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Temporary Payroll Tax Cut Continuation Act of 2011
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2019 · first_quarter · Medicare/Medicaid
The following bullet points summarize the objectives of the Marshfield Clinic's Health Policy Agenda: "value-based purchasing of health services including bonus payments for high value Medicare Advantage programs; "establishment and funding of comparative effectiveness research; "promoting payment fairness in Medicare physician and practice expense payments; promoting payment fairness in Medicare physician and practice expense payments; new formulas for aligning Medicare reimbursement with value; bonus payments for efficient providers; bonus payments for primary care providers; financing for the adoption and utilization of health information technology; repeal and reform of the Medicare sustainable growth rate mechanism for updating physician payments; improved reimbursement for the CMS Physician Group Practice (PGP) demonstration; expansion of the PGP demonstration methodology into a national accountable care organization program to extend the physician group practice demonstration; Adequate funding for CMS; Adequate funding for community health centers; Funding for after-school programs Integration of Medical and dental care and records Meaningful use of HIT; Funding for medical simulation training Personalized medicine Healthy lifestyles programs Budget Control Act (S. 365, PL 112-25) provisions requiring mandatory sequestration of federal funding if Congress does not act to implement deficit reduction. Medicare Payment Advisory Commission recommendations regarding reform of the Sustainable Growth Rate (SGR) formula of the Medicare physician fee schedule, and offsets to fund the reforms. H.R.3682 : Patient Centered Healthcare Savings Act of 2011 Sponsor: Rep Duffy, Sean P. - Marshfield Clinic, the corporate sponsor of Security Health Plan, a five star Medicare Advantage program, opposes provisions which promote the sale of insurance across state lines but do not address the disparities in existing state law which would allow other insurance entities to circumvent Wisconsin law. HR 3630 the House Payroll Tax holiday bill H.R.3630 Temporary Payroll Tax Cut Continuation Act of 2011 Sponsor: Rep Camp, Dave. The bill also included a "doc fix" - a 1% increase in Medicare physician payment for 2012 and 2013; The bill also extends through 2012 the floor at 1.0 on the work geographic index in the formula for determining relative values for physicians' services for the Medicare physician payment; and directed MEDPAC to assess whether any geographic adjustment is needed under Medicare to distinguish the difference in work effort by geographic area, and if so, what that level should be and were it should be applied. The bill also revises Medicare hospital outpatient department (OPD) payment amounts for evaluation and management services, bringing them into parity with physician E&M payments. H.R.3765 Temporary Payroll Tax Cut Continuation Act of 2011 Sponsor: Rep Camp, Dave two month extension Medicare physician payment increase. HR 3258 - Medicare Equity Extension Act of 2011 Sponsor Rep. Bruce Braley- Amends Medicare formulae for determining payments for physician services under part B to extend through calendar 2013: (1) a specified formula element for the employee wage and rent portions of the Medicare practice expense geographic adjustment, and (2) the Medicare work geographic adjustment floor at 1.0 under the Medicare and Medicaid Extenders Act of 2010. Value Based Purchasing The concept of value-based health care purchasing is that buyers should hold providers of health care accountable for both cost and quality of care. Value-based purchasing brings together information on the quality of health care, including patient outcomes and health status, with data on the dollar outlays going towards health. It focuses on managing the use of the health care system to reduce inappropriate care and to identify and reward the best-performing providers. Variations in Health Care Service and Distribution Research conducted the Medicare Payment Advisory commission and the Dartmouth School of Medicine has documented glaring variations in how medical resources are distributed and used in the United States. The extent of variation in Medicare spending, and the evidence that more care does not result in better outcomes, should lead us to ask if some chronically ill Americans are getting more care than they actually want or need. Caring for people with chronic disease now accounts for more than 75 percent of all health-care spending. Over-use and overspending is not just a Medicare problemthe health-care system as a whole lacks efficient, effective ways of caring for people with severe chronic illnesses. Medicare Payment Dilemma The rising costs of care coupled with the increasing awareness of poor quality care have made clear the need for a transformation in the way health care is financed. Current Medicare payment policy values service delivery without regard to quality or need. The Medicare system rewards physicians for providing care even when it is not needed. We recognize the importance of primary care and care coordinated through the use of unitary electronic medical records, but these expectations and values are at odds with the current reimbursement system and the distribution of payments throughout the country. Sustainable Growth Rate Medicares SGR mechanism unfairly links physician payment updates to factors unrelated to patients needs and the cost of providing patient care. For years the Marshfield Clinic has watched Medicare physician payments atrophy in proportion to the cost of providing Medicare Services. In 2010 the Clinic recovered only 52.45% of the Medicare Allowable Costs of serving Medicare patients. In 2009 the Clinic lost 49.6 cents on each dollar of care provided. As payments have deteriorated in both the Medicare and Medicaid sector, the Clinic has documented increasing patient counts as other physicians and providers in the communities that we serve turn patients away. The difficulty of correctly updating physician fees is complicated by problems with the fee schedule regarding resource use, compensation for care coordination, and volume growth that point to Mispricing related to the value of physician services; inaccuracy of practice expense (overhead) calculations; and increasing variation in the volumes of services provided in different regions of the country. Uncertainty about the Medicare/Medicaid revenue stream complicates Clinic efforts to provide services where they are needed. Stability, adequacy, and predictability in payment should be the highest priority for Congress to assure high quality efficient care for all patients, but especially for the 20% of the population that is chronically ill and responsible for 75% of Medicare spending. Medicare Payment Inequities In the traditional fee-for-service system Medicare currently reimburses for units of service, in a manner that promotes service utilization without regard to quality. This has had the effect of economically stimulating growth in the numbers of supply-sensitive services provided by physicians. The Update formula for physician services is inequitable because it treats all physicians and regions of the country alike regardless of their individual volume influencing behavior. If the problem of cost is related to the volume of services provided, shouldnt payment be volume adjusted for specific localities? Why should conservative practices and States be punished for the excessive volume of other localities? Medicare Payment Inequities In the traditional fee-for-service system Medicare currently reimburses for units of service, in a manner that promotes service utilization without regard to quality. This has had the effect of economically stimulating growth in the numbers of supply-sensitive services provided by physicians. The Update formula for physician services is inequitable because it treats all physicians and regions of the country alike regardless of their individual volume influencing behavior. If the problem of cost is related to the volume of services provided, shouldnt payment be volume adjusted for specific localities? Why should conservative practices and States be punished for the excessive volume of other localities? Payment Equity for Physician Work There is no difference in the work of physicians in different locations regardless of where the work occurs. We believe that physician work should not be adjusted for geographic location. What is the rational for paying physicians more in many geographic areas when those same areas have apparently ample numbers of physicians and their wages are trending below physician wages in other areas? Should the Medicare program subsidize physicians who chose to live in high cost areas? Recommendation: the geographic adjustment of physician work should be eliminated entirely on a Budget neutral basis. Payment Fairness for Practice Costs The formulas by which Medicares payments are calculated are widely variable throughout Medicare localities, and are based upon outdated data assumptions regarding the cost and organization of medical practice. Medicares physician fee schedule, which specifies the amount that Medicare will pay for each physician service, includes adjustments that are ostensibly made to ensure that the fees paid reflect systematic and enduring variation in geographic practice-related costs. Currently, CMS uses the median hourly earnings of four occupational classes -- Clerical Workers, Registered Nurses, Licensed Practical Nurses, and Medical Technicians -- found in physician offices as proxy non-physician wage input cost measures. These proxy occupational classes, which were the most common employees in physician practices in the 1980s, are now only a subset of non-physician employees in physician practices. The practice of medicine has changed substantially since the proxy measurement formulae were established. Recommendation: Congress should require CMS to administratively revise its measurement of cost of practice to assure the validity and fairness of payments. Medicare Advantage The Medicare Advantage program provides a capitated reimbursement to health plans for all Medicare benefits provided to enrolled beneficiaries. Corresponding mechanisms for rewarding value in the Medicare Advantage program should offer incentives for those plans that demonstrate superior patient care performance. Performance bonuses should be provided for plans that: Achieve predetermined quality performance targets; Adopt health information technology; Meet standards for care coordination; and Provide data on comparative effectiveness. Medical Simulation Training The Accreditation Council on Graduate Medical Education (ACGME) Program Requirements for Resident Education in Internal Medicine has recommended that residency programs need to Provide residents with access to training using simulation. The need for medical simulation is great; medical errors continue to kill approximately 98,000 people annually. Over the past decade, this amounts to almost a staggering one million accidental patient deaths. These errors cost the US approximately $17-$29 billion annually. Medical errors are highly preventable through the use of modeling and simulation in medical education. Simulation will enhance technical and communication skills of physicians and other medical providers in high fatality, low frequency skills, such as emergency cricothyroidotomy, and amniocentesis and physician re-entry skill verification, such as pelvic exam and central line placement. Simulation experiences also provide the opportunity to enhance team communication and patient to provider communication through the recreation of uncommon or stressful scenarios such as obtaining a sexual health history or abuse/neglect screening. Marshfield Clinic will support legislation to initiate, maintain and grow medical simulation programs through the identification of simulation centers of excellence, advancement of simulation technologies, allocation of grant funds for institutions who train healthcare providers and call together key leaders to discuss the direction of medical simulation Accountable Care Organizations One important delivery system reform is the Medicare Shared Savings Program under section 3022 of the Affordable Care Act, which promotes the formation and operation of accountable care organizations (ACOs). Under this provision, groups of providers meeting the criteria specified by the Secretary may work together to manage and coordinate care for Medicare beneficiaries through an [ACO]. An ACO may receive payments for shared savings if the ACO meets certain quality performance standards and cost savings requirements established by the Secretary. The basic shared savings model outlined in the statute provides a bonus payment to ACOs that meet quality targets and keep spending for the population for whom the ACO is responsible below a target level. The amount of the bonus payment will depend on the amount of savings and the proportion of the savings allocated to the ACO and Medicare ACOs should report a focused set of quality indicators that reflect the outcomes ACOs are designed to achieve: keeping the population healthy, better care coordination to reduce unnecessary and sometimes harmful spending, and better patient experience. New measures may be necessary for ACOs because the current measures reflect the limitations and incentives of the current FFS payment system. A focused set of measures would help assure Medicare that the ACO is doing its job and help assure beneficiaries that they are receiving high quality care. The ACO metrics could include population-based outcomes measures such as: Emergency room use, Potentially preventable admission rates, In-hospital mortality rates, and possibly patient safety measures, and Readmission rates. In addition to outcomes measures, CMS could also consider measuring patient experience with health care provided under the ACO and health status. There should be a focused set of measures tracking how well care is provided, rather than how many services are provided. Community Health Centers Under Health Reform The Affordable Care Act included provisions relating to community health centers, including $11 billion in new funding for the community health center program. While these are mandatory funding levels, it is possible that the Congress might cut the base funding levels for community health centers and the National Health Service Corp effectively diminishing the impact of the reform legislation. As reform is rolled out there are key payment protections and improvements for community health centers. For example, the Act requires that health centers receive no less than their Medicaid rate from private insurers offering plans through the new health insurance exchanges and it requires that these plans must contract with health centers. Other provisions add preventive services to the federally qualified health center Medicare payment rate and eliminates the outdated Medicare payment cap on FQHC payments. This will begin to modernize the health center Medicare payments to insure health centers are able to provide highest quality care to Medicare beneficiaries. It is possible that these payment reforms may open up new avenues for enhanced Medicare reimbursement for Family Health Center/Marshfield Clinic patients. Finally, the Act acknowledges the growing role of health centers in teaching the next generation of primary care providers by authorizing and funding new programs for health center -based residencies. A new Title VII grant program for the development of residency programs at health centers is established along with a new Title III program that would provide payments to community-based entities that operate teaching programs. Dental Access and Integration with Traditional Medicine The Institute of Medicine (IOM) released a report, Dental Education at the Crossroads: Challenges and Change in January 1995 which called for a strong cohesion between medicine and dentistry. The IOM report states that "Dentistry will and should become more closely integrated with medicine and the health care system on all levels: research, education, and patient care. The National Institutes of Health has supported research documenting the importance of oral health in the context of general health and well being. Studies have demonstrated numerous oral-systemic interactions that underscore the need for more integrated care delivery. As our nation embraces EHR technologies, science underscores the need to fully incorporate oral health within an integrated EHR. Marshfield Clinic is simultaneously addressing the issue of dental access and integration with traditional medicine. Family Health Center of Marshfield, Inc. (FHC) in partnership with Marshfield Clinic has been serving low-income, underinsured and uninsured individuals since March 1974. Using technology to integrate medical and dental health records holds great promise to improve the quality, safety, efficiency, effectiveness and continuity of patient care by enhancing communication and teamwork between physicians and dentists. A comprehensive approach to primary care delivery, demonstrated by Marshfield Clinic and community health centers nationwide, can best be supported with an equally comprehensive EHR infrastructure for both medical and dental records. Meaningful Use of Health Information Technology The accelerating growth in new medical knowledge, coupled with the birth of new sciences, such as genomics and personalized medicine, suggests that physicians, nurses, and other healthcare professionals will invariably continue to fall further and further behind in their ability to keep up with the latest discoveries and approved treatments. As information technology has sparked this explosive growth in knowledge, only information technology can provide an adequate response. By using evidence-based knowledge embedded in clinical decision support deployed within a well-designed workflow, physicians can manage the ever changing and growing knowledge base critical to the delivery of effective and efficient healthcare. Personalized Medicine Personalized medicine is the concept that envisions an individually tailored approach to detecting, preventing, and treating disease based on a persons specific genetic profile. If the multiple population groups in the United States and elsewhere in the world are to benefit fully and fairly from such research, a national resource operated as a trust for the public good must be established to conduct a large populationbased cohort study that includes full representation of minority populations. The Federal government should make critical investments in the enabling tools and resources essential to moving beyond genomic discoveries to personalized medicine services of patient and public benefit. Medicaid Block Grants On April 15, the House approved Rep. Paul Ryans budget proposal for FY 2012, entitled "The Path to Prosperity. Ryan's proposal does not have the force of law but of special interest is Ryans proposal for Medicaid block grants which will come before the Energy and Commerce Committee. Under the Ryan proposal, starting in 2013, the federal share of all Medicaid payments would be paid to the states as a block grant (indexed to CPI-U and population growth). Federal requirements would be reduced and states would have flexibility in designing their programs. Starting in 2022, the block grant would be reduced to exclude projected spending for acute care services or Medicare premiums and cost-sharing paid by Medicaid. Premium support On April 15, the House approved Rep. Paul Ryans budget proposal for FY 2012, entitled "The Path to Prosperity. Ryan's budget does not have the force of law but tees up consideration of various reform proposals which may be considered later this year. With regard to health care, the Ryan plan calls for a major withdrawal of the federal government from the financing of health care. One health provision of the proposal calls for conversion of the current Medicare to a premium support program. For people now 55 or younger, the traditional Medicare program a defined benefit plan would cease to exist and, starting in 2022, would be converted to a defined contribution program which has been described as a premium support program. CMS Physician Group Practice Demonstration On September 27, 2002 the Centers for Medicare and Medicaid Services published a notice in the Federal Register informing interested parties of an opportunity to submit proposals for participation in the Medicare Physician Group Practice Demonstration (PGP) project to test a hybrid payment methodology that combines Medicare fee-for-service payments with a bonus pool derived from savings achieved by improvements in patient care management. Marshfield Clinic submitted a proposal for this demonstration and was selected by CMS to participate in the demonstration program, effective April 1, 2005. Marshfield Clinic supported CMS determination to extend this program, beyond its initial 3-year term, and transition these organizations into Accountable care Organizations. Section 1301 of the House bill HR 3962, the Affordable Health Care for America Act, and Section 3022 of the Senate bill HR 3590, the Patient Protections and Affordable Care Act.
Client expense: $55,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2013 · fourth_quarter · Taxation/Internal Revenue Code
Following extension of expiring provisions for exemption extension of the active finance exemption for the Subpart F rules (H.R.3765). H.R.8: American Taxpayer Relief Act of 2012. Monitor tax reform, advocate reform of active finance exemption in tax reform.
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2013 · third_quarter · Taxation/Internal Revenue Code
Following extension of expiring provisions for exemption extension of the active finance exemption for the Subpart F rules (H.R.3765). H.R.8: American Taxpayer Relief Act of 2012. Monitor tax reform, advocate reform of active finance exemption in tax reform.
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2013 · second_quarter · Taxation/Internal Revenue Code
Following extension of expiring provisions for exemption extension of the active finance exemption for the Subpart F rules (H.R.3765). H.R.8: American Taxpayer Relief Act of 2012. Monitor tax reform, advocate reform of active finance exemption in tax reform.
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2013 · second_quarter · Medicare/Medicaid
Patient Protection and Affordable Care Act (PPACA) implementation issues, HR 2461- The Physician Pathology Continuity Act, HR 3207-Modernizing Lab Test Standards for Patients Act of 2011, Budget Control Act of 2011, Sustainable Growth Rate reform, Fee schedule placement of genomic and genetic tests, Proposed CY2012 Medicare Physician Fee Schedule Rule (CMS-1590-P).Medicare funding and beneficiary cost-sharing for Clinical Lab Fee Schedule in HR 3630-The Middle Class Tax Relief & Job Creation Act of 2012 and HR 3765-The Temporary Payroll Tax Cut Continuation Act of 2011, and Medicare Clinical Laboratory Fee Schedule reimbursement issues including pricing for and coverage of molecular diagnostic tests.
Client expense: $86,350 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2013 · second_quarter · Medical/Disease Research/Clinical Labs
Patient Protection and Affordable Care Act (PPACA) implementation issues, HR 2461- The Physician Pathology Continuity Act, HR 3207-Modernizing Lab Test Standards for Patients Act of 2011, Budget Control Act of 2011, Sustainable Growth Rate reform, Fee schedule placement of genomic and genetic tests, Proposed CY2012 Medicare Physician Fee Schedule Rule (CMS-1590-P).Medicare funding and beneficiary cost-sharing for Clinical Lab Fee Schedule in HR 3630-The Middle Class Tax Relief & Job Creation Act of 2012 and HR 3765-The Temporary Payroll Tax Cut Continuation Act of 2011, and Medicare Clinical Laboratory Fee Schedule reimbursement issues including pricing for and coverage of molecular diagnostic tests.
Client expense: $86,350 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2013 · second_quarter · Health Issues
Patient Protection and Affordable Care Act (PPACA) implementation issues, HR 2461- The Physician Pathology Continuity Act, HR 3207-Modernizing Lab Test Standards for Patients Act of 2011, Budget Control Act of 2011, Sustainable Growth Rate reform, Fee schedule placement of genomic and genetic tests, Proposed CY2012 Medicare Physician Fee Schedule Rule (CMS-1590-P).Medicare funding and beneficiary cost-sharing for Clinical Lab Fee Schedule in HR 3630-The Middle Class Tax Relief & Job Creation Act of 2012 and HR 3765-The Temporary Payroll Tax Cut Continuation Act of 2011, and Medicare Clinical Laboratory Fee Schedule reimbursement issues including pricing for and coverage of molecular diagnostic tests.
Client expense: $86,350 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2013 · second_quarter · Insurance
Patient Protection and Affordable Care Act (PPACA) implementation issues, HR 2461- The Physician Pathology Continuity Act, HR 3207-Modernizing Lab Test Standards for Patients Act of 2011, Budget Control Act of 2011, Sustainable Growth Rate reform, Fee schedule placement of genomic and genetic tests, Proposed CY2012 Medicare Physician Fee Schedule Rule (CMS-1590-P).Medicare funding and beneficiary cost-sharing for Clinical Lab Fee Schedule in HR 3630-The Middle Class Tax Relief & Job Creation Act of 2012 and HR 3765-The Temporary Payroll Tax Cut Continuation Act of 2011, and Medicare Clinical Laboratory Fee Schedule reimbursement issues including pricing for and coverage of molecular diagnostic tests.
Client expense: $86,350 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2013 · first_quarter · Health Issues
Patient Protection and Affordable Care Act (PPACA) implementation issues, HR 2461- The Physician Pathology Continuity Act, HR 3207-Modernizing Lab Test Standards for Patients Act of 2011, Budget Control Act of 2011, Sustainable Growth Rate reform, Fee schedule placement of genomic and genetic tests, Proposed CY2012 Medicare Physician Fee Schedule Rule (CMS-1590-P).Medicare funding and beneficiary cost-sharing for Clinical Lab Fee Schedule in HR 3630-The Middle Class Tax Relief & Job Creation Act of 2012 and HR 3765-The Temporary Payroll Tax Cut Continuation Act of 2011.
Client expense: $113,052 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2013 · first_quarter · Medical/Disease Research/Clinical Labs
Patient Protection and Affordable Care Act (PPACA) implementation issues, HR 2461- The Physician Pathology Continuity Act, HR 3207-Modernizing Lab Test Standards for Patients Act of 2011, Budget Control Act of 2011, Sustainable Growth Rate reform, Fee schedule placement of genomic and genetic tests, Proposed CY2012 Medicare Physician Fee Schedule Rule (CMS-1590-P).Medicare funding and beneficiary cost-sharing for Clinical Lab Fee Schedule in HR 3630-The Middle Class Tax Relief & Job Creation Act of 2012 and HR 3765-The Temporary Payroll Tax Cut Continuation Act of 2011.
Client expense: $113,052 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2013 · first_quarter · Medicare/Medicaid
Patient Protection and Affordable Care Act (PPACA) implementation issues, HR 2461- The Physician Pathology Continuity Act, HR 3207-Modernizing Lab Test Standards for Patients Act of 2011, Budget Control Act of 2011, Sustainable Growth Rate reform, Fee schedule placement of genomic and genetic tests, Proposed CY2012 Medicare Physician Fee Schedule Rule (CMS-1590-P).Medicare funding and beneficiary cost-sharing for Clinical Lab Fee Schedule in HR 3630-The Middle Class Tax Relief & Job Creation Act of 2012 and HR 3765-The Temporary Payroll Tax Cut Continuation Act of 2011.
Client expense: $113,052 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2013 · first_quarter · Insurance
Patient Protection and Affordable Care Act (PPACA) implementation issues, HR 2461- The Physician Pathology Continuity Act, HR 3207-Modernizing Lab Test Standards for Patients Act of 2011, Budget Control Act of 2011, Sustainable Growth Rate reform, Fee schedule placement of genomic and genetic tests, Proposed CY2012 Medicare Physician Fee Schedule Rule (CMS-1590-P).Medicare funding and beneficiary cost-sharing for Clinical Lab Fee Schedule in HR 3630-The Middle Class Tax Relief & Job Creation Act of 2012 and HR 3765-The Temporary Payroll Tax Cut Continuation Act of 2011.
Client expense: $113,052 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2012 · second_quarter · Health Issues
Issues relating to oral-health and dental practice in the following bills: H.R. 2/S. 192, Repealing the Job-Killing Health Care Law Act; H.R. 5/S. 218, S. 1099, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011;H.R. 38, A bill to rescind funds appropriated to the Health Insurance Reform Implementation Fund under the Health Care and Education Reconciliation Act of 2010; HR105, Empowering Patients First Act; HR157, Health Care Safety Net Enhancement Act of 2011; HR165, Informed Choice Act; H.R. 969, the Medical Practice Freedom Act of 2011; H.R. 314, Medical Liability Procedural Reform Act of 2011; H.R. 570, Dental Emergency Responder Act; H.R. 1578/S. 1765, Violence Against Women Health Initiative Act of 2011; H.R. 2119, Ryan Creedon Act of 2011; H.R. 2405/S. 1855, Pandemic and All Hazards Preparedness Act of 2011; H.R. 3586, Good Samaritan Health Professionals Act of 2011; S. 197, Medical Care Access Protection (MCAP) Act of 2011; S. 312/H.R. 605, Patients Freedom to Choose Act; S. 966, Bone Health Promotion and Research Act of 2011; S. 296/H.R. 2245, Preserving Access to Life-Saving Medications Act; S. 1878/H.R. 4091, Coordination of Pro Bono Medically Recommended Dental Care Act; S. 1925, Violence Against Women Reauthorization Act of 2011; H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011; H.R. 3839, Drug Shortage Prevention Act of 2012; S. 296/H.R. 2245, Preserving Access to Life-Saving Medications Act; S. 3187 [H.R. 5651] - Prescription Drug User Fee Act. H.R. 5909 - Comprehensive Dental Reform Act of 2012 H.R. 5979 - Medicaid Accountability and Care Act of 2012 S. 3272 - Comprehensive Dental Reform Act of 2012 Community water fluoridation Medicaid and CHIP Payment and Access Commission: -Center for Consumer Information and Insurance Oversight; -Center for Medicaid, CHIP and Survey and Certification; Implementation of P.L. 111-148; 111-152, Patient Protection and Affordable Care Act; Oral-health issues within Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020, Healthy People 2020; Comments on planning and establishment of state level exchanges; Office of the Assistant Secretary for Preparedness and Response, National Health Security Strategy (biennial implementation plan), National Disaster Medical System (disaster medical assistance team) regarding issues related to utlization of dental professionals in the event of a disaster; Office of Global Health (United Nations high-level meeting on non-communicable diseases); Division of Oral Health Reorganization; Limited English Proficiency Guidelines; Advisory Committee on Training in Primary Care Medicine and Dentistry Nominations, Ninth Report to Congress; National Advisory Dental and Craniofacial Research Council Nominations; Center for Substance Abuse Treatment, National Recovery Month; United Nations Summit on Non-Communicable Diseases; National Drug Control Strategy / Prescription Drug Abuse Prevention Plan; DEA National Prescription Drug Take Back Campaign; FDA Center for Drug Evaluation and Research regarding dry mouth labeling; Medical/Dental Coding Issues; Comparative Effectiveness regarding Dental Quality Alliance; Health Information Technology (HIT) Regulations; Health care issues before the Joint Select Committee on Deficit Reduction. United Nations General Assembly's High-level Meeting on Non-communicable Diseases CMS proposed rule on reporting and returning Medicare overpaymentsFood and Drug Administration Sedation Product Guidance Centers for Disease Control and Prevention recommendations for identification of persons with Hepatitis C (HCV) chronic infection H.R. 5711 - Access to Substance Abuse Treatment Act of 2012 Department of Health and Human Services media campaign to educate the public about the dangers of tobacco use
Client expense: $790,000 · Firm income: Not reported
Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Natl Institutes of Health (NIH), Navy, Dept of, Occupational Safety & Health Administration (OSHA), Office of Natl Drug Control Policy (NDCP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)
2012 · first_quarter · Taxation/Internal Revenue Code
S. 89, "Withholding Tax Relief Act of 2011"; S. 164, "Withholding Tax Relief Act of 2011"; S. Amendment 212, "Repeal of Imposition of Withholding"; H.R. 674, "To Repeal the Imposition of 3% Withholding"; S. 298, "Charging American Forward Act; Support lower rates on taxation of dividends; Promote the development of the natural gas vehicle market by supporting various incentives; Alternative Minimum Tax issues;S 734, Advanced Vehicle Technology Act of 2011; S 1001, Alternative Fuel Vehicles Competitiveness and Energy Security Act of 2011; H.R. 3091, to make permanent the individual income tax rates for capital gains and dividends; H.R. 3374, Hybrid Truck Incentives Improvement Act; H.R. 3630, Temporary Payroll Tax Cut Continuation Act of 2011; H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011; S. 1285, Hybrid and Electric Trucks and Infrastructure Act; S.1647, a bill to repeal the sunset on the reduction of capital gains rates for individuals and on the taxation of dividends of individuals at capital gains rates; H.R. 500, to amend the Internal Revenue Code of 1986 to increase the manufacturer limitation on the number of new qualified plug-in electric drive motor vehicles eligible for credit; S. 1813, MAP-21 (Moving Ahead for Progress in the 21st Century); H.R. 3091, to make permanent the individual income tax rates for capital gains and dividends; H.R. 3768, to amend the Internal Revenue Code of 1986 to repeal the credit for plug-in electric drive vehicles; S.232, a bill to amend the Internal Revenue Code of 1986 to increase the manufacturer limitation on the number of new qualified plug-in electric drive motor vehicles eligible for credit.; S. 2161, to amend the Internal Revenue Code of 1986 to extend and modify the credit for certain plug-in vehicles; H.R. 4196 & S.2240, To amend the Internal Revenue Code of 1986 to extend the allowance for bonus depreciation for certain business assets
Client expense: $520,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2012 · first_quarter · Telecommunications
H.R. 607, "Broadband Spectrum for First Responders Act"; S. 28, "Public Safety Spectrum and Wireless Innovation Act"; S. 911, Strengthening Public-safety and Enhancing Communications Through Reform, Utilization, and Modernization Act (SEPCTRUM Act); S. 1029, "Electric Consumer Right to Know Act (eKNOW); S. 1222, "Digital Accountability and Transparency Act (DATA); H.R. 3606, Jumpstart Our Business Strength (JOBS) Act; H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011;
Client expense: $520,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2012 · first_quarter · Banking
Legislation: Regulatory environment affecting banks, including community banks; Debit Card Interchange Fee legislation (S.575, H.R.1081, H.R.3156); GSE legislation (H.R.1182, H.R.31, H.R.1221, H.R.1222,H.R.1223, H.R.1224, H.R.1225, H.R.1226, H.R.1227, H.R.2436, H.R.2441, H.R.2440, H.R.2462, H.R.463, H.R.2439); Mortgage Foreclosure Relief legislation (H.R.830, H.R.836, H.R.839, H.R.861) ; (Continued on next page)Legislation (cont'd.): Credit Union business lending (S.509, H.R.1418, S.2231); Internet Gambling Regulation (H.R.1174); Consumer Financial Protection Bureau Governance (H.R.1121, H.R.1315). Small Business Lending (S.493), Bankruptcy Legislation (S.222), National Flood Insurance Reform (H.R.1309), Business Activity Tax Simplification Act (H.R. 1439), Executive Compensation (H.R. 1062), Covered Bonds (H.R.940), Patent Reform (H.R.1249), CFPB Appropriations Legislation. Information Security/Privacy (H.R.2577, H.R.3035, S.1151, S.1408, S.1434, S.1535), Deficit Reduction, American Jobs Act, Appropriation Legislation, Patent Office Reform (H.R.1249). Fannie Mae/Freddie Mac/FHA Fees (H.R. 3765); Flood Insurance Reform & Extension (H.R.2608, HJ Res. 94, HJ Res. 95, H.R.2055, H.R.3671, S.1958); Bank & Corporate Governance (H.R. 1965, S.556, S.1941,H.R.2940, H.R.2930); SEC Registration Threshold (H.R.2167, HR.1070); Sarbanes-Oxley Auditor Requirements (H.R.3213); Restoration of Fannie Mae/Freddie Mac/FHA Higher Loan Limits (Amendment to Ag Appropriations bill); Bank Examination Fairness (H.R.3461,S.2160); Bank Failure Study Legislation (H.R.2056); Federal Tax on Larger Financial Institutions; Credit Union Capital (H.R.3993); Amendment on non-resident alien interest reporting; The JOBS Act - H.R.3606; Municipal Advisor Exemption - H.R.2827; CFPB Confidential Information Protection - H.R.4014. Regulation: Fed. Reg. B (Equal Credit Opportunity) Rules, Fed and FDIC Orderly Resolution Regulations for Systemically Significant Companies, Fin CEN Bank Secrecy Act reporting requirements, General Obligation Bonds, Thrift institution regulation and reporting transfer to OCC and Fed, FASB Auditor Independence Rules, OCC Guidance on Deposit-Related Consumer Credit Products, Fed, FDIC and OCC Retail Foreign Exchange Rules, Regulation Q, Fed and FTC Credit Score Disclosure Rules, OCC Foreclosure Guidance. FDIC Assessment, Base & Rate Regulation; Registration of Mortgage Loan Originators; Federal Reserve Regulation II - debit card interchange fee regulation; SEC registration of municipal advisor regulation; FDIC Interest on Lawyer Account deposit insurance coverage regulation; FASB Mark to Market Accounting; shareholder executive compensation rules; FASB lease accounting rules; FASB impairment of financial asset rules; mortgage disclosure regulation; regulatory burden relief; federal garnishment rules; Federal Home Loan Bank system membership; Credit Card Act implementation; Regulation Z (Truth-in-Lending) amendments; Payment Settlement Entity Reporting; Interest on Non-Resident Alien Account Reporting; Credit Risk Retention Regulation. FDIC and OCC Overdraft and Bank Product Guidance, Repeal of Reg. Q, FHFA Rules on purchase of housing cooperative loans, IRS Guidance on Trust Commissions, Fed Savings and Loan Holding Company Regulation, Fed Remittance Transfer Proposal, National bank preemption, Risk-based capital requirements, CFPB Regulations. Home Mortgage Disclosure Act Reporting of Assignments in lieu of Mortgage Discharge (Reg C); Restrictions on Bank Proprietary Trading (Volcker Rule); Acquisitions of non-systemically significant financial institutions; Flood Insurance Guidance; Treasury Home Affordable Refinance Program; Examiner Treatment of New York State and Local Government Securities; CFPB Credit Card Disclosures; CFPB Deposit Account Disclosures; CFPB Mortgage Disclosures; Enhanced Regulation of large bank holding companies and non-bank firms. Patent and Trademark Reform Regulatory Implementation; Regulations Implementing the Dodd-Frank Act; Stress Test Regulations; Allowance for Loan and Lease Losses (ALLL); Servicing and Foreclosure Guidance and Regulations; Home Loan Bank Member Supervision; CFPB Streamlined Regulations Project; CFPB Regulations on Privileged Information.
Client expense: $70,000 · Firm income: Not reported
Government targets: Federal Deposit Insurance Corporation (FDIC), Federal Housing Finance Agency (FHFA), Federal Reserve System, HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Natl Credit Union Administration (NCUA), Office of the Comptroller of the Currency (OCC), Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Treasury, Dept of
2012 · first_quarter · Banking
Legislation: Regulatory environment affecting banks, including community banks; Debit Card Interchange Fee legislation (S.575, H.R.1081, H.R.3156); GSE legislation (H.R.1182, H.R.31, H.R.1221, H.R.1222,H.R.1223, H.R.1224, H.R.1225, H.R.1226, H.R.1227, H.R.2436, H.R.2441, H.R.2440, H.R.2462, H.R.463, H.R.2439); Mortgage Foreclosure Relief legislation (H.R.830, H.R.836, H.R.839, H.R.861) ; (Continued on next page)Legislation (cont'd.): Credit Union business lending (S.509, H.R.1418, S.2231); Internet Gambling Regulation (H.R.1174); Consumer Financial Protection Bureau Governance (H.R.1121, H.R.1315). Small Business Lending (S.493), Bankruptcy Legislation (S.222), National Flood Insurance Reform (H.R.1309), Business Activity Tax Simplification Act (H.R. 1439), Executive Compensation (H.R. 1062), Covered Bonds (H.R.940), Patent Reform (H.R.1249), CFPB Appropriations Legislation. Information Security/Privacy (H.R.2577, H.R.3035, S.1151, S.1408, S.1434, S.1535), Deficit Reduction, American Jobs Act, Appropriation Legislation, Patent Office Reform (H.R.1249). Fannie Mae/Freddie Mac/FHA Fees (H.R. 3765); Flood Insurance Reform & Extension (H.R.2608, HJ Res. 94, HJ Res. 95, H.R.2055, H.R.3671, S.1958); Bank & Corporate Governance (H.R. 1965, S.556, S.1941,H.R.2940, H.R.2930); SEC Registration Threshold (H.R.2167, HR.1070); Sarbanes-Oxley Auditor Requirements (H.R.3213); Restoration of Fannie Mae/Freddie Mac/FHA Higher Loan Limits (Amendment to Ag Appropriations bill); Bank Examination Fairness (H.R.3461,S.2160); Bank Failure Study Legislation (H.R.2056); Federal Tax on Larger Financial Institutions; Credit Union Capital (H.R.3993); Amendment on non-resident alien interest reporting; The JOBS Act - H.R.3606; Municipal Advisor Exemption - H.R.2827; CFPB Confidential Information Protection - H.R.4014. Regulation: Fed. Reg. B (Equal Credit Opportunity) Rules, Fed and FDIC Orderly Resolution Regulations for Systemically Significant Companies, Fin CEN Bank Secrecy Act reporting requirements, General Obligation Bonds, Thrift institution regulation and reporting transfer to OCC and Fed, FASB Auditor Independence Rules, OCC Guidance on Deposit-Related Consumer Credit Products, Fed, FDIC and OCC Retail Foreign Exchange Rules, Regulation Q, Fed and FTC Credit Score Disclosure Rules, OCC Foreclosure Guidance. FDIC Assessment, Base & Rate Regulation; Registration of Mortgage Loan Originators; Federal Reserve Regulation II - debit card interchange fee regulation; SEC registration of municipal advisor regulation; FDIC Interest on Lawyer Account deposit insurance coverage regulation; FASB Mark to Market Accounting; shareholder executive compensation rules; FASB lease accounting rules; FASB impairment of financial asset rules; mortgage disclosure regulation; regulatory burden relief; federal garnishment rules; Federal Home Loan Bank system membership; Credit Card Act implementation; Regulation Z (Truth-in-Lending) amendments; Payment Settlement Entity Reporting; Interest on Non-Resident Alien Account Reporting; Credit Risk Retention Regulation. FDIC and OCC Overdraft and Bank Product Guidance, Repeal of Reg. Q, FHFA Rules on purchase of housing cooperative loans, IRS Guidance on Trust Commissions, Fed Savings and Loan Holding Company Regulation, Fed Remittance Transfer Proposal, National bank preemption, Risk-based capital requirements, CFPB Regulations. Home Mortgage Disclosure Act Reporting of Assignments in lieu of Mortgage Discharge (Reg C); Restrictions on Bank Proprietary Trading (Volcker Rule); Acquisitions of non-systemically significant financial institutions; Flood Insurance Guidance; Treasury Home Affordable Refinance Program; Examiner Treatment of New York State and Local Government Securities; CFPB Credit Card Disclosures; CFPB Deposit Account Disclosures; CFPB Mortgage Disclosures; Enhanced Regulation of large bank holding companies and non-bank firms. Patent and Trademark Reform Regulatory Implementation; Regulations Implementing the Dodd-Frank Act; Stress Test Regulations; Allowance for Loan and Lease Losses (ALLL); Servicing and Foreclosure Guidance and Regulations; Home Loan Bank Member Supervision; CFPB Streamlined Regulations Project; CFPB Regulations on Privileged Information.
Client expense: $70,000 · Firm income: Not reported
Government targets: Federal Deposit Insurance Corporation (FDIC), Federal Housing Finance Agency (FHFA), Federal Reserve System, HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Natl Credit Union Administration (NCUA), Office of the Comptroller of the Currency (OCC), Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Treasury, Dept of
2012 · fourth_quarter · Taxation/Internal Revenue Code
H.R. 8, American Taxpayer Relief Act H.R.992 , Building American Jobs Act of 2011H.R.2740, To amend the Internal Revenue Code of 1986 to treat certain population census tracts for which information is not available as low-income communities for purposes of the New Markets Tax Credit H.R.3076, To amend the Internal Revenue Code to qualify formerly homeless youth who are students for purposes of the low-income housing tax credit. H.R.3224, To amend the Internal Revenue Code of 1986 to extend the new markets tax credit through 2016, and for other purposes. H.R.3765, Temporary Payroll Tax Cut Continuation Act of 2011 H.R. 3999, To amend the Internal Revenue Code of 1986 to extend the deduction for mortgage insurance H.R. 4202, To amend the Internal Revenue Code of 1986 to extend the exclusion from gross income of discharges of qualified principal residence indebtedness H.R. 4250, To amend the Internal Revenue Code of 1986 to provide a 3-year extension of the exclusion of income from the discharge of indebtedness on qualified principal residences. H.R. 4290, Homeowner Tax Fairness Act H.R. 4336, To amend the Internal Revenue Code of 1986 to extend the exclusion from gross income of discharges of qualified principal residence indebtedness. H.R. 5718, To amend the Internal Revenue Code of 1986 to revise the new market tax credit rules for population census tracts with low populations. H.R. 5727, Rebuild America Act H.R. 5746, To amend the Internal Revenue Code of 1986 to modify certain rules applicable to real estate investment trusts, and for other purposes. H.R.6627, Veterans Homebuyer Accessibility Act of 2012 H.R.6675, Economic Stimulus, Tax Credit Act of 2012 H.R.6683, Hurricane Sandy Tax Relief Act of 2012
Client expense: $155,182 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2012 · second_quarter · Telecommunications
H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011, provisions pertaining to spectrum.
Client expense: $780,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2012 · second_quarter · Taxation/Internal Revenue Code
H.R. 3091, To make permanent the individual income tax rates for capital gains and dividends, all provisions; H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011, provisions pertaining to spectrum; H.R. 4348, Surface Transportation Bill Extension and Conference Report, provisions pertaining to pension smoothing provisions.
Client expense: $780,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2012 · first_quarter · Taxation/Internal Revenue Code
H.R. 3091, to make permanent the individual income tax rates for capital gains and dividends, provisions pertaining to the electric and nuclear utility industries; H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011, provisions pertaining to spectrum.
Client expense: $660,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2012 · first_quarter · Telecommunications
H.R. 607, Broadband Spectrum for First Responders Act, provisions pertaining to the electric utility industry; H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011, provisions pertaining to spectrum; S. 28, Public Safety Spectrum and Wireless Innovation Act, provisions pertaining to the electric and nuclear utility industries; S. 911, Strengthening Public-Safety and Enhancing Communications Through Reform, Utilization, , and Modernization Act (SPECTRUM Act), provisions pertaining to the electric andnuclear utility industries.
Client expense: $660,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2012 · second_quarter · Taxation/Internal Revenue Code
HR 871 - To amend the Internal Revenue Code of 1986 to make the credit for research activities permanent and to provide an increase in such credit for taxpayers whose gross receipts are predominantly from domestic production activities; S 1577 - Greater Research Opportunities With Tax Help Act to enhance and make permanent the R&D credit; HR 942 - American Research and Competitiveness Act of 2011; HR 1864 - Mobile Workforce State Income Tax Simplification Act of 2012 to enhancecompliance with state personal income tax laws; HR 3765 - Temporary Payroll Tax Cut Continuation Act of 2011; HR 3630 - Middle Class Tax Relief and Job Creation Act of 2012 for two months extends the payroll tax holiday and unemployment insurance, adjusts doctors payments related to Medicate, and authorizes spectrum auctions; S 2240/HR 4196 - To amend the Internal Revenue Code of 1986 to extend the allowance for bonus depreciation for certain business assets; S 2237 - Small Business Jobs and Tax Relief Act to amend the Internal Revenue Code of 1986 to extend the allowance for bonus depreciation for certain business assets; S 1813/HR 4348 - MAP-21 to reauthorize Federal-aid highway and highway safety construction programs, and for other purposes, specifically the pension funding stabilization provision.
Client expense: $4,100,000 · Firm income: Not reported
Government targets: Air Force, Dept of, Army, Dept of (Other), Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Justice, Dept of (DOJ), Navy, Dept of, Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)
2012 · first_quarter · Taxation/Internal Revenue Code
HR 1864 - Mobile Workforce State Income Tax Simplification Act of 2011 to enhance compliance with state personal income tax laws; HR 942 - American Research and Competitiveness Act of 2011; HR 871 - To amend the Internal Revenue Code of 1986 to make the credit for research activities permanent and to provide an increase in such credit for taxpayers whose gross receipts are predominantly from domestic production activities; S 1577 - Greater Research Opportunities with Tax Help Act to enhance andmake permanent the R&D Credit; HR 3765 - Temporary Payroll Tax Cut Continuation Act of 2011; HR 3630 - Middle Class Tax Relief and Job Creation Act of 2012, for two months extends the payroll tax holiday and unemployment insurance, adjusts doctors payments related to Medicate, and authorizes spectrum auctions; S 2240/HR 4196 - A bill to amend the Internal Revenue Code of 1986 to extend the allowance for bonus depreciation for certain business assets; S 2237 - Small Business Jobs and Tax Relief Act; S 1813 - Moving Ahead for Progress in the 21st Century To reauthorize Federal-aid highway and highway safety construction programs, and for other purposes including pension funding stabilization provision
Client expense: $4,000,000 · Firm income: Not reported
Government targets: Air Force, Dept of, Army, Dept of (Other), Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Justice, Dept of (DOJ), Navy, Dept of, Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)
2012 · fourth_quarter · Medicare/Medicaid
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; H.R. 6684 - Spending Reduction Act; H.R. 8 - American Taxpayer Relief 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
2012 · fourth_quarter · Medicare/Medicaid
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; H.R. 6684 - Spending Reduction Act; H.R. 8 - American Taxpayer Relief 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
2012 · fourth_quarter · Taxation/Internal Revenue Code
Monitor tax issues relating to fundamental tax reform, international and domestic taxes. S.687, H.R.1265, H.R.3765, to extend 15 year recovery program for qualified lease hold improvements. H.R.8: American Taxpayer Relief Act of 2012. Extension of deduction for donated food inventory.
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2012 · fourth_quarter · Taxation/Internal Revenue Code
Following extension of expiring provisions for exemption extension of the active finance exemption for the Subpart F rules (H.R.3765). H.R.8: American Taxpayer Relief Act of 2012. Monitor tax reform, advocate reform of active finance exemption in tax reform.
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2012 · fourth_quarter · Medicare/Medicaid
Monitor H.R.1186, To repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals. Monitor H.R.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. "Middle Class Tax Relief and Job Creation Act of 2012" (H.R.3630). "Middle Class Tax Relief and Job Creation Act of 2011" (S.Amdt. 1465 to H.R.3630). "Temporary Payroll Tax Cut Continuation Act of 2011" (H.R.3765).
Client expense: Not reported · Firm income: $10,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2012 · fourth_quarter · Medicare/Medicaid
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
2012 · fourth_quarter · Taxation/Internal Revenue Code
H.R. 12 The American Jobs Act President Obama's FY2013 Budget Comprehensive Tax Reform H.R. 1864 The Mobile Workforce State Income Tax Simplifications Act of 2011 H.R. 3765 Temporary Payroll Tax Cut Continuation Act of 2011 S. 2048 A Bill to amend the Internal Revenue Code of 1986 to clarify the tax treatment of certain life insurance contract transactions, and for other purposes S.1813 Highway, Job Creation, and Economic Growth Act of 2012 Issues relating to "tax extenders" H.R. 749 To amend the Internal Revenue Code of 1986 to permanently extend the subpart F exemption for active financing income H.R. 8 American Taxpayer Relief Act of 2012
Client expense: $1,900,000 · Firm income: Not reported
Government targets: Commodity Futures Trading Commission (CFTC), Federal Reserve System, HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of, U.S. Trade Representative (USTR)
2012 · fourth_quarter · Medicare/Medicaid
Reform of Medicare physician fee schedule and formula [Temporary Payroll Tax Cut Continuation Act of 2011 (H.R. 3765); Middle Class Tax Relief and Job Creation Act of 2011 (H.R. 3630); Medicare Physician Payment Innovations Act of 2012 (H.R. 5707)]; Issues pertaining to medical home
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
2012 · fourth_quarter · Medicare/Medicaid
Hospital and physician payments under Medicare and Medicaid, general. Medicare/Medicaid Reform -- (Bundling of Medicare acute and post-acute hospital payments, payments for readmissions, value-based purchasing, physician self-referral) -- Implementation of the Patient Protection and Affordable Care Act (Pub. Law 111-148) and the Health Care and Education Reconciliation Act of 2012 (Pub. Law 111-143). Medicare/Medicaid payments as related to the deficit reduction and debt ceiling proposals. Hospital drug shortages; general. Budget Control Act, S. 627. Temporary Payroll Tax Cut Continuation Act of 2011 as it relates to Medicare and Medicaid payments, H.R. 3765. Middle Class Tax Relief and Job Creation Act of 2012 as it pertains to Medicare payments, H.R. 3630.
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
2012 · fourth_quarter · Health Issues
Health Insurance and Delivery System Reform -- Implementation of the Patient Protection and Affordable Care Act (Pub. Law 111-148) and the Health Care and Education Reconciliation Act of 2010 (Pub. Law 111-143). Implementation of health information technology provisions of the American Recovery and Reinvestment Act. Hospital drug shortages; general. Budget Control Act, S. 627. Temporary Payroll Tax Cut Continuation Act of 2011 as it relates to Medicare and Medicaid payments, H.R. 3765. Middle Class Tax Relief and Job Creation Act of 2012 as it pertains to Medicare payments, H.R. 3630. 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
2012 · fourth_quarter · Telecommunications
Federal Communications Commission WT Docket Number 02-55, 800 MHz rulemaking Federal Communications Commission Docket Number RM-11923, Pole Attachment Rate Regulation Federal Communications Commission Docket Number RM-11303, Pole and Conduit Access Standards Federal Communications Commission GN Docket Nos. 09-47, 09-51, 09-137, Implementation of Smart Grid Technology Federal Communications Commission WC Docket Number 07-245 Pole Attachments FCC Rulemakings Related to Pole Attachments FCC Rulemakings Related to Smart Grid National Broadband Plan S. 28, Public Safety Spectrum and Wireless Innovation Act S. 911, Strengthening Public-Safety and Enhancing Communications Through Reform, Utilization, and Modernization Act (SPECTRUM Act) H.R. 607, Broadband Spectrum for First Responders Act H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011
Client expense: $1,375,000 · Firm income: Not reported
Government targets: Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Council on Environmental Quality (CEQ), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Energy Regulatory Commission (FERC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Natl Economic Council (NEC), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, White House Office
2012 · fourth_quarter · Telecommunications
H.R. 607, "Broadband Spectrum for First Responders Act" H.R. 3606, Jumpstart Our Business Strength (JOBS) Act" (Public Safety Broadband Network) H.R. 3765, "Temporary Payroll Tax Cut Continuation Act 2011 (spectrum) S. 28, "Public Safety Spectrum and Wireless Innovation Act" S. 911, "Strengthening Public-Safety and Enhancing Communications Through Reform, Utilization and Moderization Act (SPECTRUM Act) S. 1029, "Electric Consumer Right to know act (eKNOW) S. 1222, Digital Accountability and Transparency Act (DATA)
Client expense: $2,320,000 · Firm income: Not reported
Government targets: Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, SENATE
2012 · fourth_quarter · Budget/Appropriations
H.R. 5325, FY 2013, Energy and Water Appropriations Act, provisions related to hazardous waste worker training program; issues related to labor standards for federally-assisted construction and Project Labor Agreements. H.R. 6091, Interior and Environment FY 2013 Appropriations Act, provisions related to Clean and Safe Drinking Water Act State Revolving Funds and hazardous waste worker training program. H.R. 5854, FY 2013, Military Construction/Veterans Affairs Appropriations Act, amendments related to Project Labor Agreements and labor standards for federally-assisted construction funded in the legislation. H.R. 5972, Transportation/HUD Appropriations Bill, 2013, funding levels for highways and transit and potential amendments to labor standards on federally-assisted construction funded in legislation. H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011, provisions related to unemployment insurance and expediting the permitting of the Keystone XL crude oil pipeline. H.R. 5855, Homeland Security Appropriations Bill, 2013, provisions related to Project Labor Agreements and labor standards on federally-assisted construction. H.J. Resolution 117, making continuing appropriations through 2013, provisions related to funding levels for transportation. H.R. 1, An Act Making Appropriations for Disaster Relief, legislation making emergency appropriations to rebuild after Superstorm Sandy; provisions related to infrastructure investment, contracting methods for public works, and labor standards.
Client expense: $80,000 · Firm income: Not reported
Government targets: Energy, Dept of, HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Transportation, Dept of (DOT)
2012 · fourth_quarter · Telecommunications
H.R. 607, "Broadband Spectrum for First Responders Act"; H.R. 3606, Jumpstart Our Business Strength (JOBS) Act, (Public Safety Broadband Network); H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011 (spectrum); S. 28, "Public Safety Spectrum and Wireless Innovation Act"; S. 911, "Strengthening Public-Safety and Enhancing Communications Through Reform, Utilization, and Modernization Act (SPECTRUM Act); S. 1029, "Electric Consumer Right to Know Act (eKNOW); S. 1222, "Digital Accountability and Transparency Act (DATA).
Client expense: $3,410,000 · Firm income: Not reported
Government targets: Energy, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, Surface Transportation Board (STB), White House Office
2012 · fourth_quarter · Telecommunications
H.R. 607, Broadband Spectrum for First Responders Act H.R. 3606, Jumpstart Our Business Strength (JOBS) Act (Public Safety Broadband Network) H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011 (spectrum) S. 28, Public Safety Spectrum and Wireless Innovation Act S. 911, Strengthening Public-safety and Enhancing Communications Through Reform, Utilization, and Modernization Act (SPECTRUM Act) S. 1029, Electric Consumer Right to Know Act (eKNOW) S. 1222, Digital Accountability and Transparency Act (DATA)
Client expense: $450,000 · Firm income: Not reported
Government targets: Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Office of Management & Budget (OMB), SENATE
2012 · fourth_quarter · Telecommunications
HR 607, "Broadband Spectrum for First Responders Act"; HR 3606, Jumpstart Our Business Strength (JOBS) Act", (Public Safety Broadband Network); HR 3765, Temporary Payroll Tax Cut Continuation Act of 2011" (spectrum); S. 28, "Public Safety Spectrum and Wireless Innovation Act"; S. 911, "Strengthening Public-Safety and Enhancing Communications Through Reform, Utilization, and Modernization Act (SPECTRUM Act)"; S 1029, "Electric Consumer Right to Know Act (eKNOW)"; S 1222, Digital Accountability and Transparency Act (DATA).
Client expense: $15,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2012 · fourth_quarter · Utilities
Transmission sitting and permitting, generally; H.R. 607, "Broadband Spectrum for First Responders Act"; H.R. 3606, Jumpstart Our Business Strength (JOBS) Act, (Public Safety Broadband Network); H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011 (spectrum); S. 28, "Public Safety Spectrum and Wireless Innovation Act"; S. 911, "Strengthening Public-Safety and Enhancing Communications Through Reform, Utilization, and Modernization Act (SPECTRUM Act); S. 1029, "Electric Consumer Right to Know Act (eKNOW); S. 1222, "Digital Accountability and Transparency Act (DATA); H.R.2682, Business Risk Mitigation and Price Stabilization Act of 2011, (Over-the-Counter derivatives); H.R.3527, Protecting Main Street End User from Excessive Regulation Act, (Over-the-Counter derivatives); Utility Energy Services Contracts Guidance to Federal Agencies; H.R. 1325, American Manufacturing Efficiency and Retraining Investment Collaboration Achievement Works Act or AMERICA Works Act, (workforce credentialing); H.R. 4297, Workforce Investment Improvement Act of 2012, (workforce training); S.1243, American Manufacturing Efficiency and Retraining Investment Collaboration Achievement Works Act or AMERICA Works Act, (workforce credentialing); S. 3457, the Veterans Job Corps Act of 2012, (workforce training, credentials); S.1067, A bill to amend the Energy Policy Act of 2005 to require the Secretary of Energy to carry out a research and development and demonstration program to reduce manufacturing and construction costs relating to nuclear reactors, and for other purposes H.R.1682, To promote alternative and renewable fuels and domestic energy production, and for other purposes H.R.2072, To reauthorize the Export-Import Bank of the United States, and for other purposes S.2215, A bill to create jobs in the United States by increasing United States exports to Africa by at least 200 percent in real dollar value within 10 years, and for other purposes. S.640, A bill to underscore the importance of international nuclear safety cooperation for operating power reactors, encouraging the efforts of the Convention on Nuclear Safety, supporting progress in improving nuclear safety, and enhancing the public availability of nuclear safety information H.R.502, To provide for the establishment of a Clean Energy Technology Manufacturing and Export Assistance Fund to assist United States businesses with exporting clean energy technology products and services H.R.617, To prohibit the importation of certain low-level radioactive waste into the United States Sponsor: Rep Matheson, Jim [UT-2] (introduced 2/10/2011) H.R.1280, To amend the Atomic Energy Act of 1954 to require congressional approval of agreements for peaceful nuclear cooperation with foreign countries, and for other purposes. H.R.1320, To strengthen United States nonproliferation activities and to amend the Atomic Energy Act of 1954 to strengthen nuclear energy cooperation and nonproliferation, and for other purposes H.R.1326, To underscore the importance of international nuclear safety cooperation for operating power reactors, encouraging the efforts of the Convention on Nuclear Safety, supporting progress in improving nuclear safety, enhancing the public availability of nuclear safety information, and for other purposes H.R.2004, To authorize the President to control the transfer of goods, services, technology, and software to protect the national security, and to promote the foreign policy, of the United States, and for other purposes H.R.2072, To reauthorize the Export-Import Bank of the United States, and for other purposes H.R.2105, To provide for the application of measures to foreign persons who transfer to Iran, North Korea, and Syria certain goods, services, or technology, and for other purposes H.R.2122, To renew the Export Administration Act of 1979, and for other purposes H.R.3606, To increase American job creation and economic growth by improving access to the public capital markets for emerging growth companies.
Client expense: $320,000 · Firm income: Not reported
Government targets: Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Interior, Dept of (DOI), SENATE, Surface Transportation Board (STB), Transportation, Dept of (DOT), White House Office
2012 · fourth_quarter · Budget/Appropriations
H.R. 5326 and S. 2323, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2013 (National Oceanic and Atmospheric Administration) H.R. 5325 and S. 2465, Energy and Water Development and Related Agencies Appropriations Act, 2013 (Environmental Protection Agency) (Army Corps of Engineers) (policy riders that would harm health and environment) (Missouri River Recovery Program) H.R. 6091, Department of the Interior, Environment, and Related Agencies Appropriations Act, 2013 and unnumbered Senate bill (FY13) (Department of the Interior) (policy riders that would harm health and environment) (Great Lakes Restoration Initiative) (Land and Water Conservation Fund) H.R. 5855 and S. 3216, Department of Homeland Security Appropriations Act, 2013 (Federal Emergency Management Agency) H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011 (Keystone Pipeline) H.R.8, American Taxpayer Relief Act of 2012
Client expense: $71,059 · Firm income: Not reported
Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Land Management (BLM), Bureau of Reclamation, Commerce, Dept of (DOC), Environmental Protection Agency (EPA), Federal Emergency Management Agency (FEMA), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Natl Oceanic & Atmospheric Administration (NOAA), Natl Park Service (NPS), Office of Management & Budget (OMB), SENATE, U.S. Forest Service
2012 · fourth_quarter · Health Issues
Patient Protection and Affordable Care Act (PPACA) implementation issues, HR 2461- The Physician Pathology Continuity Act, HR 3207-Modernizing Lab Test Standards for Patients Act of 2011, Budget Control Act of 2011, Sustainable Growth Rate reform, Fee schedule placement of genomic and genetic tests, Proposed CY2012 Medicare Physician Fee Schedule Rule (CMS-1590-P). Medicare funding and beneficiary cost-sharing for Clinical Lab Fee Schedule in HR 3630-The Middle Class Tax Relief & Job Creation Act of 2012 and HR 3765-The Temporary Payroll Tax Cut Continuation Act of 2011.
Client expense: $52,827 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2012 · fourth_quarter · Medical/Disease Research/Clinical Labs
Patient Protection and Affordable Care Act (PPACA) implementation issues, HR 2461- The Physician Pathology Continuity Act, HR 3207-Modernizing Lab Test Standards for Patients Act of 2011, Budget Control Act of 2011, Sustainable Growth Rate reform, Fee schedule placement of genomic and genetic tests, Proposed CY2012 Medicare Physician Fee Schedule Rule (CMS-1590-P). Medicare funding and beneficiary cost-sharing for Clinical Lab Fee Schedule in HR 3630-The Middle Class Tax Relief & Job Creation Act of 2012 and HR 3765-The Temporary Payroll Tax Cut Continuation Act of 2011.
Client expense: $52,827 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2012 · fourth_quarter · Insurance
Patient Protection and Affordable Care Act (PPACA) implementation issues, HR 2461- The Physician Pathology Continuity Act, HR 3207-Modernizing Lab Test Standards for Patients Act of 2011, Budget Control Act of 2011, Sustainable Growth Rate reform, Fee schedule placement of genomic and genetic tests, Proposed CY2012 Medicare Physician Fee Schedule Rule (CMS-1590-P). Medicare funding and beneficiary cost-sharing for Clinical Lab Fee Schedule in HR 3630-The Middle Class Tax Relief & Job Creation Act of 2012 and HR 3765-The Temporary Payroll Tax Cut Continuation Act of 2011.
Client expense: $52,827 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2012 · fourth_quarter · Medicare/Medicaid
Patient Protection and Affordable Care Act (PPACA) implementation issues, HR 2461- The Physician Pathology Continuity Act, HR 3207-Modernizing Lab Test Standards for Patients Act of 2011, Budget Control Act of 2011, Sustainable Growth Rate reform, Fee schedule placement of genomic and genetic tests, Proposed CY2012 Medicare Physician Fee Schedule Rule (CMS-1590-P). Medicare funding and beneficiary cost-sharing for Clinical Lab Fee Schedule in HR 3630-The Middle Class Tax Relief & Job Creation Act of 2012 and HR 3765-The Temporary Payroll Tax Cut Continuation Act of 2011.
Client expense: $52,827 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2012 · fourth_quarter · Medicare/Medicaid
H.R.3765, the Temporary Payroll Tax Cut Continuation Act of 2011 as related to the Medicare Part B cap on outpatient therapy services. Issues related to Medicare telehealth, including H.R. 2068 (111th Congress), the Medicare Telehealth Enhancement Act. H.R.1546/S.829, the Medicare Access to Rehabilitation Services Act of 2011 as related to the Medicare Part B cap on outpatient therapy services. Various issues related to legislation that allows for Medicare coverage of audiology services. Various issues related to CMS actions surrounding Medicare physician supervision requirements. Various issues related to CMS actions surrounding the therapy cap and the institution of a manual medical review process for therapy services. Various issues related to the Physician Quality Reporting System for audiology and speech-language pathology participation. Various issues related to the Medicare Physician Fee Schedule (MPFS), as related to fees for audiology and speech-language pathology services. Various issues related to preservation of Medicaid funding. Various issues related to implementation of H.R. 3200 (111th Congress), the America's Affordable Health Choices Act. H.R. 8, the American Taxpayer Relief Act of 2012 as related to the Medicare Part B cap on outpatient therapy services and other Medicare fees.
Client expense: $160,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE
2012 · fourth_quarter · Taxation/Internal Revenue Code
S. 89, "Withholding Tax Relief Act of 2011"; S. 164, "Withholding Tax Relief Act of 2011"; S. Amendment 212, "Repeal of Imposition of Withholding"; H.R. 674, "To Repeal the Imposition of 3% Withholding"; S. 298, "Charging American Forward Act; Support lower rates on taxation of dividends; Promote the development of the natural gas vehicle market by supporting various incentives; Alternative Minimum Tax issues; S 734, Advanced Vehicle Technology Act of 2011; S 1001, Alternative Fuel Vehicles Competitiveness and Energy Security Act of 2011; H.R. 3374, Hybrid Truck Incentives Improvement Act; H.R. 3630, Temporary Payroll Tax Cut Continuation Act of 2011; H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011; S. 1285, Hybrid and Electric Trucks and Infrastructure Act; S.1647, a bill to repeal the sunset on the reduction of capital gains rates for individuals and on the taxation of dividends of individuals at capital gains rates; H.R. 500, to amend the Internal Revenue Code of 1986 to increase the manufacturer limitation on the number of new qualified plug-in electric drive motor vehicles eligible for credit; S. 1813, MAP- 21 (Moving Ahead for Progress in the 21st Century); H.R. 3091, to make permanent the individual income tax rates for capital gains and dividends; H.R. 3768, to amend the Internal Revenue Code of 1986 to repeal the credit for plug-in electric drive vehicles; S.232, a bill to amend the Internal Revenue Code of 1986 to increase the manufacturer limitation on the number of new qualified plug-in electric drive motor vehicles eligible for credit.; S. 2161, to amend the Internal Revenue Code of 1986 to extend and modify the credit for certain plug-in vehicles; H.R. 4348, Surface Transportation Bill Extension and Conference Report";S. 2237, Small Business Jobs and Tax Relief Act; H.R. 4196, To amend the Internal Revenue Code of 1986 to extend the allowance for bonus depreciation for certain business assets; S. 2240, A bill to amend the Internal Revenue Code of 1986 to extend the allowance for bonus depreciation for certain business assets; H.R. 5974, Invest in America Now Act of 2012; H.R. 8, the Job Protection and Recession Prevention Act of 2012; H.R. 4078, the Red Tape Reduction and Small Business Jobs Creation Act; S. 3412, the Middle Class Tax Cut Act; S. 3521, the Family and Business Tax Cut Certainty Act of 2012; H.R. 6212: the Biogas Investment Tax Credit Act; H.R. 5187, IMPACT Act,; S. 232, a bill to amend the Internal Revenue Code of 1986 to increase the manufacturer limitation on the number of new qualified plug-in electric drive motor vehicles eligible for credit; S. 2204, Repeal Big Oil Tax Subsidies Act
Client expense: $250,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2012 · fourth_quarter · Telecommunications
H.R. 607, "Broadband Spectrum for First Responders Act"; S. 28, "Public Safety Spectrum and Wireless Innovation Act"; S. 911, Strengthening Public-safety and Enhancing Communications Through Reform, Utilization, and Modernization Act (SEPCTRUM Act); S. 1029, "Electric Consumer Right to Know Act (eKNOW); S. 1222, "Digital Accountability and Transparency Act (DATA); H.R. 3606, Jumpstart Our Business Strength (JOBS) Act; H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011;
Client expense: $250,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2012 · fourth_quarter · Taxation/Internal Revenue Code
reduction of the maximum federal estate tax rate and ultimate elimination of federal estate, gift and generation-skipping taxes; specific bills include H.R. 1259, H.R. 1757, H.Con.Res. 34, S. 1286, H.R. 3630, H.R. 3765, S. 2242, S. 3440, H.R. 8, S. 3412
Client expense: Not reported · Firm income: $110,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE