Medicare, Medicaid, and SCHIP Extension Act of 2007

General Medicare Issues - S. 2499: Medicare, Medicaid, and SCHIP Extension Act; H.R. 6331: Medicare Improvement for Patients and Providers Act of 2008

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to Part D Medicare and issues related to the drug industry. HR 3162, Children's Health and Medicare Protection Act of 2007, S 2499 Medicare, Medicaid and SCHIP Extension Act of 2007, provisions related to prescription drugs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Access to Rehabilitation Services Act (S. 46/H.R. 43) Public Law 110-73 (S. 2499) Medically Fragile Children's Act (H.R. 1117)

Client expense: $240,666 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

Implementation of Medicare Modernization Act; Kidney Care Quality and Education Act (H.R. 1193/S. 691); Health care quality; pay-for-performance; prevention and wellness; The Children's Health and Medicare Protection (CHAMP) Act of 2007 (H.R. 3162); The Medicare, Medicaid, and SCHIP Extension Act of 2007 (S. 2499); H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 (Public Law No: 110-275); S.3101, Medicare Improvements for Patients and Providers Act of 2008; S.3118, Preserving Access to Medicare Act of 2008

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

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

Medicaid Reform; Implementation of Medicare Modernization Act; Kidney Care Quality and Education Act (H.R. 1193/S. 691); Health care quality; pay-for-performance; prevention and wellness; The Children's Health and Medicare Protection (CHAMP) Act of 2007 (H.R. 3162); The Medicare, Medicaid, and SCHIP Extension Act of 2007 (S. 2499); H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 (Public Law No: 110-275); S.3101, Medicare Improvements for Patients and Providers Act of 2008; S.3118, Preserving Access to Medicare Act of 2008

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

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

Medicaid Reform; Implementation of Medicare Modernization Act; Kidney Care Quality and Education Act (H.R. 1193/S. 691); Health care quality; pay-for-performance; prevention and wellness; The Children's Health and Medicare Protection (CHAMP) Act of 2007 (H.R. 3162); The Medicare, Medicaid, and SCHIP Extension Act of 2007 (S.2499); H.R. 6331 - Medicare Improvements for Patients and Providers Act of 2008; S.3101, Medicare Improvements for Patients and Providers Act of 2008; S.3118, Preserving Access to Medicare Act of 2008

Client expense: Not reported · Firm income: $70,000

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

Implementation of Medicare Modernization Act; Kidney Care Quality and Education Act (H.R. 1193/S. 691); Health care quality; pay-for-performance; prevention and wellness; The Children's Health and Medicare Protection (CHAMP) Act of 2007 (H.R. 3162); The Medicare, Medicaid, and SCHIP Extension Act of 2007 (S. 2499); H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008; S.3101, Medicare Improvements for Patients and Providers Act of 2008; S.3118, Preserving Access to Medicare Act of 2008

Client expense: Not reported · Firm income: $70,000

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

Medicare, Medicaid, and SCHIP Extension Act, S. 2499 (P.L. 110-173), Section 111 regarding Medicare Secondary Payer, and specifically, reporting requirements for medical liability insurers.

Client expense: $70,000 · Firm income: Not reported

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

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

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

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

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

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

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

HR 3162, Children's Health and Medicare Protection Act of 2007, all provisions relating to comparative effectiveness research, Medicare (including Medicare Advantage), Medicaid, and SCHIP; HR 2639, Promoting Health for Future Generations Act of 2007, all provisions relating to Medicare Advantage Medical Savings Accounts; S 2499, Medicare, Medicaid, and SCHIP Extension Act of 2007, all provisions relating to Medicare (including Medicare Advantage and Medicare Secondary Payor), Medicaid, and SCHIP; HR 5613, Protecting the Medicaid Safety Net Act of 2008, all provisions relating to CMS regulatory action on Medicaid; S 2620, To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program, and for other purposes; all provisions relating to Medicaid payment; HR 5268, To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program, and for other purposes; all provisions relating to Medicaid payment; S 1701, To provide for the extension of transitional medical assistance (TMA) and the abstinence education program through the end of fiscal year 2007, and for other purposes; provisions relating to Medicare Advantage; HR 5480, Medicare Funding Warning Response Act of 2008, all provisions relating to Medicare (including Medicare Advantage), health information technology, and health care quality measurement; S 2662, Medicare Funding Warning Response Act of 2008, all provisions relating to Medicare (including Medicare Advantage), health information technology, and health care quality measurement; HR 976, Children's Health Insurance Program Reauthorization Act of 2007, all provisions relating to children's health and dental insurance coverage; HR 3963, Children's Health Insurance Program Reauthorization Act of 2007, all provisions relating to children's health and dental insurance coverage; HR 2206, U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act, 2007, all provisions relating to SCHIP funding; S 334/ HR 3163, Healthy Americans Act, all provisions relating to health insurance coverage, Medicare, Medicaid, SCHIP, and employer taxes related to health insurance; Medicare Advantage Payment; Medicaid payment and state plans oversight; SCHIP reauthorization; S.3101 - Medicare Improvement for Patients and Providers Act of 2008; HR 6331 - Medicare Improvement for Patients and Providers Act of 2008

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

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

HR 3162, Children's Health and Medicare Protection Act of 2007, all provisions relating to comparative effectiveness research, Medicare (including Medicare Advantage), Medicaid, and SCHIP; HR 2639, Promoting Health for Future Generations Act of 2007, all provisions relating to Medicare Advantage Medical Savings Accounts; S 2499, Medicare, Medicaid, and SCHIP Extension Act of 2007, all provisions relating to Medicare (including Medicare Advantage and Medicare Secondary Payor), Medicaid, and SCHIP; HR 5613, Protecting the Medicaid Safety Net Act of 2008, all provisions relating to CMS regulatory action on Medicaid; S 2620, To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program, and for other purposes; all provisions relating to Medicaid payment; HR 5268, To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program, and for other purposes; all provisions relating to Medicaid payment; S 1701, To provide for the extension of transitional medical assistance (TMA) and the abstinence education program through the end of fiscal year 2007, and for other purposes; provisions relating to Medicare Advantage; HR 5480, Medicare Funding Warning Response Act of 2008, all provisions relating to Medicare (including Medicare Advantage), health information technology, and health care quality measurement; S 2662, Medicare Funding Warning Response Act of 2008, all provisions relating to Medicare (including Medicare Advantage), health information technology, and health care quality measurement; HR 976, Children's Health Insurance Program Reauthorization Act of 2007, all provisions relating to children's health and dental insurance coverage; HR 3963, Children's Health Insurance Program Reauthorization Act of 2007, all provisions relating to children's health and dental insurance coverage; HR 2206, U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act, 2007, all provisions relating to SCHIP funding; S 334/ HR 3163, Healthy Americans Act, all provisions relating to health insurance coverage, Medicare, Medicaid, SCHIP, and employer taxes related to health insurance; Medicare Advantage Payment; Medicaid payment and state plans oversight; SCHIP reauthorization; S.3101 - Medicare Improvement for Patients and Providers Act of 2008; HR 6331 - Medicare Improvement for Patients and Providers Act of 2008

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

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

H.R. 1065, H.R. 1682, H.R. 2549, H.R. 2762, H.R. 3121, H.R. 3200, H.R. 330, H.R. 3926, H.R. 3959, H.R. 4050, H.R. 4299, H.R. 4461, H.R. 4721, H.R. 5611, H.R. 5633, H.R. 5792, H.R. 5840, H.R. 5961, H.R. 6062, H.R. 6078, H.R. 6213, H.R. 6285, H.R. 6424, H.R. 91, H.R. 920, H.R. 921, H.R. 922, H.R. 957, S. 1061, S. 1890, S. 1938, S. 2029, S. 2151, S. 2251, S. 2284, S. 2285, S. 2458, S. 2499, S. 2621, S. 3483, S. 396, S. 30, S. 929

Client expense: $454,203 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

HR91, HR330, HR920, HR921, HR922, HR957, HR1049, HR1065, HR1289, HR1682, HR2549, HR2638, HR2761, HR3121, HR3200, HR3926, HR3959, HR4050, HR4299, HR4461, HR 4721, HR5611, HR5633, HR5792, HR5840, HR5961, HR6062, HR6078, HR6213, HR6285, HR6308, HR6755, S40, S396, S1061, S1890, S1938, S2029, S2040, S2151, S2251, S2284, S2285, S2458, S2499, S2621

Client expense: $433,208 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Patent & Trademark Office (PTO), SENATE, Treasury, Dept of

FEDERAL TRADE COMMISSION: COMMUNICATIONS COVERING PROJECTED HOMEOWNERS CREDIT-SCORING DEPARTMENT OF TREASURY: COMMUNICATIONS WITH THE TERRORISM INSURANCE OFFICE, RE: TERRORISM RISK INSURANCE ACT OF 2002 FEDERAL EMERGENCY MANAGEMENT AGENCY: PENDING CLAIM PAYMENTS FOR THE CERRO GRANDE FIRE FUND S2499: MEDICARE, MEDICAID, AND STATE CHILDREN'S HEALTH INSURANCE PROGRAM EXTENSION ACT OF 2007; SEC. 111 AND LIABILITY INSURANCE PROVISIONS HR3200/S40: NATIONAL INSURANCE ACT OF 2007; ALL PROVISIONS OF THE OPTIONAL FEDERAL CHARTER BILLS DEPARTMENT OF TREASURY PROPOSAL: BLUEPRINT FOR FINANCIAL SERVICES REGULATORY REFORM, DISCUSSION ON SECTIONS ON INSURANCE REGULATION HR 5611: NATIONAL ASSOCIATION OF REGISTERED AGENTS AND BROKERS REFORM ACT OF 2008; ALL PROVISIONS OF THE BILL S2284: FLOOD INSURANCE REFORM AND MODERNIZATION ACT; ALL PROVISIONS OF THE BILL HR3121: FLOOD INSURANCE MODERNIZATION ACT OF 2007; NATIONAL FLOOD INSURANCE PROGRAM AND REAUTHORIZATION DISCUSSION, PROVISIONS RELATING TO THE PROPERTY AND CASUALTY INSURANCE INDUSTRY AND WRITE-YOUR-OWN PROGRAM, AND ALL PERILS POLICY PROVISIONS HR3355: HOMEOWNERS' DEFENSE ACT OF 2007; ALL PROVISIONS OF THE BILL HR5633: NONDISCRIMINATORY USE OF CONSUMER REPORTS AND CONSUMER INFORMATION ACT OF 2008; ALL PROVISIONS OF THE BILL RISK RETENTION ACT; ALL ASPECTS OF THE BILL (NO NUMBER ASSIGNED) MOTOR VEHICLE TITLING/SALVAGE (NO NUMBER ASSIGNED)

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

Government targets: Federal Emergency Management Agency (FEMA), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

HR 3963 Children's Health Insurance Program Reauthorization Act of 2007 S 2499 Medicare, Medicaid and SCHIP Extension Act of 2007 S 558 Mental Health Parity Act of 2007 S 1693 Wired for Health Care Quality Act S 1695 Biologics Price Competition and Innovation Act of 2007 HR 4460 Health Care Choice Act S 1883 Accountability and Transparency in Medicare Marketing Act of 2007 HR 976 Children's Health Insurance Program Reauthorization Act of 2007 HR 5629 Pathway for Biosimilars Act HR 1424 Paul Wellstone Mental Health and Addiction Equity Act HR 3162 Children's Health and Medicare Protection Act of 2007 HR 493 Genetic Information Non-Discrimination Act of 2008 HR 6357 Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 HR 4460 Health Care Choice Act of 2007 HR 633 Medicare Improvements for Patients and Providers Act of 2008 - provisions relating to Medicare Advantage and Part D HR 6444 Healthy Americans Act HR 1424 Emergency Economic Stabilization Act of 2008 S 3101 Medicare Improvements for Patients and Providers Act of 2008 - provisions relating to Medicare Advantage and Part D S 3118 Preserving Access to Medicare Act of 2008 - provisions relating to Medicare Advantage and Part D S 334 Healthy Americans Act

Client expense: $510,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE, White House Office

Medicare, Medicaid, and SCHIP Extension Act, S. 2499 (P.L. 110-173), Section 111 regarding Medicare Secondary Payer, and specifically, reporting requirements for medical liability insurers.

Client expense: $70,000 · Firm income: Not reported

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

S2499: MEDICARE, MEDICAID AND SCHIP EXTENSION ACT OF 2007; SECTION 111

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

Government targets: Environmental Protection Agency (EPA), Federal Emergency Management Agency (FEMA), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of, White House Office

SCHIP Reauthorization support passage of and expansion to include oral health benefits for children, including HR.976, S.1893, HR.3162, and S.2499; S.1693, Wired for Health Care Quality Act adoption of; and interest in potential changes to HIPPA standards and coding provisions; HR.1781/S.739, Childrens Dental Health Improvement Act; and monitor general health care reform proposals; S. 625/HR. 1108, Family Smoking Prevention and Tobacco Control Act. S.739/HR.1781, Children's Dental Health Improvement Act. S.2723, Deamonte Driver Dental Care Access Improvement Act of 2008. HR. 6357, PRO(TECH)T Act of 2008. HR. 6179, Promoting Health Information Technology Act of 2008. HR. 6898, Health e-Information Technology Act. Oral health care legislation in general.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3963 Children's Health Insurance Program Reauthorization Act of 2007 S 2499 Medicare, Medicaid and SCHIP Extension Act of 2007 S 558 Mental Health Parity Act of 2007 S 1693 Wired for Health Care Quality Act S 1695 Biologics Price Competition and Innovation Act of 2007 HR 4460 Health Care Choice Act S 1883 Accountability and Transparency in Medicare Marketing Act of 2007 HR 976 Children's Health Insurance Program Reauthorization Act of 2007 HR 5629 Pathway for Biosimilars Act HR 1424 Paul Wellstone Mental Health and Addiction Equity Act HR 3162 Children's Health and Medicare Protection Act of 2007 HR 493 Genetic Information Non-Discrimination Act of 2008 HR 6357 Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 HR 4460 Health Care Choice Act of 2007 HR 6331 Medicare Improvements for Patients and Providers Act of 2008 - provisions relating to Medicare Advantage and Part D HR 6444 Healthy Americans Act HR 1424 Emergency Economic Stabilization Act of 2008 S 3101 Medicare Improvements for Patients and Providers Act of 2008 - provisions relating to Medicare Advantage and Part D S 3118 Preserving Access to Medicare Act of 2008 - provisions relating to Medicare Advantage and Part D S 334 Healthy Americans Act

Client expense: $505,001 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE, White House Office

Medikids Health Insurance Act-S.1303/H.R.3055; (PPS Resolution-HCR 231/SCR65); Helping Fill the Medicare Rx Gap Act of 2007-S.1103; The Medicare Access to Community Health Centers Act-H.R. 2897/S.2188; Childrens Health Insurance Program Reauthorization Act-S. 1893/H.R.976; Childrens Health and Medicare Protection Act-H.R. 3162; CHIP Reauthorization Act-S. 1224; Childrens Dental Health Improvement Act-H.R. 1781; Deamontes Law H.R. 2371; Childrens Health First Act-H.R.1535; Legal Immigrant Childrens Health Improvement Act-H.R.1308/S.764; Medicare, Medicaid, SCHIP Extension Act-S.2499; Medicare Improvement for Patients and Providers Act of 2008-S.3101; Preserving Access to Medicare Act of 2008-S.3118; Medicare Improvements for Patients and Providers Act of 2008-H.R.6331; Medicare Telehealth Enhancement Act of 2008-H.R.6313; The Protecting Records Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008-H.R.6357; The Health Information Technology Act of 2008-H.R.6898; Preserving Access to Healthcare Act of 2008-S.3556; Regarding Rural Health Clinics-S.3367. Childrens Health Insurance Program (111th Congress) Reauthorization Act of 2009-H.R.2.

Client expense: $150,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB)

Medicare Access to Rehabilitation Services Act of 2007 (S. 450/H.R. 748) Medicare Improvements for Patients and Providers Act (S. 3101/H.R. 6331) Preserving Access to Medicare Act (S. 3118) Public Law No: 110-85 (H.R. 3580) Public Law 110-173 (S. 2499) Medically Fragile Children's Act (H.R. 7130/S. 3631)

Client expense: $269,618 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

Vaccines Medicare chronic disease coverage Implementation Issues concerning P.L. 108-173 - the Medicare Prescription Drug, Improvement and Modernization Act of 2003 Medicare coverage of pharmaceuticals, Medicare Part D Issues relating to Medicaid reimbursement for drugs/biologics in Title VI of S.1932-the Deficit Reduction Act of 2005 Pediatric Exclusivity H.R. 4 - Medicare Prescription Drug Price Negotiation Act H.R. 3162 - Children's Health and Medicare Protection Act of 2007 S.1893/H.R. 976 - Children's Health Insurance Progam Reauthorization Act of 2007 S. 2499 - Medicare, Medicaid and SCHIP Extension Act of 2007 Chronic care out of pocket costs S. 2029 - Physician Payments Sunshine Act of 2007 HR 5605 - Physician Payments Sunshine Act of 2007 HR 2185 - Enhanced Healthcare Value for All Act Medicare Prescription Drug Benefit Medicaid drug rebate Medicare Physician Reimbursement package Medicare and Medicaid Drug Reimbursement Medicaid Rebate Medicaid Part D Non-Interference H.R. 6331/S.3101 - Medicare Improvements for Patients and Providers Act of 2008 S.3118 - Preserving Access to Medicare Act of 2008 S.3613, H.R. 7114 - Independence at Home Act

Client expense: $1,047,210 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Security Agency (NSA), Natl Security Council (NSC), Office of the Vice President of the United States, SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 1065, H.R. 1682, H.R. 2549, H.R. 2762, H.R. 3121, H.R. 3200, H.R. 330, H.R. 3926, H.R. 3959, H.R. 4050, H.R. 4299, H.R. 4461, H.R. 4721, H.R. 5611, H.R. 5633, H.R. 5792, H.R. 5840, H.R. 5961, H.R. 6062, H.R. 6078, H.R. 6213, H.R. 6285, H.R. 6424, H.R. 91, H.R. 920, H.R. 921, H.R. 922, H.R. 957, S. 1061, S. 1890, S. 1938, S. 2029, S. 2151, S. 2251, S. 2284, S. 2285, S. 2458, S. 2499, S. 2621, S. 3483, S. 396, S. 30, S. 929

Client expense: $454,203 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

H.R.15: To provide a program of national health insurance, and for other purposes. H.R.113: To amend the Internal Revenue Code of 1986 to require group health plans to provide coverage for reconstructive surgery following mastectomy, consistent with the Women's Health and Cancer Rights Act of 1998. H.R.119: To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. H.R.282: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for second opinions. H.R.283: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans permit enrollees direct access to services of obstetrical and gynecological physician services directly and without a referral. H.R.506: To provide for innovation in health care through State initiatives that expand coverage and access. H.R.676: To provide for comprehensive health insurance coverage for all United States residents, and for other purposes. H.R.758: To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. H.R.914: To amend the Internal Revenue Code of 1986 to allow individuals a refundable credit against income tax for the purchase of private health insurance, and for other purposes. H.R.979: To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to protect consumers in managed care plans and other health coverage. H.R.1076: To promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. H.R.1367: To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans. H.R.1368: To establish a program to provide financial incentives to encourage the adoption and use of interactive personal health records. H.R.1424: To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans. H.R.1802: To amend the Internal Revenue Code of 1986 to provide a refundable tax credit to small businesses for the costs of qualified health insurance. H.R.1820: To amend the Internal Revenue Code of 1986 to extend the exclusion from gross income for employer-provided health coverage for employees' spouses and dependent children to coverage provided to other eligible designated beneficiaries of employees. H.R.1841: To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. H.R. 2034: to provide quality, affordable health care for all Americans. H.R. 2132: to amend the Public Health Service Act to establish a small business health benefits program. H.R. 2302: to amend the Internal Revenue Code of 1986 to allow a deduction for premiums for high deductible health plans required with respect to health savings accounts. H.R. 2633: to improve the health of Americans and reduce health care costs by reorienting the nation's health care system toward prevention, wellness, and self care. H.R. 2737: to amend the Internal Revenue Code of 1986 to allow previously uninsured individuals a refundable credit for health insurance costs and to provide tax incentives to encourage small business health plans.H.R.1111: To amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. H.R.2851: To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to ensure that dependent students who take a medically necessary leave of absence do not lose health insurance coverage, and for other purposes. H.R.3195: To restore the intent and protections of the Americans with Disabilities Act of 1990. H.R. 3234: To amend the Internal Revenue Code of 1986 to improve access to health care through expanded health savings accounts. H.R. 3306: To amend the Internal Revenue Code of 1986 to allow amounts in a health flexible spending arrangement that are unused during a plan year to be carried over to subsequent plan years or deposited into certain health or retirement plans. H.R. 3584: To amend title XXI of the Social Security Act to extend funding for 18 months for the State Children's Health Insurance Program (SCHIP), and for other purposes. H.R. 3800: to advance the adoption of nationwide interoperable health information technology and to improve health care quality and reduce health care costs in the United States. H.R. 4222: to amend title I of the Employee Retirement Income Security Act of 1974, the Internal Revenue Code of 1986, and title XXII of the Public Health Service Act to extend COBRA benefits for certain TAA-eligible individuals and PBGC recipients. H.R. 4232: to improve mental and substance use health care. H.R. 4848: to extend for one year parity in the application of certain limits to mental health benefits, and for other purposes. H.R.5442: To provide individuals with access to health information of which they are a subject, to ensure personal privacy, security, and confidentiality with respect to health related information in promoting the development of a nationwide interoperable health information infrastructure, to impose criminal and civil penalties for unauthorized use of personal health information, to provide for the strong enforcement of these rights, to protect States' rights, and for other purposes. H.R.5449: To amend the Employee Retirement Income Security Act of 1974, Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit discrimination in group health coverage and individual health insurance coverage. H.R.6357:to amend the Public Health Service Act to promote the adoption of health information technology, and for other purposes. H.R. 6444: to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. H.R.6357: To amend the Public Health Service Act to promote the adoption of health information technology, and for other purposes. H.R. 6699: to amend title XVIII of the Social Security Act to reform Medicare payments to physicians and certain other providers and improve Medicare benefits, to encourage the offering of health coverage by small businesses, to provide tax incentives for the purchase of health insurance by individuals, to increase access to health care for veterans, to address the nursing shortage. H.Res 1228: Ensuring access to affordable and quality health care without exacerbating the Federal budget or contributing to market inflation while providing greater choices for consumers. S.95: A bill to amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. S.99: A bill to amend the Internal Revenue Code of 1986 to provide a refundable credit for small business employee health insurance expenses. S.243: A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system. S.244: A bill to improve women's access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the delivery of obstetrical and gynecological services. S.325: A bill to provide for innovation in health care through State initiatives that expand coverage and access and improve quality and efficiency in the health care system. S.400: A bill to amend the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code of 1986 to ensure that dependent students who take a medically necessary leave of absence do not lose health insurance coverage, and for other purposes. S.459: A bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. S.558: A bill to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. S.616: A bill to promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. S.733: A bill to promote the development of health care cooperatives that will help businesses to pool the health care purchasing power of employers, and for other purposes. S.1019: A bill to provide comprehensive reform of the health care system of the United States, and for other purposes. S.1198: to determine successful methods to provide protection from catastrophic health expenses for individuals who have exceeded health insurance lifetime limits, to provide catastrophic health insurance coverage for uninsured individuals, and for other purposes. S.1298: to amend the Social Security Act to establish a federal reinsurance program for catastrophic health care costs. S.1342: A bill to improve the health of Americans and reduce health care costs by reorienting the Nation's health care system toward prevention, wellness, and self care. S.1693: A bill to enhance the adoption of a nationwide interoperable health information technology system and to improve the quality and reduce the costs of health care in the United States. S.1753: to amend the Internal Revenue Code of 1986 to provide a tax credit to employers for the costs of implementing wellness programs, and for other purposes. S.1754: A bill to amend the Public Health Service Act to provide for a workplace wellness education campaign and an evaluation of employer-based wellness programs, and for other purposes. S.1881: to amend the Americans with Disabilities Act of 1990 to restore the intent and protections of that law, and for other purposes. S. 2236: to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to provide additional limitations on preexisting condition exclusions in group health plans and health insurance coverage in the group and individual markets. S. 2499: to amend titles XVIII, XIX, and XXI of the Social Security Act to extend provisions under the Medicare, Medicaid, and State Children's Health Insurance programs S. 2706: to impose a limitation on lifetime aggregate limits imposed by health plans S. 2748: to direct the secretary of health and human services to publish physical activity guidelines for the general public, and for other purposes S. 3321: to amend the Public Health Service Act to provide coordinated leadership in federal efforts to prevent and reduce overweight and obesity and to promote sound health and nutrition among Americans S. 3402: to provide information and education to consumers concerning health care services and health insurance coverage. S. 3406: to restore the intent and protections of the Americans with Disabilities Act of 1990. S.3712: A bill to make a technical correction in the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008.

Client expense: $515,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade & Development Agency (USTDA), U.S. Trade Representative (USTR)

S2499 - Medicare, Medicaid and SCHIP Extension Act of 2007 HR5613 - Protecting the Medicaid Safety Net Act of 2008 Physician Payments Non-Profit Hospital Tax Exemption

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

PL 108-173, Medicare Prescription Drug, Improvement & Modernization Act of 2003, all provisions relating to the establishment of a new Part D voluntary prescription drug Benefit program, Medicare coverage of care coordination services for individuals with chronic conditions and eliminating the two-year wiating period for Medicare coverage for people under age 65 with disabilities. HR6331 Medicare Improvements for patients and providers Act of 2008 - all provisions related to beneficiary improvements. S2499, Medicare, Medicaid and SCHIP extension act of 2007 - all provisions relating to Medicare and establishing a Medicare Chronic Care Demonstration Program S.3327/H.R. 7212, Empowered at Home Act of 2008, a bill to amend title XIX of the Social Security Act to improve the State plan amendment option for providing home and community based services under the Medicaid Program, ond for other purposes. S.2102/H.R. 154, Ending the Medicare Disability Waiting Period Act of 2007, a bill to amend Title II of the Social Security Act to phase out the 24-month wating period for disabled individuals to become eligible for Medicare benefits to eliminate the waiting period for individuals with life threatening conditions, and for other purposes.

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

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

HR 3162, Children's Health and Medicare Protection Act of 2007, all provisions relating to comparative effectiveness research, Medicare (including Medicare Advantage), Medicaid, and SCHIP; HR 2639, Promoting Health for Future Generations Act of 2007, all provisions relating to Medicare Advantage Medical Savings Accounts; S 2499, Medicare, Medicaid, and SCHIP Extension Act of 2007, all provisions relating to Medicare (including Medicare Advantage and Medicare Secondary Payor), Medicaid, and SCHIP; HR 5613, Protecting the Medicaid Safety Net Act of 2008, all provisions relating to CMS regulatory action on Medicaid; S 2620, To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program, and for other purposes; all provisions relating to Medicaid payment; HR 5268, To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program, and for other purposes; all provisions relating to Medicaid payment; S 1701, To provide for the extension of transitional medical assistance (TMA) and the abstinence education program through the end of fiscal year 2007, and for other purposes; provisions relating to Medicare Advantage; HR 5480, Medicare Funding Warning Response Act of 2008, all provisions relating to Medicare (including Medicare Advantage), health information technology, and health care quality measurement; S 2662, Medicare Funding Warning Response Act of 2008, all provisions relating to Medicare (including Medicare Advantage), health information technology, and health care quality measurement; HR 976, Children's Health Insurance Program Reauthorization Act of 2007, all provisions relating to children's health and dental insurance coverage; HR 3963, Children's Health Insurance Program Reauthorization Act of 2007, all provisions relating to children's health and dental insurance coverage; HR 2206, U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act, 2007, all provisions relating to SCHIP funding; S 334/ HR 3163, Healthy Americans Act, all provisions relating to health insurance coverage, Medicare, Medicaid, SCHIP, and employer taxes related to health insurance; Medicare Advantage Payment; Medicaid payment and state plans oversight; SCHIP reauthorization; S.3101 - Medicare Improvement for Patients and Providers Act of 2008; HR 6331 - Medicare Improvement for Patients and Providers Act of 2008; HR 6819 To ammend the Medicare Improvement for Patients adn Providers act, all provisions related to the Medicare Advantage program

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

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

Physician reimbursement rates; S. 2499 Medicare, Medicaid and SCHIP Extension Act; Medicare Medical Homes Issues; H.R. 6331, the Medicare Improvements for Patients and Providers Act of 2008, H.R. 6898, Health-e Inforamtion Technology Act.

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

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

H.R. 1571, Seniors Access to Mental Health Act of 2007 (Medicare parity) H.R. 1663, Medicare Mental Health Modernization Act of 2007 H.R. 2626, Comprehensive HealthCARE Act of 2007 (Price Healthcare Bill) H.R. 3162, Children's Health and Medicare Protection Act of 2007 H.R. 2585, Ensuring the Future Physician Workforce Act of 2007 (Burgess SGR Bill) H.R. 3025, Medicare Prescription Drug Savings for Our Seniors (Medicare Prescription Drug SOS) Act of 2007 H.R. 3061, Medicare Part D Drug Class Protection Act of 2007 (Six Classes Bill) H.R. 820, Seniors Mental Health Access Improvement Act of 2007 (MFTs/MHCs) H.R. 1588, Seniors Mental Health Access Improvement Act of 2007 (MFTs/MHCs) H.R. 2860, Health Care Access and Rural Equity (H-CARE) Act of 2007 H.R. 2050, Medicaid Emergency Psychiatric Care Act of 2007 (IMD-EMTALA) H.R. 882, Access to Emergency Medical Services Act of 2007 (EMTALA) S. 1887, Medicare Access to Critical Medications Act (Six Classes Bill) H.R. 470, to provide Medicare coverage of benzodiazepines and off-label uses of certain prescription drugs, optional Medicaid coverage of Medicare prescription drug cost-sharing, and authorization for the Secretary of Health and Human Services to waive certain determinations denying Medicare prescription drug coverage S. 137, Preserving Medicare for All Act of 2007 (Cardin Healthcare Bill, Includes Benzos) S. 588, Physician Shortage Act S. 1715, Medicare Mental Health Copayment Equity Act of 2007 S. 2499, Medicare, Medicaid, and SCHIP Extension Act S. 2785, to amend title XVIII of the Security Act to preserve access to physicians' services under the Medicare program H.R. 5445, Ensuring the Future Physician Workforce Act of 2007 (physician payment under Medicare) H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 S. 3101, Medicare Improvements for Patients and Providers Act of 2008 Conditions selected for coverage under the chronic conditions special needs plans (SNPs) HIPAA Administrative Simplification: Modification to Medical Data Code Set Standards to Adopt ICD-10-CM and ICD-10-PCS; Proposed Rule RIN 0958-AN25 [CMS-0013-P] 73 Federal Register 49796

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Justice, Dept of (DOJ), Natl Institute of Mental Health (NIMH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA), White House Office

H.R. 1571, Seniors Access to Mental Health Act of 2007 (Medicare parity) H.R. 1663, Medicare Mental Health Modernization Act of 2007 H.R. 2626, Comprehensive HealthCARE Act of 2007 (Price Healthcare Bill) H.R. 3162, Children's Health and Medicare Protection Act of 2007 H.R. 2585, Ensuring the Future Physician Workforce Act of 2007 (Burgess SGR Bill) H.R. 3025, Medicare Prescription Drug Savings for Our Seniors (Medicare Prescription Drug SOS) Act of 2007 H.R. 3061, Medicare Part D Drug Class Protection Act of 2007 (Six Classes Bill) H.R. 820, Seniors Mental Health Access Improvement Act of 2007 (MFTs/MHCs) H.R. 1588, Seniors Mental Health Access Improvement Act of 2007 (MFTs/MHCs) H.R. 1424, Paul Wellstone Mental Health Equitable Treatment Act of 2007 S. 558, Mental Health Parity Act of 2007 H.R. 2580, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 S. 382/H.R. 687, Keeping Families Together Act, S. 1572/H.R. 2073, Child Health Care Crisis Relief Act of 2007, S. 1893/HR 976, Childrens Health Insurance Program Reauthorization Act of 2007 S. 1337, Childrens Mental Health Parity Act S. 2086, SCHIP Extension Act of 2007 S. 2499, Medicare, Medicaid and SCHIP extension of 2007 S. 1814, Health Information Privacy and Security Act H.R. 2406, Healthcare Information Technology Enterprise Integration Act H.R. 5442, Technologies for Restoring Users' Security and Trust in Health Information Act (TRUST Act) H.R. 493, Genetic Information Nondiscrimination Act of 2007 S. 1693/ H.R. 3800, the Wired for Health Care Quality Act S. 358/H.R. 493, Genetic Information Nondiscrimination Act of 2007 H.R. 2260, Healthcare Truth and Transparency Act of 2007 H.R. 1368, the Personalized Health Information Act of 2007 H.R. 2991, Independent Health Record Trust Act of 2007 S. 2408/H.R. 4296, E-MEDS Act of 2007 H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 S. 3101, Medicare Improvements for Patients and Providers Act of 2008 H.R. 6357, PRO(TECH)T Act of 2008 H.R. 1424, Emergency Economic Stabilization Act (including mental health parity)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Justice, Dept of (DOJ), Natl Institute of Mental Health (NIMH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA), White House Office

Legislation regarding Medicare and Medicaid Reimbursement issues which include provisions to expand access, improve services, stabilize payments to hospitals and other providers under Medicaid, Medicare, and/or SCHIP by addressing reimbursement, parity, quality, self-referral, workforce, payment issues, rehabilitation hospitals, long term care hospitals, rural hospitals and various regulations. HR 2606, 340B Drug Expansion Act of 2007, to revise and expand the drug discount program under that section to improve the provision of discounts on drug purchases for certain safety net providers. S 355, Social Security and Medicare Solvency Commission Act, to create a permanent, 15-member commission to make recommendations on how best to save the entitlement programs HR 4105; the Medicare Recovery Audit Contractor Program Moratorium Act of 2007 that would enact a one-year, nationwide moratorium on the Recovery Audit Contract (RAC) program. H Con Res 312/S Con Res 70, fiscal year (FY)2009 budget resolutions, Medicare and Medicaid reductions HR 5480/S 2662, Medicare Funding Warning Response Act, various provisions S 2785, Save Medicare Act physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index reclassification. S. 3101; Medicare Improvements for Patients and Providers physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index HR 6331, Medicare Improvements for Patients and Providers Act physician payment, exceptions process for therapy caps, direct billing by independent labs for pathology services, cost-based payment for rural lab services, and provisions allowing certain hospitals to be eligible for wage index HR 6252/S3144, would delay for 18 months the Medicare competitive bidding program for durable medical equipment, prosthetics, orthotics and supplies. Supplemental Appropriations Act, 2008 (HR 2642) Sec. 7001. (a) Moratoria on Certain Medicaid Regulations HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program HR 7110: Job Creation and Unemployment Relief Act: Title III, temporary increase in Medicaid matching rate S 3656: Preserving Access to Healthcare (PATH) Act -- which would delay cuts to Medicare capital indirect medical education (IME) payments for six months provisions in the developing economic stimulus package to temporarily increase FMAP self-referral HR 1424; Paul Wellstone Mental Health and Addiction Equity Act provision banning the growth of physician-owned specialty hospitals workforce: HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp, rural health programs, childrens hospitals GME, S 543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program. HR 3162, "Children's Health and Medicare Protection Act" payment: HR 2206, U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act supplemental appropriations bill (HR 2206) contained moratorium on medicaid regulations regarding capping payment to public providers and GME HR 1480/1741/S 787, to place a two-year moratorium on the Centers for Medicare & Medicaid Services implementation of medicaid regulations regarding capping payment to public providers and GME funding from Section 1011 of the Medicare Modernization Act of 2003 (MMA), HR 1293, Access to Medicare Imaging Act stop the reduction Medicare reimbursements for some medical imaging services HR 882, Access to Emergency Services Act that would increase by 10 percent Medicare reimbursements to physicians who provide care in emergency departments (EDs) or post-stabilization care related to emergency medical conditions in other areas of hospitals HR 552/S 329, The Pulmonary and Cardiac Rehabilitation Act of 2007 to provide for coverage of items and services under a cardiac rehabilitation program and a pulmonary rehabilitation program. HR 3533/S2460, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 3668, TMA, Abstinence Education, and QI Programs Extension Act includes provision which would mitigate the impact of the behavioral offset in the FY08 Inpatient Prospective Payment System (IPPS) final rule S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals, Section 508 hospitals HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program the Fiscal Year (FY) 2009 inpatient prospective payment system (IPPS) final rule eliminated indirect medical education (IME) adjustments to teaching hospitals' capital payments proposed rule to implement National Defense Authorization Act for Fiscal Year 2002" requirement that TRICARE payment methods for outpatient hospital care be determined outpatient reimbursement rules used by Medicare S 3656: to delay cuts to Medicare capital indirect medical education (IME) payments for six months quality S 1226, Children's Health Care Quality Act would allow the Centers for Medicare & Medicaid Services to fund evidence-based demonstrations to improve hospital care for children. HR 1666, Health Care Price Transparency Promotion Act which would build on existing state efforts to report hospital pricing data and require insurers to disclose estimated out-of-pocket costs to consumers S 465; Advance Directives Improvement and Education Act of 2007" to improve access to information about healthcare options and legal rights for care near the end of life rehabilitation hospitals, S543/HR 1459, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007"; to extend the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility under the Medicare program S 2499; Medicare, Medicaid, and SCHIP Extension Act Permanently freezes the inpatient rehabilitation services compliance threshold at 60 percent, rural hospitals, S 1605/HR 2860, Health Care Access and Rural Equity Act (H-CARE) S 1595, Critical Access Hospital Flexibility Act CAHs would gain flexibility to respond to daily and seasonal fluctuations in patient load S 2499;; Medicare, Medicaid, and SCHIP Extension Act Extends for six months the work geographic index floor, for six months the provision that allows independent laboratories to continue to bill Medicare directly for the technical component of certain physician pathology services, Provides reasonable cost reimbursement for clinical lab tests performed by certain small rural hospitals long term care hospitals: HR 562/S338, Medicare Long-Term Care Hospital Improvement establishing facility and patient criteria for long-term care hospitals and related improvements under the Medicare Program. S 2499; Medicare, Medicaid, and SCHIP Extension Act Provides regulatory relief for three years to ensure continued access to current long-term care hospital services, while also imposing a limited moratorium on the development of new, long-term care facilities. Medicaid, HR 2512, Reducing Coverage Gaps for Kids Act To amend titles XIX and XXI of the Social Security Act to prohibit States from requiring eligibility determinations for children for benefits under the Medicaid Program and the State Children's Health Insurance Program (SCHIP) more frequently than once every year. HR 2147, Healthy Kids Act to amend titles XXI and XIX of the Social Security Act to extend the State Children's Health Insurance Program (SCHIP) and streamline enrollment under SCHIP and Medicaid and to amend the Internal Revenue Code of 1986 to provide for a healthy savings tax credit for purchase of children's health coverage. HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 1878, To amend title XIX of the Social Security Act to permit States, at their option, to require certain individuals to present satisfactory documentary evidence of proof of citizenship or nationality for purposes of eligibility for Medicaid HR 3533/S2460 "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME HR 5613, Protecting the Medicaid Safety Net Act, temporary, one-year moratorium on seven Medicaid regulations S 2819, Economic Recovery in Health Care Act to implement a one-year moratorium on proposed regulatory changes to Medicaid and the State Childrens Health Insurance Program (SCHIP), and to provide states in need with federal relief HR 2462, the supplemental funding bill for Iraq and Afghanistan provision to place a temporary, one-year moratorium on seven Medicaid regulations, including the rules to limit Medicaid payments to public hospitals and to eliminate Government Medical Education (GME). SCHIP: S 1224, that would reauthorize the State Childrens Health Insurance Program and expand it to allow additional coverage to six million children within 10 years S 895/HR 1535, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act S. 1893, the Children's Health Insurance Program Reauthorization Act of 2007 S 2049, The Better Health for America's Children Act," to block a new policy to limit states' ability to enroll children in the State Children's Health Insurance Program S 2152, Kids First Actalternative SCHIP bill that would restrict coverage to individuals younger than age 19 in low-income families HR 3963; Children's Health Insurance Program Reauthorization Act revised bill to extend and expand the State Childrens Health Insurance Program (SCHIP) S 2499 the bill extends SCHIP through March 31, 2009, and provides adequate funding to states to maintain their current enrollment through that date. HR 3533, "Public & Teaching Hospital Preservation Act" to extend a moratorium prohibiting CMS from implementing the Medicaid proposed rule that would limit Medicaid payments to public hospitals and narrow the definition of government provider and eliminate Medicaid GME regulations including, but not limited to, provisions of PL 106-554, Consolidated Appropriations Act, provisions related to critical access hospitals, inpatient hospital services Direct Graduate Medical Education, Hospital Outpatient Services, Skilled Nursing Facilities, State Children's Health Insurance Program PL 108-173, Medicare Prescription Drug, Improvement, and Modernization Act, provisions related to rural hospitals, inpatient hospital services, skilled nursing facilities, hospice care, hospital outpatient departments, health care quality PL 109-171; Deficit Reduction Act, provisions related to rehabilitation hospitals, medicaid DSH payment, medicare-dependent hospitals, gainsharing, Medicaid, SHCHIP the FY08 IPPS proposed rule, proposed Medicaid rule (CMS 2258-P), the Recovery Audit Contract (RAC) demonstration.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE, White House Office

S.458 Physician Pathology Continuity Act, S.558 The Mental Health Parity Act of 2007; S.630 Rural Health Services Preservation Act, S.860 Early Treatment for HIV Act; S.969 Oppose reversal of NLRB guidance on when charge nurses are classified as supervisors, S.1041 Employee Free Choice Act - Oppose Card Check process S.1604 Nursing Education and Quality of Health Care Act of 2007 S.1693 Health Information Exchange S.2041 The False Claims Act Correction Act of 2007 S.2460 Extend Moratorium on Medicaid Regulations affecting Intergovernmental Transfers S.2499 Medicare, Medicaid, and SCHIP Extension Act of 2007 S.2620 Temporary increase in federal medical assistance percentages under Medicaid program S.2819 Extend and Establish Moratorium on Medicaid Rules; increase FMAP H.R.800 Employee Free Choice Act Oppose Card Check process H.R.866 Secret Ballot Protection Act H.R.976 Childrens Health Insurance Reauthorization Act of 2007 H.R.1105 Physician Pathology Services Continuity Act H.R.1177 Sole Community Hospital Preservation Act H.R.1424 Paul Wellstone Mental Health & Addiction Equity Act of 2007 H.R.1644 Oppose reversal of NLRB guidance on when charge nurses are classified as supervisors H.R.1663 Medicare Mental Health Modernization Act of 2007 H.R.2159 rural Health Services Preservation Act H.R.2406 Establishes NIST Role in Standard Setting for Health IT H.R.3162 Children Health and Medicare Protection Act of 2007 H.R.3326 Early Treatment for HIV Act H.R.3533 Public and Teaching Hospital Preservation Act, H.R.4105 One-year Moratorium on the Recovery Audit Contractor (RAC) program H.R.4854 False Claims Act Correction Act of 2007 H.R.5268 Temporary increase in federal medical assistance percentages under Medicaid program H.R.5613 Extend and Establish Moratorium on Medicaid Rules FFY 2009 Budget and Budget Resolutions/Medicare and Medicaid Cuts FFY 2009 Labor, Health and Human Services, Education and Pension Appropriations bill FFY 2009 Medicare Inpatient Hospital PPS Rules CY 2009 Medicare Inpatient Psychiatric Facility PPS Rules FFY 2009 Medicare Inpatient Rehabilitation Facility PPS and 75% Rule, Rules CY 2009 Medicare Outpatient PPS Rules FFY 2009 Medicare Skilled Nursing Facility PPS Rules CY 2009 Medicare Home Health Agency PPS Rules CY 2009 Medicare Physician Fee Schedule Update CMS Proposed Rule to Limit Intergovernmental Transfers and Certified Public Expenditures CMS Proposed Value-Based Purchasing Program CMS Proposed Rule on Medicaid Graduate Medical Education Payments State Childrens Health Insurance Program funding IRS Form 990 Revision Stark and physician self-referral regulations Hospital pricing transparency Not-for-profit hospital tax-exempt status Medicaid regulations affecting public hospitals, GME, provider tax, outpatient coverage, targeted case management, rehabilitation and school based health Pay for Performance / value based purchasing Health information technology Hospital charity care/financial aid Coverage for undocumented immigrants Associated health plans Coverage for the uninsured Health savings accounts and high-deductible health plans Emergency preparedness Immigration Medicare wage index Community benefit reporting Mental health parity Limited service hospitals Department of Housing and Urban Developments Federal Housing Assistance mortgage program for hospitals Defined benefit pension plans National Institute of Health funding Health care workforce recruiting and training funding Hospital infection reporting Medical error reporting Hospital performance measure reporting Medicare Recovery Audit Contractor Demonstration Project/national expansion Competitive bidding for clinical laboratory services Expansion of the Medicaid 340B drug pricing program CMS August 17th directive to states establishing new requirements for increasing SCHIP coverage False claims act expansion Medicare funding warning/trigger Medicare GME residency slot distribution National Health Service Corp funding Public Health Service Act nursing and allied health professions program funding HRSAs health professions shortage areas and medically underserved areas H.R. 6357 Protecting Records, Optimizing Treatment and Easing Communications through Healthcare Technology Act of 2008 H.R. 2642 Supplemental Appropriations Act, 2008 H.R. 6357 Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 H.R. 2642 Supplemental Appropriations Act, 2008

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

FEDERAL TRADE COMMISSION: COMMUNICATIONS COVERING PROJECTED HOMEOWNERS CREDIT-SCORING DEPARTMENT OF TREASURY: COMMUNICATIONS WITH THE TERRORISM INSURANCE OFFICE, RE: TERRORISM RISK INSURANCE ACT OF 2002 FEDERAL EMERGENCY MANAGEMENT AGENCY: PENDING CLAIM PAYMENTS FOR THE CERRO GRANDE FIRE FUND S2499: MEDICARE, MEDICAID, AND STATE CHILDREN'S HEALTH INSURANCE PROGRAM EXTENSION ACT OF 2007; SEC. 111 AND LIABILITY INSURANCE PROVISIONS HR3200/S40: NATIONAL INSURANCE ACT OF 2007; ALL PROVISIONS OF THE OPTIONAL FEDERAL CHARTER BILLS DEPARTMENT OF TREASURY PROPOSAL: BLUEPRINT FOR FINANCIAL SERVICES REGULATORY REFORM, DISCUSSION ON SECTIONS ON INSURANCE REGULATION HR 5611: NATIONAL ASSOCIATION OF REGISTERED AGENTS AND BROKERS REFORM ACT OF 2008; ALL PROVISIONS OF THE BILL S2284: FLOOD INSURANCE REFORM AND MODERNIZATION ACT; ALL PROVISIONS OF THE BILL HR3121: FLOOD INSURANCE MODERNIZATION ACT OF 2007; NATIONAL FLOOD INSURANCE PROGRAM AND REAUTHORIZATION DISCUSSION, PROVISIONS RELATING TO THE PROPERTY AND CASUALTY INSURANCE INDUSTRY AND WRITE-YOUR-OWN PROGRAM, AND ALL PERILS POLICY PROVISIONS HR3355: HOMEOWNERS' DEFENSE ACT OF 2007; ALL PROVISIONS OF THE BILL HR5633: NONDISCRIMINATORY USE OF CONSUMER REPORTS AND CONSUMER INFORMATION ACT OF 2008; ALL PROVISIONS OF THE BILL RISK RETENTION ACT; ALL ASPECTS OF THE BILL (NO NUMBER ASSIGNED) MOTOR VEHICLE TITLING/SALVAGE (NO NUMBER ASSIGNED)

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

Government targets: Federal Emergency Management Agency (FEMA), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

HR 1932 Medicare Academic Anesthesiology and CRNA Payment Improvement Act; HR 2053 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 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

S.458 Physician Pathology Services Continuity Act, S. 558 The Mental Health Parity Act of 2007, S.630 Rural Health Services Preservation Act, S.860 Early Treatment for HIV Act, S.969 Oppose Reversal of NLRB guidance on when charge nurses are classifed as supervisors, S.1041 Employee Free Choice Act-Oppose Card Check process, S.1604 Nursing Education and Quality of Health Care Act of 2007, S.1693 Health Information Exchange, S.2041 The False Claims Act Correction Act of 2007, S.2460 Extend S.2460 Extend Moratorium on Medicaid Regulations affecting Intergovernmental Transfers, S.2499 Medicare, Medicaid, and SCHIP Extension Act of 2007, S.2620 Temporary increase in federal medical assistance percentages under Medicaid program S.2819 Extend and Establish Moratorium on Medicaid Rules; increase FMAP, S.3101 The Medicare Improvements for Patients and Providers Act S.3656 Preserving Access to Healthcare (PATH) Act of 2008 H.R.800 Employee Free Choice Act Oppose Card Check process H.R.866 Secret Ballot Protection Act H.R.976 Childrens Health Insurance Reauthorization Act of 2007 H.R.1105 Physician Pathology Services Continuity Act H.R.1177 Sole Community Hospital Preservation Act H.R.1424 Paul Wellstone Mental Health & Addiction Equity Act of 2007 H.R.1644 Oppose reversal of NLRB guidance on when charge nurses are classified as supervisors H.R.1663 Medicare Mental Health Modernization Act of 2007 H.R.2159 rural Health Services Preservation Act H.R.2406 Establishes NIST Role in Standard Setting for Health IT H.R.2638 Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009 continuing resolution 2009 H.R.2642, supplemental appropriations Act, 2008 H.R.3162 Children Health and Medicare Protection Act of 2007 H.R.3326 Early Treatment for HIV Act H.R.3533 Public and Teaching Hospital Preservation Act, H.R.4105 One-year Moratorium on the Recovery Audit Contractor (RAC) program H.R.4854 False Claims Act Correction Act of 2007 H.R.5268 Temporary increase in federal medical assistance percentages under Medicaid program H.R.5480 Medicare Funding Warning Response Act of 2008 H.R.5613 Extend and Establish Moratorium on Medicaid Rules H.R.5924 Emergency Nursing Supply Relief Act H.R.6331 Physician Medicare payment relief H.R.6357 Protecting records, optimizing treatment, and easing communication through healthcare technology H.R.6898 Health-e IT Act of 2008 H.R.7067 Quality FIRST Act of 2008 H.R.7110 Job Creation and Unemployment Relief Act of 2008-FMAP Provision H.R.7219 The Protecting Hospital Outpatient and Community Clinic Services Act of 2008 H.R.7241 Preserving Access to Healthcare (PATH) Act of 2008 H.Res.1368 Relating to the House procedures contained in Section 803 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 FFY 2009 Budget and Budget Resolutions/Medicare and Medicaid Cuts FFY 2009 Labor, Health and Human Services, Education and Pension Appropriations bill FFY 2009 Medicare Inpatient Hospital PPS Rules CY 2009 Medicare Inpatient Psychiatric Facility PPS Rules FFY 2009 Medicare Inpatient Rehabilitation Facility PPS and 75% Rule, Rules CY 2009 Medicare Outpatient PPS Rules FFY 2009 Medicare Skilled Nursing Facility PPS Rules CY 2009 Medicare Home Health Agency PPS Rules CY 2009 Medicare Physician Fee Schedule Update CMS Proposed Rule to Limit Intergovernmental Transfers and Certified Public Expenditures CMS Proposed Value-Based Purchasing Program CMS Proposed Rule on Medicaid Graduate Medical Education Payments State Childrens Health Insurance Program funding IRS Form 990 Revision Stark and physician self-referral regulations Hospital pricing transparency Not-for-profit hospital tax-exempt status Medicaid regulations affecting public hospitals, GME, provider tax, outpatient coverage, targeted case management, rehabilitation and school based health Pay for Performance / value based purchasing Health information technology Hospital charity care/financial aid Coverage for undocumented immigrants Associated health plans Coverage for the uninsured Health savings accounts and high-deductible health plans Emergency preparedness Immigration Medicare wage index Community benefit reporting Mental health parity Limited service hospitals Department of Housing and Urban Developments Federal Housing Assistance mortgage program for hospitals Defined benefit pension plans National Institute of Health funding Health care workforce recruiting and training funding Hospital infection reporting Medical error reporting Hospital performance measure reporting Medicare Recovery Audit Contractor Demonstration Project/national expansion Competitive bidding for clinical laboratory services Expansion of the Medicaid 340B drug pricing program CMS August 17th directive to states establishing new requirements for increasing SCHIP coverage False claims act expansion Medicare funding warning/trigger Medicare GME residency slot distribution National Health Service Corp funding Public Health Service Act nursing and allied health professions program funding HRSAs health professions shortage areas and medically underserved areas

Client expense: Not reported · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

S.458 Physician Pathology Services Continuity Act; S.558 The Mental Health Parity Act of 2007; S.630 Rural Health Services Preservation Act; S.860 Early Treatment for HIV Act; S.969 Oppose reversal of NLRB guidance on when charge nurses are classified as supervisors; S.1041 Employee Free Choice Act-Oppose Card Check process; S.1604 Nursing Education and Quality of Health Care Act of 2007; S.1693 Health Information Exchange; S.2041 The False Claims Act Correction Act of 2007; S.2460 Extend Moratorium on medicaid regulations affecting intergovernmental transfers; S.2499 Medicare, medicaid, and SCHIP extension act of 2007; S.2620 Temporary increase in federal medical assistance percentages under Medicaid program; S.2819 Extend and establish moratorium on Medicaid rules; increase FMAP; S.3101 the Medicare improvements for patients and providers act; S.3656 Preserving access to healthcare (PATH) act of 2008; H.R.800 Employee free choice act (oppose card check process); H.R.866 Secret ballot protection act; H.R.976 Children's health insurance reauthoriation act of 2007; H.R.1105 Physician pathology services continuity act; H.R.1177 Sole commuunity hospital preservation act; H.R.1424 Paul Wellstone mental health and addiction equity act of 2007; H.R.1644 Oppose reversal of NLRB quidance on when charge nurses are classified as supervisors; H.R.1663 Medicare mental health modernization act of 2007; H.R.2159 Rural health services preservation act; H.R.2406 establishes NIST role in standard setting for health IT; H.R.2638 Consolidated security, disaster assistance, and continuing appropriations act, 2009; Continuing resolution 2009; H.R.2642 Supplemental appropriations act, 2008; H.R.3162 Children health and Medicare protection act of 2007; H.R.3326 Early treatment for HIV act; H.R.3533 Public and teaching hospital preservation Act; H.R.4105 One-year moratorium on the Recovery Audit Contractor (RAC) program; H.R.4854 False Claims Act Correction Act of 2007; H.R.5268 Temporary increase in federal medical assistance percentages under Medicaid program; H.R.5480 Medicare funding warning response act of 2008; H.R.5613 Extend and establish moratorium on Medicaid rules; H.R.5924 Emergency nursing supply relief act; H.R.6331 Physician Medicare payment releif; H.R.6357 Protecting records, optimizing treatment, and easing communication through healthcare technology; H.R.6898 Health-E IT Act of 2008; H.R.7067 Quality FIRST Act of 2008; H.R.7110 Job Creation and Unemployment Relief Act of 2008-FMAP Provision; H.R.7219 the Protecting Hospital and outpatient and community clinic services act of 2008; H.R.7241 Preserving access to health care (PATH) Act of 2008; H.Res.1368 Relating to the House procedures contained in Section 803 of the Medicare prescription drug improvement and modernization act of 2003; FFY 2009 budget and budget resolutions/Medicare and Medicaid cuts; FFY 2009 Labor, health and human services, education and pension appropriations bill; FFY 2009 Medicare Inpatient hospital PPS rules; CY 2009 Medicare inpatient Psychiatric facility PPS rules; FFY 2009 Medicare inpatient rehabiltiation facility PPS and "75% rule," rules; CY 2009 Medicare otupatient PPS rules; FFY 2009 Medicare skilled nursing facility PPS rules; CY 2009 Medicare home health agency PPS rules; CY 2009 Medicare physician fee schedule update; CMS proposed rule to limit intergovernmental transfers and certified public expenditures; CMS proposed value-based purchasing program; CMS proposed rule on Medicad graduate medical education payments; State childrens health insurance program funding; IRS Form 990 revision; "Stark" and physician self-referral regulations; Hospital pricing transparency; Not-for-profit hospital tax-exempt status; Medicaid regulations affecting public hospitals, GME, provider tax, outpatient coverage, targeted case management, rehabilitation and school based health; pay for performance/value based purchasing; health information technology; hospital charity care/financial aid; Coverage for undocumented immigrants; Associated health plans; Coverage for the uninsured; Health savings accounts and high-deductibel health plans; Emergency preparedness; Immigration; Medicare wage index; Community benefit reporting; mental health parity; Limited service hospitals; Department of Housing and Urban Development's federal housing assistance mortage program for hospitals; Defiend benefit pension plans; National Institute of Health funding; Health care workforce recruting and training funding; Hospital infection reporting; Medical error reporting; Hospital performance measure reporting; Medicare Recovery Audit contractor Demonstration Project/national expansion; Competitive bidding for clinical laboratory services; Expansion of the Medicaid 340b drug pricing program; False claims act expansion; Medicare funding warning/"trigger"; Medicare GME residency slot distribution; National Health Service Corp. funding; CMS directive to states establishing new requirements for increasing SCHIP coverage; Public Health Service Act nursing and allied health professions program funding; HRSA's health professions shortage areas and medically underserved areas.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

Medicare and Medicaid Issues: SCHIP Extension Act - S 2499, CHAMP Act HR 3162, Medicare Improvement for Patients and Providers Act - HR 6331

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 5309: Matters relating to reform of Medicare secondary payer rules applicable to workers compensation settlement agreements. HR 2459 amendments to Medicare Secondary Payer Act, S. 2499.

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

Government targets: Commerce, Dept of (DOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

S.3656, H.R. 7241 - Preserving Access to Healthcare (PATH) Act S. 2499 - Medicare, Medicaid, and SCHIP Extension Act of 2007 H.R. 2606 - The 340B Program Improvement and Integrity Act of 2007 S. 1376 - The 340B Program Improvement and Integrity Act of 2007 H.R. 3453 The Community Clinical Laboratory Fairness in Competition Act of 2007 HR 5613 - Protecting the Medicaid Safety Net Act of 2007 S.543 - Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007 S. 2099 - the Preserving Access to Laboratory Services Act of 2007 H.R. 6331/S.3101 - Medicare Improvements for Patients and Providers Act of 2008

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

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

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

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

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

Implementation of Medicare Modernization Act; Kidney Care Quality and Education Act (H.R. 1193/S. 691); Health care quality; pay-for-performance; prevention and wellness; The Children's Health and Medicare Protection (CHAMP) Act of 2007 (H.R. 3162); The Medicare, Medicaid, and SCHIP Extension Act of 2007 (S. 2499); H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 (Public Law No: 110-275); S.3101, Medicare Improvements for Patients and Providers Act of 2008; S.3118, Preserving Access to Medicare Act of 2008

Client expense: Not reported · Firm income: $150,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicaid Reform; Implementation of Medicare Modernization Act; Kidney Care Quality and Education Act (H.R. 1193/S. 691); Health care quality; pay-for-performance; prevention and wellness; The Children's Health and Medicare Protection (CHAMP) Act of 2007 (H.R. 3162); The Medicare, Medicaid, and SCHIP Extension Act of 2007 (S. 2499); H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 (Public Law No: 110-275); S.3101, Medicare Improvements for Patients and Providers Act of 2008; S.3118, Preserving Access to Medicare Act of 2008

Client expense: Not reported · Firm income: $150,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of Medicare Modernization Act; Kidney Care Quality and Education Act (H.R. 1193/S. 691); Health care quality; pay-for-performance; prevention and wellness; The Children's Health and Medicare Protection (CHAMP) Act of 2007 (H.R. 3162); The Medicare, Medicaid, and SCHIP Extension Act of 2007 (S. 2499); H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008; S.3101, Medicare Improvements for Patients and Providers Act of 2008; S.3118, Preserving Access to Medicare Act of 2008

Client expense: Not reported · Firm income: $70,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE