A bill to amend the Consolidated Farm and Rural Development Act to provide direct and guaranteed loans, loan guarantees, and grants to complete the construction and rehabilitation of rural critical access hospitals.

Agriculture/food-related provisions of: H.R.3886, to optimize delivery of critical care medicine. S.268, to provide grants for rural health information technology development activities. S.629, to amend the Consolidated Farm and Rural Development Act regarding loans and rural hospitals. S.633, to aid rural communities by improving access to health care. S.1559, to amend the 1990 Food, Agriculture, Conservation and Trade Act. Issues other than legislation: Expansion of health care access and opportunities in rural areas. Funding for rural health care facilities. Patients Bill of Rights proposals. Social Security.

Client expense: $210,369 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Bureau of Citizenship & Immigration Services (BCIS), Bureau of Indian Affairs (BIA), Commodity Futures Trading Commission (CFTC), Council of Economic Advisers (CEA), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Farm Credit Administration, Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Aeronautics & Space Administration (NASA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Surface Transportation Board (STB), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

FFY 2008 Administration Budget Proposal and Its Effect on Hospitals S. 1595 - Critical Access Hospital Flexibility Act of 2007 S. 1277 - Critical Access to Clinical Lab Services Act of 2007 S. 630 / H.R. 1563 / H.R. 2159 - Rural Health Services Preservation Act of 2007 S. 458 / H.R. 1105 - Physician Pathology Services Continuity Act of 2007 H.R. 1899 - Enhanced Options for Rural Health Care Act of 2007 S. 629 - Loans and Grants for Construction and Rehabilitation of CAHs S. 1605 - Craig Thomas Rural Hospital Provider Equity Act of 2007 S. 1376 / H.R. 2606 - 340B Program Improvement and Integrity Act of 2007 H.R. 1177 - Sole Community Hospital Preservation Act of 2007 H.R. 1730 - MedPAC Rural Representation Act S. 1604 - Nursing Education and Quality of Health Care Act of 2007 H.R. 1866 - Medicare Access to Rural Anestheisiology Act of 2007 S. 543 / H.R. 1459 - Preserving Patient Access to Inpatient Rehabilitation Hospitals Act Reauthorization and Funding of State Children's Health Insurance Program Medicare and Medicaid Spending Reductions for Hospitals Medicaid State Plan Amendments and Waivers Renewal of the Missouri Medicaid Partnership Agreement with CMS

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

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

FFY 2008 Administration Budget Proposal and Its Effect on Hospitals S. 1595 - Critical Access Hospital Flexibility Act of 2007 S. 1277 - Critical Access to Clinical Lab Services Act of 2007 S. 630/H.R. 1563/H.R. 2159 - Rural Health Services Preservation Act of 2007 S. 458/H.R. 1105 Physician Pathology Services Continuity Act of 2007 H.R. 1899 Enhanced Options for Rural Health Care Act of 2007 S. 629 Loans and Grants for Construction and Rehabilitation of CAHs S. 1605 Craig Thomas Rural Hospital and Provider Equity Act of 2007 S. 1376/H.R. 2606 340B Program Improvement and Integrity Act of 2007 H.R. 1177 Sole Community Hospital Preservation Act of 2007 H.R. 1730 MedPAC Rural Representation Act S. 1604 Nursing Education and Quality of Health Care Act of 2007 H.R. 1866 Medicare Access to Rural Anesthesiology Act of 2007 S. 543/H.R. 1459 Preserving Patient Access to Inpatient Rehabilitation Hospitals Act Reauthorization and Funding of the State Childrens Health Insurance Program Medicare and Medicaid Spending Reductions for Hospitals Medicaid State Plan Amendments and Waivers Renewal of the Missouri Medicaid Partnership Agreement with CMS

Client expense: $228,009 · Firm income: Not reported

S. 1595 - Critical Access Hospital Flexibility Act of 2007 S. 1277 - Critical Access to Clinical Lab Services Act of 2007 S. 543/H.R. 1459 - Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007 S. 630/H.R. 1563/H.R. 2159 - Rural Health Services Preservation Act of 2007 S. 458/H.R. 1105 Physician Pathology Services Continuity Act of 2007 H.R. 1899 Enhanced Options for Rural Health Care Act of 2007 S. 629 Loans and Grants for Construction and Rehabilitation of CAHs S. 1605 The Craig Thomas Rural Hospital and Provider Equity Act of 2007 (R-HoPE) S. 1376/H.R. 2606 340B Program Improvement and Integrity Act of 2007 H.R. 1177 Sole Community Hospital Preservation Act of 2007 H.R. 1730 MedPAC Rural Representation Act S. 1604 Nursing Education and Quality of Health Care Act of 2007 H.R. 1866 Medicare Access to Rural Anesthesiology Act of 2007 H.R. 3162/H.R. 976 State Childrens Health Insurance Program S. 1958/H.R. 3057 Medicare Long-Term Care Hospital Patient Safety and Improvement Act of 2007 H.R. 3043 2008 Appropriations for U.S. Departments of Labor, Health & Human Services and Education (Health Spending Bill) H.R. 3997 Renewal of Federal Mental Health Parity Law S. 558 Mental Health Parity Act of 2007 H.R. 2699 Medical Student Loan Repayment S. 1947/H.R. 1046 Medicare Quality Improvement Organization (QIO) System Medicaid Prescription Drug 340B Program Expansion Proposed Medicaid Regulations to Limit the Use of Local and State Funds Proposed Medicaid Regulations to Eliminate Federal Funding of Medical Graduate Medical Education Behavioral Offset Cuts Under Medicare Inpatient Prospective Payment System Medicare, Medicaid and SCHIP Extension Act of 2007 Repeal of the Whole Hospital Exception Under the Stark Anti-Fraud Law Renewal of the Missouri Medicaid Partnership Agreement Between the State of Missouri and CMS Medicare Inpatient PPS Behavioral Offset

Agriculture/food-related provisions of: H.R.3886, to optimize delivery of critical care medicine. S.268, to provide grants for rural health information technology development activities. S.629, to amend the Consolidated Farm and Rural Development Act regarding loans and rural hospitals. S.633, to aid rural communities by improving access to health care. S.1559, to amend the 1990 Food, Agriculture, Conservation and Trade Act. Issues other than legislation: Expansion of health care access and opportunities in rural areas. Funding for rural health care facilities. Patients Bill of Rights proposals. Social Security.

Client expense: $404,162 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Bureau of Indian Affairs (BIA), Commodity Futures Trading Commission (CFTC), Council of Economic Advisers (CEA), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Aeronautics & Space Administration (NASA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Surface Transportation Board (STB), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), UNDETERMINED

S. 458/H.R. 1105 — Physician Pathology Services Continuity Act of 2007 H.R. 1899 — Enhanced Options for Rural Health Care Act of 2007 S. 629 — Loans and Grants for Construction and Rehabilitation of CAHs S. 1605 — Craig Thomas Rural Hospital and Provider Equity Act of 2007 S. 1376/H.R. 2606 — 340B Program Improvement and Integrity Act of 2007 H.R. 1177 — Sole Community Hospital Preservation Act of 2007 H.R. 1730 — MedPAC Rural Representation Act S. 1604 — Nursing Education and Quality of Health Care Act of 2007 H.R. 1866 — Medicare Access to Rural Anesthesiology Act of 2007 S. 543/H.R. 1459 — Preserving Patient Access to Inpatient Rehabilitation Hospitals Act Reauthorization and Funding of the State Children’s Health Insurance Program Medicare and Medicaid Spending Reductions for Hospitals Medicaid State Plan Amendments and Waivers Renewal of the Missouri Medicaid Partnership Agreement with CMS FFY 2008 Administration Budget Proposal and Its Effect on Hospitals S. 1595 - Critical Access Hospital Flexibility Act of 2007 S. 1277 - Critical Access to Clinical Lab Services Act of 2007 S. 630/H.R. 1563/H.R. 2159 — Rural Health Services Preservation Act of 2007

Client expense: $228,009 · Firm income: Not reported