Medicare Adult Day Care Services Act of 2009

PL 108-173: Medicare Prescription Drug and Mondernization Act of 2003; HR 1721: Comunity Living Assistance Services and Supports Act; HR 1670/S 683: Community Choice Act; HR 3043: Medicare Adult Day Services Act of 2009; PL 111-148: The Patient Protection and Affordable Care Act; PL 111-152: Affordable Health Care for America Act; HR 4872: Health Care and Education Reconciliation Act of 2010; S 582: Social Security Protection Act; and PL 79-271: Social Security Act of 1935.

Client expense: $74,944 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Education, Dept of, Energy, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

PL 108-173: Medicare Prescription Drug and Mondernization Act of 2003; HR 1721: Comunity Living Assistance Services and Supports Act; HR 1670/S 683: Community Choice Act; HR 3043: Medicare Adult Day Services Act of 2009; PL 111-148: The Patient Protection and Affordable Care Act; PL 111-152: Affordable Health Care for America Act; HR 4872: Health Care and Education Reconciliation Act of 2010; S 582: Social Security Protection Act; and PL 79-271: Social Security Act of 1935.

Client expense: $80,659 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Education, Dept of, Energy, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

PL 108-173: Medicare Prescription Drug and Mondernization Act of 2003; HR 1721: Comunity Living Assistance Services and Supports Act; HR 1670/S 683: Community Choice Act; HR 3043: Medicare Adult Day Services Act of 2009; PL 111-148: The Patient Protection and Affordable Care Act; PL 111-152: Affordable Health Care for America Act; HR 4872: Health Care and Education Reconciliation Act of 2010; S 582: Social Security Protection Act; and PL 79-271: Social Security Act of 1935.

Client expense: $68,671 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Education, Dept of, Energy, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

Advocated for correction of the effective date of the RUGs IV Medicare payment system for nursing homes to October 1, 2010 and for extension of the therapy caps exceptions process through 12/31/11. These provisions were contained in HR 4994, the Medicare and Medicaid Extenders Act. Advocated in favor of the Home Health Care Planning Improvement Act, H.R. 4993, to allow nurse practitioners, clinical nurse specialists, certified nurse midwives, physicians' assistants and other appropriate clinicians to certify and make changes to home health care plans. Advocated in favor of H.R. 3043 the Medicare Adult Day Services Act, to allow Medicare beneficiaries to use adult day service programs that are certified, licensed, or accredited under an approved accreditation agency to provide post-acute services under Medicare. Support H.R. 5950, the Improving Access to Medicare Coverage Act, which provides that beneficiaries hospitalized for 24 hours or longer in observation status will be deemed to have been admitted on an in-patient basis for the length of their stay under observation.

Client expense: $121,825 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Patients' Rights Legislation; PL 110-343: Mental Health Parity; PL 108-173: Medicare Prescription Drug and Mondernization Act of 2003; HR 1721: Comunity Living Assistance Services and Supports Act; HR 1670/S 683: Community Choice Act; HR 3043: Medicare Adult Day Services Act of 2009; PL 111-148: The Patient Protection and Affordable Care Act; PL 111-152: Affordable Health Care for America Act; HR 4872: Health Care and Education Reconciliation Act of 2010; and PL 79-271: Social Security Act of 1935.

Client expense: $51,583 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Education, Dept of, Energy, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

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); EHR for Health Centers Clarification (H.R.6348); 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); Tax Extenders (H.R.4213; Medicare Payment Charge House and Senate FMAP extension.

Client expense: $180,000 · 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

Issues related to home and hospice care, rural telehealth, Medicare and state's health insurance program legislation. Home Health Care Access Protection Act of 2010 (S. 3315) Commission on Improving Long-Term Care and Community Services Act of 2010 (H.R. 5187) Home Health Care Planning Improvement Act of 2010 (H.R. 4993) The Patient Protection and Affordable Care Act" (H.R.3590) Medicare Adult Day Care Services Act of 2009 (H.R. 3043) Medicare Rural Home Health Preservation Act of 2009 (S. 1123) Seniors and Taxpayers Obligation Protection Act of 2009 (S. 975) Medicare Telehealth Enhancement Act of 2009 (H.R. 2068) Medicaid Accountability through Transparency Act (S. 974) Home Healthcare Nurse Promotion Act of 2009 (H.R. 1928) Fostering Independence Through Technology Act of 2009 (S. 457) The Employee Free Choice Act (S. 560/H.R. 1409) The Elder Care Tax Credit (H.R. 517)

Client expense: Not reported · Firm income: $80,000

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

Adult Day Health Care Related to Medicaid Reimbursement H.R. 3043 - Medicare Acute Day Care Services Act of 2009

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

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

Adult Day Health Care Related to Medicaid Reimbursement H.R. 3043 - Medicare Acute Day Care Services Act of 2009

Client expense: $11,597 · Firm income: Not reported

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

Advocated for correction of the effective date of the RUGs IV Medicare payment system for nursing homes to October 1, 2010 and for a six-month extension of the increased federal Medicaid match. The Medicaid provisions were included in H.R. 4213, the American Jobs and Closing Tax Loopholes Act, and in the Senate amendment to H.R. 1586, the FAA Transportation Modernization and Safety Improvement Act. Advocated in favor of the Home Health Care Planning Improvement Act, H.R. 4993, to allow nurse practitioners, clinical nurse specialists, certified nurse midwives, physicians' assistants and other appropriate clinicians to certify and make changes to home health care plans. Advocated in favor of H.R. 3043, the Medicare Adult Day Services Act, to allow Medicare beneficiaries to use adult day service programs that are certified, licensed, or accredited under an approved accreditation agency to provide post-acute services under Medicare. Support H.R. 5950, the Improving Access to Medicare Coverage Act, which provides that beneficiaries hospitalized for 24 hours or longer in observation status will be deemed to have been admitted on an in-patient basis for the length of their stay under observation.

Client expense: $116,488 · Firm income: Not reported

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); EHR for Health Centers Clarification (H.R.6348); 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); Tax Extenders (H.R.4213); Medicare Payment Change House and Senate; FMAP extension.

Client expense: $170,000 · 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

Patients' Rights Legislation; PL 110-343: Mental Health Parity; PL 108-173: Medicare Prescription Drug and Mondernization Act of 2003; HR 1721: Comunity Living Assistance Services and Supports Act; HR 1670/S 683: Community Choice Act; HR 3043: Medicare Adult Day Services Act of 2009; PL 111-148: The Patient Protection and Affordable Care Act; PL 111-152: Affordable Health Care for America Act; HR 4872: Health Care and Education Reconciliation Act of 2010; and PL 79-271: Social Security Act of 1935.

Client expense: $57,615 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Education, Dept of, Energy, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

Adult Day Health Care Related to Medicaid Reimbursement H.R. 3043 - Medicare Adult Day Services Act of 2009

Client expense: $11,286 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to home and hospice care, rural telehealth, Medicare and state's health insurance program legislation. Home Health Care Access Protection Act of 2010 (S. 3315) Commission on Improving Long-Term Care and Community Services Act of 2010 (H.R. 5187) Home Health Care Planning Improvement Act of 2010 (H.R. 4993) The Patient Protection and Affordable Care Act" (H.R.3590) Medicare Adult Day Care Services Act of 2009 (H.R. 3043) Medicare Rural Home Health Preservation Act of 2009 (S. 1123) Seniors and Taxpayers Obligation Protection Act of 2009 (S. 975) Medicare Telehealth Enhancement Act of 2009 (H.R. 2068) Medicaid Accountability through Transparency Act (S. 974) Home Healthcare Nurse Promotion Act of 2009 (H.R. 1928) Fostering Independence Through Technology Act of 2009 (S. 457) The Employee Free Choice Act (S. 560/H.R. 1409) The Elder Care Tax Credit (H.R. 517)

Client expense: Not reported · Firm income: $80,000

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

Adult Day Health Care Related to Medicaid Reimbursement H.R. 3043 - Medicare Acute Day Care Services Act of 2009

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocated in favor of provisions of H.R. 4213, the American Jobs and Closing Tax Loopholes Act, which would extend increased federal Medicaid funding to the states through June 30, 2011; restore full implementation of the Medicare RUGs IV payment system for nursing facilities as of October 1, 2010; and prevent a 21% reduction in nursing homes' Part B therapy reimbursement. Advocated for cosponsorship of H.R. 3043, the Medicare Adult Day Services Act, to allow Medicare beneficiaries to use adult day service programs that are certified, licensed, or accredited under an approved accreditation agency to provide post-acute services under Medicare. Supported provisions of H.R. 3962, the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act, to maintain nursing homes' Medicare Part B therapy reimbursement at current levels through November 30, 2010.

Client expense: $107,905 · Firm income: Not reported

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 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); Tax Extenders (H.R.4213)

Client expense: $180,000 · 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

Patients' Rights Legislation; PL 110-343: Mental Health Parity; PL 108-173: Medicare Prescription Drug and Mondernization Act of 2003; HR 1721: Comunity Living Assistance Services and Supports Act; HR 1670/S 683: Community Choice Act; HR 3043: Medicare Adult Day Services Act of 2009; HR 3590: The Patient Protection and Affordable Care Act; HR 3962: Affordable Health Care for America Act; HR 4872: Health Care and Education Reconciliation Act of 2010; PL 79-271: Social Security Act of 1935.

Client expense: $70,970 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

Adult Day Health Care Related to Medicaid reimbursement H.R. 3043 - Medicare Adult Day Services Act of 2009

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Adult Day Health Care Related to Medicaid Reimbursement H.R. 3043 - Medicare Acute Day Care Services Act of 2009

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to home and hospice care, rural telehealth, Medicare and state's health insurance program legislation. Home Health Care Access Protection Act of 2010 (S. 3315) Commission on Improving Long-Term Care and Community Services Act of 2010 (H.R. 5187) Home Health Care Planning Improvement Act of 2010 (H.R. 4993) The Patient Protection and Affordable Care Act" (H.R.3590) Medicare Adult Day Care Services Act of 2009 (H.R. 3043) Medicare Rural Home Health Preservation Act of 2009 (S. 1123) Seniors and Taxpayers Obligation Protection Act of 2009 (S. 975) Medicare Telehealth Enhancement Act of 2009 (H.R. 2068) Medicaid Accountability through Transparency Act (S. 974) Home Healthcare Nurse Promotion Act of 2009 (H.R. 1928) Fostering Independence Through Technology Act of 2009 (S. 457) The Employee Free Choice Act (S. 560/H.R. 1409) The Elder Care Tax Credit (H.R. 517)

Client expense: Not reported · Firm income: $80,000

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

-S. 1273/H.R. 1362, National MS and Parkinson's Disease Registries Act, support all provisions. -S. 1630/H.R. 3799, Affordable Access to Prescription Medications Act, support all provisions. -H.R. 4213, American Jobs and Closing Tax Loopholes Act, support inclusion of COBRA premium assistance extension and of federal Medicaid assistance extension in the form of a temporarily enhanced Federal Medical Assistance Percentage (FMAP). -S. 3548, Extend COBRA Premium Assistance Program Act, support all provisions. -H.R. 3421, Medical Debt Relief Act, support all provisions. -H.R. 3043, Medicare Adult Day Care Services Act, support all provisions.

Client expense: $94,501 · Firm income: Not reported

Government targets: Administration on Aging, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Social Security Administration (SSA)

-S. 1630/H.R. 3799, Affordable Access to Prescription Medications Act, support all provisions. -H.R. 4213, American Jobs and Closing Tax Loopholes Act, support inclusion of federal Medicaid assistance extension in the form of a temporarily enhanced Federal Medical Assistance Percentage (FMAP). -H.R. 3043, Medicare Adult Day Care Services Act, support all provisions.

Client expense: $94,501 · Firm income: Not reported

Government targets: Administration on Aging, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Social Security Administration (SSA)

Adult day health care issues related to Medicaid reimbursement H.R 3043 (Linda Sanchez) Medicare Adult Day Services Act of 2009

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

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 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: $210,000 · 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

Lobbied in favor of House passage of the Senate-passed Patient Protection and Affordable Care Act, and specifically for inclusion of the following provisions and amendments: "Nursing Home Transparancy and Improvement Act of 2009;" Senate Wellness Exam for Medicare benficiaries and provision on "detection of any cognitive impairment;" Geriatric Workforce provisions as well as direct care training; "Community Living Assistance Services and Supports (CLASS) Act;" Independence at Home Act demonstration; "Elder Justice Act;" and "Patient Safety and Abuse Prevention Act." Clinical trials provision Also lobbied for the Alzheimer's Treatment and Caregiver Support Act, H.R. 4123 and S. 2809; and for Senator sponsor and House co-sponsors for H.R. 3043, the Medicare Adult Day Care Services Act of 2009."

Client expense: $22,500 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Patients' Rights Legislation; PL 110-343: Mental Health Parity; PL 108-173: Medicare Prescription Drug and Mondernization Act of 2003; HR 1721: Comunity Living Assistance Services and Supports Act; HR 1670/S 683: Community Choice Act; HR 3043: Medicare Adult Day Services Act of 2009; HR 3590: The Patient Protection and Affordable Care Act; HR 3962: Affordable Health Care for America Act; HR 4872: Health Care and Education Reconciliation Act of 2010.

Client expense: $46,308 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

HR 3590 - Advocated for the preservation of Medicare payment update for nursing homes and home health agencies. Supported extension of therapy caps exceptions process. HR 4851 - support payment relief for physicians, since skilled nursing facilities' Part B therapy reimbursement is tied to physician fee schedule. HR 3043, Medicare Adult Day Services Act-provides for Medicare coverage of subsitute adult day services - support

Client expense: $123,321 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Adult Day Health Care Related to Medicaid Reimbursement H.R. 3043 - Medicare Acute Day Care Services Act of 2009

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

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 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

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

HR 3043 Labor Appropriations Act of 2010. All provisions relating to funding for cancer treatment facilities.

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3590, HR 3962, health care reform: opposed provisions to eliminate FY10 Medicare payment update for nursing homes and home health providers. Supported Community First Choice, extension of Medicare therapy caps exceptions process, extension of increased federal Medicaid match, temporary Medicaid funding of up to $6 billion for nursing homes, and Independence at Home provisions. HR 3043, Medicare Adult Day Services Act-provides for Medicare coverage of subsitute adult day services - support

Client expense: $173,091 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Patients' Rights Legislation; PL 110-343: Mental Health Parity; PL 108-173: Medicare Prescription Drug and Mondernization Act of 2003; HR 1721: Comunity Living Assistance Services and Supports Act; HR 1670/S 683: Community Choice Act; HR 3043: Medicare Adult Day Services Act of 2009; HR 3590: The Patient Protection and Affordable Care Act; HR 3962: Affordable Health Care for America Act.

Client expense: $55,786 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

Lobbied in favor of the Senate Patient Protection and Affordable Care Act, the combined Senate-House health reform bill, and specifically for inclusion of the following provisions and amendments: S. 647 and House language for the "Nursing Home Transparancy and Improvement Act of 2009;" Senate Wellness Exam for Medicare benficiaries and provision on "detection of any cognitive impairment;" S. 245 and H.R. 468, "Retooling the Health Care Workforce;" as well as specific provisions from the bill on direct care training; S. 697 and H.R. 1721, Community Living Assistance Services and Supports (CLASS) Act;" S. 1131 and H.R. 2560, The Independence at Home Act; S. 795, "Elder Justice Act;" and S. 631, "Patient Safety and Abuse Prevention Act." Also lobbied in favor of the following amendments to the Senate health reform bill: Clinical trials amendment (Brown, 2871) Support for family caregivers under Medicare and Medicaid (Klobuchar 2908) Priorities for the National Health Care Workforce Commission (Casey 2928) Growing Geriatric Care Workforce (Boxer 2944) Improve Consumer Protections for Long-Term Care (Kohl 2996) Improves Medicare reimbursement to Primary Care (Klobuchar 2997) Also lobbied for a Senate sponsor for the Alzheimer's Treatment and Caregiver Support Act, S. 2809; for introduction and support of National Memory Screening Day resolutions (S.Res.185 and H.Res.910); and for co-sponsors for H.R. 3043, the Medicare Adult Day Care Services Act of 2009" and its inclusion in health reform.

Client expense: $22,500 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

Adult Day Health Care Related to Medicaid Reimbursement H.R. 3043 - Medicare Acute Day Care Services Act of 2009

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

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

Engineering in K-12: Understanding the Status & Improving the Prospects; House. Education programs, Department of Education, STEM Programs. HR 3043 appropriations bill, HR 2847, FY 2010 Commerce, Justice, Science and related Act.

Client expense: $25,000 · Firm income: Not reported

Government targets: Education, Dept of, Energy, Dept of, HOUSE OF REPRESENTATIVES, Natl Aeronautics & Space Administration (NASA), Natl Institute of Standards & Technology (NIST), Natl Science Foundation (NSF), SENATE

HR 3043 and S 1710 Labor/HHS/Education

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3093 and S 1745 Commerce, Justice, State appropriation bill, HR 2641 and S 1751 Energy & Water appropriation, HR 3043 and S 1710 Labor/HHS/Education, HR 2643 and S 1696 Interior & Environment, HR 3074 and S 1789 Transportation / HUD, H.R. 2997 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3093 and S 1745 Commerce, Justice, State appropriation bill, HR 2641 and S 1751 Energy & Water appropriation, HR 3043 and S 1710 Labor/HHS/Education, HR 2643 and S 1696 Interior & Environment, HR 3074 and S 1789 Transportation / HUD, H.R. 2997 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3043 and S 1710 Labor/HHS/Education

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3093 and S 1745 Commerce, Justice, State appropriation bill, HR 2641 and S 1751 Energy & Water appropriation, HR 3043 and S 1710 Labor/HHS/Education, HR 2643 and S 1696 Interior & Environment, HR 3074 and S 1789 Transportation / HUD, H.R. 2997 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3043 and S 1710 Labor/HHS/Education

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3043 - To amend title XVIII of the Social Security Act to provide for coverage of substitute adult day care services under the Medicare Program. (Long Island State Veterans Home)

Client expense: $300,000 · Firm income: Not reported

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

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