Medicare Anesthesiology Teaching Funding Restoration Act of 2007

FY 09 Labor HHS Education Appropriations; Military Quality of Life and Veterans Affairs Appropriations; FY 09 Defense Approps; HR 2053/S 2056 Medicare Anesthesiology Teaching Funding Restoration Act; HR 1932, Medicare Academic Anesthesiology and CRNA Payment Improvement Act of 2007; Title VIII of Public Health Service Act - Reauthorization of Title VIII of the Public Health Service Act (42 USC 296 et seq); S 2969/HR 6153 Veterans' Medical Personnel Recruitment and Retention Act of 2008;

Client expense: $331,000 · Firm income: Not reported

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

H.R. 6089/S. 2773 Pediatric Research Consortia Establishment Act H.R. 5549/S. 2723 Deamonte Driver Dental Care Access Improvement of 2008 H.R. 2053/S. 2056 Medicare Anesthesiology Teaching Funding Restoration Act Contacted Centers for Medicare and Medicaid Services (CMS) in regards to rescinding its plan to eliminate the indirect medical education adjustment (IME) for teaching hospitals in the Medicare capital payment system; worked with House and Senate

Client expense: $242,723 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

HR 2053 and S 2056 Medicare Anesthesiology Teaching Funding Restoration Act of 2007- legislation to amend Title XVIII of the Social Security Act to restore financial stability to Medicare anesthesiology teaching programs for resident physicians. HR6331 -- the Medicare Improvements for Patients and Providers Act of 2008

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

Government targets: SENATE

Extending the Moratoria on the FY2008 Medicaid Intergovernmental Transfer/Cost Limit Regulations and the FY 2008 Medicaid Graduate Education Proposed Rule: Title VII of the "Supplemental Appropriations Act, 2008 (H.R. 2642), "Protecting the Medicaid Safety Net Act of 2008" (H.R. 5613), The Public and Teaching Hospital Preservation Act (H.R. 3533/S. 2400); Increasing Medicare's Resident Limits: Resident Physician Shortage Reduction Act (H.R. 1093/S. 588); Preventing Reductions of Medicare Payments to Anesthesiologists: Medicare Anesthesiology; Teaching Funding Restoration Act of 2007 (HR 2053/S 2056); Improving Cancer Treatment and Care under Medicare: Comprehensive Cancer Care Improvements Act of 2007 (HR 1078); Improving Delivery of Care to Children Under Medicaid: Children's Healthcare and Quality Act of 2007 (HR 2723, S 1226, S 2790); Medicare Value Based Purchasing; Medicare Physician Payments - Preventing a 10% Reduction in CY2008: Medicare Improvements for Patients and Providers Act of 2008 (HR 6331/S 3101); Preserving Access to Medicare Act of 2008 (S 3118); Maintaining Medicare Operating and Capital Indirect Medical Education Payments: Preserving Access to Heathcare (PATH) Act of 2008 (S 3656/HR 7241); Increased Medicare Payments to Nurse-Midwives: Midwifery Care Access and Reimbursement Equity Act of 2007 (HR 864/S 507).

Client expense: $62,000 · Firm income: Not reported

H.R. 2053, Medicare Anesthesiology Teaching Funding Restoration Act of 2007 S. 2056, Medicare Anesthesiology Teaching Funding Restoration Act of 2007 H.R. 1866, Medicare Access to Rural Anesthesiology Act of 2007 H.R. 5545, To amend part B of title XVIII of the Social Security Act to increase Medicare payments for physicians' services through December 31, 2009 S. 2729, A bill to amend title XVIII of the Social Security Act to modify Medicare physician reimbursement policies to ensure a future physician workforce, and for other purposes S. 2785, A bill to amend title XVIII of the Social Security Act to preserve access to physicians' services under the Medicare program S. 3118, Preserving Access to Medicare Act of 2008 S. 3101, Medicare Improvements for Patients and Providers Act of 2008 H.R. 1932, Medicare Academic Anesthesiology and CRNA Payment Improvement Act of 2007 H.R. 4105, To impose a moratorium on the use of recovery audit contractors under the Medicare Integrity Program H.R. 6331, Medicare Improvement for Patients and Providers Act of 2008 H.R. 6898, Health-e Information Technology Act of 2008 Part B Medicare Physician's Fee Schedule Physician Quality Reporting Initiative/QIOs Scope of Practice CMS ACE Demonstration CMS Interpretative Guidelines CMS IPPS Medicare Payment CMS Physician Resource Use Reports CMS ICD-10 CMS Hospital Outpatient Payment Proposed Rule Medicare Reform- Perioperative Care CMS Coverage Decision re: Never Events CMS Physician Based Value Reporting CMS 5010 Comment Letter CMS Hospital Acquired Conditions

Client expense: $250,000 · Firm income: Not reported

H.R. 2053 and S. 2056 Medicare Anesthesiology Teaching Funding Restoration Act of 2007- entire legislation as seeks to amend Title XVIII of the Social Security Act to restore financial stability to Medicare anesthesiology teaching programs for resident physicians. S.3101 Medicare Improvements for Patients and Providers Act of 2008 and related H.R. 6212 Medicare Efficiency and Development of Improvement of Care and Services (MEDICS Act) of 2008 solely as these bills may be amended with language to restore financial stability to Medicare anesthesiology teaching programs for resident physicians, specifically post passage monitoring.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3221-New Direction for Energy Independence, National Security and Consumer Protection Act. Support for renewable energy and energy efficiency; HR 5351-Renewable Energy and Energy Conservation Tax Act of 2008. To extend and modify several energy-related tax credits; HR 5437-American-Made Energy Act of 2008. To promote alternative and renewable fuels; S2642-American Renewable Energy Act. To promote renewable energy. HR 1424 - Emergency Economic Stabilization Act of 2008 HR 2638 - Homeland Security Appropriations Act HR 2419 - Food and Energy Security Act of 2007. To reauthorize and amend the Commodity Exchange Act. HR 28 - Pechanga Band of Luiseno Mission Indians Land Transfer Act of 2007. BLM land transfer. HR 4626 - CFTC Reauthorization Act of 2007. To reauthorize and amend the Commodity Exchange Act. HR 5231 - Clean Energy Investment Act of 2008. Renewable energy tax credits. HR 5529 - Renewable Energy Agency (IRENA) Act of 2008. To address greenhouse gas emissions. HR 6049 - Energy and Tax Extenders Act of 2008 HR 6238 - Interagency Working Group HR 6264 - Prevent Excessive Speculation HR 6284 - Close the London Loophole HR 6427 - Warm in the Winter and Cool in the Summer Act HR 6330 - Prevent Unfair Manipulation of Prices HR 6341 - Energy Markets Anti-Manipulation and Integrity HR 6899 - Comprehensive American Energy Security and Consumer Protection Act HR 7060 - Renewable Energy and Job Creation Tax Act of 2008 HR 3997 - Heroes Earnings Assistance and Relief Tax Act HR 2638 - Homeland Security Appropriations Act S 1177 Clean Air Planning Act. Regulation of emissions from power plants. S 2056 - Close the Enron Loophole S 2821 - Clean Energy Tax Stimulus Act. To promote renewable energy. S 2995 - Oil Trading Transparency S 3044 - Consumer First S 3122 - Policing US Oil Commodities Markets S 3129 - Close the London Loophole S 3130 - Increasing Transparency and Accountability in Oil Prices S 3131 - Oil Speculation Control Act S 3183 - End Oil Speculation S 3186 - The Warm in Winter and Cool in Summer Act S 3268 - Stop Excessive Speculation Act S 577 - Oil and Gas Traders Oversight Act. To amend the Commodity Exchange Act. S 2191 - America's Climate Security Act. To address greenhouse gas emissions. S 2302 Food and Energy Security Act of 2007 S 2555 - Reducing Global Warming Pollution from Vehicles Act of 2008. California regulation of vehicle emissions. S 317 - Electric Utility Cap and Trade Act of 2007. Greenhouse gas emissions from electric generation. S 3441 Liquefied Natural Gas Import Terminal Authorization Act 2008 War Supplemental Labor-HHS FY09 Appropriations Bill Draft Bill Fiscal 2009 Defense Appropriations (House and Senate) Draft Bill - Fiscal 2009 Energy-Water Appropriations (House and Senate)

H.R. 6089/S. 2773 Pediatric Research Consortia Establishment Act H.R. 6331/S.3101 Medicare Improvements for Patients and Providers Act of 2008 H.R. 5549/S. 2723 Deamonte Driver Dental Care Access Improvement of 2008 S. 2056 Medicare Anesthesiology Teaching Funding Restoration Act Contacted Centers for Medicare and Medicaid Services (CMS) in regards to rescinding its plan to eliminate the indirect medical education adjustment (IME) for teaching hospitals in the Medicare capital payment system; worked with House and Senate

Client expense: $86,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

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

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

FY 09 Labor HHS Education Appropriations; Military Quality of Life and Veterans Affairs Appropriations; FY 09 Defense Approps; HR 2053/S 2056 Medicare Anesthesiology Teaching Funding Restoration Act; HR 1932, Medicare Academic Anesthesiology and CRNA Payment Improvement Act of 2007; Title VIII of Public Health Service Act - Reauthorization of Title VIII of the Public Health Service Act (42 USC 296 et seq); S 2969/HR 6153 Veterans' Medical Personnel Recruitment and Retention Act of 2008; HR 6357 PRO(TECH)T Act of 2008; HR 2994 National Pain Care Policy Act; HR 6898 Health-e Information Technology Act of 2008; S 1693 Wired for Health Care Quality Act; HR 2638 Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009

Client expense: $260,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA)

H.R. 2053, Medicare Teaching Anesthesiology Funding Act of 2007; S. 2056, Medicare Anesthesiology Teaching Funding Restoration Act of 2007; H.R. 6331 / S. 3101, The Medicare Improvement for Patients and Providers Act, as it relates to the teaching rule for anesthesiology resident programs; S. 3118, Preserving Access to Medicare Act of 2008, as it relates to the teaching rule for anesthesiology resident programs.

Client expense: Not reported · Firm income: $45,000

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

HR 2053 and S 2056 Medicare Anesthesiology Teaching Funding Restoration Act of 2007- legislation to amend Title XVIII of the Social Security Act to restore financial stability to Medicare anesthesiology teaching programs for resident physicians. HR6331 -- the Medicare Improvements for Patients and Providers Act of 2008

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2053, Medicare Anesthesiology Teaching Funding Restoration Act of 2007 S. 2056, Medicare Anesthesiology Teaching Funding Restoration Act of 2007 H.R. 1866, Medicare Access to Rural Anesthesiology Act of 2007 H.R. 5545, To amend part B of title XVIII of the Social Security Act to increase Medicare payments for physicians' services through December 31, 2009 S. 2729, A bill to amend title XVIII of the Social Security Act to modify Medicare physician reimbursement policies to ensure a future physician workforce, and for other purposes S. 2785, A bill to amend title XVIII of the Social Security Act to preserve access to physicians' services under the Medicare program S. 3118, Preserving Access to Medicare Act of 2008 S. 3101, Medicare Improvements for Patients and Providers Act of 2008 H.R. 1932, Medicare Academic Anesthesiology and CRNA Payment Improvement Act of 2007 H.R. 4105, To impose a moratorium on the use of recovery audit contractors under the Medicare Integrity Program H.R. 6331, Medicare Improvement for Patients and Providers Act of 2008 Part B Medicare Physician's Fee Schedule Physician Quality Reporting Initiative/QIOs Scope of Practice CMS ACE Demonstration CMS Interpretative Guidelines CMS IPPS Medicare Payment CMS Physician Resource Use Reports CMS ICD-10 CMS Hospital Outpatient Payment Proposed Rule Medicare Reform- Perioperative Care

Client expense: $430,000 · Firm income: Not reported

H.R. 2053 and S. 2056 Medicare Anesthesiology Teaching Funding Restoration Act of 2007- entire legislation as seeks to amend Title XVIII of the Social Security Act to restore financial stability to Medicare anesthesiology teaching programs for resident physicians. S.3101 Medicare Improvements for Patients and Providers Act of 2008 and related H.R. 6212 Medicare Efficiency and Development of Improvement of Care and Services (MEDICS Act) of 2008 solely as these bills may be amended with language to restore financial stability to Medicare anesthesiology teaching programs for resident physicians, specifically post passage monitoring.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3221-New Direction for energy Independence, National Security and Consumer Protection Act. Support for renewable energy and energy efficiency; HR 5351-Renewable Energy and Energy Conservation Tax Act of 2008. To extend and modify several energy-related tax credits; HR 5437-American-Made Energy Act of 2008. To promote alternative and renewable fuels; S2642-American Renewable Energy Act. To promote renewable energy. HR 2419 - Food and Energy Security Act of 2007. To reauthorize and amend the Commodity Exchange Act. HR 28 - Pechanga Band of Luiseno Mission Indians Land Transfer Act of 2007. BLM land transfer. HR 4626 - CFTC Reauthorization Act of 2007. To reauthorize and amend the Commodity Exchange Act. HR 5231 - Clean Energy Investment Act of 2008. Renewable energy tax credits. HR 5529 - Renewable Energy Agency (IRENA) Act of 2008. To address greenhouse gas emissions. HR 6238 - Interagency Working Group HR 6264 - Prevent Excessive Speculation HR 6284 - Close the London Loophole HR 6330 - Prevent Unfair Manipulation of Prices HR 6341 - Energy Markets Anti-Manipulation and Integrity S 1177 Clean Air Planning Act. Regulation of emissions from power plants. S 2056 - Close the Enron Loophole S 2821 Clean Energy Tax Stimulus Act. To promote renewable energy. S 2995 - Oil Trading Transparency S 3044 - Consumer First S 3122 - Policing US Oil Commodities Markets S 3129 - Close the London Loophole S 3130 - Increasing Transparency and Accountability in Oil Prices S 3131 - Oil Speculation Control Act S 3183 - End Oil Speculation S 3186 - The Warm in Winter and Cool in Summer Act S 577 - Oil and Gas Traders Oversight Act. To amend the Commodity Exchange Act. S 2191 - America's Climate Security Act. To address greenhouse gas emissions. S 2302 Food and Energy Security Act of 2007 S 2555 - Reducing Global Warming Pollution from Vehicles Act of 2008. California regulation of vehicle emissions. S 317 - Electric Utility Cap and Trade Act of 2007. Greenhouse gas emissions from electric generation. 2008 War Supplemental Labor-HHS FY09 Appropriations Bill Draft Bill Fiscal 2009 Defense Appropriations (House and Senate) Draft Bill - Fiscal 2009 Energy-Water Appropriations (House and Senate)

HR 3221-New Direction for energy Independence, National Security and Consumer Protection Act. Support for renewable energy and energy efficiency; HR 5351-Renewable Energy and Energy Conservation Tax Act of 2008. To extend and modify several energy-related tax credits; HR 5437-American-Made Energy Act of 2008. To promote alternative and renewable fuels; S2642-American Renewable Energy Act. To promote renewable energy. HR 2419 - Food and Energy Security Act of 2007. To reauthorize and amend the Commodity Exchange Act. HR 28 - Pechanga Band of Luiseno Mission Indians Land Transfer Act of 2007. BLM land transfer. HR 4626 - CFTC Reauthorization Act of 2007. To reauthorize and amend the Commodity Exchange Act. HR 5231 - Clean Energy Investment Act of 2008. Renewable energy tax credits. HR 5529 - Renewable Energy Agency (IRENA) Act of 2008. To address greenhouse gas emissions. HR 6238 - Interagency Working Group HR 6264 - Prevent Excessive Speculation HR 6284 - Close the London Loophole HR 6330 - Prevent Unfair Manipulation of Prices HR 6341 - Energy Markets Anti-Manipulation and Integrity S 1177 Clean Air Planning Act. Regulation of emissions from power plants. S 2056 - Close the Enron Loophole S 2821 Clean Energy Tax Stimulus Act. To promote renewable energy. S 2995 - Oil Trading Transparency S 3044 - Consumer First S 3122 - Policing US Oil Commodities Markets S 3129 - Close the London Loophole S 3130 - Increasing Transparency and Accountability in Oil Prices S 3131 - Oil Speculation Control Act S 3183 - End Oil Speculation S 3186 - The Warm in Winter and Cool in Summer Act S 577 - Oil and Gas Traders Oversight Act. To amend the Commodity Exchange Act. S 2191 - America's Climate Security Act. To address greenhouse gas emissions. S 2302 Food and Energy Security Act of 2007 S 2555 - Reducing Global Warming Pollution from Vehicles Act of 2008. California regulation of vehicle emissions. S 317 - Electric Utility Cap and Trade Act of 2007. Greenhouse gas emissions from electric generation. 2008 War Supplemental Labor-HHS FY09 Appropriations Bill Draft Bill Fiscal 2009 Defense Appropriations (House and Senate) Draft Bill - Fiscal 2009 Energy-Water Appropriations (House and Senate)

HR 3221-New Direction for energy Independence, National Security and Consumer Protection Act. Support for renewable energy and energy efficiency; HR 5351-Renewable Energy and Energy Conservation Tax Act of 2008. To extend and modify several energy-related tax credits; HR 5437-American-Made Energy Act of 2008. To promote alternative and renewable fuels; S2642-American Renewable Energy Act. To promote renewable energy. HR 2419 - Food and Energy Security Act of 2007. To reauthorize and amend the Commodity Exchange Act. HR 28 - Pechanga Band of Luiseno Mission Indians Land Transfer Act of 2007. BLM land transfer. HR 4626 - CFTC Reauthorization Act of 2007. To reauthorize and amend the Commodity Exchange Act. HR 5231 - Clean Energy Investment Act of 2008. Renewable energy tax credits. HR 5529 - Renewable Energy Agency (IRENA) Act of 2008. To address greenhouse gas emissions. HR 6238 - Interagency Working Group HR 6264 - Prevent Excessive Speculation HR 6284 - Close the London Loophole HR 6330 - Prevent Unfair Manipulation of Prices HR 6341 - Energy Markets Anti-Manipulation and Integrity S 1177 Clean Air Planning Act. Regulation of emissions from power plants. S 2056 - Close the Enron Loophole S 2821 Clean Energy Tax Stimulus Act. To promote renewable energy. S 2995 - Oil Trading Transparency S 3044 - Consumer First S 3122 - Policing US Oil Commodities Markets S 3129 - Close the London Loophole S 3130 - Increasing Transparency and Accountability in Oil Prices S 3131 - Oil Speculation Control Act S 3183 - End Oil Speculation S 3186 - The Warm in Winter and Cool in Summer Act S 577 - Oil and Gas Traders Oversight Act. To amend the Commodity Exchange Act. S 2191 - America's Climate Security Act. To address greenhouse gas emissions. S 2302 Food and Energy Security Act of 2007 S 2555 - Reducing Global Warming Pollution from Vehicles Act of 2008. California regulation of vehicle emissions. S 317 - Electric Utility Cap and Trade Act of 2007. Greenhouse gas emissions from electric generation. 2008 War Supplemental Labor-HHS FY09 Appropriations Bill Draft Bill Fiscal 2009 Defense Appropriations (House and Senate) Draft Bill - Fiscal 2009 Energy-Water Appropriations (House and Senate)

HR 1932 Medicare Academic Anesthesiology and CRNA Payment Improvement Act; HR 2053 / S 2056 Medicare Anesthesiology Teaching Funding Restoration Act; S 2499 Medicare, Medicaid and SCHIP Extension Act of 2007; HR 6331 / S 3101 Medicare Improvements for Patients and Providers Act of 2008; S 3118 Preserving Access to Medicare Act

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA)

FY 09 Labor HHS Education Approps; FY 09 Military Quality of Life and Veterans Affairs Approps; FY 09 Defense Approps; HR 2053 / S 2056 Medicare Anesthesiology Teaching Funding Restoration Act; HR 1932 Medicare Academic Anesthesiology and CRNA Payment Improvement Act of 2007; Title VIII of Public Health Service Act - Reauthorization of Title VIII of the Public Health Service Act (42 USC 296 et seq); S 2969 Veterans' Medical Personnel Recruitment and Retention Act of 2008; Nosocomial infection prevention and control

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA)

HR 2053 and S 2056 Medicare Anesthesiology Teaching Funding Restoration Act of 2007- legislation to amend Title XVIII of the Social Security Act to restore financial stability to Medicare anesthesiology teaching programs for resident physicians. HR6331 -- the Medicare Improvements for Patients and Providers Act of 2008

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

Government targets: SENATE

H.R. 2053, Medicare Teaching Anesthesiology Funding Act of 2007; S. 2056, Medicare Anesthesiology Teaching Funding Restoration Act of 2007; H.R. 6331 / S. 3101, The Medicare Improvement for Patients and Providers Act, as it relates to the teaching rule for anesthesiology resident programs; S. 3118, Preserving Access to Medicare Act of 2008, as it relates to the teaching rule for anesthesiology resident programs.

Client expense: Not reported · Firm income: $45,000

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

H.R.1480/S.787 A bill to impose a 2-year moratorium on implementation of a proposed rule relating to the Federal-State financial partnerships under Medicaid and the State Children's Health Insurance Program; H.R. 2642 Supplemental Appropriations Act (Medicaid IGT rule on behalf of the University of Colorado Hospital, Department of Defense, Department of Energy, National Science Foundation science funding) H.R. 5613/S. 2819 Protecting the Medicaid Safety Net Act H.R. 6089/S. 2773 Pediatric Research Consortia Establishment Act H.R. 6331/S.3101 Medicare Improvements for Patients and Providers Act of 2008 H.R. 5549/S. 2723 Deamonte Driver Dental Care Access Improvement of 2008 S. 2056 Medicare Anesthesiology Teaching Funding Restoration Act

Client expense: $80,686 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE, Veterans Affairs, Dept of (VA)

H.R. 2053, Medicare Anesthesiology Teaching Funding Restoration Act of 2007 S. 2056, Medicare Anesthesiology Teaching Funding Restoration Act of 2007 H.R. 1866, Medicare Access to Rural Anesthesiology Act of 2007 H.R. 5545, To amend part B of title XVIII of the Social Security Act to increase Medicare payments for physicians' services through December 31, 2009. S. 2729, A bill to amend title XVIII of the Social Security Act to modify Medicare physician reimbursement policies to ensure a future physician workforce, and for other purposes. S. 2785, A bill to amend title XVIII of the Social Security Act to preserve access to physicians' services under the Medicare program. S. 3118, Preserving Access to Medicare Act of 2008 S. 3101, Medicare Improvements for Patients and Providers Act of 2008 H.R. 1932, Medicare Academic Anesthesiology and CRNA Payment Improvement Act of 2007 H.R. 4105, To impose a moratorium on the use of recovery audit contractors under the Medicare Integrity Program. H.R. 6331, Medicare Improvement for Patients and Providers Act of 2008 Part B Medicare Physician's Fee Schedule SGR ( Sustainable Growth Rate) Medicare anesthesia conversion factor Physician Quality Reporting Initiative/QIOs CMS error re code 00797 Scope of Practice CMS Rural Pass Through CMS ACE Demonstration CMS Interpretative Guidelines CMS IPPS Medicare Payment

Client expense: $400,000 · Firm income: Not reported

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

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

H.R. 2053 and S. 2056 Medicare Anesthesiology Teaching Funding Restoration Act of 2007- entire legislation as seeks to amend Title XVIII of the Social Security Act to restore financial stability to Medicare anesthesiology teaching programs for resident physicians. S.3101 Medicare Improvements for Patients and Providers Act of 2008 and related H.R. 6212 Medicare Efficiency and Development of Improvement of Care and Services (MEDICS Act) of 2008 solely as these bills may be amended with language to restore financial stability to Medicare anesthesiology teaching programs for resident physicians.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

H.R. 2053, Medicare Teaching Anesthesiology Funding Act of 2007; S. 2056, Medicare Anesthesiology Teaching Funding Restoration Act of 2007.

Client expense: Not reported · Firm income: $45,000

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

H.R. 4736, To amend part B of title XVIII of the Social Security Act to repeal limiting charges under the Medicare Program for non-participating physicians and to preempt State laws that prohibit balance billing, all provisions H.R. 4105, Medicare Recovery Audit Contractor Program Moratorium Act of 2007, all provisions H.R. 4992, Medicare Improvement Act of 2007, all provisions S. 2785, Save Medicare Act of 2008, all provisions S. 2729, Ensuring the Future Physician Workforce Act of 2008, all provisions H.R. 5545, Ensuring the Future Physician Workforce Act of 2008, all provisions H.R. 3162, Children's Health and Medicare Protection Act of 2007, provisions relating to Medicare access, payment, and quality H.R. 5445, To amend part B of title XVIII of the Social Security Act to increase Medicare payments for physicians' services through December 31, 2009, all provisions S. 2408 and H.R. 4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007, provisions on E-Rx S. 2056 and H.R. 2053, Medicare Anesthesiology Teaching Funding Restoration Act of 2007, provisions on academic anesthesiology H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, all provisions Private Fee for Service Plans in Medicare Advantage Preservation of the whole-hospital exception to the Stark laws Medicaid Tamper Resistant Pads ICD-10 Coding transition Medicare Program - National Provider Identifier Medicare Program - Medical Home Demonstration Project Medicare Program - Physician's Quality Reporting Initiative Medicare Program - Medicare Electronic Health Record Demonstration Project Medicare Program - Proposed Standards for E-Prescribing under Medicare Part D Medicare Program - EMTALA TAG, on-call compliance Medicare Program - Uniform billing/Administrative simplification Medicare Program - Medicare Advantage Medicare Program - Recovery Audit Contractor Medicare Program - Durable Medical Equipment Medicare Program - Physician Enrollment

HR 2053 and S 2056 Medicare Anesthesiology Teaching Funding Restoration Act of 2007- legislation to amend Title XVIII of the Social Security Act to restore financial stability to Medicare anesthesiology teaching programs for resident physicians.

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

H.R. 2053, Medicare Anesthesiology Teaching Funding Restoration Act of 2007 S. 2056, Medicare Anesthesiology Teaching Funding Restoration Act of 2007 H.R. 1866, Medicare Access to Rural Anesthesiology Act of 2007 H.R. 5545, To amend part B of title XVIII of the Social Security Act to increase Medicare payments for physicians' services through December 31, 2009. S. 2729, A bill to amend title XVIII of the Social Security Act to modify Medicare physician reimbursement policies to ensure a future physician workforce, and for other purposes. S. 2785, A bill to amend title XVIII of the Social Security Act to preserve access to physicians' services under the Medicare program. H.R. 1932, Medicare Academic Anesthesiology and CRNA Payment Improvement Act of 2007 H.R. 4105, To impose a moratorium on the use of recovery audit contractors under the Medicare Intetgrity Program. Part B Medicare Physician's Fee Schedule SGR ( Sustainable Growth Rate) Medicare anesthesia conversion factor Physician Quality Reporting Initiative/QIOs CMS error re code 00797 Scope of Practice

Client expense: $190,000 · Firm income: Not reported

H.R. 2053 and S. 2056 Medicare Anesthesiology Teaching Funding Restoration Act of 2007- entire legislation as seeks to amend Title XVIII of the Social Security Act to restore financial stability to Medicare anesthesiology teaching programs for resident physicians.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3162, The Children's Health and Medicare Protection Act; H.R. 976, H.R. 3963 & S. 2499, Medicare, Medicaid, and SCHIP Extension Act of 2007, provisions pertaining to Medicare payment reductions. Anesthetists' physician fee payment rules & teaching payment rules under Medicare. S. 2056, Medicare Anesthesiology Teaching Funding Restoration Act of 2007 (Rockefeller bill), provisions pertaining to payments.

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

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

H.R. 3162, The Children's Health and Medicare Protection Act; H.R. 976, H.R. 3963 & S. 2499, Medicare, Medicaid, and SCHIP Extension Act of 2007, provisions pertaining to Medicare payment reductions. Anesthetists' physician fee payment rules & teaching payment rules under Medicare. S. 2056, Medicare Anesthesiology Teaching Funding Restoration Act of 2007 (Rockefeller bill), provisions pertaining to payments.

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

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

H.R. 976 - Children's Health Insurance Program Reauthorization Act of 2007 H.R. 3162 - Children's Health and Medicare Protection Act of 2007 S. 1893 - Children's Health Insurance Program Reauthorization Act of 2007 S. 2056 - Medicare Anesthesiology Teaching Funding Restoration Act of 2007

Client expense: $11,630,000 · Firm income: Not reported

Bayh-Dole Act; The Patent Reform Act of 2007 (HR 1908/S1145); Medicare, Medicaid and SCHIP Extension Act of 2007 (HR 2499); Medicare Anesthesiology Teaching Funding Restoration Act of 2007 (HR2053/S2056); POLST, End of Life Medical Care.

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

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

10,000 Trained by 2010 Act (HR 1467); Labor/HHS/Education Appropriations Bill (HR3043/S1710); Public and Teaching Hospital Preservation Act (HR3533); Resident Physician Shortage Reducation Act (S588/HR1093); Medicare Anesthesiology Teaching Funding Restoration Act of 2007 (HR2053/S2056); Resident Limit Request; College Cost Reduction and Access Act (HR 4153/ S2258); Physician Workforce and Graduate Medical Education Enhancement Act of 2007(HR2583); Section 340B Public HealthAct

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

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

H.R. 1866, Medicare Access to Rural Anesthesiology Act of 2007. H.R. 2994, National Pain Care Policy Act of 2007. H.R. 976, Children's Health Insurance Program Reauthorization Act of 2007. H.R. 3162, Children's Health and Medicare Protection Act of 2007. S. 1893, Children's Health Insurance Program Reauthorization Act of 2007. S. 2499, Medicare, Medicaid and SCHIP Extension Act of 2007. H.R. 1932, Medicare Academic Anesthesiology and CRNA Payment Improvement Act of 2007. Medicare Fee Schedule SGR (Sustainable Growth Rate) Practice Expense Methodologies Pain issues; physician work Five Year Review of physician work values for anesthesiology, pain management services and critical care. Medicare and Medicaid Hospital Conditions of Participation- Interpretive Guidelines relating to unsupervised practice by nurse anesthetists; informed consent; locked anesthesia carts. Medicare anesthesia conversion factor. Value-Based Purchasing/Pay for Performance/Physician Quality Reporting Initiative/QIOs. Health Information Technology. Model Guidelines for Medicare Part D formulary. Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates. Transition to ICD-10 coding. Ambulatory Surgical Centers; Covered Procedures and Payment Rates. Proposed Changes to Hospital Conditions of Participation; CMS-1392-P CMS error re code 00797 H.R. 2053, " Medicare Anesthesiology Teaching Funding Restoration Act of 2007" S. 2056, "Medicare Anesthesiology Teaching Funding Restoration Act of 2007"

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

H.R. 2053, Medicare Teaching Anesthesiology Funding Act of 2007; H.R. 1866, Medicare Access to Rural Anesthesiology Act of 2007, Rural Pass Through Legislation; Anesthesiologist Medicare Payment Issues; H.R. 3162, The Champ Act; S. 2499, Medicare, Medicaid and SCHIP Extension Act of 2007, pertaining to reimbursements; S. 2056, Medicare Anesthesiology Teaching Funding Restoration Act of 2007.

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

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

H.R. 3162, The Children's Health and Medicare Protection Act; H.R. 976, H.R. 3963 & S. 2499, Medicare, Medicaid, and SCHIP Extension Act of 2007, provisions pertaining to Medicare payment reductions. Anesthetists' physician fee payment rules & teaching payment rules under Medicare. S. 2056, Medicare Anesthesiology Teaching Funding Restoration Act of 2007 (Rockefeller bill), provisions pertaining to payments.

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

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

HR 2053 and S 2056 Medicare Anesthesiology Teaching Funding Restoration Act of 2007- legislation to amend Title XVIII of the Social Security Act to restore financial stability to Medicare anesthesiology teaching programs for resident physicians.

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

Government targets: SENATE

HR 2053 and S 2056 Medicare Anesthesiology Teaching Funding Restoration Act of 2007- legislation to amend Title XVIII of the Social Security Act to restore financial stability to Medicare anesthesiology teaching programs for resident physicians.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2053 and S 2056 Medicare Anesthesiology Teaching Funding Restoration Act of 2007--legislation to amend Title XVIII of the Social Security Act to restore financial stability to Medicare anesthesiology teaching programs for resident physicians.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.2056 - The Medical Anesthesiology Teaching Program Funding Restoration Act of 2007

Client expense: Not reported · Firm income: Not reported

S.2056 - The Medical Anesthesiology Teaching Program Funding Restoration Act of 2007

Client expense: Not reported · Firm income: Not reported