Hospital Fair Competition Act of 2005

S. 1002, Hospital Fair Competition Act, Definition and treatment of specialty hospitals and physicians’ referral of their patients. S. 1337, Fair and Reliable Medical Justice Act, Authorizes grants to states to carry out pilot programs on alternative dispute resolution for medical malpractice claims. S. 1955, Health Insurance Marketplace Modernization and Affordability Act, Would allow small businesses to pool their risk in plans that are not subject to state insurance regulations. S. 2510, Small Employers Health Benefits Act, Would allow small business to pool their risk in plans that are subject to state insurance regulations. S. 2554, Affordability in the Individual Market Act, Expands the definition of what is deductible under IRS for Health Savings Accounts and the co-payment of health insurance. S. 2772, Health Partnership Act, Federal grant program to assist states in expanding and improving access to quality health care. S. 3546, Dietary Supplement and Nonprescription Drug Consumer Protection Act, Requires MDs to report adverse events associated with dietary supplements and other nonpresecription drugs. S. 3708, Translational Research at NIH, The appropriations committee’s report on Labor/HHS encouraged research into translating basic science into practice in the physician’s office. HR 676, US Physician Shortage Elimination Act, Additional support for medical students and residents who commit to work in underserved areas. HR 5866, Medicare Physician Payment Reform and Quality Improvement Act, Would repeal the Sustainable Growth Rate (SGR) formula used in calculating an annual Medicare payment rate. HR 8916, Patients’ Access to Physicians Act, Would specify that Medicare payment to physicians for 2007 and 2008 would be the MEI, plus one percent. No bill, Medicaid reforms, Discussions of how to reform the Medicaid program to control costs and improve quality. No bill, Reauthorization of Title VII Programs, Enhancement of family medicine programs.

Client expense: $903,802 · Firm income: Not reported

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

S. 2554, Affordability in the Individual Market Act, Expands the definition of what is deductible under IRS for Health Savings Accounts and the co-payment of health insurance. S. 1002, Hospital Fair Competition Act, Definition and treatment of specialty hospitals and physicians’ referral of their patients. S. 3500, Rural Hospital and Provider Equity Act, Extends through 2008 the Medicare incentive payment program for physician scarcity areas. S. 3521, Stop Over Spending Act, Would cap Medicare and Medicaid expenditures. S. 3701, Catastrophic Health Care Coverage Promotion Act, Would create a pilot program to give access to health insurance to uninsured Americans and those with catastrophic health care costs. S. 2701/HR 4403, Community and Rural Medical Residency Preservation Act , Clarifies that the intent of Congress is to encourage the use of ambulatory sites with voluntary preceptors in the primary care residency programs. HR 676, US Physician Shortage Elimination Act, Additional support for medical students and residents who commit to work in underserved areas. HR 5647, Labor, HHS, Education Appropriations, Funding for Title VII Health Professions Grants; Agency for Healthcare Research and Quality. HR 5856, AmeriCare Act, Would provide universal health care eligibility for all residents of the US for Medicare. HR 5866, Medicare Physician Payment Reform and Quality Improvement Act, Would repeal the Sustainable Growth Rate (SGR) formula used in calculating an annual Medicare payment rate. HR 6111, Tax Fairness & Health Care Act of 2006, Institutes a pay-for-performance system for physicians Prevents cuts to physician payment rates under Medicare. HR 8916, Patients’ Access to Physicians Act, Would specify that Medicare payment to physicians for 2007 and 2008 would be the MEI, plus one percent. No bill, Medicaid reforms, Discussions of how to reform the Medicaid program to control costs and improve quality.

Client expense: $903,802 · Firm income: Not reported

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

S. 1002, Hospital Fair Competition Act, Definition and treatment of specialty hospitals and physicians’ referral of their patients. S. 1418, Wired for Health Care Quality Act, Requires interoperability standards in health information technology. S. 1955, Health Insurance Marketplace Modernization and Affordability Act, Would allow small businesses to pool their risk in plans that are not subject to state insurance regulations. S. 2510, Small Employers Health Benefits Act, Would allow small business to pool their risk in plans that are subject to state insurance regulations. S. 2554, Affordability in the Individual Market Act, Expands the definition of what is deductible under IRS for Health Savings Accounts and the co-payment of health insurance. S. 2772, Health Partnership Act, Federal grant program to assist states in expanding and improving access to quality health care. S. 3500, Rural Hospital and Provider Equity Act, Extends through 2008 the Medicare incentive payment program for physician scarcity areas. S. 3701, Catastrophic Health Care Coverage Promotion Act, Would create a pilot program to give access to health insurance to uninsured Americans and those with catastrophic healthcare costs. S. 3708, Translational Research at NIH, The appropriations committee’s report on Labor/HHS encouraged research into translating basic science into practice in the physician’s office. S. 2071/HR 4403, Community and Rural Medical Residency Preservation Act, Would provide a legislative directive to CMS to resolve the issue of volunteer faculty precepting. HR 4157, Health Information Technology Promotion Act, Funding for health information technology. HR 5573, The Health Centers Renewal Act, Renews the Community Health Centers program. HR 5647, Pandemic Flu, Public health awareness & preparedness. HR 5856, AmeriCare Act, Would provide universal health care eligibility for all residents of the US for Medicare. HR 6111, Tax Fairness & Health Care Act of 2006, Institutes a pay-for-performance system for physicians Prevents cuts to physician payment rates under Medicare. No bill, Medicaid reforms, Discussions of how to reform the Medicaid program to control costs and improve quality.

Client expense: $903,802 · Firm income: Not reported

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

S. 1932 Deficit Reduction Omnibus Reconciliation Act of 2005 S. 1002 Hospital Fair Competition Act of 2005 Educational outreach on uninsured patients admissions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1002 Hospital Fair Competition Act HR709 Medicare Beneficiary Freedom to Contract Act Medicaid Funding Practice Expense Payment under Medicare Payment of Teaching Physicians under Medicare Payment of Graduate Medical Education under Medicare Stark II-Physician Ban on Self-Referral and other Fraud & Abuse HR3617 Medicare Value Based Purchasing for Physicians Services Act of 2005 HR5866 Medican Physician Payment Reform and Quality Improvement Act of 2006 S.647/HR1337 Medicare Patient Access to Physical Therapist S.1081/HR2356 Preserving Patient Access to Physicians Act S.1356 Medicare Value Purchasing Act S.1405/HR3773 Preserving Patient Access to Inpatient Rehabilitation Hospital Act

Client expense: $540,000 · Firm income: Not reported

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

Moratorium on Specialty Hospitals, Deficit Reduction Act, S 1002- Hospital Fair Competition Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S1002, The Hospital Fair Competion Act of 2005, provisions to amend title XVIII of the Social Security Act to make improvements in payments to hospitals under the Medicare program; HR3373 and S1405 Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2005, all provisions relating to extending the 50 percent compliance threshold for hospitals to qualify as inpatient rehabilitation facilities; S3678 Pandemic and All-Hazards Preparedness Act, provisions of the bill relating to the development of hospital preparedness plans; H.R.6030 Health Care Access and Rural Equity (H-CARE) Act of 2006, all provisions relating to improving health care quality in rural areas and increasing viabilty of rural providers; H.R. 6053 Health Care Price Transparency Promotion Act of 2006, all provisions related to increased price transparency of hospital information and out-of-pocket costs; S. 933 and H.R. 2350, Rural Community Hospital Assistance Act of 2005, all provisions relating to rural hospitals; H.R. 2961, Sole Community Hospital Preservation Act of 2005, Section 2 permanent hold harmless for sole community hospitals under the prospective payment system for hospital outpatient services; H.R. 1402, Paul Wellstone Mental Health Equitable Treatment Act of 2005, all provisions relating to mental health; H.R.1246, Children's Hospitals Education Equity and Research (CHEER) Act of 2005, all provisions relating to the reauthorization of the Children's Hospitals Graduate Medical Education Prog; H.R. 215 and S. 473, Allied Health Provisions Reinvestment Act of 2005, part F, all provisions relating to Allied Health; S.1440, Pulmonary and Cardiac Rehabilitation Act of 2005; SEC. 2. Coverageof items and services under a cardiac rehabilitation program and a pulmonary rehabilitation program; H.R. 3547 and S. 1840, Safety Net Inpatient Drug Affordability Act, all provisions relating to the amendment of section 340B of the Public Health Service Act to increase the affordability of inpatient drugs for Medicaid and safety net hospitals.

Client expense: $8,280,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Office of Management & Budget (OMB), SENATE, Treasury, Dept of

S. 1840/H.R. 3547 - Safety Net Inpatient Drug Affordability Act H.R. 2961 - Sole Community Hospital Preservation Act S. 300/H.R. 11 — Medicare Rural Home Health Payment Fairness Act H.R. 5118 — Medicare Rural Health Provider Payment Extension Act of 2006 S. 3500 — Rural Hospital and Provider Equity Act of 2006 S. 2819/H.R. 880 — The Rural Health Services Preservation Act of 2006 S. 236/H.R. 1016 — Critical Access to Clinical Lab Services Act Specialty Hospitals (physician-owned, limited-service hospitals) Medicare Inpatient Transfer Provision CMS Rules & Regulations on Public Hospitals Missouri Partnership Agreement Medicaid Funding Medicare Funding Rehabilitation Hospital Reimbursement, 75 percent rule and Medicare fiscal intermediary Local Coverage Determination issue S. 1405/H.R. 3373 - Preserving Patient Access to Inpatient Rehabilitation Hospitals Act S. 933/H.R. 2350 - Rural Community Hospital Assistance Act S. 1002 - Hospital Fair Competition Act of 2005 S. 338/H.R. 985 - Bipartisan Commission on Medicaid Act of 2005

Client expense: $204,926 · Firm income: Not reported

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

HR 6236 Medicare Long-Term Care Hospital Improvement Act of 2006 To amend title XVIII of the Social Security Act to ensure and foster continued patient quality of care by establishing facility and patient criteria for long-term care hospitals and related improvements under the Medicare Program. HR 916 Medicare Access to Rehabilitation Services Act of 2005 To amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. HR 6408 Tax Relief and Health Care Act of 2006 To amend the Internal Revenue Code of 1986 to extend expiring provisions, and for other purposes. TITLE III--HEALTH SAVINGS ACCOUNTS DIVISION B--MEDICARE AND OTHER HEALTH PROVISIONS TITLE I--MEDICARE IMPROVED QUALITY AND PROVIDER PAYMENTS TITLE II--MEDICARE BENEFICIARY PROTECTIONS TITLE III--MEDICARE PROGRAM INTEGRITY EFFORTS TITLE IV--MEDICAID AND OTHER HEALTH PROVISIONS S 438 Medicare Access to Rehabilitation Services Act of 2005 To amend title XVIII of the Social Security Act to repeal the medicare outpatient rehabilitation therapy caps S1002 Hospital Fair Competition Act of 2005 A bill to amend title XVIII of the Social Security Act to make improvements in payments to hospitals under the medicare program, and for other purposes. S1932 Deficit Reduction Omnibus Reconciliation Act of 2005 An original bill to provide for reconciliation pursuant to section 202(a) of the concurrent resolution on the budget for fiscal year 2006. TITLE VI--COMMITTEE ON FINANCE Subtitle A--Medicaid Subtitle B--Medicare Part E--Value-Based Purchasing S 3609 Physician Pathology Services Continuity Act of 2006 To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare program. S 3767 Payment Accuracy Improvement Act of 2006 A bill to delay the full implementation of the occupational mix adjustment to the wage index under the Medicare inpatient hospital prospective payment system. S 3900 Medicare Quality Enhancement Act of 2006 To amend title XVIII of the Social Security Act to improve the quality and efficiency of health care, to provide the public with information on provider and supplier performance, and to enhance the education and awareness of consumers for evaluating health care services through the development and release of reports based on Medicare enrollment, claims, survey, and assessment data. HR 4331 Medicaid Access Project through Information Technology (MAP IT) Act of 2005 To provide for a Medicaid demonstration project for chronic disease management.

Client expense: $900,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

payment: H Con Res 95, S1356, S1932, H.CON.RES 376/S Con Res 83, HR 5574, HR 6053, S 3767; self referral, S 1002, S.3606, HR 5574; quality: S1356; rehabilitation hospitals, HR3373/S1405, S1932; rural hospitals, S933, HR1016/S2396, HR2350, S1932, HR 5118, S 3500, HR 880/S 2819, HR 4912, HR 6030; long term care hospitals: HR 6236 and Medicaid reform HR 985/S338, H Con Res. 95, and S1932. Medicare and Medicaid Reimbursement issues including workforce, HR 1222, HR 1285, S1550, H.R.4997/S 2425, HR 4997S2425; regulations including, but not limited to, provisions of PL 106-554, PL 108-173, PL 109-171

Client expense: $680,000 · Firm income: Not reported

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

S 1932/HR 4241-Deficit Reduction Act of 2005 (Bills concerned with gainsharing and its implications on patient access to medical devices efficiency standards in pay-for-performance program) HR 5369-Medicare Clinical Laboratory Fee Schedule Improvement Act of 2006 (Bill to improve payments under the Medical clinical laboratory fee schedule) S. 3900-Medicare Quality Enhancement Act of 2006 (Bill to improve quality and efficiency of health care, to provide public with information on provider and supplier performance, and to enhance education and awareness of consumers for evaluating health care services through development and release of reports based on Medicare enrollments, claims, survey, and assessment data) HR 5866-Medicare Physician Payment Reform and Quality Improvement Act of 2006 (Bill to reform physician payment under the Medicare program) HR 3617-Medicare Value-Based Purchasing for Physicians’ Services Act of 2005 (Bill to provide for value-based purchasing in the payment for physicians’ services under the Medicare program) S 1356-Medicare Value Purchasing Act of 2005 (Bill to provide incentives for the provision of high quality care under the Medicare program) S 1002-Hospital Fair Competition Act of 2005 (Bill to make improvements in payments to hospitals under the Medicare program) HR 4297-Tax Relief Extension Reconciliation Act of 2005 S 2020-Tax Relief Act of 2005 (Bills to provide for reconciliation pursuant to section 202(b) of the concurrent resolution on the budget for fiscal year 2006) HR 6063-The Remote Monitoring Access Act of 2006 S 2022-Remote Monitoring Access Act of 2005 (Bills to provide for coverage of remote patient management services for chronic health care conditions under the Medicare program) S 3795/HR 5704-Access to Medicare Imaging Act of 2006 (Bills to provide for a budget-neutral two-year moratorium on certain Medicare physician payment reductions for imaging services) HR 3559-Medicare Durable Medical Equipment Access Act of 2005 (Bill to assure access to durable medical equipment under the Medicare Program) HR 4994-Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2006 (Bill to exempt complex rehabilitation products and assistive technology products from the Medicare competitive acquisition program) S 3920-Medicare Durable Medicare Equipment Access Act of 2006 (Bill to assure access to durable medical equipment under the Medicare Program) HR 3196/S 470-Fair Access to Clinical Trials (FACT) Act (Bills to expand the scope of information required for the data bank on clinical trials) S 3822-Genomics and Personalized Medicine Act of 2006 (Bill to improve access and appropriate utilization of valid, reliable and accurate molecular genetic tests by all populations)

Client expense: $1,404,102 · Firm income: Not reported

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

S 1592 The Medicaid Emergency Psychiatric Care Act, Reimbursement under Medicaid for mental illness; S 927 Medicare Mental Health Modernization Act of 2005, Expand mental health coverage under medicare; S 1932 Deficit Reduction Omnibus Reconciliation Act of 2005, Reconciliation of Continuing Resolution for Budget FY 2006; HR 3373 Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2005, Extend 50 percent threshold; HR 5400 the Medicaid Emergency Psychiatric Care Act, Reimbursement under Medicaid for mental illness; HR 2234 21st Century Health Information Act of 2005, Authorize HHS to make health IT grants; HR 1946 Medicare Mental Health Modernization Act of 2005, Expand mental coverage under Medicare; HR 791 Safe Nursing and Patient Care Act of 2005, Limiting mandatory overtime for nurses; HR 1222 Nurse Staffing Standards for Patient Safety and Quality Care Act of 2005, Nurse to patient staffing ratio requirements; HR 4241 Deficit Reduction Act of 2005, Reconciliation Act of Continuing Resolution for Budget FY 2006; HR 4142 Medicaid Transformation Grant Act of 2005, Health IT grants to reduce medical errors; HR 4157 The Health Information Technology Promotion Act of 2006, Promote better health information system; HR 1285 Nursing Relief for Disadvantaged Areas Reauthorization Act of 2005, Remove limitation for non-immigrant classification of nurses; HR 5574 Children's Hospital GME Support Reauthorization Act of 2006, Support for Graduate Medical Education programs in Children's hospitals; HR 5573 Health Centers Renewal Act of 2006, Provide appropriations for health centers; HR 6053 Health Care Price Transparency Promotion Act of 2006, To provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs; HR 6111 Tax Relief and Health Care Act, to amend the Internal Revenue Code of 1986 to extend expiring provisions, and for other purposes. S 1002 Hospital Fair Competition Act of 2005, Improve payment to hospitals under Medicare program; S 1405 Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2005, Extend 50 percent threshold;

Client expense: $140,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1002, Hospital Fair Competition Act of 2005

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

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

H.R. 4157, Health Information Technology Information Act of 2006 Tax Exempt Status of Not For Profit Hospitals H.R. 6408, Tax Relief and Health Care Act of 2006 Prohibition on Specialty Hospitals S. 1002, Hospital Fair Competition Act of 2005

Client expense: Not reported · Firm income: $150,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Sustainable Growth Rate (formula) SGR. Reimbursement for oncology/imaging services. H.R.2356/S.1081, Preserving Patient Access to Physicians Act of 2005 S.1002, Hospital Fair Competition Act of 2005 S.1356, Medicare Value Purchasing Act of 2005 S.1932, Deficit Reduction Act of 2005 (SGR relief) H.R.3547/S.1840, Safety Net Inpatient Drug Affordability Act H.R.3559, Medicare Durable Medical Equipment Access Act of 2005 H.R.5246/H.R.5348/S.2990, Medicare Teaching Anesthesiology Funding Restoration Act of 2006 H.R.5513, Home Oxygen Patient Protection Act of 2006 H.R.5647/S.3708, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2007

Client expense: $560,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Aeronautics & Space Administration (NASA), SENATE, State, Dept of (DOS)

Medicare and Medicaid Reimbursement issues including workforce, HR 1222, HR 1285, S1550, H.R.4997/S 2425; regulations including provisions of PL 108-173; payment: H Con Res 95, S1356, S1932, H.CON.RES 376/S Con Res 83; self referral, S 1002, S.3606, HR 5574; quality: S1356; rehabilitation hospitals, HR3373/S1405, S1932; rural hospitals, S933, HR1016/S2396, HR2350, S1932, HR 5118, S 3500, HR 880/S 2819, HR 4912; and Medicaid reform HR 985/S338, H Con Res. 95, and S1932.

Client expense: $360,000 · Firm income: Not reported

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

S. 1405 / H.R. 3373 - Preserving Patient Access to Inpatient Rehabilitation Hospital Act S. 933 / H.R. 2350 - The Rural Community Hospital Assistance Act Specialty Hospitals (physician-owned, limited-service hospitals); Medicare Inpatient Transfer Provision S. 1002 - Hospital Fair Competition Act of 2005; S. 338 / H.R. 985 - Bipartisan Commission on Medicaid Act of 2005

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

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

S. 1405/H.R. 3373 - Preserving Patient Access to Inpatient Rehabilitation Hospital Act S. 933/H.R. 2350 - The Rural Community Hospital Assistance Act Specialty Hospitals (physician-owned, limited-service hospitals) Medicare Inpatient Transfer Provision S. 1002 - Hospital Fair Competition Act of 2005 S. 338/H.R. 985 - Bipartisan Commission on Medicaid Act of 2005 Medicaid Funding Medicare Funding Appropriations Bill FY 2006

Client expense: $153,872 · Firm income: Not reported

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

Medicare Sustainable Growth Rate (formula) SGR. H.R. 2356/S.1081, Preserving Patient Access to Physicians Act of 2005 S.1356, Medicare Value Purchasing Act of 2005 S.1002, The Hospital Fair Competition Act of 2005 - re. the moratorium on physician-owned specialty hospitals S.1932, Deficit Reduction Omnibus Reconciliation Act of 2005 (SGR relief) H.R. 3547/S.1840, Safety Net Inpatient Drug Affordability Act HR 3559, Medicare Durable Medical Equipment Access Act of 2005 S.1081/HR 2356, Preserving Patient Access to Physicians Act of 2005 S.1356, Medicare Value Purchasing Act of 2005

Client expense: $600,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Natl Aeronautics & Space Administration (NASA), SENATE, State, Dept of (DOS), White House Office

Medicare and Medicaid Reimbursement issues including workforce, HR 1222; regulations including provisions of PL 108-173; payment: H Con Res 95, S1356, S1932; self referral, S 1002; quality: S1356; rehabilitation hospitals, HR3373/S1405, S1932; rural hospitals, S933, HR1016/S2396, HR2350, S1932; and Medicaid reform HR 985/S338, H Con Res. 95, and S1932.

Client expense: $340,000 · Firm income: Not reported

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

S. 1405/H.R. 3373 — Preserving Patient Access to Inpatient Rehabilitation Hospital Act S. 933/H.R. 2350 — The Rural Community Hospital Assistance Act Specialty Hospitals (physician-owned, limited-service hospitals) Medicare Inpatient Transfer Provision S. 1002 — Hospital Fair Competition Act of 2005 S. 338/H.R. 985 — Bipartisan Commission on Medicaid Act of 2005 Medicaid Funding Medicare Funding Appropriations Bill FY 2006

Client expense: $153,872 · Firm income: Not reported

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

Kept Maryland Delegation apprised of concerns associated with the growing Medicare population and the pressures this presents for the healthcare system. Continued to appeal to CMS to adjust the Medicare Sustainable Growth Rate (formula) SGR. Met with HHS staff in the office of the Director for Medicare Services to discuss SGR and opportunities to design demo projects. Monitored the implementation of the Medicare Modernization Act – in particular, the new Part-D benefit. Also monitored: HR 2356/S. 1081”Preserving Patient Access to Physicians Act of 2005” ; S. 1356 “Medicare Value Purchasing ; S. 1002 “The Hospital Fair competition Act of 2005” re. the moratorium on physician-owned specialty hospitals; S. 354/ S. 366/S. 367/ HR 534 medical liability reform proposals; and Proposals related to “pay for performance” initiatives.

Client expense: $420,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Natl Aeronautics & Space Administration (NASA), SENATE, State, Dept of (DOS)

S.1002-Hospital Fair Competition Act of 2005. (Bill to make improvements in payments to hospitals under the Medicare program.) S.1356-Medicare Value Purchasing Act of 2005. (Bill to provide incentives for the provision of high quality care under the Medicare program.) H.R.3617-Medicare Value-Based Purchasing for Physicians' Services Act of 2005. (Bill to provide for value-based purchasing in the payment for physicians' services under the Medicare program.)

Client expense: $2,460,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR)

Medicare and Medicaid Reimbursement issues including workforce, HR 1222; regulations including provisions of PL 108-173; payment: H Con Res 95, S1356; self referral, S 1002, rehabilitation hospitals, HR3373/S1405; rural hospitals, S933, HR1016/S2396, HR 2350; and Medicaid reform HR 985/S338, H Con Res 95.

Client expense: $360,000 · Firm income: Not reported

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