Home Health Care Planning Improvement Act of 2011

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. S. 659/H.R. 6059, Home Health Care Access Protection Act of 2012. S. 501, Fostering Independence Through Technology Act of 2011. S. 227/H.R. 2267, Home Health Care Planning Improvement Act of 2011. H.R. 3859, Rural Hospital and Provider Equity Act of 2012, sections 11, 13, and 16. Implementation of P.L. 111-5, American Recovery and Reinvestment Act of 2009, provisions relating to technology. S. 722/H.R. 3506, Hospice Evaluation and Legitimate Payment Act. H.R. 452, Medicare Decisions Accountability Act of 2011. S. 668, Health Care Bureaucrats Elimination Act. Skilled Home Health Integrity and Program Savings Act of 2011 (SHHIPS) (draft legislation). S. 1680, Craig Thomas Rural Hospital and Provider Equity Act of 2011, sections 12, 13, 15, and 19. H.R. 5, Protecting Access to Healthcare Act, sections 201 and 202. H.R. 8, American Taxpayer Relief Act of 2012, opposing home care and hospice cuts.

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

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

Medicare and Medicaid reimbursement, HIT and transitional, coordinated care, tax health insurers, H.R. 3765.227.H.R. 2267

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 2267 Internet Gambling Regulation and Enforcement Act, to support the right of Americans to decide for themselves whether or not to gamble online.

Client expense: $36,500 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Minerals Management Service, SENATE

H.R. 1700, Medicare Patient Empowerment Act, all provisions S. 1042, Medicare Patient Empowerment Act, all provisions H.R. 8, American Taxpayer Relief Act of 2012, provisions relating to Medicare Physician Payment S. 2347, Diagnostic Imaging Services Access Protection Act of 2012, all provisions S. 3430, National Diabetes Clinical Care Commission Act, all provisions H.R. 2267, Home Health Care Planning Improvement Act of 2011, all provisions Medicare program - SGR Repeal Medicare program - MedPAC Commission's SGR repeal proposal Medicare program - Accountable payment models Medicare program - Budget Sequestration Medicare program - IPAB Repeal Medicare program - Payment and Delivery Reform Medicare program - ICD-10 Medicare program - Imaging Medicare program - Graduate Medical Education Medicare program - In-office Ancillary Service Exception to the Stark Act Medicare program - Physician access to Medicare data Medicare program - Claims Data Release Medicare program - Quality Improvement Medicare program - eRx Penalty Medicare program - Fraud and Abuse/Smart Cards Medicare program - End-of-Life care discussions Medicare program - Emergency Room Telehealth services Medicare program - Part D Prescription Drug Benefit program Medicare program - Quality Resource Use Reports program Medicare program - Physician Quality Reporting (PQRS) Group Practice Reporting Option (GPRO) Medicare program - Program Integrity Medicare program - Shared Savings/Accountable Care Organization program Medicare program - Synchronizing Incentive programs Medicare program - Enrollment Medicare program - Regulatory Relief Medicare program - Meaningful Use Medicare program - Sunshine Act Medicare program - Value based modifier Medicare and Medicaid programs - Public-Private Partnership Medicare and Medicaid programs - Health Information Technology Medicare and Medicaid programs - Million Hearts Medicaid program - Primary Care Payment Increase Medicaid program - Expansion

Client expense: $3,400,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Medicare Payment Advisory Commission (MedPAC), SENATE, Veterans Affairs, Dept of (VA), White House Office

- H.R. 876/S. 58; Registered Nurse Safe Staffing Act of 2011. - S. 56/H.R. 2134; Medicaid Advanced Practice Nurse and Physician Assistants Access Act. - S. 277/H.R. 2267; Home Health Care Planning Improvement Act of 2011 - Provider Neutral Language - HHS. - Provisions related to dual eligibles living with mental illness and their providers and the current process of state demonstration proposals to integrate care for beneficiaries that are concurrently eligible for Medicare and Medicaid. - H.R. 6079; Patients Rights Repeal Act. - H.R. 6176; Aligning Incentives for Better Patient Care Act of 2011. Provisions relation to the Fiscal Cliff issue and protection of Medicare/Medicaid Funding.

