Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2005

FFY 2008 Budget and budget resolutions/Medicare and Medicaid cuts FFY 2008 Labor, Health and Human Services, Education and Pension Appropriations bill FFY 2008 Medicare Inpatient Hospital PPS rules CY 2008 Medicare Inpatient Psychiatric Facility PPS rules FFY 2008 Medicare Inpatient Rehabilitation Facility PPS and "75% Rule" rules CY 2008 Medicare Outpatient PPS rules FFY 2008 Medicare Skilled Nursing Facility PPS rules CY 2008 Medicare Home Health Agency PPS rules CY 2008 Medicare Physician Fee Schedule update CMS Proposed rule to limit intergovernmental transfers and certified public expenditures CMS Proposed value-based purchasing program CMS Proposed rule on Medicaid Graduate Medical Education payments State Childrens health Insurance program funding IRS Form 990 revision "Stark" and physician self-referral regulations Hospital pricing transparency Not-for-profit hospital tax-exempt status Medicaid regulations affecting states' Medicaid financing mechanisms Pay for performance Health information technology Hospital charity care/financial aid Coverage for undocumented immigrants Associated health plans Coverage for the uninsured Health savings accounts and high-deductible health plans emergency preparedness Immigration Medicare wage index Community benefit reporting Mental health parity Limited service hospitals HUD Federal housing assistance mortgage program for hospitals Defined benefit pension plans National Institute of Health funding Heath care workforce recruiting and training funding Hospital infection and performance measure reporting Medical error reporting S.354/H.R.534 Medicaid liability reform S.473/H.R.215 Allied health professions reinvestment act of 2005 S.543/H.R.1459 Inpatient rehabilitation facilities' 75% rule mitigation S.544 Patient safety and quality improvement act of 2005 S.681 Umbilical cord blood stem cell research S.896 Physician shortage elimination act of 2007 S.898/H.R.1812 Patient navigator outreach & chronic disease prevention act of 2005 S.933/H.R.2350 rural community hospital assistance act S.1041/H.R.800 Employee free choice act--card check S.1049 Covering Kids Act of 2005 S.1262/H.R.2234 Health technology to enhance quality act of 2005 & 21st century health information act s.1348 National immigration reform bill S.1355 & S.1262 Better healthcare through information technology act S.1356/H.R.3617 Medicare value purchasing act of 2005 S.1418 Wired for health care quality act S.1481/H.R.2497 Fair and reliable medical justice act S.1604 Nursing education and quality of health care act of 2007 S.1693 Health information exchange--funding for IT S.1784 National medical error disclosure & compensation act of 2005 S.1955 Health insurance marketplace modernization & affordability act of 2005 S.3042 All-hazards public health emergency & bioterrorism preparedness & response act H.R.139 Health improvement and professionals act of 2005 H.R.534/H.R.880 Rural health equity act H.R.1663 Medicare Mental health modernization act of 2007 H.R.2050 Medicaid psychiatric hospital fairness act H.R.2122 Mandatory overtime limits for nurse H.R.2206 Emergency supplemental spending bill H.R.3173 Nurse faculty higher education act H.R.3373/S.1405 Preserving patient access to inpatient rehabilitation hospitals act H.R.3607 The future of health care-granting access to innovation in America act H.R.4157 Health information technology promotion act of 2005/hospital pricing transparency S.4 Health Technology to Enhance Quality Act of 2005 S.22 Medical Care Access Protection Act of 2006 S.23 Healthy Mothers and Healthy Babies Access S.338/H.R.985 Bipartisan Medicaid Commission

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

Not-for-profit hospital tax-exempt status Medicaid regulations affecting states’ Medicaid financing mechanisms Pay for Performance Health information technology Hospital charity care/financial aid Coverage for undocumented immigrants Associated health plans Coverage for the uninsured Health savings accounts and high-deductible health plans Emergency Preparedness Immigration Medicare Wage Index Community Benefit Reporting Mental Health Parity Limited Service Hospitals Dept. of Housing and Urban Development's Federal Housing Assistance mortage program for hospitals Defined benefit pension plans National Institute of Health funding Health care workforce recruiting and training funding Hospital Infection reporting Medical Error reporting Hospital performance measure reporting S.354/H.R.534 Medicaid Liability Reform S.473/H.R.215 Allied Health Professions Reinvestment Act of 2005 Act S. 543 Inpatient Rehabilitation Facilities 75% Rule of Mitigation S.544 Patient Safety and Quality Improvement Act of 2005 S.681 Umbilical Cord Blood Stem Cell Research S.896 Physician Shortage Elimnation Act of 2007 S.898/H.R.1812 Patient Navigator Outreach & Chronic Disease Prevention Act of 2005 S.933/H.R.2350 Rural Community Hospital Assistance Act S.1041/H.R.800 Employee Free Choice Act - Card Check S.1049 Covering Kids Act of 2005 S.1262/H.R.2234 Health Technology to Enhance Quality Act of 2005 & the 21st Century Health Information Act S.1355 & S.1262 Better Healthcare Through Information Technology Act S.1356/H.R.3617 Medicare Value Purchasing Act of 2005 S.1348 National Immigration Reform Act S.1356/H.R.3617 Medicare Value Purchasing Act of 2005 S.1418 Wired for Health Care Quality Act S.1481/H.R.2497 Fair and Reliable Medical Justice Act S. 1604 Nursing Education and Quality of Health Care Act of 2007 S.1693 Health Information Exchange - funding for IT S.1784 National Medical Error Disclosure & Compensation Act of 2005 S.1955 Health Insurance Marketplace Modernization & Affordability Act of 2005 S.3042 All-Hazards Public Health Emergency and Bioterrorism Preparedness and Response Act H.R.139 Health Improvement and Professionals Act of 2005 H.R.534 Rural Health Equity Act H.R.880 Rural Health Equity Act H.R. 1459 Inpatinet Rehabilitation Facilities 74% Rule Mitigation H.R. 1663 Medicare Mental Health Modernization Act of 2007 H.R. 2050 Medicaid Psychiatric Hospital Fairness Act H.R. 2122 Mandatory Overtime Limits for Nurses H.R. 2206 Emergency Supplemental Spending Bill H.R.3173 Nurse Faculty Higher Education Act H.R.3373/S.1405 Preserving Patient Access to Inpatient Rehabilitation Hospitals Act H.R.3607 The Future of Health Care-Granting Access to Innovation in America Act H.R.4157 Health Information Technology Promotion Act of 2005/Hospital Pricing Transparency FFY 2008 Budget and Budget Resolutions/Medicare and Medicaid Cuts FFY 2008Labor, Health and Human Services, Education and Pension Appropriations bill FFY 2008 Medicare Inpatient Hospital PPS Rules CY 2008 Medicare Inpatient Psychiatric Facility PPS Rules FFY 2008 Medicare Inpatient Rehabilitation Facility PPS and “75% Rule”, Rules CY 2008 Medicare Outpatient PPS Rules FFY 2008 Medicare Skilled Nursing Facility PPS Rules CY 2008 Medicare Home Health Agency PPS Rules CY 2008 Medicare Physician Fee Schedule Update CMS Proposed Rule to Limit Intergovernmental Transfers and Certified Public Expenditures CMS Proposed Value-Based Purchasing Program CMS Proposed Rule on Medicaid Graduate Medical Education Payments State Childrens Health Insurance Program funding IRS Form 990 Revision “Stark” and physician self-referral regulations Hospital pricing transparency S.4 Health Technology to Enhance Quality Act of 2005 S.22 Medical Care Access Protection Act of 2006 S.23 Healthy Mothers and Healthy Babies Access S.338/H.R.985 Bipartisan Medicaid Commission

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

S. 1405 / H.R. 3373 - Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2006.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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 S. 338 / H.R. 985 - Bipartisan Commission on Medicaid Act of 2005 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 services 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

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 S. 1002 - Hospital Fair Competition Act of 2005 S. 338/H.R. 985 - Bipartisan Commission on Medicaid Act of 2005 S. 1840 / H.R. 3547 - Safety Net Inpatient Drug Affordability Act H.R. 2961 - The Sole Community Hospital Preservation Act S. 300 / H.R. 11 - The Medicare Rural Home Health Payment Fairness Act H.R. 5118- The Medicare Rural Health Provider Payment Extension Act S. 3500 - The Rural Hospital and Provider Equity Act S. 2611 - The Comprehensive Immigration Reform Act H.R. 880 - The Rural Health Equity Act S. 2819 - The Rural Health Services Preservation Act H.R. 4912-The Rural Health Care Capital Access Act S. 236/H.R. 1016 - The Critical Access to Clinical Lab Services Act Specialty Hospitals (physician-owned, limited-service hospitals) Medicare Inpatient Transfer Provision Medicaid Funding Medicare Funding

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 S. 1002 - Hospital Fair Competition Act of 2005 S. 338/H.R. 985 - Bipartisan Commission on Medicaid Act of 2005 S. 1840/H.R. 3547 Safety Net Inpatient Drug Affordability Act H.R. 2961 The Sole Community Hospital Preservation Act S. 300/H.R. 11 The Medicare Rural Home Health Payment Fairness Act H.R. 5118 The Medicare Rural Health Provider Payment Extension Act S. 3500 The Rural Hospital and Provider Equity Act S. 2611 The Comprehensive Immigration Reform Act H.R. 880 The Rural Health Equity Act S. 2819 The Rural Health Services Preservation Act H.R. 4912 The Rural Health Care Capital Access Act S. 236/H.R. 1016 The Critical Access to Clinical Lab Services Act Specialty Hospitals (physician-owned, limited-service hospitals) Medicare Inpatient Transfer Provision Medicaid Funding Medicare Funding

Client expense: $178,917 · Firm income: Not reported

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

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 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

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

Government targets: Centers For Medicare and Medicaid Services (CMS), 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

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

75% Rule H.R. 3373/S.1405: Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2005 P.L. 109-171: Deficit Reduction Act of 2005 implementation CMS-1540-P: FY2007 Inpatient Rehabilitation Facility PPS Proposed Rule P.L. 109-432: Tax Relief and Health Care Act of 2006

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

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

S.354/H.R.534 Medicaid Liability Reform S.473/H.R.215 Allied Health Professions Reinvestment Act of 2005 Act S.544 Patient Safety and Quality Improvement Act of 2005 S.681 Umbilical Cord Blood Stem Cell Research S.898/H.R.1812 Patient Navigator Outreach & Chronic Disease Prevention Act of 2005 S.933/H.R.2350 Rural Community Hospital Assistance Act S.1049 Covering Kids Act of 2005 S.1262/H.R.2234 Health Technology to Enhance Quality Act of 2005 & the 21st Century Health Information Act S.1355 & S.1262 Better Healthcare Through Information Technology Act S.1356/H.R.3617 Medicare Value Purchasing Act of 2005 S.1418 Wired for Health Care Quality Act S.1784 National Medical Error Disclosure & Compensation Act of 2005 S.1955 Health Insurance Marketplace Modernization & Affordability Act of 2005 S.3042 All-Hazards Public Health Emergency and Bioterrorism Preparedness and Response Act H.R.139 Health Improvement and Professionals Act of 2005 H.R.534 Rural Health Equity Act H.R.880 Rural Health Equity Act H.R.3173 Nurse Faculty Higher Education Act H.R.3373/S.1405 Preserving Patient Access to Inpatient Rehabilitation Hospitals Act H.R.3607 The Future of Health Care-Granting Access to Innovation in America Act H.R.4157 Health Information Technology Promotion Act of 2005/Hospital Pricing Transparency H.R.5647/S.3708 Labor-Health and Human Services Educaiton Bill FFY 2007 Budget and Budget Resolutions 2007 Medicare Inpatient Hospital PPS Rules 2007 Medicare Inpatient Psychiatric Facility PPS Rules 2007 Medicare Inpatient Rehabilitation Facility PPS and “75% Rule”, Rules 2007 Medicare Outpatient PPS Rules 2007 Medicare Skilled Nursing Facility PPS Rules 2007 Medicare Home Health Agency PPS Rules 2007 Medicare Physician Fee Schedule Update “Stark” and physician self-referral regulations Hospital pricing transparency Not-for-profit hospital tax-exempt status Medicaid regulations affecting states’ Medicaid financing mechanisms Pay for Performance Health information technology Hospital charity care/financial aid Coverage for undocumented immigrants Associated health plans Coverage for the uninsured Health savings accounts and high-deductible health plans Emergency preparedness Immigration Medicare Wage Index Community Benefit Reporting Mental health parity Limited service hospitals HUD Federal Housing Assistance mortgage program for hospitals Defined benefit pension plans National Institute of Health funding Health care workforce recruiting and training funding Hospital infection reporting Medical error reporting; hospital performance measure reporting S.4 Health Technology to Enance Quality Act of 2005 S.22 Medical Care Access Protection Act of 2006 S.23 Healthy Mothers and Healthy Babies Access S.338/H.R.985 bipartisan Medicaid Commission

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

S. 1405 / H.R. 3373 - Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2006.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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 2032 HR 6111 HR 5907 S 971 S 3708 HR 3800 HR 6408 HR 4961 S 2222 S 1932 HR 3925 HR 5866 HR 5907 S 2671 S 2409 HR 3973 HR 5647 HR 3373 S 1405 H CON RES 95

Client expense: $1,020,000 · Firm income: Not reported

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

HR 916/S 438 - Medicare Access to Rehabilitation Services Act, to amend title XVIII of the Social Security Act to repeal caps on Medicare outpatient therapy services; S 3516 - Rural Equity Payment Index Reform Extension Act, to extend the floor onthe work geographic index under the Medicare physician fee schedule; S 3677 - Medicare Independent Living Act, to eliminate the "in the home" restriction for Medicare coverage of devices to enhance the mobility of individuals with functional limitations, impairments, and disabilities; HR 5866 - Medicare Physican Payment Reform and Quality Improvement Act, to reform Medicare payment to health care professionals billing through the Medicare physician fee schedule; HR 3373/S 1405 - Preserving Patient Access to Inpatient Rehabilitation Hospitals Act, to extend until two years after passage of the bill the 50% compliance threshold used to determine if a hospital or unit of a hospital is an inpatient rehabilitation facility; HR 3795/S 657 - to amend Title XVIII of the Social Security Act to modify the definition of outpatient speech-language pathology services in order to recognize speech-language pathologists as suppliers under the Medicare program; Payment for physical therapist services under the Medicare physician fee schedule; Medicare skilled nursing facility payment for physical therapist services; Medicare "pay for performance"; Proposed quality standards for suppliers of durable medical equipment. HR 1333/S 647 - Medicare Patient Access to Physical Therapists Act, to amend Title XVIII of the Social Security Act ot authorize physical therapists to evaluate and treat Medicare beneficiaries without requirement of a physician referral;

Client expense: $800,000 · Firm income: Not reported

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

HR 2032, HR 3800, HR 3925, HR 3973, HR 4961, HR 3373, HR 5866, HR 5647, HR 5907, HR 6408, HR 6111, S 2409, S 971, S 2222, S 2671, S 1405, S 1932, S 3708

Client expense: $253,800 · Firm income: Not reported

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

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

Provision and coverage of occupational therapy services • HR 1443, Family Opportunity Act of 2005 • S 183, Family Opportunity Act of 2005 Provisions related to parity and inclusion of occupational therapy • HR 1125, Medicare Mental Health Copayment Equity Act of 2005 • HR 1946, Medicare Mental Health Modernization Act of 2005 • S 1152, Medicare Mental Health Copayment Equity Act of • S 927, Medicare Mental Health Modernization Act of 2005 All provisions • HR 1333, Medicare Patient Access to Physical Therapists Act of 2003 • HR 2869, Ending the Medicare Disability Waiting Period Act of 2005 • HR 3373, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2005 • HR 3022, Medicare Occupational Therapy Coverage Eligibility Act of 2005 • HR 4223, Medicaid Preservation Act of 2005 • HR 916, Medicare Access to Rehabilitation Services Act of 2005 • S 1217, Ending the Medicare Disability Waiting Period Act of 2005 • S 1405, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2005 • S 1716, Emergency Health Care Relief Act of 2005 • HR 3952, Emergency Health Care Relief Act of 2005 • S 2181, Medicare State Reimbursement Act • S 1951, CLASS Act - Community Living Assistant Service and Supports Act • S 438, Medicare Access to Rehabilitation Services Act of • S 647, Medicare Patient Access to Physical Therapists Act of 2003' • S. 3912, Securing Effective and Necessary Individual Outpatient Rehabilitation Services Act of 2006 • HR 6132, Securing Effective and Necessary Individual Outpatient Rehabilitation Services Act of 2006 Provisions related to occupational therapy services • HR 1381, Medicare Nursing Facility Pay-for-Performance Act of 2005 • HR 2487, Preserving Medicare for All Act of 2005 • S 3963, Access to Physical Medicine & Rehabilitation Services Improvement Act of 2006 Inclusion of occupational therapy and rehabilitation services • HR 2629, Positive Aging Act of 2005 • S 1116, Positive Aging Act of 2005 • HR 2807, Medicare Telehealth Enhancement Act of 2005 • S 1225, Access to Affordable Health Care Act • S 1503, Healthy America Act of 2005 • S 4, Healthy America Act of 2005 Provisions related to Medicare coverage of occupational therapy services, training and education under Title VII of the Public Health Service Act, and funding for IDEA • HR 5647, Making Appropriations for Depts of Labor, Health and Human Svcs. And Education, and related agencies for year ending Sept. 30, 2007 • S 3708, Making Appropriations for Depts of Labor,Health and Human Svcs and Education and related agencies for year ending Sept 30 2007 Inclusion of occupational therapy practitioners • HR 3074, Quality Healthcare Coalition Act of 2005 Provisions related to reimbursement for occupational therapy services • HR 3617, Medicare Value Based Purchasing for Physician's Services Act of 2005 • HR 4520, Medicare Physician Payment Reform Act of 2005 Provisions related to occupational therapy and rehabilitation services • S 1356, Medicare Value Purchasing Act of 2005 • S 1440, Pulmonary and Cardiac Rehabilitation Act of 2005 • HR 4824, Pulmonary and Cardiac Rehabilitation Act of 2005 • S 1580, A bill to improve the health of minority individuals • HR 3561, A bill to improve the health of minority individuals • S 2022, Remote Monitoring Access Act of 2005 • S 1909, Medicare Telehealth Enhancement Act All provisions, especially as related to occupational therapy services • HR 898, Stroke Treatment and Ongoing Prevention Act • S 1064, Stroke Treatment and Ongoing Prevention Act Provisions related to extension of therapy caps exceptions process: • HR 6111, Tax Relief and Health Care Act of 2006 • S 3523, Tax Relief and Health Care Act of 2006 Issues regarding 5-year review and SGR fix - no bills related to this topic.

Client expense: $240,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Rehabilitation hospital legislation (S. 1405) Wage index reclassification Pension reform legislation Medicare reimbursement Medicaid Managed Care Provider Tax Sec. 340B inpatient drug discount legislation (H.R. 3547, S. 1840) Children's Hospitals Graduate Medical Education program funding and reauthorization

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), 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.23 Healthy Mothers and Healthy Babies Access,S.338/H.R.985 Bipartisan Medicaid Commission S.354/H.R.534 Medicaid Liability Reform,S.473/H.R.215 Allied Health Professions Reinvestment Act of 2005 Act S.544 Patient Safety and Quality Improvement Act of 2005,S.681 Umbilical Cord Blood Stem Cell Research S.898/H.R.1812 Patient Navigator Outreach & Chronic Disease Prevention Act of 2005 S.1049 Covering Kids Act of 2005,S.1262/H.R.2234 Health Technology to Enhance Quality Act of 2005 & the 21st Century Health Information Act,S.1355 & S.1262 Better Healthcare Through Information Technology Act S.1356/H.R.3617 Medicare Value Purchasing Act of 2005,S.1418 Wired for Health Care Quality Act S.1784 National Medical Error Disclosure & Compensation Act of 2005, S.1955 Health Insurance Marketplace Modernization & Affordability Act of 2005 S.3042 All-Hazards Public Health Emergency and Bioterrorism Preparedness and Response Act H.R.534 Rural Health Equity Act,H.R.880 Rural Health Equity Act,H.R.3173 Nurse Faculty Higher Education Act H.R.3373/S.1405 Preserving Patient Access to Inpatient Rehabilitation Hospitals Act H.R.3607 The Future of Health Care-Granting Access to Innovation in America Act H.R.4157 Health Information Technology Promotion Act of 2005/Hospital Pricing Transparency H.R.5647/S.3708 Labor-Health and Human Services Education Bill FFY 2007 Budget and Budget Resolutions 2007 Medicare Inpatient Hospital PPS Rules 2007 Medicare Inpatient Psychiatric Facility PPS Rules 2007 Medicare Inpatient Rehabilitation Facility PPS and “75% Rule”, Rules 2007 Medicare Outpatient PPS Rules 2007 Medicare Skilled Nursing Facility PPS Rules 2007 Medicare Home Health Agency PPS Rules 2007 Medicare Physician Fee Schedule Update “Stark” and physician self-referral regulations Hospital pricing transparency Not-for-profit hospital tax-exempt status Medicaid regulations affecting states’ Medicaid financing mechanisms Pay for Performance Health information technology Hospital charity care/financial aid Coverage for undocumented immigrants Associated health plans Coverage for the uninsured Health savings accounts and high-deductible health plans Emergency preparedness Immigration S.4 Health Technology to Enhance Quality Act of 2005 S.22 Medical Care Access Protection Act of 2006

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

S.354/H.R.534 Medicaid Liability Reform,S.473/H.R.215 Allied Health Professions Reinvestment Act of 2005 Act S.544 Patient Safety and Quality Improvement Act of 2005S.681 Umbilical Cord Blood Stem Cell Research, S.898/H.R.1812 Patient Navigator Outreach & Chronic Disease Prevention Act of 2005,S.933/H.R.2350 Rural Community Hospital Assistance Act, S.1049 Covering Kids Act of 2005 S.1262/H.R.2234 Health Technology to Enhance Quality Act of 2005 & the 21st Century Health Information Act S.1355 & S.1262 Better Healthcare Through Information Technology Act, S.1356/H.R.3617 Medicare Value Purchasing Act of 2005,S.1418 Wired for Health Care Quality Act,S.1784 National Medical Error Disclosure & Compensation Act of 2005 S.1955 Health Insurance Marketplace Modernization & Affordability Act of 2005,S.3042 All-Hazards Public Health Emergency and Bioterrorism Preparedness and Response Act,H.R.139 Health Improvement and Professionals Act of 2005 H.R.534 Rural Health Equity Act,H.R.880 Rural Health Equity Act,H.R.3173 Nurse Faculty Higher Education Act H.R.3373/S.1405 Preserving Patient Access to Inpatient Rehabilitation Hospitals Act H.R.3607 The Future of Health Care-Granting Access to Innovation in America Act H.R.4157 Health Information Technology Promotion Act of 2005/Hospital Pricing Transparency H.R.5647/S.3708 Labor-Health and Human Services Educaiton Bill, FFY 2007 Budget and Budget Resolutions,2007 Medicare Inpatient Hospital PPS Rules,2007 Medicare Inpatient Psychiatric Facility PPS Rules,2007 Medicare Inpatient Rehabilitation Facility PPS and “75% Rule”, Rules,2007 Medicare Outpatient PPS Rules, 2007 Medicare Skilled Nursing Facility PPS Rules,2007 Medicare Home Health Agency PPS Rules 2007 Medicare Physician Fee Schedule Update, “Stark” and physician self-referral regulations Hospital pricing transparency Not-for-profit hospital tax-exempt status Medicaid regulations affecting states’ Medicaid financing mechanisms Pay for Performance Health information technology Hospital charity care/financial aid Coverage for undocumented immigrants Associated health plans Coverage for the uninsured Health savings accounts and high-deductible health plans Emergency preparedness Immigration S.4 Health Technology to Enhance Quality Act of 2005, S.22 Medical Care Access Protection Act of 2006 S.23 Healthy Mothers and Healthy Babies Access, S.338/H.R.985 Bipartisan Medicaid Commission

Client expense: $20,000 · 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), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

S.1049, Covering Kids Act of 2005, Health care issues. H.R.534/ S.354, Health Act of 2005, Health care issues. H.R.215/S.473, Reinvestment Act of 2005, Health care issues. H.R.3373/S.1405, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2005, Health care issues. H.R.916/S.438, Medicare Access to Rehabilitation Services Act of 2005, Heal H.R.2350/S.933, Rural Community Hospital Assistance Act of 2005, Health care issues. S.544, Patient Safety and Quality Improvement Act of 2005, health care issues. H.R.1872/S.978, Health coverage for the Uninsured Act of 2005, Health care issues.

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

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

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; Medicaid Funding S. 544 / H.R. 3205 - Patient Safety and Quality Improvement 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 Medicaid Funding S. 544/H.R. 3205 Patient Safety and Quality Improvement Act of 2005

Client expense: $148,314 · Firm income: Not reported

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

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 Inpatient Prospective Payment System Regulations, HR 985- Bi-partisan Commission on Medicaid, HR 3373/S 1405- Preserving Patient Access to Inpatient Rehabilitation, HR 2356- Preserving Patient Access to Physicians Act of 2005

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

75 percent rule as included in the budget reconciliation bill S.1405 and H.R.3373

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Inpatient Prospective Payment System Regulations, HR 985- Bi-partisan Commission on Medicaid Act of 2005, HR 3373/S.1405- Preserving Patient Access to Inpatient Rehabilitation, HR 2356- Preserving Patient Access to Physicians Act of 2005

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare reimbursement Medicaid Managed Care Provider Tax Sec. 340B inpatient drug discount legislation (H.R. 3547, S. 1840) Children's Hospitals Graduate Medical Education program funding and reauthorization Rehabilitation hospital legislation (S. 1405) Wage index reclassification

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

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

Health information technology Rehabilitation hospital legislation (S. 1405) Children's Hospitals Graduate Medical Education program funding and reauthorization Sec. 340B inpatient drug discount legislation (H.R. 3547, S. 1840) Diagnostic Related Group reform legislation

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

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

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

FFY2005 Budget Resolution and Appropriation Bills FFY2006 Budget Resolution and Appropriation Bills S.1932 Deficit Reduction Omnibus Reconciliation Act of 2005 2006 Budget reconciliation bill H.R.5/H.R.534/S.354 S.338/H.R.985 Bipartisan Medicaid Commission S.933/H.R.2350 Rural Community Hospital Assistance Act S.1356/H.R.3617 Medicare Value Purchasing Act of 2005 S.1784 National Medical Error Disclosure and Compensation Act of 2005 H.R.3607 The future of Health Care-Granting Access to Innovation in America Act H.R.880 Rural Health Equity Act S.473/H.R.215 Allied Health Professions Reinvestment Act S.898/H.R.1812 Patient navigator Outreach & Chronic Disease Prevention Act of 2005 H.R.139 Health Improvement and Professions Act of 2005 H.R.3173 Nurse Faculty Higher Education Act s.1262/H.R.2234 Health Technology to Enhance Quality Act of 2005 and The 21sst Century Health Information Act S.1355 and S.1262 the Better Healthcare Through Information Technology Act S.1049 Covering Kids Act of 2005 S.681 Umbilical Cord Blood Stem Cell Research S.544/H.R.3205 Patient Safety and quality Improvement Act of 2005 S.4 Health Technology to Enhance Quality Act of 2005 H.R.3373/S.1405 Preserving Patient Access to Inpatient Rehabilitation Hospitals Act Proposed Rules for Medicare Inpatient Psychiatric Facility Payment System (IPF PPS) Visa quota delays Proposed revisiosn to certification requirements for ERSD facilities and OPOs Proposed rule changes for hospital conditions of participation Final Medicare Inpatient PPS rule for FFY2006 Final Outpatient PPS rule for FFY2006 CMS data validation process rules Proposed Medicare inpatient rehabilitation facility (IRF) and skilled nursing facility (SNF) PPS rules for FFY2006 Proposed Post-acute transfer policy Proposed rate update for Medicare Home Health Agency (HHA) PPS Propsoed e-prescribing and electronic health records regulations Mental health parity law extension

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

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 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