Children's Health Care Quality Act

Title VII of the "Supplemental Appropriations Act, 2008 (H.R. 2642), "Protecting the Medicaid Safety Net Act of 2008" (H.R. 5613), The Public and Teaching Hospital Preservation Act (H.R. 3533/S. 2400): Extending the Moratoria on the FY2008 Medicaid Intergovernmental Transfer/Cost Limit Regulations and the FY 2008 Medicaid Graduate Education Proposed Rule; Increasing Medicare's Resident Limits: Resident Physician Shortage Reduction Act (H.R. 1093/S. 588); Preventing Reductions of Medicare Payments to Anesthesiologists: Medicare Anesthesiology; Teaching Funding Restoration Act of 2007 (HR 2053/S 2056); Improving Cancer Treatment and Care under Medicare: Comprehensive Cancer Care Improvements Act of 2007 (HR 1078); Improving Delivery of Care to Children Under Medicaid: Children's Healthcare and Quality Act of 2007 (HR 2723, S 1226, S 2790); Medicare Value Based Purchasing, Medicare Physician Payments: Preventing a 10% Reduction in CY2008: Medicare Improvements for Patients and Providers Act of 2008 (HR 6331/S 3101); Preserving Access to Medicare Act of 2008 (S 3118); Maintaining Medicare Operating and Capital Indirect Medical Education Payments. Increased Medicare Payments to Nurse-Midwives: Midwifery Care Access and Reimbursement Equity Act of 2007 (HR 864/S 507).

Client expense: $57,000 · Firm income: Not reported

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

H.R. 2723, S. 1226, "Children's Health Care Quality Act" all provisions. H.R. 1308, S. 764 "Legal Immigrant Children's Health Improvement Act," all provisions Issues relating to the establishment of a Commission on Children and Disasters at the Department of Health and Human Services S. 1970, "Addressing the Disaster Needs of Children Act," all provisions. S. 911/H.R. 1553, "Conquer Childhood Cancer Act," all provisions. H.R. 4450, "Pediatric, Adolescent and Young Adult Cancer Suviorship Research and Quality of Life Act," all provisions. H.R. 2464/ S.66, "Wakefield Act," all provisions. S. 2773/ H.R. 6089, "Pediatric Research Consortia Establishment Act," all provisions. H.R. 6983, "Paul Wellstone and Pete Dominic. Mental Health Parity and Addiction Equity Act," all provisions. H.R. 7173/S.3631, "Medically Fragile Children's Act of 2008," all provisions.

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

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

S. 1226, Childrens Health Care Quality Act S. 794/H.R. 2746, Prevent Prematurity and Improve Child Health Act

Client expense: $110,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), 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. 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. 2723, S. 1226, "Children's Health Care Quality Act" all provisions. H.R. 1308, S. 764 "Legal Immigrant Children's Health Improvement Act," all provisions Issues relating to the establishment of a Commission on Children and Disasters at the Department of Health and Human Services S. 1970, "Addressing the Disaster Needs of Children Act" all provision S. 911/H.R. 1553, "Conquer Childhood Cancer Act," all provisions. H.R. 4450, "Pediatric, Adolescent and Young Adult Cancer Suviorship Research and Quality of Life Act" all provisions. H.R. 2464/ S.66, "Wakefield Act" all provisions. S. 2773/ H.R. 6089, "Pediatric Research Consortia Establishment Act" all provisions

Client expense: $620,000 · Firm income: Not reported

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

H.R. 2723, S. 1226, "Children's Health Care Quality Act" all provisions. H.R. 1308, S. 764 "Legal Immigrant Children's Health Improvement Act," all provisions Issues relating to the establishment of a Commission on Children and Disasters at the Department of Health and Human Services S. 1970, "Addressing the Disaster Needs of Children Act" all provision S. 911/H.R. 1553, "Conquer Childhood Cancer Act," all provisions. H.R. 4450, "Pediatric, Adolescent and Young Adult Cancer Suviorship Research and Quality of Life Act" all provisions.

Client expense: $440,000 · Firm income: Not reported

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

Preventing Reductions to Medicaid Hospital Payments: Public and Teaching Hospital Preservation Act (HR 3533/S 2460), FY2008 Medicaid Intergovernmental Transfer/Cost Limit Regulations, FY2008 Medicaid Graduate Medical Education Proposed Rule, Protecting the Medicaid Safety Net Act of 2008 (HR 5613); Supplemental Appropriations Acts, 2008 (HR 2642); Increasing Medicare's Resident Limits: Resident Physician Shortage Reduction Act (HR 1093/S 588); Preventing Reductions of Medicare Payments to Anesthesiologists: Medicare Anesthesiology; Teaching Funding Restoration Act of 2007 (HR 2053/S 2056); Improving Cancer Treatment and Care under Medicare: Comprehensive Cancer Care Improvements Act of 2007 (HR 1078); Improving Delivery of Care to Children Under Medicaid: Children's Healthcare and Quality Act of 2007 (HR 2723, S 1226, S 2790); Medicare Value Based Purchasing, Medicare Physician Payments: Preventing a 10% Reduction in CY2008: Medicare Improvements for Patients and Providers Act of 2008 (HR 6331/S 3101); Preserving Access to Medicare Act of 2008 (S 3118); Maintaining Medicare Indirect Medical Education Payments. Increased Medicare Payments to Nurse-Midwives: Midwifery Care Access and Reimbursement Equity Act of 2007 (HR 864/S 507).

Client expense: $41,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), 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 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.R. 2723, S. 1226, "Children's Health Care Quality Act" all provisions. H.R. 1308, S. 764 "Legal Immigrant Children's Health Improvement Act," all provisions Issues relating to the establishment of a Commission on Children and Disasters at the Department of Health and Human Services S. 1970, "Addressing the Disaster Needs of Children Act" all provision S. 911/H.R. 1553, "Conquer Childhood Cancer Act," all provisions. H.R. 4450, "Pediatric, Adolescent and Young Adult Cancer Suviorship Research and Quality of Life Act" all provisions.

Client expense: $1,140,000 · Firm income: Not reported

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

Preventing Reductions to Medicaid Hospital Payments: Public and Teaching Hospital Preservation Act (HR 3533/S 2460), FY2008 Medicaid Intergovernmental Transfer/Cost Limit Regulations, FY2008 Medicaid Graduate Medical Education Proposed Rule, Protecting the Medicaid Safety Net Act of 2008 (HR 5613); Increasing Medicare's Resident Limits: Resident Physician Shortage Reduction Act (HR 1093/S 588); Preventing Reductions of Medicare Payments to Anesthesiologists: Medicare Anesthesiology Teaching Funding Restoration Act of 2007 (HR 2053/S 2056); Improving Cancer Treatment and Care under Medicare: Comprehensive Cancer Care Improvements Act of 2007 (HR 1078); Improving Delivery of Care to Children Under Medicaid: Children's Healthcare and Quality Act of 2007 (HR 2723, S 1226); Medicare Value Based Purchasing, Medicare Physician Payments: Preventing a 10% Reduction in CY2008, Maintaining Medicare Indirect Medical Education Payments.

Client expense: $30,850 · Firm income: Not reported

HR 5163/S 2819 = Legislation to block 2007 Medicaid rules Budget/Appropriations (HR/S) = Funding for Children's Hospital Graduate Medical Education (CHGME) & Poison Control Ctrs HR 2723/S 1226 = Children's Health Care Quality Act HR 2606/S 1376 = 340B Program Improvement and Integrity Act

Client expense: $69,850 · Firm income: Not reported

H.R. 2723, S. 1226, "Children's Health Care Quality Act," all provisions. H.R. 1308, S. 764, "Legal Immigrant Children's Health Improvement Act," all provisions. S. 1156, "Best Pharamaceuticals For Children Amendments of 2007," all provisions. H.R. 2589, "Imporving Pharamecuticals for Children Act of 2007," all provisions. S. 993, "Pediatric Research Improvement Act," all provisions. H.R. 1494, S. 830, "Pediatric Medical Device Safety and Improvement Act of 2007," all provisions. S. 1082, "Food and Drug Administration Revitalization Act," provisions relating to pharmaceutical and medical device testing for children. H.R. 2900, "Food and Drug Administration Amendments Act of 2007," provisions relating to pharmaceutical and medical device testing for children S. 1970, Addressing the Disaster Needs of Children Act, all provisions. S. 911/H.R. 1553, Conquer Childhood Cancer Act, all provisions. H.R. 4450, Pediatric, Adolescent, and Young Adult Cancer Survivorship Research and Quality of Life Act, all provisions.

Client expense: $834,165 · Firm income: Not reported

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

HR 1591/S 2206, S Con Res 21 = Medicare/Medicaid; HR 2723/S 1226 = Children's Health Care Quality Act; HR976/HR 3963/S 2499 = SCHIP Reauthorization; HR 2606/S 1376 = 340B Program Improvement and Integrity Act; HR 2761/S 3043 = Children's Hospitals Graduate Medical Education (CHGME); HR 2761 = Poison Control Center funding

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2723, S. 1226, "Children's Health Care Quality Act," all provisions. H.R. 1308, S. 764, "Legal Immigrant Children's Health Improvement Act," all provisions.

Client expense: $834,165 · Firm income: Not reported

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

"The Children's Health Insurance Reauthorization Act of 2007;" H.R. 3043/S. 1710 "FY08 Labor, Health and Human Services and Education Appropriations Act," Title II, provisions relating to Dept. of Health and Human Services appropriations; S. 1751 "FY08 Energy and Water Development Appropriations Act," Title III, provisions relating to Dept. of Energy appropriations; S. 1226/H.R. 2723 "Children's Health Care Quality Act;" S. 911/H.R. 1553, "Conquer Childhood Cancer Act of 2007."

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Labor/HHS Approps(HR3043, S1710; Sustainable Coastal Margins; Oregon Translational Research and Drug Development Institute; CDC & NIH Budgets; CMS Proposed Inpatient Prospective Payment System Rule; Proposed CMS Cost Limit Rule; Proposed CMS Medicaid GME Rule; Healthy Americans Act(HR3163, S334); Conquer Childhood Cancer Act of 2007 (HR1553, S911);Children's Health Care and Quality Act of 2007(HR2723, S1226),Cancer Screening, Treatment, & Survivorship Act of 2007(HR2353, S1415)

Client expense: Not reported · Firm income: Not reported

Labor/HHS Approps(HR3043, S1710; Sustainable Coastal Margins; Oregon Translational Research and Drug Development Institute; CDC & NIH Budgets; CMS Proposed Inpatient Prospective Payment System Rule; Proposed CMS Cost Limit Rule; Proposed CMS Medicaid GME Rule; Healthy Americans Act(HR3163, S334); Conquer Childhood Cancer Act of 2007 (HR1553, S911);Children's Health Care and Quality Act of 2007(HR2723, S1226),Cancer Screening, Treatment, & Survivorship Act of 2007(HR2353, S1415)

Client expense: Not reported · Firm income: Not reported

Labor/HHS Approps(HR3043, S1710; Sustainable Coastal Margins; Oregon Translational Research and Drug Development Institute; CDC & NIH Budgets; CMS Proposed Inpatient Prospective Payment System Rule; Proposed CMS Cost Limit Rule; Proposed CMS Medicaid GME Rule; Healthy Americans Act(HR3163, S334); Conquer Childhood Cancer Act of 2007 (HR1553, S911);Children's Health Care and Quality Act of 2007(HR2723, S1226),Cancer Screening, Treatment, & Survivorship Act of 2007(HR2353, S1415)

Client expense: Not reported · Firm income: Not reported

Labor/HHS Approps(HR3043, S1710; Sustainable Coastal Margins; Oregon Translational Research and Drug Development Institute; CDC & NIH Budgets; CMS Proposed Inpatient Prospective Payment System Rule; Proposed CMS Cost Limit Rule; Proposed CMS Medicaid GME Rule; Healthy Americans Act(HR3163, S334); Conquer Childhood Cancer Act of 2007 (HR1553, S911);Children's Health Care and Quality Act of 2007(HR2723, S1226),Cancer Screening, Treatment, & Survivorship Act of 2007(HR2353, S1415)

Client expense: Not reported · Firm income: Not reported

Labor/HHS Approps(HR3043, S1710; Sustainable Coastal Margins; Oregon Translational Research and Drug Development Institute; CDC & NIH Budgets; CMS Proposed Inpatient Prospective Payment System Rule; Proposed CMS Cost Limit Rule; Proposed CMS Medicaid GME Rule; Healthy Americans Act(HR3163, S334); Conquer Childhood Cancer Act of 2007 (HR1553, S911);Children's Health Care and Quality Act of 2007(HR2723, S1226),Cancer Screening, Treatment, & Survivorship Act of 2007(HR2353, S1415)

Client expense: Not reported · Firm income: Not reported

Labor/HHS Approps(HR3043, S1710; Sustainable Coastal Margins; Oregon Translational Research and Drug Development Institute; CDC & NIH Budgets; CMS Proposed Inpatient Prospective Payment System Rule; Proposed CMS Cost Limit Rule; Proposed CMS Medicaid GME Rule; Healthy Americans Act(HR3163, S334); Conquer Childhood Cancer Act of 2007 (HR1553, S911);Children's Health Care and Quality Act of 2007(HR2723, S1226),Cancer Screening, Treatment, & Survivorship Act of 2007(HR2353, S1415)

Client expense: Not reported · Firm income: Not reported

Labor/HHS Approps(HR3043, S1710; Sustainable Coastal Margins; Oregon Translational Research and Drug Development Institute; CDC & NIH Budgets; CMS Proposed Inpatient Prospective Payment System Rule; Proposed CMS Cost Limit Rule; Proposed CMS Medicaid GME Rule; Healthy Americans Act(HR3163, S334); Conquer Childhood Cancer Act of 2007 (HR1553, S911);Children's Health Care and Quality Act of 2007(HR2723, S1226),Cancer Screening, Treatment, & Survivorship Act of 2007(HR2353, S1415)

Client expense: Not reported · Firm income: Not reported

Labor/HHS Approps (HR3043/S1710); Sustainable Coastal Margins; Oregon Translational Research and Drug Development Institute; CDC & NIH Budgets; CMS Proposed Inpatient Prospective Payment System Rule; Proposed CMS Cost Limit Rule; Proposed CMS Medicaid GME Rule; Healthy Americans Act (HR3163/S334); Conquer Childhood Cancer Act of 2007 (HR1553/ S911); Children's Health Care and Quality Act of 2007 (HR2723/S1226);

Client expense: $30,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), SENATE

Labor/HHS Approps(HR3043, S1710; Sustainable Coastal Margins; Oregon Translational Research and Drug Development Institute; CDC & NIH Budgets; CMS Proposed Inpatient Prospective Payment System Rule; Proposed CMS Cost Limit Rule; Proposed CMS Medicaid GME Rule; Healthy Americans Act(HR3163, S334); Conquer Childhood Cancer Act of 2007 (HR1553, S911);Children's Health Care and Quality Act of 2007(HR2723, S1226),Cancer Screening, Treatment, & Survivorship Act of 2007(HR2353, S1415)

Client expense: Not reported · Firm income: Not reported

Labor/HHS Approps(HR3043, S1710; Sustainable Coastal Margins; Oregon Translational Research and Drug Development Institute; CDC & NIH Budgets; CMS Proposed Inpatient Prospective Payment System Rule; Proposed CMS Cost Limit Rule; Proposed CMS Medicaid GME Rule; Healthy Americans Act(HR3163, S334); Conquer Childhood Cancer Act of 2007 (HR1553, S911);Children's Health Care and Quality Act of 2007(HR2723, S1226),Cancer Screening, Treatment, & Survivorship Act of 2007(HR2353, S1415)

Client expense: Not reported · Firm income: Not reported

Labor/HHS Approps(HR3043, S1710; Sustainable Coastal Margins; Oregon Translational Research and Drug Development Institute; CDC & NIH Budgets; CMS Proposed Inpatient Prospective Payment System Rule; Proposed CMS Cost Limit Rule; Proposed CMS Medicaid GME Rule; Healthy Americans Act(HR3163, S334); Conquer Childhood Cancer Act of 2007 (HR1553, S911);Children's Health Care and Quality Act of 2007(HR2723, S1226),Cancer Screening, Treatment, & Survivorship Act of 2007(HR2353, S1415)

Client expense: Not reported · Firm income: Not reported

Labor/HHS Approps(HR3043, S1710; Sustainable Coastal Margins; Oregon Translational Research and Drug Development Institute; CDC & NIH Budgets; CMS Proposed Inpatient Prospective Payment System Rule; Proposed CMS Cost Limit Rule; Proposed CMS Medicaid GME Rule; Healthy Americans Act(HR3163, S334); Conquer Childhood Cancer Act of 2007 (HR1553, S911);Children's Health Care and Quality Act of 2007(HR2723, S1226),Cancer Screening, Treatment, & Survivorship Act of 2007(HR2353, S1415)

Client expense: Not reported · Firm income: Not reported

Labor/HHS Approps(HR3043, S1710; Sustainable Coastal Margins; Oregon Translational Research and Drug Development Institute; CDC & NIH Budgets; CMS Proposed Inpatient Prospective Payment System Rule; Proposed CMS Cost Limit Rule; Proposed CMS Medicaid GME Rule; Healthy Americans Act(HR3163, S334); Conquer Childhood Cancer Act of 2007 (HR1553, S911);Children's Health Care and Quality Act of 2007(HR2723, S1226),Cancer Screening, Treatment, & Survivorship Act of 2007(HR2353, S1415)

Client expense: Not reported · Firm income: Not reported

Labor/HHS Approps(HR3043, S1710; Sustainable Coastal Margins; Oregon Translational Research and Drug Development Institute; CDC & NIH Budgets; CMS Proposed Inpatient Prospective Payment System Rule; Proposed CMS Cost Limit Rule; Proposed CMS Medicaid GME Rule; Healthy Americans Act(HR3163, S334); Conquer Childhood Cancer Act of 2007 (HR1553, S911);Children's Health Care and Quality Act of 2007(HR2723, S1226),Cancer Screening, Treatment, & Survivorship Act of 2007(HR2353, S1415)

Client expense: Not reported · Firm income: Not reported

Labor/HHS Approps(HR3043, S1710; Sustainable Coastal Margins; Oregon Translational Research and Drug Development Institute; CDC & NIH Budgets; CMS Proposed Inpatient Prospective Payment System Rule; Proposed CMS Cost Limit Rule; Proposed CMS Medicaid GME Rule; Healthy Americans Act(HR3163, S334); Conquer Childhood Cancer Act of 2007 (HR1553, S911);Children's Health Care and Quality Act of 2007(HR2723, S1226),Cancer Screening, Treatment, & Survivorship Act of 2007(HR2353, S1415)

Client expense: Not reported · Firm income: Not reported

S. 794/H.R. 2746, Prevent Prematurity and Improve Child Health Act S.895/H.R.1535, Children's Health First Act of 2007 S.1224, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 S.1226/H.R.2723, Children's Health Care Quality Act

Client expense: $220,000 · Firm income: Not reported

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

Patient Safety, S. 1226, Children's Health Care Quality Act, Health Information Technology, H.R. 1418 Traumatic Brain Injury Reauthorization; Drug Safety, uninsured, Genetics Information Non Discrimination Act; Wellness; Tobacco; S. 2173, Fitness Integrated with Teaching Aids Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Small Business Administration (SBA)

S. 1082: FDA Revitalization Act S. 623: Access to Life-Saving Medicine Act H.R. 1038: Access to Life-Saving Medicine Act H.R. 1368: Personalized Health Information Act S. 1695: Biologics Price Competition and Innovation Act S. 1693: Wired for Health Care Quality Act H.R. 2900: FDA Amendments Act S. 334 Healthy Americans Act H.R. 1535 Children’s Health First Act S. 895 Children’s Health First Act S. 628 Critical Access to Health Information Technology Act of 2007 S. 1408 Health Information Technology Act of 2007 S. 1577 Patient Safety and Abuse Prevention Act of 2007 H.R. 2723 Children’s Health Care Quality Act S. 1226 Children’s Health Care Quality Act S. 1364 Healthy Kids Act of 2007 H.R. 1368 Personalized Health Information Act of 2007 S. 1714 Small Business Children’s Health Education Act of 2007 H.R. 2132 Small Business Health Plans Act of 2007 S. 158 Access to Affordable Health Care Act H.R. 2147 Health Kids Act of 2007 S. 401 Keep Children Covered Act of 2007 S. 1753 Health Workforce Act of 2007 S. 1455 National Health Information Technology and Privacy Advancement Act of 2007 HR 788 Food and Drug Administration Safety Act of 2007 HR 1432 Preserve Access to Affordable Generics Act HR 1666 Health Care Price Transparency Promotion Act of 2007 HR 1902 Protecting Consumer Access to Generic Drugs Act of HR 1952 National Health Information Incentive Act of 2007 HR 1956 Patient Protection and Innovative Biologic Medicines Act of 2007 HR 2273 Food and Drug Administration Improvement Act of 2007 HR 2592 Safe and Effective Drug Development Act of 2007 HR 2626 Comprehensive HealthCARE Act of 2007 S 28 Generics First Act of 2007 S 158 Access to Affordable Health Care Act S 242 Pharmaceutical Market Access and Drug Safety Act of 2007 S 251 Pharmaceutical Market Access Act of 2007 S 273 Prescription Drug and Health Improvement Act of 2007 S 316 Preserve Access to Affordable Generics Act S 468 Food and Drug Administration Safety Act of 2007 S 976 Genomics and Personalized Medicine Act of 2007 S 1505 Affordable Biologics for Consumers Act Antitrust and Health Insurance Reform: S 618 “Insurance Industry Competition Act of 2007” Health Information Technology Standards; Electronic Health Records; ICD 10 Implementation; HR1368 “Personalized Health Information Act of 2007” ; S 1693 and S 1783 “Wired for Health Care Quality Act”; Insurance Market Reform; Association Health Plans; Uninsured: S 1019 “Health Care Choice of 2007” Genetic Non-discrimination: HR 493 and S 358 “Genetic Information Nondiscrimination Act of 2007 Mental Health Parity: HR 1424 “Paul Wellstone Mental Health and Addiction Equity Act of 2007” and S 558 “Mental Health Parity Act of 2007” H.R. 2184 Enhanced Health Care Value for All Act S. 1490 Federal Employees Electronic Personal Health Records Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2147, Healthy Kids Act of 2007 H.R. 976, Children's Health Insurance Program Reauthorization Act of 2007 H.R. 3162, Children's Health and Medicare Protection (CHAMP) Act of 2007 H.R. 493/S. 358 Genetic Information Nondiscrimination Act of 2007 S. 794/H.R. 2746, Prevent Prematurity and Improve Child Health Act S.895/H.R.1535, Children's Health First Act of 2007 S.1224, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 S.1226/H.R.2723, Children's Health Care Quality Act

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

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

Care Coordination for Older Adults with Chronic Illnesses; Center for Excellence in Women's Health; 10,000 Trained by 2010 Act, HR1467 Labor/HHS Approps HR3043, S1710; Sustainable Coastal Margins; Oregon Translational Research and Drug Development Institute; CDC & NIH Budgets; CMS Proposed Inpatient Prospective Payment System Rule; Proposed CMS Cost Limit Rule; Proposed CMS Medicaid GME Rule; Healthy Americans Act HR3163, S334; Conquer Childhood Cancer Act of 2007 HR1553, S911; Children's Health Care Quality Act of 2007 HR2723, S1226; Cancer Screening, Treatment, and Survivorship Act of 2007 HR 2353, S1415

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

Government targets: Centers For Disease Control & Prevention (CDC), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), SENATE

Medicaid -- HR 2206; 340B Program Improvement & Integrity Act of 2007 = S 1376/HR 2606 State Children's Health Insurance Program Reauthorization = H.R. 3162/S. 1893 Children's Health Care Quality Act = HR 2723/S1226 Labor/HHS/Education Appropriation = HR 5647/S 3708, Children's Hospitals Graduate Medical Education, Poison Control Ctr fund

Client expense: $197,686 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

workforce, HR3043/S1710, S 543/HR 1459; payment: HR 2206, HR 1480/1741/S 787, Section 1011 of the Medicare Modernization Act of 2003 (MMA), HR 1293, HR 882, HR 552/S 329 ; self referral ; quality S 1226, HR 1666, S 465; rehabilitation hospitals, S543/HR 1459; rural hospitals, HR 2860, S 1605, S 1595; long term care hospitals: HR 562/S338 ; Medicaid reform, HR 2512, HR 2147, HR1111, HR 1878; SCHIP: S 1224, S 895/HR 1535; Labor HR 2122, S 1639, HR800/S1041, HR 2123, HR 378, HR 1644, HR1111, HR 2147; regulations including, but not limited to, provisions of PL 106-554, PL 108-173, PL 109-171; the FY08 IPPS proposed rule, proposed Medicaid rule (CMS 2258-P); Medicare and Medicaid Reimbursement issues including HR 2055, HR 2606, S Con Res 21/H Con Res 99, HJ Res. 20, S 355;

Client expense: $380,000 · Firm income: Not reported

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

S. 1156, “Best Pharmaceuticals For Children Amendments of 2007,” all provisions. H.R. 2589, “Improving Pharmaceuticals for Children Act of 2007,” all provisions. S. 993, “Pediatric Research Improvement Act,” all provisions. H.R. 1494, S. 830, “Pediatric Medical Device Safety and Improvement Act of 2007,” all provisions. S. 1082, “Food and Drug Administration Revitalization Act,” provisions relating to pharmaceutical and medical device testing for children. H.R. 2900, “Food and Drug Administration Amendments Act of 2007,” provisions relating to pharmaceutical and medical device testing for children. H.R. 2723, S. 1226, “Children’s Health Care Quality Act,” all provisions. H.R. 1308, S. 764, “Legal Immigrant Children’s Health Improvement Act,” all provisions.

Client expense: $1,234,877 · Firm income: Not reported

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

H.R. 1688 All Healthy Children Act of 2007 S. 325 Health Partnership Act H.R. 15 National Health Insurance Act S. 1169 State Based Health Reform Act S. 1564 All Healthy Children Act of 2007 H.R. 1329 Guaranteed Access for SCHIP’s Target Population Act of 2007 S. 1221 Countdown to Coverage Act of 2007 H.R. 2639 Promoting Health for Future Generations Act of 2007 S. 273 Prescription Drug and Health Improvement Act of 2007 H.R. 2971 Health Care Accountability Act S. 1102 Part D Equity for Low Income Seniors Act of 2007 S. 1753 Health Workforce Act of 2007 S. 1455 National Health Information Technology and Privacy Advancement Act of 2007 S. 1218 Medicare for All Act H.R. 2034 Medicare for All Act S. 895 Children’s Health First Act H.R. 2995 Small Business Liability Reform Act of 2007 H.R. 1012 Small Business Growth Act of 2007 H.R. 1542 Healthy Families Act H.R. 1626 Family Health Care Accessibility Act of 2007 S. 733 Promoting Health Care Purchasing Cooperatives Act H.R. 2351 HealthCARE Act 2007 S. 40 National Insurance Act of 2007 H.R. 493 Genetic Information Nondiscrimination Act of 2007 S. 359 Genetic Information Nondiscrimination Act of 2007 H.R. 677 The Nursing School Capacity Act of 2007 S. 446 Nurse Education, Expansion, and Development Act 0f 2007 H.R. 772 Nurse Education, Expansion, and Development Act 0f 2007 S. 605 Allied Health Reinvestment Act S. 620 Community – Based Health Care Retraining Act H.R. 1279 Direct Support Professionals Fairness and Security Act of 2007 H.R. 1134 Physical Therapist Student Loan Repayment Eligibility Act of 2007 S. 718 Patient – Focused Critical Care Enhancement Act H.R. 1884 National Health Service Corps Improvement Act of 2007 Act H.R. 410 United States Physician Shortage Elimination Act S.224 Standards to Provide Educational Achievement for All Kids H.R. 325 Standards to Provide Educational Achievement for All Kids H.R. 2497 Fair and Reliable Medical Justice Act S. 1481 Fair and Reliable Medical Justice Act H.R. 1174 Healthy Hospitals Act of 2007 H.R. 378 Nurse and Patient Safety and Protection Act of 2007 H.R. 2123 Nurse Staff and Standards for Patient Safety and Quality Care Act of 2007 S. 628 Critical Access to Health Information Technology Act of 2007 S. 1408 Health Information Technology Act of 2007 S. 1577 Patient Safety and Abuse Prevention Act of 2007 S. 1693 Wired for Health Care Quality Act H.R. 2723 Children’s Healthcare Quality Act S. 1226 Children’s Healthcare Quality Act H.R. 1952 National Health Information Incentive Act of 2007 H. R. 2580 Help Efficient, Accessible, Low cost, Timely Healthcare (HEALTH) Act of 2007 S. 1364 Healthy Kids Act of 2007 S. 484 Enhancing Drug Safety and Innovation Act of 2007 H.R. 1561 Enhancing Drug Safety and Innovation Act of 2007 S. 1082 Prescription Drug User Fee Amendments of 2007 H.R. 3014 Health Equity and Accountability Act of 2007 H.R. 1165 SAFE Drug Act S. 1023 “To amend Title XXI of the Social Security Act […]” S. 554 Act for our Kids H.R. 1200 American Health Security Act of 2007 H.R. 15 National Health Insurance Act S. 1224 Children’s Health Insurance Program (CHIP) Reauthorization Act of 2007 H.R. 1368 Personalized Health Information Act of 2007 H.R. 676 United States National Health Insurance Act H.R. 1459 “To improve Medicare beneficiary access […]” H.R. 2737 Health Care Relief Act of 2007 S. 1714 Small Business Children’s Health Education Act of 2007 S. 1198 HealthCARE Act of 2007 H.R. 1802 Keeping Small Business Healthy Act of 2007 H.R. 2626 Comprehensive HealthCARE Act of 2007 H.R. 2842 Children’s Health Protection Act of 2007 S. 95 Kids Come First Act of 2007 H.R. 1111 Kids Come First Act of 2007 H.R. 493 Genetic Information Non-Discrimination Act of 2007 H.R. 2948 Increased Access to Health Insurance Act of 2007 S. 158 Access to Affordable Health Care Act S. 358 Genetic Information Non-Discrimination Act of 2007 H.R. 1012 Small Business Growth Act of 2007 H.R. 2147 Health Kids Act of 2007 S. 1298 Healthy Businesses, Healthy Workers Reinsurance Act of 2007 S. 21 Prevention First Act H.R. 819 Prevention First Act H.R. 593 Children’s Health Insurance Promotion Act of 2007 H.R. 1666 Health Care Price Transparency Promotion Act of 2007 H.R. 2302 Health Insurance Affordability Act of 2007 H.R. 2359 SBA Entrepreneurial Development Programs Act of 2007 H.R. 2357 MediKids Health Insurance Act of 2007 S. 401 Keep Children Covered Act of 2007 S. 2512 Reducing Coverage Gaps for Kids Act of 2007 H.R. 2055 Improving Children’s Access to Health Care Act of 2007 S. 1213 Children’s Express Lane to Heath Coverage Act of 2007 S. 334 Healthy Americans Act S. 1019 Universal Healthcare Choice and Access Act H.R. 1535 Children's Health First Act S. 895 Children's Health First Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Patient Safety, S. 1226, Children's Health Care Quality Act, Health Information Technology, H.R. 1418 Traumatic Brain Injury Reauthorization; Drug Safety, uninsured, Genetics Information Non Discrimination Act; Wellness; Tobacco.

Client expense: Not reported · Firm income: $118,000

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

"The Children's Health Insurance Reauthorization Act of 2007;" H.R. 3043/S. 1710 "FY08 Labor, Health and Human Services and Education Appropriations Act," Title II, provisions relating to Dept. of Health and Human Services appropriations; S. 1751 "FY08 Energy and Water Development Appropriations Act," Title III, provisions relating to Dept. of Energy appropriations; S.1226/H.R. 2723 "Children's Health Care Quality Act;" S.911/H.R. 1553, "Conquer Childhood Cancer Act of 2007."

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 895 Children’s Health First Act S. 628 Critical Access to Health Information Technology Act of 2007 S. 1408 Health Information Technology Act of 2007 S. 1577 Patient Safety and Abuse Prevention Act of 2007 S. 1693 Wired for Health Care Quality Act H.R. 2723 Children’s Health Care Quality Act S. 1226 Children’s Health Care Quality Act S. 1364 Healthy Kids Act of 2007 S. 1082 Prescription Drug User Fee Amendments of 2007 H.R. 1368 Personalized Health Information Act of 2007 S. 1714 Small Business Children’s Health Education Act of 2007 H.R. 2132 Small Business Health Plans Act of 2007 S. 158 Access to Affordable Health Care Act H.R. 2147 Health Kids Act of 2007 S. 401 Keep Children Covered Act of 2007 S. 1753 Health Workforce Act of 2007 S. 1455 National Health Information Technology and Privacy Advancement Act of 2007 S. 334 Healthy Americans Act S. 1019 Universal Healthcare Choice and Access Act H.R. 1535 Children’s Health First Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1367 Paul Wellstone Mental Health and Addiction Equity Act H.R. 1424 Paul Wellstone Mental Health and Addiction Equity Act H.R. 2064 Compassionate Care for Servicewomen Act H.R. 2503 FDA Scientific Fairness for Women Act H.R. 2523 Unintended Pregnancy Reduction Act H.R. 2900 Food and Drug Administration Amendments Act H.R.2991 Independent Health Record Trust Act H.R. 3043 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act S. Con. Res. 21 Congressional Budget for Fiscal Year 2008 S. 5 Stem Cell Research Enhancement Act S. 21 Prevention First Act S. 358 Genetic Information Nondiscrimination Act S. 558 Mental Health Parity Act S. 625 Family Smoking Prevention and Tobacco Control Act S. 1075 Unintended Pregnancy Reduction Act S. 1082 Food and Drug Administration Revitalization Act S. 1224 Children's Health Insurance Program (CHIP) Reauthorization Act S. 1226 Children's Health Care Quality Act S. 1408 Health Information Technology Act S. 1693 Wired for Health Care Quality Act S. 1710 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act H.R. 3 Stem Cell Research Enhancement Act H.R. 493 Genetic Information Nondiscrimination Act H.R. 819 Prevention First Act H.R. 1108 Family Smoking Prevention and Tobacco Control Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE