Rural Health Services Preservation Act of 2006

H.R. 985 and S.338 Bipartisan Commission on Medicaid Act of 2005, all provisions relating to the establishment of a Bipartisan Commission on Medicaid; HR6053 health Care Price Transparency Promotion Act of 2006, all provisions relating to increase of price transparency of hospital information; S3609 and HR6188 Physician Pathology Services Continuity Act of 2006, all provisions of the Social Security Act that provide for the treatment of certain physician pathology services under the Medicare programH.R. 880, Minimum Payment Rate by Medicare Advantage Organizations, SECTION 1, all provisions relating to minimum payment rate by Medicare Advantage Organizations for critical access hospital services and rural health clinic services; H.R. 1016 and S. 236, Critical Access to Clinical Lab Services Act of 2005, all provisions relating to the amendment of title XVIII of the Social Security Act to clarify payment for clinical laboratory tests furnished by critical access hospitals under the Medicare Program; H.R. 11 and S. 300, Medicare Rural Home Health Payment Fairness Act of 2005, all provisions relating to extending the temporary increase in payments under the Medicare Program for home health services furnished in a rural area; S. 347, Advance Directives Improvement and Education Act of 2005, all provisions relating to Sec. 3. Medicare coverage of end-of-life planning consultations, Sec. 4. Improvement of policies related to the use and portability of advance directives, and Sec. 5. Increasing awareness of the importance of end-of-life planning; H.R. 2258 and S. 1007, Medicaid Formula Fairness Act of 2005, all provisions relating to the prevention of a severe reduction in the Federal medical assistance percentage determined for a State for fiscal year 2006; S. 2819, Rural Health Services Preservation Act of 2006, all provisions to amend part C of title XVIII of the Social Security Act to provide for a minimum payment rate by Medicare Advantage organizations for services furnished by a critical access hospital and a rural health clinic under the Medicare program. HR 985 and S 338

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

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

H.R. 5631: Making appropriations for the Department of Defense for the fiscal year ending September 30, 2007, and for other purposes/Continuing Appropriations Resolution, 2007. H.R. 5647: Making appropriations for the Departments of Labor, Health and Human Services and Education, and related Agencies for the fiscal year ending September 30, 2007, and for other purposes. S 4 / S 1503 - Healthy America Act of 2005 Legislation involving: “safety net” providers; rural health issues; and rural health clinic reimbursement. HR 880 - To amend part C of title XVIII of the Social Security Act to require Medicare Advantage (MA) organizations to pay for critical access hospital services and rural health clinic services at a rate that is at least 101 percent of the payment rate otherwise applicable under the Medicare Program S 2819 - Rural Health Services Preservation Act of 2006 S 1932 - Deficit Reduction Omnibus Reconciliation Act of 2005 HR 4241 - Deficit Reduction Act of 2005 HR 6030 - The Health Care Access and Rural Equity Act of 2006 (H-CARE) H.J.Res. 100: Making further continuing appropriations for the fiscal year 2007, and for other purposes H.J.Res. 102: Making further continuing appropriations for the fiscal year 2007, and for other purposes S 3500 - Rural Hospital and Provider Equity (HoPE) Act of 2006

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

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