All-Hazards Public Health Emergency and Bioterrorism Preparedness and Response Act

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.1223, Information Technology for Health Care Quality Act, S.1227, Health Information Techonology Act of 2005, S.1262, Health Technology to Enhance Quality Act of 2005 S.1355, A bill to enhance the adoption of health information technology and to improve the quality and reduce the costs of healthcare in the United States, S.1356, A bill to amend title XVIII of the Social Security Act to provide incentives for the provision of high quality care under the medicare program, S.40, Geriatric and Chronic Care Management Act of 2005, H.R.2234, 21st Century Health Information Act of 2005, H.R.4641, Assisting Doctors to Obtain Proficient and Transmissible Health Information Technology (ADOPT HIT) Act of 2005, S.1418, Wired for Health Care Quality Act, S.544, Patient Safety and Quality Improvement Act of 2005, H.R.3588, Medicare Home Health Telehealth Access Act of 2005, S.1733, To establish pilot projects under the medicare program to provide incentives for home health agencies to utilize home monitoring and communications technologies, H.R.4859, Federal Family Health Information Technology Act of 2006, H.R.5438, Public Health and Medical Emergency Coordination Act of 2006, S.3042, All-Hazards Public Health Emergency and Bioterrorism Preparedness and Response Act, H.R.5524, Rural Veterans Health Care Act of 2006, H.R.5533, Biodefense and Pandemic Vaccine and Drug Development Act of 2006, H.R.4726, Wired for Health Care Quality Act, H.R.4832, Electronic Health Information Technology Act of 2006 H.R.2807, Medicare Telehealth Ehancement Act of 2005, H.R.747, National Health Information Incentive Act of 2005, H.R.4157, Better Health Information Systems Act

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), 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 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