Inpatient Hospital Prospective Payment System Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009, all titles H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.275 - Children's Health Insurance Program Reauthorization Act of 2009, all titles S.935 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009

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

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

Hospital and physician payments under Medicare and Medicaid, general. Medicare/Medicaid Reform (HR 3200) -- (Bundling of Medicare acute and post-acute hospital payments, payments for readmissions, value-based purchasing, physician self-referral). Medicare Long-Term Care Hospital Improvement Act (HR 2124, S. 935) Resident Physician Shortage Reduction Act (S. 973, HR 2251, HR 3200) Medicare graduate medical education payments to Doctors Medical Center of Modesto.

Client expense: $340,000 · Firm income: Not reported

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

Monitor all aspects of healthcare legislation impacting post-acute care providers, inpatient rehabilitation, and long-term acute care hospitals. Monitor H.R. 2124/S.935, Medicare Long-Term Care Hospital Improvement Act of 2009, and Monitor S.295.

Client expense: $476,300 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor all aspects of healthcare legislation impacting post-acute care providers, inpatient rehabilitation, and long-term acute care hospitals. Monitor H.R. 2124/S.935, Medicare Long-Term Care Hospital Improvement Act of 2009, and Monitor S.295.

Client expense: $476,300 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.295, Medicare Quality and Payment Reform Act of 2009; America's Affordable Health Choices Act of 2009 (H.R. 3200); Affordable Health Choices Act of 2009 (S.1679); General Healthcare Reform Legislation; Employee Free Choice Act of 2009 (H.R. 1409/S.560); Long-Term Care Hospitals Legislation (H.R. 2124/S.935); MedPAC Reform Act of 2009 (S.1110; S.1380); Medicare Program: Inpatient Rehabilitation Facility Prospective Payment System for Fiscal Year 2010 (CMS-1538-F).

Client expense: $389,500 · Firm income: Not reported

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

S. 647, Nursing Home Transparency and Improvement Act, all sections. A bill to improve the transparency of information on skilled nursing facilities and to clarify and improve targeting of the enforcement of requirements with respect to such facilities. S. 935, Medicare Long Term Care Hospital Improvement Act of 2009, all sections. To extend section 114, subsection (c) and (d) of the Medicare, Medicaid, SCHIP Extension Act of 2007 to provide regulatory stability during the development of facility and patient criteria for long term care hospitals. H.R. 2124, Medicare Long Term Care Hospital Improvement Act of 2009, all sections. To extend section 114, subsection (c) and (d) of the Medicare, Medicaid, SCHIP Extension Act of 2007 to provide regulatory stability during the development of facility and patient criteria for long term care hospitals. H.R. 43, Medicare Access to Rehabilitation Services Act of 2009, section 1 and 2. To repeal the Medicare outpatient therapy cap. S. 46, Medicare Access to Rehabilitation Services Act of 2009, section 1 and 2. To repeal the Medicare outpatient therapy cap. S. 697, Community Living Assistance Services and Support Act, Title I, section 101, Title II, section 201-204. Calls for the establishment of a national, voluntary insurance program for purchasing community living assistance and support services and other purposes. H.R. 3200, America's Affordable Health Choices Act, Sections 1101-1103, 1111-1112, 1121, 1131, 1146, 1149, 1151-1154, 1301-1303, 1411-1432, and 1441. All provisions related to post-acute care delivery including transparency of information, preventable hospital readmission rates, Medicare reimbursement and other issues related to post-acute care coordination. Senate Finance Committee, Chairman's Mark, America's Healthy Future Act. All provisions related to post-acute care delivery including transparency of information, preventable hospital readmission rates, Medicare reimbursement and other issues related to post-acute care coordination. S. 1110, Medicare Payment Advisory Commission (MedPAC) Reform Act, all sections. To make the Medicare Payment Advisory Commission an executive branch agency and providing the Commission new resources and authority to implement Medicare payment policy.

Client expense: $800,000 · Firm income: Not reported

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

Medicare prospective payment system; Long Term Acute Care Hospitals (CTCH); In-office ancillary services; HR 2124; HR 3200; S 1679; Senate health reform package

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S. 647, Nursing Home Transparency and Improvement Act of 2009, all sections. A bill to improve the transparency of information on skilled nursing facilities and to clarify and improve targeting of the enforcement of requirements with respect to such facilities. S. 935, Medicare Long Term Care Hospital Improvement Act of 2009, all sections. To extend section 114, subsection (c) and (d) of the Medicare, Medicaid, SCHIP Extension Act of 2007 to provide regulatory stability during the development of facility and patient criteria for long term care hospitals. H.R. 2124, Medicare Long Term Care Hospital Improvement Act of 2009, all sections. To extend section 114, subsection (c) and (d) of the Medicare, Medicaid, SCHIP Extension Act of 2007 to provide regulatory stability during the development of facility and patient criteria for long term care hospitals. H.R. 43, Medicare Access to Rehabilitation Services Act of 2009, section 1 and 2. To repeal the Medicare outpatient therapy cap. S. 46, Medicare Access to Rehabilitation Services Act of 2009, section 1 and 2. To repeal the Medicare outpatient therapy cap. S. 697, Community Living Assistance Services and Support Act of 2009, Title I, section 101, Title II, section 201-204. Calls for the establishment of a national, voluntary insurance program for purchasing community living assistance and support services and other purposes. S. 295, Medicare Quality and Payment Reform Act of 2009, all sections. To improve the quality and efficiency of the Medicare program through the measurement of readmission rates and resource use and other purposes.

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

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

H.R.444/S.1239, 340B Program Improvement and Integrity Act of 2009, Medicare Recovery Audit Contractor (RAC) Program. President's Budget, Medicare and Medicaid hospital reimbursement issues. H.R.2124/S.935, Medicare Long-Term Care Hospital Improvement Act of 2009, Long term care related issues. H.R.1776, Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2009, Heatlh Quality related issues. S.301, Physician Payments Sunshine Act of 2009, Health Transparency related issues. Health care reform, Hospital related issues and initiatives. H.R.3200, America's Affordable Health Choices Act of 2009, Hospital related issues and initiatives. S.1679, Affordable Health Choices Act, Hospital related issues and initiatives.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Indian healthcare reauthorization--all provisions HR 2124 Medicare Long-Term Care Hospital Improvement Act of 2009--all provisions HR 3200 America's Affordable Health Choices Act of 2009--tribal and long-term care hospital provisions HR 3608 Tribal Health Benefits Clarification Act of 2009--all provisions S-draft America's Health Future Act of 2009--tribal and long-term care hospital provisions

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

HR 2847, FY10 Commerce, Justice, Science appropriations bill--Office of Justice Programs funding HR 2996, FY10 Interior, Environment appropriations bill--BIA and IHS funding Gaming: monitor legislation, regulations and National Indian Gaming Commission Indian healthcare reauthorization--all provisions HR 2124 Medicare Long-Term Care Hospital Improvement Act of 2009--all provisions HR 3200 America's Affordable Health Choices Act of 2009--tribal and long-term care hospital provisions HR 3608 Tribal Health Benefits Clarification Act of 2009--all provisions S-draft America's Health Future Act of 2009--tribal and long-term care hospital provisions HR 1409/S 560 Employee Free Choice Act--all provisions Small business: monitor legislation on 8(a) programs

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

S.1217 - Medicaid Services Restoration Act Senate Finance Committee Policy Options Affordable Health Choices Act (Senate) H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009 H.R.27 -Medicare Fraud Prevention and Enforcement Act of 2009 H.R.464 - More Children, More Choices Act of 2009 H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009 H.R.2209 - Restoring the Partnership for County Health Care Costs Act of 2009 H.R.2390 - Guidance, Understanding, and Information for Dual Eligibles (GUIDE) Act

Client expense: $154,056 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Administration on Aging, Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Motor Carrier Safety Administration, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Indian Health Service, Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Highway Traffic Safety Administration (NHTSA), Natl Institute of Mental Health (NIMH), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office on Violence Against Women, SENATE, Social Security Administration (SSA), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

Issues invoving Medicare, long term care hospitals and health care reform included in S. 935 and H.R. 2124 as well as in the America's Healthy Future Act (sponsored by Senator Max Baucus) the Affordable Health Choices Act (reported from the Senate Health, Education, Labor and Pensions Committee) and H.R. 3200 (America's Affordable Health Choices Act of 2009) which are under consideration by the 111th Congress.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3200, Health Reform - Post-Acute Care Bundling Proposals H.R. 1409/S. 560, Employee Free Choice Act of 2009 H.R. 2124/S. 935, Long Term Care Hospital Bills

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE

Medicare prospective payment system; Long Term Acute Care Hospitals (CTCH); In-office ancillary services; HR 2124; Health reform (HR3200)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Monitor all aspects of healthcare legislation impacting post-acute care providers, inpatient rehabilitation, and long-term acute care hospitals. Monitor H.R. 2124/S.935, Medicare Long-Term Care Hospital Improvement Act of 2009, and Monitor S.295

Client expense: $390,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor all aspects of healthcare legislation impacting post-acute care providers, inpatient rehabilitation, and long-term acute care hospitals. Monitor H.R. 2124/S.935, Medicare Long-Term Care Hospital Improvement Act of 2009, and Monitor S.295.

Client expense: $390,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Hospital and physician payments under Medicare and Medicaid, general Administration's proposed FY2010 Budget bundling of Medicare acute and post acute hospital payments, payments for readmissions, value-based purchasing Medicare Long-Term Care Hospital Improvement Act (HR 2124, S. 935) Resident Physician Shortage Reduction Act (S. 973, HR 2251) Extension of regulatory moratoria - Medicaid graduate medical education payments, Medicaid intergovernmental transfers and provider taxes; Medicare capital IME payments Medicare graduate medical education payments to Doctors Medical Center of Modesto.

Client expense: $330,000 · Firm income: Not reported

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

S. 647, Nursing Home Transparency and Improvement Act of 2009, all sections. S. 295, Medicare Quality and Payment Reform Act of 2009, all sections. S. 697, Community Living Assistance Services and Support Act of 2009, Title I, section 101, Title II, section 201-204. H.R. 2124, Medicare Long Term Care Hospital Improvement Act of 2009, all sections. S. 935, Medicare Long Term Care Hospital Improvement Act of 2009, all sections. H.R. 43, Medicare Access to Rehabilitation Services Act of 2009, section 1 and 2. S. 46, Medicare Access to Rehabilitation Services Act of 2009, section 1 and 2.

Client expense: $470,000 · Firm income: Not reported

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