Children's Hospital GME Support Reauthorization Act of 2011

S. 958/HR 1852, Children's Hospital GME Support Reauthorization Act of 2011.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 958/HR 1852, Children's Hospital GME Support Reauthorization Act of 2011.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 958/HR 1852, Children's Hospital GME Support Reauthorization Act of 2011.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 958/HR 1852, Children's Hospital GME Support Reauthorization Act of 2011.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 958/HR 1852, Children's Hospital GME Support Reauthorization Act of 2011.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 958/HR 1852, Children's Hospital GME Support Reauthorization Act of 2011.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 958 and HR 1852 Children's Hospital GME Support Reauthorization Act of 2011- all provisions FY14 Department of Defense authorization regarding autism services

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 958 and H.R. 1852 (Children's Hospital GME Support Reauthorization Act of 2011), all provisions Medicaid program reforms FY '13 Department of Defense funding opportunities for brain injury research H.R. 8 (American Taxpayer Relief Act of 2012) regarding Children's Hospitals GME (Title VI)S. 1440 (Prematurity Research Expansion and Education for Mothers who deliver Infants Early Reauthorization Act) regarding Children's Hospitals GME (Title III) Implementation of health care reform and related FY '13 funding for children's health and disease research and health care work force training

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 3254 and HR 4310 National Defense Authorization Act for fiscal year 2013 - military healthcare issues affecting children; HR 4341 TRICARE for Kids, children's health and healthcare in the military health system; HR 2288 Caring for Military Kids with Autism Act; children's hospitals graduate medical education, H.R. 1852 and S. 958, Childrens Hospitals Graduate Medical Education (CHGME) Reauthorization Act,

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

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

S 3254 and HR 4310 National Defense Authorization Act for fiscal year 2013 - military healthcare issues affecting children; HR 4341 TRICARE for Kids, children's health and healthcare in the military health system; HR 2288 Caring for Military Kids with Autism Act; children's hospitals graduate medical education, H.R. 1852 and S. 958, Childrens Hospitals Graduate Medical Education (CHGME) Reauthorization Act,

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

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

H.R. 1852 and S. 958, Childrens Hospitals Graduate Medical Education (CHGME) Reauthorization Act; community and child health issues

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

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

Legislation and issues relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); Nurse Education, Expansion, and Development Act; Nursing provisions in potential job creation legislation; Negotiated Rulemaking on Designation of Medically Underserved and Health Professional Shortage Areas; Administration review of current regulations; Prevention and Public Health Fund; Definition of essential health benefits; Health information technology and electronic health records; HRSA nurse practitioner national sample survey; Amendments to the Consumer Product Safety Improvement Act; Menu and Nutrition Labeling; Draft legislation to reauthorize the Prescription Drug User Fee Act (PDUFA); Draft legislation on Congressional Budget Office scoring of preventive health services; Draft legislation on voluntary tandem licensing and credentialing for federal telemedicine services; Draft legislation on reauthorization of the National Quality Forum; H.R. 5/S. 218/S. 1099 - Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act; H.R. 5 - Protecting Access to Healthcare (PATH) Act; H.R. 451 - Healthcare Truth and Transparency Act of 2011; S. 248/H.R. 844 - Empowering States to Innovate Act; S. 174 - Healthy Lifestyles and Prevention Act; H.R. 10/S. 299/S. 1720/S. 1786 - Regulations From the Executive in Need of Scrutiny (REINS) Act; H.R. 1217 - to repeal the Prevention and Public Health Fund; H.R. 1683/S. 868 - State Flexibility Act; H.R. 2465 - Federal Workers' Compensation Modernization and Improvement Act; S. 261 - Federal Employees' Compensation Reform Act; H.R. 469 - Protecting Student Athletes from Concussions Act; S. 601/H.R. 1127 - Childrens Sports Athletic Equipment Safety Act; Concussion Treatment and Care Tools (ConTACT) Act; S. 54 - Supporting Child Maltreatment Prevention Efforts in Community Health Centers Act; S. 55 - Nursing School Clinics Act; H.R. 157 - Health Care Safety Net Enhancement Act; H.R. 227 - Child Gun Safety and Gun Access Prevention Act; H.R. 338 - Protecting Our Kids' Medicine Act; H.R. 469 - Protecting Student Athletes from Concussions Act; H.R. 576 - Healthy Children Through School Nutrition Education Act; H.R. 713 - Keeping Families Together Act; H.R. 751 - Mental Health in Schools Act; H.R. 1214 - to repeal mandatory funding for school-based health center construction; S. 961 - Reconnecting Youth to Prevent Homelessness Act; S. 1165, Button Cell Battery Safety Act. H.R. 1852/S. 958 - Childrens Hospital GME Support Reauthorization Act; H.R. 115 - CHAMPVA Childrens Protection Act; H.R. 364 - Common Sense Health Reform Americans Actually Want Act; H.R. 614 - Post 9/11 G.I. Bill Dependent Coverage Improvement Act; H.R. 978 - Seniors Identity Protection Act; H.R. 989 - Voluntary State Discount Prescription Drug Plan Act; H.R. 1035/S. 1504 - Medicaid Coverage for Citizens of Freely Associated States Act; H.R. 2029/S. 1131 - Birth Defects Prevention, Risk Reduction, and Awareness Act; H.R. 2758/S. 1463 - Breastfeeding Promotion Act; H.R. 2229 - Student-to-School Nurse Ratio Improvement Act. H.R. 3679 - National Nurse Act; H.R. 4274 - BPCA and PREA Reauthorization Act; S. 2289 - Better Pharmaceuticals and Devices for Children Act; H.R. 5651 - Food and Drug Administration Reform Act; H.R. 5842 - Restoring Access to Medication Act; S. 3187 - FDA Safety and Innovation Act S. 2474 - Health Equity and Accountability Act; S. 1789 - 21st Century Postal Service Act; S. 847 - Safe Chemicals Act; H.R. 2405/S. 1855/H.R. 6672 - Pandemic and All-Hazards Preparedness Act (PAHPA) reauthorization; H.R. 2359 - Safe Cosmetics Act; H.R. 6482 - Preventive Health Savings Act; Supplemental Nutrition Assistance Program (SNAP) provisions of H.R. 6083, Federal Agriculture Reform and Risk Management (FARRM) Act, and S.3240, Agriculture Reform, Food, and Jobs Act; H.R. 5647/S. 3565 - Pregnant Workers Fairness Act.

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

S. 958/HR 1852, Children's Hospital GME Support Reauthorization Act of 2011.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

House and Senate Budgets as pertain to Medicare and Medicaid. Budget Control Act, S. 627. Children's Hospital Graduate Medical Education (CHGME) Support Reauthorization Act of 2011 (H.R. 1852). American Taxpayer Relief Act of 2012.

Client expense: $315,000 · Firm income: Not reported

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

HR 452 Medicare Decisions Accountability Act of 2011, to repeal the provisions of the Patient Protection and Affordable Care Act providing for the Independent Payment Advisory Board; HR 541 Pay for all your Undocumented Procedures (PAY UP!) Act of 2011, amends the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to make permanent the program of federal reimbursement of emergency health services furnished to undocumented aliens. Requires a re-allotment of unspent program funds in a fiscal year among eligible providers in full expenditure states according to a specified ratio. Requires addition of such funds to the aggregate amount available for allotment for the succeeding fiscal year in the event there is no full expenditure state; HR 876 and S 58 The Registered Nurse Safe Staffing Act of 2011, to amend title XVIII of the Social Security Act to provide for patient protection by establishing safe nurse staffing levels at certain Medicare providers; HR 1159, to repeal certain provisions of the Patient Protection and Affordable Care Act relating to the limitation on the Medicare exception to the prohibition on certain physician referrals for hospitals and to transparency reports and reporting of physician ownership or investment interests; HR 1186, a bill to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals; S 374 and HR 2783 Medicare Mental Health Inpatient Equity Act, a bill to amend title XVIII of the Social Security Act to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare program; HR 1398 Rural Hospital Protection Act, legislation which would amend the Social Security Act to ensure that the full cost of certain provider taxes are considered allowable costs for purposes of Medicare reimbursements to CAHs; S 1486 Long-Term Care Hospital Improvement Act of 201, a bill to amend title XVIII of the Social Security Act to clarify and expand on criteria applicable to patient admission to and care furnished in long-term care hospitals participating in the Medicare program; Raising concerns about CMS flawed methodology that overstates the effect of the documentation and coding changes to PPS payments, ensuring that CMS does not go beyond its charge of ensuring budget-neutral implementation of MS-DRGs; Working with CMS to clarify requirements and ensure that the systems to register for the meaningful use incentives and attest to meeting the requirements are useable, including ensuring that hospitals can, with permission, help their physicians sign up for the program and attest to meeting the requirements; Worked with ONC to modify the certification requirements for EHRs to allow the flexibility promised in the rules for meaningful use; Worked to get legislative fix introduced for ACA provision related to readmission policy to eliminate a computation error and ensure that unrelated and planned readmissions are excluded from the policy; Worked to improve the regulation to implement ACOs; Urging CMS to update, streamline, and modernize the Medicare conditions of participation; HR 1852/ S 950 Children's Hospital GME Support Reauthorization Act of 2011, the current CHGME authorization expired in September 2011, and the bills would reauthorize the CHGME program for an additional five years, through fiscal year (FY) 2016, at the current authorization level of up to $330 million a year; HR 1683/ S 868 Medicaid MOE, strikes provisions of ACA related to maintaining Medicaid eligibility levels; HR 1543 Improving Access to Medicare Coverage Act of 2011, to amend title XVIII of the Social Security Act to count a period of receipt of outpatient observation services in a hospital toward satisfying the 3-day inpatient hospital requirement for coverage of skilled nursing facility services under Medicare; S 1251Medicare and Medicaid FAST Act, a bill to amend titles XVIII and XIX of the Social Security Act to curb waste, fraud, and abuse in the Medicare and Medicaid programs; HR 2500 Equal Access and Parity for Multi-Campus Hospitals Act, a bill to amend titles XVIII and XIX of the Social Security Act to clarify the application of EHR payment incentives in cases of multi-campus hospitals; HR 2674 340B Program Improvement Act, a bill to amend section 340B of the Public Health Service Act to improve the provision of discounts on drug purchases for certain safety net providers; HR 3630 Temporary Payroll Tax Cut Continuation Act of 2011 or Middle Class Tax Relief and Job Creation Act of 2011, a bill that cuts hospitals to pay for the doc fix, it contains the Social Security payroll tax cut and the Unemployment Insurance extension; HR 3519 a bill to amend and exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011; S. 1680 Craig Thomas Rural Hospital and Provider Equity (R-HoPE) Act of 2011, a bill to amend title XVIII of the Social Security Act to protect and preserve access of Medicare beneficiaries in rural areas to health care providers under the Medicare program; Letter to Rehberg and DeLauro in support of the CHGME program that was circulated by Reps. Capps and Bilbray; Wyden/Crapo letter to CMS to actively oppose a Senate Dear Colleague letter to CMS in support of updating Medicare payments to ambulatory surgery centers (ASCs). The letter did not request a payment update for ASCs. Rather, the letter advocated against the Medicare payment rate for services provided in hospital outpatient department settings; HR 2954 and S 2474 Health Equity and Accountability Act of 2011, Comprehensive bill focused on eliminating racial and ethnic disparities in health care through improved data collection and reporting, culturally and linguistically-appropriate health care, workforce diversity, health information technology, and other actions; Discussions with the Administration (CMS) on applying the therapy cap to hospital outpatient departments; Worked to change CMS definition of allowed EHR costs for CAH Meaningful Use incentive payments to include capital lease purchases of EHRs; HR 3859 Rural Hospital and Provider Equity (R-HOPE) Act of 2012, to amend title XVIII of the SSA to protect and preserve access of Medicare beneficiaries in rural areas to health care providers under the Medicare program; HR 4245 Veterans Co-Pay Fairness Act, to amend title 38, United States Code, to require the Secretary of Veterans Affairs to reimburse eligible veterans who are entitled to Medicare benefits for Medicare deductibles and other expenses that are owed by the veterans for emergency medical treatment provided in non-Department of Veterans affairs facilities; S 2620 and HR 5943 Rural Hospital Access Act of 2012, a bill to amend title XVIII of the Social Security Act to provide for an extension of the Medicare-dependent hospital (MDH) program and the increased payments under the Medicare low-volume hospital program; S 3187 and HR 5651Prescription Drug User Fee Amendments of 2012, a bill to amend the Federal Food, Drug, and Cosmetic Act to revise and extend the user-fee programs for prescription drugs and medical devices, to establish user-fee programs for generic drugs and biosimilars; H.R.6575 Medicare Audit Improvement Act of 2012 to amend title XVIII of the Social Security Act to improve operations of recovery auditors under the Medicare integrity program, to increase transparency and accuracy in audits conducted by contractors; Urging HHS and OIG to examine error rates of RAC as part of its Workplan for 2013 studies of RAC effectiveness.

