Bipartisan Commission on Medicaid Act of 2005

S.338/H.R. 985, Bipartisan Commission on Medicaid Act S. 1710/H.R. 3043, Labor Health and Human Services Appropriations for 2008 S. 1645/H.R. 2642, Military Quality of Life and Veterans Affairs Appropriations for 2008

Client expense: $258,636 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Federal Aviation Administration (FAA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, Justice, Dept of (DOJ), Natl Institute of Mental Health (NIMH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

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.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.338, Bipartisan Commission on Medicaid Act of 2005, S.445, Medicare Prescription Drug Price Reduction Act of 2005, S.813, A bill to amend part D of title XVIII of the Social Security Act to authorize the Secretary of Health and Human Services to negotiate for lower prices for medicare prescription drugs, 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.3617, Medicare Value-Based Purchasing for Physicians' Services Act of 2005, S.2664, Pharmacy Access Improvement (PhAIm) Act of 2006, S.2665, Medicare Prescription Drug Simplification Act of 2006, S.2282, Medicare Home Health Telehealth Access Act of 2006 Department of Health and Human Services Executive Office of the President

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

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.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. 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

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.338, Bipartisan Commission on Medicaid Act of 2005, S.445, Medicare Prescription Drug Price Reduction Act of 2005, S.813, A bill to amend part D of title XVIII of the Social Security Act to authorize the Secretary of Health and Human Services to negotiate for lower prices for medicare prescription drugs, 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.3617, Medicare Value-Based Purchasing for Physicians' Services Act of 2005, S.2664, Pharmacy Access Improvement (PhAIm) Act of 2006, S.2665, Medicare Prescription Drug Simplification Act of 2006, S.2282, Medicare Home Health Telehealth Access Act of 2006 H.R.376, Medicare's Equitable Drugs for Seniors Act of 2005, H.R.752, Medicare Prescription Drug Savings and Choice Act of 2005, H.R.985, Bipartisan Commission on Medicaid Act of 2005,

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

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

* "Pharmacy Access Improvement Act" - S 2664 A bill to amend Title XVIII of the Social Security Act to improve access to pharmacies under part D, issues relating to health plans. Sponsor: Senator Max Baucus "Bipartisan Commission on the Medicaid Act of 2005" - S 338 To provide for the establishment of a Bipartisan commission on Medicaid, issues relating to health plans. Sponsor: Senator Gordon Smith "Medicare Value Purchasing Act of 2005" - S 1356 To amend Title XVIII of the Social Security Act to provide incentives for the provision of high quality care under the Medicare program, issues relating to health plans. Sponsor: Senator Charles Grassley "Bipartisan Commission on Medicaid Act of 2005" - HR 985 To provide for the establishment of a Bipartisan Commission on Medicaid, issues relating to health plans. Sponsor: Congresswoman Heather Wilson "Medicare Cost Contract Extension and Refinement Act of 2005" - HR 4050 To amend title XVIII of the Social Security Act to extend reasonable cost contracts under Medicare, issues relating to health plan. Sponsor: Senator Ron Wyden "No Title – an amendment to the Deficit Reduction Act of 2005" - S 3590 To amend title XIX of the Social Security Act to delay the effective date of the amendments made by the Deficit Reduction Act of 2005 requiring documentation evidencing citizenship or nationality "Medicare Prescription Drug Simplification Act of 2006" - S 2665 A bill to amend Title XVIII of the Social Security Act to simplify and improve the Medicare prescription drug program, issues relating to health plans. Sponsor: Senator Max Baucus "Medicare Drug Benefit Enrollment Fairness Act of 2006" - HR 5399 To amend title XVIII of the Social Security Act to eliminate the Medicare prescription drug late enrollment penalty for months during 2006, and for other purposes, issues relating to health plans. Sponsor: Rep. Nancy Johnson for State Health Insurance Counseling Programs and area Agencies on Aging, and for other purposes, issues related to health plans. Sponsor(s) Sens. Charles Grassley and Max Baucus “Medicare Late Enrollment Assistance Act of 2006” – S 2810 To amend title XVIII of the Social Security Act to eliminate months in 2006 from the calculation of any late enrollment penalty under the Medicare Part D prescription drug program and to provide for additional funding as a condition for receipt of medical assistance under the Medicaid program, issues relating to health plans. Sponsor: Senator Daniel Akaka "Medicare Drug Formulary Protection Act of 2006" - S 2255 A bill to amend Title XVIII of the Social Security Act to prohibit removal of covered part D drugs from a prescription drug plan formulary during the plan year once an individual has enrolled in the plan, issues relating to health plans. Sponsor: Senator Diane Feinstein and organizations, and congressional support agencies, issues relating to health plans. Sponsor: Senator Ron Grassley “Federal Family Health Information Technology Act of 2006” – HR 4859 To establish electronic health records for federal workers, retirees, and their dependents, issues relating to health plans. Sponsor: Rep. Jon Porter "Medicare Data Access and Research Act" - S 3897 A bill to amend Titles XI and XVIII of the Social Security Act to provide for the sharing of certain data collected by the Centers for Medicare & Medicaid Services with certain agencies, research centers 1 2 3 4 5 6 7 8 9 10 11

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 985/S. 338: Bipartisan Commission on Medicaid Act of 2005. S. Con Res. 65/H. Con. Res. 231: A concurrent resolution recognizing the benefits and importance of Federally-qualified health centers and their Medicaid prospective payment system. H.R. 1819/S. 1593: Medicare Payment Adjustment to Community Health Centers (PATCH) Act of 2005.

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

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

Allied health Professions Reinvestment Act of 2005 (S.473/H.R.215); Patient Safety and Quality Improvement Act of 2005 (S.544); Rural Community Hospital Assistance Act (S.933/H.R.2350); Health Technology to Enhance Quality Act of 2005 & 21st Century Health Information Act (S.1262/H.R.2234); Medicare Value Purchasing Act of 2005 (S.1356/H.R.3617); National Medical Error Disclosure & Compensation Act of 2005 (S.1784); Health Improvement and Professionals Act of 2005 (H.R.139); Rural Health Equity Act (H.R.534/H.R.880); Health Information Technology Promotion Act of 2005/Hospital Pricing Transparency (H.R.4157); FFY 2007 Budget and Budget Resolutions; FFY 2007 Medicare Inpatient Hospital PPS Rules; FFY 2007 Medicare Inpatient Rehabilitation Facility PPS and 75% Rule; CY 2007 Medicare Outpatient PPS Rules; Pay for Performance; Not for Profit Hospital Tax-Exempt Status; Medicaid Regulations Affection States' Medicaid Financing Mechanisms; Hospital Charity Care/Financial Aid; Emergency Preparedness; Medicare Wage Index; Health Care Workforce Recruiting and Training Funding; Medical Error Reporting Health Technology to Enhance Quality Act of 2005 (S.4); Medical Care Access Protection Act of 2006 (S.22); Bipartisan Medicaid Commission (S.338/H.R.985); Medicaid Liability Reform (S.354/H.R.534);

