Children's Health Insurance Program (CHIP) Reauthorization Act of 2007

See Addendum HR 1065 Nonadmitted and Reinsurance Reform Act of 2007 HR 1081 Insurance Industry Competition Act of 2007 HR 1682 Flood Insurance Reform and Modernization Act of 2007 HR 1787 Catastrophe Savings Accounts Act of 2007 HR 2639 Promoting Health for Future Generations Act of 2007 HR 2761 Terrorism Risk Insurance Revision and Extension Act of 2007 HR 3163 Healthy Americans Act HR 3200 National Insurance Act HR 3355 Homeowners Defense Act HR 5719, the Taxpayer Assistance and Simplification Act of 2008 S 40 National Insurers Act S 334 Healthy Americans Act S 618 Insurance Industry Competition Act of 2007 S 927 Catastrophe Savings Accounts Act of 2007 S 929 Nonadmitted and Reinsurance Reform Act of 2007 S 1224 Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 S 1865 Life Insurance Fairness for Travelers Act of 2007 HSA Regulations, Notice 2007-22, NPRM REG-143797-06 Implementing regulations for Public Law no.106-102: Gramm-Leach-Bliley Financial Modernization Act of 1999 Title V: Title III: 1. Privacy Provisions of Title V 2. Consumer Protections for Bank Sales of Insurance under Title III 3. Support of Federal preemption under Title V and the National Bank Act of state laws restricting sales of insurance by banks 4. Disclosure rules for Fixed Annuities under Title V Implementing Regulations for Public Law 108-159: The Fair and Accurate Transactions Act of 2003, Section 411. Implementing Regulation for Public Law 108-173, Medicare Prescription Drug Improvement and Modernization Act of 2003, Title XII, Section 1201, Health Savings Accounts.

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

Government targets: Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Natl Economic Council (NEC), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC)

See Addendum HR 1065 Nonadmitted and Reinsurance Reform Act of 2007 HR 1081 Insurance Industry Competition Act of 2007 HR 1682 Flood Insurance Reform and Modernization Act of 2007 HR 1787 Catastrophe Savings Accounts Act of 2007 HR 2639 Promoting Health for Future Generations Act of 2007 HR 2761 Terrorism Risk Insurance Revision and Extension Act of 2007 HR 3163 Healthy Americans Act HR 3200 National Insurance Act HR 3355 Homeowners Defense Act HR 5719, the Taxpayer Assistance and Simplification Act of 2008 S 40 National Insurers Act S 334 Healthy Americans Act S 618 Insurance Industry Competition Act of 2007 S 927 Catastrophe Savings Accounts Act of 2007 S 929 Nonadmitted and Reinsurance Reform Act of 2007 S 1224 Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 S 1865 Life Insurance Fairness for Travelers Act of 2007 HSA Regulations, Notice 2007-22, NPRM REG-143797-06 Implementing regulations for Public Law no.106-102: Gramm-Leach-Bliley Financial Modernization Act of 1999 Title V: Title III: 1. Privacy Provisions of Title V 2. Consumer Protections for Bank Sales of Insurance under Title III 3. Support of Federal preemption under Title V and the National Bank Act of state laws restricting sales of insurance by banks 4. Disclosure rules for Fixed Annuities under Title V Implementing Regulations for Public Law 108-159: The Fair and Accurate Transactions Act of 2003, Section 411. Implementing Regulation for Public Law 108-173, Medicare Prescription Drug Improvement and Modernization Act of 2003, Title XII, Section 1201, Health Savings Accounts.

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

Government targets: Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Natl Economic Council (NEC), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC)

Legislation regarding Medicare and Medicaid Reimbursement issues which include provisions to expand access, improve services, stabilize payments to hospitals and other providers under Medicaid, Medicare, and/or SCHIP by addressing reimbursement, parity, quality, self-referral, workforce, payment issues, rehabilitation hospitals, long term care hospitals, rural hospitals and various regulations. HR 2606, 340B Drug Expansion Act of 2007, to revise and expand the drug discount program under that section to improve the provision of discounts on drug purchases for certain safety net providers. S 355, Social Security and Medicare Solvency Commission Act, to create a permanent, 15-member commission to make recommendations on how best to save the entitlement programs HR 4105; the Medicare Recovery Audit Contractor Program Moratorium Act of 2007 that would enact a one-year, nationwide moratorium on the Recovery Audit Contract (RAC) program. H Con Res 312/S Con Res 70, fiscal year (FY)2009 budget resolutions, Medicare and Medicaid reductions HR 5480/S 2662, Medicare Funding Warning Response Act, various provisions S 2785, Save Medicare Act physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index reclassification. S. 3101; Medicare Improvements for Patients and Providers physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index HR 6331, Medicare Improvements for Patients and Providers Act physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index HR 6252/S3144, would delay for 18 months the Medicare competitive bidding program for durable medical equipment, prosthetics, orthotics and supplies. Supplemental Appropriations Act, 2008 (HR 2642) Sec. 7001. (a) Moratoria on Certain Medicaid Regulations HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program HR 7110: Job Creation and Unemployment Relief Act: Title III, temporary increase in Medicaid matching rate S 3656: Preserving Access to Healthcare (PATH) Act -- which would delay cuts to Medicare capital indirect medical education (IME) payments for six months provisions in the developing economic stimulus package to temporarily increase FMAP self-referral HR 1424; Paul Wellstone Mental Health and Addiction Equity Act provision banning the growth of physician-owned specialty hospitals workforce: HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp, rural health programs, childrens hospitals GME, S 543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program. HR 3162, "Children's Health and Medicare Protection Act" payment: HR 2206, U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act supplemental appropriations bill (HR 2206) contained moratorium on medicaid regulations regarding capping payment to public providers and GME HR 1480/1741/S 787, to place a two-year moratorium on the Centers for Medicare & Medicaid Services implementation of medicaid regulations regarding capping payment to public providers and GME funding from Section 1011 of the Medicare Modernization Act of 2003 (MMA), HR 1293, Access to Medicare Imaging Act stop the reduction Medicare reimbursements for some medical imaging services HR 882, Access to Emergency Services Act that would increase by 10 percent Medicare reimbursements to physicians who provide care in emergency departments (EDs) or post-stabilization care related to emergency medical conditions in other areas of hospitals HR 552/S 329, The Pulmonary and Cardiac Rehabilitation Act of 2007 to provide for coverage of items and services under a cardiac rehabilitation program and a pulmonary rehabilitation program. HR 3533/S2460, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 3668, TMA, Abstinence Education, and QI Programs Extension Act includes provision which would mitigate the impact of the behavioral offset in the FY08 Inpatient Prospective Payment System (IPPS) final rule S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals, Section 508 hospitals HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program the Fiscal Year (FY) 2009 inpatient prospective payment system (IPPS) final rule eliminated indirect medical education (IME) adjustments to teaching hospitals' capital payments proposed rule to implement National Defense Authorization Act for Fiscal Year 2002" requirement that TRICARE payment methods for outpatient hospital care be determined outpatient reimbursement rules used by Medicare S 3656: to delay cuts to Medicare capital indirect medical education (IME) payments for six months quality S 1226, Children's Health Care Quality Act would allow the Centers for Medicare & Medicaid Services to fund evidence-based demonstrations to improve hospital care for children. HR 1666, Health Care Price Transparency Promotion Act which would build on existing state efforts to report hospital pricing data and require insurers to disclose estimated out-of-pocket costs to consumers S 465; Advance Directives Improvement and Education Act of 2007" to improve access to information about healthcare options and legal rights for care near the end of life rehabilitation hospitals, S543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, rural hospitals, S 1605/HR 2860, Health Care Access and Rural Equity Act (H-CARE) S 1595, Critical Access Hospital Flexibility Act CAHs would gain flexibility to respond to daily and seasonal fluctuations in patient load S 2499;; Medicare, Medicaid, and SCHIP Extension Act Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals long term care hospitals: HR 562/S338, Medicare Long-Term Care Hospital Improvement establishing facility and patient criteria for long-term care hospitals and related improvements under the Medicare Program. S 2499; Medicare, Medicaid, and SCHIP Extension Act Provides regulatory relief for three years to ensure continued access to current long-term care hospital services, while also imposing a limited moratorium on the development of new, long-term care facilities. Medicaid, HR 2512, Reducing Coverage Gaps for Kids Act To amend titles XIX and XXI of the Social Security Act to prohibit States from requiring eligibility determinations for children for benefits under the Medicaid Program and the State Children's Health Insurance Program (SCHIP) more frequently than once every year. HR 2147, Healthy Kids Act to amend titles XXI and XIX of the Social Security Act to extend the State Children's Health Insurance Program (SCHIP) and streamline enrollment under SCHIP and Medicaid and to amend the Internal Revenue Code of 1986 to provide for a healthy savings tax credit for purchase of children's health coverage. HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 1878, To amend title XIX of the Social Security Act to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid HR 3533/S2460 "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 5613, Protecting the Medicaid Safety Net Act, temporary, one-year moratorium on seven Medicaid regulations S 2819, Economic Recovery in Health Care Act to implement a one-year moratorium on proposed regulatory changes to Medicaid and the State Childrens Health Insurance Program (SCHIP), and to provide states in need with federal relief HR 2462, the supplemental funding bill for Iraq and Afghanistan provision to place a temporary, one-year moratorium on seven Medicaid regulations, including the rules to limit Medicaid payments to public hospitals and to eliminate Government Medical Education (GME). SCHIP: S 1224, that would reauthorize the State Childrens Health Insurance Program and expand it to allow additional coverage to six million children within 10 years S 895/HR 1535, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act S. 1893, the Children's Health Insurance Program Reauthorization Act of 2007 S 2049, The Better Health for America's Children Act," to block a new policy to limit states' ability to enroll children in the State Children's Health Insurance Program S 2152, Kids First Actalternative SCHIP bill that would restrict coverage to individuals younger than age 19 in low-income families HR 3963; Children's Health Insurance Program Reauthorization Act revised bill to extend and expand the State Childrens Health Insurance Program (SCHIP) S 2499 the bill extends SCHIP through March 31, 2009, and provides adequate funding to states to maintain their current enrollment through that date. HR 3533, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME regulations including, but not limited to, provisions of PL 106-554, Consolidated Appropriations Act, provisions related to critical access hospitals, inpatient hospital services Direct Graduate Medical Education, Hospital Outpatient Services, Skilled Nursing Facilities, State Children's Health Insurance Program PL 108-173, Medicare Prescription Drug, Improvement, and Modernization Act, provisions related to rural hospitals, inpatient hospital services, skilled nursing facilities, hospice care, hospital outpatient departments, health care quality PL 109-171; Deficit Reduction Act, provisions related to rehabilitation hospitals, medicaid DSH payment, medicare-dependent hospitals, gainsharing, Medicaid, SHCHIP the FY08 IPPS proposed rule, proposed Medicaid rule (CMS 2258-P), the Recovery Audit Contract (RAC) demonstration.

Client expense: $100,000 · Firm income: Not reported

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

H.R. 4 Medicare Prescription Drug Price Negotiation Act of 2007 S. 3 Medicare Prescription Drug Price Negotiation Act of 2007 H.R. 3162 Children's Health and Medicare Protection Act of 2007 S. 1224 SCHIP Reauthorization Act of 2007 S. 2532 Medicare, Medicaid, and SCHIP Indian Health Care Improvement Act of 2007 S. 2086 SCHIP Extension Act of 2007 H.R. 3176 SCHIP Reauthorization and Reform Act of 2007 H.R. 6331 Medicare Improvements for Patient and Providers Act of 2008 S. 3101 Medicare Improvements for Patients and Providers Act of 2008 H.R. 3043 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2008- pertaining to AIDS & HIV treatments. S. 3230 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2009 - pertaining to AIDS & HIV treatments.

Client expense: $2,000,000 · Firm income: Not reported

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

HR 3162, the CHAMP Act S.1224, Children's Health Insurance Reauthorization Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2073/S. 1572 - Child Health Care Crisis Relief Act H.R. 20 - Melanie Blocker-Stokes Postpartum Depression Research and Care Act S. 1375 - MOTHERS Act S. 3297 - Advancing America's Priorities Act H.R. 1669 /S. 982 Positive Aging Act of 2007 P.L. 108-355 - Garrett Lee Smith Memorial Act H.R. 2188/S.661 Kinship Caregiver Support Act Bureau of Health Professions Reauthorization and Appropriations SAMHSA Reauthorization S. 1224 Childrens Health Insurance Program Reauthorization Act of 2007 S. 1050 Promoting Wellness for Individuals with Disabilities Act of 2007 S. 651 Play Every Day HR. 1198/S. 1069 Early Hearing Detection and Intervention Act of 2007 S. 1576 Minority Health Improvement and Health Disparity Elimination Act HR. 3014 Health Equity and Accountability Act of 2007 House NIST Health IT Bill H.R. 3195 ADA Amendments Act Developmental Disabilities Act Regulations Home and Community Based Services Regulations Transition for Youth with Serious Mental Illness Childrens Mental Health H.R. 1108/S. 625 The Family Smoking Prevention and Tobacco Control Act H.R. 4232 Improving the Quality of Mental and Substance Use Health Care Act of 2007 NIH Appropriations S. 793 Traumatic Brain Injury Act S. 3311 Mental Health on Campus Improvement Act S. 3054 Comparative Effectiveness Research Act of 2008

Client expense: $186,837 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Administration on Aging, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Motor Carrier Safety Administration, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Indian Health Service, Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Institute of Mental Health (NIMH), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

S. 450 and HR 748, The Medicare Access to Rehabilitation Services Act of 2007 - All provisions, passage. HR 1846, The Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 - Opposed based on quality, cost accountability, and scope of practice concerns. S. 1224 and HR 3269, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 - Advocated in support of the CHIP program and an expanded role for occuaptional therapy. H.R. 3162, Children's Health and Medicare Protections Act of 2007 (CHAMP) - Advocated for Medicare provision regarding therapy caps, 75% rule on inpatient rehabilitation facilities, SGR cuts and Medicaid provisions. S. 799 and H.R. 1621, The Community Choice Act - Supported all provisions. S. 578 and H.R. 1017, Protecting Children's Health in Schools Act - supported passage and maintaining Medicaid funding for school based administrative claiming and transportation services. H.R. 1809 and S. 2103, Medicare Independent Living Act - Supported the provision of improved access to mobility devices for people with disabilities. H.R. 4082 and S. 1980, Long-term Care Quality and Modernization Act of 2007 - Advocated for inclusion of occupational therapy in quality reporting. S. 932 and H.R. 1552, Medicare Patient Access to Physical Therapist Act of 2007 - Advocated regarding impact on occupational therapy. H.R. 1663, Medicare Mental Health Modernization Act of 2007 - Advocated for passage and improved role for occupational therapy. S. 1628, Nurse Faculty and Physical Therapist Education Act of 2007 - Advocated for inclusion of occupational therapy loan repayment. H.R. 4248, Ensuring Medicare Access to Recreational Thearpy Act - Opposed findings language referring to functional capacities and worked to amend that language. No bill number - Medicaid Rehabilitation Services Proposed Rule - Before Congress advocated for moratorium; opposed proposal to restrict the reimbursement of services under the rehabilitation option. HR 5704, The Medicare Home Health Flexibility Act: Advocated for the promotion of occupational therapy in home health under Medicare. No bill number: Advocated and educated about the role of occupational therapy in mental health practice. HR 5590, Medicare Oral Health Rehabilitative Enhancement Act - inclusion of occupational therapy coverage language. No bill number - Preserving Access to Medicare Act - advocated for passage and inclusion of Part B outpatient therapy cap exceptions process extension, physician fee schedule update, and physician quality review incentive (PQRI). HR 2231 and S 2931 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007 - advocated for exemption of complex rehab from competitive bidding for DMEPOS. H.R. 7130 and S. 3631 - Medically Fragile Childrens Act of 2008 - Advocated for provision of occupational therapy. H.R. 6878 - Medicare Orthotics and Prosthetics Improvement Act of 2008 - Opposed due to negative impact on occupational therapy scope of practice and reimbursement.

Client expense: $90,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

See attached list. H.R. 1367/H.R. 1424 -- Paul Wellstone Mental Health and Addiction Equity Act of 2007, as it pertains to health insurance regulations. H.R. 2406 -- Healthcare Information Technology Enterprise Intergration Act, as it relates to the establishment of a single standard for health information technology systems used by health providers. H.R. 758 -- Breast Cancer Patient Protection Act S.1693 -- Wired for Health Care Quality Act S.1693 -- Wired for Health Care Quality Act, as it pertains to the adoption of a nationwide health information system. S.1224 -- SCHIP Reauthorization S.1408 -- Health Information Technology Act of 2007 S.1455 -- National Health Information Technology and Privacy Advancement Act of 2007 S.334/H.R. 3163/ H.R. 6444 -- Healthy Americans Act S.495 -- Personal Data Privacy and Security Act of 2007 S.628 -- Critical Access to Health Information Technology Act of 2007 H.R. 7129 -- Several Approaches to Reduce the Uninsured Act of 2008

Client expense: $480,000 · Firm income: Not reported

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

S. 84, "Professional Boxing Amendments Act of 2007" S. 124, "Satellite and Cable Access Act of 2007" S. 234, "Wireless Innovation Act of 2007" S. 337, "White Spaces Act of 2007" S. 234, "Wireless Innovation Act of 2007" S. 431, "KIDS Act of 2007" S. 567, "National Defense Authorization Act for Fiscal Year 2008" S. 602, "The Child Safe Viewing Act" S. 760, "Four Corners Television Access Act of 2007" S. 1082, "Prescription Drug User Fee Amendments of 2007" S. 1082, "Food and Drug Administration Revitalization Act" S. 1086, "Cyber Safety for Kids Act of 2007" S. 1224, "First Response Broadcasters Act of 2007" S. 1267, "Free Flow of Information Act of 2007" S. 1285, "Fair Elections Now Act" S. 1453, "ITFA Extension Act of 2007" S. 1742, "Broadcaster Freedom Act of 2007" S. 1748, "Broadcaster Freedom Act of 2007" S. 1780, "Protecting Children from Indecent Programming Act" S. 2035, Free Flow of Information Act of 2007 S. 2125, "Preparing America's Seniors for the Digital Television Transition of Act of 2007" H.R. 600, "Telecommunications Ownership Diversification Act of 2007" H.R. 608, "Digital Television Consumer Education Act of 2007" H.R. 719, " KIDS Act of 2007" H.R. 1077, "Internet Consumer Protection Act of 2007" H.R. 1120, " Deleting Online Predators Act of 2007" H.R. 1320, "Interference Protection for Existing Television Band Devices Act of 2007" H.R. 1597, "Wireless Innovation Act of 2007" H.R. 2102, "Free Flow of Information Act of 2007" H.R. 2566, "National Digital Television Consumer Education Act" H.R. 2738, "Family and Consumer Choice Act of 2007" H.R. 2821, "Television Freedom Act of 2007" H.R. 2829, "Financial Services and General Government Appropriations Act, 2008" H.R. 2900, "Food and Drug Administration Amendments Act of 2007" H.R. 2905, "Broadcaster Freedom Act of 2007" H.R. 2917, "Transition Education Accountability Report Act of 2007" H.R. 3461, "Safeguarding America's Families by Enhancing and Reorganizing New and Efficient Technologies Act of 2007" H.R. 3559, "Protecting Children from Indecent Programming Act" H.R. 3676, "Family Friendly Flights Act of 2007" H.R. 4167, "Broadcast Ownership for the 21st Century Act" H.R. 4221, "Satellite Consumers' Access to Public Television Digital Programming Act of 2007" H.R. 4882, "Broadcast Licensing in the Public Interest Act" H.R. 5140, Recovery Rebates and Economic Stimulus for the American People Act of 2008 H.R. 5470, To amend the Communications Act of 1934 to require the carriage of all local television signals by satellite carriers in all local markets H.R. 6320, Twenty-first Century Communications and Video Accessibility Act of 2008 (Markey) H.Res. 1, "Implementing Recommendations of the 9/11 Commission Act of 2007" S.J. Res. 28, A joint resolution disapproving the rule submitted by the Federal Communications Commission with respect to broadcast media ownership H.J. Res. 79, Disapproving the rule submitted by the Federal Communications Commission with respect to broadcast media ownership General Issues: 1) Content Regulation Issues, eg, Broadcast Indecency and Television Violence 2) Media Ownership Issues 3) Cable A La Carte Issues 4) Retransmission Consent Issues 5) Spectrum Issues 6) Federal Shield Law Issues 7) DTV Transition Issues 8) Direct-to-Consumer Drug Advertising Issues 9) DirecTV-Liberty Media Transaction 10) Online Advertising Issues 11) Broadcast Localism Issues 12) White Spaces Spectrum Issues 13) Libel Tourism 14) Network Neutrality 15) WWOR License Renewal 16) Enhanced Disclosure by Broadcasters 17) Funding for the United States Telecommunications Training Institute 18) Section 2257 Department of Justice Regulations

Client expense: $1,090,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Federal Communications Commission (FCC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Justice, Dept of (DOJ), Patent & Trademark Office (PTO), SENATE, Smithsonian Institution, State, Dept of (DOS), U.S. Copyright Office, U.S. Trade Representative (USTR), White House Office

See Addendum HR 1065 Nonadmitted and Reinsurance Reform Act of 2007 HR 1081 Insurance Industry Competition Act of 2007 HR 1682 Flood Insurance Reform and Modernization Act of 2007 HR 1787 Catastrophe Savings Accounts Act of 2007 HR 2639 Promoting Health for Future Generations Act of 2007 HR 2761 Terrorism Risk Insurance Revision and Extension Act of 2007 HR 3163 Healthy Americans Act HR 3200 National Insurance Act HR 3355 Homeowners Defense Act HR 5719, the Taxpayer Assistance and Simplification Act of 2008 S 40 National Insurers Act S 334 Healthy Americans Act S 618 Insurance Industry Competition Act of 2007 S 927 Catastrophe Savings Accounts Act of 2007 S 929 Nonadmitted and Reinsurance Reform Act of 2007 S 1224 Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 S 1865 Life Insurance Fairness for Travelers Act of 2007 HSA Regulations, Notice 2007-22, NPRM REG-143797-06 Implementing regulations for Public Law no.106-102: Gramm-Leach-Bliley Financial Modernization Act of 1999 Title V: Title III: 1. Privacy Provisions of Title V 2. Consumer Protections for Bank Sales of Insurance under Title III 3. Support of Federal preemption under Title V and the National Bank Act of state laws restricting sales of insurance by banks 4. Disclosure rules for Fixed Annuities under Title V Implementing Regulations for Public Law 108-159: The Fair and Accurate Transactions Act of 2003, Section 411. Implementing Regulation for Public Law 108-173, Medicare Prescription Drug Improvement and Modernization Act of 2003, Title XII, Section 1201, Health Savings Accounts.

Client expense: $44,217 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Natl Economic Council (NEC), Office of the Comptroller of the Currency (OCC), SENATE, Treasury, Dept of

See Addendum HR 1065 Nonadmitted and Reinsurance Reform Act of 2007 HR 1081 Insurance Industry Competition Act of 2007 HR 1682 Flood Insurance Reform and Modernization Act of 2007 HR 1787 Catastrophe Savings Accounts Act of 2007 HR 2639 Promoting Health for Future Generations Act of 2007 HR 2761 Terrorism Risk Insurance Revision and Extension Act of 2007 HR 3163 Healthy Americans Act HR 3200 National Insurance Act HR 3355 Homeowners Defense Act HR 5719, the Taxpayer Assistance and Simplification Act of 2008 S 40 National Insurers Act S 334 Healthy Americans Act S 618 Insurance Industry Competition Act of 2007 S 927 Catastrophe Savings Accounts Act of 2007 S 929 Nonadmitted and Reinsurance Reform Act of 2007 S 1224 Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 S 1865 Life Insurance Fairness for Travelers Act of 2007 HSA Regulations, Notice 2007-22, NPRM REG-143797-06 Implementing regulations for Public Law no.106-102: Gramm-Leach-Bliley Financial Modernization Act of 1999 Title V: Title III: 1. Privacy Provisions of Title V 2. Consumer Protections for Bank Sales of Insurance under Title III 3. Support of Federal preemption under Title V and the National Bank Act of state laws restricting sales of insurance by banks 4. Disclosure rules for Fixed Annuities under Title V Implementing Regulations for Public Law 108-159: The Fair and Accurate Transactions Act of 2003, Section 411. Implementing Regulation for Public Law 108-173, Medicare Prescription Drug Improvement and Modernization Act of 2003, Title XII, Section 1201, Health Savings Accounts.

Client expense: $44,217 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Natl Economic Council (NEC), Office of the Comptroller of the Currency (OCC), SENATE, Treasury, Dept of

S. 450 and HR 748, The Medicare Access to Rehabilitation Services Act of 2007 - All provisions, passage. HR 1846, The Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 - Opposed based on quality, cost accountability, and scope of practice concerns. S. 1224 and HR 3269, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 - Advocated in support of the CHIP program and an expanded role for occuaptional therapy. H.R. 3162, Children's Health and Medicare Protections Act of 2007 (CHAMP) - Advocated for Medicare provision regarding therapy caps, 75% rule on inpatient rehabilitation facilities, SGR cuts and Medicaid provisions. S. 799 and H.R. 1621, The Community Choice Act - Supported all provisions. S. 578 and H.R. 1017, Protecting Children's Health in Schools Act - supported passage and maintaining Medicaid funding for school based administrative claiming and transportation services. H.R. 1809 and S. 2103, Medicare Independent Living Act - Supported the provision of improved access to mobility devices for people with disabilities. H.R. 4082 and S. 1980, Long-term Care Quality and Modernization Act of 2007 - Advocated for inclusion of occupational therapy in quality reporting. S. 932 and H.R. 1552, Medicare Patient Access to Physical Therapist Act of 2007 - Advocated regarding impact on occupational therapy. H.R. 1663, Medicare Mental Health Modernization Act of 2007 - Advocated for passage and improved role for occupational therapy. S. 1628, Nurse Faculty and Physical Therapist Education Act of 2007 - Advocated for inclusion of occupational therapy loan repayment. H.R. 4248, Ensuring Medicare Access to Recreational Thearpy Act - Opposed findings language referring to functional capacities and worked to amend that language. HR 2642 (PL 110-252) Iraq War Supplemental Appropriations -Advocated for moratorium on Medicaid School-based Transportation and Administrative Claiming Costs and opposed elimination of reimbursement for rehab service option. No bill number - Medicaid Rehabilitation Services Proposed Rule - Before Congress advocated for moratorium; opposed proposal to restrict the reimbursement of services under the rehabilitation option. HR 5704, The Medicare Home Health Flexibility Act: Advocated for the promotion of occupational therapy in home health under Medicare. No bill number: Advocated and educated about the role of occupational therapy in mental health practice. HR 6331 and S 3101, Medicare Improvement for Patients and Providers act of 2008 - Advocated for passage and inclusion of following provisions: Part B Outpatient therapy cap exceptions process extension, physician fee schedule update; reduction in copay for Medicare mental health provisions, and delay competitive bidding for DMEPOS; and PQRI. HR 5590, Medicare Oral Health Rehabilitative Enhancement Act - inclusion of occupational therapy coverage language. No bill number - Preserving Access to Medicare Act - advocated for passage and inclusion of Part B outpatient therapy cap exceptions process extension, physician fee schedule update, and physician quality review incentive (PQRI). HR 2231 and S 2931 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007 - advocated for exemption of complex rehab from competitive bidding for DMEPOS. H.R. 7130 and S. 3631 - Medically Fragile Childrens Act of 2008 - Advocated for provision of occupational therapy. H.R. 6878 - Medicare Orthotics and Prosthetics Improvement Act of 2008 - Opposed due to negative impact on occupational therapy scope of practice and reimbursement.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

H.R. 4 Medicare Prescription Drug Price Negotiation Act of 2007 S. 3 Medicare Prescription Drug Price Negotiation Act of 2007 H.R. 3162 Children's Health and Medicare Protection Act of 2007 S. 1224 SCHIP Reauthorization Act of 2007 S. 2532 Medicare, Medicaid, and SCHIP Indian Health Care Improvement Act of 2007 S. 2086 SCHIP Extension Act of 2007 H.R. 3176 SCHIP Reauthorization and Reform Act of 2007 H.R. 6331 Medicare Improvements for Patient and Providers Act of 2008 S. 3101 Medicare Improvements for Patients and Providers Act of 2008 H.R. 3043 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act 2008 S. 3230 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2009

Client expense: $1,950,000 · Firm income: Not reported

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

Medikids Health Insurance Act-S.2322/H.R.2357; (PPS Resolution-HCR 231/SCR65); Helping Fill the Medicare Rx Gap Act of 2007-S.1103; The Medicare Access to Community Health Centers Act-H.R. 2897/S.2188; Childrens Health Insurance Program Reauthorization Act-S. 1893/H.R.976; Childrens Health and Medicare Protection Act-H.R. 3162; CHIP Reauthorization Act-S. 1224; Childrens Dental Health Improvement Act-H.R. 1781; Deamontes Law H.R. 2371; Childrens Health First Act-H.R.1535; Legal Immigrant Childrens Health Improvement Act-H.R.1308/S.764; Medicare, Medicaid, SCHIP Extension Act-S.2499; Medicare Improvement for Patients and Providers Act of 2008-S.3101; Preserving Access to Medicare Act of 2008-S.3118; Medicare Improvements for Patients and Providers Act of 2008-H.R.6331; Medicare Telehealth Enhancement Act of 2008-H.R.6313; The Protecting Records Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008-H.R.6357; The Health Information Technology Act of 2008-H.R.6898; Preserving Access to Healthcare Act of 2008-S.3556; Regarding Rural Health Clinics-S.3367.

Client expense: $160,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB)

HR 3162, the CHAMP Act S.1224, Children's Health Insurance Reauthorization Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation regarding Medicare and Medicaid Reimbursement issues which include provisions to expand access, improve services, stabilize payments to hospitals and other providers under Medicaid, Medicare, and/or SCHIP by addressing reimbursement, parity, quality, self-referral, workforce, payment issues, rehabilitation hospitals, long term care hospitals, rural hospitals and various regulations. HR 2055 Improving Children's Access to Health Care Act, to improve children's access to health care coverage under the Medicaid Program and the State Children's Health Insurance Program (SCHIP). HR 2606, 340B Drug Expansion Act of 2007, to revise and expand the drug discount program under that section to improve the provision of discounts on drug purchases for certain safety net providers. S 355, Social Security and Medicare Solvency Commission Act, to create a permanent, 15-member commission to make recommendations on how best to save the entitlement programs HR 4105; the Medicare Recovery Audit Contractor Program Moratorium Act of 2007 that would enact a one-year, nationwide moratorium on the Recovery Audit Contract (RAC) program. H Con Res 312/S Con Res 70, fiscal year (FY)2009 budget resolutions, Medicare and Medicaid reductions HR 5480/S 2662, Medicare Funding Warning Response Act, various provisions S 2785, Save Medicare Act physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index reclassification. S. 3101; Medicare Improvements for Patients and Providers physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index HR 6331, Medicare Improvements for Patients and Providers Act physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index HR 6252/S3144, would delay for 18 months the Medicare competitive bidding program for durable medical equipment, prosthetics, orthotics and supplies. Supplemental Appropriations Act, 2008 (HR 2642) Sec. 7001. (a) Moratoria on Certain Medicaid Regulations HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program HR 7110: Job Creation and Unemployment Relief Act: Title III, temporary increase in Medicaid matching rate S 3656: Preserving Access to Healthcare (PATH) Act -- which would delay cuts to Medicare capital indirect medical education (IME) payments for six months self-referral HR 1424; Paul Wellstone Mental Health and Addiction Equity Act provision banning the growth of physician-owned specialty hospitals workforce, HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp, rural health programs, childrens hospitals GME, S 543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program. HR 3162, "Children's Health and Medicare Protection Act" payment: HR 2206, U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act supplemental appropriations bill (HR 2206) contained moratorium on medicaid regulations regarding capping payment to public providers and GME HR 1480/1741/S 787, to place a two-year moratorium on the Centers for Medicare & Medicaid Services implementation of medicaid regulations regarding capping payment to public providers and GME funding from Section 1011 of the Medicare Modernization Act of 2003 (MMA), HR 1293, Access to Medicare Imaging Act stop the reduction Medicare reimbursements for some medical imaging services HR 882, Access to Emergency Services Act that would increase by 10 percent Medicare reimbursements to physicians who provide care in emergency departments (EDs) or post-stabilization care related to emergency medical conditions in other areas of hospitals HR 552/S 329, The Pulmonary and Cardiac Rehabilitation Act of 2007 to provide for coverage of items and services under a cardiac rehabilitation program and a pulmonary rehabilitation program. HR 3533/S2460, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 3668, TMA, Abstinence Education, and QI Programs Extension Act includes provision which would mitigate the impact of the behavioral offset in the FY08 Inpatient Prospective Payment System (IPPS) final rule S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals, Section 508 hospitals HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program quality S 1226, Children's Health Care Quality Act would allow the Centers for Medicare & Medicaid Services to fund evidence-based demonstrations to improve hospital care for children. HR 1666, Health Care Price Transparency Promotion Act which would build on existing state efforts to report hospital pricing data and require insurers to disclose estimated out-of-pocket costs to consumers S 465; Advance Directives Improvement and Education Act of 2007" to improve access to information about healthcare options and legal rights for care near the end of life rehabilitation hospitals, S543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, rural hospitals, S 1605/HR 2860, Health Care Access and Rural Equity Act (H-CARE) S 1595, Critical Access Hospital Flexibility Act CAHs would gain flexibility to respond to daily and seasonal fluctuations in patient load S 2499;; Medicare, Medicaid, and SCHIP Extension Act Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals long term care hospitals: HR 562/S338, Medicare Long-Term Care Hospital Improvement establishing facility and patient criteria for long-term care hospitals and related improvements under the Medicare Program. S 2499; Medicare, Medicaid, and SCHIP Extension Act Provides regulatory relief for three years to ensure continued access to current long-term care hospital services, while also imposing a limited moratorium on the development of new, long-term care facilities. Medicaid, HR 2512, Reducing Coverage Gaps for Kids Act To amend titles XIX and XXI of the Social Security Act to prohibit States from requiring eligibility determinations for children for benefits under the Medicaid Program and the State Children's Health Insurance Program (SCHIP) more frequently than once every year. HR 2147, Healthy Kids Act to amend titles XXI and XIX of the Social Security Act to extend the State Children's Health Insurance Program (SCHIP) and streamline enrollment under SCHIP and Medicaid and to amend the Internal Revenue Code of 1986 to provide for a healthy savings tax credit for purchase of children's health coverage. HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 1878, To amend title XIX of the Social Security Act to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid HR 3533/S2460 "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 5613, Protecting the Medicaid Safety Net Act, temporary, one-year moratorium on seven Medicaid regulations S 2819, Economic Recovery in Health Care Act to implement a one-year moratorium on proposed regulatory changes to Medicaid and the State Childrens Health Insurance Program (SCHIP), and to provide states in need with federal relief HR 2462, the supplemental funding bill for Iraq and Afghanistan provision to place a temporary, one-year moratorium on seven Medicaid regulations, including the rules to limit Medicaid payments to public hospitals and to eliminate Government Medical Education (GME). SCHIP: S 1224, that would reauthorize the State Childrens Health Insurance Program and expand it to allow additional coverage to six million children within 10 years S 895/HR 1535, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act S. 1893, the Children's Health Insurance Program Reauthorization Act of 2007 S 2049, The Better Health for America's Children Act," to block a new policy to limit states' ability to enroll children in the State Children's Health Insurance Program S 2152, Kids First Actalternative SCHIP bill that would restrict coverage to individuals younger than age 19 in low-income families HR 3963; Children's Health Insurance Program Reauthorization Act revised bill to extend and expand the State Childrens Health Insurance Program (SCHIP) S 2499 the bill extends SCHIP through March 31, 2009, and provides adequate funding to states to maintain their current enrollment through that date. HR 3533, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME regulations including, but not limited to, provisions of PL 106-554, Consolidated Appropriations Act, provisions related to critical access hospitals, inpatient hospital services Direct Graduate Medical Education, Hospital Outpatient Services, Skilled Nursing Facilities, State Children's Health Insurance Program PL 108-173, Medicare Prescription Drug, Improvement, and Modernization Act, provisions related to rural hospitals, inpatient hospital services, skilled nursing facilities, hospice care, hospital outpatient departments, health care quality PL 109-171; Deficit Reduction Act, provisions related to rehabilitation hospitals, medicaid DSH payment, medicare-dependent hospitals, gainsharing, Medicaid, SHCHIP the FY08 IPPS proposed rule, proposed Medicaid rule (CMS 2258-P), the Recovery Audit Contract (RAC) demonstration.

Client expense: $100,000 · Firm income: Not reported

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

H.R.4, Medicare Prescription Drug Price Negotiation Act H.R.2147, Healthy Kids Act (Emanuel) H.R.2945, Medicare Advantage Truth in Advertising ActH.R.3025, Medicare Prescription Drug Savings for Our Seniors Act H.R.3061, Medicare Part D. Drug Class Protection Act H.R.3162, Children's Health and Medicare Protection Act H.R.3963, Children's Health Insurance Program Reauthorization Act H.R.5998, Protecting Children's Health Coverage Act H.R.6331, Medicare Improvements for Patients and Providers Act (provisions relating to Medicare Advantage, Medicare Part D, Medigap, Medicaid, health care disparities, and electronic prescribing) H.R.6388, GAO Improvement Act (provisions relating to access to Medicare Part C/Part D data) S.706, Medicare Advantage Stabilization Fund S.799, Community Choice Act S.1224, Children's Health Insurance Program Reauthorization Act S.1893, Children's Health Insurance Program Reauthorization Act S.2219, Medicare Prescription Drug Savings and Choice Act S.3101, Medicare Improvements for Patients and Providers Act (provisions relating to Medicare Advantage, Medicare Part D, Medigap, Medicaid, health care disparities, electronic prescribing) S.3118, Preserving Access to Medicare Act (provisions relating to Medicare Advantage, Medicare Part D, Medicaid, and electronic prescribing)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2073/S. 1572 - Child Health Care Crisis Relief Act H.R. 20 - Melanie Blocker-Stokes Postpartum Depression Research and Care Act S. 1375 - MOTHERS Act S. 3297 - Advancing America's Priorities Act H.R. 1669 /S. 982 Positive Aging Act of 2007 P.L. 108-355 - Garrett Lee Smith Memorial Act H.R. 2677 - Improved Nutrition and Physical Activity Act H.R. 2188/S.661 Kinship Caregiver Support Act Bureau of Health Professions Reauthorization and Appropriations SAMHSA Reauthorization S. 1224 Childrens Health Insurance Program Reauthorization Act of 2007 S. 1050 Promoting Wellness for Individuals with Disabilities Act of 2007 S. 651 Play Every Day HR. 1198/S. 1069 Early Hearing Detection and Intervention Act of 2007 S. 1576 Minority Health Improvement and Health Disparity Elimination Act HR. 3014 Health Equity and Accountability Act of 2007 House NIST Health IT Bill H.R. 3195 ADA Amendments Act Developmental Disabilities Act Regulations Home and Community Based Services Regulations Transition for Youth with Serious Mental Illness Childrens Mental Health H.R. 1108/S. 625 The Family Smoking Prevention and Tobacco Control Act H.R. 4232 Improving the Quality of Mental and Substance Use Health Care Act of 2007 NIH Appropriations Federal Response to Eliminate Eating Disorders Act S. 793 Traumatic Brain Injury Act S. 358/H.R. 493 - Genetic Information Nondiscrimination Act S. 3311 Mental Health on Campus Improvement Act Childhood obesity Comparative Effectiveness Research Act of 2008

Client expense: $162,195 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Administration on Aging, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Indian Health Service, Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Highway Traffic Safety Administration (NHTSA), Natl Institute of Justice, Natl Institute of Mental Health (NIMH), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

See attached list. H.R. 1367 /H.R.1424--Paul Wellstone Mental Health and Addiction Equity Act of 2007, as it pertains to health insurance regulations. H.R. 2406--Healthcare Information Technology Enterprise Integration Act, as it relates to the establishment of a single standard for health information technology systems used by health providers. H.R.758--Breast Cancer Patient Protection Act. S.1693--Wired for Health Care Quality Act. S. 1693--Wired for Health Care Quality Act, as it pertains to the adoption of a nationwide health information system. S. 358--Genetic Information Nondiscrimination Act of 2007. S. 1224--SCHIP Reauthorization. S. 1408--Health Information Technology Act of 2007. S. 1455--National Health Information Technology and Privacy Advancement Act of 2007. S. 334--Healthy Americans Act. S. 495--Personal Data Privacy and Security Act of 2007. S. 628--Critical Access to Health Information Technology Act of 2007.

Client expense: $341,436 · Firm income: Not reported

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

See attached list. S. 334, Healthy Americans Act (Wyden) S.1693, Wired for Health Care Quality Act (Kennedy) H.R. 2406, Healthcare Information Technology Enterprise Integration Act, as it relates to the establishment of a single standard for health information technology systems used by health providers. S. 1693, Wired for Health Care Quality Act, as it pertains to the adoption of a nationwide health information system. H.R. 1367 /H.R.1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, as it pertains to health insurance regulations. S. 558, Mental Health Parity Act, as it pertains to the provisions of mental health benefits. Educate specific Members of Congress on CIGNA bid for a Medicare Administrative contract and any change that will impact providers in their constituencies as a result of being awarded or losing a bid. S. 358/H.R. 493, Genetic Information Nondiscrimination Act of 2007 S. 628, critical Access to Health Information Technology Act of 2007 S. 495, Personal Data Privacy and Security Act of 2007 S. 1455, National Health Information Technology and Privacy Advancement Act of 2007 S. 1408, Health Information Technology Act of 2007 S. 1224, CIPH Reauthorization S. 1022, A bill to eliminate funding shortfalls for SCHIP S. 1023, A bill to eliminate funding shortfalls for SCHIP H.R. 1368, Personalized Health Information Act of 2007 H.R. 1329, Guaranteed Access for SCHIP's Target Population Act of 2007 H.R. 976, Children's Health Insurance Program Reauthorization Act as it pertains to health insurance coverage of children H.R. 3162, CHAMP Act, as it pertains to coverage of children, payments to Medicare Advantage plans, and other spending offsets H.R. 2764, the Department of State, Foreign Operations & Related Programs Appropriation bills, as it realtes to SCHIP fudning, payments to Medicare Advantage Plans, and other spending offsets.

Client expense: $230,000 · Firm income: Not reported

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

See attached list H.R. 3963, Children's Health Insurance Program Reauthorization Act (Dingell) S. 1224, Children's Health Insurance Program Reauthorization Act (Rockefeller) S.1893, Children's Health Insurance Program Reauthorization Act (Baucus) Health plan-related State Children's Health Insurance Program (SCHIP) issues, including eligibility and outreach issues. Ongoing implementation issues for the Medicare Advantage and Medicare Part D prescription drug programs. Also, correction-extension of Medicare Health Support Program. CBO-Chronic Care Medicare Health Support Organizations Estimates.

Client expense: $230,000 · Firm income: Not reported

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

S. 84, "Professional Boxing Amendments Act of 2007" S. 124, "Satellite and Cable Access Act of 2007" S. 234, "Wireless Innovation Act of 2007" S. 337, "White Spaces Act of 2007" S. 234, "Wireless Innovation Act of 2007" S. 431, "KIDS Act of 2007" S. 567, "National Defense Authorization Act for Fiscal Year 2008" S. 602, "The Child Safe Viewing Act" S. 760, "Four Corners Television Access Act of 2007" S. 1082, "Prescription Drug User Fee Amendments of 2007" S. 1082, "Food and Drug Administration Revitalization Act" S. 1086, "Cyber Safety for Kids Act of 2007" S. 1224, "First Response Broadcasters Act of 2007" S. 1267, "Free Flow of Information Act of 2007" S. 1285, "Fair Elections Now Act" S. 1453, "ITFA Extension Act of 2007" S. 1742, "Broadcaster Freedom Act of 2007" S. 1748, "Broadcaster Freedom Act of 2007" S. 1780, "Protecting Children from Indecent Programming Act" S. 2035, Free Flow of Information Act of 2007 S. 2125, "Preparing America's Seniors for the Digital Television Transition of Act of 2007" H.R. 600, "Telecommunications Ownership Diversification Act of 2007" H.R. 608, "Digital Television Consumer Education Act of 2007" H.R. 719, " KIDS Act of 2007" H.R. 1077, "Internet Consumer Protection Act of 2007" H.R. 1120, " Deleting Online Predators Act of 2007" H.R. 1320, "Interference Protection for Existing Television Band Devices Act of 2007" H.R. 1597, "Wireless Innovation Act of 2007" H.R. 2102, "Free Flow of Information Act of 2007" H.R. 2566, "National Digital Television Consumer Education Act" H.R. 2738, "Family and Consumer Choice Act of 2007" H.R. 2821, "Television Freedom Act of 2007" H.R. 2829, "Financial Services and General Government Appropriations Act, 2008" H.R. 2900, "Food and Drug Administration Amendments Act of 2007" H.R. 2905, "Broadcaster Freedom Act of 2007" H.R. 2917, "Transition Education Accountability Report Act of 2007" H.R. 3461, "Safeguarding America's Families by Enhancing and Reorganizing New and Efficient Technologies Act of 2007" H.R. 3559, "Protecting Children from Indecent Programming Act" H.R. 3676, "Family Friendly Flights Act of 2007" H.R. 4167, "Broadcast Ownership for the 21st Century Act" H.R. 4221, "Satellite Consumers' Access to Public Television Digital Programming Act of 2007" H.R. 4882, "Broadcast Licensing in the Public Interest Act" H.R. 5140, Recovery Rebates and Economic Stimulus for the American People Act of 2008 H.R. 5470, To amend the Communications Act of 1934 to require the carriage of all local television signals by satellite carriers in all local markets H.R. 6320, Twenty-first Century Communications and Video Accessibility Act of 2008 (Markey) H.Res. 1, "Implementing Recommendations of the 9/11 Commission Act of 2007" S.J. Res. 28, A joint resolution disapproving the rule submitted by the Federal Communications Commission with respect to broadcast media ownership H.J. Res. 79, Disapproving the rule submitted by the Federal Communications Commission with respect to broadcast media ownership General Issues: 1) Content Regulation Issues, eg, Broadcast Indecency and Television Violence 2) Media Ownership Issues 3) Cable A La Carte Issues 4) Retransmission Consent Issues 5) Spectrum Issues 6) Federal Shield Law Issues 7) DTV Transition Issues 8) Direct-to-Consumer Drug Advertising Issues 9) DirecTV-Liberty Media Transaction 10) Online Advertising Issues 11) Broadcast Localism Issues 12) White Spaces Spectrum Issues 13) Libel Tourism 14) Network Neutrality 15) WWOR License Renewal 16) Enhanced Disclosure by Broadcasters 17) Funding for the United States Telecommunications Training Institute 18) Section 2257 Department of Justice Regulations

Client expense: $1,280,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Federal Communications Commission (FCC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Justice, Dept of (DOJ), Patent & Trademark Office (PTO), SENATE, Smithsonian Institution, State, Dept of (DOS), U.S. Copyright Office, U.S. Trade Representative (USTR), White House Office

MMM (Legislative Issues): H.R. 4: Medicare Prescription Drug Price Negotiation Act (Dingell); H.R. 976: Childrens Health Insurance Program Reauthorization Act (Rangel); H.R. 1535: Children's Health First Act (Dingell); H.R. 1663: Medicare Mental Health Modernization Act (Stark) (continued) H.R. 1990: Medicare Cost Contract Extension and Refinement Act (Pomeroy); H.R. 2147: Healthy Kids Act (Emanuel); H.R. 2945: Medicare Advantage Truth in Advertising Act (Stark); H.R. 2642: Supplemental Appropriations Act (provisions relating to moratoria on Medicaid regulations); H.R. 2842: Childrens Health Protection Act (Schwartz); H.R. 3025: Medicare Prescription Drug Savings for Our Seniors Act (Doggett); H.R. 3061: Medicare Part D Drug Class Protection Act (Doggett); H.R. 3162: Childrens Health and Medicare Protection Act (Dingell); H.R. 3195: ADA Amendments Act (Hoyer); H.R. 3932: Medicare Prescription Drug Savings and Choice Act (Berry); H.R. 3963: Childrens Health Insurance Program Reauthorization Act (Dingell); H.R. 4296: Medicare Electronic Medication and Safety Protection Act (Schwartz); H.R. 5268: Medicaid FMAP (Pallone); H.R. 5480: Medicare Funding Warning Response Act (Hoyer-Boehner); H.R. 5550: Coverage for Young Adult Dependents of Federal Employees (Davis); H.R. 5613: Protecting the Medicaid Safety Net Act (Dingell); H.R. 5683: GAO Act (provisions relating to access to Medicare part C/part D data) (Davis); H.R. 5781: Federal Employees Paid Parental Leave Act (Maloney); H.R. 5840: Insurance Information Act (Kanjorski); H.R. 5918: Small Business Health Options Program Act (Barrow); H.R. 5923: Patients Health Care Reform Act (Shadegg); H.R. 5955: Making Health Care More Affordable Act (Walberg); H.R. 5998: Protecting Children's Health Coverage Act (Pallone); H.R. 6071: Health Care Consumer Protection Act (provisions relating to reinstatement of health insurance following nonpayment of premiums) (Forbes); H.R. 6081: Heroes Earning Assistance and Relief Tax Act (mental health parity and FSA provisions); H.R. 6142: Lawsuits Against Employer-Sponsored Disability Benefit Plans (Andrews); H.R. 6210: Small Business Health Options Program Act (Kind-English); H.R. 6331: Medicare Improvements for Patients and Providers Act (provisions relating to Medicare Advantage, Medicare Part D, Medigap, Medicaid, health care disparities, and electronic prescribing) (Rangel-Dingell); H.R. 6388: GAO Improvement Act (provisions relating to access to Medicare part C/part D data) (Waxman); H.R. 6359: Medicare Beneficiary Protection Act (Biggert); H.R. 6365: Medicare Special Needs Plans Extension and Amendments Act (Kind); S. 3: Medicare Prescription Drug Price Negotiation Act (Reid); S. 130: Medicare Cost Contract Extension and Refinement Act (Allard); S. 401: Keep Children Covered Act (Rockefeller); S. 706: Medicare Advantage Stabilization Fund (Feingold); S. 799: Community Choice Act (Harkin); S. 895: Children's Health First Act (Clinton); S. 1102: Part D Equity for Low-Income Seniors Act (Bingaman); S. 1103: Helping Fill the Medicare Rx Gap Act (Bingaman); S. 1107: Home and Community Services Copayment Equity Act (Smith); S. 1108: Medicare Part D Outreach and Enrollment Enhancement Act (Smith); S. 1200: Indian Health Care Improvement Act (includes Medicaid/MA provisions); S. 1224: Children's Health Insurance Program Reauthorization Act (Rockefeller); S. 1507: Access to Medicare Data Act (Grassley); S. 1544: Medicare Quality Enhancement Act (Gregg); S. 1827: Pharmacist Access and Recognition in Medicare Act (Cochran); S. 1893: Childrens Health Insurance Program Reauthorization Act (Baucus); S. 1954: Pharmacy Access Improvement Act (Baucus); S. 2219: Medicare Prescription Drug Savings and Choice Act (Durbin); S. 2408: Medicare Electronic Medication and Safety Protection Act (Kerry); S. 2620: Medicaid FMAP (Rockefeller); S. 2662: Medicare Funding Warning Response Act (Baucus-Gregg); S. 2795: Small Business Health Options Program Act (Durbin-Snowe); S. 2819: Economic Recovery in Health Care Act (provisions relating to Medicaid funding) (Rockefeller); S. 2948: Small Business Empowerment Act (Brown); S. 2818: Small Business Health Plans Act (Enzi); S. 2999: Access to Cancer Clinical Trials Act (Brown); S. 3068: Equity in Prescription Insurance and Contraceptive Coverage Act (Snowe); S. 3101: Medicare Improvements for Patients and Providers Act (provisions relating to Medicare Advantage, Medicare Part D, Medigap, Medicaid, health care disparities, electronic prescribing) (Baucus); S. 3115: Childrens Health Protection Act (Lautenberg); S. 3118: Preserving Access to Medicare Act (provisions relating to Medicare Advantage, Medicare Part D, Medicaid, and electronic prescribing)(Grassley). MMM (Regulatory Issues) Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology and data issues, (including encounter data issues) bidding and payment issues (including MA coding intensity, Part D reinsurance, low income subsidies, application process, and audits), application process, and audits, benefit design rules, SSA and CMS premium withhold processing issues, systems issues affecting enrollment and disenrollment processing, enrollment rules, marketing materials review and approval, marketing activities, including conduct of brokers and agents and plan sponsor marketing staff and issues raised by CMS about Private Fee-for-Service (PFFS) plan marketing, measurement and oversight of plan performance including Special Needs Plans (SNPs); grievance and appeals processes, compliance/fraud and abuse training, and Medicare/Medicaid integration issues for Special Needs Plans (SNPs); Federal premption of State authorization over MA and Part D plans, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, and other operational issues; Medicare creditable drug coverage reporting requirements; implementation issues for the Medicare Retiree Drug Subsidy program; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education program; ongoing implementation issues for the Medicare cost plan program including enrollment, marketing materials review and approval, systems issues affecting enrollment and disenrollment processing, payment and other operational issues; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting inititiative; issues relating to Medicare coverage policy and national coverage decisions; Medicare clinical trials; Medicaid managed care regulations and policies, including the Medicaid managed care actuarial soundness standard, quality oversight, grievance and appeals processes, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including intergovernmental transfers (IGTs) and federal matching funds for graduate medical education; coordination of benefits with state Medicaid programs; Medicaid prescription drug cost/rebate issues affecting Medicaid health plans; health plan-related State Childrens Health Insurance Program (SCHIP) issues, including eligibility and outreach issues; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including documentation of citizenship requirements, state benefit flexibility options, and Medicaid managed care organization provider tax issues; standards for electronic prescribing; and health information technology standards and policies.

Client expense: $1,850,000 · 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), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

Medikids Health Insurance Act-S.1303/H.R.3055; (PPS Resolution-HCR 231/SCR65); Helping Fill the Medicare Rx Gap Act of 2007-S.1103; The Medicare Access to Community Health Centers Act-H.R. 2897/S.2188; Childrens Health Insurance Program Reauthorization Act-S. 1893/H.R.976; Childrens Health and Medicare Protection Act-H.R. 3162; CHIP Reauthorization Act-S. 1224; Childrens Dental Health Improvement Act-H.R. 1781; ; Deamontes Law H.R. 2371; Childrens Health First Act-H.R.1535; Legal Immigrant Childrens Health Improvement Act-H.R.1308/S.764; Medicare, Medicaid, SCHIP Extension Act-S.2499; Medicare Improvement for Patients and Providers Act of 2008-S.3101; Preserving Access to Medicare Act of 2008-S.3118; Medicare Improvements for Patients and Providers Act of 2008-H.R.6331; Medicare Telehealth Enhancement Act of 2008-H.R.6313.

Client expense: $180,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB)

Medikids Health Insurance Act-S.1303/H.R.3055; (PPS Resolution-HCR 231/SCR65); Helping Fill the Medicare Rx Gap Act of 2007-S.1103; The Medicare Access to Community Health Centers Act-H.R. 2897/S.2188; Childrens Health Insurance Program Reauthorization Act-S. 1893/H.R.976; Childrens Health and Medicare Protection Act-H.R. 3162; CHIP Reauthorization Act-S. 1224; Childrens Dental Health Improvement Act-H.R. 1781; ; Deamontes Law H.R. 2371; Childrens Health First Act-H.R.1535; Legal Immigrant Childrens Health Improvement Act-H.R.1308/S.764; Medicare, Medicaid, SCHIP Extension Act-S.2499; Medicare Improvement for Patients and Providers Act of 2008-S.3101; Preserving Access to Medicare Act of 2008-S.3118; Medicare Improvements for Patients and Providers Act of 2008-H.R.6331; Medicare Telehealth Enhancement Act of 2008-H.R.6313.

Client expense: $180,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB)

H.R. 4 Medicare Prescription Drug Price Negotiation Act of 2007 S. 3 Medicare Prescription Drug Price Negotiation Act of 2007 H.R. 3162 Children's Health and Medicare Protection Act of 2007 S. 1224 SCHIP Reauthorization Act of 2007 S. 2532 Medicare, Medicaid, and SCHIP Indian Health Care Improvement Act of 2007 S. 2086 SCHIP Extension Act of 2007 H.R. 3176 SCHIP Reauthorization and Reform Act of 2007 H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008 S. 3101 Medicare Improvements for Patients and Providers Act of 2008 H.R. 3043 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2008 - pertaining to AIDS & HIV treatments

Client expense: $1,800,000 · Firm income: Not reported

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

S. 84, "Professional Boxing Amendments Act of 2007" S. 124, "Satellite and Cable Access Act of 2007" S. 234, "Wireless Innovation Act of 2007" S. 337, "White Spaces Act of 2007" S. 234, "Wireless Innovation Act of 2007" S. 431, "KIDS Act of 2007" S. 567, "National Defense Authorization Act for Fiscal Year 2008" S. 602, "The Child Safe Viewing Act" S. 760, "Four Corners Television Access Act of 2007" S. 1082, "Prescription Drug User Fee Amendments of 2007" S. 1082, "Food and Drug Administration Revitalization Act" S. 1086, "Cyber Safety for Kids Act of 2007" S. 1224, "First Response Broadcasters Act of 2007" S. 1267, "Free Flow of Information Act of 2007" S. 1285, "Fair Elections Now Act" S. 1453, "ITFA Extension Act of 2007" S. 1742, "Broadcaster Freedom Act of 2007" S. 1748, "Broadcaster Freedom Act of 2007" S. 1780, "Protecting Children from Indecent Programming Act" S. 2035, Free Flow of Information Act of 2007 S. 2125, "Preparing America's Seniors for the Digital Television Transition of Act of 2007" H.R. 600, "Telecommunications Ownership Diversification Act of 2007" H.R. 608, "Digital Television Consumer Education Act of 2007" H.R. 719, " KIDS Act of 2007" H.R. 1077, "Internet Consumer Protection Act of 2007" H.R. 1120, " Deleting Online Predators Act of 2007" H.R. 1320, "Interference Protection for Existing Television Band Devices Act of 2007" H.R. 1597, "Wireless Innovation Act of 2007" H.R. 2102, "Free Flow of Information Act of 2007" H.R. 2566, "National Digital Television Consumer Education Act" H.R. 2738, "Family and Consumer Choice Act of 2007" H.R. 2821, "Television Freedom Act of 2007" H.R. 2829, "Financial Services and General Government Appropriations Act, 2008" H.R. 2900, "Food and Drug Administration Amendments Act of 2007" H.R. 2905, "Broadcaster Freedom Act of 2007" H.R. 2917, "Transition Education Accountability Report Act of 2007" H.R. 3461, "Safeguarding America's Families by Enhancing and Reorganizing New and Efficient Technologies Act of 2007" H.R. 3559, "Protecting Children from Indecent Programming Act" H.R. 3676, "Family Friendly Flights Act of 2007" H.R. 4167, "Broadcast Ownership for the 21st Century Act" H.R. 4221, "Satellite Consumers' Access to Public Television Digital Programming Act of 2007" H.R. 4882, "Broadcast Licensing in the Public Interest Act" H.R. 5140, Recovery Rebates and Economic Stimulus for the American People Act of 2008 H.R. 5470, To amend the Communications Act of 1934 to require the carriage of all local television signals by satellite carriers in all local markets H.R. 6320, Twenty-first Century Communications and Video Accessibility Act of 2008 (Markey) H.Res. 1, "Implementing Recommendations of the 9/11 Commission Act of 2007" S.J. Res. 28, A joint resolution disapproving the rule submitted by the Federal Communications Commission with respect to broadcast media ownership H.J. Res. 79, Disapproving the rule submitted by the Federal Communications Commission with respect to broadcast media ownership General Issues: 1) Content Regulation Issues, eg, Broadcast Indecency and Television Violence 2) Media Ownership Issues 3) Cable A La Carte Issues 4) Retransmission Consent Issues 5) Spectrum Issues 6) Federal Shield Law Issues 7) DTV Transition Issues 8) Direct-to-Consumer Drug Advertising Issues 9) DirecTV-Liberty Media Transaction 10) Online Advertising Issues 11) Broadcast Localism Issues 12) White Spaces Spectrum Issues 13) Libel Tourism 14) Network Neutrality 15) WWOR License Renewal 16) Enhanced Disclosure by Broadcasters 17) Funding for the United States Telecommunications Training Institute 18) Section 2257 Department of Justice Regulations

Client expense: $1,270,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Federal Communications Commission (FCC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Justice, Dept of (DOJ), Patent & Trademark Office (PTO), SENATE, Smithsonian Institution, State, Dept of (DOS), U.S. Copyright Office, U.S. Trade Representative (USTR), White House Office

See Addendum HR 1065 Nonadmitted and Reinsurance Reform Act of 2007 HR 1081 Insurance Industry Competition Act of 2007 HR 1682 Flood Insurance Reform and Modernization Act of 2007 HR 1787 Catastrophe Savings Accounts Act of 2007 HR 2639 Promoting Health for Future Generations Act of 2007 HR 2761 Terrorism Risk Insurance Revision and Extension Act of 2007 HR 3163 Healthy Americans Act HR 3200 National Insurance Act HR 3355 Homeowners Defense Act HR 5719, the Taxpayer Assistance and Simplification Act of 2008 S 40 National Insurers Act S 334 Healthy Americans Act S 618 Insurance Industry Competition Act of 2007 S 927 Catastrophe Savings Accounts Act of 2007 S 929 Nonadmitted and Reinsurance Reform Act of 2007 S 1224 Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 S 1865 Life Insurance Fairness for Travelers Act of 2007 HSA Regulations, Notice 2007-22, NPRM REG-143797-06 Implementing regulations for Public Law no.106-102: Gramm-Leach-Bliley Financial Modernization Act of 1999 Title V: Title III: 1. Privacy Provisions of Title V 2. Consumer Protections for Bank Sales of Insurance under Title III 3. Support of Federal preemption under Title V and the National Bank Act of state laws restricting sales of insurance by banks 4. Disclosure rules for Fixed Annuities under Title V Implementing Regulations for Public Law 108-159: The Fair and Accurate Transactions Act of 2003, Section 411. Implementing Regulation for Public Law 108-173, Medicare Prescription Drug Improvement and Modernization Act of 2003, Title XII, Section 1201, Health Savings Accounts.

Client expense: $75,935 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Natl Economic Council (NEC), Office of the Comptroller of the Currency (OCC), SENATE, Treasury, Dept of

See Addendum HR 1065 Nonadmitted and Reinsurance Reform Act of 2007 HR 1081 Insurance Industry Competition Act of 2007 HR 1682 Flood Insurance Reform and Modernization Act of 2007 HR 1787 Catastrophe Savings Accounts Act of 2007 HR 2639 Promoting Health for Future Generations Act of 2007 HR 2761 Terrorism Risk Insurance Revision and Extension Act of 2007 HR 3163 Healthy Americans Act HR 3200 National Insurance Act HR 3355 Homeowners Defense Act HR 5719, the Taxpayer Assistance and Simplification Act of 2008 S 40 National Insurers Act S 334 Healthy Americans Act S 618 Insurance Industry Competition Act of 2007 S 927 Catastrophe Savings Accounts Act of 2007 S 929 Nonadmitted and Reinsurance Reform Act of 2007 S 1224 Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 S 1865 Life Insurance Fairness for Travelers Act of 2007 HSA Regulations, Notice 2007-22, NPRM REG-143797-06 Implementing regulations for Public Law no.106-102: Gramm-Leach-Bliley Financial Modernization Act of 1999 Title V: Title III: 1. Privacy Provisions of Title V 2. Consumer Protections for Bank Sales of Insurance under Title III 3. Support of Federal preemption under Title V and the National Bank Act of state laws restricting sales of insurance by banks 4. Disclosure rules for Fixed Annuities under Title V Implementing Regulations for Public Law 108-159: The Fair and Accurate Transactions Act of 2003, Section 411. Implementing Regulation for Public Law 108-173, Medicare Prescription Drug Improvement and Modernization Act of 2003, Title XII, Section 1201, Health Savings Accounts.

Client expense: $75,935 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Natl Economic Council (NEC), Office of the Comptroller of the Currency (OCC), SENATE, Treasury, Dept of

Legislation regarding Medicare and Medicaid Reimbursement issues which include provisions to expand access, improve services, stabilize payments to hospitals and other providers under Medicaid, Medicare, and/or SCHIP by addressing reimbursement, parity, quality, self-referral, workforce, payment issues, rehabilitation hospitals, long term care hospitals, rural hospitals and various regulations. HR 2055 Improving Children's Access to Health Care Act, to improve children's access to health care coverage under the Medicaid Program and the State Children's Health Insurance Program (SCHIP). HR 2606, 340B Drug Expansion Act of 2007, to revise and expand the drug discount program under that section to improve the provision of discounts on drug purchases for certain safety net providers. S 355, Social Security and Medicare Solvency Commission Act, to create a permanent, 15-member commission to make recommendations on how best to save the entitlement programs HR 4105; the Medicare Recovery Audit Contractor Program Moratorium Act of 2007 that would enact a one-year, nationwide moratorium on the Recovery Audit Contract (RAC) program. H Con Res 312/S Con Res 70, fiscal year (FY)2009 budget resolutions, Medicare and Medicaid reductions HR 5480/S 2662, Medicare Funding Warning Response Act, various provisions S 2785, Save Medicare Act physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index reclassification. S. 3101; Medicare Improvements for Patients and Providers physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index HR 6331, Medicare Improvements for Patients and Providers Act physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index HR 6252/S3144, would delay for 18 months the Medicare competitive bidding program for durable medical equipment, prosthetics, orthotics and supplies. self-referral HR 1424; Paul Wellstone Mental Health and Addiction Equity Act provision banning the growth of physician-owned specialty hospitals workforce, HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp, rural health programs, childrens hospitals GME, S 543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program. HR 3162, "Children's Health and Medicare Protection Act" payment: HR 2206, U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act supplemental appropriations bill (HR 2206) contained moratorium on medicaid regulations regarding capping payment to public providers and GME HR 1480/1741/S 787, to place a two-year moratorium on the Centers for Medicare & Medicaid Services implementation of medicaid regulations regarding capping payment to public providers and GME funding from Section 1011 of the Medicare Modernization Act of 2003 (MMA), HR 1293, Access to Medicare Imaging Act stop the reduction Medicare reimbursements for some medical imaging services HR 882, Access to Emergency Services Act that would increase by 10 percent Medicare reimbursements to physicians who provide care in emergency departments (EDs) or post-stabilization care related to emergency medical conditions in other areas of hospitals HR 552/S 329, The Pulmonary and Cardiac Rehabilitation Act of 2007 to provide for coverage of items and services under a cardiac rehabilitation program and a pulmonary rehabilitation program. HR 3533/S2460, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 3668, TMA, Abstinence Education, and QI Programs Extension Act includes provision which would mitigate the impact of the behavioral offset in the FY08 Inpatient Prospective Payment System (IPPS) final rule S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals, Section 508 hospitals quality S 1226, Children's Health Care Quality Act would allow the Centers for Medicare & Medicaid Services to fund evidence-based demonstrations to improve hospital care for children. HR 1666, Health Care Price Transparency Promotion Act which would build on existing state efforts to report hospital pricing data and require insurers to disclose estimated out-of-pocket costs to consumers S 465; Advance Directives Improvement and Education Act of 2007" to improve access to information about healthcare options and legal rights for care near the end of life rehabilitation hospitals, S543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, rural hospitals, S 1605/HR 2860, Health Care Access and Rural Equity Act (H-CARE) S 1595, Critical Access Hospital Flexibility Act CAHs would gain flexibility to respond to daily and seasonal fluctuations in patient load S 2499;; Medicare, Medicaid, and SCHIP Extension Act Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals long term care hospitals: HR 562/S338, Medicare Long-Term Care Hospital Improvement establishing facility and patient criteria for long-term care hospitals and related improvements under the Medicare Program. S 2499; Medicare, Medicaid, and SCHIP Extension Act Provides regulatory relief for three years to ensure continued access to current long-term care hospital services, while also imposing a limited moratorium on the development of new, long-term care facilities. Medicaid, HR 2512, Reducing Coverage Gaps for Kids Act To amend titles XIX and XXI of the Social Security Act to prohibit States from requiring eligibility determinations for children for benefits under the Medicaid Program and the State Children's Health Insurance Program (SCHIP) more frequently than once every year. HR 2147, Healthy Kids Act to amend titles XXI and XIX of the Social Security Act to extend the State Children's Health Insurance Program (SCHIP) and streamline enrollment under SCHIP and Medicaid and to amend the Internal Revenue Code of 1986 to provide for a healthy savings tax credit for purchase of children's health coverage. HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 1878, To amend title XIX of the Social Security Act to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid HR 3533/S2460 "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 5613, Protecting the Medicaid Safety Net Act, temporary, one-year moratorium on seven Medicaid regulations S 2819, Economic Recovery in Health Care Act to implement a one-year moratorium on proposed regulatory changes to Medicaid and the State Childrens Health Insurance Program (SCHIP), and to provide states in need with federal relief HR 2462, the supplemental funding bill for Iraq and Afghanistan provision to place a temporary, one-year moratorium on seven Medicaid regulations, including the rules to limit Medicaid payments to public hospitals and to eliminate Government Medical Education (GME). SCHIP: S 1224, that would reauthorize the State Childrens Health Insurance Program and expand it to allow additional coverage to six million children within 10 years S 895/HR 1535, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act S. 1893, the Children's Health Insurance Program Reauthorization Act of 2007 S 2049, The Better Health for America's Children Act," to block a new policy to limit states' ability to enroll children in the State Children's Health Insurance Program S 2152, Kids First Actalternative SCHIP bill that would restrict coverage to individuals younger than age 19 in low-income families HR 3963; Children's Health Insurance Program Reauthorization Act revised bill to extend and expand the State Childrens Health Insurance Program (SCHIP) S 2499 the bill extends SCHIP through March 31, 2009, and provides adequate funding to states to maintain their current enrollment through that date. HR 3533, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME regulations including, but not limited to, provisions of PL 106-554, Consolidated Appropriations Act, provisions related to critical access hospitals, inpatient hospital services Direct Graduate Medical Education, Hospital Outpatient Services, Skilled Nursing Facilities, State Children's Health Insurance Program PL 108-173, Medicare Prescription Drug, Improvement, and Modernization Act, provisions related to rural hospitals, inpatient hospital services, skilled nursing facilities, hospice care, hospital outpatient departments, health care quality PL 109-171; Deficit Reduction Act, provisions related to rehabilitation hospitals, medicaid DSH payment, medicare-dependent hospitals, gainsharing, Medicaid, SHCHIP the FY08 IPPS proposed rule, proposed Medicaid rule (CMS 2258-P), the Recovery Audit Contract (RAC) demonstration.

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

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

S. 450 and HR 748, The Medicare Access to Rehabilitation Services Act of 2007 - All provisions, passage. HR 1846, The Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 - Opposed based on quality, cost accountability, and scope of practice concerns. S. 1224 and HR 3269, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 - Advocated in support of the CHIP program and an expanded role for occuaptional therapy. H.R. 3162, Children's Health and Medicare Protections Act of 2007 (CHAMP) - Advocated for Medicare provision regarding therapy caps, 75% rule on inpatient rehabilitation facilities, SGR cuts and Medicaid provisions. S. 799 and H.R. 1621, The Community Choice Act - Supported all provisions. S. 578 and H.R. 1017, Protecting Children's Health in Schools Act - supported passage and maintaining Medicaid funding for school based administrative claiming and transportation services. H.R. 1809 and S. 2103, Medicare Independent Living Act - Supported the provision of improved access to mobility devices for people with disabilities. H.R. 4082 and S. 1980, Long-term Care Quality and Modernization Act of 2007 - Advocated for inclusion of occupational therapy in quality reporting. S. 932 and H.R. 1552, Medicare Patient Access to Physical Therapist Act of 2007 - Advocated regarding impact on occupational therapy. H.R. 1663, Medicare Mental Health Modernization Act of 2007 - Advocated for passage and improved role for occupational therapy. S. 1628, Nurse Faculty and Physical Therapist Education Act of 2007 - Advocated for inclusion of occupational therapy loan repayment. H.R. 4248, Ensuring Medicare Access to Recreational Thearpy Act - Opposed findings language referring to functional capacities and worked to amend that language. HR 2642 (PL 110-252) Iraq War Supplemental Appropriations -Advocated for moratorium on Medicaid School-based Transportation and Administrative Claiming Costs and opposed elimination of reimbursement for rehab service option. No bill number - Medicaid Rehabilitation Services Proposed Rule - Before Congress advocated for moratorium; opposed proposal to restrict the reimbursement of services under the rehabilitation option. HR 5704, The Medicare Home Health Flexibility Act: Advocated for the promotion of occupational therapy in home health under Medicare. No bill number: Advocated and educated about the role of occupational therapy in mental health practice. HR 6331 and S 3101, Medicare Improvement for Patients and Providers act of 2008 - Advocated for passage and inclusion of following provisions: Part B Outpatient therapy cap exceptions process extension, physician fee schedule update; reduction in copay for Medicare mental health provisions, and delay competitive bidding for DMEPOS; and PQRI. HR 5590, Medicare Oral Health Rehabilitative Enhancement Act - inclusion of occupational therapy coverage language. No bill number - Preserving Access to Medicare Act - advocated for passage and inclusion of Part B outpatient therapy cap exceptions process extension, physician fee schedule update, and physician quality review incentive (PQRI). HR 2231 and S 2931 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007 - advocated for exemption of complex rehab from competitive bidding for DMEPOS.

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

Government targets: Centers For Disease Control & Prevention (CDC), Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

See attached list. S. 334, Healthy Americans Act (Wyden) S.1693, Wired for Health Care Quality Act (Kennedy) H.R. 2406, Healthcare Information Technology Enterprise Integration Act, as it relates to the establishment of a single standard for health information technology systems used by health providers. S. 1693, Wired for Health Care Quality Act, as it pertains to the adoption of a nationwide health information system. H.R. 1367 /H.R.1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, as it pertains to health insurance regulations. S. 558, Mental Health Parity Act, as it pertains to the provisions of mental health benefits. Educate specific Members of Congress on CIGNA bid for a Medicare Administrative contract and any change that will impact providers in their constituencies as a result of being awarded or losing a bid. S. 358/H.R. 493, Genetic Information Nondiscrimination Act of 2007 S. 628, critical Access to Health Information Technology Act of 2007 S. 495, Personal Data Privacy and Security Act of 2007 S. 1455, National Health Information Technology and Privacy Advancement Act of 2007 S. 1408, Health Information Technology Act of 2007 S. 1224, CIPH Reauthorization H.R 6357, To amend the Public Health Services Act to promote the adoption fo health information technology as it pertains to the adoption of a nationawide health infomation system

Client expense: $210,000 · Firm income: Not reported

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

HR 3162, the CHAMP Act S.1224, Children's Health Insurance Reauthorization Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2073/S. 1572 - Child Health Care Crisis Relief Act H.R. 20 - Melanie Blocker-Stokes Postpartum Depression Research and Care Act S. 1375 - MOTHERS Act H.R. 1669 /S. 982 - Positive Aging Act of 2007 P.L. 108-355 - Garrett Lee Smith Memorial Act H.R. 2677 - Improved Nutrition and Physical Activity Act H.R. 2188/S.661 Kinship Caregiver Support Act Bureau of Health Professions Reauthorization and Appropriations SAMHSA Reauthorization S. 1224 Childrens Health Insurance Program Reauthorization Act of 2007 S. 1050 Promoting Wellness for Individuals with Disabilities Act of 2007 S. 651 Play Every Day HR. 1198/S. 1069 Early Hearing Detection and Intervention Act of 2007 S. 1576 Minority Health Improvement and Health Disparity Elimination Act HR. 3014 Health Equity and Accountability Act of 2007 House NIST Health IT Bill H.R. 3195 ADA Amendments Act Developmental Disabilities Act Regulations Home and Community Based Services Regulations Transition for Youth with Serious Mental Illness Childrens Mental Health H.R. 1108/S. 625 The Family Smoking Prevention and Tobacco Control Act H.R. 4232 Improving the Quality of Mental and Substance Use Health Care Act of 2007 NIH Appropriations Federal Response to Eliminate Eating Disorders Act S. 793 Traumatic Brain Injury Act S. 358/H.R. 493 - Genetic Information Nondiscrimination Act

Client expense: $165,660 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Administration on Aging, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Indian Health Service, Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Institute on Alcohol Abuse & Alcoholism (NIAA), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

Legislation regarding Medicare and Medicaid Reimbursement issues which include provisions to expand access, improve services, stabilize payments to hospitals and other providers under Medicaid, Medicare, and/or SCHIP by addressing reimbursement, parity, quality, self-referral, workforce, payment issues, rehabilitation hospitals, long term care hospitals, rural hospitals and various regulations. HR 2055 Improving Children's Access to Health Care Act, to improve children's access to health care coverage under the Medicaid Program and the State Children's Health Insurance Program (SCHIP). HR 2606, 340B Drug Expansion Act of 2007, to revise and expand the drug discount program under that section to improve the provision of discounts on drug purchases for certain safety net providers. S 355, Social Security and Medicare Solvency Commission Act, to create a permanent, 15-member commission to make recommendations on how best to save the entitlement programs HR 4105; the Medicare Recovery Audit Contractor Program Moratorium Act of 2007 that would enact a one-year, nationwide moratorium on the Recovery Audit Contract (RAC) program. H Con Res 312/S Con Res 70, fiscal year (FY)2009 budget resolutions, Medicare and Medicaid reductions HR 5480/S 2662, Medicare Funding Warning Response Act, various provisions self-referral HR 1424; Paul Wellstone Mental Health and Addiction Equity Act provision banning the growth of physician-owned specialty hospitals workforce, HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp, rural health programs, childrens hospitals GME, S 543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program. HR 3162, "Children's Health and Medicare Protection Act" payment: HR 2206, U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act supplemental appropriations bill (HR 2206) contained moratorium on medicaid regulations regarding capping payment to public providers and GME HR 1480/1741/S 787, to place a two-year moratorium on the Centers for Medicare & Medicaid Services implementation of medicaid regulations regarding capping payment to public providers and GME funding from Section 1011 of the Medicare Modernization Act of 2003 (MMA), HR 1293, Access to Medicare Imaging Act stop the reduction Medicare reimbursements for some medical imaging services HR 882, Access to Emergency Services Act that would increase by 10 percent Medicare reimbursements to physicians who provide care in emergency departments (EDs) or post-stabilization care related to emergency medical conditions in other areas of hospitals HR 552/S 329, The Pulmonary and Cardiac Rehabilitation Act of 2007 to provide for coverage of items and services under a cardiac rehabilitation program and a pulmonary rehabilitation program. HR 3533/S2460, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 3668, TMA, Abstinence Education, and QI Programs Extension Act includes provision which would mitigate the impact of the behavioral offset in the FY08 Inpatient Prospective Payment System (IPPS) final rule S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals, Section 508 hospitals quality S 1226, Children's Health Care Quality Act would allow the Centers for Medicare & Medicaid Services to fund evidence-based demonstrations to improve hospital care for children. HR 1666, Health Care Price Transparency Promotion Act which would build on existing state efforts to report hospital pricing data and require insurers to disclose estimated out-of-pocket costs to consumers S 465; Advance Directives Improvement and Education Act of 2007" to improve access to information about healthcare options and legal rights for care near the end of life rehabilitation hospitals, S543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, rural hospitals, S 1605/HR 2860, Health Care Access and Rural Equity Act (H-CARE) S 1595, Critical Access Hospital Flexibility Act CAHs would gain flexibility to respond to daily and seasonal fluctuations in patient load S 2499;; Medicare, Medicaid, and SCHIP Extension Act Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals long term care hospitals: HR 562/S338 Medicare Long-Term Care Hospital Improvement establishing facility and patient criteria for long-term care hospitals and related improvements under the Medicare Program. S 2499; Medicare, Medicaid, and SCHIP Extension Act Provides regulatory relief for three years to ensure continued access to current long-term care hospital services, while also imposing a limited moratorium on the development of new, long-term care facilities. Medicaid, HR 2512, Reducing Coverage Gaps for Kids Act To amend titles XIX and XXI of the Social Security Act to prohibit States from requiring eligibility determinations for children for benefits under the Medicaid Program and the State Children's Health Insurance Program (SCHIP) more frequently than once every year. HR 2147, Healthy Kids Act to amend titles XXI and XIX of the Social Security Act to extend the State Children's Health Insurance Program (SCHIP) and streamline enrollment under SCHIP and Medicaid and to amend the Internal Revenue Code of 1986 to provide for a healthy savings tax credit for purchase of children's health coverage. HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 1878, To amend title XIX of the Social Security Act to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid HR 3533/S2460 "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 5613, Protecting the Medicaid Safety Net Act, temporary, one-year moratorium on seven Medicaid regulations SCHIP: S 1224, that would reauthorize the State Childrens Health Insurance Program and expand it to allow additional coverage to six million children within 10 years S 895/HR 1535, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act S. 1893, the Children's Health Insurance Program Reauthorization Act of 2007 S 2049, The Better Health for America's Children Act," to block a new policy to limit states' ability to enroll children in the State Children's Health Insurance Program S 2152, Kids First Actalternative SCHIP bill that would restrict coverage to individuals younger than age 19 in low-income families HR 3963; Children's Health Insurance Program Reauthorization Act revised bill to extend and expand the State Childrens Health Insurance Program (SCHIP) S 2499 the bill extends SCHIP through March 31, 2009, and provides adequate funding to states to maintain their current enrollment through that date. HR 3533, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME regulations including, but not limited to, provisions of PL 106-554, Consolidated Appropriations Act, provisions related to critical access hospitals, inpatient hospital services Direct Graduate Medical Education, Hospital Outpatient Services, Skilled Nursing Facilities, State Children's Health Insurance Program PL 108-173, Medicare Prescription Drug, Improvement, and Modernization Act, provisions related to rural hospitals, inpatient hospital services, skilled nursing facilities, hospice care, hospital outpatient departments, health care quality PL 109-171; Deficit Reduction Act, provisions related to rehabilitation hospitals, medicaid DSH payment, medicare-dependent hospitals, gainsharing, Medicaid, SHCHIP the FY08 IPPS proposed rule, proposed Medicaid rule (CMS 2258-P), the Recovery Audit Contract (RAC) demonstration.

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

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

H.Con.Res. 99: Budget Resolution HR 1535: Children's Health First Act HR 2147: Healthy Kids Act HR 2851 Michelle's Law HR 2900: FDA Amendments Act HR 3341 Quality Health Care Coalition Act of 2007 HR 3425 Cancer Screening Coverage Act of 2007 HR 4460 Health Care Choice Act of 2007 HR 758 Breast Cancer Patient Protection Act of 2007 HR 836 Cyber-Security Enhancement and Consumer Data Protection Act of 2007 HR 948 Social Security Number Protection Act of 2007 HR 976 Childrens Health Insurance Program Reauthorization Act of 2007 S 1102: Part D Equity for Low-Income Seniors Act S 1224: Children's Health Insurance Program Reauthorization Act S 1408 Health Information Technology Act of 2007 S 1507: Access to Medicare Data Act S 1588 Children's Access to Reconstructive Evaluation and Surgery Act S 1893 Childrens Health Insurance Program Reauthorization Act of 2007 S 358 Genetic Nondiscrimination Act of 2007 S 40 National Insurance Act of 2007 S 400 Michelle's Law S 401: Keep Children Covered Act S 459 Breast Cancer Patient Protection Act of 2007 S 493 Genetic Information Nondiscrimination Act of 2007 S 495 Personal Data Privacy and Security of 2007 S 895: Children's Health First Act S ConRes. 21: Budget Resolution H.R.2761Terrorism Risk Insurance Extension Act Federal Terrorism Risk Insurance HR 2761 Terrorism Risk Insurance Act of 2007: All provisions related to housing and multifamily property insurance S. 558 Mental Health Parity Act H.R. 1424 Paul Wellstone Mental Health and Addiction Equity Act H.R. 493 Genetic Information Nondiscrimination Act H.R. 1424 Paul Wellstone Mental Health and Addiction Equity Act H.R. 3997 Tax Relief Act with MHP Extension S. 46 Affordability in the Individual Market Act S. 558 Mental Health Parity Act S. 2477 Health Care Choice Act H.R.920 To amend the National Flood Insurance Act of 1968 to provide for the national flood insurance program to make available multiperil coverage for damage resulting from windstorms or floods, and for other purposes. S.2449 : A bill to amend chapter 111 of title 28, United States Code, relating to protective orders, sealing of cases, disclosures of discovery information in civil actions, and for other purposes. S.1782 : A bill to amend chapter 1 of title 9 of United States Code with respect to arbitration.

Client expense: Not reported · Firm income: $75,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 976, Small Business Tax Relief Act of 2007 , all provisions. HR 1328, Indian Health Care Improvement Act Amendments of 2007, all provisions. HR 1983, Optometric Equity in Medicaid Act of 2007, all provisions. HR 2147, Healthy Kids Act of 2007, all provisions. HR 3963, Children's Health Insurance Program Reauthorization Act of 2007, all provisions. S 1224, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007, all provisions. S 2376, Medical Homes Act of 2007, all provisions. S 2785, Save Medicare Act of 2008, all provisions. DMEPOS Quality Standards for Supplier Enrollment, educating offices on Capitol Hill regarding regulatory concerns with new DMEPOS standards. PQRI general education on optometrists participation in PQRI process on Capitol Hill and within CMS. Medical Home educating offices on Capitol Hill regarding inclusion of optometrists in medical home interdisciplinary team. Medicare Physician Payment Reform meeting with offices on Capitol Hill to advocate for physician payment fix.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medikids Health Insurance Act-S.1303/H.R.3055; Helping Fill the Medicare Rx Gap Act of 2007-S.1103; The Medicare Access to Community Health Centers Act-H.R. 2897/S.2188; Childrens Health Insurance Program Reauthorization Act-S. 1893/H.R.976; Childrens Health and Medicare Protection Act-H.R. 3162; CHIP Reauthorization Act-S. 1224; Childrens Dental Health Improvement Act-H.R. 1781; Deamontes Law H.R. 2371; Childrens Health First Act-H.R.1535; Legal Immigrant Childrens Health Improvement Act-H.R.1308/S.764; Medicare, Medicaid, SCHIP Extension Act-S.2499.

Client expense: $170,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB)

See Addendum HR 1065 Nonadmitted and Reinsurance Reform Act of 2007 HR 1081 Insurance Industry Competition Act of 2007 HR 1682 Flood Insurance Reform and Modernization Act of 2007 HR 1787 Catastrophe Savings Accounts Act of 2007 HR 2639 Promoting Health for Future Generations Act of 2007 HR 2761 Terrorism Risk Insurance Revision and Extension Act of 2007 HR 3163 Healthy Americans Act HR 3200 National Insurance Act HR 3355 Homeowners Defense Act S 40 National Insurers Act S 334 Healthy Americans Act S 618 Insurance Industry Competition Act of 2007 S 927 Catastrophe Savings Accounts Act of 2007 S 929 Nonadmitted and Reinsurance Reform Act of 2007 S 1224 Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 S 1865 Life Insurance Fairness for Travelers Act of 2007 HSA Regulations, Notice 2007-22, NPRM REG-143797-06 Implementing regulations for Public Law no.106-102: Gramm-Leach-Bliley Financial Modernization Act of 1999 Title V: Title III: 1. Privacy Provisions of Title V 2. Consumer Protections for Bank Sales of Insurance under Title III 3. Support of Federal preemption under Title V and the National Bank Act of state laws restricting sales of insurance by banks 4. Disclosure rules for Fixed Annuities under Title V Implementing Regulations for Public Law 108-159: The Fair and Accurate Transactions Act of 2003, Section 411. Implementing Regulation for Public Law 108-173, Medicare Prescription Drug Improvement and Modernization Act of 2003, Title XII, Section 1201, Health Savings Accounts.

Client expense: $65,584 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Natl Economic Council (NEC), Office of the Comptroller of the Currency (OCC), SENATE, Treasury, Dept of

See Addendum HR 1065 Nonadmitted and Reinsurance Reform Act of 2007 HR 1081 Insurance Industry Competition Act of 2007 HR 1682 Flood Insurance Reform and Modernization Act of 2007 HR 1787 Catastrophe Savings Accounts Act of 2007 HR 2639 Promoting Health for Future Generations Act of 2007 HR 2761 Terrorism Risk Insurance Revision and Extension Act of 2007 HR 3163 Healthy Americans Act HR 3200 National Insurance Act HR 3355 Homeowners Defense Act S 40 National Insurers Act S 334 Healthy Americans Act S 618 Insurance Industry Competition Act of 2007 S 927 Catastrophe Savings Accounts Act of 2007 S 929 Nonadmitted and Reinsurance Reform Act of 2007 S 1224 Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 S 1865 Life Insurance Fairness for Travelers Act of 2007 HSA Regulations, Notice 2007-22, NPRM REG-143797-06 Implementing regulations for Public Law no.106-102: Gramm-Leach-Bliley Financial Modernization Act of 1999 Title V: Title III: 1. Privacy Provisions of Title V 2. Consumer Protections for Bank Sales of Insurance under Title III 3. Support of Federal preemption under Title V and the National Bank Act of state laws restricting sales of insurance by banks 4. Disclosure rules for Fixed Annuities under Title V Implementing Regulations for Public Law 108-159: The Fair and Accurate Transactions Act of 2003, Section 411. Implementing Regulation for Public Law 108-173, Medicare Prescription Drug Improvement and Modernization Act of 2003, Title XII, Section 1201, Health Savings Accounts.

Client expense: $65,584 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Natl Economic Council (NEC), Office of the Comptroller of the Currency (OCC), SENATE, Treasury, Dept of

S. 84, "Professional Boxing Amendments Act of 2007" S. 124, "Satellite and Cable Access Act of 2007" S. 234, "Wireless Innovation Act of 2007" S. 337, "White Spaces Act of 2007" S. 234, "Wireless Innovation Act of 2007" S. 431, "KIDS Act of 2007" S. 567, "National Defense Authorization Act for Fiscal Year 2008" S. 602, "The Child Safe Viewing Act" S. 760, "Four Corners Television Access Act of 2007" S. 1082, "Prescription Drug User Fee Amendments of 2007" S. 1082, "Food and Drug Administration Revitalization Act" S. 1086, "Cyber Safety for Kids Act of 2007" S. 1224, "First Response Broadcasters Act of 2007" S. 1267, "Free Flow of Information Act of 2007" S. 1285, "Fair Elections Now Act" S. 1453, "ITFA Extension Act of 2007" S. 1742, "Broadcaster Freedom Act of 2007" S. 1748, "Broadcaster Freedom Act of 2007" S. 1780, "Protecting Children from Indecent Programming Act" S. 2035, Free Flow of Information Act of 2007 S. 2125, "Preparing America's Seniors for the Digital Television Transition of Act of 2007" H.R. 600, "Telecommunications Ownership Diversification Act of 2007" H.R. 608, "Digital Television Consumer Education Act of 2007" H.R. 719, " KIDS Act of 2007" H.R. 1077, "Internet Consumer Protection Act of 2007" H.R. 1120, " Deleting Online Predators Act of 2007" H.R. 1320, "Interference Protection for Existing Television Band Devices Act of 2007" H.R. 1597, "Wireless Innovation Act of 2007" H.R. 2102, "Free Flow of Information Act of 2007" H.R. 2566, "National Digital Television Consumer Education Act" H.R. 2738, "Family and Consumer Choice Act of 2007" H.R. 2821, "Television Freedom Act of 2007" H.R. 2829, "Financial Services and General Government Appropriations Act, 2008" H.R. 2900, "Food and Drug Administration Amendments Act of 2007" H.R. 2905, "Broadcaster Freedom Act of 2007" H.R. 2917, "Transition Education Accountability Report Act of 2007" H.R. 3461, "Safeguarding America's Families by Enhancing and Reorganizing New and Efficient Technologies Act of 2007" H.R. 3559, "Protecting Children from Indecent Programming Act" H.R. 3676, "Family Friendly Flights Act of 2007" H.R. 4167, "Broadcast Ownership for the 21st Century Act" H.R. 4221, "Satellite Consumers' Access to Public Television Digital Programming Act of 2007" H.R. 4882, "Broadcast Licensing in the Public Interest Act" H.R. 5140, Recovery Rebates and Economic Stimulus for the American People Act of 2008 H.R. 5470, To amend the Communications Act of 1934 to require the carriage of all local television signals by satellite carriers in all local markets H.Res. 1, "Implementing Recommendations of the 9/11 Commission Act of 2007" S.J. Res. 28, A joint resolution disapproving the rule submitted by the Federal Communications Commission with respect to broadcast media ownership H.J. Res. 79, Disapproving the rule submitted by the Federal Communications Commission with respect to broadcast media ownership General Issues: 1) Content Regulation Issues, eg, Broadcast Indecency and Television Violence 2) Broadcast Ownership Issues 3) Cable A La Carte Issues 4) Retransmission Consent Issues 5) Spectrum Issues 6) Federal Shield Law Issues 7) DTV Transition Issues 8) Direct-to-Consumer Drug Advertising Issues 9) DirecTV-Liberty Media Transaction 10) Communications Disability Access Issues 11) Broadcast Localism Issues 12) White Spaces Spectrum Issues 13) Libel Tourism 14) Network Neutrality

Client expense: $1,040,000 · Firm income: Not reported

See attached list. S. 334, Healthy Americans Act (Wyden) S.1693, Wired for Health Care Quality Act (Kennedy) H.R. 2406, Healthcare Information Technology Enterprise Integration Act, as it relates to the establishment of a single standard for health information technology systems used by health providers. S. 1693, Wired for Health Care Quality Act, as it pertains to the adoption of a nationwide health information system. H.R. 1367 /H.R.1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, as it pertains to health insurance regulations. S. 558, Mental Health Parity Act, as it pertains to the provisions of mental health benefits. Educate specific Members of Congress on CIGNA bid for a Medicare Administrative contract and any change that will impact providers in their constituencies as a result of being awarded or losing a bid. S. 358/H.R. 493, Genetic Information Nondiscrimination Act of 2007 S. 628, critical Access to Health Information Technology Act of 2007 S. 495, Personal Data Privacy and Security Act of 2007 S. 1455, National Health Information Technology and Privacy Advancement Act of 2007 S. 1408, Health Information Technology Act of 2007 S. 1224, CIPH Reauthorization S. 1022, A bill to eliminate funding shortfalls for SCHIP S. 1023, A bill to eliminate funding shortfalls for SCHIP H.R. 1368, Personalized Health Information Act of 2007 H.R. 1329, Guaranteed Access for SCHIP's Target Population Act of 2007 H.R. 976, Children's Health Insurance Program Reauthorization Act as it pertains to health insurance coverage of children H.R. 3162, CHAMP Act, as it pertains to coverage of children, payments to Medicare Advantage plans, and other spending offsets H.R. 2764, the Department of State, Foreign Operations & Related Programs Appropriation bills, as it realtes to SCHIP fudning, payments to Medicare Advantage Plans, and other spending offsets.

Client expense: $290,000 · Firm income: Not reported

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

See attached list H.R. 3963, Children's Health Insurance Program Reauthorization Act (Dingell) S. 1224, Children's Health Insurance Program Reauthorization Act (Rockefeller) S.1893, Children's Health Insurance Program Reauthorization Act (Baucus) Health plan-related State Children's Health Insurance Program (SCHIP) issues, including eligibility and outreach issues. Ongoing implementation issues for the Medicare Advantage and Medicare Part D prescription drug programs. Also, correction-extension of Medicare Health Support Program. CBO-Chronic Care Medicare Health Support Organizations Estimates.

Client expense: $290,000 · Firm income: Not reported

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

MMM (Legislative Issues): H.R. 4: Medicare Prescription Drug Price Negotiation Act (Dingell); H.R. 976: Childrens Health Insurance Program Reauthorization Act (Rangel); H.R. 1535: Children's Health First Act (Dingell); H.R. 1663: Medicare Mental Health Modernization Act (Stark) (continued) H.R. 1990: Medicare Cost Contract Extension and Refinement Act (Pomeroy); H.R. 2147: Healthy Kids Act (Emanuel); H.R. 2945: Medicare Advantage Truth in Advertising Act (Stark); H.R. 3025: Medicare Prescription Drug Savings for Our Seniors Act (Doggett); H.R. 3061: Medicare Part D Drug Class Protection Act (Doggett); H.R. 3162: Childrens Health and Medicare Protection Act (Dingell); H.R. 3932: Medicare Prescription Drug Savings and Choice Act (Berry); H.R. 3963: Childrens Health Insurance Program Reauthorization Act (Dingell); H.R. 4296: Medicare Electronic Medication and Safety Protection Act (Schwartz); H.R. 5268: Medicaid FMAP (Pallone); H.R. 5480: Medicare Funding Warning Response Act (Hoyer-Boehner); H.R. 5613: Protecting the Medicaid Safety Net Act (Dingell); S. 3: Medicare Prescription Drug Price Negotiation Act (Reid); S. 130: Medicare Cost Contract Extension and Refinement Act (Allard); S. 401: Keep Children Covered Act (Rockefeller); S. 706: Medicare Advantage Stabilization Fund (Feingold); S. 799: Community Choice Act (Harkin); S. 895: Children's Health First Act (Clinton); S. 1102: Part D Equity for Low-Income Seniors Act (Bingaman); S. 1103: Helping Fill the Medicare Rx Gap Act (Bingaman); S. 1107: Home and Community Services Copayment Equity Act (Smith); S. 1108: Medicare Part D Outreach and Enrollment Enhancement Act (Smith); S. 1200: Indian Health Care Improvement Act (includes Medicaid/MA provisions); S. 1224: Children's Health Insurance Program Reauthorization Act (Rockefeller); S. 1507: Access to Medicare Data Act (Grassley); S. 1544: Medicare Quality Enhancement Act (Gregg); S. 1827: Pharmacist Access and Recognition in Medicare Act (Cochran); S. 1893: Childrens Health Insurance Program Reauthorization Act (Baucus); S. 1954: Pharmacy Access Improvement Act (Baucus); S. 2219: Medicare Prescription Drug Savings and Choice Act (Durbin); S. 2408: Medicare Electronic Medication and Safety Protection Act (Kerry); S. 2620: Medicaid FMAP (Rockefeller); S. 2662: Medicare Funding Warning Response Act (Baucus-Gregg); S. Con. Res. 70: Budget Resolution; (Conrad); H. Con. Res. 312: Budget Resolution, section 201 (Spratt). MMM (Regulatory Issues) Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology and data issues, bidding and payment issues (including MA coding intensity, Part D reinsurance, and low income subsidies), benefit design rules, SSA and CMS premium withhold processing issues, systems issues affecting enrollment and disenrollment processing, enrollment rules, marketing materials review and approval, marketing activities, including conduct of brokers and agents and plan sponsor marketing staff and issues raised by CMS about Private Fee-for-Service (PFFS) plan marketing, measurement and oversight of plan performance including Special Needs Plans (SNPs), grievance and appeals processes, Medicare/Medicaid integration issues for Special Needs Plans (SNPs), Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, and other operational issues; Medicare creditable drug coverage reporting requirements; implementation issues for the Medicare Retiree Drug Subsidy program; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education program; ongoing implementation issues for the Medicare cost plan program including enrollment, marketing materials review and approval, systems issues affecting enrollment and disenrollment processing, payment and other operational issues; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting inititiative; issues relating to Medicare coverage policy and national coverage decisions; Medicare clinical trials; Medicaid managed care regulations and policies, including the Medicaid managed care actuarial soundness standard, quality oversight, grievance and appeals processes, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including intergovernmental transfers (IGTs) and federal matching funds for graduate medical education; coordination of benefits with state Medicaid programs; Medicaid prescription drug cost/rebate issues affecting Medicaid health plans; health plan-related State Childrens Health Insurance Program (SCHIP) issues, including eligibility and outreach issues; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including documentation of citizenship requirements, state benefit flexibility options, and Medicaid managed care organization provider tax issues; standards for electronic prescribing; and health information technology standards and policies.

Client expense: $1,820,000 · 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), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

H.R. 4 Medicare Prescription Drug Price Negotiation Act of 2007 S. 3 Medicare Prescription Drug Price Negotiation Act of 2007 H.R. 3162 Children's Health and Medicare Protection Act of 2007 S. 1224 SCHIP Reauthorization Act of 2007 S. 2532 Medicare, Medicaid, and SCHIP Indian Health Care Improvement Act of 2007 S. 2086 SCHIP Extension Act of 2007 H.R. 3176 SCHIP Reauthorization and Reform Act of 2007

Client expense: $1,240,000 · Firm income: Not reported

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