Health Information Technology Extension for Behavioral Health Services Act of 2010

No bill #: Health Care Reform; Educate about recommendations and position of the American Occupational Therapy Association regarding occupational therapy. HR 3200 - America's Affordable Health Choices Act of 2009: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy. HR 2891 - Access to Frontline Health Care Act of 2009: Support passage. HR 3590 (PL 111-148) - Patient Protection and Affordable Care Act: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy; and oppose Wyden Amendment D-9 offset related to orthotics and prosthetics; advocated to change Lincoln D-10 amendment to reduce the scope of the amendment and to include occupational therapy. S 1963 - Caregivers and Veterans Omnibus Health Services Act of 2010: advocated for passage and inclusion of occupational therapy services. HR 1036 - Veterans Physical Therapy Services Improvement Act of 2009: Educated about the role and impact of occupational therapy services. HR 1558 - Preexisting Condition Patient Protection Act of 2009: Advocated for passage. S Res 490 - A resolution recognizing the measurable, positive impact that the National Committee for Quality Assurance has made on the quality of care patients in the United States have received during the 20 years since the formation of the organization: Advocated for passage. HR 5025 -HITECH Extension for Behavioral Health Services Act of 2010: Educated about occuaptional therapy services. HR 4944 - Siding with America's Patients (SWAP) Act - Educated about occupational therapy services and to ensure coverage. HR 4919, HR 4903 - A bill to repeal the Patient Protection and Affordable Care Act: Educated about occupational therapy services. HR 4910 - A bill to repeal the Patient Protection and Affordable Care Act and enact the Empowering Patients First Act in order to provide incentives to encourage health insurance coverage: Educated about occupational therapy services and to ensure coverage. HR 4894 -- A bill to amend the Patient Protection and Affordable Care Act ot ensure appropriate treatment of Department of Veterans' Affairs and Department of Defense heatlh programs: Educated about occupational therapy services. HR 5040 - Health Information Technology Extension for Behavioral Health Services Act of 2010: advocated for passage and educated about occupational therapy services. HR 678 - Huntington's Disease Parity Act: Advocated for passage PL 111-148 - Patient Protection and Affordable Care Act - promoted role and access to occupational therapy.

Client expense: $120,000 · Firm income: Not reported

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

HR 1600/S 1169 - To amend title 10, United States Code, to provide for the treatment of autism under TRICARE; lobbied to educate on Occupational Therapy role in Autism services. S 819/HR 2413 - Autism Treatment Acceleration Act of 2009; lobbied to educate on Occupational Therapy role in Autism services. No bill #: Health Care Reform; Educate about recommendations and position of the American Occupational Therapy Association regarding occupational therapy. HR 3200 - America's Affordable Health Choices Act of 2009: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy. HR 2891 - Access to Frontline Health Care Act of 2009: Support passage. HR 3590 (PL 111-148) - Patient Protection and Affordable Care Act: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy; and oppose Wyden Amendment D-9 offset related to orthotics and prosthetics; advocated to change Lincoln D-10 amendment to reduce the scope of the amendment and to include occupational therapy. HR 4662 - Lymphedema Diagnosis and Treatment Cost Saving Act of 2010: Oppose provisions requiring additional accreditation for occupational therapy services. H Res 1258 - A resolution expressing support for designation of May 2010 as Mental Health Month: Advocated passage. H Res 1033 - A resolution expressing support for designation of April 2010 as "National Autism Awareness Month":and supporting efforts to devote new resources to research into the causes and treatment of autism and to improve training and support for individuals with autism and those who care for individuals with autism: Advocated for passage and educated about role of occupational therapy in treatment of autism. HR 5040 - Health Information Technology Extension for Behavioral Health Services Act of 2010: advocated for passage and educated about occupational therapy services. HR 5025 -HITECH Extension for Behavioral Health Services Act of 2010: Educated about occuaptional therapy services. HR 678 - Huntington's Disease Parity Act: Advocated for passage.

Client expense: $120,000 · Firm income: Not reported

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

S. 687 (Mikulski) Clinical Social Work Medicare Equity Act Issues: Medicare Mental Health Coverage/Payment. Support a bill to amend title XVIII of the Social Security Act to permit direct payment under the Medicare program for clinical social worker services provided to residents of skilled nursing facilities. H.R. 5040, (Kennedy) the "HIT Extension for Behavioral Health Services Act." Issues: Medicare, Medicaid, health system reform, HIT. Support a bill to extending eligibility to clinical social workers and other behavioral health providers for electronic health record incentive payments established under Medicare and Medicaid. H.R. 4994, (Reid) The Medicare and Medicaid Extenders Act Issues: Medicare, Medicaid. Support a bill to extend current rates for Medicare Part B payments to clinical social workers and other practitioners.

Client expense: $123,200 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 687 (Mikulski) Clinical Social Work Medicare Equity Act Issues: Medicare Mental Health Coverage/Payment. Support a bill to amend title XVIII of the Social Security Act to permit direct payment under the Medicare program for clinical social worker services provided to residents of skilled nursing facilities. H.R. 5040, (Kennedy) the "HIT Extension for Behavioral Health Services Act." Issues: Medicare, Medicaid, health system reform, HIT. Support a bill to extending eligibility to clinical social workers and other behavioral health providers for electronic health record incentive payments established under Medicare and Medicaid. H.R. 4994, (Reid) The Medicare and Medicaid Extenders Act Issues: Medicare, Medicaid. Support a bill to extend current rates for Medicare Part B payments to clinical social workers and other practitioners.

Client expense: $123,200 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocating in support of Health Information Technology Extension for Behavioral Health Services Act of 2010 (H.R. 5040) and S.3709.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Care Reform: P.L. 111-148, P.L. 111-152; Health Care Truth and Transparency Act of 2010: H.R. 5295 Red Flag Rule Amendments: P.L. 111-319; Mental Health Parity: Wellstone-Domenici Act: P.L. 110-343 HITECH Act: P.L. 111-5; H.R 5040; S. 3709

Client expense: $325,000 · Firm income: Not reported

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

1. S. 750, the "Caring for an Aging America Act of 2009," a bill to provide for the establishment of a new geriatric and gerontology loan repayment program. Support all provisions. 2. S. 245/H.R. 468, the "Retooling the Health Care Workforce for an Aging American Act of 2009". This bill addresses the current and future shortage of health care personnel who are trained to care for older adults. Support all provisions. 3. S. 682, the "Mental Health on Campus Improvement Act," to amend the Public Health Service Act to improve mental and behavioral services on college campuses. Support all provisions. 4. S. 697, the "Community Living Assistance Supports and Services Act (CLASS Act)," to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment. Support all provisions. Support inclusion of provisions of this bill in healht care reform legislation (H.R. 3590). 5. H.R. 1457, the "Geriatrics Loan Forgiveness Act of 2009," to amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professional Shortage Area. Support all provisions. 6. Discussed with House and Senate staff the need to include older adults in clinical trials. 7. Support comparative effectiveness research focused specifically on treatments for older adults and mental illness. 8. Support programs to reverse the declining numbers of geriatric specialists. 9. Support legislation to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. 10. Support H.R. 1932/S. 999, the "Child Health Care Crisis Relief Act," to address the national shortage of children's mental health professionals, including school-based professionals, by encouraging more individuals to enter these critical fields. 11. S. 678, "Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009". Support all provisions, but especially those that strengthen protections for those in the criminal and juvenile justices systems with needs related to mental health and substance abuse. 12. Support H.R. 2901, "Healthy Transitions Act," to provide access to knowledge, skills, and supports that are necessary for a successful transition to adulthood for young adults with mental health disorders. The bill would provide technical and monetary assistance to states as they implement plans to develop a coordinated service delivery system in order to maximize continuity of care and access to services. The bill would also establish planning and implementation grants to assist peer support programs and programs promoting independent living, life skills, employment, and education. 13. Support H.R. 1193, the "Federal Response to Eliminate Easting Disorders Act" (H.R. 1193/S. 3260), to create Centers of Excellence dedicated to research collaboration, create a Center of Epidemiology to study the prevalence, economic impact and related morbidity and mortality rates of eating disorders, provide for evidence-based standards of care, establish education and prevention grant programs for training of health professionals and schools at all levels, provide public service announcements, and enhance access to care for those who suffer from eating disorders. 14. Support H.R. 2531, the "Mental Health in Schools Act of 2009," to authorize competitive grants to local school districts to assist them in early mental health interventions and referrals for treatment, to provide supports for students and their families, and to allow for staff training to be culturally and linguistically appropriate. 15. H. R. 3191 and S. 3698, the "Positive Aging Act," to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. Support all provisions. 16. Support S. 1857 and H. R. 4204, to establish national centers of excellence for the treatment of depression and bipolar disorders. 17. Support S. 2928, to include direct care workers as a priority for the National Health Care Workforce Commission. 18. Support efforts to strengthen existing Title VII geriatric health professions education programs. 19. Support H.R. 5466, the "SAMHSA Modernization Act of 2010," to reauthorize programs administered by the Substance Abuse and Mental Health Services Administration. Support provisions to improve the accessibility and quality of mental heatlh services for the elderly. 20. Support H.R. 5040, the "Health Information Technology Extension for Behavioral Health Sciences Act of 2010," to extend the meaningful use incentives established through the American Recovery and Reinvestment Act to mental health and substance abuse providers and facilities, including psychiatric hospitals, community mental health centers, mental health treatment facilities, clinical psychologists and social workers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 5040 re health information technology extension Area wage index update

Client expense: Not reported · Firm income: $140,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Information Technology Extension for Behavioral Health Services Act (H.R. 5040/S. 3709), all provisions related to expanding federal incentive payments for the adoption and meaningful use of electronic health records to behavioral health providers and facilities. Red Flag Program Clarification Act, exempts health care organizations from complying with the requirements of the Red Flag Rule promulgated by the Federal Trade Commission. Excellence in Mental Health Act (S. 4038), all provisions related to establishing criteria for Federally Qualified Community Behavioral Health Centers, establishing grants for capital improvements and health information technology, and recognizing services provided by CBHCs as mandatory in state Medicaid programs. Community-Based Mental Health Infrastructure Improvements Act (S. 4035), all provisions related to establishing a new grant program to provide funding for the construction or modernization of facilities used to provide mental health and substance abuse services.

Client expense: $34,748 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to the effective implementation of PL 111-148 "The Patient Protection and Affordable Care Act," all provisions relating to mental health, and the ensuing budget reconciliation legislation, PL 111-152 "The Reconciliation Act of 2010," all provisions relating to mental health. HR 5040/S 3709 "Health Information Technology Extension for Behavioral Health Services Act of 2010," all provisions. Issues relating to federal recognition of Community Mental Health Centers. HR 5636 Mental Health and Addiction Safety Net Equity Act," all provisions. S 4038 Excellence in Mental Health Act, all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR1932 and S999 The Child Healthcare Crisis Relief Act HR5040 The Health Information Technology Extension for Behavioral Health Services Act of 2010 HR2531 The Mental Health in Schools Act HR5392 Council on the Integration of Healthcare Education Act SAMHSA Reauthorization Patient Protection and Affordable Care Act

Client expense: Not reported · Firm income: Not reported

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

HR1932 and S999 The Child Healthcare Crisis Relief Act HR5040 The Health Information Technology Extension for Behavioral Health Services Act of 2010 HR2531 The Mental Health in Schools Act of 2009 HR2597 The Positive Behavior for Safe and Effective Schools Act HR5392 Council on the Integration of Healthcare Education Act SAMHSA Reauthorization FY2011 Appropriations (Labor/HHS/Education) Patient Protection and Affordable Care Act

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE

Advocating in support of Health Information Technology Extension for Behavioral Health Services Act of 2010 (H.R. 5040) and S.3709.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocated for cosponsorship of HR 5040, the Health Information Technology Extension for Behavioral Health Services Act, which clarifies the definition of a health care provider. Requested support for establishment of Federally Qualified Behavioral Health Centers, allowing such entities to receive cost reimbursement for services provided to children and adults with mental health and substance abuse problems, while meeting clearly defined national standards in order to receive such reimbursements.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1600/S 1169 - To amend title 10, United States Code, to provide for the treatment of autism under TRICARE; lobbied to educate on Occupational Therapy role in Autism services. S 819/HR 2413 - Autism Treatment Acceleration Act of 2009; lobbied to educate on Occupational Therapy role in Autism services. No bill #: Health Care Reform; Educate about recommendations and position of the American Occupational Therapy Association regarding occupational therapy. HR 3200 - America's Affordable Health Choices Act of 2009: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy. HR 2891 - Access to Frontline Health Care Act of 2009: Support passage. HR 3590 (PL 111-148) - Patient Protection and Affordable Care Act: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy; and oppose Wyden Amendment D-9 offset related to orthotics and prosthetics; advocated to change Lincoln D-10 amendment to reduce the scope of the amendment and to include occupational therapy. HR 4662 - Lymphedema Diagnosis and Treatment Cost Saving Act of 2010: Oppose provisions requiring additional accreditation for occupational therapy services. H Res 1258 - A resolution expressing support for designation of May 2010 as Mental Health Month: Advocated passage. H Res 1033 - A resolution expressing support for designation of April 2010 as "National Autism Awareness Month":and supporting efforts to devote new resources to research into the causes and treatment of autism and to improve training and support for individuals with autism and those who care for individuals with autism: Advocated for passage and educated about role of occupational therapy in treatment of autism. HR 5040 - Health Information Technology Extension for Behavioral Health Services Act of 2010: advocated for passage and educated about occupational therapy services. HR 5025 -HITECH Extension for Behavioral Health Services Act of 2010: Educated about occuaptional therapy services. HR 678 - Huntington's Disease Parity Act: Advocated for passage.

Client expense: $90,000 · Firm income: Not reported

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

No bill #: Health Care Reform; Educate about recommendations and position of the American Occupational Therapy Association regarding occupational therapy. HR 3200 - America's Affordable Health Choices Act of 2009: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy. HR 2891 - Access to Frontline Health Care Act of 2009: Support passage. HR 3590 (PL 111-148) - Patient Protection and Affordable Care Act: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy; and oppose Wyden Amendment D-9 offset related to orthotics and prosthetics; advocated to change Lincoln D-10 amendment to reduce the scope of the amendment and to include occupational therapy. S 1963 - Caregivers and Veterans Omnibus Health Services Act of 2010: advocated for passage and inclusion of occupational therapy services. HR 1036 - Veterans Physical Therapy Services Improvement Act of 2009: Educated about the role and impact of occupational therapy services. HR 1558 - Preexisting Condition Patient Protection Act of 2009: Advocated for passage. S Res 490 - A resolution recognizing the measurable, positive impact that the National Committee for Quality Assurance has made on the quality of care patients in the United States have received during the 20 years since the formation of the organization: Advocated for passage. HR 5025 -HITECH Extension for Behavioral Health Services Act of 2010: Educated about occuaptional therapy services. HR 4944 - Siding with America's Patients (SWAP) Act - Educated about occupational therapy services and to ensure coverage. HR 4919, HR 4903 - A bill to repeal the Patient Protection and Affordable Care Act: Educated about occupational therapy services. HR 4910 - A bill to repeal the Patient Protection and Affordable Care Act and enact the Empowering Patients First Act in order to provide incentives to encourage health insurance coverage: Educated about occupational therapy services and to ensure coverage. HR 4894 -- A bill to amend the Patient Protection and Affordable Care Act ot ensure appropriate treatment of Department of Veterans' Affairs and Department of Defense heatlh programs: Educated about occupational therapy services. HR 5040 - Health Information Technology Extension for Behavioral Health Services Act of 2010: advocated for passage and educated about occupational therapy services. HR 678 - Huntington's Disease Parity Act: Advocated for passage

Client expense: $90,000 · Firm income: Not reported

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

H.R. 43 and S. 46 - Medicare Access to Rehabilitative Services Act of 2009: Support and passage of all provisions, lobbying for the repeal of the provisions of the 1997 Balance Budget Act which imposed a $1840 annual cap on occupational therapy services covered by Medicare. HR 1094 - Medicare Home Health Flexibility Act of 2009: All provisions, passage, lobbying for changes to current regulations governing the provision of home health services under Medicare Part B to allow Occupational Therapy to qualify as an initiating service. HR 1137 - Athletic Trainers' Equal Access to Medicare Act of 2009: lobbying against specific provisions in the legislation that would allow athletic trainers to bill Medicare as a therapy service incident to a physicians order. HR 2479 - Medicare Orthotics and Prosthetics Improvement Act of 2009: Oppose. Negatively impacts occupational therapy scope of practice. HR 2068 - Medicare Telehealth Expansion Act of 2009: Advocate for passage and inclusion of occupational therapy. S 1131/HR 2560 - Independence at Home Act of 2009: Support passage and inclusion of occupational therapy. HR 1829/S 950 - Medicare Patient Access to Physical Therapists Act of 2009: advocate for changing the bill to include occupational therapy. HR 3184/S 1186 - Medicare Independent Living Act: Advocate for passage No bill #: Health Care Reform; Educate about recommendations and position of the American Occupational Therapy Association regarding occupational therapy. HR 3200 - America's Affordable Health Choices Act of 2009: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy. HR 2891 - Access to Frontline Health Care Act of 2009: Support passage. HR 3590 (PL 111-148) - Patient Protection and Affordable Care Act: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy; and oppose Wyden Amendment D-9 offset related to orthotics and prosthetics; advocated to change Lincoln D-10 amendment to reduce the scope of the amendment and to include occupational therapy. Advocated for passage of short and long-term solutions to the Medicare Physician Fee Schedule payment cuts spurred by the Sustainable Growth Rate (SGR) formula. No Bill #: Advocate for extension of Medicare Therapy Caps Exceptions process. HR 3790 - To amend title XVIII of the Social Security Act to repeal the Medicare competitive acquisition program for durable medical equipment and prosthetics, orthotics, and supplies (DMEPOS) in a budget neutral manner: educated and advocated on impact on occupational therapy services. HR 5040 - Health Information Technology Extension for Behavioral Health Services Act of 2010: advocated for passage and educated about occupational therapy services. HR 1708 - Ending the Medicare Disability Waiting Period Act of 2009: Advocated for passage. HR 4993 - Home Health Care Planning Improvement Act of 2010: Advocated for passage and educated about occupational therapy services. S 3216 - Medicare Rural Health Care Equity Act of 2010: Advocated for passage. HR 4371 - A bill to amend Title XVIII of the Social Security Act to continue using 2009 Medicare practice expense relative value units for certain cardiology services: Advocated regarding impact to occupational therapy services. No bill: Advocate to Congress and Centers for Medicare/Medicaid Services (CMS) to oppose proposed Medicare Physician Payment Reductions, cuts to therapy reimbursement in the proposed 2011 Medicare Physician Fee Schedule rule. CMS staff: Marilyn Tavenner, Principal Deputy Administrator and Johnathan Bluhm, Director of Center for Medicare Management HR 1586 - Education and Medicaid Funding for States: Supported passage.

Client expense: $90,000 · Firm income: Not reported

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

H.R. 444, S. 1239, 340B Program Improvement and Integrity Act (all provisions) H.R. 5040, Health Information Technology Extension for Behavioral Health Services Act of 2010 (meaningful use amendment) 75 F.R. 36610, Hospital visitation regulations

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

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

S. 687 (Mikulski) Clinical Social Work Medicare Equity Act. Issues: Medicare Mental Health Coverage/Payment. Support a bill to amend title XVIII of the Social Security Act to permit direct payment under the Medicare program for clinical social worker services provided to residents of skilled nursing facilities. H.R. 5040, (Kennedy) the "HIT Extension for Behavioral Health Services Act." Issues: Medicare, Medicaid, health system reform, HIT. Support a bill to extending eligibility to clinical social workers and other behavioral health providers for electronic health record incentive payments established under Medicare and Medicaid. H.R. 4213, (Rangel) The American Jobs, Closing Tax Loopholes and Preventing Outsourcing Act. Issues: Medicare, Medicaid. Support a bill to extend Medicaid fiscal relief to the states and increase Medicare Part B payments to clinical social workers and other practitioners.

Client expense: $140,297 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Labor-HHS-Education Appropriations (S. 3686) Health Information Technology Extension for Behavioral Health Services Act of 2010 (H.R. 5040, S. 3709) Mental Health in Schools Act of 2009 (HR 2531) Medicaid Funding Extensions Bill (1586) SAMHSA Modernization Act of 2010 (H.R. 5466) Small Business Jobs and Credit Act (H.R. 5297), an amendment to strip the Prvention and Public Health Fund

Client expense: $12,515 · Firm income: Not reported

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

Efforts to expand coverage for the uninsured; Regulatory efforts to preserve and strengthen safey net hospitals, including supplemental payments; Issues pertaining to health reform implementation; Promoting use of coordinated care networks for newly insured populations H.R. 444, S. 1239, 340B Program Improvement and Integrity Act (all provisions) H.R. 5040, Health Information Technology Extension for Behavioral Health Services Act of 2010 (meaningful use amendment) 75 F.R. 36610, Hospital visitation regulations

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

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

HR1932 and S999 The Child Healthcare Crisis Relief Act HR5040 The Health Information Technology Extension for Behavioral Health Services Act of 2010 HR2531 The Mental Health in Schools Act of 2009 HR2597 The Positive Behavior for Safe and Effective Schools Act HR5392 Council on the Integration of Healthcare Education Act SAMHSA Reauthorization FY2011 Appropriations (Labor/HHS/Education) Patient Protection and Affordable Care Act

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE

Health Information Technology Extension for Behavioral Health Services Act (H.R. 5040/S. 3709), all provisions related to expanding federal incentive payments for the adoption and meaningful use of electronic health records to behavioral health providers and facilities. Mental Health and Addictions Safety Net Equity Act (H.R. 5636), all provisions related to establishing standards for the creation of Federally Qualified Behavioral Health Centers and ensuring that FQBHCs receive minimum reimbursement that reflects the cost of delivering services.

Client expense: $43,220 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2350/1174; Preserving Patient Access to Primary Care Act of 2009 H.R. 2730; Student to School Nurse Ratio Improvement Act of 2009 S. 1303; Women's Medical Home Demonstration Act All provisions related to Certified Nurses Day Resolution (H. Res. 1158) H.R. 5270; Improving access to workers compensation for Injured Federal Workers Act H.R. 5040; Health Information Technology Extension for Behavioral health Services Act of 2010 H.R. 1191: Safe Drug Disposal S. 27/H.R. 2043: Nurse Education, Expansion and Development Act of 2009 (NEED Act) Provisions related to a resolution regardining Safe Patient Handling and Movement Initiative (H. Res. 510). S. 1267; Evidence-Based Home Visitation Act of 2009 H.R. 1946; Health Workforce Investment Act of 2009 H.R. 2371; Nurse Training and Retention Act of 2009 S. 1796; America's Healthy Future Act S. 1697; Affordable Health Choices Act H.R. 3191; Positive Aging Act of 2009 H.R. 1460/S. 1022; The Nurses Higher Education and Loan Repayment Act of 2002 H.R. 2535; Blueprint for Health Act of 2009 The Health Equity and Accountability Act of 2009 H.R. 2381/S. 1788; The Nurse and Health Care Worker Protection Act of 2009 S. 1679; Affordable Health Choices Act - Resonable Break Time for Nursing Mothers U.S. Food and Drug Administration, related to re-evaluation of BPA H.R. 4993/S. 2814; Home Health Care Planning Improvement Act of 2009 S.A. 2928; "To include Direct Care Workers as a priority for the National Health Care Workforce Commission" H.R. 4601; National Nurse Act of 2010, provisions related to creation of the Office of the National Nurse Women's Health Admendment (Sec. 271(a)(4)) of Public Service Act H.R. 5742; Medical Checklist Act of 2010

Client expense: $401,501 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE

Health Care Reform: P.L 111-148, P.L. 111-152 Health Care Truth and Transparency Act of 2010: H.R. 5295 Red Flag Rule Amendments: H.R. 3763 Mental Health Parity: Wellstone-Domenici Act: P.O. 110-343 HITECH Act: P.L. 111-5; H.R. 5040; S. 3709

Client expense: $147,234 · Firm income: Not reported

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

HR 5040 re health information technology extension

Client expense: Not reported · Firm income: $140,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to the effective implementation of PL 111-148 "The Patient Protection and Affordable Care Act," all provisions relating to mental health, and the ensuing budget reconciliation legislation, PL 111-152 "The Reconciliation Act of 2010," all provisions relating to mental health. HR 5040 "Health Information Technology Extension for Behavioral Health Services Act of 2010," all provisions. Issues relating to federal recognition of Community Mental Health Centers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. S. 750, the "Caring for an Aging America Act of 2009," a bill to provide for the establishment of a new geriatric and gerontology loan repayment program. Support all provisions. 2. S. 245/H.R. 468, the "Retooling the Health Care Workforce for an Aging American Act of 2009". This bill addresses the current and future shortage of health care personnel who are trained to care for older adults. Support all provisions. 3. S. 682, the "Mental Health on Campus Improvement Act," to amend the Public Health Service Act to improve mental and behavioral services on college campuses. Support all provisions. 4. S. 697, the "Community Living Assistance Supports and Services Act (CLASS Act)," to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment. Support all provisions. Support inclusion of provisions of this bill in healht care reform legislation (H.R. 3590). 5. H.R. 1457, the "Geriatrics Loan Forgiveness Act of 2009," to amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professional Shortage Area. Support all provisions. 6. Discussed with House and Senate staff the need to include older adults in clinical trials. 7. Support comparative effectiveness research focused specifically on treatments for older adults and mental illness. 8. Support programs to reverse the declining numbers of geriatric specialists. 9. Support legislation to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. 10. Support H.R. 1932/S. 999, the "Child Health Care Crisis Relief Act," to address the national shortage of children's mental health professionals, including school-based professionals, by encouraging more individuals to enter these critical fields. 11. S. 678, "Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009". Support all provisions, but especially those that strengthen protections for those in the criminal and juvenile justices systems with needs related to mental health and substance abuse. 12. Support H.R. 2901, "Healthy Transitions Act," to provide access to knowledge, skills, and supports that are necessary for a successful transition to adulthood for young adults with mental health disorders. The bill would provide technical and monetary assistance to states as they implement plans to develop a coordinated service delivery system in order to maximize continuity of care and access to services. The bill would also establish planning and implementation grants to assist peer support programs and programs promoting independent living, life skills, employment, and education. 13. Support H.R. 1193, the "Federal Response to Eliminate Easting Disorders Act" (H.R. 1193/S. 3260), to create Centers of Excellence dedicated to research collaboration, create a Center of Epidemiology to study the prevalence, economic impact and related morbidity and mortality rates of eating disorders, provide for evidence-based standards of care, establish education and prevention grant programs for training of health professionals and schools at all levels, provide public service announcements, and enhance access to care for those who suffer from eating disorders. 14. Support H.R. 2531, the "Mental Health in Schools Act of 2009," to authorize competitive grants to local school districts to assist them in early mental health interventions and referrals for treatment, to provide supports for students and their families, and to allow for staff training to be culturally and linguistically appropriate. 15. H. R. 3191 and S. 3698, the "Positive Aging Act," to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. Support all provisions. 16. Support S. 1857 and H. R. 4204, to establish national centers of excellence for the treatment of depression and bipolar disorders. 17. Support S. 2928, to include direct care workers as a priority for the National Health Care Workforce Commission. 18. Support efforts to strengthen existing Title VII geriatric health professions education programs. 19. Support H.R. 5466, the "SAMHSA Modernization Act of 2010," to reauthorize programs administered by the Substance Abuse and Mental Health Services Administration. Support provisions to improve the accessibility and quality of mental heatlh services for the elderly. 20. Support H.R. 5040, the "Health Information Technology Extension for Behavioral Health Sciences Act of 2010," to extend the meaningful use incentives established through the American Recovery and Reinvestment Act to mental health and substance abuse providers and facilities, including psychiatric hospitals, community mental health centers, mental health treatment facilities, clinical psychologists and social workers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Labor-HHS-Education Appropriations (S. 3686) Health Information Technology Extension for Behavioral Health Services Act of 2010 (H.R. 5040, S. 3709) Mental Health in Schools Act of 2009 (HR 2531) Medicaid Funding Extensions Bill (1586) SAMHSA Modernization Act of 2010 (H.R. 5466) Small Business Jobs and Credit Act (H.R. 5297), an amendment to strip the Prvention and Public Health Fund

Client expense: $17,800 · Firm income: Not reported

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

Advocating in support of Health Information Technology Extension for Behavioral Health Services Act of 2010 (H.R. 5040) and the introduction a of a similar bill in the Senate.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR1932 and S999 The Child Healthcare Crisis Relief Act HR5040 The Health Information Technology Extension for Behavioral Health Services Act of 2010 HR2531 The Mental Health in Schools Act of 2009 HR2597 The Positive Behavior for Safe and Effective Schools Act HR5392 Council on the Integration of Healthcare Education Act SAMHSA Reauthorization FY2011 Appropriations (Labor/HHS/Education) President's Budget for FY2011

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE

Advocated for cosponsorship of HR 5040, the Health Information Technology Extension for Behavioral Health Services Act, which clarifies the definition of a health care provider. Requested support for establishment of Federally Qualified Behavioral Health Centers, allowing such entities to receive cost reimbursement for services provided to children and adults with mental health and substance abuse problems, while meeting clearly defined national standards in order to receive such reimbursements.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Community Mental Health Services Improvement Act (HR 1011/S 1188), all provisions of bill relating to community mental health services improvement Mental Health in Schools Act of 2009 (H.R. 2531), all provisions related to providing grant funding for licensed mental health professionals to work with students with mental disorders. Child Health Care Crisis Relief Act of 2009 (S.999/ H.R. 1932), all provisions related to creating incentives to help recruit and retain child mental health professionals providing direct clinical care, and to improve, expand, or help create programs to train child mental health professionals Student Support Act (H.R. 1338), all provisions related to the hiring of additional school-based mental health and student service providers. Mental Health on Campus Improvement Act (S. 682/H.R. 1704), all provisions related to expanding the mental and behavioral health services available on college campuses around the country. Health Information Technology Extension for Behavioral Health Services Act (H.R. 5040), all provisions related to expanding federal incentive payments for the adoption and meaningful use of electronic health records to behavioral health providers and facilities. Mental Health and Addictions Safety Net Equity Act (H.R. 5636), all provisions related to the creation of Federally Qualified Behavioral Health Centers. SAMHSA Modernization Act (H.R. 5466), all provisions related to reauthorizing the Substance Abuse and Mental Health Services Administration. Improving the Quality of Mental and Substance Use Health Care Act (H.R. 2369), all provisions related to promoting the use of evidence-based practices in MH/SUD treatment and streamlining/improving federal financing for these services. Positive Aging Act (H.R. 3191), all provisions related to establishing grants for demonstration programs that integrate mental health services for older adults into primary care settings and support the establishment and maintenance of interdisciplinary geriatric mental health outreach teams in community settings. Methamphetamine Education, Treatment, and Hope Act (H.R. 2818), all provisions related to requiring the Center for Substance Abuse Treatment to collaborate with professionals in the addiction field and primary healthcare providers to raise awareness among providers about recognition of the signs of substance use disorders and apply evidence-based practices for the screening and treatment of individuals who have or might develop those types of conditions. Rural Preventive Health Care Training Act (S. 113), all provisions related to establishing grants and contracts for preventive healthcare training of rural practitioners. Indian Youth Suicide Prevention Act (S. 1635), all provisions related to providing telemental health services to American Indian youths who have expressed suicidal ideas, have attempted suicide, or have mental health conditions that increase or could increase their risk for suicide. Autonomy for Psychologists and Social Workers Act (S. 56), all provisions related to removing a restriction under current law that clinical psychologists or clinical social workers can provide services in a comprehensive outpatient rehabilitation facility only to patients under the care of a physician. Childrens Hospitals Education Equity Act (S. 830/H.R. 2003), all provisions related to including certain freestanding childrens psychiatric hospitals under the program of federal payments to childrens hospitals that operate graduate medical residency training programs.

Client expense: $30,463 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 4213, Workers State and Business Relief Act as it relates to FMAP, COBRA, 340B inpatient pricing extensions, medicare physician payments, 72 hour rule, Sec. 508. HR 5040 re health information technology extension

Client expense: Not reported · Firm income: $140,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. S. 750, the "Caring for an Aging America Act of 2009," a bill to provide for the establishment of a new geriatric and gerontology loan repayment program. Support all provisions. 2. S. 245/H.R. 468, the "Retooling the Health Care Workforce for an Aging American Act of 2009". This bill addresses the current and future shortage of health care personnel who are trained to care for older adults. Support all provisions. 3. S. 682, the "Mental Health on Campus Improvement Act," to amend the Public Health Service Act to improve mental and behavioral services on college campuses. Support all provisions. 4. S. 697, the "Community Living Assistance Supports and Services Act (CLASS Act)," to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment. Support all provisions. Support inclusion of provisions of this bill in healht care reform legislation (H.R. 3590). 5. H.R. 1457, the "Geriatrics Loan Forgiveness Act of 2009," to amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professional Shortage Area. Support all provisions. 6. Discussed with House and Senate staff the need to include older adults in clinical trials. 7. Support comparative effectiveness research focused specifically on treatments for older adults and mental illness. 8. Support programs to reverse the declining numbers of geriatric specialists. 9. Support legislation to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. 10. Support H.R. 1932/S. 999, the "Child Health Care Crisis Relief Act," to address the national shortage of children's mental health professionals, including school-based professionals, by encouraging more individuals to enter these critical fields. 11. S. 678, "Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009". Support all provisions, but especially those that strengthen protections for those in the criminal and juvenile justices systems with needs related to mental health and substance abuse. 12. Support H.R. 2901, "Healthy Transitions Act," to provide access to knowledge, skills, and supports that are necessary for a successful transition to adulthood for young adults with mental health disorders. The bill would provide technical and monetary assistance to states as they implement plans to develop a coordinated service delivery system in order to maximize continuity of care and access to services. The bill would also establish planning and implementation grants to assist peer support programs and programs promoting independent living, life skills, employment, and education. 13. Support H.R. 1193, the "Federal Response to Eliminate Easting Disorders Act" (H.R. 1193/S. 3260), to create Centers of Excellence dedicated to research collaboration, create a Center of Epidemiology to study the prevalence, economic impact and related morbidity and mortality rates of eating disorders, provide for evidence-based standards of care, establish education and prevention grant programs for training of health professionals and schools at all levels, provide public service announcements, and enhance access to care for those who suffer from eating disorders. 14. Support H.R. 2531, the "Mental Health in Schools Act of 2009," to authorize competitive grants to local school districts to assist them in early mental health interventions and referrals for treatment, to provide supports for students and their families, and to allow for staff training to be culturally and linguistically appropriate. 15. H. R. 3191, the "Positive Aging Act," to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. Support all provisions. 16. Support S. 1857 and H. R. 4204, to establish national centers of excellence for the treatment of depression and bipolar disorders. 17. Support S. 2928, to include direct care workers as a priority for the National Health Care Workforce Commission. 18. Support efforts to strengthen existing Title VII geriatric health professions education programs. 19. Support H.R. 5466, the "SAMHSA Modernization Act of 2010," to reauthorize programs administered by the Substance Abuse and Mental Health Services Administration. Support provisions to improve the accessibility and quality of mental heatlh services for the elderly. 20. Support H.R. 5040, the "Health Information Technology Extension for Behavioral Health Sciences Act of 2010," to extend the meaningful use incentives established through the American Recovery and Reinvestment Act to mental health and substance abuse providers and facilities, including psychiatric hospitals, community mental health centers, mental health treatment facilities, clinical psychologists and social workers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to the effective implementation of PL 111-148 "The Patient Protection and Affordable Care Act," all provisions relating to mental health, and the ensuing budget reconciliation legislation, PL 111-152 "The Reconciliation Act of 2010," all provisions relating to mental health. HR 5040 "Health Information Technology Extension for Behavioral Health Services Act of 2010," all provisions. Issues relating to federal recognition of Community Mental Health Centers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2350/1174; Preserving Patient Access to Primary Care Act of 2009 H.R. 2730; Student to School Nurse Ratio Improvement Act of 2009 S. 1303; Women's Medical Home Demonstration Act All provisions related to the National Nurse Week Resolution (H. Res 1261) All provisions related to Certified Nurses Day Resolution (H. Res. 1158) H.R. 5270; "Improving access to workers compensation for Injured Federal Workers Act H.R. 5040; Health Information Technology Extension for Behavioral Health Services Act of 2010 H.R. 1191; Safe Drug Disposal S. 27H.R. 2043; Nurse Education, Expansion, and Development Act of 2009 (NEED Act) Provisions related to a resolution regarding Safe Patient Handling and Movement initiative (H. Res. 510). S. 1267; Evidence-Based Home Visitation Act of 2009 H.R. 1946; Health Workforce Investment Act of 2009 H.R. 2371; Nurse Training and Retention Act of 2009 S. 1796; America's Healthy Future Act S. 1697; Affordable Health Choices Act H.R. 3191; Positive Aging Act of 2009 H.R. 1460/S.1022; The Nurses Higher Education and Loan Repayment Act of 2002 H.R. 2535; Blueprint for Health Act of 2009 The Health Equity and Accountability Act of 2009 H.R. 3962; Affordale Health Care for America Act H.R. 2381/S. 1788; The Nurse and Health Care Worker Protection Act of 2009 S. 1679; Affordable Health Choices Act - Resonable Break Time for Nursing Mothers U.S. Food and Drug Administration, related to re-evaluation of BPA H.R. 4993/S. 2814; Home Health Care Planning Improvement Act of 2009 SA. 2928; "To include Direct Care Workers as a priority for the National Health Care Workforce Commission" H.R. 4872; Health Care and Education Affordability Reconciliation Act H.R. 4601; National Nurse Act of 2010, provisions related to creation of the Office of the National Nurse

Client expense: $468,758 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1600/S 1169 - To amend title 10, United States Code, to provide for the treatment of autism under TRICARE; lobbied to educate on Occupational Therapy role in Autism services. S 819/HR 2413 - Autism Treatment Acceleration Act of 2009; lobbied to educate on Occupational Therapy role in Autism services. No bill #: Health Care Reform; Educate about recommendations and position of the American Occupational Therapy Association regarding occupational therapy. HR 3200 - America's Affordable Health Choices Act of 2009: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy. HR 2891 - Access to Frontline Health Care Act of 2009: Support passage. HR 3590 (PL 111-148) - Patient Protection and Affordable Care Act: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy; and oppose Wyden Amendment D-9 offset related to orthotics and prosthetics; advocated to change Lincoln D-10 amendment to reduce the scope of the amendment and to include occupational therapy. HR 4662 - Lymphedema Diagnosis and Treatment Cost Saving Act of 2010: Oppose provisions requiring additional accreditation for occupational therapy services. H Res 1258 - A resolution expressing support for designation of May 2010 as Mental Health Month: Advocated passage. H Res 1033 - A resolution expressing support for designation of April 2010 as "National Autism Awareness Month":and supporting efforts to devote new resources to research into the causes and treatment of autism and to improve training and support for individuals with autism and those who care for individuals with autism: Advocated for passage and educated about role of occupational therapy in treatment of autism. HR 5040 - Health Information Technology Extension for Behavioral Health Services Act of 2010: advocated for passage and educated about occupational therapy services. HR 5025 -HITECH Extension for Behavioral Health Services Act of 2010: Educated about occuaptional therapy services. HR 678 - Huntington's Disease Parity Act: Advocated for passage.

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

Government targets: Bureau of Labor Statistics (BLS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R. 43 and S. 46 - Medicare Access to Rehabilitative Services Act of 2009: Support and passage of all provisions, lobbying for the repeal of the provisions of the 1997 Balance Budget Act which imposed a $1840 annual cap on occupational therapy services covered by Medicare. HR 1094 - Medicare Home Health Flexibility Act of 2009: All provisions, passage, lobbying for changes to current regulations governing the provision of home health services under Medicare Part B to allow Occupational Therapy to qualify as an initiating service. HR 1137 - Athletic Trainers' Equal Access to Medicare Act of 2009: lobbying against specific provisions in the legislation that would allow athletic trainers to bill Medicare as a therapy service incident to a physicians order. HR 2479 - Medicare Orthotics and Prosthetics Improvement Act of 2009: Oppose. Negatively impacts occupational therapy scope of practice. HR 2068 - Medicare Telehealth Expansion Act of 2009: Advocate for passage and inclusion of occupational therapy. S 1131/HR 2560 - Independence at Home Act of 2009: Support passage and inclusion of occupational therapy. HR 1829/S 950 - Medicare Patient Access to Physical Therapists Act of 2009: advocate for changing the bill to include occupational therapy. HR 3184/S 1186 - Medicare Independent Living Act: Advocate for passage No bill #: Health Care Reform; Educate about recommendations and position of the American Occupational Therapy Association regarding occupational therapy. HR 3200 - America's Affordable Health Choices Act of 2009: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy. HR 2891 - Access to Frontline Health Care Act of 2009: Support passage. HR 3590 (PL 111-148) - Patient Protection and Affordable Care Act: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy; and oppose Wyden Amendment D-9 offset related to orthotics and prosthetics; advocated to change Lincoln D-10 amendment to reduce the scope of the amendment and to include occupational therapy. HR4691 (PL 111-144) - Temporary Extensions Act of 2010: Advocate for extension of Medicare Therapy Caps Exceptions process and the Medicare Physicians Payment Update. HR 4851 (PL 111-157) - Continuing Extension Act of 2010: Advocate for extension of Medicare Physicians Payment Update. HR 3692 (PL 111-192) - Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010: Advocated for extension of Medicare Physicians Payment Update. Advocated for passage of short and long-term solutions to the Medicare Physician Fee Schedule payment cuts spurred by the Sustainable Growth Rate (SGR) formula. No Bill #: Advocate for extension of Medicare Therapy Caps Exceptions process. HR 3790 - To amend title XVIII of the Social Security Act to repeal the Medicare competitive acquisition program for durable medical equipment and prosthetics, orthotics, and supplies (DMEPOS) in a budget neutral manner: educated and advocated on impact on occupational therapy services. HR 5040 - Health Information Technology Extension for Behavioral Health Services Act of 2010: advocated for passage and educated about occupational therapy services. HR 1708 - Ending the Medicare Disability Waiting Period Act of 2009: Advocated for passage. HR 4993 - Home Health Care Planning Improvement Act of 2010: Advocated for passage and educated about occupational therapy services. S 3216 - Medicare Rural Health Care Equity Act of 2010: Advocated for passage. HR 4371 - A bill to amend Title XVIII of the Social Security Act to continue using 2009 Medicare practice expense relative value units for certain cardiology services: Advocated regarding impact to occupational therapy services.

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

Government targets: Bureau of Labor Statistics (BLS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), White House Office

No bill #: Health Care Reform; Educate about recommendations and position of the American Occupational Therapy Association regarding occupational therapy. HR 3200 - America's Affordable Health Choices Act of 2009: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy. HR 2891 - Access to Frontline Health Care Act of 2009: Support passage. HR 3590 (PL 111-148) - Patient Protection and Affordable Care Act: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy; and oppose Wyden Amendment D-9 offset related to orthotics and prosthetics; advocated to change Lincoln D-10 amendment to reduce the scope of the amendment and to include occupational therapy. HR 5200 - FEHBP Dependent Coverage Extension Act: Educate and advocate for coverage of Occupational Therapy services. S 1963 - Caregivers and Veterans Omnibus Health Services Act of 2010: advocated for passage and inclusion of occupational therapy services. HR 1036 - Veterans Physical Therapy Services Improvement Act of 2009: Educated about the role and impact of occupational therapy services. HR 1558 - Preexisting Condition Patient Protection Act of 2009: Advocated for passage. S Res 490 - A resolution recognizing the measurable, positive impact that the National Committee for Quality Assurance has made on the quality of care patients in the United States have received during the 20 years since the formation of the organization: Advocated for passage. HR 5025 -HITECH Extension for Behavioral Health Services Act of 2010: Educated about occuaptional therapy services. HR 4944 - Siding with America's Patients (SWAP) Act - Educated about occupational therapy services and to ensure coverage. HR 4919, HR 4903 - A bill to repeal the Patient Protection and Affordable Care Act: Educated about occupational therapy services. HR 4910 - A bill to repeal the Patient Protection and Affordable Care Act and enact the Empowering Patients First Act in order to provide incentives to encourage health insurance coverage: Educated about occupational therapy services and to ensure coverage. HR 4894 -- A bill to amend the Patient Protection and Affordable Care Act ot ensure appropriate treatment of Department of Veterans' Affairs and Department of Defense heatlh programs: Educated about occupational therapy services. HR 5040 - Health Information Technology Extension for Behavioral Health Services Act of 2010: advocated for passage and educated about occupational therapy services. HR 678 - Huntington's Disease Parity Act: Advocated for passage

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

Government targets: Bureau of Labor Statistics (BLS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), White House Office

Health Care Reform: S1857, H.R. 3962, H.R. 4204, HR. 4872, P.L. 111-148, P.L. 111=152 Health Care Truth and Transparency act of 2010: H.R. 5295 Red Flag Rule Amendments: H.R. 3763 Mental Health Parity: Wellstone-Domenici Act: P.L. 110-343 HITECH Act: H.R. 1, P.L. 111-5, H.R. 5040

Client expense: $143,267 · Firm income: Not reported

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