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

43. H.R. 1539, a bill to amend the Public Health Service Act with respect to the responsibilities of a pharmacy when a pharmacist employed by the pharmacy refuses to fill a valid prescription for a drug 44. S. 338, the Bipartisan Commission on Medicaid Act of 2005 45. H.R. 985, the Bipartisan Commission on Medicaid Act of 2005 46. S. Con.Res.18, Budget FY2006 Appropriations resolution 47. H. Con.Res.95, 18, Budget FY2006 Appropriations resolution 48. S. 1262, the Health Technology to Enhance Quality Act of 2005 49. S.3678, the Pandemic and All-Hazards Preparedness Act 50. S.2564, the Biodefense and Pandemic Vaccine and Drug Development Act of 2006 51. H.R. 5533, the Biodefense and Pandemic Vaccine and Drug Development Act 52. H.R. 5262, Tax Free Savings Act of 2006 53. S. 3546, the Dietary Supplement and Nonprescription Drug Consumer Protection Act 54. H.R. 4157, the Health Information Technology Promotion Act of 2006 55. S. 2766, the National Defense Authorization Act for Fiscal Year 2007 56. H.R.5122, the National Defense Authorization Act for Fiscal Year 2007 57. S.2810, the Medicare Late Enrollment Assistance Act of 2006 58. H.R.5399, the Medicare Drug Benefit Enrollment Fairness Act of 2006 59. H.R. 5182, the Fair and Speedy Treatment (FAST) of Medicare Prescription Drug Claims Act of 2006 60. S. 2563, the Pharmacist Access and Recognition in Medicare (PhARM) Act of 2006 61. S. 2664, the Pharmacy Access Improvement (PhAIm) Act of 2006 62. H.R. 4769, the Prescription Drug Elimination Act of 2006 63. S. 2300, the Lower Prices With Increased Competition and Efficient Development of Drugs Act (the Lower Priced Drugs Act) 64. H.R. 5166 – The Independent Pharmacy Protection Act of 2006 65. S. 2181, the Medicare State Reimbursement Act 66. S. 2183, the Requiring Emergency Pharmaceutical Access for Individual Relief (REPAIR) Act 67. H.R. 4297, the Tax Relief Extension Reconciliation Act 68. H.R. 5384, the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2007 69. H.R.5441, the Department of Homeland Security Appropriations Act, 2007 70. S. 2020, Tax Relief Act of 2005 71. HR 5122 - FY2007 National Defense Authorization Act (joint project with the National Community Pharmacists Association for Coalition for Community Pharmacy Action) 72. HR 5182 - Fair and Speedy Treatment (FAST) of Medicare Prescription Drug Claims Act of 2006 (joint project with the National Community Pharmacists Association for Coalition for Community Pharmacy Action) 73. S. 2563 - Pharmacist Access and Recognition in Medicare (PHARM) Act of 2006 (joint project with the National Community Pharmacists Association for Coalition for Community Pharmacy Action) 74. S. 1932 - Deficit Reduction Act (joint project with the National Community Pharmacists Association for Coalition for Community Pharmacy Action) 1. H.R. 4241, the Deficit Reduction Act of 2005 2. S. 1932, the Senate Deficit Reduction Act of 2005 3. H.R. 6111, the Tax Relief and Health Care Act of 2006 4. H.R. 5280, the Dextromethorphan Distribution Act of 2006 5. S.3807. the Enhancing Drug Safety and Innovation Act of 2006 6. H.R. 6257, the Access to Life-Saving Medicine Act 7. H.R. 5970, the Estate Tax and Extension of Tax Relief Act of 2006 8. S. 1716, Emergency Health Care Relief Act of 2005 9. H.R. 4297, the Tax Relief Extension Reconciliation Act 10. H.R. 3010, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2006 11. S. 544, the Patient Safety and Quality Improvement Act of 2005 12. H.R. 3205, the Patient Safety and Quality Improvement Act of 2005 13. H.R. 1132, the National All Schedules Prescription Electronic Reporting Act of 2005 14. S. 518, the National All Schedules Prescription Electronic Reporting Act of 2005 15. S. 1392, the Federal Trade Commission Reauthorization Act of 2005 16. S. 334, the Pharmaceutical Market Access and Drug Safety Act 17. H.R. 700, the Pharmaceutical Market Access and Drug Safety Act of 2005 18. S. 309, the Pharmaceutical Market Access Act 19. H.R. 328, the Pharmaceutical Market Access Act 20. H.R. 3010, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2006 21. H.R. 1808, the Safe Online Drug Act of 2005 22. S. 399, the Ryan Haight Internet Pharmacy Consumer Protection Act of 2005 23. H.R. 840, the Ryan Haight Internet Pharmacy Consumer Protection Act of 2005 24. S. 14, the Fair Wage, Competition, and Investment Act of 2005 25. S. 534, the Health Efficient, Accessible, Low-Cost, Timely Healthcare Act of 2005 26. H.R. 5, the Health Efficient, Accessible, Low-Cost, Timely Healthcare Act of 2005 27. H.R. 1669, the Pharmacy Benefit Manager Transparency Act of 2005 28. H.R. 1671, the Community Pharmacy Fairness Act of 2005 29. S. 103, the Combat Meth Act of 2005 30. H.R. 314, the Combat Meth Act of 2005 31. S. 102, the Exile Meth Act 32. H.R. 313, the Exile Meth Act 33. H.R. 3889, Meth Epidemic Elimination Act 34. H.R. 1378, the Ephedrine Alkaloids Regulation Act of 2005 35. H.R. 2829, the Office of National Drug Control Policy Reauthorization Act of 2005 36. H.R. 3617, the Medicare Value-Based Purchasing for Physicians' Services Act of 2005 37. S. 1356, the Medicare Value Purchasing Act of 2005 38. S. 1408, the Identity Theft Protection Act 39. S. 1332, the Personal Data Privacy and Security Act of 2005 40. S. 930, the Food and Drug Administration Safety Act of 2005 41. H.R. 1652, the Access to Legal Pharmaceuticals Act 42. S. 809, the Access to Legal Pharmaceuticals Act See addendum

Client expense: $300,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, White House Office

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 438 - Medicare Access to Rehabilitation Services Act of 2005 S 345 - Medicare Prescription Drug Savings and Choice Act of 2005 S 338 - Bipartisan Commission on Medicaid Act of 2005 HR 985 - Bipartisan Commission on Medicaid Act of 2005 S 18 - Meeting our Responsibility to Medicare Beneficiaries Act of 2005 HR 916 - Medicare Access to Rehabilitation Services Act of 2005 HR 752 - Medicare Prescription Drug Savings and Choice Act of 2005 Citizenship Requirement for Medicaid Coverage Asset Transfer Requirement for Long Term Care Medicaid Coverage

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

Government targets: Bureau of Citizenship & Immigration Services (BCIS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), SENATE, State, Dept of (DOS), Treasury, Dept of, 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 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

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

Health Technology to Enhance Quality Act of 2005 (S.4); Medical Care Access protection Act of 2006 (S.22); Bipartisan Medicaid Commission (S.338/H.R.985); Medicaid Liability Reform (S.354/H.R.534); Allied Health Professions Reinvestment Act of 2005 (S.473/H.R.215); Patient Safety and Quality Improvement Act of 2005 (S.544); Rural Community Hospital Assistance Act (S.933/H.R.2350); Health Technology to Enhance Quality Act of 2005 & the 21st Century Health Information Act (S.1262/H.R.2234); Medicare Value Purchasing Act of 2005 (S.1356/H.R.3617); National Medical Error Disclosure & Compensation Act of 2005 (S.1784); Health Improvement and Professionals Act of 2005 (H.R.139); Rural Health Equity Act (H.R.534/H.R.880); Health Information Technology Promotion Act of 2005/Hospital Pricing Transparency (H.R.4157); FFY 2007 Budget and Budget Resolutions; FFY 2007 Medicare Inpatient Hospital PPS Rules; FFY 2007 Medicare Inpatient Rehabilitation Facility PPS and 75% Rule; CY 2007 Medicare Outpatient PPS Rules; Pay for Performance; Not-for-profit Hospital Tax-Exempt Status; Medicaid Regulations Affecting States' Medicaid Financing Mechanisms; Hospital Charity Care/Financial Aid; Emergency Preparedness; Medicare Wage Index; Health Care Workforce Recruiting and Training Funding; Medical Error Reporting

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. H.R. 4241, House Deficit Reduction Act of 2005 2. S. 1932, Senate Deficit Reduction Act of 2005 3. H.R. 3199, USA Patriot Act Reauthorization 4. S. 1716, Emergency Health Care Relief Act of 2005 5. H.R. 4297, the Tax Relief Extension Reconciliation Act 6. H.R. 3010, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2006 7. S. 544, the Patient Safety and Quality Improvement Act of 2005 8. H.R. 3205, the Patient Safety and Quality Improvement Act of 2005 9. H.R. 1132, the National All Schedules Prescription Electronic Reporting Act of 2005 10. S. 518, the National All Schedules Prescription Electronic Reporting Act of 2005 11. S. 1392, the Federal Trade Commission Reauthorization Act of 2005 12. S. 334, the Pharmaceutical Market Access and Drug Safety Act 13. H.R. 700, the Pharmaceutical Market Access and Drug Safety Act of 2005 14. S. 309, the Pharmaceutical Market Access Act 15. H.R. 328, the Pharmaceutical Market Access Act 16. S.3, the Protecting America in the War on Terror Act of 2005 17. H.R. 3010, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2006 18. H.R. 1808, the Safe Online Drug Act of 2005 19. S. 399, the Ryan Haight Internet Pharmacy Consumer Protection Act of 2005 20. H.R. 840, the Ryan Haight Internet Pharmacy Consumer Protection Act of 2005 21. S. 14, the Fair Wage, Competition, and Investment Act of 2005 22. S. 534, the Health Efficient, Accessible, Low-Cost, Timely Healthcare Act of 2005 23. H.R. 5, the Health Efficient, Accessible, Low-Cost, Timely Healthcare Act of 2005 24. H.R. 1669, the Pharmacy Benefit Manager Transparency Act of 2005 25. H.R. 1671, the Community Pharmacy Fairness Act of 2005 26. S. 103, the Combat Meth Act of 2005 27. H.R. 314, the Combat Meth Act of 2005 28. S. 102, the Exile Meth Act 29. H.R. 313, the Exile Meth Act 30. H.R. 3889, Meth Epidemic Elimination Act 31. H.R. 1446, the Methamphetamine Abuse Prevention Act of 2005 32. H.R. 1055, the Comprehensive Methamphetamine Response Act 33. H.R. 1056, the Methamphetamine Precursor Control Act of 2005 34. H.R. 1378, the Ephedrine Alkaloids Regulation Act of 2005 35. H.R. 2829, the Office of National Drug Control Policy Reauthorization Act of 2005 36. H.R. 3617, the Medicare Value-Based Purchasing for Physicians' Services Act of 2005 37. S. 1356, the Medicare Value Purchasing Act of 2005 38. S. 1408, the Identity Theft Protection Act 39. S. 1332, the Personal Data Privacy and Security Act of 2005 40. S. 930, the Food and Drug Administration Safety Act of 2005 41. H.R. 1652, the Access to Legal Pharmaceuticals Act 42. S. 809, the Access to Legal Pharmaceuticals Act 43. H.R. 1539, a bill to amend the Public Health Service Act with respect to the responsibilities of a pharmacy when a pharmacist employed by the pharmacy refuses to fill a valid prescription for a drug 44. S. 338, the Bipartisan Commission on Medicaid Act of 2005 45. H.R. 985, the Bipartisan Commission on Medicaid Act of 2005 46. S. Con.Res.18, Budget FY2006 Appropriations resolution 47. H. Con.Res.95, 18, Budget FY2006 Appropriations resolution 48. S. 1262, the Health Technology to Enhance Quality Act of 2005 49. S.3678, the Pandemic and All-Hazards Preparedness Act 50. S.2564, the Biodefense and Pandemic Vaccine and Drug Development Act of 2006 51. H.R. 5533, the Biodefense and Pandemic Vaccine and Drug Development Act 52. H.R. 5262, Tax Free Savings Act of 2006 53. S. 3546, the Dietary Supplement and Nonprescription Drug Consumer Protection Act 54. H.R. 4157, the Health Information Technology Promotion Act of 2005 55. S. 2766, the National Defense Authorization Act for Fiscal Year 2007 56. S.2810, the Medicare Late Enrollment Assistance Act of 2006 57. H.R.5399, the Medicare Drug Benefit Enrollment Fairness Act of 2006 58. H.R. 5182, the Fair and Speedy Treatment (FAST) of Medicare Prescription Drug Claims Act of 2006 59. S. 2563, the Pharmacist Access and Recognition in Medicare (PhARM) Act of 2006 60. S. 2664, the Pharmacy Access Improvement (PhAIm) Act of 2006 61. H.R. 4769, the Prescription Drug Elimination Act of 2006 62. S. 2300, the Lower Prices With Increased Competition and Efficient Development of Drugs Act (the Lower Priced Drugs Act) 63. H.R. 5166 – The Independent Pharmacy Protection Act of 2006 64. S. 2181, the Medicare State Reimbursement Act 65. S. 2183, the Requiring Emergency Pharmaceutical Access for Individual Relief (REPAIR) Act 66. H.R. 4297, the Tax Relief Extension Reconciliation Act 67. H.R. 5384, the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2007 68. H.R.5441, the Department of Homeland Security Appropriations Act, 2007 69. S. 2020, Tax Relief Act of 2005

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

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Personnel Management (OPM), 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

Bipartisan Medicaid Commission (S.338/H.R.985); Rural Health Equity Act (S.pending/H.R.534); Medical Liability Reform/Help Efficient, Accessible, Low Cost, Timely Health Care Act of 2005 (S.354/H.R.534); Health Improvement and Professionals Act of 2005 (S.pending/H.R.139); Patient Safety/Patient Safety and Quality Improvement Act of 2005 (S.544/H.R. Pending); Allied Health Professions Reinvestment Act of 2005 (S.473/H.R.215)

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

***, no specific bill number(s), Medicare implementation; Medigap; HR 985 and S.338, Bipartisan Commission on Medicaid Act of 2005, entire bill; S.1932, Deficit Reduction Omnibus Reconciliation Act of 2005, Medicare and Medicaid.

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

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

Federal Health Coverage Expansions-S.827, S.1244; Kids Federal Health Coverage Expansions-H.R.525/S.406; Small Business Health Fairness Act; Start Healthy, Stay Healthy Act of 2005-S.740; Oral Health Promotion Act of 2005-H.R.594; Kids Come First Act-S.114/H.R.1662; Reform Health Care Now-S.934; Small Business Health Insurance Expansion Act-H.R.2001; Family Care Act of 2005-H.R.2071; Medikids Health Insurance Act-S.1303/H.R.3055; Bi-Partisan Committee on Medicaid Act-H.R.985/S.3381; Medicare PATCH Act-H.R.1819/S.1593; Core Act Community Options for Rural Elders Act-S.1067; Small Employers Health Benefits Program-S.637/H.R.1955; Ending Medicare Disability Waiting Period-S.1217; Medicare Modernization Act of 2003 Implementation; (HCR 231/SCR65 PPS Resolution); Bi-partisan Medicaid Commission-S.338/H.R.985; Medicare Heals Act-S.1822; Medicare Enhancements for Needed Drugs Act of 2005-S.239; Medicare Part D Reform Act-S.2440; Adult Day Care Services Act of 2005-S.1981; Budget Deficit Act-S.1932/H.R.4241.

Client expense: $260,000 · Firm income: Not reported

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

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

S.1356 "Medicare Value Purchasing Act" S.124 "Repeal of the Medicare Advantage Stabilization Fund" S.Con Res.18 (Budget Resolution) S.338 "Bipartisan Commission on Medicaid Act of 2005"

Client expense: Not reported · Firm income: $105,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1356 "Medicare Value Purchasing Act" S.124 "Repeal of the Medicare Advantage Stabilization Fund" S.Con Res.18 (Budget Resolution) S.338 "Bipartisan Commission on Medicaid Act of 2005"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Bipartison Medicaid Commission (S338/H.R.985); Health Improvement and Professionals Act of 2005 (S.Pending/H.R.139); Allied Health Professions Reinvestment Act of 2005 (S.473/H.R.215); Rural Health Equity Act (S.Pending/H.R.534); Medical Liability Reform/Help Efficient, Accessible, Low Cost, Timely Health Care Act of 2005 (S.354/H.R.534); Patient Safety/Patient Safety and Quality Improvement Act of 2005 (S.544/H.R.Pending)

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE