Ambulatory Surgical Center Medicare Payment Modernization Act of 2007

S. 1164/H.R. 1926: Colon Cancer Screen for Life Act of 2007 CY2009 Physician Fee Schedule and SGR issues CMS-1517-F: Revised Payment System Policies for Services Furnished in Ambulatory Surgery Centers (ASCs) Beginning CY 2008 (formula and adequacy for GI ASCs) CMS-1404-P: Medicare Program: Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2009 Payment Rates; Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2009 Payment Rates (Provisions affecting ASC payments) CMS-1392-FC: Final Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates (Provisions affecting ASC payments) CMS-1403-P: Proposed Revision to Payment Policies under the Physician Fee Schedule, and other Revisions to Part B for CY 2009; and Revisions to the Amendment of the E-Prescribing Exemption for Computer Generated Facsimile Transmissions (Proposed rule) (Provisions relating to anti-mark-up rule, independent diagnostic testing facilities, pay-for-performance/reporting, physician update and Welcome-to-Medicare physical) CMS0013P: HIPAA Administrative Simplification: Modification to Medical Data Code Set Standards to Adopt ICD10CM and ICD10PCS (Proposed rule) CMS0009P: Health Insurance Reform; Modifications to the Health Insurance Portability and Accountability Act (HIPAA) Electronic Transaction Standards (Proposed rule; timeframe for adoption of 5010 standard) H.R. 1823/ S. 2250 The Ambulatory Surgical Center Medicare Payment Modernization Act H.R. 3060, The Colorectal Cancer Screening and Detection Coverage Act of 2007 H.R. 3162: Childrens Health and Medicare Protection (CHAMP) Act (Provisions on physician reimbursement and preventive services) S. 2785: "Save Medicare Act of 2008 Infection control in the ambulatory setting H.R. 4879, "Virtual Screening for Cancer Act of 2007." S. 2785/H.R. 6091, "Save Medicare Act, Physician reimbursement S. 3118, Preserving Access to Medicare Act S. 3101/H.R. 6331/P.L. 110-275, "Medicare Improvements for Patients and Providers Act (MIPPA) of 2008, CMS National Coverage Analysis on Screening Computed Tomography Colonography (CTC) for Colorectal Cancer FDA labeling and approval of sedation agents used in endoscopy HR 6357: Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008' or the `PRO(TECH)T Act of 2008'. S. 3343/H.R. 6821 The Medicare Imaging Disclosure Sunshine Act of 2008 H. Res. 1381, Expressing the sense of the House that there should be an increased Federal commitment prioritizing prevention and public health for all people in the United States S. 3584, Obesity Prevention, Treatment, and Research Act of 2008 Revisions to the National Cancer Act, focus on lethal cancers

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

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

S. 1164/H.R. 1926: Colon Cancer Screen for Life Act of 2007 CY2009 Physician Fee Schedule and SGR issues CMS-1517-F: Revised Payment System Policies for Services Furnished in Ambulatory Surgery Centers (ASCs) Beginning CY 2008 (formula and adequacy for GI ASCs) CMS-1404-P: Medicare Program: Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2009 Payment Rates; Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2009 Payment Rates (Provisions affecting ASC payments) CMS-1392-FC: Final Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates (Provisions affecting ASC payments) CMS-1403-P: Proposed Revision to Payment Policies under the Physician Fee Schedule, and other Revisions to Part B for CY 2009; and Revisions to the Amendment of the E-Prescribing Exemption for Computer Generated Facsimile Transmissions (Proposed rule) (Provisions relating to anti-mark-up rule, independent diagnostic testing facilities, pay-for-performance/reporting, physician update and Welcome-to-Medicare physical) CMS0013P: HIPAA Administrative Simplification: Modification to Medical Data Code Set Standards to Adopt ICD10CM and ICD10PCS (Proposed rule) CMS0009P: Health Insurance Reform; Modifications to the Health Insurance Portability and Accountability Act (HIPAA) Electronic Transaction Standards (Proposed rule; timeframe for adoption of 5010 standard) H.R. 1823/ S. 2250 The Ambulatory Surgical Center Medicare Payment Modernization Act H.R. 3060, The Colorectal Cancer Screening and Detection Coverage Act of 2007 H.R. 3162: Childrens Health and Medicare Protection (CHAMP) Act (Provisions on physician reimbursement and preventive services) S. 2785: "Save Medicare Act of 2008 Infection control in the ambulatory setting H.R. 4879, "Virtual Screening for Cancer Act of 2007." S. 2785/H.R. 6091, "Save Medicare Act, Physician reimbursement S. 3118, Preserving Access to Medicare Act S. 3101/H.R. 6331/P.L. 110-275, "Medicare Improvements for Patients and Providers Act (MIPPA) of 2008, CMS National Coverage Analysis on Screening Computed Tomography Colonography (CTC) for Colorectal Cancer FDA labeling and approval of sedation agents used in endoscopy HR 6357: Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008' or the `PRO(TECH)T Act of 2008'. S. 3343/H.R. 6821 The Medicare Imaging Disclosure Sunshine Act of 2008 H. Res. 1381, Expressing the sense of the House that there should be an increased Federal commitment prioritizing prevention and public health for all people in the United States S. 3584, Obesity Prevention, Treatment, and Research Act of 2008 Revisions to the National Cancer Act, focus on lethal cancers

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

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

HR 7110: Job Creation & Unemployment Relief Act of 2008, Title III, Temporary increase in FMAP. HR 2583: Physician Workforce Enhancement Act of 2008, provisions relating to hospitals. HR 6912: Rural Hospital Assistance Act of 2008, entire bill. S 3300: Rural Hospital Assistance Act of 2008, entire bill. S 3582: Safeguarding our Hospitals' Futures Act of 2008, entire bill. HR 6966: Safeguarding our Hospitals' Futures Act of 2008, entire bill. HR 7067: Quality FIRST Act of 2008, provisions relating to hospitals and value-based purchasing. S 3656: Preserving Access to Healthcare (PATH) Act of 2008, sections relating to hospitals, rural health clinics, hospices. HR 6873: Medicare Hospice Protection Act of 2008, entire bill. S 3484: Hospice Protection Act of 2008, entire bill. HR 6652: Nurses Higher Education and Loan Repayment Act of 2008, entire bill. HR 1424: Emergency Economic Stabilization Act of 2008, section 512, mental health parity. HR 1343: Health Care Safety Net Act of 2008, section 3: National Health Service Corps., section 7: Revision of Timeframe for RHCs. S 3367: Rural Health Clinic bill to revise the timeframe for recognition of certain designations in certifying rural health clinics under the Medicare program, entire bill. HR 6699: Health Security for All Americans Act of 2008, section 105 involving improvements to MDH program; section 106 involving payment adjustment for low-volume hospitals. S 1693: Wired for Health Care Quality Act, provisions related to hospitals. HR 6898: Health-e Information Technology Act, provisions related to hospitals. HR 6867: Unemployment Compensation Extension Act of 2008, provisions related to hospitals. S 3507: Unemployment Compensation Extension Act of 2008, provisions related to hospitals. HR 6357: PRO(TECH)T Act of 2008, provisions related to hospitals. HR 1823: Ambulatory Surgical Center Medicare Payment Modernization Act of 2007, entire bill. S 2250: Ambulatory Surgical Center Medicare Payment Modernization Act of 2007, entire bill. HR 800: Employee Free Choice Act of 2007, entire bill. S 1041: Employee Free Choice Act of 2007, entire bill. Other Issues: CAH conditions of participation, section 485.635 Healthcare reform Value-based purchasing, including Grassley/Baucus VBP discussion drafts Guidance for clinical integration Electronic health records and Health IT Payment updates for physicians and hospital inpatient/outpatient services CMS DME and oxygen payment rules Self-referral and physician-owned hospitals HHS provider conscience regulations Capital IME CMS guidelines related to use of providers contracted through a locum service CMS recovery audit contractor program Wage index reclassification ICD-10-CM and ICD-10-PCS medical data code sets

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1665/S 2352- Medicare Hearing Health Care Enhancement Act of 2007, all provisions. HR 1823/S 2250- Ambulatory Surgical Center Medicare Payment Modernization Act of 2007, all provisions. HR 1774/S 45- Establishes a separate definition of outpatient speech-language pathology services under Medicare, all provisions. S 2785- Save Medicare Act of 2008, all provisions. S. 3101 - Medicare Improvements for Patients and Providers Act of 2008, all provisions S. 3118 - Preserving Access to Medicare Act of 2008, all provisions HR 6331- Medicare Improvements for Patients and Providers Act of 2008, all provisions HR 2585/S 2729- Ensuring the Future Physician Workforce Act of 2008, all provisions. HR 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. CMS Transmittals- 84, 1470, and 1550 - "Incident to" policy relating to audiology services.

Client expense: $98,648 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Personnel Management (OPM), SENATE

oppose legislation to extend moratorium on physician owned hospitals in CHAMP ACT (HR 3162), Mental Health Parity Bill (HR 1424), War Supplemental Appropriations (HR 2642) and wherever proposed support HR 1823/S. 2250 on reimbursement for ambulatory surgical centers oppose IDTF regulations in PFS

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

oppose legislation to extend moratorium on physician owned hospitals in CHAMP ACT (HR 3162), Mental Health Parity Bill (HR 1424), War Supplemental Appropriations (HR 2642) and wherever proposed support HR 1823/S. 2250 on reimbursement for ambulatory surgical centers oppose IDTF regulations in PFS

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

support revisions to 75% Inpatient Rehabilitation Rule (HR 110/S. 543) support legislation regarding Hospital in Hospital regulations (HR 552/S.338) oppose legislation mandating a moratorium on physician owned hospitals (CHAMP ACT HR 3162) (Mental Health Parity bill (HR 1424) and wherever attempted; support legislation reforming ASC reimbursement (HR 1823/S.2250)

Client expense: Not reported · Firm income: $33,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1164/HR 1926; HR 1823/S 2250; HE 3060 -- lobbying related to medicare reimbursement for GI procedures and services, as well as ambulatory surgery centers (ACSs) and infection control in the ambulatory setting.

Client expense: Not reported · Firm income: $22,500

Government targets: Health & Human Services, Dept of (HHS)

HR 1665/S 2352- Medicare Hearing Health Care Enhancement Act of 2007, all provisions. HR 1823/S 2250- Ambulatory Surgical Center Medicare Payment Modernization Act of 2007, all provisions. HR 1774/S 45- Establishes a separate definition of outpatient speech-language pathology services under Medicare, all provisions. S 2785- Save Medicare Act of 2008, all provisions. S. 3101 - Medicare Improvements for Patients and Providers Act of 2008, all provisions S. 3118 - Preserving Access to Medicare Act of 2008, all provisions HR 6331- Medicare Improvements for Patients and Providers Act of 2008, all provisions HR 2585/S 2729- Ensuring the Future Physician Workforce Act of 2008, all provisions. HR 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. CMS Transmittals- 84, 1470, and 1550 - "Incident to" policy relating to audiology services.

Client expense: $90,262 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Personnel Management (OPM), SENATE

HR. 1823/S. 2250-- Ambulatory Surgical Center Medicare Payment Modernization Act of 2007

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1164/H.R. 1926 Colon Cancer Screen for Life Act; S. 3101/H.R. 6331, Medicare Improvement for Patients and Providers Act of 2008; S. 3118, Preserving Access to Medicare Act of 2008; S. 2250/H.R. 1823, Ambulatory Surgical Center Medicare Payment Modernization Act of 2007; CMS National Coverage Analysis on Screening Computed Tomography Colonography (CTC) for Cancer.

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

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

Medicare reimbursement for ambulatory surgical centers HR 1823/S. 2250-- Ambulatory Surgical Center Medicare Payment Modernization Act of 2007 Extension of the research and development tax credit

Client expense: Not reported · Firm income: Not reported

Medicare reimbursement for ambulatory surgical centers HR 1823/S. 2250-- Ambulatory Surgical Center Medicare Payment Modernization Act of 2007 Extension of the research and development tax credit

Client expense: Not reported · Firm income: Not reported

Proposed Revisions Medicare payment policies for services furnished in ambulatory surgery centers (ASCs) (CMS-1404-P) Proposed Revisions to Medicare's definition of an ASC (CMS-3887-P) HR 1823/S 2250, "Ambulatory Surgical Center Medicare Payment Modernization Act of 2007" (entire bill) HR 6331, "Medicare Improvements for Patients and Providers Act of 2008"

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, White House Office

Payment rates in ASC rule (CMS-1404-P). Proposed overnight stay regulations in ASC/HOPD rule (CMS-3887-P). H.R. 1823/S. 2250, "Ambulatory Surgical Center Medicare Payment Modernization Act of 2007." H.R. 6331, "Medicare Improvements for Patients and Providers Act of 2008."

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, White House Office

S. 1164/H.R. 1926: Colon Cancer Screen for Life Act of 2007 CY2009 Physician Fee Schedule and SGR issues CMS-1517-F: Revised Payment System Policies for Services Furnished in Ambulatory Surgery Centers (ASCs) Beginning CY 2008 (formula and adequacy for GI ASCs) CMS-1404-P: Medicare Program: Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2009 Payment Rates; Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2009 Payment Rates (Provisions affecting ASC payments) CMS-1392-FC: Final Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates (Provisions affecting ASC payments) CMS-1403-P: Proposed Revision to Payment Policies under the Physician Fee Schedule, and other Revisions to Part B for CY 2009; and Revisions to the Amendment of the E-Prescribing; Exemption for Computer Generated Facsimile Transmissions (Proposed rule) (Provisions relating to anti-mark-up rule, independent diagnostic testing facilities, pay-for-performance/ reporting, physician update and Welcome-to-Medicare physical) CMS0013P: HIPAA Administrative Simplification: Modification to Medical Data Code Set Standards to Adopt ICD10CM and ICD10PCS (Proposed rule) CMS0009P: Health Insurance Reform; Modifications to the Health Insurance Portability and Accountability Act (HIPAA) Electronic Transaction Standards (Proposed rule; timeframe for adoption of 5010 standard) H.R. 1823/ S. 2250 The Ambulatory Surgical Center Medicare Payment Modernization Act H.R. 3060, The Colorectal Cancer Screening and Detection Coverage Act of 2007 H.R. 3162: Childrens Health and Medicare Protection (CHAMP) Act (Provisions on physician reimbursement and preventive services) S. 2785: "Save Medicare Act of 2008 Infection control in the ambulatory setting H.R. 4879, "Virtual Screening for Cancer Act of 2007." S. 2785/H.R. 6091, "Save Medicare Act, Physician reimbursement S. 3118, Preserving Access to Medicare Act S. 3101/H.R. 6331/P.L. 110-275, "Medicare Improvements for Patients and Providers Act (MIPPA) of 2008, CMS National Coverage Analysis on Screening Computed Tomography Colonography (CTC) for Colorectal Cancer FDA labeling and approval of sedation agents used in endoscopy HR 6357: Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008' or the `PRO(TECH)T Act of 2008'. S. 3343/H.R. 6821 The Medicare Imaging Disclosure Sunshine Act of 2008 H. Res. 1381, Expressing the sense of the House that there should be an increased Federal commitment prioritizing prevention and public health for all people in the United States S. 3584, Obesity Prevention, Treatment, and Research Act of 2008 Revisions to the National Cancer Act, focus on lethal cancers FDA communications to physicians on product issues

Client expense: $200,000 · 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 & Human Services, Dept of (HHS), SENATE

S. 1164/H.R. 1926: Colon Cancer Screen for Life Act of 2007 CY2009 Physician Fee Schedule and SGR issues CMS-1517-F: Revised Payment System Policies for Services Furnished in Ambulatory Surgery Centers (ASCs) Beginning CY 2008 (formula and adequacy for GI ASCs) CMS-1404-P: Medicare Program: Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2009 Payment Rates; Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2009 Payment Rates (Provisions affecting ASC payments) CMS-1392-FC: Final Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates (Provisions affecting ASC payments) CMS-1403-P: Proposed Revision to Payment Policies under the Physician Fee Schedule, and other Revisions to Part B for CY 2009; and Revisions to the Amendment of the E-Prescribing, Exemption for Computer Generated Facsimile Transmissions (Proposed rule) (Provisions relating to anti-mark-up rule, independent diagnostic testing facilities, pay-for- performance/ reporting, physician update and Welcome-to-Medicare physical) CMS0013P: HIPAA Administrative Simplification: Modification to Medical Data Code Set Standards to Adopt ICD10CM and ICD10PCS (Proposed rule) CMS0009P: Health Insurance Reform; Modifications to the Health Insurance Portability and Accountability Act (HIPAA) Electronic Transaction Standards (Proposed rule; timeframe for adoption of 5010 standard) H.R. 1823/ S. 2250 The Ambulatory Surgical Center Medicare Payment Modernization Act H.R. 3060, The Colorectal Cancer Screening and Detection Coverage Act of 2007 H.R. 3162: Childrens Health and Medicare Protection (CHAMP) Act (Provisions on physician reimbursement and preventive services) S. 2785: "Save Medicare Act of 2008 Infection control in the ambulatory setting H.R. 4879, "Virtual Screening for Cancer Act of 2007." S. 2785/H.R. 6091, "Save Medicare Act, Physician reimbursement S. 3118, Preserving Access to Medicare Act S. 3101/H.R. 6331/P.L. 110-275, "Medicare Improvements for Patients and Providers Act (MIPPA) of 2008, CMS National Coverage Analysis on Screening Computed Tomography Colonography (CTC) for Colorectal Cancer FDA labeling and approval of sedation agents used in endoscopy HR 6357: Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008' or the `PRO(TECH)T Act of 2008'. S. 3343/H.R. 6821 The Medicare Imaging Disclosure Sunshine Act of 2008 H. Res. 1381, Expressing the sense of the House that there should be an increased Federal commitment prioritizing prevention and public health for all people in the United States S. 3584, Obesity Prevention, Treatment, and Research Act of 2008 Revisions to the National Cancer Act, focus on lethal cancers FDA communications to physicians on product issues

Client expense: $200,000 · 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 & Human Services, Dept of (HHS), SENATE

H.R. 1823 S.2250; Conditions for Coverage for Ambulatory Surgical Centers.

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

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

support revisions to 75% Inpatient Rehabilitation Rule (HR 110/S. 543) support legislation regarding Hospital in Hospital regulations (HR 552/S.338) oppose legislation mandating a moratorium on physician owned hospitals (CHAMP ACT HR 3162) (Mental Health Parity bill (HR 1424) and wherever attempted; support legislation reforming ASC reimbursement (HR 1823/S.2250)

Client expense: Not reported · Firm income: $33,000

Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

oppose legislation to extend moratorium on physician owned hospitals in CHAMP ACT (HR 3162), Mental Health Parity Bill (HR 1424), War Supplemental Appropriations (HR 2642) and wherever proposed support HR 1823/S. 2250 on reimbursement for ambulatory surgical centers

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

oppose legislation to extend moratorium on physician owned hospitals in CHAMP ACT (HR 3162), Mental Health Parity Bill (HR 1424), War Supplemental Appropriations (HR 2642) and wherever proposed support HR 1823/S. 2250 on reimbursement for ambulatory surgical centers

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

S. 1164/HR 1926, Colon Cancer Screen for Life Act; S. 3101/HR 6331, Medicare Improvement for Patients and Providers Act of 2008; S. 3118, Preserving Access to Medicare Act of 2008. S. 2250/HR 1823, Ambulatory Surgical Center Medicare Payment Modernization Act of 2007.

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

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

Revised Medicare payment policies for services furnished in ambulatory surgery centers. H.R. 1823/S. 2250, "Ambulatory Surgical Center Medicare Payment Modernization Act of 2007." Revisions to Medicare's "overnight stay" criteria for services furnished in ambulatory surgery centers.

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

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

H.R. 1823 S.2250; Conditions for Coverage for Ambulatory Surgical Centers.

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

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

S. 1164/H.R. 1926: Colon Cancer Screen for Life Act of 2007 CY2009 Physician Fee Schedule and SGR issues CMS-1517-F: Revised Payment System Policies for Services Furnished in Ambulatory Surgery Centers (ASCs) Beginning CY 2008 (formula and adequacy for GI ASCs) CMS-1392-P: Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates; Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2008 Rates; Medicare and Medicaid Programs; Proposed Changes to Hospital Conditions of Participation (formula and payment adequacy for GI ASCs) CMS-1392-FC Final Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates (Provisions affecting ASC payments) H.R. 1823/ S. 2250 The Ambulatory Surgical Center Medicare Payment Modernization Act H.R. 3060, The Colorectal Cancer Screening and Detection Coverage Act of 2007 H.R. 3162: Childrens Health and Medicare Protection (CHAMP) Act (Provisions on physician reimbursement and preventive services) S. 2785: "Save Medicare Act of 2008 Infection control in the ambulatory setting H. CON. RES.302: Supporting the observance of Colorectal Cancer Awareness Month, and for other purposes. H.R. 4879, "Virtual Screening for Cancer Act of 2007." S. 2785/H.R. 6091, "Save Medicare Act, Physician reimbursement S. 3118, Preserving Access to Medicare Act S. 3101: Medicare Improvements for Patients and Providers Act of 2008 H.R. 6331, "Medicare Improvements for Patients and Providers Act of 2008 CMS National Coverage Analysis on Screening Computed Tomography Colonography (CTC) for Colorectal Cancer FDA labeling and approval of sedation agents used in endoscopy

Client expense: $210,000 · 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 & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE

S. 1164/H.R. 1926: Colon Cancer Screen for Life Act of 2007 CY2009 Physician Fee Schedule and SGR issues CMS-1517-F: Revised Payment System Policies for Services Furnished in Ambulatory Surgery Centers (ASCs) Beginning CY 2008 (formula and adequacy for GI ASCs) CMS-1392-P: Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates; Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2008 Rates; Medicare and Medicaid Programs; Proposed Changes to Hospital Conditions of Participation (formula and payment adequacy for GI ASCs) CMS-1392-FC Final Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates (Provisions affecting ASC payments) H.R. 1823/ S. 2250 The Ambulatory Surgical Center Medicare Payment Modernization Act H.R. 3060, The Colorectal Cancer Screening and Detection Coverage Act of 2007 H.R. 3162: Childrens Health and Medicare Protection (CHAMP) Act (Provisions on physician reimbursement and preventive services) S. 2785: "Save Medicare Act of 2008 Infection control in the ambulatory setting H. CON. RES.302: Supporting the observance of Colorectal Cancer Awareness Month, and for other purposes. H.R. 4879, "Virtual Screening for Cancer Act of 2007." S. 2785/H.R. 6091, "Save Medicare Act, Physician reimbursement S. 3118, Preserving Access to Medicare Act S. 3101: Medicare Improvements for Patients and Providers Act of 2008 H.R. 6331, "Medicare Improvements for Patients and Providers Act of 2008 CMS National Coverage Analysis on Screening Computed Tomography Colonography (CTC) for Colorectal Cancer FDA labeling and approval of sedation agents used in endoscopy

Client expense: $210,000 · 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 & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE

S. 2785, the Save Medicare Act. Medicare Physician Payment Reform. Physician Performance Measures S. 2250 and H.R. 1823, the Ambulatory Surgical Center Medicare Payment Modernization Act -- reform of payments and access to ambulatory surgery centers.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Revised Medicare payment policies for services furnished in ambulatory surgery centers. H.R. 1823/S.2250, "Ambulatory Surgical Center Medicare Payment Modernization Act of 2007", entire bill. Proposed revisions to Medicare's definition of an ASC

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

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

Revised Medicare payment policies for services furnished in ambulatory surgery centers. H.R. 1823/S.2250, "Ambulatory Surgical Center Medicare Payment Modernization Act of 2007." Revisions to Medicare's definition of an ambulatory surgery center.

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

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

HR 1665/S 2352- Medicare Hearing Health Care Enhancement Act of 2007, all provisions. HR 1823/S 2250- Ambulatory Surgical Center Medicare Payment Modernization Act of 2007, all provisions. HR 1774/S 45- Establishes a separate definition of outpatient speech-language pathology services under Medicare, all provisions. S 2785- Save Medicare Act of 2008, all provisions. S. 3101 - Medicare Improvements for Patients and Providers Act of 2008, all provisions S. 3118 - Preserving Access to Medicare Act of 2008, all provisions HR 6331- Medicare Improvements for Patients and Providers Act of 2008, all provisions HR 2585/S 2729- Ensuring the Future Physician Workforce Act of 2008, all provisions. HR 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.

Client expense: $78,500 · Firm income: Not reported

Government targets: Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Personnel Management (OPM), SENATE

oppose legislation to extend moratorium on physician owned hospitals in CHAMP ACT (HR 3162), Mental Health Parity Bill (HR 1424), War Supplemental Appropriations (HR 2642) and wherever proposed support HR 1823/S. 2250 on reimbursement for ambulatory surgical centers

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

oppose legislation to extend moratorium on physician owned hospitals in CHAMP ACT (HR 3162), Mental Health Parity Bill (HR 1424), War Supplemental Appropriations (HR 2642) and wherever proposed support HR 1823/S. 2250 on reimbursement for ambulatory surgical centers

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

support revisions to 75% Inpatient Rehabilitation Rule (HR 110/S. 543);support legislation regarding Hospital in Hospital regulations (HR 552/S.338);oppose legislation mandating a moratorium on physician owned hospitals (CHAMP ACT HR 3162) (Mental Health Parity bill (HR 1424), War Supplemental Appropriations Act (HR2642), and wherever attempted; support legislation reforming ASC reimbursement (HR 1823/S.2250)

Client expense: Not reported · Firm income: $33,000

Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

Revised Medicare payment policies for services furnished in ambulatory surgery centers. H.R. 1823/S. 2250, "Ambulatory Surgical Center Medicare Payment Modernization Act of 2007." Revisions to Medicare's "overnight stay" criteria for services furnished in ambulatory surgery centers.

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

Revised Medicare payment policies for services furnished in ambulatory surgery centers. H.R. 1823/S.2250, "Ambulatory Surgical Center Medicare Payment Modernization Act of 2007", entire bill. Proposed revisions to Medicare's definition of an ASC

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

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

H.R. 1823 S.2250; Conditions for Coverage for Ambulatory Surgical Centers.

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

S. 2785, the Save Medicare Act. Medicare Physician Payment reform. Physician Performance Measures S. 2250 and H.R. 1823, the Ambulatory Surgical Center Medicare Payment Modernization Act -- reform of payments and access to ambulatory surgery centers.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S. 1164/H.R. 1926: Colon Cancer Screen for Life Act of 2007 CY2009 Physician Fee Schedule and SGR issues CMS-1517-F: Revised Payment System Policies for Services Furnished in Ambulatory Surgery Centers (ASCs) Beginning CY 2008 (formula and adequacy for GI ASCs) CMS-1392-P: Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates; Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2008 Rates; Medicare and Medicaid Programs; Proposed Changes to Hospital Conditions of Participation (formula and payment adequacy for GI ASCs) CMS-1392-FC Final Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates (Provisions affecting ASC payments) H.R. 1823/ S. 2250 The Ambulatory Surgical Center Medicare Payment Modernization Act H.R. 3060, The Colorectal Cancer Screening and Detection Coverage Act of 2007 H.R. 3162: Childrens Health and Medicare Protection (CHAMP) Act (Provisions on physician reimbursement and preventive services) S. 2785: "Save Medicare Act of 2008 Infection control in the ambulatory setting H. CON. RES.302: Supporting the observance of Colorectal Cancer Awareness Month, and for other purposes CMS-3887P: Conditions for Coverage (CfCs) for Ambulatory Surgery Centers Participation in the Medicare and Medicaid Programs

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

CY 2009 Physician Fee Schedule and SGR issues CMS-1517-F: Revised Payment System Policies for Services Furnished in Ambulatory Surgery Centers (ASCs) Beginning CY 2008 (formula and adequacy for GI ASCs) CMS-1392-P: Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates; Medicare and Medicaid Programs; ; Proposed Changes to Hospital Conditions of Participation (formula and payment adequacy for GI ASCs) CMS-1392-FC Final Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates (Provisions affecting ASC payments) H.R. 1823/ S. 2250 The Ambulatory Surgical Center Medicare Payment Modernization Act H.R. 3060, The Colorectal Cancer Screening and Detection Coverage Act of 2007 H.R. 3162: Childrens Health and Medicare Protection (CHAMP) Act (Provisions on physician reimbursement and preventive services) S. 2785: "Save Medicare Act of 2008 Infection control in the ambulatory setting H. CON. RES.302: Supporting the observance of Colorectal Cancer Awareness Month, and for other purposes CMS-3887P: Conditions for Coverage (CfCs) for Ambulatory Surgery Centers Participation in the Medicare and Medicaid Programs

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

HR 1665/S 2352- Medicare Hearing Health Care Enhancement Act of 2007, all provisions. HR 1823/S 2250- Ambulatory Surgical Center Medicare Payment Modernization Act of 2007, all provisions. HR 1774/S 45- Establishes a separate definition of outpatient speech-language pathology services under Medicare, all provisions. S 2785- Save Medicare Act of 2008, all provisions. HR 2585/S 2729- Ensuring the Future Physician Workforce Act of 2008, all provisions. HR 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.

Client expense: $78,500 · Firm income: Not reported

Government targets: Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

support revisions to 75% Inpatient Rehabilitation Rule (HR 110/S. 543) support legislation regarding Hospital in Hospital regulations (HR 552/S.338) oppose legislation mandating a moratorium on physician owned hospitals (CHAMP ACT HR 3162) (Mental Health Parity bill (HR 1424) and wherever attempted; support legislation reforming ASC reimbursement (HR 1823/S.2250)

Client expense: Not reported · Firm income: $33,000

Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

oppose legislation to extend moratorium on physician owned hospitals in CHAMP ACT (HR 3162), Mental Health Parity Bill (HR 1424) and wherever proposed support HR 1823/S. 2250 on reimbursement for ambulatory surgical centers

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

oppose legislation to extend moratorium on physician owned hospitals in CHAMP ACT (HR 3162), Mental Health Parity Bill (HR 1424) and wherever proposed support HR 1823/S. 2250 on reimbursement for ambulatory surgical centers

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1932 & S. 1164, the Colon Cancer Screen for Life Act of 2007, provisions to improve patient access to, and utilization of, the colorectal cancer screening benefit under the Medicare Program. H.R.3060, Colorectal Cancer Screening and Detection Coverage Age of 2007, provisions that would require private health plans to cover colorectal cancer screening. Proposed and Final Rules for CY2008 Medicare Ambulatory Surgical Centers/Outpatient Prospective Payment System (ASC/OPPS Rules). H.R. 3162, The Children's Health and Medicare Protection Act of 2007, and S. 2499, Medicare, Medicaid, and SCHIP Extension Act of 2007, provisions pertaining to Medicare Sustainable Growth Rate, and Medicare payment reductions. H.R. 3042, the Medicare Early Detection of Cancer Promotion Act of 2007, provisions that would eliminate coinsurance for colon cancer screening. H.R. 1853 and S. 2250 , Ambulatory Surgical Center Medicare Payment Modernization Act of 2007, regarding improved Medicare payment of Ambulatory Surgical Centers.

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

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