Medicare Durable Medical Equipment Access Act of 2007

H.R.1845 - Medicare Durable Medical Equipment Access Act of 2007, all titles H.R.2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007, all titles H.R.3162 - Children's Health and Medicare Protection Act of 2007, all titles H.R.3195 - ADA Restoration Act of 2007, all titles H.R.3963 Childrens Health Insurance Program Reauthorization Act of 2007, all titles H.R.6252 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles H.R.6331 - Medicare Improvements for Patients and Providers Act of 2008, all titles H.R.976 - Children's Health Insurance Program Reauthorization Act of 2007, all titles Implementation of Medicare, Medicaid, and SCHIP Extension Act of 2007 S.1428 - Medicare Durable Medical Equipment Access Act of 2007, all titles S.1893 - Children's Health Insurance Program Reauthorization Act of 2007, all titles S.2603 - Medicare Fraud Prevention Act of 2008, all titles S.2786 - Medicare Rural Health Access Improvement Act of 2008, all titles S.2931 - Medicare Access to Complex Rehabilitative and Assistive Technology Act of 2008, all titles S.3101 - Medicare Improvements for Patients and Providers Act of 2008, all titles S.3144 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Medicare Reimbursement; Illinois Hospital Assessment Program; Sustainable Growth Rate/Physician Fee Schedule Fix; Hospital Compare Data; H.R. 1845/S. 1428, Medicare Durable Medical Equipment Access Act; H.R. 621, Home Oxygen Patient Protection Act; Medicare Moratoriums and H.R. 5613, Protecting the Medicare Safety Act of 2008; H.R. 5268/S. 2620, providing temporary increase in Federal Matching Assistance Percentage; H.R. 6331, The Medicare Improvements for Patients and Provider Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

-H.R. 1190, "Community Cancer Care Preservation Act of 2007," regarding amending title XVIII of the Social Security Act to preserve access to community cancer care by Medicare beneficiaries; -Proposed Rule (CMS-1404-P), "CY 2009 Outpatient Prospective Payment System Rules". -H.R. 1321,Medicare Advanced Laboratory Diagnostics Act of 2007, regarding amending title XVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule; -H.R. 1663, Medicare Mental Health Modernization Act of 2007, regarding amending title XVIII of the Social Security Act to expand and improve coverage of mental health services under the Medicare Program; -H.R. 1845 / S 1428, Medicare Durable Medical Equipment Access Act of 2007, regarding amending part B of title XVIII of the Social Security Act to assure access to durable medical equipment under the Medicare Program; -H.R. 2770, To amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price, all provisions; -H.R. 3011, To amend title XVIII of the Social Security Act to ensure adequate payment amounts for drugs and biologicals under part B of the Medicare Program, regarding all provisions; -H.R. 3061, Medicare Part D Drug Class Protection Act of 2007, regarding amending title XVIII of the Social Security Act to require that Medicare prescription drug plans using formularies cover all drugs included in 6 specified therapeutic categories and to establish protective requirements for coverage determinations; -H.R. 4 / S 3, Medicare Prescription Drug Price Negotiation Act of 2007, regarding amending part D of title XVIII of the Social Security Act to require the Secretary of Health and Human Services to negotiate lower covered part D drug prices on behalf of Medicare beneficiaries; -H.R. 976 / S 1893, Children's Health Insurance Program Reauthorization Act of 2007; -H.R. 3162, Children's Health and Medicare Protection Act of 2007, regarding improving enrollment and retention of eligible children; -S. 1887, Medicare Access to Critical Medications Act of 2007, regarding amending title XVIII of the Social Security Act in order to ensure access to critical medications under the Medicare part D prescription drug program; -S. 631, Remote Monitoring Access Act of 2007, regarding amending title XVIII of the Social Security Act to provide for coverage of remote patient management services for chronic health care conditions under the Medicare Program; -S. 860, Early Treatment for HIV Act of 2007, regarding amending title XIX of the Social Security Act to permit States the option to provide Medicaid coverage for low-income individuals infected with HIV; -CMS-1270-F, Medicare Program; Competitive Acquisition for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Other Issues, regarding a final rule establishing competitive bidding programs for certain Medicare Part B covered items of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) throughout the United States in accordance with sections 1847(a) and (b) of the Social Security Act; issues regarding competitive bidding, demonstrations for clinical lab services and competitive Medicare payments for lab services; issues regarding Medicare national coverage determination for the use of erythropoiesis stimulating agents in cancer and related neoplastic conditions; -CMS-2238-FC, regarding the Medicaid program, and prescription drugs; -S. 2499, "Medicare, Medicaid, and SCHIP Extension Act of 2007," all provisions. -S. 2029, "Physician Payments Sunshine Act of 2007," regarding amending title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid or SCHIP; -H.R. 5765 / S. 631, "Medicare Remote Monitoring Access Act of 2008," regarding amending title XVIII of the Social Security Act to cover remote patient management services for certain chronic health conditions under the Medicare Program; -H.R. 6252, "Medicare DMEPOS Competitive Acquisition Reform Act of 2008", To amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies, regarding all provisions; -S. 2404, "Medicare Advanced Laboratory Diagnostics Act of 2007", A bill to amend title XVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule, regarding all provisions; -H.R. 6331/ S. 3101, "Medicare Improvements for Patients and Providers Act of 2008", A bill to amend titles XVIII and XI of the Social Security Act to extend expiring provisions under the Medicare program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes, regarding all provisions; -H.R. 2770, "To amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price", regarding all provisions.

