FIMBA

H.R.6490, Medicare DMEPOS Market Pricing Program Act of 2012, Issues related to Medical Devices H.R.1041, Fairness in Medicare Bidding Act, Issues related to Medical Devices

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Graduate medical education funding; Medicare physician payment reform; Medicare waiver under Section 1814(b) of the Social Security Act; Medicare DME competitive bidding, H.R. 1041 Fairness in Medicare Bidding Act; Medicare recovery audit contractors, H.R. 6575 Medicare Audit Improvement Act of 2012

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

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE, White House Office

***see addendum page H.R. 1041 - Fairness in Medicare Bidding Act, competitive bidding H.R. 5 - Protecting Access to Healthcare Act H.R. 8 - American Taxpayer Relief Act of 2012, physician payment ***, no specific bill(s), Medicare Inhalation Drug Therapies and Oxygen Reimbursement, provider enrollment standards, DME Competitive Bidding, CPAP coverage & reimbursement, program integrity

Client expense: Not reported · Firm income: $70,000

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

Issues pertaining to durable medical equipment including: competitive bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, and fraud and abuse. H.R. 1041, Fairness in Medicare Bidding Act--all provisions. H.R. 6490, The Medicare DMEPOS Market Pricing Program Act. H.R. 8, The American Taxpayer Relief Act See continuation on next page. S. 1251 and H.R. 3399, Medicare and Medicaid FAST Act--all provisions. H.R. 452, Medicare Decisions Accountability Act of 2011--all provisions. S. 668, Health Care Bureaucrats Elimination Act--all provisions. S. 3187, The Food and Drug Administration Safety and Innovation Act, all provisions. H.R. 4378, Ensuring Access to Quality Complex Rehabilitation Technology Act of 2012, all provisions. H.R. 5652, Sequester Replacement Reconciliation Act of 2012, issues pertaining to Medicare. CMS prior authorization demonstration for power mobility devices. H.R. 6490, Medicare DMEPOS Market Pricing Program Act of 2012, all provisions. H.R. 3630, Middle Class Tax Relief and job Creation Act of 2012, all provisions. H.Con.Res. 112, House Budget Resolution for Fiscal Year 2013, all provisions. H.R. 6575, Medicare Audit Improvement Act of 2012, all provisions.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 6490- Medicare DMEPOS Market Pricing Program Act of 2012; medical device manufacturers fee; HR 1041- Fairness in Medicare Bidding Act; DME competitive Bidding; complex rehabilitative wheelchair payment reform; HR 8- American Taxpayer Relief Act of 2012

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

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Treasury, Dept of

HR 6490- Medicare DMEPOS Market Pricing Program Act of 2012; medical device manufacturers fee; HR 1041- Fairness in Medicare Bidding Act; DME competitive Bidding; complex rehabilitative wheelchair payment reform; HR 8- American Taxpayer Relief Act of 2012

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

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Treasury, Dept of

HR 6490- Medicare DMEPOS Market Pricing Program Act of 2012; medical device manufacturers fee; HR 1041- Fairness in Medicare Bidding Act; DME competitive Bidding; complex rehabilitative wheelchair payment reform; HR 8- American Taxpayer Relief Act of 2012

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

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Treasury, Dept of

HR 6490- Medicare DMEPOS Market Pricing Program Act of 2012; medical device manufacturers fee; HR 1041- Fairness in Medicare Bidding Act; DME competitive Bidding; complex rehabilitative wheelchair payment reform; HR 8- American Taxpayer Relief Act of 2012

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

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Treasury, Dept of

HR 3509: Patient Protection and Affordable Care Act of 2010 - various provisions including: Medical Device Excise Tax, various reimbursement cuts and policy proposals for medical imaging; remote monitoring technology in the context of accountable care organizations, medical homes and post acute bundling; transparency HR 3692: The Affordable Health Care for America Act: Imaging cuts, device tax transparency and remote monitoring PL 110-275: "Medicare Improvements for Patient and Providers Act" (sec. 135) - Medical imaging accreditations program; medical imaging clinical appropriateness demonstration program HR 1041 - Fairness in Medicare Bidding Act Decline in growth rate of Medicare non-hospital imaging services Competitive Bidding S. 511 - The FITT Act of 2011 (Fostering Independence Through Technology Acts) - specifically the telehealth provisions Imaging self-referral (no bill number at this time) HR 6490 - The Medicare DMEPOS - Marketing Pricing Program Act of 2012 HR 8 - "American Tax Payer Relief Act of 2012" - Medicare Imaging Cuts & Sustainable Growth Rate Extension

Client expense: $510,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE

HR 3509: Patient Protection and Affordable care Act of 2010 - various provisions including: Medical Device Excise Tax, various reimbursement cuts and policy proposals for medical imaging; remote monitoring technology in the context of accountable care organizations, medical homes and post acute bundling; transparency HR 3692: The Affordable Health Care for America Act: Imaging cuts, device tax transparency and remote monitoring PL 110-275: "Medicare Improvements for Patient and Providers Act" (sec. 135) - Medical imaging accreditations program; medical imaging clinical appropriateness demonstration program HR 4782- Health Care and Education Reconciliation Act of 2010 - Home Oxygen products Sustainable Growth Rate Extension HR 1041 - Fairness in Medicare Bidding Act Decline in growth rate of Medicare non-hospital imaging services Competitive Bidding Medicare Imaging Cuts in the Debt Ceiling legislative discussions (no bill number at this time) S. 511 - The FITT Act of 2011 (Fostering Independence Through Technology Acts) - specifically the telehealth provisions

Client expense: $740,000 · Firm income: Not reported

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

Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabeti supplies, negative pressure wound therapy, Medicare audits, and fraud abuse; H.R. 1041 - Fairness in Medicare Bidding Act, all provisions; H.R. 3399/S. 1251 - Medicare and Medicaid FAST Act, all provisions; H.R. 452 - Medicare Decisions Accountability Act of 2011, all provisions; S.668 - Health Care Bureaucrats Elimination Act, all provisions; H.R. 3630 - Middle Class Tax Relief and Job Creation Act of 2012, all provisions; H.Con.Res. 112 - House Budget Resolution for Fiscal Year 2013, all provisions; S.3187 - Food and Drug Administration Safety and Innovation Act, all provisions; H.R. 4378 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2012, all provisions; H.R. 5652 - Sequester Replacement Reconciliation Act of 2012, issues pertaining to Medicare; CMS prior authorization demonstration for power mobility devices. H.R. 6490 - Medicare DMEPOS Market Pricing Program Act of 2012, all provisions. H.R. 6575 - Medicare Audit Improvement Act of 2012, all provisions. H.R. 8 - American Taxpayer Relief Act of 2012, all provisions.

Client expense: $160,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Natl Economic Council (NEC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

Implementation of the Medicare Improvements for Patients and Providers Act of 2008, reimbursement for home oxygen therapy. CMS regulations concerning the DMEPOS Competitive Bidding program, inhalation drugs and sleep disorder therapies. Public Law 111-148, the Patient Protection and Affordable Care Act of 2009 - implementation issues related to reimbursement process and payment levels for Medicare home oxygen benefit. No specific bill - repeal the Medicare competitive acquisition program for durable medical equipment and prosthetics, orthotics, and supplies (DMEPOS) in a budget neutral manner. Regulatory issues related to Medicare inhalation drug Therapies and oxygen reimbursement, provider enrollment standards, DME Competitive Bidding, CPAP coverage & reimbursement, program integrity. H.R. 1041, Fairness in Medicare Bidding Act - competitive bidding. Participated in discussions with HHS/CMS staff and congressional staff on audit activities affecting DME suppliers.

Client expense: Not reported · Firm income: $75,000

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

HR 1041 -- Fairness in Medicare Bidding Act

Client expense: Not reported · Firm income: Not reported

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

HR 1041 Fairness in Medicare Bidding Act; H.R. 3026 Safeguarding America's Pharmaceuticals Act; Medical Device Tax; HR 5651 / S 3187 -- Food and Drug Administration Reform Act of 2012

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

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

Affordable Care Act of 2010 H.R. 1041: Fairness in Medicare Bidding Act S.1203/H.R. 2195: Medicare Home Infusion Therapy Coverage Act of 2011 Medicare Claim Audit Volume and Contractor Procedures H.R. 6490: The Medicare DMEPOS Market Pricing Program Act

Client expense: $130,000 · Firm income: Not reported

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

- HR 905/ S 733, "To Amend Part B or Title XVIII of the Social Security Act to exclude customary prompt pay discounts from Manufacturers to Wholesalers from the average sales price for drugs & biologicals under Medicare", regarding all provisions. - HR 1041, "The Fairness in Medicare Bidding Act", regarding all provisions. - Issues related to Medicare reimbursement for Clinical Laboratory Services. - HR 1041, "Fairness in Medicare Bidding Act", regarding all provisions. - Medicare Part D Letter - HR 452, "Medicare Decisions Accountability Act of 2011", regarding all provisions. - S 668, "Health Care Bureaucrats Elimination Act", regarding all provisions. - Issues related to Physician-owned Companies that manufacture or distribute medical devices. - S 1468/ HR 2787, "Medicare Diabetes Self-Management Training Act of 2011", regarding all provisions. - PL 112-96, "Middle Class Tax Relief and Job Creation Act of 2012", provisions regarding Medicare clinical laboratory services. - Issues related to implantable medical devices. - HR 5998, "USPSTF Transparency and Accountability Act of 2012", regarding all provisions.

Client expense: $1,420,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

HR 3509: Patient Protection and Affordable care Act of 2010 - various provisions including: Medical Device Excise Tax, various reimbursement cuts and policy proposals for medical imaging; remote monitoring technology in the context of accountable care organizations, medical homes and post acute bundling; transparency HR 3692: The Affordable Health Care for America Act: Imaging cuts, device tax transparency and remote monitoring PL 110-275: "Medicare Improvements for Patient and Providers Act" (sec. 135) - Medical imaging accreditations program; medical imaging clinical appropriateness demonstration program HR 4782- Health Care and Education Reconciliation Act of 2010 - Home Oxygen products Sustainable Growth Rate Extension HR 1041 - Fairness in Medicare Bidding Act Decline in growth rate of Medicare non-hospital imaging services Competitive Bidding Medicare Imaging Cuts in the Debt Ceiling legislative discussions (no bill number at this time) S. 511 - The FITT Act of 2011 (Fostering Independence Through Technology Acts) - specifically the telehealth provisions Imaging self-referral (no bill number at this time) HR 6490 - The Medicare DMEPOS - Marketing Prizing Program Act of 2012

Client expense: $570,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE

***see addendum page H.R. 1041 - Fairness in Medicare Bidding Act, competitive bidding H.R. 5 - Protecting Access to Healthcare Act ***, no specific bill(s), Medicare Inhalation Drug Therapies and Oxygen Reimbursement, provider enrollment standards, DME Competitive Bidding, CPAP coverage & reimbursement, program integrity

Client expense: Not reported · Firm income: $70,000

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

Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabeti supplies, negative pressure wound therapy, Medicare audits, and fraud abuse; H.R. 1041 - Fairness in Medicare Bidding Act, all provisions; H.R. 3399/S. 1251 - Medicare and Medicaid FAST Act, all provisions; H.R. 452 - Medicare Decisions Accountability Act of 2011, all provisions; S.668 - Health Care Bureaucrats Elimination Act, all provisions; H.R. 3630 - Middle Class Tax Relief and Job Creation Act of 2012, all provisions; H.Con.Res. 112 - House Budget Resolution for Fiscal Year 2013, all provisions; S.3187 - Food and Drug Administration Safety and Innovation Act, all provisions; H.R. 4378 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2012, all provisions; H.R. 5652 - Sequester Replacement Reconciliation Act of 2012, issues pertaining to Medicare; CMS prior authorization demonstration for power mobility devices. H.R. 6490 - Medicare DMEPOS Market Pricing Program Act of 2012, all provisions.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Natl Economic Council (NEC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

HR 6490- Medicare DMEPOS Market Pricing Program Act of 2012; medical device manufacturers fee; HR 1041- Fairness in Medicare Bidding Act; DME Competitive Bidding; complex rehabilitative wheelchair payment reform

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

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Treasury, Dept of

HR 6490- Medicare DMEPOS Market Pricing Program Act of 2012; medical device manufacturers fee; HR 1041- Fairness in Medicare Bidding Act; DME Competitive Bidding; complex rehabilitative wheelchair payment reform

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

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Treasury, Dept of

Issues pertaining to durable medical equipment including: competitive bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, and fraud and abuse. H.R. 1041, Fairness in Medicare Bidding Act--all provisions. H.R. 6490, The Medicare DMEPOS Market Pricing Program Act. See continuation on next page. S. 1251 and H.R. 3399, Medicare and Medicaid FAST Act--all provisions. H.R. 452, Medicare Decisions Accountability Act of 2011--all provisions. S. 668, Health Care Bureaucrats Elimination Act--all provisions. H.R. 3399, Medicare and Medicaid FAST Act, all provisions. S. 3187, The Food and Drug Administration Safety and Innovation Act, all provisions. H.R. 4378, Ensuring Access to Quality Complex Rehabilitation Technology Act of 2012, all provisions. H.R. 5652, Sequester Replacement Reconciliation Act of 2012, all provisions. CMS prior authorization demonstration for power mobility devices. H.R. 6490, Medicare DMEPOS Market Pricing Program Act of 2012, all provisions.

Client expense: Not reported · Firm income: $70,000

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Implementation of the Medicare Improvements for Patients and Providers Act of 2008, reimbursement for home oxygen therapy. CMS regulations concerning the DMEPOS Competitive Bidding program, inhalation drugs and sleep disorder therapies. Public Law 111-148, the Patient Protection and Affordable Care Act of 2009 - implementation issues related to reimbursement process and payment levels for Medicare home oxygen benefit. No specific bill - repeal the Medicare competitive acquisition program for durable medical equipment and prosthetics, orthotics, and supplies (DMEPOS) in a budget neutral manner. Regulatory issues related to Medicare inhalation drug Therapies and oxygen reimbursement, provider enrollment standards, DME Competitive Bidding, CPAP coverage & reimbursement, program integrity. H.R. 1041, Fairness in Medicare Bidding Act - competitive bidding. Participated in discussions with HHS/CMS staff and congressional staff on audit activities affecting DME suppliers. P.L. 112-096, the Middle Class Tax Relief and Job Creation Act of 2012 - Medicare reimbursement for home oxygen therapy.

Client expense: Not reported · Firm income: $75,000

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

HR 1041 -- Fairness in Medicare Bidding Act

Client expense: Not reported · Firm income: Not reported

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

HR 5651 / S 3187 -- Food and Drug Administration Reform Act of 2012 HR 1041 Fairness in Medicare Bidding Act Medical Device Tax H.R. 3026 Safeguarding America's Pharmaceuticals Act

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

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

Affordable Care Act of 2010 H.R. 1041: Fairness in Medicare Bidding Act S.1203/H.R. 2195: Medicare Home Infusion Therapy Coverage Act of 2011 Medicare Claim Audit Volume and Contractor Procedures

Client expense: $160,000 · Firm income: Not reported

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

- HR 905/ S 733, "To Amend Part B or Title XVIII of the Social Security Act to exclude customary prompt pay discounts from Manufacturers to Wholesalers from the average sales price for drugs & biologicals under Medicare", regarding all provisions. - HR 1041, "The Fairness in Medicare Bidding Act", regarding all provisions. - Issues related to Medicare reimbursement for Clinical Laboratory Services. - HR 1041, "Fairness in Medicare Bidding Act", regarding all provisions. - Medicare Part D Letter - HR 452, "Medicare Decisions Accountability Act of 2011", regarding all provisions. - S 668, "Health Care Bureaucrats Elimination Act", regarding all provisions. - Issues related to Physician-owned Companies that manufacture or distribute medical devices. - S 1468/ HR 2787, "Medicare Diabetes Self-Management Training Act of 2011", regarding all provisions. - PL 112-96, "Middle Class Tax Relief and Job Creation Act of 2012", provisions regarding Medicare clinical laboratory services. - Issues related to implantable medical devices.

Client expense: $1,200,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 H.R.1041 - Fairness in Medicare Bidding Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 S. 3187 - Food and Drug Administration Safety and Innovation Act H.R. 436 - Health Care Cost Reduction Act of 2012 S. 17 - Medical Device Access and Innovation Protection Act

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

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

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 H.R.1041 - Fairness in Medicare Bidding Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 S. 3187 - Food and Drug Administration Safety and Innovation Act H.R. 436 - Health Care Cost Reduction Act of 2012 S. 17 - Medical Device Access and Innovation Protection Act

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

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

***see addendum page H.R. 1041 - Fairness in Medicare Bidding Act, competitive bidding H.R. 5 - Protecting Access to Healthcare Act ***, no specific bill(s), Medicare Inhalation Drug Therapies and Oxygen Reimbursement, provider enrollment standards, DME Competitive Bidding, CPAP coverage & reimbursement, program integrity

Client expense: Not reported · Firm income: $70,000

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

HR 3509: Patient Protection and Affordable care Act of 2010 - various provisions including: Medical Device Excise Tax, various reimbursement cuts and policy proposals for medical imaging; remote monitoring technology in the context of accountable care organizations, medical homes and post acute bundling; transparency HR 3692: The Affordable Health Care for America Act: Imaging cuts, device tax transparency and remote monitoring PL 110-275: "Medicare Improvements for Patient and Providers Act" (sec. 135) - Medical imaging accreditations program; medical imaging clinical appropriateness demonstration program HR 4782- Health Care and Education Reconciliation Act of 2010 - Home Oxygen products Sustainable Growth Rate Extension HR 1041 - Fairness in Medicare Bidding Act Decline in growth rate of Medicare non-hospital imaging services Competitive Bidding Medicare Imaging Cuts in the Debt Ceiling legislative discussions (no bill number at this time) S. 511 - The FITT Act of 2011 (Fostering Independence Through Technology Acts) - specifically the telehealth provisions

Client expense: $670,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE

Issues pertaining to durable medical equipment including: competitive bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, and fraud and abuse; H.R. 1041 - Fairness in Medicare Bidding Act, all provisions; S.1251 - Medicare and Medicaid FAST Act, all provisions; H.R. 452 - Medicare Decisions Accountability Act of 2011, all provisions; S.668 - Health Care Bureaucrats Elimination Act, all provisions; H.R. 3399 - Medicare and Medicaid FAST Act, all provisions; H.R. 3630 - Middle Class Tax Relief and Job Creation Act of 2012, all provisions; H.Con.Res. 112 - House Budget Resolution for Fiscal Year 2013, all provisions; S.3187 - Food and Drug Administration Safety and Innovation Act, all provisions; H.R. 4378 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2012, all provisions; H.R. 5652 - Sequester Replacement Reconciliation Act of 2012, all provisions; CMS prior authorization demonstration for power mobility devices.

Client expense: $190,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Natl Economic Council (NEC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

Issues pertaining to durable medical equipment including: competitive bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, and fraud and abuse. H.R. 1041, Fairness in Medicare Bidding Act--all provisions. See continuation on next page. S. 1251 and H.R. 3399, Medicare and Medicaid FAST Act--all provisions. H.R. 452, Medicare Decisions Accountability Act of 2011--all provisions. S. 668, Health Care Bureaucrats Elimination Act--all provisions. H.R. 3399, Medicare and Medicaid FAST Act, all provisions. S. 3187, The Food and Drug Administration Safety and Innovation Act, all provisions. H.R. 4378, Ensuring Access to Quality Complex Rehabilitation Technology Act of 2012, all provisions. H.R. 5652, Sequester Replacement Reconciliation Act of 2012, all provisions. CMS prior authorization demonstration for power mobility devices.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 1041--Fairness in Medicare Bidding Act DME Competitive Bidding Complex rehabilitative wheelchair payment reform

Client expense: Not reported · Firm income: Not reported

H.R. 1041--Fairness in Medicare Bidding Act DME Competitive Bidding Complex rehabilitative wheelchair payment reform

Client expense: Not reported · Firm income: Not reported

Implementation of the Medicare Improvements for Patients and Providers Act of 2008, reimbursement for home oxygen therapy. CMS regulations concerning the DMEPOS Competitive Bidding program, inhalation drugs and sleep disorder therapies. Public Law 111-148, the Patient Protection and Affordable Care Act of 2009 - implementation issues related to reimbursement process and payment levels for Medicare home oxygen benefit. No specific bill - repeal the Medicare competitive acquisition program for durable medical equipment and prosthetics, orthotics, and supplies (DMEPOS) in a budget neutral manner. Regulatory issues related to Medicare inhalation drug Therapies and oxygen reimbursement, provider enrollment standards, DME Competitive Bidding, CPAP coverage & reimbursement, program integrity. H.R. 1041, Fairness in Medicare Bidding Act - competitive bidding. Participated in discussions with HHS/CMS staff and congressional staff on audit activities affecting DME suppliers. P.L. 112-096, the Middle Class Tax Relief and Job Creation Act of 2012 - Medicare reimbursement for home oxygen therapy.

Client expense: Not reported · Firm income: $75,000

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

Affordable Care Act of 2010 H.R. 1041: Fairness in Medicare Bidding Act S.1203/H.R. 2195: Medicare Home Infusion Therapy Coverage Act of 2011 Medicare Claim Audit Volume and Contractor Procedures

Client expense: $190,000 · Firm income: Not reported

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

Health reform proposals that impact Medicare Part D; healthcare regulations; closing of the Part D coverage gap; IVIG payment structure; Medicar demonstration projects for durable medical equipment; home infusion; PBM disclosure provisions; increasing healthcare value; competitive bidding (H.R. 2195, S. 1203, H.R. 1845, S. 960, H.R. 979, H.R. 1041)

Client expense: $1,050,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

- HR 905/ S 733, "To Amend Part B or Title XVIII of the Social Security Act to exclude customary prompt pay discounts from Manufacturers to Wholesalers from the average sales price for drugs & biologicals under Medicare", regarding all provisions. - HR 1041, "The Fairness in Medicare Bidding Act", regarding all provisions. - Issues related to Medicare reimbursement for Clinical Laboratory Services. - HR 1041, "Fairness in Medicare Bidding Act", regarding all provisions. - Medicare Part D Letter - HR 452, "Medicare Decisions Accountability Act of 2011", regarding all provisions. - S 668, "Health Care Bureaucrats Elimination Act", regarding all provisions. - Issues related to Physician-owned Companies that manufacture or distribute medical devices. - S 1468/ HR 2787, "Medicare Diabetes Self-Management Training Act of 2011", regarding all provisions. - PL 112-96, "Middle Class Tax Relief and Job Creation Act of 2012", provisions regarding Medicare clinical laboratory services. - Issues related to implantable medical devices.

Client expense: $2,260,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

HR 1041 -- Fairness in Medicare Bidding Act

Client expense: Not reported · Firm income: Not reported

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

HR 1041 Fairness in Medicare Bidding Act Medical Device Tax H.R. 3026 Safeguarding America's Pharmaceuticals Act

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

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

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res44 - Further Continuing Appropriations Amendments, 2011 H.J.Res48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 H.R.1041 - Fairness in Medicare Bidding Act H.R.3630 - Temporary Payroll Tax Cut Continuation Act of 2011

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

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

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res44 - Further Continuing Appropriations Amendments, 2011 H.J.Res48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 H.R.1041 - Fairness in Medicare Bidding Act H.R.3630 - Temporary Payroll Tax Cut Continuation Act of 2011

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

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

HR 3509: Patient Protection and Affordable care Act of 2010 - various provisions including: Medical Device Excise Tax, various reimbursement cuts and policy proposals for medical imaging; remote monitoring technology in the context of accountable care organizations, medical homes and post acute bundling; transparency HR 3692: The Affordable Health Care for America Act: Imaging cuts, device tax transparency and remote monitoring PL 110-275: "Medicare Improvements for Patient and Providers Act" (sec. 135) - Medical imaging accreditations program; medical imaging clinical appropriateness demonstration program HR 4782- Health Care and Education Reconciliation Act of 2010 - Home Oxygen products Sustainable Growth Rate Extension HR 1041 - Fairness in Medicare Bidding Act Decline in growth rate of Medicare non-hospital imaging services Competitive Bidding Medicare Imaging Cuts in the Debt Ceiling legislative discussions (no bill number at this time) S. 511 - The FITT Act of 2011 (Fostering Independence Through Technology Acts) - specifically the telehealth provisions

Client expense: $720,000 · Firm income: Not reported

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