Rural Community Hospital Assistance Act of 2005

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

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

Agriculture/food-related provisions of: H.R.328, to amend the Federal Food, Drug and Cosmetic Act. H.R.653, to amend title II of the Social Security Act. H.R.700, to amend the Federal Food, Drug and Cosmetic Act. H.R.750, to amend the Social Security Act and the Internal Revenue Code of 1986. H.R.880, to amend Part C of title XVIII of Social Security Act regarding rural health care. H.R.1626, to amend part C of title XVII of the Social Security Act. H.R.1776, to reform Social Security. H.R.1819, to amend title XVIII of the Social Security Act. H.R.2014, to amend title XVIII of the Social Security Act regarding rural health care. H.R.2073, to amend the Internal Revenue Code of 1986. H.R.2350, to amend title XVIII of the Social Security Act regarding rural health care. H.R.2525, to amend title XVIII of the Social Security Act regarding rural health care. H.R.2562, to reauthorize the Office of National Drub Control Policy Act. S.292, to establish a procedure to safeguard the Social Security Trust Funds. S.334, to amend the Federal Food, Drug and Cosmetic Act. S.933, to amend title XVIII of the Social Security Act regarding rural health care. S.1108, to amend title XVIII of the Social Security Act regarding rural health care. S.1109, to amend title XVIII of the Social Security Act regarding rural health care. S.1952, to provide grants for rural health information technology development. Issues other than legislation: Expansion of health care access and opportunities in rural areas. Funding for rural health care facilities. Patients “Bill of Rights” proposals. Social Security.

Client expense: $511,000 · Firm income: Not reported

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.

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

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

Iroquois Healthcare Alliance Federal legislation for July 31-Dec. 31, 2006: Health Care Access and Rural Equity (H-CARE) Act of 2006[H.R.6030.IH] Health Workforce Advisory Commission Act of 2005 [S.831.IS] States' Right To Innovate in Health Care Act of 2005 [H.R.3891.IH] 21st Century Health Information Act of 2005[H.R.2234.IH] Allied Health Reinvestment Act [S.473.IS] Electronic Health Information Technology Act of 2006 [H.R.4832.IH] Health Information Technology Promotion Act of 2006 [H.R.4157.EH] Information Technology for Health Care Quality Act [S.1223.IS] Better Health Information System Act of 2006[H.R.4157.RH] Prompt Payment of Health Benefits Claims Act of 2006 [S.2551.IS] Wired for Health Care Quality Act [H.R.4726.IH] Healthy Communities Act of 2005 [S.2047.IS] Allied Health Professions Reinvestment Act of 2005 [H.R.215.IH][S.473.IS] HEALTH Act of 2005 [S.354.IS] Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2005 [H.R.5.IH] Health Information Technology Promotion Act of 2006 [H.R.4157.EH] Patient Safety and Quality Improvement Act Rural Community Hospital Assistance Act of 2005 (Introduced in Senate)[S.933.IS][H.R.2350.IH] Health Care Access and Rural Equity (H-CARE) Act of 2006 [H.R.6030.IH] See attached

Client expense: $120,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

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

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

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

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

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 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

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