Client expense: $329,405 · Firm income: Not reported

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

PPACA implementation; PA Hospice (S891/HR 3831/S1680); PA Home Health (S227/HR2267); Medicaid Coverage (S56/HR2134); Medicaid HIT Incentive Payment (HR2729); FECA (HR 2465); PA workforce issues; PA veterans issues; federal employmeny of PAs; SGR; allowing PAs to admit patients into opiod treatment programs and to prescribe buprenorphine for opiod addiction; FY 13 L/HHS appropriations; FMCSA registry of certified medical examiners; CMS Hospital COP.

Client expense: $235,298 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Prisons (BOP), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Motor Carrier Safety Administration, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Personnel Management (OPM), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT), U.S. Postal Service (USPS), Veterans Affairs, Dept of (VA), White House Office

Monitoring all legislation related to gaming, including Internet gaming. H.R.2267

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 659/H.R. 6059, Home Health Care Access Protection Act of 2012. S. 501, Fostering Independence Through Technology Act of 2011. S. 227/H.R. 2267, Home Health Care Planning Improvement Act of 2011. H.R. 3859, Rural Hospital and Provider Equity Act of 2012, sections 11, 13, and 16. P.L. 111-5, American Recovery and Reinvestment Act of 2009, provisions relating to technology. S. 722/H.R. 3506, Hospice Evaluation and Legitimate Payment Act. H.R. 452, Medicare Decisions Accountability Act of 2011. S. 668, Health Care Bureaucrats Elimination Act. Skilled Home Health Integrity and Program Savings Act of 2011 (SHHIPS) (draft legislation). S. 1680, Craig Thomas Rural Hospital and Provider Equity Act of 2011, sections 12, 13, 15, and 19. H.R. 5, Protecting Access to Healthcare Act, sections 201 and 202. H.Con.Res. 112, FY2013 Budget Resolution, provisions related to Medicare and Medicaid/payment for home health and hospice.

Client expense: $400,000 · Firm income: Not reported

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

Legislation and issues related to: Physician/nurse reimbursement; Medicare Medical Home; Medicaid Health Home; Medicare-Medicaid Advanced Primary Care demonstration; Accountable Care Organizations; Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); Repeal/retention of Medicaid maintenance of effort requirements; Graduate Nurse Education demonstration; Home health face-to-face examination requirements; Coverage and payment for CPT code 96110; Medicare-Medicaid Program Integrity policies; Independent Payment Advisory Board (IPAB); Medicare-Medicaid hospital conditions of participation; Draft legislation on admission of advanced practice registered nurses to hospital medical staff and granting of clinical privileges; Medicaid waiver application procedures; State of Florida Section 1115 Medicaid waiver application on managed medical assistance program; Medicare-Medicaid dual eligibles coverage and demonstration; Ordering of Medicare portable x-ray services; Provisions of the 2013 Medicare physician payment proposed rule; Medicaid per capita cap policy options; Medicaid payment for primary care services; Medicaid eligibility expansion and state options; Social Security Administration policies on primary medical evidence of disability; H.R. 2 - Repealing the Job-Killing Health Care Law Act; S. 16 - Patient Choice Restoration Act; S. 56/H.R. 2134 - Medicaid Advanced Practice Nurses and Physician Assistants Access Act; S. 58/H.R. 876 - Registered Nurse Safe Staffing Act; S. 227/H.R. 2267 - Home Health Care Planning Improvement Act; S. 244/H.R. 782 - State Health Care Flexibility Act; H.R. 560 - Rural Representation and Transparency Improvement Act; H.R. 452 - Medicare Decisions Accountability Act; S. 668 - Health Care Bureaucrats Elimination Act; S. 1680 - Craig Thomas Rural Hospital and Provider Equity Act; H.R. 3859 - Rural Hospital and Provider Equity Act; H.R. 3630/H.R. 3743/H.R. 3765 - Temporary Payroll Tax Cut Continuation Act; H.R. 3326/S. 1587 - Medicaid Flexibility for States Act; H.R. 4160 - State Health Flexibility Act; S. 2057 - To amend Title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs; H.R. 340 - Amending title XIX (Medicaid) of the Social Security Act to repeal the exclusion from medical assistance under the Medicaid program of items and services for patients in an institution for mental diseases; H.R. 669 - Ensuring Continuous Medicaid Coverage for Children Act; H.R. 671 - Ensuring Continuous Coverage under SCHIP Act H.R. 5979 - Medicaid Accountability and Care (MAC) Act; H.R. 436 - Health Care Cost Reduction Act; H.R. 5707 - Medicare Physician Payment Innovation Act; H.R. 4348 - MAP-21 and offsets for student loan interest rate provisions; H.R. 6079 - Repeal of Obamacare 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), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

Legislation and issues related to: Physician/nurse reimbursement; Medicare Medical Home; Medicaid Health Home; Medicare-Medicaid Advanced Primary Care demonstration; Accountable Care Organizations; Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); Repeal/retention of Medicaid maintenance of effort requirements; Graduate Nurse Education demonstration; Home health face-to-face examination requirements; Medicare-Medicaid Program Integrity policies; Independent Payment Advisory Board (IPAB); Medicare-Medicaid hospital conditions of participation; Draft legislation on admission of advanced practice registered nurses to hospital medical staff and granting of clinical privileges; Medicaid waiver application procedures; State of Florida Section 1115 Medicaid waiver application on managed medical assistance program; Medicare-Medicaid dual eligibles coverage and demonstration; Ordering of Medicare portable x-ray services; Provisions of the 2013 Medicare physician payment proposed rule; Medicaid per capita cap policy options; Medicaid payment for primary care services; Medicaid eligibility expansion and state options; Social Security Administration policies on primary medical evidence of disability; H.R. 2 - Repealing the Job-Killing Health Care Law Act; S. 16 - Patient Choice Restoration Act; S. 56/H.R. 2134 - Medicaid Advanced Practice Nurses and Physician Assistants Access Act; S. 58/H.R. 876 - Registered Nurse Safe Staffing Act; S. 227/H.R. 2267 - Home Health Care Planning Improvement Act; S. 244/H.R. 782 - State Health Care Flexibility Act; H.R. 560 - Rural Representation and Transparency Improvement Act; H.R. 452 - Medicare Decisions Accountability Act; S. 668 - Health Care Bureaucrats Elimination Act; S. 1680 - Craig Thomas Rural Hospital and Provider Equity Act; H.R. 3859 - Rural Hospital and Provider Equity Act; H.R. 3630/H.R. 3743/H.R. 3765 - Temporary Payroll Tax Cut Continuation Act; H.R. 3326/S. 1587 - Medicaid Flexibility for States Act; H.R. 4160 - State Health Flexibility Act; S. 2057 - To amend Title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. H.R. 5979 - Medicaid Accountability and Care (MAC) Act; H.R. 436 - Health Care Cost Reduction Act; H.R. 5707 - Medicare Physician Payment Innovation Act; H.R. 4348 - MAP-21 and offsets for student loan interest rate provisions; H.R. 6079 - Repeal of Obamacare 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), Housing & Urban Development, Dept of (HUD), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

Legislation and issues related to: Physician/nurse reimbursement; Accountable Care Organizations; Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); Graduate Nurse Education demonstration; Home health face-to-face examination requirements; Medicare-Medicaid Program Integrity policies; Ordering of Medicare portable x-ray services; Provisions of the 2013 Medicare physician payment proposed rule; Medicaid payment for primary care services; S. 227/H.R. 2267 - Home Health Care Planning Improvement Act; S. 1680 - Craig Thomas Rural Hospital and Provider Equity Act; H.R. 3859 - Rural Hospital and Provider Equity Act; H.R. 5979 - Medicaid Accountability and Care (MAC) Act; H.R. 6079 - Repeal of Obamacare Act.

Client expense: Not reported · Firm income: $7,500

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), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

PPACA implementation; PA Hospice (S.891/HR 3831/S 1680); PA Home Health (S 227/HR 2267); Medicaid Coverage (S56/HR 2134); Medicaid HIT Incentive Payment (HR 2729); FECA (HR 2465); PA workforce issues; PA Veterans issues; federal employment of PAs; allowing PAs tp prescribe buprenorphine and admit patients into opiod treatment programs; SGR; FY 13 L/HHS appropriations; FMCSA registry of certified medical examiners; CMS Hospital COP.

Client expense: $225,655 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Bureau of Prisons (BOP), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Motor Carrier Safety Administration, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Personnel Management (OPM), President of the U.S., SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA), White House Office

HR 2267 Internet Gambling Regulation and Enforcement Act, to support the right of Americans to decide for themselves whether or not to gamble online.

Client expense: $38,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Minerals Management Service, SENATE

Monitoring all legislation related to gaming, including Internet gaming. H.R.2267

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 876/S. 58; Registered Nurse Safe Staffing Act of 2011. S. 56/H.R. 2134: Medicaid Advanced Practice Nurses and Physicians Assistants Access Act. S. 277/H.R. 2267; Home Health Care Planning Improvement Act of 2011 Provider Neutral Language - HHS Provisions related to dual eligibles living with mental illness and their providers and the current process of state demonstration proposals to integrate care for beneficiaries that are concurrently eligible for Medicare and Medicaid. HR 6079- Patients Rights Repeal Act. HR 6176 Aligning Incentives for Better Patient Care Act of 2011.

Client expense: $547,767 · 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

S. 659/H.R. 6059, Home Health Care Access Protection Act of 2012. S. 501, Fostering Independence Through Technology Act of 2011. S. 227/H.R. 2267, Home Health Care Planning Improvement Act of 2011. H.R. 3859, Rural Hospital and Provider Equity Act of 2012, sections 11, 13, and 16. P.L. 111-5, American Recovery and Reinvestment Act of 2009, provisions relating to technology. S. 722/H.R. 3506, Hospice Evaluation and Legitimate Payment Act. H.R. 452, Medicare Decisions Accountability Act of 2011. Skilled Home Health Integrity and Program Savings Act of 2011 (SHHIPS) (draft legislation). S. 1680, Craig Thomas Rural Hospital and Provider Equity Act of 2011, sections 12, 13, 15, and 19. H.R. 5, Protecting Access to Healthcare Act, sections 201 and 202. H.Con.Res. 112, FY2013 Budget Resolution, provisions related to Medicare and Medicaid/payment for home health and hospice.

Client expense: $270,000 · Firm income: Not reported

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

prohibition of internet and online wagering and getting in connection with poker; Internet Gambling Regulation and Tax Enforcement Act (H.R. 2267); Internet Gambling Regulation, Consumer Protection, and Enforcement Act (H.R. 1174); Internet Gambling Prohibition, Poker Consumer Protection, and Strengthening UIGEA Act of 2011 (H.R. 2366) H.R. 2230

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2267 Internet Gambling Regulation and Enforcement Act, to support the right of Americans to decide for themselves whether or not to gamble online.

Client expense: $35,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Minerals Management Service, SENATE

Legislation and issues related to: Physician/nurse reimbursement; Medicare Medical Home; Medicaid Health Home; Medicare-Medicaid Advanced Primary Care demonstration; Accountable Care Organizations; Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); Repeal/retention of Medicaid maintenance of effort requirements; Graduate Nurse Education demonstration; Home health face-to-face examination requirements; Coverage and payment for CPT code 96110; Medicare-Medicaid Program Integrity policies; Independent Payment Advisory Board (IPAB); Medicare-Medicaid hospital conditions of participation; Draft legislation on admission of advanced practice registered nurses to hospital medical staff and granting of clinical privileges; Medicaid waiver application procedures; State of Florida Section 1115 Medicaid waiver application on managed medical assistance program; Medicare-Medicaid dual eligibles coverage and demonstration; Ordering of Medicare portable x-ray services; Medicaid per capita cap policy options; Medicaid payment for primary care services; Medicaid eligibility expansion and state options; Social Security Administration policies on primary medical evidence of disability; H.R. 2 - Repealing the Job-Killing Health Care Law Act; S. 16 - Patient Choice Restoration Act; S. 56/H.R. 2134 - Medicaid Advanced Practice Nurses and Physician Assistants Access Act; S. 58/H.R. 876 - Registered Nurse Safe Staffing Act; S. 227/H.R. 2267 - Home Health Care Planning Improvement Act; S. 244/H.R. 782 - State Health Care Flexibility Act; H.R. 560 - Rural Representation and Transparency Improvement Act; H.R. 452 - Medicare Decisions Accountability Act; S. 668 - Health Care Bureaucrats Elimination Act; S. 1680 - Craig Thomas Rural Hospital and Provider Equity Act; H.R. 3859 - Rural Hospital and Provider Equity Act; H.R. 3630/H.R. 3743/H.R. 3765 - Temporary Payroll Tax Cut Continuation Act; H.R. 3326/S. 1587 - Medicaid Flexibility for States Act; H.R. 4160 - State Health Flexibility Act; S. 2057 - To amend Title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs; H.R. 340 - Amending title XIX (Medicaid) of the Social Security Act to repeal the exclusion from medical assistance under the Medicaid program of items and services for patients in an institution for mental diseases; H.R. 669 - Ensuring Continuous Medicaid Coverage for Children Act; H.R. 671 - Ensuring Continuous Coverage under SCHIP Act H.R. 5979 - Medicaid Accountability and Care (MAC) Act; H.R. 436 - Health Care Cost Reduction Act; H.R. 5707 - Medicare Physician Payment Innovation Act; H.R. 4348 - MAP-21 and offsets for student loan interest rate provisions.

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), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

Legislation and issues related to: Physician/nurse reimbursement; Medicare Medical Home; Medicaid Health Home; Medicare-Medicaid Advanced Primary Care demonstration; Accountable Care Organizations; Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); Repeal/retention of Medicaid maintenance of effort requirements; Graduate Nurse Education demonstration; Home health face-to-face examination requirements; Medicare-Medicaid Program Integrity policies; Independent Payment Advisory Board (IPAB); Medicare-Medicaid hospital conditions of participation; Draft legislation on admission of advanced practice registered nurses to hospital medical staff and granting of clinical privileges; Medicaid waiver application procedures; State of Florida Section 1115 Medicaid waiver application on managed medical assistance program; Medicare-Medicaid dual eligibles coverage and demonstration; Ordering of Medicare portable x-ray services; Medicaid per capita cap policy options; Medicaid payment for primary care services; Medicaid eligibility expansion and state options; Social Security Administration policies on primary medical evidence of disability; H.R. 2 - Repealing the Job-Killing Health Care Law Act; S. 16 - Patient Choice Restoration Act; S. 56/H.R. 2134 - Medicaid Advanced Practice Nurses and Physician Assistants Access Act; S. 58/H.R. 876 - Registered Nurse Safe Staffing Act; S. 227/H.R. 2267 - Home Health Care Planning Improvement Act; S. 244/H.R. 782 - State Health Care Flexibility Act; H.R. 560 - Rural Representation and Transparency Improvement Act; H.R. 452 - Medicare Decisions Accountability Act; S. 668 - Health Care Bureaucrats Elimination Act; S. 1680 - Craig Thomas Rural Hospital and Provider Equity Act; H.R. 3859 - Rural Hospital and Provider Equity Act; H.R. 3630/H.R. 3743/H.R. 3765 - Temporary Payroll Tax Cut Continuation Act; H.R. 3326/S. 1587 - Medicaid Flexibility for States Act; H.R. 4160 - State Health Flexibility Act; S. 2057 - To amend Title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs; H.R. 5979 - Medicaid Accountability and Care (MAC) Act; H.R. 436 - Health Care Cost Reduction Act; H.R. 5707 - Medicare Physician Payment Innovation Act; H.R. 4348 - MAP-21 and offsets for student loan interest rate provisions.

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), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

See addendum page. Food and Drug Administration Safety and Innovation Act (S.3187): lobbied in support of the drug shortages bill included in S.3187. Lobbied on changes to the National Childrens Study recruitment procedures and to ask for Congressional review. Lobbied in support of Accelerating the End of Breast Cancer Act of 2011 (H.R. 3067). Lobbied in opposition to Registered Nurse Safe Staffing Act of 2011 (H.R. 876). Reviewed Home Health Care Planning Improvement Act of 2011 (H.R. 2267). CU is neutral on this bill. Reviewed Medicare Cost Contract Extension Act of 2011 (H.R. 2770). CU is neutral on this bill. Reviewed Health Care Cost Reduction Act of 2012 (H.R. 436) and the Protect Medical Innovation Act of 2011 contained therein. CU is neutral on this bill. Reviewed the Quality Health Care Coalition Act of 2011 (H.R. 1409). CU is neutral on this bill.

Client expense: $124,204 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), Patent & Trademark Office (PTO), SENATE

H.R. 876/S. 58; Registered Nurse Safe Staffing Act of 2011. S. 56/H.R. 2134: Medicaid Advanced Practice Nurses and Physicians Assistants Access Act. S. 277/H.R. 2267; Home Health Care Planning Improvement Act of 2011 Provider Neutral Language - HHS As organizations representing dual eligibles living with mental illness and their providers, we are writing to share our views on the current process of state demonstration proposals to integrate care for beneficiaries that are concurrently eligible for Medicare and Medicaid.

Client expense: $318,625 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

Lobbied Members of Congress regarding the demand for nurses and nurse faculty and the need for highly educated nurses to provide quality health care. Discussed with agencies within HHS and lobbied Members of Congress to promote the role Advanced Practice Registered Nurses will play in a reformed healthcare delivery system. Discussed with agencies within HHS and lobbied Members of Congress regarding quality initiatives and cost saving healthcare programs. Lobbied Members of Congress in favor of the Home Health Planning Improvement Act of 2011 (S. 227/H.R. 2267) and the Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2011 (S. 56/H.R. 2134).

Client expense: $50,000 · 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), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

Monitoring all legislation related to gaming, including Internet gaming. H.R.2267

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

PPACA Implementation; PA Hospice (S.891/HR 3831/S 1680); PA Home Health (S 227/HR 2267); Medicaid Coverage (S 56/HR 2134); Medicaid HIT Incentive Payment (HR 2729); FECA (HR 2465); PA Workforce Issues; PA Veterans Issies; Federal employment of PAs; allowing PAs tp prescribe buprenorphine for treatment of opioid addiction; SGR; FY 13 L/HHS appropriations; FMCSA registry of certified medical examiners; CMS Hospital COP.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Bureau of Prisons (BOP), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Motor Carrier Safety Administration, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

Medicare and Medicaid reimbursement, HIT, and transitional, coordinated care, tax and health insurers, H.R. 3765, S. 227, H.R. 2267.

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

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

prohibition of internet and online wagering and getting in connection with poker; Internet Gambling Regulation and Tax Enforcement Act (H.R. 2267); Internet Gambling Regulation, Consumer Protection, and Enforcement Act (H.R. 1174); Internet Gambling Prohibition, Poker Consumer Protection, and Strengthening UIGEA Act of 2011 (H.R. 2366) H.R. 2230

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and issues related to: Physician/nurse reimbursement; Medicare Medical Home; Medicaid Health Home; Medicare-Medicaid Advanced Primary Care demonstration; Accountable Care Organizations; Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); Graduate Nurse Education demonstration; Home health face-to-face examination requirements; Independent Payment Advisory Board (IPAB); Medicare-Medicaid hospital conditions of participation; Draft legislation on admission of advanced practice registered nurses to hospital medical staff and granting of clinical privileges; Ordering of Medicare portable x-ray services; Medicaid per capita cap policy options; H.R. 2 - Repealing the Job-Killing Health Care Law Act; S. 16 - Patient Choice Restoration Act; S. 56/H.R. 2134 - Medicaid Advanced Practice Nurses and Physician Assistants Access Act; S. 58/H.R. 876 - Registered Nurse Safe Staffing Act; S. 227/H.R. 2267 - Home Health Care Planning Improvement Act; S. 244/H.R. 782 - State Health Care Flexibility Act; H.R. 560 - Rural Representation and Transparency Improvement Act; H.R. 452 - Medicare Decisions Accountability Act; S. 668 - Health Care Bureaucrats Elimination Act; S. 1680 - Craig Thomas Rural Hospital and Provider Equity Act; H.R. 3859 - Rural Hospital and Provider Equity Act; H.R. 3630/H.R. 3743/H.R. 3765 - Temporary Payroll Tax Cut Continuation Act; H.R. 3326/S. 1587 - Medicaid Flexibility for States Act; H.R. 4160 - State Health Flexibility Act; S. 2057 - To amend Title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs; Coverage and payment for CPT code 96110; H.R. 340 - Amending title XIX (Medicaid) of the Social Security Act to repeal the exclusion from medical assistance under the Medicaid program of items and services for patients in an institution for mental diseases; H.R. 669 - Ensuring Continuous Medicaid Coverage for Children Act; H.R. 671 - Ensuring Continuous Coverage under SCHIP 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), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

Legislation and issues related to: Physician/nurse reimbursement; Medicare Medical Home; Medicaid Health Home; Medicare-Medicaid Advanced Primary Care demonstration; Accountable Care Organizations; Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); Graduate Nurse Education demonstration; Home health face-to-face examination requirements; Independent Payment Advisory Board (IPAB); Medicare-Medicaid hospital conditions of participation; Draft legislation on admission of advanced practice registered nurses to hospital medical staff and granting of clinical privileges; Ordering of Medicare portable x-ray services; Medicaid per capita cap policy options; H.R. 2 - Repealing the Job-Killing Health Care Law Act; S. 16 - Patient Choice Restoration Act; S. 56/H.R. 2134 - Medicaid Advanced Practice Nurses and Physician Assistants Access Act; S. 58/H.R. 876 - Registered Nurse Safe Staffing Act; S. 227/H.R. 2267 - Home Health Care Planning Improvement Act; S. 244/H.R. 782 - State Health Care Flexibility Act; H.R. 560 - Rural Representation and Transparency Improvement Act; H.R. 452 - Medicare Decisions Accountability Act; S. 668 - Health Care Bureaucrats Elimination Act; S. 1680 - Craig Thomas Rural Hospital and Provider Equity Act; H.R. 3859 - Rural Hospital and Provider Equity Act; H.R. 3630/H.R. 3743/H.R. 3765 - Temporary Payroll Tax Cut Continuation Act; H.R. 3326/S. 1587 - Medicaid Flexibility for States Act; H.R. 4160 - State Health Flexibility Act; S. 2057 - To amend Title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs.

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), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

PPACA implementation; PA Hospice (S. 891/HR 3831/ S 1680); PA Home Health (S227/HR2267); Medicaid Coverage (S56/HR2134); Medicaid HIT Incentive Payment (HR 2729); FECA Bill (HR 2465); PA Workforce Issues; PA Veterans issues; allowing PAs to prescribe buprenorphine for opiod addiction treatment; OPM classification & qualification stds; ; SGR; Joining Forces & Let's Move initiatives; FY 12 L/HHS appropriations; FMCSA proposed registry of certified medical examiners).

Client expense: $250,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Indian Affairs (BIA), Bureau of Labor Statistics (BLS), Bureau of Prisons (BOP), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Employment Standards Administration, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA), White House Office

Medicare and Medicaid reimbursement, HIT, and transitional, coordinated care, tax and health insurers, H.R. 3765, S. 227, H.R. 2267.

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

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

H.R. 876/S. 58; Registered Nurse Safe Staffing Act of 2011 S. 56/H.R. 2134, Medicaid Advanced Practice Nurses and Physicians Assistants Access Act S. 227/H.R. 2267; Home Health Care Planning Improvement Act of 2011 Provider Neutral Language- HHS

Client expense: $454,438 · Firm income: Not reported

Government targets: Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

HR 2267 Internet Gambling Regulation and Enforcement Act, to support the right of Americans to decide for themselves whether or not to gamble online.

Client expense: $33,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Minerals Management Service, SENATE

S. 659 The Home Health Care Access Protection Act -- All sections S. 501 Fostering Independence Through Technology Act -- All sections S. 227/H.R. 2267 Home Health Care Planning Improvement Act -- All sections H.R. 3859: Rural Hospital and Provider Equity Act of 2012 -- Sections 11, 13, and 16 P.L. 111-5: American Recovery and Reinvestment Act of 2009 Sections relating to technology S. 722/H.R. 3506: The Hospice Evaluation and Legitimate Payment Act -- All sections H.R. 452: The Medicare Decisions Accountability Act -- All sections Skilled Home Health Integrity and Program Savings Act of 2011 (SHHIPS) -- DRAFT legislation S. 1680: The Craig Thomas Rural Hospital and Provider Equity Act of 2011 Sections 12, 13, 15, and 19 H.R. 3630/P.L. 112-96: Middle Class Tax Relief and Jobs Creation Act of 2012 -- lobbied on Medicare payments for home health and hospice H.R. 5: Protecting Access to Healthcare Act -- Title II -- Sections 201 and 202 H.Con.Res. 112: FY2013 Budget Resolution -- Sections related to Medicare and Medicaid/payment for home health and hospice

Client expense: $290,000 · Firm income: Not reported

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

HR 1044, Medicare Access to Rural Anesthesiology Act; HR 452, Medicare Decisions Accountability Act of 2011; HR 2134/S 56, Medicaid Advanced Practice Nurses and Physician Assistants Act of 2011; HR 3630/H Rept 112-399, Middle Class Tax Relief and Job Creation Act of 2012; S 778, Preserving Access to Rural Therapy Services (PARTS) Act; S 227/HR 2267 Home Health Care Planning Improvement Act of 2011; Medicare Payment for CRNA and Physician Services, and for Outpatient and Inpatient Hospitals and Ambulatory Surgical Centers; PPACA Implementation

Client expense: $220,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE

Lobbied Members of Congress regarding the shortage of nurses and nurse faculty and the need for highly educated nurses to provide quality health care. Lobbied Members of Congress to promote the role Advanced Practice Registered Nurses will play in a reformed healthcare delivery system. Lobbied Members of Congress regarding quality initiatives and cost saving healthcare programs. Lobbied in favor of the Home Health Planning Improvement Act of 2011 (S. 227/H.R. 2267) and the Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2011 (S. 56/H.R. 2134).

Client expense: $35,000 · 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), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Natl Institutes of Health (NIH), SENATE

Monitoring all legislation related to gaming, including Internet gaming. H.R.2267

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitoring all legislation related to gaming, including internet gaming. H.R.2267

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

Issues relating to internet gaming reform, and specifically HR2266 and HR 2267

Client expense: Not reported · Firm income: $65,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to internet gaming reform, specifically HR2266 and HR 2267

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.778 - Protecting Access to Rural Therapy Services (PARTS) Act S.1301 - Medicaid Improvement and State Empowerment Act H.R. 1 - Full-Year Continuing Appropriations Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R.1216 - Would make the Public Health Services Act's graduate medical education money no longer a direct appropriation. H.R.1398 - To amend Title XVIII of the Social Security Act to treat certain provider taxes as allowable costs for purposes of Medicare reimbursements to critical access hospitals. H.R.1546/S.829 - The Medicare Access to Rehabilitation Services Act. H.R.1852/S.958 - Children's Hospital GME Support Reauthorization Act of 2011. H.R.2267/S.227 - Home Health Care Planning Improvement Act of 2011. Inpatient Prospective Payment System Proposed Rule, 76 FR 25788, May 5, 2011, Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Propective Payment Systen and Fiscal Year 2012 Rates.

Client expense: $202,000 · Firm income: Not reported

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

S. 659 The Home Health Care Access Protection Act -- All sections S. 501 Fostering Independence Through Technology Act -- All sections S. 227/H.R. 2267 Home Health Care Planning Improvement Act -- All sections H.R. 1041 (Bill to repeal competitive acquisition program for DME) All sections P.L. 111-5: American Recovery and Reinvestment Act of 2009 Sections relating to technology S. 722/H.R. 3506: The Hospice Evaluation and Legitimate Payment Act -- All sections H.R. 452: The Medicare Decisions Accountability Act -- All sections Skilled Home Health Integrity and Program Savings Act of 2011 (SHHIPS) -- DRAFT legislation S. 1680: The Craig Thomas Rural Hospital and Provider Equity Act of 2011 Sections 12, 13, 15, and 19 H.R. 3765/P.L. 112-78: Temporary Payroll Tax Cut Continuation Act of 2011 lobbied on Medicare payments for home health and hospice

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

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

S. 659 The Home Health Care Access Protection Act -- All sections S. 501 Fostering Independence Through Technology Act -- All sections S. 227/H.R. 2267 Home Health Care Planning Improvement Act -- All sections H.R. 1041 (Bill to repeal competitive acquisition program for DME) All sections P.L. 111-5: American Recovery and Reinvestment Act of 2009 Sections relating to technology

Client expense: $210,000 · Firm income: Not reported

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

S. 659 The Home Health Care Access Protection Act -- All sections S. 501 Fostering Independence Through Technology Act -- All sections S. 227/H.R. 2267 Home Health Care Planning Improvement Act -- All sections H.R. 1041 (Bill to repeal competitive acquisition program for DME) All sections P.L. 111-5: American Recovery and Reinvestment Act of 2009 Sections relating to technology S. 722: The Hospice Evaluation and Legitimate Payment Act -- All sections H.R. 452: The Medicare Decisions Accountability Act -- All sections Skilled Home Health Integrity and Program Savings Act of 2011 (SHHIPS) -- DRAFT legislation

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

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

S. 659 The Home Health Care Access Protection Act -- All sections S. 501 Fostering Independence Through Technology Act -- All sections S. 227/H.R. 2267 Home Health Care Planning Improvement Act -- All sections H.R. 1041 (Bill to repeal competitive acquisition program for DME) All sections P.L. 111-5: American Recovery and Reinvestment Act of 2009 Sections relating to technology

Client expense: $210,000 · Firm income: Not reported

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