Physician Shortage Elimination Act of 2007

Family Health Care Accessibility Act-H.R.1626; Protecting Every Health Center Act-H.R.2270; FTCA for Employees and Volunteers in Public Health Emergencies-H.R.870; Health Centers Renewal Act-H.R.-1343/S.901; Minority Health Improvement and Health Disparity Elimination Act-H.R. 3333/S.1576; Health Partnership Act-S.325; Health Care Safety Net Act of 2007-S.901; Health Equity and Accountability Act of 2007-H.R.3014; Deamontes Law-H.R.2371; U.S. Physician Shortage Elimination Act of 2007-H.R.410/S.896; Health Partnership Through Creative Federalism Act-H.R. 506; Inclusion of CHC Employees in Federal Health Benefits Program-H.R.1518; Americare Health Care Act of 2007-H.R. 1841; Community Health Centers Investment Act-S. 941; Ten Steps to Transform Health Care in America Act-S.1783; National Health Service Corps. and Loan Repayment Programs Reauthorization Act of 2007-H.R.4205; NHSC Scholarship and Loan Repayment Programs Reauthorization Act of 2007-H.R.2915; NHSC Improvement Act of 2007-H.R. 1884; Inclusion of Health Center Employees in Federal Health Benefits Program-S.2186; Wired for Health Care Quality Act-S.1693; Health Information Technology Act-S.1408; Craig Thomas Rural Hospital and Provider Equity Act of 2007-S.1605; Conrad State 30 Improvement Act. -S.2672-; Deamonte Drive Dental Care Access Improvement Act of 2008-S.2723/H.R.5549; Pro(TECH) T Act-H.R.6357; Health Center Safety Net Act of 2008-H.R.1343; Dental Health Improvement Act of 2008-S.3067; Access for All America Act-S.3412.

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)

Family Health Care Accessibility Act-H.R.1626; Protecting Every Health Center Act-H.R.2270; FTCA for Employees and Volunteers in Public Health Emergencies-H.R.870; Health Centers Renewal Act-H.R.-1343/S.901; Minority Health Improvement and Health Disparity Elimination Act-H.R. 3333/S.1576; Health Partnership Act-S.325; Health Care Safety Net Act of 2008-S.901/H.R.1343; Health Equity and Accountability Act of 2007-H.R.3014; Deamontes Law-H.R.2371; U.S. Physician Shortage Elimination Act of 2007-H.R.410/S.896; Health Partnership Through Creative Federalism Act-H.R. 506; Inclusion of CHC Employees in Federal Health Benefits Program-H.R.1518; Americare Health Care Act of 2007-H.R. 1841; Community Health Centers Investment Act-S. 941; Ten Steps to Transform Health Care in America Act-S.1783; National Health Service Corps. and Loan Repayment Programs Reauthorization Act of 2007-H.R.4205; NHSC Scholarship and Loan Repayment Programs Reauthorization Act of 2007-H.R.2915; NHSC Improvement Act of 2007-H.R. 1884; Inclusion of Health Center Employees in Federal Health Benefits Program-S.2186; Wired for Health Care Quality Act-S.1693; Health Information Technology Act-S.1408; Craig Thomas Rural Hospital and Provider Equity Act of 2007-S.1605; Conrad State 30 Improvement Act. -S.2672-; Deamonte Drive Dental Care Access Improvement Act of 2008-S.2723/H.R.5549; Pro(TECH) T Act-H.R.6357; Dental Health Improvement Act of 2008-S.3067; Access for All America Act-S.3412.

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

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

Family Health Care Accessibility Act-H.R.1626; Protecting Every Health Center Act-H.R.2270; FTCA for Employees and Volunteers in Public Health Emergencies-H.R.870; Health Centers Renewal Act-H.R.-1343/S.901; Minority Health Improvement and Health Disparity Elimination Act-H.R. 3333/S.1576; Health Partnership Act-S.325; Health Care Safety Net Act of 2007-S.901; Health Equity and Accountability Act of 2007-H.R.3014; Deamontes Law-H.R.2371; U.S. Physician Shortage Elimination Act of 2007-H.R.410/S.896; Health Partnership Through Creative Federalism Act-H.R. 506; Inclusion of CHC Employees in Federal Health Benefits Program-H.R.1518; Americare Health Care Act of 2007-H.R. 1841; Community Health Centers Investment Act-S. 941; Ten Steps to Transform Health Care in America Act-S.1783; National Health Service Corps. and Loan Repayment Programs Reauthorization Act of 2007-H.R.4205; NHSC Scholarship and Loan Repayment Programs Reauthorization Act of 2007-H.R.2915; NHSC Improvement Act of 2007-H.R. 1884; Inclusion of Health Center Employees in Federal Health Benefits Program-S.2186; Wired for Health Care Quality Act-S.1693; Health Information Technology Act-S.1408. Craig Thomas Rural Hospital and Provider Equity Act of 2007-S.1605; S.2672-Conrad State 30 Improvement Act. ; Deamonte Drive Dental Care Access Improvement Act of 2008-S.2723/H.R.5549; H.R.6357 Pro(TECH) T Act.

Client expense: $180,000 · Firm income: Not reported

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

Family Health Care Accessibility Act-H.R.1626; Protecting Every Health Center Act-H.R.2270; FTCA for Employees and Volunteers in Public Health Emergencies-H.R.870; Health Centers Renewal Act-H.R.-1343/S.901; Minority Health Improvement and Health Disparity Elimination Act-H.R. 3333/S.1576; Health Partnership Act-S.325; Health Care Safety Net Act of 2007-S.901; Health Equity and Accountability Act of 2007-H.R.3014; Deamontes Law-H.R.2371; U.S. Physician Shortage Elimination Act of 2007-H.R.410/S.896; Health Partnership Through Creative Federalism Act-H.R. 506; Inclusion of CHC Employees in Federal Health Benefits Program-H.R.1518; Americare Health Care Act of 2007-H.R. 1841; Community Health Centers Investment Act-S. 941; Ten Steps to Transform Health Care in America Act-S.1783; National Health Service Corps. and Loan Repayment Programs Reauthorization Act of 2007-H.R.4205; NHSC Scholarship and Loan Repayment Programs Reauthorization Act of 2007-H.R.2915; NHSC Improvement Act of 2007-H.R. 1884; Inclusion of Health Center Employees in Federal Health Benefits Program-S.2186; Wired for Health Care Quality Act-S.1693; Health Information Technology Act-S.1408. Craig Thomas Rural Hospital and Provider Equity Act of 2007-S.1605; S.2672-Conrad State 30 Improvement Act. ; Deamonte Drive Dental Care Access Improvement Act of 2008-S.2723/H.R.5549; H.R.6357 Pro(TECH) T Act.

Client expense: $180,000 · Firm income: Not reported

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

Family Health Care Accessibility Act-H.R.1626; Protecting Every Health Center Act-H.R.2270; FTCA for Employees and Volunteers in Public Health Emergencies-H.R.870; Health Centers Renewal Act-H.R.-1343/S.901; Minority Health Improvement and Health Disparity Elimination Act-H.R. 3333/S.1576; Health Partnership Act-S.325; Health Care Safety Net Act of 2007-S.901; Health Equity and Accountability Act of 2007-H.R.3014; Deamontes Law-H.R.2371; U.S. Physician Shortage Elimination Act of 2007-H.R.410/S.896; Health Partnership Through Creative Federalism Act-H.R. 506; Inclusion of CHC Employees in Federal Health Benefits Program-H.R.1518; Americare Health Care Act of 2007-H.R. 1841; Community Health Centers Investment Act-S. 941; Ten Steps to Transform Health Care in America Act-S. 1783; National Health Service Corps. and Loan Repayment Programs Reauthorization Act of 2007-H.R.4205; NHSC Scholarship and Loan Repayment Programs Reauthorization Act of 2007-H.R.2915; NHSC Improvement Act of 2007-H.R. 1884; Inclusion of Health Center Employees in Federal Health Benefits Program-S.2186; Wired for Health Care Quality Act-S.1693; Health Information Technology Act-S.1408; Craig Thomas Rural Hospital and Provider Equity Act of 2007-S.1605; Conrad State 30 Improvement Act-S.2672; Deamonte Driver Dental Care Access Improvement Act of 2008-S2723/H.R.5549.

Client expense: $170,000 · Firm income: Not reported

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

Health Information Technology - H.R.1952, the National Health Information Incentive Act of 2007; S.1408, the Health Information Technology Act of 2007; S.1693, the Wired for Healthcare Quality Act of 2007. Expanding health insurance coverage - HR2351, the Health Coverage Affordability, Responsibility, and Equity Act of 2007; HR506, the Health Partnership through Creative Federalism Act of 2007; S.325, the Health Partnership Act of 2007; HR3162, the Childrens' Health and Medicare Protection Act of 2007; S.1893, the Children's Health Insurance Program Reauthorization Act of 2007; HR1663, the Medicare Mental Health Modernization Act of 2007; Medicare Physician Payment/Medicare reform - HR3162, the Children's Health and Medicare Protection Act of 2007; S1340, the Geriatric Assessment and Chronic Care Coordination Act of 2007; Patient Centered Medical Home Demonstration project, Medicare's sustainable growth rate, pay-for-performance and quality improvement initiatives, Medicare Part D, ICD-10 Coding System, Medicare Advantage, increasing the tobacco tax; Professional Liability Reform - S243, the Medicare Access Protection Act of 2007; FY2008 Appropriations - HR3043, the FY2008 Labor/HHS/Education Appropriations Act of 2007, AHRQ funding, Title VII funding, VA Medical and Prosthetics Research Program, ONCHIT funding, NIH funding; Student Debt Relief - S1066, the Medical Education Affordability Act of 2007; Healthcare in Underserved Areas - HR1332, the Small Business Lending Improvement Act of 2007; Physician Shortage/Graduate Medical Education - HR2584, the High-Need Physician Workforce Incentive Act of 2007; S588, the Resident Physician Shortage Reduction Act of 2007; HR410, the U.S. Physician Shortage Elimination Act of 2007; S896, the Physician Shortage Elimination Act of 2007; S1093, the Resident Physicians Shortage Reduction Act of 2007; Prospective Payment System; Public Health Issues - S1576, the Minority Health Improvement and Disparity Elimination Act of 2007; Healthcare disparities, increasing the tobacco tax, preventive care, vaccines.

Client expense: $426,833 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), President of the U.S., SENATE, UNDETERMINED, White House Office

Health Information Technology - H.R.1952, the National Health Information Incentive Act of 2007; S.1408, the Health Information Technology Act of 2007; S.1693, the Wired for Healthcare Quality Act of 2007. Expanding Health Insurance Coverage - HR2351, the Health Coverage Affordability, Responsibility, and Equity Act of 2007; HR506, the Health Partnership through Creative Federalism Act of 2007; S.325, the Health Partnership Act of 2007; HR3162, the Childrens' Health and Medicare Protection Act of 2007; S.1893, the Children's Health Insurance Program Reauthorization Act of 2007; HR1663, the Medicare Mental Health Modernization Act of 2007; Medicare Physician Payment/Medicare reform - HR3162, the Children's Health and Medicare Protection Act of 2007; S1340, the Geriatric Assessment and Chronic Care Coordination Act of 2007; Patient Centered Medical Home Demonstration project, Medicare's sustainable growth rate, pay-for-performance and quality improvement initiatives, Medicare Part D, ICD-10 Coding System, Medicare Advantage, increasing the tobacco tax; Professional Liability Reform - S243, the Medicare Access Protection Act of 2007; FY2008 Appropriations - HR3043, the FY2008 Labor/HHS/Education Appropriations Act of 2007, AHRQ funding, Title VII funding, VA Medical and Prosthetics Research Program, ONCHIT funding, NIH funding; Student Debt Relief - S1066, the Medical Education Affordability Act of 2007; Healthcare in Underserved Areas - HR1332, the Small Business Lending Improvement Act of 2007; Physician Shortage/Graduate Medical Education - HR2584, the High-Need Physician Workforce Incentive Act of 2007; S588, the Resident Physician Shortage Reduction Act of 2007; HR410, the U.S. Physician Shortage Elimination Act of 2007; S896, the Physician Shortage Elimination Act of 2007; S1093, the Resident Physicians Shortage Reduction Act of 2007; Prospective Payment System; Public Health Issues - S1576, the Minority Health Improvement and Disparity Elimination Act of 2007; Healthcare disparities, increasing the tobacco tax, preventive care, vaccines.

Client expense: $338,352 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), President of the U.S., SENATE, UNDETERMINED, White House Office

S. 896, "Physician Shortage Elimination Act of 2007," all provisions in bill as it would improve rural work force development H.R. 410, "United States Physician Shortage Elimination Act of 2007," all provisions similar to S. 896 H.R. 1651, "Rural Health Quality Advisory Commission Act of 2007," creates a rural quality committee H.R. 2419, "2007 Farm Bill," provisions related to quality and IT grants for rural health providers Senate "2007 Farm Bill," provisions relating to loans for small rural hospitals

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

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA)

* H.R. 2669, "College Cost Reduction Act of 2007," Title I. S. 1642, "Higher Education Amendments of 2007," Title I and Title IV. S. 1762, "Higher Education Access Act of 2007," Title I, III and VIII. H.R. 410/S. 896, "The United States Physician Shortage Elimination Act" H.R. 2584, "High-Need Physician Workforce Incentives Act of 2007" Issue: Increase funding for the National Health Service Corps and for Medical Schools to increase enrollment. S. 901, "Health Centers Renewal Act of 2007," Murkowski Amendment (withdrawn). Issue: Grants to community health centers for the establishment or expansion of medical residency training programs at the centers. H.R. 890/S. 486, Student Loan Sunshine Act. Issue: Financial Aid administration oversight. H.R. 410/S. 896, "The United States Physician Shortage Elimination Act" H.R. 2584, "High-Need Physician Workforce Incentives Act of 2007" Issue: Increase funding for the National Health Service Corps and for Medical Schools to increase enrollment. S. 901, "Health Centers Renewal Act of 2007," Murkowski Amendment (withdrawn). Issue: Grants to community health centers for the establishment or expansion of medical residency training programs at the centers. H.R. 890/S. 486, Student Loan Sunshine Act. Issue: Financial Aid administration oversight.

Client expense: $260,000 · Firm income: Not reported

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

* H.R. 2669, "College Cost Reduction Act of 2007," Title I. S. 1642, "Higher Education Amendments of 2007," Title I and Title IV. S. 1762, "Higher Education Access Act of 2007," Title I, III and VIII. H.R. 4137, "College Opportunity and affordability Act of 2007," Title I, Title IV, Title VIII, and Title X. Issues: Reauthorization of the Higher Education Act, expansion of the Economic Hardship Deferment, changes in accreditation criteria and reporting, loan forgiveness, increasing Stafford loan limits, financial aid administration oversight. H.R. 410/S. 896, "The United States Physician Shortage Elimination Act" H.R. 2584, "High-Need Physician Workforce Incentives Act of 2007" Issue: Increase funding for the National Health Service Corps and for Medical Schools to increase enrollment. S. 901, "Health Centers Renewal Act of 2007," Murkowski Amendment (withdrawn). Issue: Grants to community health centers for the establishment or expansion of medical residency training programs at the centers. H.R. 890/S. 486, Student Loan Sunshine Act. Issue: Financial Aid administration oversight. 4 5 6

Client expense: $260,000 · Firm income: Not reported

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

S 5, Stem Cell Research Enhancement Act of 2007; Childrens Health Insurance Program Reauthorization Act of 2007, S.1893; Childrens Health and Medicare Protection (CHAMP) Act of 2007 (HR 3162); Resident Physician Shortage Act of 2007, S.588, HR 1093; Physician Shortage Elimination Act of 2007, S. 896, HR 410; Veterinary Public Health Workforce Expansion Act, S. 746, HR 1232

Client expense: $180,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Education, Dept of, Energy, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), Natl Science Foundation (NSF), SENATE, U.S. Agency for International Development (USAID), UNDETERMINED, White House Office

FFY 2008 Budget and budget resolutions/Medicare and Medicaid cuts FFY 2008 Labor, Health and Human Services, Education and Pension Appropriations bill FFY 2008 Medicare Inpatient Hospital PPS rules CY 2008 Medicare Inpatient Psychiatric Facility PPS rules FFY 2008 Medicare Inpatient Rehabilitation Facility PPS and "75% Rule" rules CY 2008 Medicare Outpatient PPS rules FFY 2008 Medicare Skilled Nursing Facility PPS rules CY 2008 Medicare Home Health Agency PPS rules CY 2008 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 states' Medicaid financing mechanisms Pay for performance 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 HUD Federal housing assistance mortgage program for hospitals Defined benefit pension plans National Institute of Health funding Heath care workforce recruiting and training funding Hospital infection and performance measure reporting Medical error reporting S.354/H.R.534 Medicaid liability reform S.473/H.R.215 Allied health professions reinvestment act of 2005 S.543/H.R.1459 Inpatient rehabilitation facilities' 75% rule mitigation S.544 Patient safety and quality improvement act of 2005 S.681 Umbilical cord blood stem cell research S.896 Physician shortage elimination act of 2007 S.898/H.R.1812 Patient navigator outreach & chronic disease prevention act of 2005 S.933/H.R.2350 rural community hospital assistance act S.1041/H.R.800 Employee free choice act--card check S.1049 Covering Kids Act of 2005 S.1262/H.R.2234 Health technology to enhance quality act of 2005 & 21st century health information act s.1348 National immigration reform bill S.1355 & S.1262 Better healthcare through information technology act S.1356/H.R.3617 Medicare value purchasing act of 2005 S.1418 Wired for health care quality act S.1481/H.R.2497 Fair and reliable medical justice act S.1604 Nursing education and quality of health care act of 2007 S.1693 Health information exchange--funding for IT S.1784 National medical error disclosure & compensation act of 2005 S.1955 Health insurance marketplace modernization & affordability act of 2005 S.3042 All-hazards public health emergency & bioterrorism preparedness & response act H.R.139 Health improvement and professionals act of 2005 H.R.534/H.R.880 Rural health equity act H.R.1663 Medicare Mental health modernization act of 2007 H.R.2050 Medicaid psychiatric hospital fairness act H.R.2122 Mandatory overtime limits for nurse H.R.2206 Emergency supplemental spending bill H.R.3173 Nurse faculty higher education act H.R.3373/S.1405 Preserving patient access to inpatient rehabilitation hospitals act H.R.3607 The future of health care-granting access to innovation in America act H.R.4157 Health information technology promotion act of 2005/hospital pricing transparency S.4 Health Technology to Enhance Quality Act of 2005 S.22 Medical Care Access Protection Act of 2006 S.23 Healthy Mothers and Healthy Babies Access S.338/H.R.985 Bipartisan Medicaid Commission

Client expense: $460,000 · 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), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

S 5, Stem Cell Research Enhancement Act of 2007; Children’s Health Insurance Program Reauthorization Act of 2007, S.1893; Children’s Health and Medicare Protection (CHAMP) Act of 2007 (HR 3162); Resident Physician Shortage Act of 2007, S.588, HR 1093; Physician Shortage Elimination Act of 2007, S. 896, HR 410; Veterinary Public Health Workforce Expansion Act, S. 746, HR 1232

Client expense: $260,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Education, Dept of, Energy, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), Natl Science Foundation (NSF), SENATE, U.S. Agency for International Development (USAID), White House Office

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Information Act (S.1262/H.R.2234); Better Healthcare Through Information Technology Act (S.1355/S.1262); Medicare Value Purchasing Act of 2005 (S.1356/H.R.3617); Wired for Health Care Quality Act (S.1418); Nursing Education and Quality of Health Care Act of 2007 (S.1604); Rural Health Equity Act (H.R.534/H.R.880); Inpatient Rehabilitation Facilities' 75% Rule Mitigation; Mandatory Overtime Limits for Nurses (H.R.2122); FFY 2008 Budget and budget Resolutions/Medicare and Medicaid Cuts; FFY 2008 Medicare Inpatient Rehabilitation Facility PPS and 75% Rules; Medicare Skilled Nursing Facility PPS Rules; CMS proposed Rule to Limit Intergovernmental Transfers and Certified Public Expenditures; State Childrens Health Insurance Program Funding; IRS Form 990 Revision; Hospital Pricing Transparency; Medicaid Regulations Affecting States' Medicaid Financing Mechanisms; Coverage for the Uninsured; Emergency Preparedness; Medicare Wage Index; Hospital Infection Reporting; Medical Error Reporting Health Technology to Enhance Quality Act of 2005 (S4); Medical Care Access Protection Act of 2006 (S.22); Bipartisan Medicaid Commission (S.338/H.R.985); Medicaid Liability Reform (S.354/H.R.534); IP Rehabilitation Facilities' 75% Rule Mitigation (S.543); Patient Safety and Quality Improvement Act of 2005 (S.544); Physician Shortage Elimination Act of 2007 (S.896); Rural Community Hospital Assistance Act (S.933/H.R.2350); Health Technology to Enhance Quality Act of 2005 & the 21st Century

Client expense: Not reported · Firm income: Not reported

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

Not-for-profit hospital tax-exempt status Medicaid regulations affecting states’ Medicaid financing mechanisms Pay for Performance 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 Dept. of Housing and Urban Development's Federal Housing Assistance mortage 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 S.354/H.R.534 Medicaid Liability Reform S.473/H.R.215 Allied Health Professions Reinvestment Act of 2005 Act S. 543 Inpatient Rehabilitation Facilities 75% Rule of Mitigation S.544 Patient Safety and Quality Improvement Act of 2005 S.681 Umbilical Cord Blood Stem Cell Research S.896 Physician Shortage Elimnation Act of 2007 S.898/H.R.1812 Patient Navigator Outreach & Chronic Disease Prevention Act of 2005 S.933/H.R.2350 Rural Community Hospital Assistance Act S.1041/H.R.800 Employee Free Choice Act - Card Check S.1049 Covering Kids Act of 2005 S.1262/H.R.2234 Health Technology to Enhance Quality Act of 2005 & the 21st Century Health Information Act S.1355 & S.1262 Better Healthcare Through Information Technology Act S.1356/H.R.3617 Medicare Value Purchasing Act of 2005 S.1348 National Immigration Reform Act S.1356/H.R.3617 Medicare Value Purchasing Act of 2005 S.1418 Wired for Health Care Quality Act S.1481/H.R.2497 Fair and Reliable Medical Justice Act S. 1604 Nursing Education and Quality of Health Care Act of 2007 S.1693 Health Information Exchange - funding for IT S.1784 National Medical Error Disclosure & Compensation Act of 2005 S.1955 Health Insurance Marketplace Modernization & Affordability Act of 2005 S.3042 All-Hazards Public Health Emergency and Bioterrorism Preparedness and Response Act H.R.139 Health Improvement and Professionals Act of 2005 H.R.534 Rural Health Equity Act H.R.880 Rural Health Equity Act H.R. 1459 Inpatinet Rehabilitation Facilities 74% Rule Mitigation H.R. 1663 Medicare Mental Health Modernization Act of 2007 H.R. 2050 Medicaid Psychiatric Hospital Fairness Act H.R. 2122 Mandatory Overtime Limits for Nurses H.R. 2206 Emergency Supplemental Spending Bill H.R.3173 Nurse Faculty Higher Education Act H.R.3373/S.1405 Preserving Patient Access to Inpatient Rehabilitation Hospitals Act H.R.3607 The Future of Health Care-Granting Access to Innovation in America Act H.R.4157 Health Information Technology Promotion Act of 2005/Hospital Pricing Transparency FFY 2008 Budget and Budget Resolutions/Medicare and Medicaid Cuts FFY 2008Labor, Health and Human Services, Education and Pension Appropriations bill FFY 2008 Medicare Inpatient Hospital PPS Rules CY 2008 Medicare Inpatient Psychiatric Facility PPS Rules FFY 2008 Medicare Inpatient Rehabilitation Facility PPS and “75% Rule”, Rules CY 2008 Medicare Outpatient PPS Rules FFY 2008 Medicare Skilled Nursing Facility PPS Rules CY 2008 Medicare Home Health Agency PPS Rules CY 2008 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 S.4 Health Technology to Enhance Quality Act of 2005 S.22 Medical Care Access Protection Act of 2006 S.23 Healthy Mothers and Healthy Babies Access S.338/H.R.985 Bipartisan Medicaid Commission

Client expense: $20,000 · 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), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

Health Centers Renewal Act-H.R. 1343/S. 901; U.S. Physician Shortage Elimination Act-H.R. 410; Minority Health Improvement and Health Disparity Elimination Act-S. 1576; Health Partnership Act-S. 325; Health Partnership Through Creative Federalism Act-H.R. 506; Health Equity and Accountability Act of 2007-H.R. 3014; Physician Shortage Elimination Act of 2007-S. 896; Family Health Care Accessibility Act of 2007-H.R. 1626. Eligibility of Legal Immigrant Children for Medicaid and CHIP-S.845/ H.R.1689; Undocumented Alien Emergency Medical Assistance Amendments-H.R.3722; The Federal Responsibility for Immigrant Health Act-S.2449; Improving Women's Health Act-S.1238. Border Protection, Antiterrorism and Illegal Immigration Control Act-H.R.4437, S.2454, S.2611, S.2612; Protecting Every Health Center Act-H.R.2270; FTCA for Employees and Volunteers in Public Health Emergencies-H.R.870;

Client expense: $280,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), President of the U.S., SENATE

Health Partnership Through Creative Federalism Act-H.R. 506; Inclusion of CHC employees in Federal Health Benefits Program-H.R.1518; Americare Health Care Act of 2007-H.R. 1841; Community Health Centers Investment Act-S. 941; Ten Steps to Transform Health Care in America Act-S. 1783; Physician Shortage Elimination Act of 2007-S. 896. Community Health Center Volunteer Protection Act-H.R.1626/S.1693; “Wired for Quality Act”-S.1408; “Health Information Technology Act of 2007” Protecting Every Health Center Act-H.R.2270; FTCA for Employees and Volunteers in Public Health Emergencies-H.R.870; FTCA for Volunteer Providers-S.1344; Health Centers Reauthorization Act-H.R.-1343/S.901; Minority Health Improvement and Health Disparity Elimination Act-S.1576; Health Partnership Act-S.325;

Client expense: $280,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), President of the U.S., SENATE

Health Partnership Through Creative Federalism Act-H.R. 506; Inclusion of CHC employees in Federal Health Benefits Program-H.R.1518; Americare Health Care Act of 2007-H.R. 1841; Community Health Centers Investment Act-S. 941; Ten Steps to Transform Health Care in America Act-S. 1783; Physician Shortage Elimination Act of 2007-S. 896. Community Health Center Volunteer Protection Act-H.R.1626/S.1693; “Wired for Quality Act”-S.1408; “Health Information Technology Act of 2007” Protecting Every Health Center Act-H.R.2270; FTCA for Employees and Volunteers in Public Health Emergencies-H.R.870; FTCA for Volunteer Providers-S.1344; Health Centers Reauthorization Act-H.R.-1343/S.901; Minority Health Improvement and Health Disparity Elimination Act-S.1576; Health Partnership Act-S.325;

Client expense: $280,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), President of the U.S., SENATE

Health Centers Renewal Act-H.R. 1343/S. 901; U.S. Physician Shortage Elimination Act-H.R. 410; Minority Health Improvement and Health Disparity Elimination Act-S. 1576; Health Partnership Act-S. 325; Health Partnership Through Creative Federalism Act-H.R. 506; Health Equity and Accountability Act of 2007-H.R. 3014; Physician Shortage Elimination Act of 2007-S. 896; Family Health Care Accessibility Act of 2007-H.R. 1626. Eligibility of Legal Immigrant Children for Medicaid and CHIP-S.845/ H.R.1689; Undocumented Alien Emergency Medical Assistance Amendments-H.R.3722; The Federal Responsibility for Immigrant Health Act-S.2449; Improving Women's Health Act-S.1238. Border Protection, Antiterrorism and Illegal Immigration Control Act-H.R.4437, S.2454, S.2611, S.2612; Protecting Every Health Center Act-H.R.2270; FTCA for Employees and Volunteers in Public Health Emergencies-H.R.870;

Client expense: $280,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), President of the U.S., SENATE

* changes in accreditation criteria and reporting, loan forgiveness, increasing Stafford loan limits, financial aid administration oversight. S. 1066, "Medical Education Affordability Act" Issue: Expansion of the Economic Hardship Deferment. H.R. 410/S. 896, "The United States Physician Shortage Elimination Act" H.R. 2584, "High-Need Physician Workforce Incentives Act of 2007" Issue: Increase funding for the National Health Service Corps and for Medical Schools to increase enrollment. H.R. 890/S. 486, Student Loan Sunshine Act. Issue: Financial Aid administration oversight. H.R. 2669, "College Cost Reduction Act of 2007," Title I. S. 1642, "Higher Education Amendments of 2007," Title I and Title IV. S. 1762, "Higher Education Access Act of 2007," Title I, III and VIII. Issue: Reauthorization of the Higher Education Act, expansion of the Economic Hardship Deferment, 7 8 9

Client expense: $280,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)