Medicare Imaging Disclosure Sunshine Act of 2008

1. Physician payment - H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 and S. 2029/H.R. 5606, Physician Payment Sunshine Act of 2007/2008 2. Prevention - expansion of abdominal aortic aneurysm screening 3. Imaging - H.R. 1293/S. 1338 - The Access to Medicare Imaging Act, exemption of vascular ultrasound from DRA cuts and S. 3343/H.R. 6821, Medicare Imaging Disclosure Sunshine Act 4. Quality - Physician Quality Reporting Initiative and use of registries for reporting quality measures 5. Health care reform

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Section 135 of S. 3101/H.R. 6331, Medicare Improvement for Patients and Providers Act of 2008; Section 137 of S. 3118, Preserving Access to Medicare Act of 2008; H.R. 3162, The Children's Health and Medicare Protection Act - provisions related to additional cuts to Medicare diagnostic services; S. 3343/H.R. 6821, Medical Imaging Sunshine Act of 2008. CMS - 1404 - P, Medicare Hospital Outpatient Prospective Payment System (proposed) for CY 2009. CMS - 1403 - P, Medicare Physician Fee Schedule (proposed) for CY 2009.

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

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

H.R. 6331 and S. 3101, Medicare Improvements for Patients and Providers Act of 2008, all provisions S. 3118, Preserving Access to Medicare Act of 2008, all provisions H.R. 4736, to amend Part B of title XVIII of the Social Security Act to repeal limiting charges under the Medicare Program for non-participating physicians and to preempt State laws that prohibit balance billing, all provisions H.R. 5605, Physician Payments Sunshine Act of 2008, all provisions S. 2029, Physician Payments Sunshine Act of 2007, all provisions S. 1577, Patient Safety and Abuse Prevention Act of 2007, all provisions S. 3343, Medicare Imaging Disclosure Sunshine Act of 2008, all provisions H.R. 2043, Medicaid Access Project through Information Technology (MAP IT) Act, all provisions H.R. 6582, to encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit, all provisions H.R. 1665, Medicare Hearing Health Care Enhancement Act of 2007, all provisions H.R. 820, Seniors Mental Health Access Improvement Act of 2007, all provisions H.R. 3968, Medicare Respiratory Therapy Initiative Act of 2007, all provisions H.R. 2945, Medicare Advantage Truth in Advertising Act of 2007, all provisions Proposed 2008 Physician Payment Rule, Part B Drugs, CAP, ASP, and revisions to physician enrollment appeals Proposed 2009 Physician Payment Policy Rule, provisions on payment update, quality, relative value changes, Medicare enrollment, imaging, and primary care Proposed 2009 Hospital Outpatient and Ambulatory Surgical Centers (ASC) Payment Rule, provisions on payment update, healthcare acquired conditions payment policy, and phase-in of ASC payment methodology 2009 Hospital Inpatient Payment Rule, proposed and final provisions on payment update and policy on payment for "reasonably preventable" hospital acquired conditions Medicare Program - Medicare Administrative Contractors (MACs) Medicare Program - Medicare Advantage and Prescription Drug Program Medicare Program - Productivity Growth Medicare Program - "Incident to" Billing Medicare Program - Directed Scoring Medicare Program - Physician Payment Reform/Rebasing Medicare Program - Balance Billing Medicare Program - Fraud and Abuse Medicare Program - Rural Health Clinics Medicare Program - Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2009; and Revisions to the Amendment of the E-Rx Exemption for Computer Generated Facsimile Transmissions Medicare Program - Recovery Audit Contractors (RAC) Medicare Program - 3% Withhold on Medicare Payments Medicare Program - CMS Audiology Policies Medicare Program - Conditions of Participation Medicare Program - DMEPOS Accreditation Requirements Medicare Program - Declining Growth Rate in Physician Service Volume Medicare Program - Hospital Acquired Conditions Medicare Program - National Coverage Determinations Medicare Program - Quality improvement/PQRI/PCPI Medicare Program - Gainsharing Medicare Program - National Provider Identifier Medicare Program - Enrollment Medicare Program - Consultations Medicare Program - Claims Data and BQI Pilots Medicare Program - Removal of Claim Number from Medicare Card Medicare Program - HIPPA: ICD-10 Medicare Program - HIPPA: electronic transactions version 5010

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

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

Followed and lobbied in support of PhRMA's issues in legislation relating to changes in Medicare, Medicaid and Medicare Part D. H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008. S. 3101, Medicare Improvements for Patients and Providers Act of 2008. S. 3343, Medicare Imaging Disclosure Sunshine Act of 2008.

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

1. Physician payment - H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 and S. 2029/H.R. 5606, Physicians Payment Sunshine Act of 2007/2008 2. Prevention - S.2115, Medicare Prevention Services Coverage Act of 2007 and expansion of abdominal aortic aneurysm screening 3. Imaging - H.R. 1293/S. 1338 - The Access to Medicare Imaging Act, exemption of vascular ultrasound from DRA cuts and S. 3343/H.R. 6821, Medicare Imaging Disclosure Sunshine Act 4. Quality - Physician Quality Reporting Initiative and use of registries for reporting quality measures 5. Competitive Bidding - H.R. 4935, Medicare Wound Therapy Patient Protection Act 6. Health care reform

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE