Rural Physicians Relief Act of 2007

S.3: Medicare Prescription Drug Price Negotiation Act of 2007 S.158: Access to Affordable Health Care Act S. 273: Prescription Drug and Health Improvement Act of 2007 S. 290: Rural Physicians Relief Act of 2007 S. 334: Healthy Americans Act S. 397: Tax Equity and Affordability Act of 2007 S. 498: Rural Medicare Equity Act of 2007 S. 1342: HeLP America Act S. 1605: Craig Thomas Rural Hospital and Provider Equity Act of 2007 S. 1710: Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2008 S. 2785: Save Medicare Act of 2008 S. 2603: Medicare Fraud Prevention Act of 2008 S. 2687: Medicare Beneficiary Protection Act of 2008 S. 2786: Medicare Rural Health Access Improvement Act of 2008 H.R.4: Medicare Prescription Drug Price Negotiation Act of 2007 H.R.15: National Health Insurance Act H.R.118: To amend part D of title XVIII of the Social Security Act to authorize the Secretary of Health and Human Services to negotiate prices for part D covered drugs for Medicare beneficiaries. H.R.205: Medicare Prescription Drug Enrollment Extension Act of 2007 H.R.298: Flexible Spending Accounts Growth and Opportunities Act of 2007 HR 914: Tax Equity and Affordability Act of 2007 H.R. 1651: Rural Health Quality Advisory Commission Act of 2007 HR 2056: Medicare Part D Improvement Act of 2007 HR 2633: HeLP America Act (Introduced in House) HR 2860: Health Care Access and Rural Equity (H-CARE) Act of 2007 HR 3014: Health Equity and Accountability Act of 2007 H.R. 3043: Department of Health and Human Services Appropriations Act, 2008 HR 3163: Healthy Americans HR 4848: To extend for one year parity in the application of certain limits to mental health benefits, and for other purposes HR 1424: Paul Wellstone Mental Health and Addiction Equity Act of 2007 HR 5445: To amend part B of title XVIII of the Social Security Act to increase Medicare payments for physicians' services through December 31, 2009.

Client expense: $1,006,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

See attached Iroquois Healthcare Alliance Federal legislation for January 1 - March 31, 2008 Federal Budget FFY 2009 (specifically related to health and human services issues and physician and hospital issues) S. 1710.PCS/ H.R. 3043.RH Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2008 H.R. 4105 Medicare Recovery Audit Contractor Program Moratorium Act of 2007 (impose a moratorium on the use of recovery audit contractors under the Medicare Integrity Program) H.R. 3533 The Public and Teaching Hospital Preservation Act (extends moratorium on Medicaid regulations -- To extend by one year the moratorium on implementation of a rule relating to the Federal-State financial partnership under Medicaid and the State Children's Health Insurance Program and on finalization of a Medicaid rule regarding graduate medical education ) S. 2499. ES/ S.2499.CPS Medicare, Medicaid, and SCHIP Extension Act of 2007 S.1605A Craig Thomas Rural Hospital and Provider Equity Act of 2007 (amends SSA to protect and preserve access of Medicare beneficiaries in rural areas) S.2729 Ensuring the Future Physician Workforce Act of 2008 (amends title XVIII of the Social Security Act to modify Medicare physician reimbursement policies to ensure a future physician workforce, and for other purposes) S.2729.IS / H.R. 5545.IH Ensuring the Future Physician Workforce Act of 2008 H.R. 410. IH United States Physician Shortage Elimination Act of 2007 (to amend the Public Health Service Act to increase the number of primary care physicians serving health professional shortage areas) S. 290.IS Rural Physicians Relief Act of 2007 (to amend the Internal Revenue Code of 1986 to provide a tax credit to rural primary health providers ) H.R.1358.IH Nursing Relief Act of 2007 ( To create a new nonimmigrant visa category for registered nurses, and for other purposes)

S. 3: Medicare Prescription Drug Price Negotiation Act of 2007 S. 158: Access to Affordable Health Care Act S. 273: Prescription Drug & Health Improvement Act of 2007 S. 290: Rural Physicians Relief Act of 2007

Client expense: $2,087,545 · Firm income: Not reported

S. 334: Healthy Americans Act - Entire bill S. 397: Tax Equity and Affordability Act of 2007 - Entire bill S. 498: Rural Medicare Equity Act of 2007 - Entire bill S. 1342: HeLP America Act - Entire bill S. 1605: Craig Thomas Rural Hospital and Provider Equity Act of 2007- Entire bill S. 1710: Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2008 - Entire bill H.R.4: Medicare Prescription Drug Price Negotiation Act of 2007 - Entire bill H.R.15: National Health Insurance Act - Entire bill H.R.118: To amend part D of title XVIII of the Social Security Act to authorize the Secretary of Health and Human Services to negotiate prices for part D covered drugs for Medicare beneficiaries. - Entire bill H.R.205: Medicare Prescription Drug Enrollment Extension Act of 2007 - Entire bill H.R.298: Flexible Spending Accounts Growth and Opportunities Act of 2007 - Entire bill HR 914: Tax Equity and Affordability Act of 2007 - Entire bill H.R. 1651: Rural Health Quality Advisory Commission Act of 2007 - Entire bill HR 2056: Medicare Part D Improvement Act of 2007 - Entire bill HR 2633: HeLP America Act (Introduced in House) - Entire bill HR 2860: Health Care Access and Rural Equity (H-CARE) Act of 2007 - Entire bill HR 3014: Health Equity and Accountability Act of 2007 - Entire bill H.R. 3043: Department of Health and Human Services Appropriations Act, 2008 - Entire bill HR 3163: Healthy Americans Act - Entire bill S. 3 - Medicare Prescription Drug Price Negotiation Act of 2007. - Entire bill S. 158 - Access to Affordable Health Care Act. - Entire bill S. 273 - Prescription Drug and Health Improvement Act of 2007. - Entire bill S. 290 - Rural Physicians Relief Act of 2007. - Entire bill

Client expense: $1,950,959 · Firm income: Not reported

Iroquois Healthcare Alliance Federal legislation for January 1 – June 30, 2007: Physician Shortage Elimination Act of 2007 [S.896.IS] United States Physician Shortage Elimination Act of 2007 [H.R.410. IH] 340B Program Improvement and Integrity Act of 2007 [H.R. 2606] [S1376.IS] Nurse Faculty Higher Education Act [H.R.2384] Health Care Access and Rural Equity (H-CARE) Act of 2007[H.R.2860.IH] Allied Health Reinvestment Act [S.605.IS] Wired for Health Care Quality Act [S.1693 IS] Allied Health Professions Reinvestment Act of 2005 [H.R.215.IH][S.473.IS] Healthy Communities Act of 2007 [S.1068.IS] Healthy Hospitals Act of 2007 [H.R.1174] Ensuring the Future Physician Workforce Act of 2007 [H.R. 2585 IH] Rural Physicians Relief Act of 2007 [S.290.IS] National Health Information Incentive Act of 2007 [H.R.1952 IH] National Health Information Technology & Privacy Advancement Act of 2007 [S. 1455] Rural Preventive Health Care Training Act of 2007 [S.53.IS] Critical Access to Health Information Technology Act of 2007 [S.628.IS] Rural Health Services Preservation Act of 2007 [S.630.IS] [H.R.2159 .IH] [H.R.1563] SCHIP Reauthorization and Reform Act of 2007 [H.R. 3176] Revised Continuing Appropriations Resolution, 2007 [H.J.RES.20.RDS], [H.J.RES.20.EH], [H.J.RES.20.IH], [H.J.RES.20.ENR], [H.J.RES.20.PCS] FFY 2008 Budget and Budget Resolutions FFY 2008 Labor, Health and Human Services, Education and Pension Appropriations Bill See attached

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

S. Con. Res. 21, 2008 Federal Budget Resolution, Budget resolutions would include funding for Medicare payments to physicians, Children’s health insurance program and Health Professions Grants for Family Medicine Training. S. 290, Rural Physicians’ Relief Act, The bill would provide primary care physicians with a $1000 tax credit for each month she provided services in a designated “frontier” area. S. 498, Rural Medicare Equity Act, The bill would provide additional support payments for physicians in rural areas. S. 558, Paul Wellstone Mental Health Equitable Treatment Act, The bill would require insurers offering mental health coverage impose financial requirements for mental health benefits that are no more restrictive than those applied to other medical benefits. S. 588, The Resident Physician Shortage Reduction Act of 2007, Increase the number of residency slots in rural areas. S. 1218, Medicare for All, The bill would extend Medicare coverage to all Americans who are not otherwise covered by health insurance. S. 1224, Children’s Health Insurance Program Reauthorization Act, The bill extends the Children’s Health Insurance Program; the House version should include Medicare physician payment provisions. S. 1710, 2008 Labor, HHS, and Education Appropriations Act, The bill would fund grants for health professions development programs and the Agency for Healthcare Research and Quality. S. 1307, Medicare Provider Accountability Act, The bill would have CMS withhold Medicare payments from providers who owe federal taxes. H. Con. Res. 99, 2008 Federal Budget Resolution, Budget resolutions would include funding for Medicare payments to physicians, Children’s health insurance program and Health Professions Grants for Family Medicine Training. HR 1424, Paul Wellstone Mental Health Equitable Treatment Act, The bill would require insurers offering mental health coverage impose financial requirements for mental health benefits that are no more restrictive than those applied to other medical benefits. HR 1591, FY 2007 Supplemental Spending Act, The bill would provide funding to cover the SCHIP shortfall, delay proposed Medicaid rules on GME and IGTs, require the use of tamper-proof prescription pads, and fund flu pandemic preparation and response efforts. HR 1730, The Rural Medicare Equity Act, Increase rural representation on MedPAC. HR 1781, Children’s Health Insurance Program Reauthorization Act, The bill extends the Children’s Health Insurance Program; the House version should include Medicare physician payment provisions. HR 2034, Medicare for All, The bill would extend Medicare coverage to all Americans who are not otherwise covered by health insurance. HR 2206, FY 2007 Supplemental Spending Act, The bill would provide funding to cover the SCHIP shortfall, delay proposed Medicaid rules on GME and IGTs, require the use of tamper-proof prescription pads, and fund flu pandemic preparation and response efforts. HR 2860, Health Care Access and Rural Equity (H-CARE) Act of 2007, Improve Medicare payment and access. HR 3038, Medicare Physician Payment Reform Act of 2007, Revise the sustainable growth rate formula. HR 3043, 2008 Labor, HHS, and Education Appropriations Act, The bill would fund grants for health professions development programs and the Agency for Healthcare Research and Quality. No Bill Number, Graduate Medical Education Funding Formula, Interpret “all or substantially all.” No Bill Number, Children’s Health and Medicare Protection Act of 2007, Revise the Medicare SGR formula. No Bill Number, Voluntary Medicare Quality Reporting Act of 2007, Stop the physician quality reporting initiative.

S. 290, Rural Physicians’ Relief Act, The bill would provide primary care physicians with a $1000 tax credit for each month she provided services in a designated “frontier” area. S. 334, Healthy Americans Act, The bill would create tax credits for health insurance. S. 1066, Medical Education Affordability Act, Medical student loan debt relief. S. 1307, Medicare Provider Accountability Act, The bill would have CMS withhold Medicare payments from providers who owe federal taxes. S. 1693, Wired for Health Care Quality Act, The bill would provide grants to physician practices to implement health information technology. HR 1332, Small Business Lending Improvements Act, The bill would provide special loan incentives to encourage medical professionals to locate in designated shortage areas.

Client expense: $1,250,381 · Firm income: Not reported

S. Con. Res. 21, 2008 Federal Budget Resolution, Budget resolutions would include funding for Medicare payments to physicians, Children’s health insurance program and Health Professions Grants for Family Medicine Training. S. 290, Rural Physicians’ Relief Act, The bill would provide primary care physicians with a $1000 tax credit for each month she provided services in a designated “frontier” area. S. 334, Healthy Americans Act, The bill would create tax credits for health insurance. S. 358, Genetic Information Nondiscrimination Act, The bill would prohibit genetic discrimination by employers and health insurance providers. S. 498, Rural Medicare Equity Act, The bill would provide additional support payments for physicians in rural areas. S. 558, Paul Wellstone Mental Health Equitable Treatment Act , The bill would require insurers offering mental health coverage impose financial requirements for mental health benefits that are no more restrictive than those applied to other medical benefits. S. 624, National Breast and Cervical Cancer Early Detection Program Reauthorization Act, The bill would reauthorize programs for subsidized mammography exams, PAP tests, and other screenings. S. 625, Family Smoking Prevention and Tobacco Control Act, The bill would allow the Food and Drug Administration to regulate tobacco products. AAFP supports this from a public health perspective. S. 634, Newborn Screening Saves Lives Act of 2007, Authorize HRSA grants for education and training in newborn screening for congenital, genetic, and metabolic disorders. S. 657, Trauma Care Systems Planning and Development Act, The bill would authorize several emergency services and trauma care programs. S. 1066, Medical Education Affordability Act, Medical student loan debt relief. S. 1218, Medicare for All, The bill would extend Medicare coverage to all Americans who are not otherwise covered by health insurance. S. 1224, Children’s Health Insurance Program Reauthorization Act, The bill extends the Children’s Health Insurance Program; the House version should include Medicare physician payment provisions. S. 1481, Fair and Reliable Medical Justice Act, Medical liability reform. S. 1693, Wired for Health Care Quality Act, The bill would provide grants to physician practices to implement health information technology. S. 1710, 2008 Labor, HHS, and Education Appropriations Act, The bill would fund grants for health professions development programs and the Agency for Healthcare Research and Quality. H. Con. Res. 99, 2008 Federal Budget Resolution, Budget resolutions would include funding for Medicare payments to physicians, Children’s health insurance program and Health Professions Grants for Family Medicine Training. HR 140, US. Physician Shortage Elimination Act, The bill would provide scholarships and tuition assistance for family medicine students and grants for physicians who practice in community health centers. HR 477, Stroke Treatment and Ongoing Prevention Act, The bill would authorize several programs related to education, prevention and treatment of stroke and to encourage the use of telemedicine. HR 493, Genetic Information Nondiscrimination Act, The bill would prohibit genetic discrimination by employers and health insurance providers. HR 727 (PL110-23), Trauma Care Systems Planning and Development Act, The bill would authorize several emergency services and trauma care programs. HR 1108, Family Smoking Prevention and Tobacco Control Act, The bill would allow the Food and Drug Administration to regulate tobacco products. AAFP supports this from a public health perspective. HR 1132 (PL110-18), National Breast and Cervical Cancer Early Detection Program Reauthorization Act, The bill would reauthorize programs for subsidized mammography exams, PAP tests, and other screenings. HR 1332, Small Business Lending Improvements Act, The bill would provide special loan incentives to encourage medical professionals to locate in designated shortage areas. HR 1368, Personalized Health Information Act, The bill would require HHS to establish a program to provide financial incentives for the establishment of interactive personal health records for Medicare beneficiaries. HR 1424, Paul Wellstone Mental Health Equitable Treatment Act , The bill would require insurers offering mental health coverage impose financial requirements for mental health benefits that are no more restrictive than those applied to other medical benefits. HR 1591, FY 2007 Supplemental Spending Act, The bill would provide funding to cover the SCHIP shortfall, delay proposed Medicaid rules on GME and IGTs, require the use of tamper-proof prescription pads, and fund flu pandemic preparation and response efforts. HR 1781, Children’s Health Insurance Program Reauthorization Act, The bill extends the Children’s Health Insurance Program; the House version should include Medicare physician payment provisions. HR 2034, Medicare for All, The bill would extend Medicare coverage to all Americans who are not otherwise covered by health insurance. HR 2206, FY 2007 Supplemental Spending Act, The bill would provide funding to cover the SCHIP shortfall, delay proposed Medicaid rules on GME and IGTs, require the use of tamper-proof prescription pads, and fund flu pandemic preparation and response efforts. HR 2497, Fair and Reliable Medical Justice Act, Medical liability reform. HR 2580, Help Efficient, Accessible, Low-Cost, Timely Healthcare Act, The bill would cap non-economic damages that could be recovered in a medical malpractice lawsuits. HR 3043, 2008 Labor, HHS, and Education Appropriations Act, The bill would fund grants for health professions development programs and the Agency for Healthcare Research and Quality. No Bill Number, Title VII health professions programs reauthorization, Enhance Family Medicine training programs administered by the Health Resources and Services Administration. No Bill Number, Medicare physician payment reforms, Repeal Medicare Sustainable Growth Rate and provide positive annual updates of Medicare physician payment. No Bill Number, Medical Home, Place patient-centered medical home in legislation.