Client expense: $1,440,000 · Firm income: Not reported

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

Changes to Medicare regarding durable medical equipment benefits. H.R. 2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007; H.R. 1845/S. 1428 - Medicare Durable Medical Equipment Access Act of 2007 and H.R. 621 and S. 1484 - The Home Oxygen Patient Protection Act

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

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

Medicare Reimbursement; Illinois' Hospital Assessment Program; Sustainable Growth Rate/Physician Fee Schedule Fix; Hospital Compare Data; H.R. 1845/S. 1428, Medicare Durable Medical Equipment Access Act; H.R. 621, Home Oxygen Patient Protection Act; Medicare Moratoriums and H.R. 5613, Protecting the Medicare Safety Act of 2008; H.R. 5268/S. 2620, providing temporary increase of Federal Matching Assistance Percentage; H.R. 6331, The Medicare Improvements for Patients and Providers Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1845 & S 1428 - Durable Medical Equipment Access Act of 2007; all provisions; HR 3162 - Children's Health and Medicare Protection Act; all provisions; HR 621 & S 1484 - Home Oxygen Patient Protection Act; all provisions; S 2603 - Medicare Fraud Prevention Act of 2008; all provisions HR 2231 - Medicare Access to Complex Rehabilitation and Assistive Technology; all provisions; HR 6252 - Medicare DME Competitive Acquistion Reform Act of 2008; all provisions; S 3114 - Medicare DME Competitive Acquistion Reform Act of 2008; all provisions; S 3164 - Seniors & Taxpayers Obligation & Protection Act of 2008; all provisions; HR 6331 - Competitive Bidding Provisions; Medicare Improvements for Patients and Providers Act of 2008; General issues related to Home Medical Equipment.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

-H.R. 1190, "Community Cancer Care Preservation Act of 2007," regarding amending title XVIII of the Social Security Act to preserve access to community cancer care by Medicare beneficiaries; -Proposed Rule (CMS-1404-P), "CY 2009 Outpatient Prospective Payment System Rules". -H.R. 1321,Medicare Advanced Laboratory Diagnostics Act of 2007, regarding amending title XVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule; -H.R. 1663, Medicare Mental Health Modernization Act of 2007, regarding amending title XVIII of the Social Security Act to expand and improve coverage of mental health services under the Medicare Program; -H.R. 1845 / S 1428, Medicare Durable Medical Equipment Access Act of 2007, regarding amending part B of title XVIII of the Social Security Act to assure access to durable medical equipment under the Medicare Program; -H.R. 2770, To amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price, all provisions; -H.R. 3011, To amend title XVIII of the Social Security Act to ensure adequate payment amounts for drugs and biologicals under part B of the Medicare Program, regarding all provisions; -H.R. 3061, Medicare Part D Drug Class Protection Act of 2007, regarding amending title XVIII of the Social Security Act to require that Medicare prescription drug plans using formularies cover all drugs included in 6 specified therapeutic categories and to establish protective requirements for coverage determinations; -H.R. 4 / S 3, Medicare Prescription Drug Price Negotiation Act of 2007, regarding amending part D of title XVIII of the Social Security Act to require the Secretary of Health and Human Services to negotiate lower covered part D drug prices on behalf of Medicare beneficiaries; -H.R. 976 / S 1893, Children's Health Insurance Program Reauthorization Act of 2007; -H.R. 3162, Children's Health and Medicare Protection Act of 2007, regarding improving enrollment and retention of eligible children; -S. 1887, Medicare Access to Critical Medications Act of 2007, regarding amending title XVIII of the Social Security Act in order to ensure access to critical medications under the Medicare part D prescription drug program; -S. 631, Remote Monitoring Access Act of 2007, regarding amending title XVIII of the Social Security Act to provide for coverage of remote patient management services for chronic health care conditions under the Medicare Program; -S. 860, Early Treatment for HIV Act of 2007, regarding amending title XIX of the Social Security Act to permit States the option to provide Medicaid coverage for low-income individuals infected with HIV; -CMS-1270-F, Medicare Program; Competitive Acquisition for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Other Issues, regarding a final rule establishing competitive bidding programs for certain Medicare Part B covered items of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) throughout the United States in accordance with sections 1847(a) and (b) of the Social Security Act; issues regarding competitive bidding, demonstrations for clinical lab services and competitive Medicare payments for lab services; issues regarding Medicare national coverage determination for the use of erythropoiesis stimulating agents in cancer and related neoplastic conditions; -CMS-2238-FC, regarding the Medicaid program, and prescription drugs; -S. 2499, "Medicare, Medicaid, and SCHIP Extension Act of 2007," all provisions. -S. 2029, "Physician Payments Sunshine Act of 2007," regarding amending title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid or SCHIP; -H.R. 5765 / S. 631, "Medicare Remote Monitoring Access Act of 2008," regarding amending title XVIII of the Social Security Act to cover remote patient management services for certain chronic health conditions under the Medicare Program; -H.R. 6252, "Medicare DMEPOS Competitive Acquisition Reform Act of 2008", To amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies, regarding all provisions; -S. 2404, "Medicare Advanced Laboratory Diagnostics Act of 2007", A bill to amend title XVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule, regarding all provisions; -H.R. 6331/ S. 3101, "Medicare Improvements for Patients and Providers Act of 2008", A bill to amend titles XVIII and XI of the Social Security Act to extend expiring provisions under the Medicare program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes, regarding all provisions; -H.R. 2770, "To amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price", regarding all provisions.

Client expense: $1,500,000 · Firm income: Not reported

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

Medicare Reimbursement; Medicare funding; Sustainable Growth Rate/Physician Fee Schedule Fix; Hospital Compare Data; H.R. 1845/S. 1428, Medicare Durable Medical Equipment Access Act; H.R. 621, Home Oxygen Patient Protection Act; Medicare Moratoriums and H.R. 5613, Protecting the Medicare Safety Act of 2008; H.R. 5268/S. 2620, providing temporary increase of Federal Matching Assistance Percentage; H.R. 6331, The Medicare Improvements for Patients and Providers Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1845 - Medicare Durable Medical Equipment Access Act of 2007, all titles H.R.2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007, all titles H.R.3162 - Children's Health and Medicare Protection Act of 2007, all titles H.R.3195 - ADA Restoration Act of 2007, all titles H.R.3963 Childrens Health Insurance Program Reauthorization Act of 2007, all titles H.R.6252 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles H.R.6331 - Medicare Improvements for Patients and Providers Act of 2008, all titles H.R.976 - Children's Health Insurance Program Reauthorization Act of 2007, all titles Implementation of Medicare, Medicaid, and SCHIP Extension Act of 2007 S.1428 - Medicare Durable Medical Equipment Access Act of 2007, all titles S.1893 - Children's Health Insurance Program Reauthorization Act of 2007, all titles S.2603 - Medicare Fraud Prevention Act of 2008, all titles S.2786 - Medicare Rural Health Access Improvement Act of 2008, all titles S.2931 - Medicare Access to Complex Rehabilitative and Assistive Technology Act of 2008, all titles S.3101 - Medicare Improvements for Patients and Providers Act of 2008, all titles S.3144 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.1845 - Medicare Durable Medical Equipment Access Act of 2007, all titles H.R.2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007, all titles H.R.3162 - Children's Health and Medicare Protection Act of 2007, all titles H.R.3195 - ADA Restoration Act of 2007, all titles H.R.3963 Childrens Health Insurance Program Reauthorization Act of 2007, all titles H.R.6252 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles H.R.6331 - Medicare Improvements for Patients and Providers Act of 2008, all titles H.R.976 - Children's Health Insurance Program Reauthorization Act of 2007, all titles Implementation of Medicare, Medicaid, and SCHIP Extension Act of 2007 S.1428 - Medicare Durable Medical Equipment Access Act of 2007, all titles S.1893 - Children's Health Insurance Program Reauthorization Act of 2007, all titles S.2603 - Medicare Fraud Prevention Act of 2008, all titles S.2786 - Medicare Rural Health Access Improvement Act of 2008, all titles S.2931 - Medicare Access to Complex Rehabilitative and Assistive Technology Act of 2008, all titles S.3101 - Medicare Improvements for Patients and Providers Act of 2008, all titles S.3144 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

HR 1845 & S 1428 - Durable Medical Equipment Access Act of 2007; all provisions; HR 3162 - Children's Health and Medicare Protection Act; all provisions; HR 621 & S 1484 - Home Oxygen Patient Protection Act; all provisions; S 2603 - Medicare Fraud Prevention Act of 2008; all provisions HR 2231 - Medicare Access to Complex Rehabilitation and Assistive Technology; all provisions; HR 6252 - Medicare DME Competitive Acquistion Reform Act of 2008; all provisions; S 3114 - Medicare DME Competitive Acquistion Reform Act of 2008; all provisions; S 3164 - Seniors & Taxpayers Obligation & Protection Act of 2008; all provisions; HR 6331 - Competitive Bidding Provisions; Medicare Improvements for Patients and Providers Act of 2008; General issues related to the value of homecare.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Changes to Medicare regarding durable medical equipment benefits. H.R. 2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007; H.R. 1845/S. 1428 - Medicare Durable Medical Equipment Access Act of 2007 and H.R. 621 and S. 1484 - The Home Oxygen Patient Protection Act

Client expense: $276,000 · Firm income: Not reported

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

Medicare Improvements for Patients and Providers Act of 2008, HR. 6331, and related bills, HR 6252, S 3118, including provisions to fix the physician payment rate, delay Medicare competitive bidding, exempt complex rehab from competitive bidding (because of the impact of competitive bidding on people who need wheelchairs and other durable medical equipment) provide Medicare mental health parity, delay cuts to Medicare therapies, require Medicare Part D to cover certain drugs, strengthen CMS authority to require Part D plans to ensure broad coverage on prescription drug plan formularies, improve access to the Medicare Savings Program, eliminate Medicare Part D late enrollment penalties, limit out-of-poicket costs for dual eligibles and qualified Medicare beneficiaries, revise the definition of medically accepted indication for drugs, simplify and align Medicare low-income assistance programs, bring outdated asset limits in line with today's cost of living, improve outreach and participation for those currently eligible. HR 1845 and S. 1428 - Medicare Durable Medical Equipment Act of 2007 regarding competitive bidding for durable medical equipment (DME). S. 3144 and HR 6252 -- Medicare DMEPOS Competitive Acquisition Reform Act of 2007, to delay implementation of Medicare competitive bidding program. HR 2642 - Iraq War supplemental appropriation -- support provision to put a moratorium on certain Medicaid regulations. HR 5613 - Protecting Medicaid Safety Net -- support provision for moratoria on existing reguslations including those that would severely restrict rehabilitation and targeted case management. Medicare Independent Living Act (HR 1809/S 2103) to reverse Medicare regulations that restrict payment for power mobility devices (wheelchairs) to those needed "in the home" rather than in the community -- such as for going to work, school, grocery store, medical appointments, places of worship, and to accompany children to school and activities. Community Choice Act of 2007 (HR 1621/S 799) -- support Medicaid coverage of community based services such as personal care, activities of daily living, etc. Direct Support Professional's Fairness & Security Act (HR 1279) -- support equalization of wages between privately and publicly employed direct support professionals. Promoting Wellness for People with Disabilities Act of 2007 (S. 1050) -- support accessibility of medical examination and diagnostic equipment for people with disabilities. Letter to President Bush and Health & Human Services Secretary Leavitt urging CMS to change the policy in its directives of August 17, 2007 and May 7, 2008 in order to eliminate the hurdles for states to provide SCHIP (State Childrens Health Insurance Plan) coverage to uninsured children. HR 2642 -- supplemental appropriations for military consturction, Dept. of Veterans Affairs and related agencies for FY 08, including: Title III - GI bill -- Veterans Educational Assistance of 2008; Title V -- Medicaid provisions including amending the Medicare, Medicaid and SCHIP Extension Act of 2007 to extend moratorium on restrictions relating to Medicaid coverage or payment for rehabilitation services or school-based administration and school-based transportation, moratoria on specific Medicaird reguslations,

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)

Medicare Reimbursement; Medicare funding; Sustainable Growth Rate/Physician Fee Schedule Fix; Hospital Compare Data; H.R. 1845/S. 1428, Medicare Durable Medical Equipment Access Act; H.R. 621, Home Oxygen Patient Protection Act; Medicare Moratoriums and H.R. 5613, Protecting the Medicare Safety Act of 2008; H.R. 5268/S. 2620, providing temporary increase of Federal Matching Assistance Percentage; H.R. 6331, The Medicare Improvements for Patients and Providers Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1845 and S 1428 - Durable Medical Equipment Access Act of 2007; all provisions HR 3162 - Children's Health and Medicare Protection Act; all provisions HR 621 & S 1484 - Home Oxygen Patient Protection Act; all provisions S 2603 - Medicare Fraud Prevention Act of 2008; all provisions HR 2231 - Medicare Access to Complex Rehabilitation and Assistive Technology; all provisions. HR 6252 - Medicare DME Competitive Acquisition Reform Act of 2008; all provisions. S 3114 - Medicare DME Competitive Acquisition Reform Act of 2008; all provisions. S 3164 Seniors & Taxpayers Obligation & Protection Act of 2008; all provisions HR 6331 - Competitive Bidding Provisions: Medicare Improvements for Patients and Providers Act of 2008 General issues related to the value of homecare.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR1845 (Durable Medical Equipment Access Act); provision related to any willing provider claus for national competitive bidding; S.1428 (Durable Medical Equipment Access Act); provision related to any willing provider claus for national competitive bidding S.2499 (Medicare, Medicaid and SCHP Extension Act); provision related to the first month purchase option for power wheelchairs; HR6252 (Medicare DMEPOS Competitive Acquisition Program Reform Act); support the 18 month delay of competitive bidding; HR6331(Medicare Improvements for Patients and Providers Act); support provisions within the bill that delays the implementation of national competitive bidding for a period of 18-24 months;

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

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

H.R. 1190, "Community Cancer Care Preservation Act of 2007," regarding amending title XVIII of the Social Security Act to preserve access to community cancer care by Medicare beneficiaries; HR 1321,Medicare Advanced Laboratory Diagnostics Act of 2007, regarding amending title XVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule; HR 1663, Medicare Mental Health Modernization Act of 2007, regarding amending title XVIII of the Social Security Act to expand and improve coverage of mental health services under the Medicare Program; HR 1845 / S 1428, Medicare Durable Medical Equipment Access Act of 2007, regarding amending part B of title XVIII of the Social Security Act to assure access to durable medical equipment under the Medicare Program; HR 2770, To amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price, all provisions; HR 3011, To amend title XVIII of the Social Security Act to ensure adequate payment amounts for drugs and biologicals under part B of the Medicare Program, regarding all provisions; HR 3061, Medicare Part D Drug Class Protection Act of 2007, regarding amending title XVIII of the Social Security Act to require that Medicare prescription drug plans using formularies cover all drugs included in 6 specified therapeutic categories and to establish protective requirements for coverage determinations; HR 4 / S 3, Medicare Prescription Drug Price Negotiation Act of 2007, regarding amending part D of title XVIII of the Social Security Act to require the Secretary of Health and Human Services to negotiate lower covered part D drug prices on behalf of Medicare beneficiaries; HR 976 / S 1893, Children's Health Insurance Program Reauthorization Act of 2007; HR 3162, Children's Health and Medicare Protection Act of 2007, regarding improving enrollment and retention of eligible children; S 1887, Medicare Access to Critical Medications Act of 2007, regarding amending title XVIII of the Social Security Act in order to ensure access to critical medications under the Medicare part D prescription drug program; S 631, Remote Monitoring Access Act of 2007, regarding amending title XVIII of the Social Security Act to provide for coverage of remote patient management services for chronic health care conditions under the Medicare Program; S 860, Early Treatment for HIV Act of 2007, regarding amending title XIX of the Social Security Act to permit States the option to provide Medicaid coverage for low-income individuals infected with HIV; CMS-1270-F, Medicare Program; Competitive Acquisition for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Other Issues, regarding a final rule establishing competitive bidding programs for certain Medicare Part B covered items of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) throughout the United States in accordance with sections 1847(a) and (b) of the Social Security Act; issues regarding competitive bidding, demonstrations for clinical lab services and competitive Medicare payments for lab services; issues regarding Medicare national coverage determination for the use of erythropoiesis stimulating agents in cancer and related neoplastic conditions; CMS-2238-FC, regarding the Medicaid program, and prescription drugs; S 2499, "Medicare, Medicaid, and SCHIP Extension Act of 2007," all provisions. S. 2029, "Physician Payments Sunshine Act of 2007," regarding amending title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid or SCHIP; H.R. 5765 / S. 631, "Medicare Remote Monitoring Access Act of 2008," regarding amending title XVIII of the Social Security Act to cover remote patient management services for certain chronic health conditions under the Medicare Program; H.R. 6252, "To amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies", regarding all provisions; S. 2404, "A bill to amend title SVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule", regarding all provisions; H.R. 6331/ S. 3101, "A bill to amend titles XVIII and XIX of the Social Security Act to extend expiring provisions under the Medicare program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes", regarding all provisions.

Client expense: $1,700,000 · Firm income: Not reported

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

H.R.1845 - Medicare Durable Medical Equipment Access Act of 2007, all titles H.R.2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007, all titles H.R.3162 - Children's Health and Medicare Protection Act of 2007, all titles H.R.3195 - ADA Restoration Act of 2007, all titles H.R.3963 Childrens Health Insurance Program Reauthorization Act of 2007, all titles H.R.6252 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles H.R.6331 - Medicare Improvements for Patients and Providers Act of 2008, all titles H.R.976 - Children's Health Insurance Program Reauthorization Act of 2007, all titles Implementation of Medicare, Medicaid, and SCHIP Extension Act of 2007 S.1428 - Medicare Durable Medical Equipment Access Act of 2007, all titles S.1893 - Children's Health Insurance Program Reauthorization Act of 2007, all titles S.2603 - Medicare Fraud Prevention Act of 2008, all titles S.2786 - Medicare Rural Health Access Improvement Act of 2008, all titles S.2931 - Medicare Access to Complex Rehabilitative and Assistive Technology Act of 2008, all titles S.3101 - Medicare Improvements for Patients and Providers Act of 2008, all titles S.3144 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.1845 - Medicare Durable Medical Equipment Access Act of 2007, all titles H.R.2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007, all titles H.R.3162 - Children's Health and Medicare Protection Act of 2007, all titles H.R.3195 - ADA Restoration Act of 2007, all titles H.R.3963 Childrens Health Insurance Program Reauthorization Act of 2007, all titles H.R.6252 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles H.R.6331 - Medicare Improvements for Patients and Providers Act of 2008, all titles H.R.976 - Children's Health Insurance Program Reauthorization Act of 2007, all titles Implementation of Medicare, Medicaid, and SCHIP Extension Act of 2007 S.1428 - Medicare Durable Medical Equipment Access Act of 2007, all titles S.1893 - Children's Health Insurance Program Reauthorization Act of 2007, all titles S.2603 - Medicare Fraud Prevention Act of 2008, all titles S.2786 - Medicare Rural Health Access Improvement Act of 2008, all titles S.2931 - Medicare Access to Complex Rehabilitative and Assistive Technology Act of 2008, all titles S.3101 - Medicare Improvements for Patients and Providers Act of 2008, all titles S.3144 - Medicare DMEPOS Competitive Acquisition Reform Act of 2008, all titles

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Changes to Medicare regarding durable medical equipment benefits. H.R. 2231/S. 2931 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007; H.R. 1845/S. 1428 - Medicare Durable Medical Equipment Access Act of 2007 and H.R. 621/S. 1484 - The Home Oxygen Patient Protection Act; H.R. 6331 - Medicare Improvements for Patients and Providers Act of 2008; H.R. 6252/S. 3144 - Medicare DMEPOS Competitive Acquisition Program Reform Act of 2008

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

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

H.R. 1190, "Community Cancer Care Preservation Act of 2007," regarding amending title XVIII of the Social Security Act to preserve access to community cancer care by Medicare beneficiaries; HR 1321,Medicare Advanced Laboratory Diagnostics Act of 2007, regarding amending title XVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule; HR 1663, Medicare Mental Health Modernization Act of 2007, regarding amending title XVIII of the Social Security Act to expand and improve coverage of mental health services under the Medicare Program; HR 1845 / S 1428, Medicare Durable Medical Equipment Access Act of 2007, regarding amending part B of title XVIII of the Social Security Act to assure access to durable medical equipment under the Medicare Program; HR 2770, To amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price, all provisions; HR 3011, To amend title XVIII of the Social Security Act to ensure adequate payment amounts for drugs and biologicals under part B of the Medicare Program, regarding all provisions; HR 3061, Medicare Part D Drug Class Protection Act of 2007, regarding amending title XVIII of the Social Security Act to require that Medicare prescription drug plans using formularies cover all drugs included in 6 specified therapeutic categories and to establish protective requirements for coverage determinations; HR 4 / S 3, Medicare Prescription Drug Price Negotiation Act of 2007, regarding amending part D of title XVIII of the Social Security Act to require the Secretary of Health and Human Services to negotiate lower covered part D drug prices on behalf of Medicare beneficiaries; HR 976 / S 1893, Children's Health Insurance Program Reauthorization Act of 2007; HR 3162, Children's Health and Medicare Protection Act of 2007, regarding improving enrollment and retention of eligible children; S 1887, Medicare Access to Critical Medications Act of 2007, regarding amending title XVIII of the Social Security Act in order to ensure access to critical medications under the Medicare part D prescription drug program; S 631, Remote Monitoring Access Act of 2007, regarding amending title XVIII of the Social Security Act to provide for coverage of remote patient management services for chronic health care conditions under the Medicare Program; S 860, Early Treatment for HIV Act of 2007, regarding amending title XIX of the Social Security Act to permit States the option to provide Medicaid coverage for low-income individuals infected with HIV; CMS-1270-F, Medicare Program; Competitive Acquisition for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Other Issues, regarding a final rule establishing competitive bidding programs for certain Medicare Part B covered items of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) throughout the United States in accordance with sections 1847(a) and (b) of the Social Security Act; issues regarding competitive bidding, demonstrations for clinical lab services and competitive Medicare payments for lab services; issues regarding Medicare national coverage determination for the use of erythropoiesis stimulating agents in cancer and related neoplastic conditions; CMS-2238-FC, regarding the Medicaid program, and prescription drugs; S 2499, "Medicare, Medicaid, and SCHIP Extension Act of 2007," all provisions. S. 2029, "Physician Payments Sunshine Act of 2007," regarding amending title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid or SCHIP; H.R. 5765 / S. 631, "Medicare Remote Monitoring Access Act of 2008," regarding amending title XVIII of the Social Security Act to cover remote patient management services for certain chronic health conditions under the Medicare Program.

Client expense: $1,440,000 · Firm income: Not reported

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

H.R.1459 and S.543, "To improve Medicare beneficiary to inpatient rehabilitation facilities," specifically to establish the criteria in HCFA Ruling 85-2, of July 31, 1985 (50 Fed. Reg. 31040), as the sole standard for determining the medical necessity of services for inpatient rehabilitation. H.R.4105, "To impose a moratorium on the use of recovery audit contractors under the Medicare Integrity Program," while supporting initiatives to ensure accountability in the Medicare program, the processes used by CMS and its contractors need to be reviewed to be sure that those processes are accurately identifying inappropriate claims No bill number at this time, support legislation that would enhance the Ethics in Patient Referrals Act of 1989 (the "Stark" law) to include physician ownership in a "whole" hospital S.458 and H.R. 1105, "physician pathology services under the Medicare program," specifically to extend the authority, currently expiring on June 30, 2008, to make direct payments to independent labs for the technical component of pathology services. H.R. 1177, "to extend and improve protections for sole community hospitals under the Medicare Program," specifically to extend the outpatient prospective payment system hold harmless provision and to permit the use of a more current cost reporting year to allow redetermination of hospital target amounts. S.630 and H.R. 2159, "to provide for a minimum payment rate by Medicare Advantage organizations for services furnished by a critical access hospital and a rural health clinic under the Medicare program," specifically to allow critical access hospitals to receive at least 101 percent of their costs for inpatient, swing-bed and outpatient hospital services S.2786, "Medicare Rural Health Access Improvement," specifically to extend th 5 percent bonus payment to physicians practicing in provider scarcity areas (critical access, sole community provider, and Medicare dependent or low-volume areas). H.R. 1845 and S.1428, "to assure access to durable medical equipment under the Medicare Program," specifically to adopt language that would allow hospital owned durable medical equipment companies that are willing to accept the competitive bid rate to provide durable medical equipment to patients upon discharge. S.1595, "flexibility in the manner in which beds are counted for purposes of determining whether a hospital may be designated as a critical access hospital under the Medicare program" specifically in favor of such increased flexibility.

Client expense: $35,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1428, the Durable Medical Equipment Access Act; provision related to any willing provider claus for competitive bidding; HR.3162 Children's Health and Medicare Protection (CHAMP) Act; elimination of the first month purchase option for PMDs HR.1845, the Durable Medical Equipment Access Act; provision related to any willing provider claus for competitive bidding; S.2499, Medicare, Medicaid and SCHIP Extension Act; elimination of the first month purchase option for PMDs

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

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

HR 1647/S 399 - To amend Title XIX of the Social Security Act to include podiatrists as physicians for purposes of covering physician services under the Medicaid program; S 2785 - Save Medicare Act of 2008 - Physician Reimbursement, Scarcity Area Bonus, Physician Quality Reporting; Reimbursement issues related to DME and Legislative drafting issue related to Section 1861(r) of the Social Security Act; S 1428 - Durable Medical Equipment Access Act of 2007 and other initiataives/regulations related to furnishing DMEPOS under Medicare - To ensure equitable treatment and protections for small businesses under new DMEPOS requirements as they relate to podiatric physicians and their patients; HR 4105 - Medicare Recovery Audit Contractor Program Moratorium Act of 2007 - supporting a moratorium on implementation of the RAC program

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

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

H.R. 1845 & S. 1428 - Medicare DME Act of 2007; H. R. 2231 - Complex Rehab Carve Out Act of 2007; DME Competitive Bidding; Preservation of Power Wheelchair First Month Purchase Option.

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

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

HR 1845 & S. 1428 - Medicare DME Act of 2007; H.R. 2231 - Complex Rehab Carve Out Act of 2007; DME Competitive Bidding; Preservation of Power Wheelchair First Month Purchase Option.

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

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

H. R.1845 - Medicare Durable Medical Equipment Access Act of 2007, all titles H.R.2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007, all titles H.R.3162 - Children's Health and Medicare Protection Act of 2007, all titles H.R.3195 - ADA Restoration Act of 2007, all titles H.R.3963 Childrens Health Insurance Program Reauthorization Act of 2007, all titles H.R.976 - Children's Health Insurance Program Reauthorization Act of 2007, all titles Implementation of Medicare, Medicaid, and SCHIP Extension Act of 2007 S.1428 - Medicare Durable Medical Equipment Access Act of 2007, all titles S.1893 - Children's Health Insurance Program Reauthorization Act of 2007, all titles S.2603 - Medicare Fraud Prevention Act of 2008, all titles S.2786 - Medicare Rural Health Access Improvement Act of 2008, all titles

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

H. R.1845 - Medicare Durable Medical Equipment Access Act of 2007, all titles H.R.2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007, all titles H.R.3162 - Children's Health and Medicare Protection Act of 2007, all titles H.R.3195 - ADA Restoration Act of 2007, all titles H.R.3963 Childrens Health Insurance Program Reauthorization Act of 2007, all titles H.R.976 - Children's Health Insurance Program Reauthorization Act of 2007, all titles Implementation of Medicare, Medicaid, and SCHIP Extension Act of 2007 S.1428 - Medicare Durable Medical Equipment Access Act of 2007, all titles S.1893 - Children's Health Insurance Program Reauthorization Act of 2007, all titles S.2603 - Medicare Fraud Prevention Act of 2008, all titles S.2786 - Medicare Rural Health Access Improvement Act of 2008, all titles

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

HR 1845 & S 1428 - Durable Medical Equipment Access Act of 2007; all provisions. HR 3162 - Children's Health and Medicare Protection Act; all provisions. HR 621 & S 1484 - Home Oxygen Patient Protection Act; all provisions. S 2603 - Medicare Fraud Prevention Act of 2008; all provisions. HR 2231 - Medicare Access to Complex Rehabilitation and Assistive Technology; all provisions. General issues related to the value of homecare.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Medicare Reimbursement; Medicare funding; Sustainable Growth Rate/Physician Fee Schedule Fix; Hospital Compare Data; H.R. 1845/S. 1428, Medicare Durable Medical Equipment Access Act; H.R. 621, Home Oxygen Patient Protection Act; Medicare Moratoriums and H.R. 5613, Protecting the Medicare Safety Act of 2008; H.R. 5268/S. 2620, providing temporary increase of Federal Matching Assistance Percentage.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR. 3162, Children's Health and Medicare Protection (CHAMP) Act S. 2499, Medicare, Medicaid and SCHIP Extension Act H.R., 1845, the Durable Medical Equipment Access Act S. 1428, the Durable Medical Equipment Access Act

Client expense: $33,835 · Firm income: Not reported

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

Changes to Medicare regarding durable medical equipment benefits. H.R. 2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007; H.R. 1845/S. 1428 - Medicare Durable Medical Equipment Access Act of 2007 and H.R. 621 and S. 1484 - The Home Oxygen Patient Protection Act

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

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

HR 4/ S 3: Medicare Prescription Drug Price Negotiation Act of 2007. Lobbied to maintain the private sector negotiations in the Medicare drug benefit. HR 2058/S.1103: Helping Fill the Medicare Rx Gap Act. Lobbied to enhance patient access to Medicare Part D drugs. H.R.1293/S. 1338-Access to Medicare Imaging Act of 2007. Lobbied for passage of bills. HR 1845/S 1428 Medicare Durable Medical Equipment Access Act. Lobbied to ensure patient access to Medicare durable medical equipment - ostomy and wound care services. Medicare Coverage Policy for Wound Care. Lobbied to ensure patient access to timely and appropriate treatment options. Home Health Prospective Payment System. Lobbied to ensure patient access to ostomy services.

Client expense: $3,000,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

H.R. 4/ S. 3, Medicare Prescription Drug Price Negotiation Act of 2007, Lobbied to maintain private sector negotiations in the Medicare drug benefit. H.R. 3963, SCHIP Extension Bill,Lobbied to maintain safety and access to prescription drugs. H.R.1293/S. 1338, Access to Medicare Imaging Act of 2007, Lobbied for passage of bills. H.R. 2058/S. 1103, Helping Fill the Medicare Rx Gap Act, Lobbied to enhance patient access to Medicare Part D drugs H.R. 1845/S. 1428, Medicare Durable Medical Equipment Access Act, Lobbied to ensure patient access to Medicare durable medical equipment - ostomy and wound care services. Medicare Coverage Policy for Wound Care, Lobbied to ensure patient access to timely and appropriate treatment options. Home Health Prospective Payment System, Lobbied to ensure patient access to ostomy services. Medicaid Rebate Policy, Lobbied to ensure proper payment of rebates.

Client expense: $2,660,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

HR.1845, S.1428 Medicare Durable Medical Equipment Access Act of 2007; S.2221 Transparency in the Medical Device Price Act of 2007; S.2029 Physician Payments Sunshine Act of 2007; S.2499 Medicare, Medicaid and SCHIP Extension Act of 2007;

Client expense: $760,000 · Firm income: Not reported

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

HR 1845 & S.1428 - Medicare DME Act of 2007; HR 2231 - Complex Rehab Carve Out Act; DME Competitive Bidding; Preservation of Power Wheelchair First Month Purchase Option

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

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

Competitive Bidding for DME; HR 1845 - Tanner Hobson; S 1428 - Hatch Conrad; HR 3162 - Children's Health and Medicare Protection Act; HR 621 & S 1484 - Home Oxygen Patient Protection Act; Value of homecare; HR 2231 - Medicare Access to Complex Rehabilitation and Assistive Technology

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Changes to Medicare regarding durable medical equipment benefits. H.R. 2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007; H.R. 1845/S. 1428 - Medicare Durable Medical Equipment Access Act of 2007 and H.R. 3162 Children's Health and Medicare Protection Act of 2007, H.R. 621and S.1484 - The Home Oxygen Patient Protection Act

Client expense: $370,000 · Firm income: Not reported

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

S. 1428 - Medical Durable Equiment Access Act of 2007 S. 1484 - Home Oxygen Patient Protectin Act of 2007

Client expense: Not reported · Firm income: $200,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007 (HR2231), Medicare Durable Medical Equipment Access Act of 2007 (HR1845), Medicare Durable Medical Equipment Access Act of 2007 (S.1428), CHAMP Act; specific to eliminating first month purchase option for power wheelchairs;

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

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

H.R. 3162, Childrens Health and Medicare Protection (CHAMP) Act S. 2499, Medicare, Medicaid and SCHIP Extension Act of 2007 H.R. 1845, the Medicare Durable Medical Equipment Access Act of 2007 S. 1428, the Medicare Durable Medical Equipment Access Act of 2007

Client expense: $66,705 · Firm income: Not reported

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

H.R.2764 - Consolidated Appropriations Act, 2008 H.R.3162 - Children's Health and Medicare Protection Act of 2007 H.R.3195 - ADA Restoration Act of 2007 H.R.3963 – Children’s Health Insurance Program Reauthorization Act of 2007 H.R.976 - Children's Health Insurance Program Reauthorization Act of 2007 S.1428 - Medicare Durable Medical Equipment Access Act of 2007 S.1893 - Children's Health Insurance Program Reauthorization Act of 2007 S.2499 - Medicare, Medicaid, and SCHIP Extension Act of 2007 S.Con.Res.21 - Concurrent Resolution on the Budget for Fiscal Year 2008 H.R.1845 - Medicare Durable Medical Equipment Access Act of 2007 H.J.Res.20 - Revised Continuing Appropriations Resolution, 2007 H.R.2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007

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

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

H.R.2764 - Consolidated Appropriations Act, 2008 H.R.3162 - Children's Health and Medicare Protection Act of 2007 H.R.3195 - ADA Restoration Act of 2007 H.R.3963 – Children’s Health Insurance Program Reauthorization Act of 2007 H.R.976 - Children's Health Insurance Program Reauthorization Act of 2007 S.1428 - Medicare Durable Medical Equipment Access Act of 2007 S.1893 - Children's Health Insurance Program Reauthorization Act of 2007 S.2499 - Medicare, Medicaid, and SCHIP Extension Act of 2007 S.Con.Res.21 - Concurrent Resolution on the Budget for Fiscal Year 2008 H. R.1845 - Medicare Durable Medical Equipment Access Act of 2007 H.J.Res.20 - Revised Continuing Appropriations Resolution, 2007 H.R.2231 - Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007

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

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

HR 1663, “Medicare Mental Health Modernization Act of 2007,” regarding amending title XVIII of the Social Security Act to expand and improve coverage of mental health services under the Medicare Program; HR 1845 / S 1428, “Medicare Durable Medical Equipment Access Act of 2007,” regarding amending part B of title XVIII of the Social Security Act to assure access to durable medical equipment under the Medicare Program; HR 2770, “To amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price,” all provisions; HR 3011, “To amend title XVIII of the Social Security Act to ensure adequate payment amounts for drugs and biologicals under part B of the Medicare Program,” regarding all provisions; HR 3061, “Medicare Part D Drug Class Protection Act of 2007,” regarding amending title XVIII of the Social Security Act to require that Medicare prescription drug plans using formularies cover all drugs included in 6 specified therapeutic categories and to establish protective requirements for coverage determinations; HR 4 / S 3, “Medicare Prescription Drug Price Negotiation Act of 2007,” regarding amending part D of title XVIII of the Social Security Act to require the Secretary of Health and Human Services to negotiate lower covered part D drug prices on behalf of Medicare beneficiaries; HR 976 / S 1893, “Children's Health Insurance Program Reauthorization Act of 2007,” regarding amending the Internal Revenue Code of 1986 to provide tax relief for small businesses; HR 3162, “Children's Health and Medicare Protection Act of 2007,” regarding improving enrollment and retention of eligible children; S 1887, “Medicare Access to Critical Medications Act of 2007,” regarding amending title XVIII of the Social Security Act in order to ensure access to critical medications under the Medicare part D prescription drug program; S 631, “Remote Monitoring Access Act of 2007,” regarding amending title XVIII of the Social Security Act to provide for coverage of remote patient management services for chronic health care conditions under the Medicare Program; S 860, “Early Treatment for HIV Act of 2007,” regarding amending title XIX of the Social Security Act to permit States the option to provide Medicaid coverage for low-income individuals infected with HIV; CMS-1270-F, “Medicare Program; Competitive Acquisition for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Other Issues,” regarding a final rule establishing competitive bidding programs for certain Medicare Part B covered items of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) throughout the United States in accordance with sections 1847(a) and (b) of the Social Security Act; issues regarding competitive bidding, demonstrations for clinical lab services and competitive Medicare payments for lab services; issues regarding Medicare national coverage determination for the use of erythropoiesis stimulating agents in cancer and related neoplastic conditions; CMS-2238-FC, regarding the Medicaid program, and prescription drugs. HR 1190, “Community Cancer Care Preservation Act of 2007,” regarding amending title XVIII of the Social Security Act to preserve access to community cancer care by Medicare beneficiaries; HR 1321, “Medicare Advanced Laboratory Diagnostics Act of 2007,” regarding amending title XVIII of the Social Security Act to improve payments under the Medicare clinical laboratory fee schedule;

Client expense: $3,820,000 · Firm income: Not reported

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

Competitive Bidding for DME; H.R. 1845 - Tanner Hobson; S. 1428 - Hatch Conrad; H.R. 3162 - Children's Health and Medicare Protection Act; H.R. 621 & S. 1484 - Home Oxygen Patient Protection Act; Value of homecare; H.R. 2231 - Medicare Access to Complex Rehabilitation and Assistive Technology

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE