To amend title XVIII of the Social Security Act with respect to Medicare payment for long-term care hospital services.

S. 1486, The Long Term Care Hospital Improvement Act of 2011, all sections. A bill that would define facility and patient criteria for long term acute care hospitals. H.R. 3516, To amend title XVIII of the Social Security Act with respect to Medicare payment for long term acute care hospital services.

Client expense: $750,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

S. 1486, The Long Term Care Hospital Improvement Act of 2011, all sections. A bill that would define facility and patient criteria for long term acute care hospitals. H.R. 3516, To amend title XVIII of the Social Security Act with respect to Medicare payment for long term acute care hospital services.

Client expense: $750,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 3630 Middle Class Tax Relief and Job Creation Act of 2012 Title III, Sections 3003-3005 and section 3201--physician payment update, work geographic adjustment, payment for outpatient therapy services and reduction of bad debt as an allowable cost. S.1486: Long-Term Care Hospital Improvement Act of 2011, all sections H.R.3516: To amend title XVIII of the Social Security Act with respect to Medicare payment for long-term care hospital services.

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

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

Medicare Part B therapy services. Regulation of long-term acute care hospitals. Independent rehabilitation facilities. CMS proposed rule changes. S. 1486, Long-Term Care Hospital Improvement Act of 2011. H.R. 3516, To amend title XVIII of the Social Security Act with respect to Medicare payment for long-term care hospital services.

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

Government targets: SENATE

S. 1486, The Long Term Care Hospital Improvement Act of 2011, all sections. A bill that would define facility and patient criteria for long term acute care hospitals. H.R. 3516, To amend title XVIII of the Social Security Act with respect to Medicare payment for long term acute care hospital services.

Client expense: $700,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

Issues involving Medicare and long term care hospital reimbursement, including S.1486 and H.R. 3516, and extending the Medicare, Medicaid and SCHIP Extension Act of 2007, as amended by the American Recovery and Reinvestment Act of 2009, the Patient Protection and Affordable Care Act of 2010 (PPACA), and the Health Care and Education Reconciliation Act of 2010 (MMSEA).

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

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

H.R. 3630 Middle Class Tax Relief and Job Creation Act of 2012 Title III, Sections 3003-3005 and section 3201--physician payment update, work geographic adjustment, payment for outpatient therapy services and reduction of bad debt as an allowable cost. S.1486: Long-Term Care Hospital Improvement Act of 2011, all sections H.R.3516: To amend title XVIII of the Social Security Act with respect to Medicare payment for long-term care hospital services.

Client expense: $620,000 · Firm income: Not reported

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

Issues involving Medicare and long term care hospital reimbursement, including S.1486 and H.R. 3516, and extending the Medicare, Medicaid and SCHIP Extension Act of 2007, as amended by the American Recovery and Reinvestment Act of 2009, the Patient Protection and Affordable Care Act of 2010 (PPACA), and the Health Care and Education Reconciliation Act of 2010 (MMSEA).

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

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

H.R. 2576 - To amend the Internal Revenue Code of 1986 to modify the calculation of modified adjusted gross income for purposes of determining eligibility for certain healthcare-related programs. S. 1680 - Rural Hospital and Provider Equity Act of 2011. H.R.3519 - To amend to exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011. H.R.3516 - To amend title XVIII of the Social Security Act with respect to Medicare payment for long-term care hospital services. H.R.3587 - To amend title XIX of the Social Security Act to provide for the application of Medicaid prompt pay requirement to claims for payment for covered items and services furnished by any Medicaid health care entity. H.R.3630 - Temporary Payroll Tax Cut Continuation Act of 2011; and, H.R.3765 - Temporary Payroll Tax Cut Continuation Act of 2011. Pub.L. 112-25 - Budget Control Act of 2011. Joint Select Committee on Deficit Reduction negotiations (Super committee created by Budget Control Act). H.R.2112 - Consolidated and Further Continuing Appropriations Act, 2012.

Client expense: $201,000 · Firm income: Not reported

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

H.R. 2576: To amend the Internal Revenue Code of 1986 to modify the calculation of modified adjusted gross income for purposes of determining eligibility for certain healthcare-related programs. S. 1680: Rural Hospital and Provider Equity Act of 2011. H.R.3519: To amend to exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011. H.R.3516: To amend title XVIII of the Social Security Act with respect to Medicare payment for long-term care hospital services. H.R.3587: To amend title XIX of the Social Security Act to provide for the application of Medicaid prompt pay requirement to claims for payment for covered items and services furnished by any Medicaid health care entity. H.R.3630: Temporary Payroll Tax Cut Continuation Act of 2011; and, H.R.3765: Temporary Payroll Tax Cut Continuation Act of 2011. Pub.L. 112-25: Budget Control Act of 2011. Joint Select Committee on Deficit Reduction negotiations (Super committee created by Budget Control Act). H.R.2112: Consolidated and Further Continuing Appropriations Act, 2012.

Client expense: $820,000 · Firm income: Not reported

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

H.R. 2576: To amend the Internal Revenue Code of 1986 to modify the calculation of modified adjusted gross income for purposes of determining eligibility for certain healthcare-related programs. S. 1680: Rural Hospital and Provider Equity Act of 2011. H.R.3519: To amend to exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011. H.R.3516: To amend title XVIII of the Social Security Act with respect to Medicare payment for long-term care hospital services. H.R.3587: To amend title XIX of the Social Security Act to provide for the application of Medicaid prompt pay requirement to claims for payment for covered items and services furnished by any Medicaid health care entity. H.R.3630: Temporary Payroll Tax Cut Continuation Act of 2011; and, H.R.3765: Temporary Payroll Tax Cut Continuation Act of 2011. Pub.L. 112-25: Budget Control Act of 2011. Joint Select Committee on Deficit Reduction negotiations (Super committee created by Budget Control Act). H.R.2112: Consolidated and Further Continuing Appropriations Act, 2012.

Client expense: $770,000 · Firm income: Not reported

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

S 1680 Rural Hospital and Provider Equity Act of 2011 (entire bill) HR 3519 To amend to exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011 HR 3516 To amend title XVII of the Social Security Act with respect to Medicare payment for long-term care hospital services HR 3630 Temporary Payroll Tax Cut Continuation Act of 2011 (issues: hospital extenders, hospital outpatient department payments, bad debt) HR 3765 (PL 112-78), Temporary Payroll Tax Cut Continuation Act of 2011, (issues: hospital extenders, hospital outpatient department payments, bad debt) Pub L 112-25, Budget Control Act, Joint Select Committee on Deficit Reductions negotiations (Super Committee) Hospital Payment Reductions Issues related to Super Committee: Graduate Medical Education, Bad Debt payments, post-acute care payments, critical access hospital payments, IPPS coding payments, rural hospital payments Medicare Expiring Provisions: Inpatient section 508 wage reclassifications Outpatient therapy cap moratorium Geographic physician work payment floor Outpatient hold harmless Mental Health add-ons Ambulance add-ons Independent lab direct Medicare billing Small rural hospital clinical lab hold harmless Graduate Medical Education, Bad Debt payments, post-acute care payments, critical access hospital payments, IPPS coding payments, rural hospital payments Physician Payment Formula (doc fix)

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

Issues invoving Medicare and long term care hospital reimbursement, including S.1486 and H.R. 3516, and extending the Medicare, Medicaid and SCHIP Extension Act of 2007, as amended by the American Recovery and Reinvestment Act of 2009, the Patient Protection and Affordable Care Act of 2010 (PPACA), and the Health Care and Education Reconciliation Act of 2010 (MMSEA).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1486: Long-Term Care Hospital Improvement Act of 2011, All Sections H.R.3516: To amend title XVIII of the Social Security Act with respect to Medicare payment for long-term care hospital services, All Sections H.R.1543 -- Improving Access to Medicare Coverage Act of 2011 (Observation stays) S.818: Improving Access to Medicare Coverage Act of 2011 (Observation stays) H.R.1546: Medicare Access to Rehabilitation Services Act of 2011 (Therapy Cap repeal) S.829: Medicare Access to Rehabilitation Services Act of 2011 (Therapy Cap repeal) H.R.3765 (PL 112-78) Temporary Payroll Tax Cut Continuation Act of 2011 SEC. 301. MEDICARE PHYSICIAN PAYMENT UPDATE. SEC. 304. EXTENSION OF EXCEPTIONS PROCESS FOR MEDICARE THERAPY CAPS H.R.3630 -- Temporary Payroll Tax Cut Continuation Act of 2011 TITLE III--TEMPORARY EXTENSION OF HEALTH PROVISIONS SEC. 301. MEDICARE PHYSICIAN PAYMENT UPDATE. SEC. 304. EXTENSION OF EXCEPTIONS PROCESS FOR MEDICARE THERAPY CAPS H.R.3743 -- Temporary Payroll Tax Cut Continuation Act of 2011 TITLE III--TEMPORARY EXTENSION OF HEALTH PROVISIONS SEC. 301. MEDICARE PHYSICIAN PAYMENT UPDATE. SEC. 304. EXTENSION OF EXCEPTIONS PROCESS FOR MEDICARE THERAPY CAPS

Client expense: $430,000 · Firm income: Not reported

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