Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007

SCHIP Extension Act fo 2007; H.R.3936: Physician Fee Schedule Issues; H.R.4206 and S.2702: Medicare Fracture Prevention & Osteoporosis Testing Act; H.R.583 Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act of 2007; S. 1042 H.R. 2931: Osteoporosis Early Detection and Prevention Act of 2007; H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008 (P.L. No. 110-275)

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

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

E-Prescribing, S. 2408/HR 4296 Medicare Electronic Medication and Safety Protection Act, Physician Disclosure, HR 5605/ S 2029 - Physician Payments Sunshine Act, Physician Reimbursement/Medicare Physician Fee Schedule, HR 3162, Children's Health and Medicare Protection Act, S. 2785, Save Medicare Act, HR 5545/S.2729 Ensuring the Future Physician Workforce, HR 5445 - to increase Medicare payments for physicians' services, Imaging, HR 1293/S1338, Access to Medicare Imaging Act, Health Information Technology S 1042/HR 583 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act Appropriateness Criteria and Accreditation National Coverage Decision on CTA (CMS) National Coverage Decision on Percutaneous Transluminal Angioplasty concurrent w/Stenting (CMS) Quality Improvement (PQRI) Specialty Hospitals Comparative Effectiveness HR 6331, Medicare Improvements for Patients and Providers Act of 2008 S. 3101, the Medicare Improvements for Patients and Providers Act of 2008 S. 3118, Preserving Access to Medicare Act of 2008 Cardiac Magnetic Resonance Services Coverage for Carotid Stenting IDTF and Anti-markip rules in Physician Fee Schedule

Client expense: $750,000 · 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), SENATE

HR 583/S. 1042 - Education and certification standards for technical personnel performing medical imaging and radiation therapy.

Client expense: $94,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Medicare Payment Advisory Commission (MedPAC), SENATE

HR 583 / S 1042 - Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act of 2007: facility accreditation of physicians who perform ultrasound services. Food and Drug Administration Globalization Act of 2008: draft legislative specifications.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1642/H.R. 4137, Higher Education Amendments of 2007 S. 1042/H.R. 583, Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007 (CARE Act) S. 22, Post-9/11 Veterans Educational Assistance Act S. 3339, Bill to Amend Post -9/11 GI Bill S. 1782/H.R. 3010, Arbitration Fairness Act of 2007 S. 1217/H.R. 2352, School Safety Enhancements Act of 2007 S. 2041/H.R. 4854, False Claims Act Correction Act of 2007 S. 231/H.R. 3546, legislation to authorize the Edward Byrne Memorial Justice Assistance Grant Program at fiscal year 2006 levels through 2012 H.R. 6160, Roosevelt Scholars Act of 2008 H.R. 6889, Legislation to extend the authority of the Secretary of Education to Purchase Guaranteed Student Loans for a Additional Year

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 6331 (Medicare Improvements for Patients and Providers Act of 2008) to stabilize Medicare physician payments S 2785 (Save Medicare Act of 2008) to stabilize Medicare physician payments HR 2749 / S 1519 (Voluntary Medicare Quality Reporting Act of 2007) to evaluate the Physician Quality Reporting Initiative HR 1078 (Comprehensive Cancer Care Improvement Act of 2007) to expand cancer care planning, comprehensive symptom management and to authorize demonstrations for hospice and palliative care for cancer patients S 2029 (Physicians Payment Sunshine Act of 2007) to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid, or SCHIP HR 583 / S 1042 (Consistency Accuracy Responsibility in Medical Imaging and Radiation Therapy Act of 2007) to establish standards for personnel who perform, plan, evaluate, or verify patient dose for medical imaging studies and radiation therapy treatments Encourage President Bush to consider an executive order to remove radiation therapy from the "in-office ancillary" services list of designated health services.

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

Government targets: HOUSE OF REPRESENTATIVES, Nuclear Regulatory Commission (NRC), SENATE

Medicare coverage for ultrasound services; H.R. 583 and S. 1042 (the CARE Act)

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

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

SCHIP Extension; H.R.3963: Physician Fee Schedule; Children's Health Insurance Program Reauthorization of 2007; CY2008 Physician Fee Schedule Sustainable Growth Rate issues; H.R.4206/S.2702: Medicare Fracture Prevention & Osteoporosis Testing Act; H.R.583 Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act of 2007; S.1042/H.R.2931: Osteoporosis Early Detection and Prevention Act; H.R. 6331 Medicare Improvements for Patients (P.L. 110-275

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

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

E-Prescribing, S. 2408/HR 4296 Medicare Electronic Medication and Safety Protection Act, Physician Disclosure, HR 5605/ S 2029 - Physician Payments Sunshine Act, Physician Reimbursement/Medicare Physician Fee Schedule, HR 3162, Children's Health and Medicare Protection Act, S. 2785, Save Medicare Act, HR 5545/S.2729 Ensuring the Future Physician Workforce, HR 5445 - to increase Medicare payments for physicians' services, Imaging, HR 1293/S1338, Access to Medicare Imaging Act, Health Information Technology S 1042/HR 583 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act Appropriateness Criteria and Accreditation National Coverage Decision on CTA (CMS) National Coverage Decision on Percutaneous Transluminal Angioplasty concurrent w/Stenting (CMS) Quality Improvement (PQRI) Specialty Hospitals Comparative Effectiveness HR 6331, Medicare Improvements for Patients and Providers Act of 2008 S. 3101, the Medicare Improvements for Patients and Providers Act of 2008 S. 3118, Preserving Access to Medicare Act of 2008 Cardiac Magnetic Resonance Services Coverage for Carotid Stenting IDTF and Anti-markip rules in Physician Fee Schedule Value-based Purchasing

Client expense: $460,000 · 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), SENATE

SCHIP Extension;H.R. 3963: Phyysician Fee Schedule issues;H.R. 4206 and S. 2702: Medicare Fracture Prev. and Osteoporosis Testing Act;H.R. 583: Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007;S. 1042: ;H.R. 2931: Osteoporosis Early Detection and Prevention Act of 2007; H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008 (Pub.L.No. 110-275)

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

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

HR 583 and S 1042, Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation, issues related to training and certification of ultrasound and imaging personnel. HR 6331 and S 3101, Medicare Improvements for Patients and Providers Act of 2008, issues relating to Medicare training and certification of imaging personnel. CONTINUED ON NEXT PAGE [CMS-1403-P] Revisions to Payment Policies under the Physician Fee Schedule and other Part B payment policies for CY 2009; issues relating to Independent Diagnostic Testing Facilities.

Client expense: Not reported · Firm income: $50,000

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

HR 583 and S 1042, Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation, issues related to training and certification of ultrasound and imaging personnel. HR 6331 and S 3101, Medicare Improvements for Patients and Providers Act of 2008, issues relating to Medicare training and certification of imaging personnel.

Client expense: Not reported · Firm income: $50,000

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

**see addendum page S. 2029 - Physician Payments Sunshine Act of 2007, disclosure H.R. 5605 - Physician Payments Sunshine Act of 2008, disclosure S. 1042 - Consistency, Accuracy, Responsibility and Excellence in Imaging Act, to improve imaging S. 2449 - Sunshine in Litigation Act of 2007, settlement disclosure H.Res. 1216 - a resolution to reduce unnecessary radiation exposure through CT scans to children S. 3409 - Drug and Device Accountability Act of 2008, Import Safety ***, no specific bill number, Import Safety

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

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

H.R.583 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007 H.R.3173 - Improving Emergency Medical Care and Response Act of 2007 H.R.4321 - Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2007 H.R.5942 - National Trauma Center Stabilization Act of 2008 S.1042 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007 S.1873 - Improving Emergency Medical Care and Response Act of 2007 S. 2319 - National Trauma Center Stabilization Act of 2007

Client expense: $482,302 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.583 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007 H.R.882 - Access to Emergency Medical Services Act of 2007 H.R.1108 - Family Smoking Prevention and Tobacco Control Act H.R.1233 - Mitigating the Impact of Uncompensated Service and Time Act of 2007 H.R.2050 - Medicaid Emergency Psychiatric Care Act of 2007 H.R. 2164 - Medicare Ambulance Payment Extension Act H.R.2464 - Wakefield Act H.R.2583 - Physician Workforce and Graduate Medical Education Enhancement Act of 2007 H.R.2584 - High-Need Physician Workforce Incentives Act of 2007 H.R.2749 - Voluntary Medicare Quality Reporting Act H.R.3163 - Healthy Americans Act H.R.3344 - Treat Physicians Fairly Act of 2007 H.R.3495 - Kids in Disasters Well-Being, Safety and Health Act of 2007 H.R.3800 - Promoting Health Information Technology Act H.R.4321 - Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2007 H.R.4736 - To Amend Part B of title XVIII of the Social Security Act to repeal limiting charges under the Medicare Program for non-participating physicians and to preempt State laws that prohibit balance billing H.R.5545 - Ensuring the Future Physician Workforce Act of 2008 H.R.5605 - Physician Payments Sunshine Act of 2008 H.R.5613 - Protecting the Medicaid Safety Net Act of 2008 H.R.5942 - National Trauma Center Stabilization Act of 2008 H.R.6091 - Save Medicare Act of 2008 H.R.6357 - Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 H.R.6898 - Health-e Information Technology Act of 2008 P.L.110-343 - Emergency Economic Stabilization Act of 2008 (Specifically - Subtitle B: Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 P.L.110-355 - Health Care Safety Net Act of 2008 P.L.110-377 - Poison Center Support, Enhancement and Awareness Act of 2008 P.L. 110-379 - QI Program Supplemental Funding Act of 2008 P.L.110-381 - Michelle's Law S.60 Wakefield Act S.334 Healthy Americans Act S.625 - Family Smoking Prevention and Tobacco Control Act S.1003 - Access to Emergency Medical Services Act of 2007 S.1042 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007 S.1310 - Medicare Ambulance Payment Extension Act S.1519 - Voluntary Medicare Quality Reporting Act S.1693 - Wired for Health Care Quality Act S.1970 Kids in Disasters Well-Being, Safety and Health Act of 2007 S.2029 - Physician Payments Sunshine Act of 2007 S. 2319 - National Trauma Center Stabilization Act of 2007 S.2406 - Medicaid Emergency Psychiatric Care Act of 2007 S.2729 - Ensuring the Future Physician Workforce Act of 2008 S.2785 - Save Medicare Act of 2008 S.2819 - Economic Recovery in Health Care Act of 2008

Client expense: $482,302 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1042 the Consistency, Accuracy Responsibility and Excellence in Medical Imaging and Radiation Therapy of 2007 H.R. 583 the Consistency, Accuracy Responsibility and Excellence in Medical Imaging and Radiation Therapy of 2007 S. 2499 - Medicare, Medicaid SCHIP Extension Act of 2007,all provisions relating to standards for medical imaging Recognition of Radiologist Assistants under Medicare Part B H.R. 6331 Medicare Improvements for Patients and Providers Act, provisions involving the establishment of minimum education and credentialling standards for personnel performing medical imaging procedures

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

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

SCHIP Extension Act fo 2007; H.R.3936: Physician Fee Schedule Issues; H.R.4206 and S.2702: Medicare Fracture Prevention & Osteoporosis Testing Act; H.R.583 Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act of 2007; S. 1042 H.R. 2931: Osteoporosis Early Detection and Prevention Act of 2007; H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008 (P.L. No. 110-275)

Client expense: $70,000 · Firm income: Not reported

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

HR 583 and S. 1042 - the Consistency, Accuracy, Responsibility & Excellence in Medical Imaging & Radiation Therapy bill

Client expense: $117,000 · Firm income: Not reported

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

S. 1642/H.R. 4137, Higher Education Amendments of 2007 S. 1042/H.R. 583, Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007 (CARE Act) S. 22, Post-9/11 Veterans Educational Assistance Act S. 3339, Bill to Amend Post -9/11 GI Bill S. 1782/H.R. 3010, Arbitration Fairness Act of 2007 S. 1217/H.R. 2352, School Safety Enhancements Act of 2007 S. 2041/H.R. 4854, False Claims Act Correction Act of 2007 S. 231/H.R. 3546, legislation to authorize the Edward Byrne Memorial Justice Assistance Grant Program at fiscal year 2006 levels through 2012 H.R. 6160, Roosevelt Scholars Act of 2008 H.R. 6889, Legislation to extend the authority of the Secretary of Education to Purchase Guaranteed Student Loans for a Additional Year

Client expense: Not reported · Firm income: $70,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1642/H.R. 4137, Higher Education Amendments of 2007 S. 1042/H.R. 583, Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007 (CARE Act) S. 22, Post-9/11 Veterans Educational Assistance Act S. 3339, Bill to Amend Post -9/11 GI Bill S. 1782/H.R. 3010, Arbitration Fairness Act of 2007 S. 1217/H.R. 2352, School Safety Enhancements Act of 2007 S. 2041/H.R. 4854, False Claims Act Correction Act of 2007 S. 231/H.R. 3546, legislation to authorize the Edward Byrne Memorial Justice Assistance Grant Program at fiscal year 2006 levels through 2012 H.R. 6160, Roosevelt Scholars Act of 2008 H.R. 6889, Legislation to extend the authority of the Secretary of Education to Purchase Guaranteed Student Loans for a Additional Year

Client expense: Not reported · Firm income: $50,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

**see addendum page S. 2029 - Physician Payments Sunshine Act of 2007, disclosure H.R. 5605 - Physician Payments Sunshine Act of 2008, disclosure S. 1042 - Consistency, Accuracy, Responsibility and Excellence in Imaging Act, to improve imaging S. 2449 - Sunshine in Litigation Act of 2007, settlement disclosure H.Res. 1216 - a resolution to reduce unnecessary radiation exposure through CT scans to children S. 3409 - Drug and Device Accountability Act of 2008, Import Safety ***, no specific bill number, Import Safety

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

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

H.R. 583/S. 1042 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act

Client expense: Not reported · Firm income: $70,000

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

SCHIP Extension Act;H.R. 3963: Phyysician Fee Schedule issues;H.R. 4206 and S. 2702: Medicare Fracture Prev. and Osteoporosis Testing Act;H.R. 583: Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007;S. 1042: ;H.R. 2931: Osteoporosis Early Detection and Prevention Act of 2007; H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008 (Pub.L.No. 110-275)

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

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

Lobbying member staff of House and Senate to extend current Medicare brachytherapy reimbursement payment methodology in H.R. 6331 and S. 3101, "Medicare Improvements for Patients and Providers Act of 2008"; modifications to CMS's OPPS rule. Lobbying member staff of the Senate on H.R. 583 and S. 1042 to exclude ultrasound guided vascular access procedures from the scope of the bill. Worked on lobbying strategy for House and Senate Import Safety discussion drafts.

Client expense: $5,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.583 - Consistency, Accuracy, Responsibility, & Excellence (CARE) in Medical Imaging & Radiation Therapy Act of 2007 H.R.882 - Access to Emergency Medical Services Act of 2007 H.R.1108 - Family Smoking Prevention and Tobacco Control Act H.R.1233 - Mitigating the Impact of Uncompensated Services & Time Act of 2007 H.R.1343 - Health Centers Renewal Act of 2008 H.R.1424 - Paul Wellstone Mental Health & Addiction Equity Act of 2007 H.R.1553 - Caroline Pryce Walker Conquer Childhood Cancer Act of 2008 H.R.2164 - Medicare Ambulance Payment Extension Act H.R.2464 - Wakefield Act H.R.2583 - Physician Workforce & Guidance Medical Education Enhancement Act of 2007 H.R.2584 - High-Need Physician Workforce Incentives Act of 2007 H.R.2638 - Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009 H.R.2749 - Voluntary Medicare Quality Reporting Act H.R.2851 - Michelle's Law H.R.3163 - Healthy Americans Act H.R.3173 - Improving Emergency Medical Care & Response Act of 2007 H.R.3344 - Treat Physicians Fairly Act of 2007 H.R.3403 - 911 Modernization and Public Safety Act H.R.3495 - Kids in Disasters Well-Being, Safety & Health Act of 2007 H.R.3800 - Promoting Health Information Technology (PHIT) Act H.R.4321 - Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2007 H.R.4736 - To Amend Part B of Title XVIII of the Social Security Act to Repeal Limiting Charges Under the Medicare Program for Non-Participating Physicians and to Preempt State Laws that Prohibit Balance Billing H.R.5545 - Ensuring the Future Physician Workforce Act of 2008 H.R.5605 - Physician Payments Sunshine Act of 2008 H.R.5613 - Protecting the Medicaid Safety Net Act of 2008 H.R.5669 - Poison Center Support, Enhancement & Awareness Act of 2008 H.R.5942 - National Trauma Center Stabilization Act of 2008 H.R.6091 - Save Medicare Act of 2008 H.R.6331 - Medicare Improvements for Patients & Providers Act (MIPPA) of 2008 H.R.6357 - Protecting Records, Optimizing Treatment, and Easing Communication Through Healthcare Technology Act of 2008 H.R.6898 - Health-e Information Technology Act of 2008 P.L.110-252 - Supplemental Appropriations Act of 2008 S.60 - Wakefield Act S.334 - Healthy Americans Act S.558 - Mental Health Parity Act of 2007 S.625 - Family Smoking Prevention and Tobacco Control Act S.901 - Health Care Safety net Act of 2007 S.911 - Conquer Childhood Cancer Act of 2007 S.1003 - Access to Emergency Medical Services Act of 2007 S.1042 - Consistency, Accuracy, Responsibility, & Excellence (CARE) in Medical Imaging & Radiation Therapy Act of 2007 S.1310 - Medicare Ambulance Payment Extension Act S.1519 - Voluntary Medicare Quality Reporting Act S.1693 - Wired for Health Care Quality Act S.1873 - Improving Emergency Medical Care & Response Act of 2007 S.1970 - Kids in Disasters Well-Being, Safety & Health Act of 2007 S.2029 - Physician Payments Sunshine Act of 2007 S.2319 - National Trauma Center Stabilization Act of 2007 S.2406 - Medicaid Emergency Psychiatric Care Act of 2007 S.2729 - Ensuring the Future Physician Workforce Act of 2008 S.2785 - Save Medicare Act of 2008 S.2819 - Economic Recovery in Health Care Act of 2008 S.2932 - Poison Center Support, Enhancement & Awareness Act of 2008 S.3101 - Medicare Improvements for Patients & Providers Act (MIPPA) of 2008 S.3560 - QI Program Supplemental Funding Act of 2008

Client expense: $528,537 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare coverage for ultrasound services; H.R. 583 and S. 1042 (the CARE Act)

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

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

HR 583 and S 1042, Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation, issues related to training and certification of ultrasound and imaging personnel. HR 6331, Medicare Improvements for Patients and Providers Act of 2008, issues relating to Medicare reimbursement codes for imaging procedures.

Client expense: Not reported · Firm income: $50,000

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

HR 583 and S 1042, Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation, issues related to training and certification of ultrasound and imaging personnel. HR 6331, Medicare Improvements for Patients and Providers Act of 2008, issues relating to Medicare reimbursement codes for imaging procedures.

Client expense: Not reported · Firm income: $50,000

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

**see addendum page S. 2029 - Physician Payments Sunshine Act of 2007, disclosure H.R. 5605 - Physician Payments Sunshine Act of 2008, disclosure S. 1042 - Consistency, Accuracy, Responsibility and Excellence in Imaging Act, to improve imaging S. 2449 - Sunshine in Litigation Act of 2007, settlement disclosure H.Res. 1216 - a resolution to reduce unnecessary radiation exposure through CT scans to children S. 3409 - Drug and Device Accountability Act of 2008, Import Safety ***, no specific bill number, Import Safety

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

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

HR 583 / S 1042 - Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act of 2007: facility accreditation of physicians who perform ultrasound services Food and Drug Administration Globalization Act of 2008: draft legislative specifications

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 2785 (Save Medicare Act of 2008) to stabilize Medicare physician payments. HR 6331 (Medicare Improvements for Patients and Providers Act of 2008) to stabilize Medicare physicians payments. HR 2749/ S 1519 (Voluntary Medicare Quality Reporting Act of 2007) to evaluate the Physician Quality Reporting Initiative. HR 583/ S 1042 (Consistency Accuracy Responsibility (CARE) in Medical Imagining and Radiation Therapy Act of 2007) to establish standards for personnel who perform, plan, evaluate, or verify patient dose for medical imagining studies and radiation therapy standards. HR 1078 (Comprehensive Cancer Care Improvement Act of 2007) to expand cancer care planning, comprehension system management and to authorize demonstrations for hospice and palliative care for cancer patients. S 2029 (Physicians Payments Sunshine Act of 2007) to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid, or SCHIP.

Client expense: $50,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1042 the Consistency, Accuracy Responsibility and Excellence in Medical Imaging and Radiation Therapy of 2007 H.R. 583 the Consistency, Accuracy Responsibility and Excellence in Medical Imaging and Radiation Therapy of 2007 S. 2499 - Medicare, Medicaid SCHIP Extension Act of 2007,all provisions relating to standards for medical imaging Recognition of Radiologist Assistants under Medicare Part B H.R. 6331 Medicare Improvements for Patients and Providers Act, provisions involving the establishment of minimum education and credentialling standards for personnel performing medical imaging procedures

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

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

E-Prescribing, S. 2408/HR 4296 Medicare Electronic Medication and Safety Protection Act, Physician Disclosure, HR 5605/ S 2029 - Physician Payments Sunshine Act, Physician Reimbursement/Medicare Physician Fee Schedule, HR 3162, Children's Health and Medicare Protection Act, S. 2785, Save Medicare Act, HR 5545/S.2729 Ensuring the Future Physician Workforce, HR 5445 - to increase Medicare payments for physicians' services, Imaging, HR 1293/S1338, Access to Medicare Imaging Act, Health Information Technology S 1042/HR 583 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act Appropriateness Criteria and Accreditation National Coverage Decision on CTA (CMS) National Coverage Decision on Percutaneous Transluminal Angioplasty concurrent w/Stenting (CMS) Quality Improvement (PQRI) Specialty Hospitals Comparative Effectiveness HR 6331, Medicare Improvements for Patients and Providers Act of 2008 S. 3101, the Medicare Improvements for Patients and Providers Act of 2008 S. 3118, Preserving Access to Medicare Act of 2008

Client expense: $490,000 · 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), SENATE

S. 1642/H.R. 4137, Higher Education Amendments of 2007 S. 1042/H.R. 583, Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007 (CARE Act) S. 22, Post-9/11 Veterans Educational Assistance Act H.R. 5715, Ensuring Continued Access to Student Loans Act of 2008 S. 1217/H.R. 2352, School Safety Enhancements Act of 2007 S. 2041/H.R. 4854, False Claims Act Correction Act of 2007 H.R. 3546/S. 231, legislation to authorize the Edward Byrne Memorial Justice Assistance Grant Program at fiscal year 2006 levels through 2012 H.R. 6160, Roosevelt Scholars Act of 2008

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Sought directive legislative language (no bill) regarding Dept. of Defense mental health services; S.1042 Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act; development of pilot project for radiology benefit management; H.R.6331 Medicare Improvements for Patients & Providers Act; S.3101 Medicare Improvements for Patients & Providers Act; S.3118 Preserving Access to Medicare Act

Client expense: $70,000 · Firm income: Not reported

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

Lobbying member staff of House and Senate on Medicare brachytherapy reimbursement payment methodology in Medicare bill to modify CMS's OPPS rule. Lobbying member staff of House and Senate on H.R. 583 and S. 1042, "Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act of 2007," to exclude ultrasound guided vascular access procedures from the bill.

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

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

Lobbying member staff of House and Senate to extend current Medicare brachytherapy reimbursement payment methodology in H.R. 6331 and S. 3101, "Medicare Improvements for Patients and Providers Act of 2008"; modifications to CMS's OPPS rule. Lobbying member staff of House and Senate on H.R. 583 and S. 1042 to exclude ultrasound guided vascular access procedures from the scope of the bill. Seek physician payment fix for certain products covered under Medicare's Physican Fee Schedule Payment rule for 2008.

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

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

H.R. 583/S. 1042 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act

Client expense: Not reported · Firm income: $70,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR6331 "Medicare Improvement for Patients and Providers Act" S2785- Save Medicare Acot of 2008 S1042- Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007 S 631- Remote Monitoring Access Act of 2008 HR 4105- Medicare Recovery Audit Contractor Program Moratorium Act of 2007 HR 5765- Medicare Remote Monitoring Access Act of 2008 S 3118- Preserving Access to Medicare Act of 2008 S 3101- Medicare Improvements for Patients and Providers Act of 2008

Client expense: $41,291 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

E-Prescribing, S. 2408/HR 4296 Medicare Electronic Medication and Safety Protection Act, Physician Disclosure, HR 5605/ S 2029 - Physician Payments Sunshine Act, Physician Reimbursement/Medicare Physician Fee Schedule, HR 3162, Children's Health and Medicare Protection Act, S. 2785, Save Medicare Act, HR 5545/S.2729 Ensuring the Future Physician Workforce, HR 5445 - to increase Medicare payments for physicians' services, Imaging, HR 1293/S1338, Access to Medicare Imaging Act, Health Information Technology S 1042/HR 583 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act Appropriateness Criteria and Accreditation National Coverage Decision on CTA (CMS) National Coverage Decision on Percutaneous Transluminal Angioplasty concurrent w/Stenting (CMS) Quality Improvement (PQRI) Specialty Hospitals Comparative Effectiveness HR 6331, Medicare Improvements for Patients and Providers Act of 2008 S. 3101, the Medicare Improvements for Patients and Providers Act of 2008 S. 3118, Preserving Access to Medicare Act of 2008

Client expense: $490,000 · 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), SENATE

P.L 110-173: Medicare, Medicaid, and SCHIP Extension Act fo 2007; H.R.3963: Children's Health Insurance Program Reauthorization of 2007; CY2008 Physician Fee Schedule Sustainable Growth Rate issues; H.R.4206: Medicare Fracture Prevention & Osteoporosis Testing Act; S.2702 Medicare Fracture Prevention & Osteoporosis Testing Act of 2007; H.R.583 Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act of 2007; S.1042: Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act of 2007; H.R. Osteoporosis Early Detection and Prevention Act of 2007; H.R.6331 Medicare Improvements for Patients and Providers Act of 2008 (Pub.L.No. 110-275)

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

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

SCHIP Extension Act;H.R. 3963: Phyysician Fee Schedule issues;H.R. 4206 and S. 2702: Medicare Fracture Prev. and Osteoporosis Testing Act;H.R. 583: Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007;S. 1042: ;H.R. 2931: Osteoporosis Early Detection and Prevention Act of 2007; H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008 (Pub.L.No. 110-275)

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

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

HR 583 and S 1042, Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation, issues related to training and certification of ultrasound and imaging personnel. HR 6331, Medicare Improvements for Patients and Providers Act of 2008, issues relating to Medicare reimbursement codes for imaging procedures.

Client expense: Not reported · Firm income: $70,000

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

HR 583 and S 1042, Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation, issues related to training and certification of ultrasound and imaging personnel. HR 6331, Medicare Improvements for Patients and Providers Act of 2008, issues relating to Medicare reimbursement codes for imaging procedures.

Client expense: Not reported · Firm income: $70,000

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

HR 583 / S 1042 - Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act of 2007: facility accreditation of physicians who perform ultrasound services Food and Drug Administration Globalization Act of 2008: draft legislative specifications

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE