Nurse Faculty and Physical Therapist Education Act of 2007

Reauthorization of Title VII of the Public Health Service Act; Reauthorization of National Health Service Corp; Physical Therapist Student Loan Repayment Eligibility Act [S.2485/H.R.1134]; Nurse Faculty and Physical Therapist Education Act [S.1628]

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), SENATE

Reauthorization of Title VII of the Public Health Service Act; Reauthorization of National Health Service Corp; Physical Therapist Student Loan Repayment Eligibility Act [S.2485/H.R.1134]; Nurse Faculty and Physical Therapist Education Act [S.1628]

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), SENATE

Addressing Healthcare Workforce Issues for the future - physical therapist workforce shortage S 2424 National Health Literacy Act of 2007 S 1628 - A bill to amend the Public Health Service Act to authorize programs to increase the number of nurse faculty and to increase the domestic nursing and physical therapy workforce, and for other purposes S 646 - Rural Nursing Promotion Act S 1628 - Nurse Faculty and Physical Therapist Education Act of 2007

Client expense: $378,766 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

S. 2112 - Nurse-Managed Health Clinic Invest. Act of 2007; S. 1604 - Nurse Edu. and Quality of Health Care Act of 2007; S. 1628 - Nurse Faculty and Physical Therapist Edu. Act of 2007; H.R. 2384 - Nurse Faculty Higher Education Act; H.R. 2621 - Teacher and Nurse Support Act of 2007; S. 446/H.R. 772 - Nurse Educ., Expansion, and Development Act of 2007; H.R. 677 - Nursing School Capacity Act of 2007; S. 2708 - Caring for an Aging America Act of 2008; Health Care Reform Initiatives; Title VII Funding.

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

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

Issues related to home and hospice care, rural health, telehealth, medicare and state's health insurance program legislation (H.R. 6331); The Health Care Access and Rural Equity Act of 2007 (H.R. 2860); Craig Thomas Rural Hospital and Provider Equity Act of 2007 (S. 1605); Home Health Care Planning Improvement Act of 2007 (S. 1678); The Fair Home Health Care Act (S. 2181/H.R. 3865) Medicare Improvements for Patients and Providers Act of 2008 (S. 3101); Preserving Access to Medicare Act of 2008 (S. 3118); The Medicare Hospice Protection Act (S. 3484/H.R. 6873); The Home Health Care Planning Improvement Act (S. 1628/H.R. 6826)

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

1. H.R. 1669/S. 982, "Positive Aging Act of 2007". Support all provisions. The bill would improve access to mental health services for older adults by integrating mental health services into primary and community settings through demonstration projects that target urban and rural medically underserved areas. Interdisciplinary teams of mental health professionals working in collaboration wiht other providers of health care and social services would provide these evidence-based services. 2. H.R. 1424, the "Paul Wellstone Mental Health and Addiction Equity Act" - Support all provisions. The bill expands the Mental Health Parity Act of 1996 by requiring group health plans that offer benefits for mental health and addiction to do so on the same terms as care for other diseases. 3. H.R. 2502, "Geriatricians Loan Forgiveness Act of 2007". Support all provisions. The bill would extend the National Health Service Corps Loan Repayment Program to geriatric training, forgiving $35,000 of educational debt incurred by medical students for each year of advanced training to obtain a certificate of added qualifications in geriatric medicine or geriatric psychiatry. 4. S. 558, the "Mental Health Parity Act of 2007". Support provisions to prohibit private health insurance plans from imposing treatment limitations or financial requirements on mental health benefits unless comparable limitations or requirements are imposed on medical and surgical benefits. 5. Discussed with House and Senate staff the need to include older adults in clinical trials, following the 2007 release of a GAO report on this issue. 6. S. 1628, a bill to amend the Public Health Service Act to authorize programs to increase the number of nurse faculty and to increase the domestic nursing and physical therapy workforce. Support all provisions. 7. S. 1854, the "Stop Senior Suicide Act". Support provisions to repeal the 50 percent Medicare outpaitent mental health coinsurance rate; improve interagency coordination; provide grants for elderly suicide early intervention and prevention strategies; and enhance the existing Suicide Prevention Resource Center. 8. Support H. R. 3411, the "Juvenile Crime Reduction Act of 2007," to provide strategies to help to decrease the prevalence of young people with mental disorders who come into contact with the juvenile justice system. 9. S. 2708 and H.R. 6337, the "Caring for an Aging America Act of 2008. Support all provisions. The bill would provide for the establishment of a new geriatric and gerontology loan repayment program. 10. Reauthorization of the Substance Abuse and Mental Health Services Administration - discuss inclusion of provisions from S. 982 (the "Positive Aging Act of 2007") and S. 1854 (the "Stop Senior Suicide Act") with Senate staff. 11. Discussed with House and Senate staff the need for additonal health care professionals trained in geriatrics and the need for a study on the mental health care workforce that will be needed to treat older adults with mental disorders over the next three decades. 12. Support S. 2641, the "Nursing Home Transparency and Improvement Act of 2008". Support all provisions. The bill would increase public transparency and accountability of nursing home owners and operators, including nursing home chains, by requiring them to disclose the corporate entities that own nursing homes and their affiliated entities. 13. Support H.R. 6375, "Healthy Transitions Act". Support all provisions. The bill would establish planning and implementation grants to states to assist in the development of a coordinated service delivery system to maximize continuity of care and access to services for young adults who are transitioning to the adult mental health system. 14. Support H.R. 1424, Emergency Economic Stabilization Act of 2008". Support provision to provide mental health parity to require group health plans that offer mental health and substance abuse benefits to do so on the same terms as medical and surgical benefits. 15. S. 3335, the "Jobs, Eneergy, Families and Disaster Relief Act of 2008". Support mental health parity provision. 16. S. 3155, a bill to reauthorize the "Juvenile Justice and Delinquency Prevention Act of 1974". Urge that the bill include provisions to address the plight to young people with mental disorders intersecting with the juvenile justice system. 17. S. 3730, the "Retooling the Health Care Workforce for an Aging America Act of 2008". Support all provisions. This bill addresses the current and future shortage of health care personnel who are trained to care for older adults.

S. 578 and H.R. 1017, Protecting Children's Health in Schools Act - Provisions related to maintaining Medicaid funding for s hool based administrative claiming and transportation services. H.R. 1134 and S. 2485, Physical Therapist Student Loan Repayment Eligibility Act of 2007 - advocated for inclusion of occupational theapy. S. 1628, Nurse Faculty and Physical Therapist Education Act of 2007 - Advocated for inclusion of occupational therapy loan repayment. No bill number - No Child Left Behind (NCLB) Reauthorization - advocated for an expanded role for occupational therapy with general education students and for providing testing accomodations for students with disabilities. issues addressed included early intervening funds, RTI and PBS inclusion. H.R. 2915, National Health Service Corps Scholarship and Loan Repayment Programs Reauthorization Act of 2007 - Supported the inclusion of occupational therapy for loan repayment.

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

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

H.R. 2860, The Health Care Access and Rural Equity Act of 2007 -- sections 305 and 309 S. 321, Fostering Independence Through Technology Act of 2007 -- All sections S. 1605, Craig Thomas Rural Hospital and Provider Equity Act of 2007 -- sections 14 and 18 S. 1678, Home Health Care Planning Improvement Act of 2007 -- All sections S. 2181/H.R. 3865, The Fair Home Health Care Act -- All sections H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 -- effort to include home health rural add-on as amendment S. 3101, Medicare Improvements for Patients and Providers Act of 2008 --effort to include home health rural add-on as amendment S. 3118, Preserving Access to Medicare Act of 2008 -- section 112 H.R. 5613/S. 2819, Protecting the Medicaid Safety Net Act of 2008 -- All sections H.R. 2642, Supplemental Appropriations Act, 2008 -- Title VII Medicaid H.R. 6163, Medicare Telehealth Enhancement Act of 2008 -- sections 104, 105, and 106 S. 3613/H.R. 7114, The Independence at Home Act -- All sections S. 1340, The Geriatric Assessment and Chronic Care Coordination Act of 2007 -- All sections S. 3484/H.R. 6873 -- The Medicare Hospice Protection Act -- All sections S. 1628/H.R. 6826 -- The Home Health Care Planning Improvement Act -- All sections S. 1577/H.R. 3078 -- The Patient Safety and Abuse Prevention Act -- All sections

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

Reauthorization of Title VII of the Public Health Service Act; Reauthorization of National Health Service Corp; Physical Therapist Student Loan Repayment Eligibility Act [S.2485/H.R.1134]; Nurse Faculty and Physical Therapist Education Act [S.1628]

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), SENATE

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

S. 578 and H.R. 1017, Protecting Children's Health in Schools Act - Provisions related to maintaining Medicaid funding for s hool based administrative claiming and transportation services. H.R. 1134 and S. 2485, Physical Therapist Student Loan Repayment Eligibility Act of 2007 - advocated for inclusion of occupational theapy. H.R. 4137, Higher Education Amendments of 2007 (was -College Opportunity and Affordability Act of 2007) - advocated for loan repayment for occupational therapy, accreditation standards, and grants and scholarships for OT.. S. 1628, Nurse Faculty and Physical Therapist Education Act of 2007 - Advocated for inclusion of occupational therapy loan repayment. No bill number - No Child Left Behind (NCLB) Reauthorization - advocated for an expanded role for occupational therapy with general education students and for providing testing accomodations for students with disabilities. issues addressed included early intervening funds, RTI and PBS inclusion. HR 2642 (PL 110-252) Iraq War Supplemental Appropriations -Advocated for moratorium on Medicaid School-based Transportation and Administrative Claiming Costs and opposed elimination of reimbursemen for rehab service option.. H.R. 2915, National Health Service Corps Scholarship and Loan Repayment Programs Reauthorization Act of 2007 - Supported the inclusion of occupational therapy for loan repayment.

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

Addressing Healthcare Workforce Issues for the future - physical therapist workforce shortage S 2424 National Health Literacy Act of 2007 S 1628 - A bill to amend the Public Health Service Act to authorize programs to increase the number of nurse faculty and to increase the domestic nursing and physical therapy workforce, and for other purposes S 646 - Rural Nursing Promotion Act S 1628 - Nurse Faculty and Physical Therapist Education Act of 2007

Client expense: $355,739 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

S. 2112 - Nurse-Managed Health Clinic Investment Act of 2007; S. 1604 - Nurse Education and Quality of Health Care Act of 2007; S. 1628 - Nurse Faculty and Physical Therapist Education Act of 2007; H.R. 2384 - Nurse Faculty Higher Education Act; H.R. 2621 - Teacher and Nurse Support Act of 2007; S. 446/H.R. 772 - Nurse Education, Expansion, and Development Act of 2007; H.R. 677 - Nursing School Capacity Act of 2007; S. 2708 - Caring for an Aging America Act of 2008

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. H.R. 1669/S. 982, "Positive Aging Act of 2007". Support all provisions. The bill would improve access to mental health services for older adults by integrating mental health services into primary and community settings through demonstration projects that target urban and rural medically underserved areas. Interdisciplinary teams of mental health professionals working in collaboration wiht other providers of health care and social services would provide these evidence-based services. 2. H.R. 1424, the "Paul Wellstone Mental Health and Addiction Equity Act" - Support all provisions. The bill expands the Mental Health Parity Act of 1996 by requiring group health plans that offer benefits for mental health and addiction to do so on the same terms as care for other diseases. 3. H.R. 2502, "Geriatricians Loan Forgiveness Act of 2007". Support all provisions. The bill would extend the National Health Service Corps Loan Repayment Program to geriatric training, forgiving $35,000 of educational debt incurred by medical students for each year of advanced training to obtain a certificate of added qualifications in geriatric medicine or geriatric psychiatry. 4. S. 558, the "Mental Health Parity Act of 2007". Support provisions to prohibit private health insurance plans from imposing treatment limitations or financial requirements on mental health benefits unless comparable limitations or requirements are imposed on medical and surgical benefits. 5. Discussed with House and Senate staff the need to include older adults in clinical trials, following the 2007 release of a GAO report on this issue. 6. S. 1628, a bill to amend the Public Health Service Act to authorize programs to increase the number of nurse faculty and to increase the domestic nursing and physical therapy workforce. Support all provisions. 7. S. 1854, the "Stop Senior Suicide Act". Support provisions to repeal the 50 percent Medicare outpaitent mental health coinsurance rate; improve interagency coordination; provide grants for elderly suicide early intervention and prevention strategies; and enhance the existing Suicide Prevention Resource Center. 8. Support H. R. 3411, the "Juvenile Crime Reduction Act of 2007," to provide strategies to help to decrease the prevalence of young people with mental disorders who come into contact with the juvenile justice system. 9. S. 2708 and H.R. 6337, the "Caring for an Aging America Act of 2008. Support all provisions. The bill would provide for the establishment of a new geriatric and gerontology loan repayment program. 10. Reauthorization of the Substance Abuse and Mental Health Services Administration - discuss inclusion of provisions from S. 982 (the "Positive Aging Act of 2007") and S. 1854 (the "Stop Senior Suicide Act") with Senate staff. 11. Discussed with House and Senate staff the need for additonal health care professionals trained in geriatrics and the need for a study on the mental health care workforce that will be needed to treat older adults with mental disorders over the next three decades. 12. Support S. 2641, the "Nursing Home Transparency and Improvement Act of 2008". Support all provisions. The bill would increase public transparency and accountability of nursing home owners and operators, including nursing home chains, by requiring them to disclose the corporate entities that own nursing homes and their affiliated entities. 13. Support H.R. 6375, "Healthy Transitions Act". Support all provisions. The bill would establish planning and implementation grants to states to assist in the development of a coordinated service delivery system to maximize continuity of care and access to services for young adults who are transitioning to the adult mental health system. 14. Support H.R. 1424, Emergency Economic Stabilization Act of 2008". Support provision to provide mental health parity to require group health plans that offer mental health and substance abuse benefits to do so on the same terms as medical and surgical benefits. 15. S. 3335, the "Jobs, Eneergy, Families and Disaster Relief Act of 2008". Support mental health parity provision. 16. S. 3155, a bill to reauthorize the "Juvenile Justice and Delinquency Prevention Act of 1974". Urge that the bill include provisions to address the plight to young people with mental disorders intersecting with the juvenile justice system.

H.R. 2860, The Health Care Access and Rural Equity Act of 2007 -- sections 305 and 309 S. 321, Fostering Independence Through Technology Act of 2007 -- All sections S. 1605, Craig Thomas Rural Hospital and Provider Equity Act of 2007 -- sections 14 and 18 S. 1678, Home Health Care Planning Improvement Act of 2007 -- All sections S. 2181/H.R. 3865, The Fair Home Health Care Act -- All sections H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 -- effort to include home health rural add-on as amendment S. 3101, Medicare Improvements for Patients and Providers Act of 2008 --effort to include home health rural add-on as amendment S. 3118, Preserving Access to Medicare Act of 2008 -- section 112 H.R. 5613/S. 2819, Protecting the Medicaid Safety Net Act of 2008 -- All sections H.R. 2642, Supplemental Appropriations Act, 2008 -- Title VII Medicaid H.R. 6163, Medicare Telehealth Enhancement Act of 2008 -- sections 104, 105, and 106 S. 3613/H.R. 7114, The Independence at Home Act -- All sections S. 1340, The Geriatric Assessment and Chronic Care Coordination Act of 2007 -- All sections S. 3484/H.R. 6873 -- The Medicare Hospice Protection Act -- All sections S. 1628/H.R. 6826 -- The Home Health Care Planning Improvement Act -- All sections S. 1577/H.R. 3078 -- The Patient Safety and Abuse Prevention Act -- All sections

Client expense: $92,550 · Firm income: Not reported

1. H.R. 1669/S. 982, "Positive Aging Act of 2007". Support all provisions. The bill would improve access to mental health services for older adults by integrating mental health services into primary and community settings through demonstration projects that target urban and rural medically underserved areas. Interdisciplinary teams of mental health professionals working in collaboration wiht other providers of health care and social services would provide these evidence-based services. 2. H.R. 1424, the "Paul Wellstone Mental Health and Addiction Equity Act" - Support all provisions. The bill expands the Mental Health Parity Act of 1996 by requiring group health plans that offer benefits for mental health and addiction to do so on the same terms as care fo rother diseases. 3. H.R. 2502, "Geriatricians Loan Forgiveness Act of 2007". Support all provisions. The bill would extend the National Health Service Corps Loan Repayment Program to geriatric training, forgiving $35,000 of educational debt incurred by medical students for each year of advanced training to obtain a certificate of added qualifications in geriatric medicine or geriatric psychiatry. 4. S. 558, the "Mental Health Parity Act of 2007". Support provisions to prohibit private health insurance plans from imposing treatment limitations or financial requirements on mental health benefits unless comparable limitations or requirements are imposed on medical and surgical benefits. 5. Discussed with House and Senate staff the need to include older adults in clinical trials, following the 2007 release of a GAO report on this issue. 6. S. 1628, a abill to amend the Public Health Service Act to authorize programs to increase the number of nurse faculty and to increase the domestic nursing and physical therapy workforce. Support all provisions. 7. S. 1854, the "Stop Senior Suicide Act". Support provisions to repeal the 50 percent Medicare outpaitent mental health coinsurance rate; improve interagency coordination; provide grants for elderly suicide early intervention and prevention strategies; and enhance the existing Suicide Prevention Resource Center. 8. Support H. R. 3411, the "Juvenile Crime Reduction Act of 2007," to provide strategies to help to decrease the prevalence of young people with mental disorders who come into contact with the juvenile justice system. 9. S. 2708 and H.R. 6337, the "Caring for an Aging America Act of 2008. Support all provisions. The bill would provide for the establishment of a new geriatric and gerontology loan repayment program. 10. Reauthorization of the Substance Abuse and Mental Health Services Administration - discuss inclusion of provisions from S. 982 (the "Positive Aging Act of 2007") and S. 1854 (the "Stop Senior Suicide Act") with Senate staff. 11. Discussed with House and Senate staff the need for additonal health care professionals trained in geriatrics and the need for a study on the mental health care workforce that will be needed to treat older adults with mental disorders over the next three decades. 12. Support S. 2641, the "Nursing Home Transparency and Improvement Act of 2008". Support all provisions. The bill would increase public transparency and accountability of nursing home owners and operators, including nursing home chains, by requiring them to disclose the corporate entities that own nursing homes and their affiliated entities. 13. Co-hosted Capitol Hill briefing for House and Senate staff members on mental health needs of older adults, including the need fo rmore geriatric health specialists, the need to integrate mental health care with primary care and the need for parity for Medicare outpatient mental health services.

Addressing Healthcare Workforce Issues for the future - physical therapist workforce shortage S 2424 National Health Literacy Act of 2007 S 1628 - A bill to amend the Public Health Service Act to authorize programs to increase the number of nurse faculty and to increase the domestic nursing and physical therapy workforce, and for other purposes S 646 - Rural Nursing Promotion Act

Client expense: $566,146 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

S. 2112, S. 1604, S. 1628, H.R. 2384, H.R. 2621, S. 446/H.R. 772, H.R. 677, S. 2708

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

S. 578 and H.R. 1017, Protecting Children's Health in Schools Act - Provisions related to maintaining Medicaid funding for s hool based administrative claiming and transportation services. H.R. 1134 and S. 2485, Physical Therapist Student Loan Repayment Eligibility Act of 2007 - advocated for inclusion of occupational theapy. H.R. 4137, College Opportunity and Affordability Act of 2007 - advocated for loan repayment for occupational therapy in Higher Education Act. S. 1628, Nurse Faculty and Physical Therapist Education Act of 2007 - Advocated for inclusion of occupational therapy loan repayment. No bill number - No Child Left Behind (NCLB) Reauthorization - advocated for an expanded role for occupational therapy with general education students and for providing testing accomodations for students with disabilities. issues addressed included early intervening funds, RTI and PBS inclusion. HR 2642 (PL 110-252) Iraq War Supplemental Appropriations -Advocated for moratorium on Medicaid School-based Transportation and Administrative Claiming Costs and opposed elimination of reimbursemen for rehab service option.. H.R. 2915, National Health Service Corps Scholarship and Loan Repayment Programs Reauthorization Act of 2007 - Supported the inclusion of occupational therapy for loan repayment.

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

Alzheimer's Disease Demonstration Grants to States Program, Program Implementation S1340/HR2244/HR467, The Geriatric Assessment and Chronic Care Coordination Act of 2007, all provisions relating to Medicare Part B Coverage of geriatric assessment and chrnoic care management services for eligible beneficiaries and process measures and outcomes for Medicare Beneficiaires with multiple chronic illnesses, including dementia. S1758, the Community Living Assistance Services and Supports Act, all provisions relating to establishing a national, voluntary disability insurance program. S1628 Nurse Faculty and Physical Therapist Education Act of 2007 all provisions relating to geriatric faculty fellowships H con Res 133 supproting the goals and ideals of Long Term Care Awareness week, all provisions relating to Long Term Care Awareness week. S897 Alzheimer's Family Assistance Act of 2007, all provisions relating to long term care tax credits, treatment of premiums or qualified long-term care insurance contracts and tax credits for caregivers. S2708, caring for An Aging America Act, all provisions relating to training of health care professionals and direct care workers S264, Nursing Home Transparency and Improvement Act of 2008, all provisions relating to improving the transparency of information about skilled nursing facilities and providing dementia management training. HR1032, Alzheimer's Treatment and Caregiver Support Act, all provisions relating to grants for the expansion of treatment services to individuals with Alzheimer's and training and support services for families and caregivers

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

S. 2112, S. 1604, S. 1628, H.R. 2384, H.R. 2621, S. 446/H.R. 772, H.R. 677, S. 2708

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

Reauthorization of Title VII of the Public Health Service Act; Reauthorization of National Health Service Corp; Physical Therapist Student Loan Repayment Eligibility Act [S.2485/H.R.1134]; Nurse Faculty and Physical Therapist Education Act [S.1628]

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

Alzheimer's Disease Demonstration Grants to States Program, program implementation S1340/HR2244/HR467, The Geriatric Assessment and Chronic Care Coordination Act of 2007, all provisions relating to Medicare Part B Coverage of geriatric assessment and chrnoic care management services for eligible beneficiaries and process measures and outcomes for Medicare Beneficiaires with multiple chronic illnesses, including dementia. S1758, the Community Living Assistance Services and Supports Act, all provisions relating to establishing a national, voluntary disability insurance program. S1628 Nurse Faculty and Physical Therapist Education Act of 2007 all provisions relating to geriatric faculty fellowships H con Res 133 supproting the goals and ideals of Long Term Care Awareness week, all provisions relating to Long Term Care Awareness week. S897 Alzheimer's Family Assistance Act of 2007, all provisions relating to long term care tax credits, treatment of premiums or qualified long-term care insurance contracts and tax credits for caregivers. S2708, caring for An Aging America Act, all provisions relating to training of health care professionals and direct care workers S264, Nursing Home Transparency and Improvement Act of 2008, all provisions relating to improving the transparency of information about skilled nursing facilities and providing dementia management training. HR1032, Alzheimer's Treatment and Caregiver Support Act, all provisions relating to grants for the expansion of treatment services to individuals with Alzheimer's and training and support services for families and caregivers

Client expense: $115,000 · Firm income: Not reported

Addressing Healthcare Workforce Issues for the future - physical therapist workforce shortage National Health Literacy Act of 2007 S 1628 - A bill to amend the Public Health Service Act to authorize programs to increase the number of nurse faculty and to increase the domestic nursing and physical therapy workforce, and for other purposes S 646 - A bill to increase the nursing workforce

Client expense: $330,575 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

S. 2112, S. 1604, S. 1628, H.R. 2384, H.R. 2621, S. 446/H.R. 772, H.R. 677, S. 2708

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

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

S. 578 and H.R. 1017, Protecting Children's Health in Schools Act - Provisions related to maintaining Medicaid funding for s hool based administrative claiming and transportation services. H.R. 1134 and S. 2485, Physical Therapist Student Loan Repayment Eligibility Act of 2007 - advocated for inclusion of occupational theapy. H.R. 4137, College Opportunity and Affordability Act of 2007 - advocated for loan repayment for occupational therapy in Higher Education Act. S. 1628, Nurse Faculty and Physical Therapist Education Act of 2007 - Advocated for inclusion of occupational therapy loan repayment. No bill number - No Child Left Behind (NCLB) Reauthorization - advocated for an expanded role for occupational therapy with general education students and for providing testing accomodations for students with disabilities. issues addressed included early intervening funds, RTI and PBS inclusion. No bill number - Medicaid School-based Transportation and Administrative Claiming Costs - Before Congress, opposed elimination of reimbursement - advocating for a moratorium. Office of Special Education Programs - Director Alexa Posney - Advocated about the role of occupational therapy (under IDEA and NCLB) in special education and models of school wide support funded by early intervening services. H.R. 2915, National Health Service Corps Scholarship and Loan Repayment Programs Reauthorization Act of 2007 - Supported the inclusion of occupational therapy for loan repayment.

Client expense: $130,000 · Firm income: Not reported

S. 450 and HR 748, The Medicare Access to Rehabilitation Services Act of 2007 - All provisions, passage. HR 1846, The Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 - Opposed based on quality, cost accountability, and scope of practice concerns. S. 1224, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 - Advocated in support of the CHIP program and an expanded role for occuaptional therapy. H.R. 3162, Children's Health and Medicare Protections Act of 2007 (CHAMP) - Advocated for Medicare provision regarding therapy caps, 75% rule on inpatient rehabilitation facilities, SGR cuts and Medicaid provisions. S. 799 and H.R. 1621, The Community Choice Act - Supported all provisions. S. 578 and H.R. 1017, Protecting Children's Health in Schools Act - supported passage and maintaining Medicaid funding for school based administrative claiming and transportation services. H.R. 1809 and S. 2103, Medicare Independent Living Act - Supported the provision of improved access to mobility devices for people with disabilities. H.R. 4082 and S. 1980, Long-term Care Quality and Modernization Act of 2007 - Advocated for inclusion of occupational therapy in quality reporting. S. 932 and H.R. 1552, Medicare Patient Access to Physical Therapist Act of 2007 - Advocated regarding impact on occupational therapy. H.R. 1663, Medicare Mental Health Modernization Act of 2007 - Advocated for passage and improved role for occupational therapy. S. 1628, Nurse Faculty and Physical Therapist Education Act of 2007 - Advocated for inclusion of occupational therapy loan repayment. H.R. 4248, Ensuring Medicare Access to Recreational Thearpy Act - Opposed findings language referring to functional capacities and worked to amend that language. No bill number - Medicaid School-based Transportation and Administrative Claiming Costs - Before Congress, opposed elimination of reimbursement - advocated for a moratorium. No bill number - Medicaid Rehabilitation Services Proposed Rule - Before Congress advocated for moratorium; opposed proposal to restrict the reimbursement of services under the rehabilitation option. No bill number: Advocated for the promotion of occupational therapy in home health under Medicare (Note; introduced 4/3/08 ad H.R. 5704, The Medicare Home Health Flexibility Act.). No bill number: Advocated for payment fixes to the Medicare Physician Fee Schedule. No bill number: Advocated and educated about the role of occupational therapy in mental health practice. No bill number: Advocated for an extension of the Medicare Part B Outpatient Therapy cap extension period.

1. H. R. 1669/S. 982," Positive Aging Act of 2007". Support all provisions. The bill would improve access to mental health services for older adults by integrating mental health services into primary and community settings through demonstration projects that target urban and rural medically underserved areas. Interdisciplinary teams of mental health professionals working in collaboration with other providers of health care and social services would provide these evidence-based services. 2. H.R. 1424, the "Paul Wellstone Mental Health and Addiction Equity Act". Support all provisions: The bill expands the Mental Health Parity Act of 1996 by requireing group health plans that offer benefits for mental heatlh and addiction to do so on the same terms as care for other diseases. 3. H.R. 2502, "Geriatricians Loan Forgiveness Act of 2007". Support all provisions. The bill owuld extend the National Health Service Corps Loan Repayment Program to geriatric training, forgiving $35,000 of educational debt incurred by medical students for each year of advanced training to obtain a certificate of added qualifications in geriatric medicine or geriatric psychiatry. 4. S. 558, the "Mental Health Parity Act of 2007". Support provisions to prohibit private health insurance plans from imposing treatment limitations or financial requirements on mental health benefits unless comparable limitations or requirements are imposed on medical and surgical benefits. 5. Discussed with House and Senate staff the need to include older adults in clinical trials, following the 2007 release of a GAO report on this issue. 6. S. 1628, a bill to amend the Public Health Service Act to authorize programs to increase the number of nurse faculty and to increase the domestic nursing and physical therapy workforce. Support all provisions. 7. S. 1854, the "Stop Senior Suicide Act". Support provisions to repeal the 50 percent Medicare outpatient mental health coinsurance rate; improve interagency coordination; provide grants for elderly suicide early interventiona nd prevention strategies; and enhance the existing Suicide Prevention Resource Center. 8. Support H. R. 3411, the "Juvenile Crime Reduction Act of 2007," to provide strategies to help to decrease the prevalence of young people with mental disorders who come into contact with the juvenile justice system. 9. S. 2708, the "Caring for an Aging America Act of 2008". Support all provisions. The bill would provide for the establishment of a new geriatric and gerontology loan repayment program. 10. Reauthorization of the Substance Abuse and Mental Health Service Administration - discuss inclusion of provisions from S. 982 (the "Positive Aging Act of 2007") and S. 1854 (the "Stop Senior Suicide Act") with Senate staff.

1. H.R. 1669/S. 982, "Positive Aging Act of 2007". Support all provisions. The bill would improve access to mental health services for older adults by integrating mental health services into primary and community settings through demonstration projects that target urban and rural medically underserved areas. Interdisciplinary teams of mental health professionals working in collaboration with other providers of health care and social services would provide these evidence-based services. 2. H.R. 1424, the "Paul Wellstone Mental Health and Addiction Equity Act". Support all provisions. The bill expands the Mental Health Parity Act of 1996 by requiring group health plans that offer benefits for mental health and addiction to do so on the same terms as care for other diseases. 3. H.R. 2502, "Geriatricians Loan Forgiveness Act of 2007". Support all provisions. The bill would extend the National Health Service Corps Loan Repayment Program to geriatric training, forgiving $35,000 of educational debt incurrred by medical students for each year of advanced training to obtain a certificate of added qualifications in geriatric medicine or geriatric psychiatry. 4. S. 558, the "Mental Health Parity Act of 2007". Support provisions to prohibit private health insurance plans from imposing treatment limitations or financial requirements on mental health benefits unless comparable limitations or requirements are imposed on medical and surgical benefits. 5. Discussed with House and Senate staff the need to include older adults in clinical trials. 6. Provided comments to the Substance Abuse and Mental Health Services Administration (SAMHSA) on the revisions proposed for the Community Mental Health Services Block Grant Application Guidance and Instruction for Fiscal Years 2008-2010. Expressed strong support for SAMHSA's proposed requirement that State Plans include a description of the services provided to older adults under criterion 4 of the State's plan. 7. S. 1628, a bill to amend the Public Health Service Act to authorize programs to increase the number of nurse faculty and to increase the domestic nursing and physical therapy workforce. Support all provisions. 8. S. 1854, the "Stop Senior Suicide Act". Support provisions to repeal the 50 percent Medicare outpatient mental health coinsurance rate; improve interagency coordination; provide grants for elderly suicide early intervention and prevention strategies; and enhance the existing Suicide Prevention Resource Center. 9. Support H. R. 3411, the "Juvenile Crime Reduction Act of 2007," to provide strategies to help to decrease the prevalence of young people with mental disorders who come into contact with the juvenile justice system.

S. 450 and HR 748, The Medicare Access to Rehabilitation Services Act of 2007 - All provisions, passage. HR 1846, The Access to Physical Medicine and Rehabilitation Services Improvement Act of 2007 - Opposed based on quality, cost accountability, and scope of practice concerns. S. 1224, Children's Health Insurance Program (CHIP) Reauthorization Act of 2007 - Advocated in support of the CHIP program and an expanded role for occuaptional therapy. H.R. 3162, Children's Health and Medicare Protections Act of 2007 (CHAMP) - Advocated for Medicare provision regarding therapy caps, 75% rule on inpatient rehabilitation facilities, SGR cuts and Medicaid provisions. S. 799 and H.R. 1621, The Community Choice Act - Supported all provisions. S. 578 and H.R. 1017, Protecting Children's Health in Schools Act - supported passage and maintaining Medicaid funding for school based administrative claiming and transportation services. S. 543 and H.R. 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007 - Supported this legislation as it protects access to occupational therapy in inpatient rehabilitation facilities. H.R. 1809, Medicare Independent Lliving Act - Supported the provision of improved access to mobility devices for people with disabilities. S. 2499, Medicare, Medicaid and SCHIP Extension Act of 2007 - Advocated for passage of alternative to Medicare cap on PartB outpatient rehabilitation services; physician fee schedule, 75 rule for inpatient rehabilitation facilities, and Medicaid regulatory moratorium. H.R. 4082, Long-term Care Quality and Modernization Act of 2007 - Advocated for inclusion of occupational therapy in quality reporting. S. 932 and H.R. 1552, Medicare Patient Access to Physical Therapist Act of 2007 - Advocated regarding impact on occupational therapy. H.R. 1663, Medicare Mental Health Modernization Act of 2007 - Advocated for passage and improved role for occupational therapy. S. 1628, Nurse Faculty and Physical Therapist Education Act of 2007 - Advocated for inclusion of occupational therapy loan repayment. No bill number - Medicaid School-based Transportation and Administrative Claiming Costs - Before Congress, opposed elimination of reimbursement - advocated for a moratorium. No bill number - Medicaid Rehabilitation Services Proposed Rule - Before Congress advocated for moratorium; opposed proposal to restrict the reimbursement of services under the rehabilitation option. No bill number: Advocated for the promotion of occupational therapy in home health under Medicare. No bill number: Advocated for payment fixes to the Medicare Physician Fee Schedule. No bill number: Advocated and educated about the role of occupational therapy in mental health practice.

S. 578 and H.R. 1017, Protecting Children's Health in Schools Act - Provisions related to maintaining Medicaid funding for school based admministrative claiming and transportation services. H.R. 1134, Physical Therapist Student Loan Repayment Eligibility Act of 2007, advocated for inclusion of occupational therapy. No bill number - No Child Left Behind (NCLB) Reauthorization - advocated for an expanded role for occupational therapy with general education students and for providing testing accommodations for students with disabilities. Issues addressed included early intervening funds, RTI and PBS inclusion. Office of Special Education Programs, Director Alexa Posney - Advocated about the role of occupational thearpy under the Individuals with Disabilities Education Act (IDEA) and No Child Left Behind (NCLB). S. 1628, Nurse Faculty and Physical Therapist Education Act of 2007 - Advocated for inclusion of occupational therapy loan repayment. No bill number - Medicaid School-based Transportation and Administrative Claiming Costs - Before Congress, opposed elimination of reimbursement - advocating for a moratorium.

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

HR 749; HR 976; HR 1315; HR 1552; HR 1783; HR 2055; HR 2056; HR 2123; HR 2567; HR 3162; HR 3269; S 646; S 1070; S 1108; S 1628; S 1678; S 2499; Medicare Hospice Benefit Payments; Medicare Hospice Contracts and Conditions of Participation for Skilled Nursing Facilities; Medicare & Medicaid Skilled Nursing Facilities Conditions of Participation, Survey, Certification, and Enforcement

Client expense: $233,000 · Firm income: Not reported

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

S. 2112, S. 1604, S. 1628, H.R. 2384, H.R. 2621, S. 446/H.R. 772, H.R. 677

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

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

S. 465, S. 459/H.R. 758, S. 358/H.R. 493, S. 466/H.R. 772, S. 1604, H.R. 2384, H.R. 2621, S. 1628, S. 646, S. 1056, S. 624/H.R. 1132, H.R. 1078, S. 358/H.R. 493, S.73/H.R. 4138

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

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

HR 749, HR 976, HR 1315, HR 1552, HR 1783, HR 2055, HR 2056, HR 2123, HR 2567, HR 3162, HR 3269, S 646, S1070, S 1108, S 1628, S 1678, Medicare Hospice Benefit Payments, Medicare Hospice Contracts and Conditions of Participation for Skilled Hursing Facilities

Client expense: $240,250 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, State, Dept of (DOS), Veterans Affairs, Dept of (VA)

S1340/HR2244/HR467, The Geriatric Assessment and Chronic Care Coordination Act of 2007, all provisions relating to Medicare Part B Coverage of geriatric assessment and chrnoic care management services for eligible beneficiaries and process measures and outcomes for Medicare Beneficiaires with multiple chronic illnesses, including dementia. S1758, the Community Living Assistance Services and Supports Act, all provisions relating to establishing a national, voluntary disability insurance program. S1628 Nurse Faculty and Physical Therapist Education Act of 2007 all provisions relating to geriatric faculty fellowships H con Res 133 supproting the goals and ideals of Long Term Care Awareness week, all provisions relating to Long Term Care Awareness week. S897 Alzheimer's Family Assistance Act of 2007, all provisions relating to long term care tax credits, treatment of premiums or qualified long-term care insurance contracts and tax credits for cargivers. Alzheimer's Disease Demonstration Grants to States Program, program implementation

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

H.R. 2266, S. 1604, S. 1628, H.R. 2384, S. 54, H.R. 2621, S.446/H.R. 172, H.R. 677

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

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

S. 465, S. 459/H.R. 758, S. 358/H.R. 493, S. 446/H.R. 772, S. 1604, H.R. 2384, H.R. 2621, S. 1628, S. 646, S. 1056, S. 624/H.R. 1132, H.R. 1078, and S.358/H.R. 493

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

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

2. H.R. 1424, the “Paul Wellstone Mental Health and Addiction Equity Act”. Support all provisions. The bill expands the Mental Health Parity Act of 1996 by requiring group health plans that offer benefits for mental health and addiction to do so on the same terms as care for other diseases. 3. H.R. 2502, “Geriatricians Loan Forgiveness Act of 2007”. Support all provisions. The bill would extend the National Health Service Corps Loan Repayment Program to geriatric training, forgiving $35,000 of educational debt incurred by medical students for each year of advanced training to obtain a certificate of added qualifications in geriatric medicine or geriatric psychiatry. 4. S. 558, the “Mental Health Parity Act of 2007”. Support provisions to prohibit private health insurance plans from imposing treatment limitations or financial requirements on mental health benefits unless comparable limitations or requirements are imposed on medical and surgical benefits. 5. Discussed with House and Senate staff the need to include older adults in clinical trials. 6. Provided comments to the Substance Abuse and Mental Health Services Administration (SAMHSA) on the revisions proposed for the Community Mental Health Services Block Grant Application Guidance and Instruction for Fiscal Years 2008-2010. Expressed strong support for SAMHSA’s proposed requirement that State plans include a description of the services provided to older adults under criterion 4 of the State’s plan. 7. S. 1628, a bill to amend the Public Health Service Act to authorize programs to increase the number of nurse faculty and to increase the domestic nursing and physical therapy workforce. Support all provisions. 1. H.R. 1669/S. 982, “Positive Aging Act of 2007”. Support all provisions. The bill would improve access to mental health services for older adults by integrating mental health services into primary and community settings through demonstration projects that target urban and rural medically underserved areas. Interdisciplinary teams of mental health professionals working in collaboration with other providers of health care and social services would provide these evidence-based services.