Client expense: $5,350,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Equal Employment Opportunity Commission (EEOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 6163 and S. 3461, National Pediatric Research Network Act of 2012, all provisions S. 958 and H.R. 1852, Children's Hospital GME Support Reauthorization Act of 2011, all provisions Medicaid program reforms FY2013 Department of Defense funding opportunities for brain injury research S. 1440, Prematurity Research Expansion and Education for Mothers who deliver Infants Early Reauthorization Act regarding Children's Hospitals GME (Title III) Implementation of health care reform and related FY2012 funding for children's halth and disease research and health care workforce training H.R. 8, American Taxpayer Relief Act of 2012 regarding Children's Hospitals GME (Title VI) S. Res. 573, Designating the third week of January 2013 as `Teen Cancer Awareness Week'

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of H.R. 3590, the Patient Protection and Affordable Care Act. Medical education funding and medical school construction in general. S.424, Medicare Ambulance Access Preservation Act of 2011. S. 385, Dale Long Emergency Medical Service Providers Protection Act. S. 958/H.R.1852, Children's Hospital GME Support Reauthorization Act of 2011. Health Care Innovation Challenge Grants; Independence at Home demonstration program. Chronic kidney disease in general. Bundled Payments Demonstration Program. Extension of 508 wage index. MEDPAC ambulance reimbursement extension.

Client expense: Not reported · Firm income: $100,000

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

Implementation of H.R. 3590, the Patient Protection and Affordable Care Act. Medical education funding and medical school construction in general. S.424, Medicare Ambulance Access Preservation Act of 2011. S. 385, Dale Long Emergency Medical Service Providers Protection Act. S. 958/H.R.1852, Children's Hospital GME Support Reauthorization Act of 2011. Health Care Innovation Challenge Grants; Independence at Home demonstration program. Chronic kidney disease in general. Bundled Payments Demonstration Program. Extension of 508 wage index. MEDPAC ambulance reimbursement extension.

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

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

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - 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.1852 - Children's Hospital GME Support Reauthorization Act of 2011 S.958 - Children's Hospital GME Support Reauthorization Act of 2011 H.J.Res. 117 - Continuing Appropriations Resolution, 2013 S. 1832 - Marketplace Fairness Act S. 1440 - PREEMIE Reauthorization Act H.R. 6700 - Stop Deducting Damages Act of 2012 H.R. 8 - The American Taxpayer Relief 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.Res. 48 - 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.1852 - Children's Hospital GME Support Reauthorization Act of 2011 S.958 - Children's Hospital GME Support Reauthorization Act of 2011 H.J.Res. 117 - Continuing Appropriations Resolution, 2013 S. 1832 - Marketplace Fairness Act S. 1440 - PREEMIE Reauthorization Act H.R. 6700 - Stop Deducting Damages Act of 2012 H.R. 8 - The American Taxpayer Relief 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. 1852 / S. 958: Children's Hospital GME Support Reauthorization Act S. 778: Protecting Access to Rural Therapy Services Act H.R. 2500: Equal Access and Parity for Multi-Campus Hospitals Act H.R. 315: Health Care Paperwork Reduction and Fraud Prevention Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2012 Labor, HHS, Education Appropriations; Childrens' Hospital Issues; HR 1852, Affordable Health Care Act

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

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

Health reform issues related to children's hospitals, including reimbursement for children's hospitals and providers. Medicaid reform and reimbursement issues. Issues related to legislation that would provide CHGME with FY2013 funding support necessary to maintain the gains made under the program over the past decade. HR 1852/S 958 - Children's Hospital Graduate Medical Education - Acts to establish funding levels for training program and reauthorization of the program.

Client expense: Not reported · Firm income: $37,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health reform issues related to children's hospitals, including reimbursement for children's hospitals and providers. Medicaid reform and reimbursement issues. Issues related to legislation that would provide CHGME with FY2013 funding support necessary to maintain the gains made under the program over the past decade. HR 1852/S 958 - Children's Hospital Graduate Medical Education - Acts to establish funding levels for training program and reauthorization of the program.

Client expense: Not reported · Firm income: $37,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health reform issues related to children's hospitals, including reimbursement for children's hospitals and providers. Medicaid reform and reimbursement issues. Issues related to legislation that would provide CHGME with FY2013 funding support necessary to maintain the gains made under the program over the past decade. HR 1852/S 958 - Children's Hospital Graduate Medical Education - Acts to establish funding levels for training program and reauthorization of the program.

Client expense: Not reported · Firm income: $37,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FDA Conflict of Interest issue and FDA issues affecting Allergists and their patients. Monitor and track: Health Information Technology issues; Asthma & Allergy Legislation, Clinical Research, healthcare quality, patient safety initiatives and health care reform. Support H.R. 451, Healthcare Truth & Transparency Act of 2011. HR 1852, S. 958 support authorization of Children Hospital Graduate Medical Education program. H.R. 6284, Breath of Fresh Air, H.R. 3627 & S. 1884, School Access to Emergency Epinephrine, H.R. 6190, Asthma Inhaler Act.

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

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

H.R. 3590 - Patient Protection and Affordable Care Act - implementation of all provisions related to health, coverage, benefits, and Medicaid H.R. 1852/S.958 - Children's Hospital Graduate Medical Education - Acts to reauthorize and establish funding levels for the program H.R. 6611, Patient Access to Drugs in Shortage Act of 2012 provisions impacting the 340B Drug Discount Program HIT - Certification Standards for Meaningful Use - HIT standards and application to children's hospitals and providers H.R. 2679 & S. 1440, PREEMIE Reauthorization Act - work on a bill that authorizes programmatic and grant funding for research into the causes of preterm birth and promotes the development of evidence-based standards of care for at-risk pregnancies H.R. 6163, The National Pediatric Research Network Act of 2012 Pharmacy compounding (no bill number) H.R. 8, American Taxpayer Relief Act provisions impacting Medicaid and childrens health

Client expense: $901,482 · Firm income: Not reported

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

Legislative proposals affecting Medicare and Medicaid funding Proposed changes to Medicare hospital reimbursement policies Health Care Reform implementation Graduate Medical Education (H.R. 1852 and S. 958, "The Children's Hospital GME Reauthorization Act of 2011") S. 1486, "The Long-Term Care Hospital Improvement Act of 2011" H.R. 8, "American Taxpayer Relief Act"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislative proposals affecting Medicare and Medicaid hospital reimbursement policies Health Information Technology Health Care Reform implementation Graduate Medical Education Payments H.R. 1852 and S. 958, Children's Hospital GME Support Reauthorization Act of 2011 H.R. 8, "American Taxpayer Relief Act"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1440/H.R. 2679 PREEMIE Reauthorization Act H.R. 1852/S. 958 Children's Hospital GME Support Reauthorization Act of 2011 H.R. 2029/S. 1131, Birth Defects Prevention, Risk Reduction and Awareness Act Issues related to maternal and child health within HHS, NIH, HRSA, CDC and FDA H.R. 2194/S. 1221 Gestational Diabetes Act Newborn Screening Saves Lives Act Reauthorization (not introduced) Affordable Care Act implementation pertaining to women and children Health care quality issues Prevention and Public Health Fund

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

H.R. 6163 and S. 3461 (National Pediatric Research Network Act of 2012), all provisions S. 958 and H.R. 1852 (Children's Hospital GME Support Reauthorization Act of 2011), all provisions Medicaid program reforms FY '13 Department of Defense funding opportunities for brain injury research S. 1440 (Prematurity Research Expansion and Education for Mothers who deliver Infants Early Reauthorization Act) regarding Children's Hospitals GME (Title III) Implementation of health care reform and related FY '13 funding for children's health and disease research and health care work force training H.R. 8 (American Taxpayer Relief Act of 2012) regarding Children's Hospitals GME (Title VI)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Presidents Budget, 2013, Department of Health and Human Services Unnumbered House subcommittee bill/S.3295 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Restore NIH salary cap to Executive Level I. Oppose elimination of AHRQ, and research policy provisions in House subcommittee bill H.R. 6400, RDOCS Act of 2012 Issue: Support additional scholarship opportunities for medical students. President's Budget, 2013, Department of Health and Human Services Issues: Oppose proposed reduction in Medicare Graduate Medical Education (GME) support and proposed Medicaid reductions and reforms. Presidents Budget, 2014, Department of Veterans Affairs H.R. 5854/S. 3215, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. P.L. 111-148, Patient Protection and Affordable Care Act, Section 4002 and Title V Issue: Support the Prevention and Public Health Fund and preserve PPHF funds for workforce training. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps. Debt in Health Education Loan programs (Dbt HELP) bill proposal (draft) Issue: Expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. S. 1627, Resident Physician Shortage Reducation Act Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. P.L. 111-148, Patient Protection and Affordable Care Act, Title V Issue: Implementing provisions reauthorizing health professions education programs under Title VII of the Public Health Service Act, and reauthorizing National Health Service Corps. S. 3201 Graduate Medical Education Reform Act of 2012 Issue: Increase Medicare Graduate Medical Education (GME) accountability H.R. 3667, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. P.L. 111-148, Affordable Care Act Section 5503 and 5506 Issue: Redistribution of residency positions Issue: Implementation of Teaching Health Center Graduate Medical Education programs under section 340G of the Public Health Service Act. H.R. 1852/S. 958, Children's Hospital GME Support Reauthorization Act of 2011 S. 1440, The Prematurity Research Expansion and Education for Mothers who Deliver Infants Early Act. Issue: Support reauthorization of Children's Hospitals Graduate Medical Education. H.R. 1855/H.R. 2405, Pandemic and All-Hazards Preparedness Reauthorization Act. Issue: Complete reauthorization of preparedness legislation Act. H.R. 5707, Medicare Physician Payment Innovation Act Issue: Repeal of Medicare's sustainable growth rate (SGR) formula. H.R. 1513/S. 810, Great Ape Protection and Cost Saving Act of 2011 H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments and increase GME accountability and transparency. H.R. 6562, Resident Physician Reduction Shortage Act of 2012 Issue: Support lifting cap on the number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments. Issue: Promote interprofessional education and training of the health care workforce. S. 799, Commercial Privacy Bill of Rights Act of 2011 Issue: Collection, retention, and dissemination of personal health information. Issue: Discuss with Administration impact of Medicaid expansions and Medicaid DSH cuts under the Affordable Care Act on AAMC member institutions. Issue: Funding for the National Healthcare Workforce Commission. H.R. 2954/S. 2474, Health Equity and Accountability Act of 2011 Issue: Developing health care workforce that promotes health equity. Issue: Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Institute of Medicine (IOM) study on Graduate Medical Education (GME) financing and policies Issue: Support Medicare physician payment reform Issue: Oppose reduction in Medicare hospital outpatient department reimbursement Issue: Clarify policy changes on how to count Labor and Delivery beds when calculating Medicare GME payments. Issue: Oppose Medicare Graduate Medical Education (GME) spending cuts through sequestration. Issue: 340b Drug Discount program eligibility Issue: Oppose nondefense discretionary spending cuts through sequestration, including NIH and Title VII and VIII health professions and nursing education programs. Issue: Preventing, Identifying, and Treating Prescription Drug Abuse Issue: Primary Care Workforce Development Issue: Funding for Title VII and VIII in President's FY 2014 Budget Issue: Implementation of ACA Exchanges and Medicaid Expansions. Submitted comments on: AHRQ's Consumer Reporting System for Patient Safety Events Enhancing Community-Engaged Research Through the Clinical and Translational Science Awards Program

Client expense: $960,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Interior, Dept of (DOI), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

Presidents Budget, 2013, Department of Health and Human Services Unnumbered House subcommittee bill/S. 3295, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Title II. Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Restore NIH salary cap to Executive Level I. Oppose AHRQ elimination, and research policy provisions in House subcommittee bill. President's Budget, 2013, Department of Health and Human Services Issues: Oppose proposed reduction in Medicare Graduate Medical Education (GME) support. Oppose proposed Medicaid reductions and reforms. Presidents Budget, 2014, Department of Veterans Affairs H.R. 5854/S. 3215, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Presidents Budget, 2013, National Science Foundation H.R. 5326/S. 2323, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2013, Title III Issues: Support funding for the National Science Foundation and NSF's peer review process. President's Budget, 2013, Department of Education Unnumbered House subcommittee bill S. 3295, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Title III Issues: Support graduate/professional student aid programs. P.L. 111-148, Patient Protection and Affordable Care Act, Section 4002 and Title V Issue: Support the Prevention and Public Health Fund and preserve PPHF funds for workforce training. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps (NHSC). H.R. 1852/S. 958, Children's Hospital GME Support Reauthorization Act of 2011 S. 1440, The Prematurity Research Expansion and Education for Mothers who Deliver Infants Early Act. Issue: Support reauthorization of Children's Hospitals Graduate Medical Education. Issue: Funding for the National Health Care Workforce Commission. Issue: Oppose nondefense discretionary spending cuts through sequestration, including NIH and Titles VII and VIII health professions and nursing education programs. Issue: Oppose Medicare Graduate Medical Education (GME) cuts through sequestration. Issue: Funding for Title VII and VIII in President's FY2014 Budget

Client expense: $960,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Interior, Dept of (DOI), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

H.R.5-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 8- American Taxpayer Relief Act of 2012 H.R.157-Health Care Safety Net Enhancement Act of 2011 H.R.314-Medical Liability Procedural Reform Act of 2011 H.R.376-Volunteer Emergency Services Recruitment and Retention Act of 2011 H.R.436-Health Care Cost Reduction Act of 2012 H.R.452-Medicare Decisions Accountability Act of 2011 H.R.541-Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.816-Provider Shield Act of 2011 H.R.896-Medical Justice Act of 2011 H.R.969- Medical Practice Freedom Act of 2011 H.R. 971-Critical Care Assessment and Improvement Act of 2011 H.R.1004-Health Flexible Spending Arrangements Improvements Act of 2012 H.R.1117-Air Ambulance Patient Safety, Protection, and Coordination Act H.R. 1063-Strengthening Medicare And Repaying Taxpayers Act of 2011 H.R. 1206- Access to Professional Health Insurance Advisors Act of 2011 H.R.1256-Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1310-To amend the Internal Revenue Code of 1986 to exempt certain emergency medical devices from the excise tax on medical devices, and for other purposes H.R.1629-Family Health Care Accessibility Act of 2011 H.R.1668-Danny McIntosh Emergency Medical Service Providers Protection Act H.R.1683-State Flexibility Act H.R.1852-Children's Hospital GME Support Reauthorization Act of 2011 H.R.1941-Hiring Heroes Act of 2011 H.R.2104-Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy (CARE) Act of 2011 H.R.2205-Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R.2353-Volunteer Responder Incentive Protection Reauthorization Act of 2011 H.R.2405-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R.2472-Health Care Professionals Protection Act of 2011 H.R.2488-SERVE Act of 2011 H.R.2523-Physician Availability Act of 2011 H.R.2853-Emergency Medic Transition (EMT) Act of 2011 H.R.2903-Federal Emergency Management Agency (FEMA) Reauthorization Act of 2012 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.3511- Cardiac Arrest Survival Act of 2011 H.R.3586-Good Samaritans Health Professionals Act of 2011 H.R.3625-Cardiomyopathy Health Education, Awareness, Risk Assessment, and Training in the Schools (HEARTS) Act of 2011 H.R.4124-Veteran Emergency Medical Technician Support Act of 2012 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 H.R.5707-Medicare Physician Payment Innovation Act of 2012 H.R.5842-Restoring Access to Medication Act of 2012 H.R.5858-Health Savings Accounts Improvements Act of 2012 H.R. 6079-Repeal of Obama Care Act H.R. 6142-Assuring Medicare Stability and Access for Seniors Act of 2012 H.R. 6163-National Pediatric Research Network Act of 2012 H.R. 6562-Resident Physician Shortage Reduction Act of 2012 H.R. 6672- Pandemic and All-Hazards Preparedness Reauthorization Act of 2012 H.R. 6719- Telehealth Promotion Act of 2012 S.223-FAA Air Transportation Modernization and Safety Improvement Act S.385-Dale Long Emergency Medical Services Providers Protection Act S.668-Health Care Bureaucrats Elimination Act S.868-State Flexibility Act S.932-SERVE Act of 2011 S.933-Volunteer Responder Incentive Protection Reauthorization Act of 2011 S.951-Hiring Heroes Act of 2011 S.958-Children's Hospital GME Support Reauthorization Act of 2011 S.1059-Family Health Care Accessibility Act of 2011 S.1099-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 S.1407-Air Ambulance Medicare Accreditation and Accountability Act S.1855-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011

Client expense: $695,377 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1852-Children's Hospital GME Support Reauthorization Act of 2011 H.R.3000-Empowering Patients First Act H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 H.R. 6163-National Pediatric Research Network Act of 2012 H.R. 6562-Resident Physician Shortage Reduction Act of 2012 S.958-Children's Hospital GME Support Reauthorization Act of 2011

Client expense: $695,377 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 8- American Taxpayer Relief Act of 2012 H.R.452-Medicare Decisions Accountability Act of 2011 H.R.541-Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.1256-Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1683-State Flexibility Act H.R.1852-Children's Hospital GME Support Reauthorization Act of 2011 H.R.2104-Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy (CARE) Act of 2011 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 H.R.5707-Medicare Physician Payment Innovation Act of 2012 H.R. 6142-Assuring Medicare Stability and Access for Seniors Act of 2012 H.R. 6163-National Pediatric Research Network Act of 2012 H.R. 6562-Resident Physician Shortage Reduction Act of 2012 H.R. 6719- Telehealth Promotion Act of 2012 S.868-State Flexibility Act S.958-Children's Hospital GME Support Reauthorization Act of 2011

Client expense: $695,377 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

- Protect Children's Hospitals Graduate Medical Education - advocated in support of continued CHGME program; appropriations for fiscal year 2013 and reauthorization through 2016. Advocated for passage of H.R. 1852 and S. 958. - Support the National Pediatric Research Network Act - advocated on behalf of pediatric research by urging passage of S. 3461 and H.R. 6163 - Protect children by ensuring that TRICARE works for Kids advocated in support of the TRICARE for Kids bill H.R. 4341 - Economic Impacts of Medicaid Expansion on Missouri shared excerpts from the University of Missouri report estimating the impact of Medicaid expansion on Missouris economy - Restricting States Use of Provider Taxes advocated for state provider taxes and suggested the Missouri partnership agreement with the Centers for Medicare & Medicaid Services be used as a national model for providing transparency to state use of provider taxes

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health care access, coverage, safety and quality. Health care reform implementation. H.R. 1852 and S. 958: Children's Hospital GME Support Reauthorization Act of 2011

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

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

H.R. 1852/S. 958, the Children's Hospitals Graduate Medical Education Reauthorization Act., H.R.6163/S.3461 The National Pediatric Research Network Act. S. 1440, the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Reauthorization Act (PREEMIE)," Titles II and III. Public Law 111-148, (Patient Protection and Affordable Care Act) provisions and issues related to childrens health, health innovation, and Pediatric Accountable Care Organizations. H.R. 4341 all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1852 and S. 958 - Children's Hospital BME Support Reauthorization Act; HR 2005 and S. 1094, Combating Autism Reauthorization Act of 2011; FY 13 National Defense Reauthorization Act, provisions relating to autism treatment for military families; FY 13 Labor-HHS and Education Appropriations bill, provisions regarding funding of health care training programs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 958/H.R. 1852 - Children's Hospital Graduate Medical Education Reauthorization Act 0f 2011. House (draft) and Senate (S.1599) Labor - Health and Human Services Appropriations Bills related to funding for CHGME S.3187 - The FDA Safety and Innovation Act. Issues related to antibiotic innovation for kids, drug shortages and supply chain safety. FY2014 budget issues for CHGME and Medicaid S. 3295 - The Department of Labor, Health and Human Services, Education and Related Agencies Appropriations Act of 2013. Ensuring sufficient funding for the CHGME program in this year's appropriations bill. Working with the Obama Administration to secure additional funding for pediatric providers serving children on Medicaid. S. 1440 - the Prematurity Research Expansion and Education for Mothers who Deliver Infants Early Reauthorization Act - focused on provisions related to CHGME. H.R. 8 - American Taxpayer Relief Act of 2012 - Focused on potential provisions that could impact the Medicaid program Essential Health Benefits regulations - focused on how the ACA EHB regulations impact children and children's access to services that are unique to the non-adult population. Offering Congressional staff input on compounding issues in the wake of the Massachusetts tragedy related to compounded medications.

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

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

H.R.1852/S.958 - The Children's Hospital Graduate Medical Education Reauthorization Act. Working to support the legislation's passage. Delivery System Reform as related to Medicare, Medicaid and the private health care market. Issues related to the development of regulations and implementation of the health reform law, including the creation of state exchanges, development of policies surrounding subsidies, treatment of charity care in hospitals, policies surrounding Medicaid expansion related to the law and consumer assistance policies. Development of regulations related to Navigators and Assisters as related to the implementation of Exchanges. Development of policies to improve quality and garner savings in the Medicare program. Analysis and policy development regarding Dual Eligibles demonstration projects S. 1440 - Prematurely Research Expansion and Education for Mothers who Deliver Infants Early Reauthorization Act ( PREEMIE Act). Focused on provisions related to the Children's Hospital GME components of the legislation. H.R. 8 - American Taxpayer Relief Act of 2012 - Focused on potential offsets for the Medicare Sustained Growth Rate delay specifically related to Medicaid and future subsidies for lower income individuals in upcoming Exchanges. Work related to the promulgation of regulations for the Physician Payment Sunshine Act ( PPSA).

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

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

Implementation of H.R. 3590, the Patient Protection and Affordable Care Act. Medical education funding and medical school construction in general. S.424, Medicare Ambulance Access Preservation Act of 2011. S. 385, Dale Long Emergency Medical Service Providers Protection Act. S. 958/H.R.1852, Children's Hospital GME Support Reauthorization Act of 2011. Pioneer Accountable Care Organizations. Health Care Innovation Challenge, Independence at Home demonstration program.

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

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

Medicare Better Health Rewards Program Act of 2012 (S.2243), provisions related to wellness behaviors and measures. Resident Physician Shortage Reduction Act of 2012 (H.R.6562), provisions related to physician residency training. Children's Hospital GME Reauthorization Act of 2011 (H.R. 1852 and S.958), provisions related to the Childrens Hospital Graduate Medical Education (CHGME) Payment Program.

Client expense: $180,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE