American Hospital Preservation Act of 2003

S 816/HR 1675: Health Care Access and Rural Equity Act of 2003. Establishing guidelines for geographic reclassification of certain hospitals located in sparsely populated States, such as North Dakota. Equalizing urban and rural standardized payment amounts under HR 2246/ S 1222: To direct the Secretary of Health and Human Services to modify treatment categories for qualification as a rehabilitation hospital or unit for purposes of reimbursement under the Medicare prospective payment system for inpatient rehabilitation facilities. 75% rehabilitation rule. HR 1580: Medicare Area Wage Index and Standardized Rate Act of 2003. Adjustment to wage index and establishing a standardized amount under Medicare inpatient PPS. S. 899/ HR 1710: American Hospital Preservation Act of 2003. Restoring a full market basket update. S 1 / HR 1: Medicare Prescription Drug and Modernization Act of 2003. Prescription drug benefits and rural hospital adjustments.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Communicated to the Maryland Congressional Delegation Johns Hopkins Medicine’s support of the Senate version of HJR 2, “Consolidated Appropriations Resolution, 2003,” to provide temporary relief for certain Medicare providers; joined AAMC to advocate a re-calculation of the Medicare Economic Index. Advocated for an amendment sponsored by Hutchison and Kennedy to restore Indirect Medical Education (IME) payment to 6.5 % level that Medicare paid until last fall as set forth by S. 899, “American Hospital Preservation Act of 2003.” Monitored the Senate and House Medicare prescription drug package and HR 328, “Access to Hospitals Act of 2003.” HR 1, “Medicare Prescription Drug and Modernization Act of 2003,” and S.1, “Prescription Drug and Medicare Improvement Act of 2003,”: worked on the CMS formula for physician payments, regulatory relief in negotiation of inpatient drugs at 340B hospitals; communicated with the Maryland Congressional Delegation and with the conferees concerning various aspects of the Medicare Prescription Drug Bill. Also addressed issues concerning the increase to a positive update of the physician Medicare payments; DSH relief provision and encouraged accelerated application of relief; competitive bidding for durable medical equipment (DME); home health co-payment; the reduction in the home health market basket update; the cut in hospital payments of market basket –0.4; hospital payment improvements; the inclusion of IME relief; competitive bidding nationwide to achieve more cost savings in home health care, and average wholesale pricing of certain drugs.

Client expense: $380,000 · Firm income: Not reported

Medicare and Medicaid Reimbursement (general) Medicaid, Hill contacts (H.R. 328, H.R. 1342, S. 652, S.204, H.R. 1,S.1) Prescription drugs and Medicare Reform (H.R. 1, S.1, H.R. 2473) Medicaid/SCHIP Restorations for Legal Immigrants (H.R. 1689, S. 845, H.R. 1, S.1) Extension of 340B Drug Pricing to inpatient drugs (S. 1195, H.R. 2409) Medicaid Reform (general) Medicare IME legislation (S. 899, H.R. 1710, H.R. 1, S.1)

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

Medicare Inpatient Marketbasket and Indirect Medical Education: The American Hospital Preservation Act of 2003 (H.R.1710/S.899); Medicare Rural, Small Community, and Small City Hospital Package: The Area Wage Index and Standardized Rate Act (H.R.1580); Medicaid: The State Budget Relief Act of 2003 (original bill: H.R.816/S.138); Medical Liability Reform-Help Efficient, Accessible, Low Cost, Timely Health Care (HEALTH) Act of 2003 (H.R.5/S.607); Medicare Rehabilitation Hospital Inpatient Payment Modifications (H.R.2246/s.1222); Rural Hospital Package-Health Care Access and Rural Equity Act of 2003 (H.R.1675/S.816); Regulatory Reform-Medicare Regulatory and Contracting Reform Act. (H.R.810); Pension Fund Protection: The Pension Preservation and Savings Expansion Act of 2003 (H.R.1776); Medication Errors Reduction Act of 2003 (H.R.3035); Teacher and Nurse Support Act of 2003 (H.R.934); Nurse Loan Forgiveness Act (H.R.501); Patient Safety Improvement Act of 2003 (H.R.663/H.R.877/S.720); Assure Access to Mammography Act (H.R.817/869); Local Medical Emergency Reimbursement Act of 2003 (S.412/H.R.819); Paul Wellstone Mental Health Treatment Parity Act (S.486/H.R.953); Elimination of Restrictions on Federal Medicaid and S-CHIP Coverage: The Legal Immigrant Children's Health Improvement Act of 2003 (H.R.1689/S.845);

Client expense: Not reported · Firm income: Not reported

Communicated to the Maryland Congressional Delegation Johns Hopkins Medicine’s support of the Senate version of HJR 2, “Consolidated Appropriations Resolution, 2003,” to provide temporary relief for certain Medicare providers; joined AAMC to advocate a re-calculation of the Medicare Economic Index. Advocated for an amendment sponsored by Hutchison and Kennedy to restore Indirect Medical Education (IME) payment to 6.5% level that Medicare paid until last fall as set forth by S. 899, “American Hospital Preservation Act of 2003.” Monitored the Senate and House Medicare prescription drug package and HR 328, “Access to Hospitals Act of 2003.” HR 1, "Medicare Prescription Drug and Modernization Act of 2003," and S.1, "Prescription Drug and Medicare Improvement Act of 2003,":advocated on behalf of the CMS formula for physician payments, regulatory relief in negotiation of inpatient drugs at 340B hospitals, competitive bidding nationwide to achieve more cost savings in home health care, and average wholesale pricing of certain drugs.

Client expense: $320,000 · Firm income: Not reported

Medicare and Medicaid Reimbursement (general) Medicaid, Hill contacts (H.R. 328, H.R. 1342, S. 652, S. 204, H.J. Res. 2, H.Con. Res.95) Extension of 340B Drug Pricing to inpatient drugs (S.1198, H.R. 2409) Prescription drugs and Medicare Reform (H.R. 1, S.1, H.R. 2473) Medicaid/SCHIP Restorations for Legal Immigrants (H.R. 1689, S. 845) Medicare IME legislation (S. 899, H.R. 1710) FMAP legislation (H.R. 2, S. 1054)

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 1/S1: Medicare Prescription Drug and Modernization Act of 2003 -- provisions relating to Indirect Medical Education payments HR 1710/S 899: The American Hospital Preservation Act of 2003 -- entire bill

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Inpatient Marketbasket and Indirect Medical Education: The American Hospital Preservation Act of 2003 (S899/H.R.1710); Medicare Rural, Small Community, and Small City Hospital Package: The Area Wage and Standardized Rate Act (S.pending/H.R.1580); Medicaid: State Budget Relief Act of 2003 (S.138/H.R.816); Medical Liability Reform: Help Efficient, Accessible, Low Cost, Timely Health Care (HEALTH) Act of 2003 (S.607/H.R.5); Medicaid DSH: Access to Hospitals Act (S.652/H.R.328); Regulatory Reform: Medicare Regulatory and Contracting Reform Act (S.pending/H.R.810); The Pension Preservation and Savings Expansion Act of 2003 (S.pending/H.R.1776); Medicare Inpatient Rehabilitation Facility Payment Modifications (S.pending/H.R.2246); The Teacher and Nurse Support Act of 2003 (S.pending/H.R.934); Nurse Loan Forgiveness Act (S.pending/H.R.501); Patient Safety Improvement Act of 2003 (S.720/H.R.663 & 877); FFY 2004 Hospital-Related Bioterrorism Preparedness Funding (President's FFY 2004 Budget Proposal); Assure Access to Mammography Act (S.869/H.R.817); Local Medical Emergency Reimbursement Act of 2003 (S.412/H.R.819); Paul Wellstone Mental Health Treatment Parity Act (S.486/H.R.953); The Legal Immigrant Children's Health Improvement Act of 2003 (S.845/H.R.1689)

Client expense: Not reported · Firm income: Not reported