A bill to repeal the requirement for reduction of survivor annuities under the Survivor Benefit Plan by veterans' dependency and indemnity compensation, and for other purposes.

HR 27 Medicare Fraud Prevention and Enforcement Act of 2009, a bill to amend title XVIII of the Social Security Act to establish additional provisions to combat waste, fraud, and abuse within the Medicare Program, and for other purposes; HR 43 and S 46, Medicare Access to Rehabilitation Services Act of 2009, a bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps; S 54 Registered Nurse Safe Staffing Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for patient protection by establishing minimum nurse staffing ratios at certain Medicare providers, and for other purposes; HR 319 Legal Immigrant Children's Health Improvement Act of 2009, a bill to amend titles XIX and XXI of the Social Security Act to permit States the option of coverage of legal immigrants under the Medicaid Program and the State children's health insurance program (SCHIP); S 214 Children's Health Equity Technical Amendments Act of 2009, a bill to amend title XXI of the Social Security Act to permit qualifying States to use their allotments under the SCHIP for any fiscal year for certain Medicaid expenditures; HR 362 and S 318 Medicare Rural Health Access Improvement Act of 2009, a bill to amend title XVIII of the Social Security Act to improve access to health care under the Medicare program for beneficiaries residing in rural areas; HR 465 a bill to amend titles XIX and XXI of the Social Security Act to permit States to ensure coverage without a 5-year delay of certain children and pregnant women under the Medicaid program and SCHIP; HR 487, a bill to waive the 35-mile requirement for designation of a critical access hospital under the Medicare program; HR 592 and S 264 E-Centives Act of 2009, a bill to amend title XIX of the Social Security Act to encourage the use of certified health information technology by providers in the Medicaid Program and the Children's Health Insurance Program, and for other purposes; HR 619 a bill to amend title XIX of the Social Security Act to remove the exclusion from medical assistance under the Medicaid Program of items and services for patients in an institution for mental diseases; S 295 Medicare Quality and Payment Reform Act of 2009, to amend title XVIII of the Social Security Act to improve the quality and efficiency of the Medicare program through measurement of readmission rates and resource use and to develop a pilot program to provide episodic payments to organized groups of multispecialty and multilevel providers of services and suppliers for hospitalization episodes associated with select, high cost diagnoses; HR 668 and S 307 Critical Access Hospital Flexibility Act of 2009, a bill to amend title XVIII of the Social Security Act to provide flexibility in the manner in which beds are counted for purposes of determining whether a hospital may be designated as a critical access hospital under the Medicare program and to exempt from the critical access hospital inpatient bed limitation the number of beds provided for certain veterans; HR 902 and S. 382 MediFair Act of 2009, a bill to amend title XVIII of the Social Security Act to improve the provision of items and services provided to Medicare beneficiaries residing in States with more cost-effective health care delivery systems; S 434 Empowered at Home Act of 2009, 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, and for other purposes; S 438 Improved Medical Decision Incentive Act of 2009, a bill to provide for the voluntary development by States of qualifying best practices for health care and to encourage such voluntary development by amending titles XVIII and XIX of the Social Security Act to provide differential rates of payment favoring treatment provided consistent with qualifying best practices under the Medicare and Medicaid programs, and for other purposes; HR 1117 Medically Fragile Children's Act of 2009, a bill to amend title XIX of the Social Security Act to establish a State plan option under Medicaid to provide an all-inclusive program of care for children who are medically fragile or have one or more chronic conditions that impede their ability to function; HR 1188 and S 468 Access to Emergency Medical Services Act of 2009, a bill to amend title XVIII of the Social Security Act to improve access to emergency medical services and the quality and efficiency of care furnished in emergency departments of hospitals and critical access hospitals by establishing a bipartisan commission to examine factors that affect the effective delivery of such services, by providing for additional payments for certain physician services furnished in such emergency departments, and by establishing a CMS Working Group, and for other purposes; S 712 Rural Medicare Equity Act of 2009, a bill to amend title XVIII of the Social Security Act to improve the Medicare program for beneficiaries residing in rural areas; HR 1776 Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2009, a bill to amend title XVIII of the Social Security Act to expand the development of quality measures for inpatient hospital services, to implement a performance-based payment methodology for the provision of such services under the Medicare Program; Senator Schumer and Senator Roberts Letter eliminating IME Cuts CMS to withdraw the Capital IME cut that was included in last years Medicare IPPS rule; Letter to President Obama from Neal/ Tiberi on Capital IME Protect America's teaching hospitals asking him to withdraw a provision in the FY 2010 IPPS rule that would cut reimbursements to teaching hospitals. Letter to CMS asking to eliminate the state-specific budget neutrality policy for the rural and imputed rural floor indices in the upcoming FY2010 Inpatient Prospective Payment System Rule (IPPS); Working on legislation to amend the Medicare Recovery Audit Contractor Program; S 852 a bill to apply an alternative payment amount under the Medicare program for certain graduate medical education programs established to train residents displaced by natural disasters; HR 2068 Medicare Telehealth Enhancement Act of 2009, a bill to improve the provision of telehealth services under the Medicare Program; HR 2094 Physician Training Promotion Act of 2009, a bill to amend title XVIII of the Social Security Act to increase the per resident payment floor for direct graduate medical education payments under the Medicare Program; HR 2124 Medicare Long-Term Care Hospital Improvement Act of 2009, a bill to extend subsections (c) and(d) of section 114 of the Medicare, Medicaid, & SCHIP Extension Act of 2007 (Public Law 110-173) to provide for regulatory stability during the development of facility and patient criteria for long-term care hospitals under the Medicare program; HR 2204 Medicare Access to Rural Anesthesiology Act of 2009, a bill to amend title XVIII of the Social Security Act to provide payment under part A of the Medicare Program on a reasonable cost basis for anesthesia services furnished by an anesthesiologist in certain rural hospitals in the same manner as payments are provided for anesthesia services furnished by anesthesiologist assistants and certified registered nurse anesthetists in such hospitals; S 935 Medicare Long-Term Care Hospital Improvement Act of 2009, a bill to extend subsections (c) and (d) of section 114 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Public Law 110-173) to provide for regulatory stability during the development of facility and patient criteria for long-term care hospitals under the Medicare program; HR 2443 Medicare Ambulance Access Preservation Act of 2009, a bill to amend title XVIII of the Social Security Act to preserve access to ambulance services under the Medicare Program; S 1079 Medicare Cost Contract Extension and Refinement Act of 2009, a bill to amend title XVIII of the Social Security Act to extend reasonable cost contracts under the Medicare program; HR 2525 Safeguarding Our Hospitals' Futures Act of 2009, a bill to require application of budget neutrality on a national basis in the calculation of the Medicare hospital wage index floor for each all-urban and rural State; HR 2534 Physician Pathology Services Continuity Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; S 1108 Safeguarding Our Hospitals' Futures Act of 2009, a bill to require application of budget neutrality on a national basis in the calculation of the Medicare hospital wage index floor for each all-urban and rural State; S 1110 Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009, a bill to amend title XVIII of the Social Security Act to create a sensible infrastructure for delivery system reform by renaming the Medicare Payment Advisory Commission, making the Commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy; S 1114 Medical Homes Act of 2009, a bill to establish a demonstration project to provide for patient-centered medical homes to improve the effectiveness and efficiency in providing medical assistance under the Medicaid program and child health assistance under the State Children's Health Insurance Program; Letters and further discussions to CMS, Physician Supervision for Outpatient Service, resend policy changes requiring direct physician supervision for all PSO therapeutic Outpatient Service provided in and on hospital campus under Medicare, and withdraw change to minimize legal risk for years 2001-2009; HR 2688 Empowered at Home Act of 2009, 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; HR 2692 and S 1171CAH Designation Waiver Authority Act of 2009, a bill to amend title XVIII of the Social Security Act to restore State authority to waive the 35-mile rule for designating critical access hospitals under the Medicare Program; HR 2718 Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009, a bill to amend title XVIII of the Social Security Act to create a sensible infrastructure for delivery system reform by renaming the Medicare Payment Advisory Commission, making the Commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy; S 1185 Medicare Financial Stability for Beneficiaries Act of 2009, a bill to amend titles XVIII and XIX of the Social Security Act to ensure that low-income beneficiaries have improved access to health care under the Medicare and Medicaid programs; S 1181 Healthy Living and Health Aging Demonstration Project Act of 2009, a bill to provide for a demonstration project to examine whether community-level public health interventions can result in lower rates of chronic disease for individuals entering the Medicare program; HR 2753 a bill to delay the implementation of new Medicare hospital geographic wage reclassification criteria until the Secretary of Health and Human Services issues a proposal to revise the hospital wage index classification system that addresses certain considerations; HR 2758 Medicare Specialty Care Improvement and Protection Act of 2009, a bill to amend part C of title XVIII of the Social Security Act with respect to Medicare special needs plans and the alignment of Medicare and Medicaid for dually eligible individuals; HR 2773 Medicare Transitional Care Act of 2009, a bill to amend title XVIII of the Social Security Act to cover transitional care services to improve the quality and cost effectiveness of care under the Medicare Program; S 1218 Urban Medicare-Dependent Hospitals Preservation Act of 2009, a bill to amend title XVIII of the Social Security Act to preserve access to urban Medicare-dependent hospitals; HR 2784 Partnership to Improve Seniors Access to Medicare Act, a bill to establish a loan repayment program for qualifying physicians and nurse practitioners participating in the Medicare Program; HR 2805 Ensuring Continuous Medicaid Coverage for Children Act of 2009, a bill to amend title XIX of the Social Security Act to require 12-month continuous coverage for children under Medicaid; HR 2844 Medicare Payment Improvement Act of 2009, a bill to amend title XVIII of the Social Security Act to create a value indexing mechanism for the physician work component of the Medicare physician fee schedule; HR 2859 Strengthening Medicaid for America's Children Act of 2009, a bill to amend title XIX of the Social Security Act to provide for application of an enhanced Federal matching rate for children under the Medicaid Program if certain conditions are met; S 1262 Medical Efficiency and Delivery Improvement of Care Act (MEDIC) of 2009, a bill to amend title VII of the Public Health Service Act and titles XVIII and XIX of the Social Security Act to provide additional resources for primary care services, to create new payment models for services under Medicare, to expand provision of non-institutionally-based long-term services, and for other purposes; S 1263 Senior Navigation and Planning Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for advanced illness care management services for Medicare beneficiaries, and for other purposes; HR 2919 Medicare Efficiency Incentive Act of 2009, a bill to amend part B of title XVIII of the Social Security Act to provide Medicare physician incentive payments for efficient areas; HR 2921a bill to amend title XVIII of the Social Security Act to provide for an annual review by the MedPAC on geographic access to services; S 1279 TARP Recipient Ownership Trust Act of 2009, a bill to amend the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to extend the Rural Community Hospital Demonstration Program; HR 2959 Accountable Care Promotion Act of 2009, a bill to amend title XVIII of the Social Security Act to establish an accountable care organization pilot program to reduce the growth of expenditures and improve health outcomes under the Medicare Program; S 1300 Community and Rural Medical Residency Preservation Act of 2009, a bill to amend title XVIII of the Social Security Act to clarify intent regarding the counting of residents in a nonhospital setting under the Medicare program; S 1380 MedPAC Reform Act of 2009, a bill to amend title XVIII of the Social Security Act to create a sensible infrastructure for delivery system reform by renaming the MedPAC, making the commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy; H.R. 3138 Physician Payments Sunshine Act of 2009, a bill to amend title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, biologicals, or medical supplies for which payment is made under Medicare, Medicaid, or SCHIP; HR 3141 Strengthening the Health Care Safety Net Act of 2009, a bill to amend title XIX of the Social Security Act to provide for a DSH redistribution pool from unexpended Medicaid DSH allotments in order to increase Medicaid DSH allotments for low DSH States and to provide grants for health access networks serving the uninsured; H.R. 3152 Helping Seniors Choose their Medicare Drug Plan Act, a bill to amend titles XVIII of the Social Security Act to ensure that low-income beneficiaries have improved access to prescription drugs under the Medicare and Medicaid programs; S. 1423 Medicaid Birth Center Reimbursement Act, a bill to amend title XIX of the Social Security Act to require coverage under the Medicaid Program for freestanding birth center services; S. 1427 Department of Veterans Affairs Hospital Quality Report Card Act of 2009, a bill to amend title 38, United States Code, to establish a Hospital Quality Report Card Initiative to report on health care quality in Department of Veterans Affairs Medical Centers, and for other purposes; H.R. 3172 Senior Navigation and Planning Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for advanced illness care management services for Medicare beneficiaries, and for other purposes; H.R. 3184 Medicare Independent Living Act of 2009, a bill to amend title XVIII of the Social Security Act to eliminate the in the home restriction for Medicare coverage of mobility devices for individuals with expected long-term needs; H.R. 3256 Rural Community Hospital Demonstration Extension Act of 2009, a bill to amend the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to extend the Rural Community Hospital Demonstration Program; H.R. 3356 Medicare Beneficiary Freedom to Choose Act of 2009, a bill to amend title XVIII of the Social Security Act to clarify the use of private contracts by Medicare beneficiaries for professional services and to allow individuals to choose to opt out of the Medicare part A benefits; H.R. 3361 Medicare Patient Safeguards Act of 2009, a bill to provide a process for public comment and Medicare Evidence Development & Coverage Advisory Committee review of certain Medicare national coverage determinations, and for other purposes; HR 3369 and S.1521 Improve Act of 2009, a bill to amend titles XVIII and XIX of the Social Security Act to require provider payments under Medicare and Medicaid to be made through direct deposit or electronic funds transfer (EFT) at insured depository institutions; S.1522 Outpatient Mental Health Modernization Act of 2009, a bill to amend title XVIII of the Social Security Act to stabilize and modernize the provision of partial hospitalization services under the Medicare program; H.R. 3374 Medicare and Medicaid Access Project through Information Technology (MAP IT) Act, a bill to provide for a demonstration project relating to the impact of health information technology on chronic disease management under the Medicare and Medicaid programs; H.R. 3422 Medicare Support for Rural Hospitals Act, a bill to amend title XVIII of the Social Security Act to make temporary improvements to the Medicare inpatient payment adjustment for low-volume hospitals; H.R. 3430 DSH Collaborative Care Network Pilot Program Act of 2009, a bill to establish a Medicare DSH pilot program under which participants shall establish collaborative care networks to reduce the use of emergency departments, inpatient and other expensive resources of hospitals and other providers and provide more comprehensive and coordinated care to low-income individuals, including those without health insurance coverage, and to establish a Collaborative Care Network Center; Neal Letter to Pelosi, Opposition to the Independent Medicare Advisory Council (IMAC) and MedPAC Reform Act (HR 2718, S1110, S 1380); HR 3556 NO TITLE, a bill to require the Secretary of Health and Human Services to establish a self-referral disclosure protocol under the Medicare Program to enable health care providers of services and suppliers to disclose violations of section 1877 of the Social Security Act; S 1669 Equal Access to Medicare Options Act of 2009, a bill to provide all Medicare beneficiaries with the right to guaranteed issue of a Medicare supplemental policy; HR 3631 Medicare Premium Fairness Act, a bill to amend title XVIII to provide for the application of a consistent Medicare part B premium for all Medicare beneficiaries in a budget neutral manner for 2010; HR 3653 Medicare Card Security Act of 2009, a bill to amend title II of the Social Security Act to prohibit the display of Social Security account numbers on Medicare cards; HR 3663 NO TITLE, a bill to amend title XVIII of the Social Security Act to delay the date on which the accreditation requirement under the Medicare Program applies to suppliers of durable medical equipment that are pharmacies; HR 3665 Ryan White Grantee Medicaid Payment Equity Act of 2009, a bill to amend title XIX of the Social Security Act to provide for payment for Medicaid services furnished by Ryan White part C grantees under a cost-based prospective payment system; HR 3675 National Quality Cancer Care Demonstration Project Act of 2009, a bill to improve the quality and cost effectiveness of cancer care to Medicare beneficiaries by establishing a national demonstration project; HR 2962 Integrity in Medicare Advanced Diagnostic Imaging Act of 2009, a bill to amend title XVIII of the Social Security Act to exclude certain advanced diagnostic imaging services from the in-office ancillary services exception to the prohibition on physician self-referral; Meeting with CMS re implementation of new requirements for insurance providers to report payment responsibility for Medicare Secondary Payer program; HR 3693 Ensuring the Future Physician Workforce Act of 2009, a bill to amend title XVIII of the Social Security Act to modify Medicare physician reimbursement policies to ensure a future physician workforce; HR 3961Medicare Physician Payment Reform Act of 2009, a bill to amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physicians and to reinstitute and update the Pay-As-You-Go requirement of budget neutrality on new tax and mandatory spending legislation, enforced by the threat of annual, automatic sequestration; HR 4250 Medicaid DSH Integrity Act, a bill to direct the Secretary of Health and Human Services to revise regulations implementing the statutory reporting and auditing requirements for the Medicaid disproportionate share hospital ("DSH") payment program to be consistent with the scope of the statutory provisions and avoid substantive changes to preexisting DSH policy; S 1776 Medicare Physician Fairness Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for the update under the Medicare physician fee schedule for years beginning with 2010 and to sunset the application of the sustainable growth rate formula, and for other purposes; discussion with the HHS Office of the National Coordinator for Health Information Technology of hospital concerns around development of requirements for meaningful use of Electronic Health Records (EHR) to qualify for Medicare and Medicaid incentive payments for EHR development.

Client expense: $5,400,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Federal Emergency Management Agency (FEMA), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, White House Office

S. 973, Resident Physician Shortage Reduction Act of 2009, A bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes. S. 1355, Rural Health Clinic Patient Access and Improvement Act of 2009, A bill to amend title XVIII of the Social Security Act to improve access to health care for individuals residing in underserved rural areas and for other purposes. H.R. 2251, Resident Physician Shortage Reduction Act of 2009, To amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes. H.R. 2350, Preserving Patient Access to Primary Care Act of 2009, To amend the Public Health Service Act and the social Security Act to increase the number of primary care physicians and primary care providers and to improve patient access to primary care services, and for other purposes. H.R. 2176, Nursing and Allied Health Education Preservation Act of 2009, To amend title XVIII of the Social Security Act to continue the ability of hospitals to supply a needed workforce of nurses and allied health professionals by preserving funding for hospital operated nursing and allied health education programs. H.R. 2124, Medicare Long-Term Care Hospital Improvement Act of 2009, To extend subsections (c) and (d) of section 114 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Public Law 110-173) to provide for regulatory stability during the development of facility and patient criteria for long-term care hospitals under the Medicare Program, and for other purposes. S. 935, Medicare Long-Term Care Hospital Improvement Act of 2009, A bill to extend subsections (c) and (d) of section 114 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Public Law 110-173) to provide for regulatory stability during the development of facility and patient criteria for long-term care hospitals under the Medicare program, and for other purposes. H.R. 574, Medicare Home Infusion Therapy Coverage Act of 2009, To amend title XVIII of the Social Security Act to provide for the coverage of home infusion therapy under the Medicare Program. S. 254, Medicare Home Infusion Therapy Coverage Act of 2009, A bill to amend title XVIII of the Social Security Act to provide for the coverage of home infusion therapy under the Medicare Program. H.R. 1776, Quality FIRST, To amend title XVIII of the Social Security Act to expand the development of quality measures for inpatient hospital services, to implement a performance-based payment methodology for the provision of such services under the Medicare Program, and for other purposes. H.R. 3200, Americas Healthy Future Act, Senate Bill, all Medicare provisions, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 2753, Inpatient Psychiatric Services for Individuals Under Age 21 in Psychiatric Facilities or Programs, 42 CFR 441.151(a)(2), Centers for Medicare and Medicaid Services. To delay the implementation of new Medicare hospital geographic wage reclassification criteria until the Secretary of Health and Human Services issues a proposal to revise the hospital wage index classification system that addresses certain considerations. S.1776 Medicare Physician's Fairness Act of 2009, entire bill. A bill to amend title XVIII of the Social Security Act to provide for the update under the Medicare physician fee schedule for years beginning with 2010 and to sunset the application of the sustainable growth rate formula. S. 1679 Affordable Health Choices Act, entire bill. An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease provention, and strengthen the health care workforce. S. 1796 America's Healthy Future Act of 2009, entire bill. An original bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 3962 Affordable Health Care for America Act, entire bill. To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 3961 Medicare Physician Payment Reform Act of 2009, entire bill. to amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physicians and to reinstitute and update the Pay-As-You-Go requirement of budget neutrality on new tax and mandatory spending legislation, enforced by the threat of annual, automatic sequestration. H.R. 3590 the Patient Protection and Affordable Care Act, entire bill. An act entitled The Patient Protection and Affordable Care Act.

Regulations, rules and legislation related to Medicare reimbursement for long term acute care hospitals. HR2124 and S935 that extend the subsections of the Medicare, Medicaid, and SCHIP Extension Act of 2007 that relate to acute long term hospitals. Healthcare reform legislation - HR3590 and HR3962.

Client expense: $210,000 · 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), Office of Management & Budget (OMB), SENATE

HR 27 Medicare Fraud Prevention and Enforcement Act of 2009, a bill to amend title XVIII of the Social Security Act to establish additional provisions to combat waste, fraud, and abuse within the Medicare Program, and for other purposes; HR 43 and S 46, Medicare Access to Rehabilitation Services Act of 2009, a bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps; S 54 Registered Nurse Safe Staffing Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for patient protection by establishing minimum nurse staffing ratios at certain Medicare providers, and for other purposes; HR 319 Legal Immigrant Children's Health Improvement Act of 2009, a bill to amend titles XIX and XXI of the Social Security Act to permit States the option of coverage of legal immigrants under the Medicaid Program and the State children's health insurance program (SCHIP); S 214 Children's Health Equity Technical Amendments Act of 2009, a bill to amend title XXI of the Social Security Act to permit qualifying States to use their allotments under the State Children's Health Insurance Program for any fiscal year for certain Medicaid expenditures; HR 362 and S 318 Medicare Rural Health Access Improvement Act of 2009, a bill to amend title XVIII of the Social Security Act to improve access to health care under the Medicare program for beneficiaries residing in rural areas; HR 465 a bill to amend titles XIX and XXI of the Social Security Act to permit States to ensure coverage without a 5-year delay of certain children and pregnant women under the Medicaid program and SCHIP; HR 487, a bill to waive the 35-mile requirement for designation of a critical access hospital under the Medicare program; HR 592 and S 264 E-Centives Act of 2009, a bill to amend title XIX of the Social Security Act to encourage the use of certified health information technology by providers in the Medicaid Program and the Children's Health Insurance Program, and for other purposes; HR 619 a bill to amend title XIX of the Social Security Act to remove the exclusion from medical assistance under the Medicaid Program of items and services for patients in an institution for mental diseases; S 295 Medicare Quality and Payment Reform Act of 2009, to amend title XVIII of the Social Security Act to improve the quality and efficiency of the Medicare program through measurement of readmission rates and resource use and to develop a pilot program to provide episodic payments to organized groups of multispecialty and multilevel providers of services and suppliers for hospitalization episodes associated with select, high cost diagnoses; HR 668 and S 307 Critical Access Hospital Flexibility Act of 2009, a bill to amend title XVIII of the Social Security Act to provide flexibility in the manner in which beds are counted for purposes of determining whether a hospital may be designated as a critical access hospital under the Medicare program and to exempt from the critical access hospital inpatient bed limitation the number of beds provided for certain veterans; HR 902 and S. 382 MediFair Act of 2009, a bill to amend title XVIII of the Social Security Act to improve the provision of items and services provided to Medicare beneficiaries residing in States with more cost-effective health care delivery systems; S 434 Empowered at Home Act of 2009, 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, and for other purposes; S 438 Improved Medical Decision Incentive Act of 2009, a bill to provide for the voluntary development by States of qualifying best practices for health care and to encourage such voluntary development by amending titles XVIII and XIX of the Social Security Act to provide differential rates of payment favoring treatment provided consistent with qualifying best practices under the Medicare and Medicaid programs, and for other purposes; HR 1117 Medically Fragile Children's Act of 2009, a bill to amend title XIX of the Social Security Act to establish a State plan option under Medicaid to provide an all-inclusive program of care for children who are medically fragile or have one or more chronic conditions that impede their ability to function; HR 1188 and S 468 Access to Emergency Medical Services Act of 2009, a bill to amend title XVIII of the Social Security Act to improve access to emergency medical services and the quality and efficiency of care furnished in emergency departments of hospitals and critical access hospitals by establishing a bipartisan commission to examine factors that affect the effective delivery of such services, by providing for additional payments for certain physician services furnished in such emergency departments, and by establishing a Centers for Medicare & Medicaid Services Working Group, and for other purposes; S 712 Rural Medicare Equity Act of 2009, a bill to amend title XVIII of the Social Security Act to improve the Medicare program for beneficiaries residing in rural areas; HR 1776 Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2009, a bill to amend title XVIII of the Social Security Act to expand the development of quality measures for inpatient hospital services, to implement a performance-based payment methodology for the provision of such services under the Medicare Program; Senator Schumer and Senator Roberts Letter eliminating IME Cuts CMS to withdraw the Capital IME cut that was included in last years Medicare IPPS rule; Letter to President Obama from Neal/ Tiberi on Capital IME PROTECT AMERICAS TEACHING HOSPITALS, asking him to withdraw a provision in the FY 2010 IPPS rule that would cut reimbursements to teaching hospitals. Letter to CMS asking to eliminate the state-specific budget neutrality policy for the rural and imputed rural floor indices in the upcoming FY2010 Inpatient Prospective Payment System Rule (IPPS); Working on legislation to amend the Medicare Recovery Audit Contractor Program; S 852 a bill to apply an alternative payment amount under the Medicare program for certain graduate medical education programs established to train residents displaced by natural disasters; HR 2068 Medicare Telehealth Enhancement Act of 2009, a bill to improve the provision of telehealth services under the Medicare Program; HR 2094 Physician Training Promotion Act of 2009, a bill to amend title XVIII of the Social Security Act to increase the per resident payment floor for direct graduate medical education payments under the Medicare Program; HR 2124 Medicare Long-Term Care Hospital Improvement Act of 2009, a bill to extend subsections (c) and (d) of section 114 of the Medicare, Medicaid, & SCHIP Extension Act of 2007 (Public Law 110-173) to provide for regulatory stability during the development of facility and patient criteria for long-term care hospitals under the Medicare program; HR 2204 Medicare Access to Rural Anesthesiology Act of 2009, a bill to amend title XVIII of the Social Security Act to provide payment under part A of the Medicare Program on a reasonable cost basis for anesthesia services furnished by an anesthesiologist in certain rural hospitals in the same manner as payments are provided for anesthesia services furnished by anesthesiologist assistants and certified registered nurse anesthetists in such hospitals; S 935 Medicare Long-Term Care Hospital Improvement Act of 2009, a bill to extend subsections (c) and (d) of section 114 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Public Law 110-173) to provide for regulatory stability during the development of facility and patient criteria for long-term care hospitals under the Medicare program; HR 2443 Medicare Ambulance Access Preservation Act of 2009, a bill to amend title XVIII of the Social Security Act to preserve access to ambulance services under the Medicare Program; S 1079 Medicare Cost Contract Extension and Refinement Act of 2009, a bill to amend title XVIII of the Social Security Act to extend reasonable cost contracts under the Medicare program; HR 2525 Safeguarding Our Hospitals' Futures Act of 2009, a bill to require application of budget neutrality on a national basis in the calculation of the Medicare hospital wage index floor for each all-urban and rural State; HR 2534 Physician Pathology Services Continuity Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; S 1108 Safeguarding Our Hospitals' Futures Act of 2009, a bill to require application of budget neutrality on a national basis in the calculation of the Medicare hospital wage index floor for each all-urban and rural State; S 1110 Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009, a bill to amend title XVIII of the Social Security Act to create a sensible infrastructure for delivery system reform by renaming the Medicare Payment Advisory Commission, making the Commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy; S 1114 Medical Homes Act of 2009, a bill to establish a demonstration project to provide for patient-centered medical homes to improve the effectiveness and efficiency in providing medical assistance under the Medicaid program and child health assistance under the State Children's Health Insurance Program; Letters and further discussions to CMS, Physician Supervision for Outpatient Service, resend policy changes requiring direct physician supervision for all PSO therapeutic Outpatient Service provided in and on hospital campus under Medicare, and withdraw change to minimize legal risk for years 2001-2009; HR 2688 Empowered at Home Act of 2009, 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; HR 2692 and S 1171CAH Designation Waiver Authority Act of 2009, a bill to amend title XVIII of the Social Security Act to restore State authority to waive the 35-mile rule for designating critical access hospitals under the Medicare Program; HR 2718 Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009, a bill to amend title XVIII of the Social Security Act to create a sensible infrastructure for delivery system reform by renaming the Medicare Payment Advisory Commission, making the Commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy; S 1185 Medicare Financial Stability for Beneficiaries Act of 2009, a bill to amend titles XVIII and XIX of the Social Security Act to ensure that low-income beneficiaries have improved access to health care under the Medicare and Medicaid programs; S 1181 Healthy Living and Health Aging Demonstration Project Act of 2009, a bill to provide for a demonstration project to examine whether community-level public health interventions can result in lower rates of chronic disease for individuals entering the Medicare program; HR 2753 a bill to delay the implementation of new Medicare hospital geographic wage reclassification criteria until the Secretary of Health and Human Services issues a proposal to revise the hospital wage index classification system that addresses certain considerations; HR 2758 Medicare Specialty Care Improvement and Protection Act of 2009, a bill to amend part C of title XVIII of the Social Security Act with respect to Medicare special needs plans and the alignment of Medicare and Medicaid for dually eligible individuals; HR 2773 Medicare Transitional Care Act of 2009, a bill to amend title XVIII of the Social Security Act to cover transitional care services to improve the quality and cost effectiveness of care under the Medicare Program; S 1218 Urban Medicare-Dependent Hospitals Preservation Act of 2009, a bill to amend title XVIII of the Social Security Act to preserve access to urban Medicare-dependent hospitals; HR 2784 Partnership to Improve Seniors Access to Medicare Act, a bill to establish a loan repayment program for qualifying physicians and nurse practitioners participating in the Medicare Program; HR 2805 Ensuring Continuous Medicaid Coverage for Children Act of 2009, a bill to amend title XIX of the Social Security Act to require 12-month continuous coverage for children under Medicaid; HR 2844 Medicare Payment Improvement Act of 2009, a bill to amend title XVIII of the Social Security Act to create a value indexing mechanism for the physician work component of the Medicare physician fee schedule; HR 2859 Strengthening Medicaid for America's Children Act of 2009, a bill to amend title XIX of the Social Security Act to provide for application of an enhanced Federal matching rate for children under the Medicaid Program if certain conditions are met; S 1262 Medical Efficiency and Delivery Improvement of Care Act (MEDIC) of 2009, a bill to amend title VII of the Public Health Service Act and titles XVIII and XIX of the Social Security Act to provide additional resources for primary care services, to create new payment models for services under Medicare, to expand provision of non-institutionally-based long-term services, and for other purposes; S 1263 Senior Navigation and Planning Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for advanced illness care management services for Medicare beneficiaries, and for other purposes; HR 2919 Medicare Efficiency Incentive Act of 2009, a bill to amend part B of title XVIII of the Social Security Act to provide Medicare physician incentive payments for efficient areas; HR 2921a bill to amend title XVIII of the Social Security Act to provide for an annual review by the MedPAC on geographic access to services; S 1279 TARP Recipient Ownership Trust Act of 2009, a bill to amend the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to extend the Rural Community Hospital Demonstration Program; HR 2959 Accountable Care Promotion Act of 2009, a bill to amend title XVIII of the Social Security Act to establish an accountable care organization pilot program to reduce the growth of expenditures and improve health outcomes under the Medicare Program; S 1300 Community and Rural Medical Residency Preservation Act of 2009, a bill to amend title XVIII of the Social Security Act to clarify intent regarding the counting of residents in a nonhospital setting under the Medicare program; S 1380 MedPAC Reform Act of 2009, a bill to amend title XVIII of the Social Security Act to create a sensible infrastructure for delivery system reform by renaming the MedPAC, making the commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy; H.R. 3138 Physician Payments Sunshine Act of 2009, a bill to amend title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, biologicals, or medical supplies for which payment is made under Medicare, Medicaid, or SCHIP; HR 3141 Strengthening the Health Care Safety Net Act of 2009, a bill to amend title XIX of the Social Security Act to provide for a DSH redistribution pool from unexpended Medicaid DSH allotments in order to increase Medicaid DSH allotments for low DSH States and to provide grants for health access networks serving the uninsured; H.R. 3152 Helping Seniors Choose their Medicare Drug Plan Act, a bill to amend titles XVIII of the Social Security Act to ensure that low-income beneficiaries have improved access to prescription drugs under the Medicare and Medicaid programs; S. 1423 Medicaid Birth Center Reimbursement Act, a bill to amend title XIX of the Social Security Act to require coverage under the Medicaid Program for freestanding birth center services; S. 1427 Department of Veterans Affairs Hospital Quality Report Card Act of 2009, a bill to amend title 38, United States Code, to establish a Hospital Quality Report Card Initiative to report on health care quality in Department of Veterans Affairs Medical Centers, and for other purposes; H.R. 3172 Senior Navigation and Planning Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for advanced illness care management services for Medicare beneficiaries, and for other purposes; H.R. 3184 Medicare Independent Living Act of 2009, a bill to amend title XVIII of the Social Security Act to eliminate the in the home restriction for Medicare coverage of mobility devices for individuals with expected long-term needs; H.R. 3256 Rural Community Hospital Demonstration Extension Act of 2009, a bill to amend the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to extend the Rural Community Hospital Demonstration Program; H.R. 3356 Medicare Beneficiary Freedom to Choose Act of 2009, a bill to amend title XVIII of the Social Security Act to clarify the use of private contracts by Medicare beneficiaries for professional services and to allow individuals to choose to opt out of the Medicare part A benefits; H.R. 3361 Medicare Patient Safeguards Act of 2009, a bill to provide a process for public comment and Medicare Evidence Development & Coverage Advisory Committee review of certain Medicare national coverage determinations, and for other purposes; HR 3369 and S.1521 Improve Act of 2009, a bill to amend titles XVIII and XIX of the Social Security Act to require provider payments under Medicare and Medicaid to be made through direct deposit or electronic funds transfer (EFT) at insured depository institutions; S.1522 Outpatient Mental Health Modernization Act of 2009, a bill to amend title XVIII of the Social Security Act to stabilize and modernize the provision of partial hospitalization services under the Medicare program; H.R. 3374 Medicare and Medicaid Access Project through Information Technology (MAP IT) Act, a bill to provide for a demonstration project relating to the impact of health information technology on chronic disease management under the Medicare and Medicaid programs; H.R. 3422 Medicare Support for Rural Hospitals Act, a bill to amend title XVIII of the Social Security Act to make temporary improvements to the Medicare inpatient payment adjustment for low-volume hospitals; H.R. 3430 DSH Collaborative Care Network Pilot Program Act of 2009, a bill to establish a Medicare DSH pilot program under which participants shall establish collaborative care networks to reduce the use of emergency departments, inpatient and other expensive resources of hospitals and other providers and provide more comprehensive and coordinated care to low-income individuals, including those without health insurance coverage, and to establish a Collaborative Care Network Center; Neal Letter to Pelosi, Opposition to the Independent Medicare Advisory Council (IMAC) and MedPAC Reform Act (HR 2718, S1110, S 1380); HR 3556 NO TITLE, a bill to require the Secretary of Health and Human Services to establish a self-referral disclosure protocol under the Medicare Program to enable health care providers of services and suppliers to disclose violations of section 1877 of the Social Security Act; S 1669 Equal Access to Medicare Options Act of 2009, a bill to provide all Medicare beneficiaries with the right to guaranteed issue of a Medicare supplemental policy; HR 3631 Medicare Premium Fairness Act, a bill to amend title XVIII to provide for the application of a consistent Medicare part B premium for all Medicare beneficiaries in a budget neutral manner for 2010; HR 3653 Medicare Card Security Act of 2009, a bill to amend title II of the Social Security Act to prohibit the display of Social Security account numbers on Medicare cards; HR 3663 NO TITLE, a bill to amend title XVIII of the Social Security Act to delay the date on which the accreditation requirement under the Medicare Program applies to suppliers of durable medical equipment that are pharmacies; HR 3665 Ryan White Grantee Medicaid Payment Equity Act of 2009, a bill to amend title XIX of the Social Security Act to provide for payment for Medicaid services furnished by Ryan White part C grantees under a cost-based prospective payment system; HR 3675 National Quality Cancer Care Demonstration Project Act of 2009, a bill to improve the quality and cost effectiveness of cancer care to Medicare beneficiaries by establishing a national demonstration project; HR 2962 Integrity in Medicare Advanced Diagnostic Imaging Act of 2009, a bill to amend title XVIII of the Social Security Act to exclude certain advanced diagnostic imaging services from the in-office ancillary services exception to the prohibition on physician self-referral.

S. 973, Resident Physician Shortage Reduction Act of 2009, A bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes. S. 1355, Rural Health Clinic Patient Access and Improvement Act of 2009, A bill to amend title XVIII of the Social Security Act to improve access to health care for individuals residing in underserved rural areas and for other purposes. H.R. 2251, Resident Physician Shortage Reduction Act of 2009, To amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes. H.R. 2350, Preserving Patient Access to Primary Care Act of 2009, To amend the Public Health Service Act and the social Security Act to increase the number of primary care physicians and primary care providers and to improve patient access to primary care services, and for other purposes. H.R. 2176, Nursing and Allied Health Education Preservation Act of 2009, To amend title XVIII of the Social Security Act to continue the ability of hospitals to supply a needed workforce of nurses and allied health professionals by preserving funding for hospital operated nursing and allied health education programs. H.R. 2124, Medicare Long-Term Care Hospital Improvement Act of 2009, To extend subsections (c) and (d) of section 114 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Public Law 110-173) to provide for regulatory stability during the development of facility and patient criteria for long-term care hospitals under the Medicare Program, and for other purposes. S. 935, Medicare Long-Term Care Hospital Improvement Act of 2009, A bill to extend subsections (c) and (d) of section 114 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Public Law 110-173) to provide for regulatory stability during the development of facility and patient criteria for long-term care hospitals under the Medicare program, and for other purposes. H.R. 574, Medicare Home Infusion Therapy Coverage Act of 2009, To amend title XVIII of the Social Security Act to provide for the coverage of home infusion therapy under the Medicare Program. S. 254, Medicare Home Infusion Therapy Coverage Act of 2009, A bill to amend title XVIII of the Social Security Act to provide for the coverage of home infusion therapy under the Medicare Program. H.R. 1776, Quality FIRST, To amend title XVIII of the Social Security Act to expand the development of quality measures for inpatient hospital services, to implement a performance-based payment methodology for the provision of such services under the Medicare Program, and for other purposes. H.R. 3200, Americas Healthy Future Act, Senate Bill, all Medicare provisions, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 2753, Inpatient Psychiatric Services for Individuals Under Age 21 in Psychiatric Facilities or Programs, 42 CFR 441.151(a)(2), Centers for Medicare and Medicaid Services. To delay the implementation of new Medicare hospital geographic wage reclassification criteria until the Secretary of Health and Human Services issues a proposal to revise the hospital wage index classification system that addresses certain considerations.

Regulations, rules and legislation related to Medicare reimbursement for long term acute care hospitals. HR2124 and S935 that extend the subsections of the Medicare, Medicaid, and SCHIP Extension Act of 2007 that relate to acute long term hospitals. Healthcare reform legislation and post-acute bundling proposals.

Client expense: $240,000 · 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), Office of Management & Budget (OMB), SENATE

HR 27Medicare Fraud Prevention and Enforcement Act of 2009, a bill to amend title XVIII of the Social Security Act to establish additional provisions to combat waste, fraud, and abuse within the Medicare Program, and for other purposes; HR 43 and S 46, Medicare Access to Rehabilitation Services Act of 2009, a bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps; S 54 Registered Nurse Safe Staffing Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for patient protection by establishing minimum nurse staffing ratios at certain Medicare providers, and for other purposes; HR 319 Legal Immigrant Children's Health Improvement Act of 2009, a bill to amend titles XIX and XXI of the Social Security Act to permit States the option of coverage of legal immigrants under the Medicaid Program and the State children's health insurance program (SCHIP); S 214 Children's Health Equity Technical Amendments Act of 2009, a bill to amend title XXI of the Social Security Act to permit qualifying States to use their allotments under the State Children's Health Insurance Program for any fiscal year for certain Medicaid expenditures; HR 362 and S 318 Medicare Rural Health Access Improvement Act of 2009, a bill to amend title XVIII of the Social Security Act to improve access to health care under the Medicare program for beneficiaries residing in rural areas; HR 465,a bill to amend titles XIX and XXI of the Social Security Act to permit States to ensure coverage without a 5-year delay of certain children and pregnant women under the Medicaid program and SCHIP; HR 487, a bill to waive the 35-mile requirement for designation of a critical access hospital under the Medicare program; HR 592 and S 264 E-Centives Act of 2009, a bill to amend title XIX of the Social Security Act to encourage the use of certified health information technology by providers in the Medicaid Program and the Children's Health Insurance Program, and for other purposes; HR 619 a bill to amend title XIX of the Social Security Act to remove the exclusion from medical assistance under the Medicaid Program of items and services for patients in an institution for mental diseases; S 295 Medicare Quality and Payment Reform Act of 2009, to amend title XVIII of the Social Security Act to improve the quality and efficiency of the Medicare program through measurement of readmission rates and resource use and to develop a pilot program to provide episodic payments to organized groups of multispecialty and multilevel providers of services and suppliers for hospitalization episodes associated with select, high cost diagnoses; HR 668 and S 307 Critical Access Hospital Flexibility Act of 2009, a bill to amend title XVIII of the Social Security Act to provide flexibility in the manner in which beds are counted for purposes of determining whether a hospital may be designated as a critical access hospital under the Medicare program and to exempt from the critical access hospital inpatient bed limitation the number of beds provided for certain veterans; HR 902 and S. 382 MediFair Act of 2009, a bill to amend title XVIII of the Social Security Act to improve the provision of items and services provided to Medicare beneficiaries residing in States with more cost-effective health care delivery systems; S 434 Empowered at Home Act of 2009, 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, and for other purposes; S 438 Improved Medical Decision Incentive Act of 2009, a bill to provide for the voluntary development by States of qualifying best practices for health care and to encourage such voluntary development by amending titles XVIII and XIX of the Social Security Act to provide differential rates of payment favoring treatment provided consistent with qualifying best practices under the Medicare and Medicaid programs, and for other purposes; HR 1117 Medically Fragile Children's Act of 2009, a bill to amend title XIX of the Social Security Act to establish a State plan option under Medicaid to provide an all-inclusive program of care for children who are medically fragile or have one or more chronic conditions that impede their ability to function; HR 1188 and S 468 Access to Emergency Medical Services Act of 2009, a bill to amend title XVIII of the Social Security Act to improve access to emergency medical services and the quality and efficiency of care furnished in emergency departments of hospitals and critical access hospitals by establishing a bipartisan commission to examine factors that affect the effective delivery of such services, by providing for additional payments for certain physician services furnished in such emergency departments, and by establishing a Centers for Medicare & Medicaid Services Working Group, and for other purposes; S 712 Rural Medicare Equity Act of 2009, a bill to amend title XVIII of the Social Security Act to improve the Medicare program for beneficiaries residing in rural areas; HR 1776 Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2009, a bill to amend title XVIII of the Social Security Act to expand the development of quality measures for inpatient hospital services, to implement a performance-based payment methodology for the provision of such services under the Medicare Program; Senator Schumer and Senator Roberts Letter eliminating IME Cuts CMS to withdraw the Capital IME cut that was included in last years Medicare IPPS rule; Letter to President Obama from Neal/ Tiberi on Capital IME PROTECT AMERICAS TEACHING HOSPITALS, asking him to withdraw a provision in the FY 2010 IPPS rule that would cut reimbursements to teaching hospitals. Letter to CMS asking to eliminate the state-specific budget neutrality policy for the rural and imputed rural floor indices in the upcoming FY2010 Inpatient Prospective Payment System Rule (IPPS).Working on legislation to amend the Medicare Recovery Audit Contractor Program. S 852 a bill to apply an alternative payment amount under the Medicare program for certain graduate medical education programs established to train residents displaced by natural disasters; HR 2068 Medicare Telehealth Enhancement Act of 2009, a bill to improve the provision of telehealth services under the Medicare Program; HR 2094 Physician Training Promotion Act of 2009, a bill to amend title XVIII of the Social Security Act to increase the per resident payment floor for direct graduate medical education payments under the Medicare Program; HR 2124 Medicare Long-Term Care Hospital Improvement Act of 2009, a bill to extend subsections (c) and (d) of section 114 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Public Law 110-173) to provide for regulatory stability during the development of facility and patient criteria for long-term care hospitals under the Medicare Program; HR 2204 Medicare Access to Rural Anesthesiology Act of 2009, a bill to amend title XVIII of the Social Security Act to provide payment under part A of the Medicare Program on a reasonable cost basis for anesthesia services furnished by an anesthesiologist in certain rural hospitals in the same manner as payments are provided for anesthesia services furnished by anesthesiologist assistants and certified registered nurse anesthetists in such hospitals; S 935 Medicare Long-Term Care Hospital Improvement Act of 2009, a bill to extend subsections (c) and (d) of section 114 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Public Law 110-173) to provide for regulatory stability during the development of facility and patient criteria for long-term care hospitals under the Medicare program; HR 2443 Medicare Ambulance Access Preservation Act of 2009, a bill to amend title XVIII of the Social Security Act to preserve access to ambulance services under the Medicare Program; S 1079 Medicare Cost Contract Extension and Refinement Act of 2009, a bill to amend title XVIII of the Social Security Act to extend reasonable cost contracts under the Medicare program; HR 2525 Safeguarding Our Hospitals' Futures Act of 2009, a bill to require application of budget neutrality on a national basis in the calculation of the Medicare hospital wage index floor for each all-urban and rural State; HR 2534 Physician Pathology Services Continuity Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; S 1108 Safeguarding Our Hospitals' Futures Act of 2009, a bill to require application of budget neutrality on a national basis in the calculation of the Medicare hospital wage index floor for each all-urban and rural State; S 1110 Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009, a bill to amend title XVIII of the Social Security Act to create a sensible infrastructure for delivery system reform by renaming the Medicare Payment Advisory Commission, making the Commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy; S 1114 Medical Homes Act of 2009, a bill to establish a demonstration project to provide for patient-centered medical homes to improve the effectiveness and efficiency in providing medical assistance under the Medicaid program and child health assistance under the State Children's Health Insurance Program; Letter to CMS, Physician Supervision for Outpatient Service, Resend policy changes requiring PSO therapeutic Service in and on hospital campus. Withdraw it to minimize legal risk; HR 2688 Empowered at Home Act of 2009, 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; HR 2692 and S 1171CAH Designation Waiver Authority Act of 2009A bill to amend title XVIII of the Social Security Act to restore State authority to waive the 35-mile rule for designating critical access hospitals under the Medicare Program; HR 2718 Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009, a bill to amend title XVIII of the Social Security Act to create a sensible infrastructure for delivery system reform by renaming the Medicare Payment Advisory Commission, making the Commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy; S 1185 Medicare Financial Stability for Beneficiaries Act of 2009, a bill to amend titles XVIII and XIX of the Social Security Act to ensure that low-income beneficiaries have improved access to health care under the Medicare and Medicaid programs; S 1181 Healthy Living and Health Aging Demonstration Project Act of 2009, a bill to provide for a demonstration project to examine whether community-level public health interventions can result in lower rates of chronic disease for individuals entering the Medicare program; HR 2753 a bill to delay the implementation of new Medicare hospital geographic wage reclassification criteria until the Secretary of Health and Human Services issues a proposal to revise the hospital wage index classification system that addresses certain considerations; HR 2758 Medicare Specialty Care Improvement and Protection Act of 2009, a bill to amend part C of title XVIII of the Social Security Act with respect to Medicare special needs plans and the alignment of Medicare and Medicaid for dually eligible individuals, and for other purposes HR 2773 Medicare Transitional Care Act of 2009, a bill to amend title XVIII of the Social Security Act to cover transitional care services to improve the quality and cost effectiveness of care under the Medicare Program; S 1218 Urban Medicare-Dependent Hospitals Preservation Act of 2009, a bill to amend title XVIII of the Social Security Act to preserve access to urban Medicare-dependent hospitals; HR 2784 Partnership to Improve Seniors Access to Medicare Act, a bill to establish a loan repayment program for qualifying physicians and nurse practitioners participating in the Medicare Program; HR 2805 Ensuring Continuous Medicaid Coverage for Children Act of 2009, a bill to amend title XIX of the Social Security Act to require 12-month continuous coverage for children under Medicaid; HR 2844 Medicare Payment Improvement Act of 2009, a bill to amend title XVIII of the Social Security Act to create a value indexing mechanism for the physician work component of the Medicare physician fee schedule; HR 2859 Strengthening Medicaid for America's Children Act of 2009, a bill to amend title XIX of the Social Security Act to provide for application of an enhanced Federal matching rate for children under the Medicaid Program if certain conditions are met; S 1262Medical Efficiency and Delivery Improvement of Care Act (MEDIC) of 2009, a bill to amend title VII of the Public Health Service Act and titles XVIII and XIX of the Social Security Act to provide additional resources for primary care services, to create new payment models for services under Medicare, to expand provision of non-institutionally-based long-term services, and for other purposes; S 1263 Senior Navigation and Planning Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for advanced illness care management services for Medicare beneficiaries, and for other purposes; HR 2919 Medicare Efficiency Incentive Act of 2009, a bill to amend part B of title XVIII of the Social Security Act to provide Medicare physician incentive payments for efficient areas; HR 2921a bill to amend title XVIII of the Social Security Act to provide for an annual review by the Medicare Payment Advisory Commission on geographic access to services; S 1279 TARP Recipient Ownership Trust Act of 2009, a bill to amend the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to extend the Rural Community Hospital Demonstration Program; HR 2959 Accountable Care Promotion Act of 2009, a bill to amend title XVIII of the Social Security Act to establish an accountable care organization pilot program to reduce the growth of expenditures and improve health outcomes under the Medicare Program; S 1300 Community and Rural Medical Residency Preservation Act of 2009, a bill to amend title XVIII of the Social Security Act to clarify intent regarding the counting of residents in a nonhospital setting under the Medicare program; S 1380 Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009, a bill to amend title XVIII of the Social Security Act to create a sensible infrastructure for delivery system reform by renaming the Medicare Payment Advisory Commission, making the commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy.

Regulations, rules and legislation related to Medicare reimbursement for long term acute care hospitals. HR2124 and S935 that extend the subsections of the Medicare, Medicaid and SCHIP Extension Act of 2007 that relate to acute long term hospitals. Healthcare reform legislation and post-acute bundling proposals.

Client expense: $120,000 · 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), Office of Management & Budget (OMB), SENATE

Improvements in Military compensation and benefits. S.38,S.67,S.206,S.439,S.604,S.648,S.773,S.935,S.986,S.1002,S.1200,S.1243,S.1547,S.1606,S.2052,S.2273,S.2383,S.2400 S.2573,S.2599,S.2639,S.2641,S.2689,S.2796,S.2797,S.2799,S.2824,S.2836,S.2838,S.2863,S.2889,S.2921,S.2926,S.2937,S.2963, S.2984,S.3001,S.3057,S.3073,S.3101,S.3230,S.3621,SCONRES70, S28, S.2377,HR82,HR303,HR327,HR333,HR579,HR599 HR440,HR657,HR690,HR704,HR737,HR784,HR992,HR1023,HR1102,HR1110,HR1223,HR1428,HR1436,HR1439, HR1593,HR1927,HR2027,HR2319,HR2638,HR2642,HR2682,HR2721,HR2889,HR3026,HR3174,HR4089,HR4255 HR4463,HR5481,HR5604,HR5658,HR5729,HR5825,HR5826,HR5832,HR5925,HR5441,HR6930,HR6070,HR3221 HR7011,HR5658,HR5888,HR440,HR82,HR3038

Client expense: $408,526 · Firm income: Not reported

Improve Tax Equity for servicemembers. S.206,S.207,S.326,S.384,S.450,S.455,S.773,S.935,S.1166,S.1575,S.1593,S.1927, S.3001, HR418,HR843,HR867, HR1110,HR1424,HR1974,HR2234,HR2639,HR2772,HR3038,HR3827,HR3996,HR3997,HR5140,HR5441, HR5658,HR5787,HR5797,HR5987,HR6049,HR6081

Client expense: $408,526 · Firm income: Not reported

Improving survivor benefits for widows of deceased veterans and to restore and improve Veterans benefits. S.19,S.225,S.326,S.384,S.644,S.648,S.935,S.1063,S.1315,S.1326,S.1606,S.1784,S.2162,S.2504,S.2617,S.2674,S.2825,S.2836 S.2854,S.2921,S.2938,S.2969,S.2799,S.2992,S.3023,S.3107,S.3299, HR23,HR92,HR657,HR690,HR760,HR843, HR1108,HR1211,HR1214,HR1299,HR1428,HR1527,HR1585,HR1589,HR1641,HR1927,HR2192,HR2202,HR2247, HR2385,HR2394,HR2399, R2682,HR2702,HR2790,HR2910,HR3026,HR3393,HR3458,HR3793,HR3819,HR4053, HR4107,HR4137,HR4146,HR4204,HR4255,HR5465,HR5892,HR6225,HR6268,HR6445,HR6599,HR6600,HR7299

Client expense: $408,526 · Firm income: Not reported

HR 6939, HR 6122, HR 6114, HR 6032, HR 5985, HR 5954, HR 5892, HR 5888, HR 5730, HR 5729, HR 5709, HR 5684, HR 5622, HR 5595, HR 5554, HR 5509, HR 5448, HR 5454, HR 5155, HR 4463, HR 4274, HR 4231, HR 4204, HR 4146, HR 4107, HR 4089, HR 4053, HR 3954, HR 3889, HR 3819, HR 3795, HR 3681, HR 3458, HR 3415, HR 3286, HR 3249, HR 3070, HR 3047, HR 3008, HR 2818, HR 2790, HR 2697, HR 2696, HR 2623, HR 2612, HR 2514, HR 2378, HR 2259, HR 2239, HR 2219, HR 2192, HR 2190, HR 2173, HR 2172, HR 2026, HR 2005, HR 1944, HR 1927, HR 1925, HR 1853, HR 1589, HR 1538, HR 1527, HR 1490, HR 1448, HR 1477, HR 1472, HR 1470, HR 1444, HR 1435, HR 1426, HR 1382, HR 1370, HR 1354, HR 1318, HR 1315, HR 1284, HR 1265, HR 1214, HR 1197, HR 1137, HR 995, HR 976, HR 963, HR 797, HR 728, HR 704, HR 676, HR 675, HR 652, HR 649, HR 634, HR 612, HR 542, HR 538, HR 463, HR 402, HR 358, HR 343, HR 339, HR 336, HR 333, HR 315, HR 303, HR 243, HR 161, HR 156, HR 109, HR 100, HR 92, HR 81, HR 67, H.Con.RES 336, H.Con.RES 176, S 3527, S 3023, S 2984, S 2969, S 2963, S 2961, S 2951, S 2938, S 2937, S 2926, S 2921, S 2899, S 2889, S 2864, S 2825, S 2824, S 2799, S 2797, S 2796, S 2768, S 2737, S 2701, S 2683, S 2639, S 2674, S 2617, S 2573, S 2550, S 2471, S 2383, S 2377, S 2309, S 2273, S 2162, S 2160, S 2142, S 2139, S 2138, S 2091, S 2090, S 2026, S 2004, S 1718, S.1454, S 1441, S 1326, S 1315, S 1314, S 1271, S 1266, 2 1265, S 1261, S 1233, S 1215, S 1205, S 1196, S 1163, S 1147, S 1096, S 1065, S 1043, S 1026, S 994, S 961, S 935, S 882, S 874, S 848, S 847, S 815, S 698, S 692, S 643, S 610, S 526, S 479, S 472, S 439, S 423, S 383, S 349 S 326, S 225, S 168, S 161, S 117, S 67, S 57, S 38, S 22.

Client expense: $290,000 · Firm income: Not reported

HR 6939, HR 6122, HR 6114, HR 6032, HR 5985, HR 5954, HR 5892, HR 5888, HR 5730, HR 5729, HR 5709, HR 5684, HR 5622, HR 5595, HR 5554, HR 5509, HR 5448, HR 5454, HR 5155, HR 4463, HR 4274, HR 4231, HR 4204, HR 4146, HR 4107, HR 4089, HR 4053, HR 3954, HR 3889, HR 3819, HR 3795, HR 3681, HR 3458, HR 3415, HR 3286, HR 3249, HR 3070, HR 3047, HR 3008, HR 2818, HR 2790, HR 2697, HR 2696, HR 2623, HR 2612, HR 2514, HR 2378, HR 2259, HR 2239, HR 2219, HR 2192, HR 2190, HR 2173, HR 2172, HR 2026, HR 2005, HR 1944, HR 1927, HR 1925, HR 1853, HR 1589, HR 1538, HR 1527, HR 1490, HR 1448, HR 1477, HR 1472, HR 1470, HR 1444, HR 1435, HR 1426, HR 1382, HR 1370, HR 1354, HR 1318, HR 1315, HR 1284, HR 1265, HR 1214, HR 1197, HR 1137, HR 995, HR 976, HR 963, HR 797, HR 728, HR 704, HR 676, HR 675, HR 652, HR 649, HR 634, HR 612, HR 542, HR 538, HR 463, HR 402, HR 358, HR 343, HR 339, HR 336, HR 333, HR 315, HR 303, HR 243, HR 161, HR 156, HR 109, HR 100, HR 92, HR 81, HR 67, H.Con.RES 336, H.Con.RES 176, S 3527, S 3023, S 2984, S 2969, S 2963, S 2961, S 2951, S 2938, S 2937, S 2926, S 2921, S 2899, S 2889, S 2864, S 2825, S 2824, S 2799, S 2797, S 2796, S 2768, S 2737, S 2701, S 2683, S 2639, S 2674, S 2617, S 2573, S 2550, S 2471, S 2383, S 2377, S 2309, S 2273, S 2162, S 2160, S 2142, S 2139, S 2138, S 2091, S 2090, S 2026, S 2004, S 1718, S.1454, S 1441, S 1326, S 1315, S 1314, S 1271, S 1266, 2 1265, S 1261, S 1233, S 1215, S 1205, S 1196, S 1163, S 1147, S 1096, S 1065, S 1043, S 1026, S 994, S 961, S 935, S 882, S 874, S 848, S 847, S 815, S 698, S 692, S 643, S 610, S 526, S 479, S 472, S 439, S 423, S 383, S 349 S 326, S 225, S 168, S 161, S 117, S 67, S 57, S 38, S 22.

Client expense: $480,000 · Firm income: Not reported

Improve Tax Equity for servicemembers. S.206,S.207,S.326,S.384,S.450,S.455,S.773,S.935,S.1166,S.1593,S.1927,S.HR418,HR843,HR867,HR1110,HR1974,HR2234,HR2639,HR2772,HR3038,HR3827,HR3996,HR3997,HR5140,HR5441,HR5787,HR5797,HR5987

Client expense: $429,304 · Firm income: Not reported

Improvements in Military compensation and benefits. S.38,S,67,S.206,S.439,S.604,S.648,S.773,S.935,S.986,S.1002,S.1200,S.1243,S.1547,S.1606,S.2052,S.2273,S2377,S.2383,S.2400,S.2573,S.2599,S.2639,S.2641,S.2689,S.2796,S.2797,S.2799,S.2824,S.2836,S.2838,S.2863,S.2889,S.2921,S.2926,S.2937,S.2963,S.2984,S.3001,S.3057,S.3101,S.3621,SCONRES70,S.28,HR81,HR82,HR303,HR327,HR333,HR579,HR599,HR657,HR690, HR704,HR737,HR784,HR992,HR1023,HR1102,HR1110,HR1223,HR1428,HR1436,HR1439,HR1593,HR1927,HR2027,HR2319,HR2638,HR2642,HR2682,HR2721,HR2889,HR3026,HR3038,HR3174,HR4089,HR4255,HR4463,HR5481,HR5604,HR5658,HR5729,HR5825,HR5826,HR5832,HR5925,HR5441,HR6930,HR6070,HR3221,HR7011,HR5658,HR5888

Client expense: $429,304 · Firm income: Not reported

Improving survivor benefits for widows of deceased veterans and to restore and improve Veterans benefits. S.225,S.326,S.384,S.644,S.648,S.935,S.1063,S.1315,S.1326,S.1606,S.1784,S.2162,S.2504,S.2617,S.2674,S.2825,S.2836,S.2854,S.2921,S.2938,S.2969,S.2992,S.3023,S.3107,S.3299,HR23,HR92,HR657,HR690,HR760,HR843,HR1108,HR1211,HR1214, HR1428,HR1527,HR1585,HR1589,HR1641,HR1927,HR2192,HR2202,HR2247,HR2385,HR2682,HR2702,HR2790,HR2910 HR3026,HR3393,HR3458,HR3793,HR3819,HR4053,HR4107,HR4137,HR4146,HR4204,HR4255,HR5892,HR6225, HR6268,HR6445,HR6599,HR6600

Client expense: $429,304 · Firm income: Not reported

HR 6122, HR 6114, HR 6032, HR 5985, HR 5954, HR 5892, HR 5888, HR 5730, HR 5729, HR 5709, HR 5684, HR 5622, HR 5595, HR 5554, HR 5509, HR 5448, HR 5454, HR 5155, HR 4463, HR 4274, HR 4231, HR 4204, HR 4146, HR 4107, HR 4089, HR 4053, HR 3954, HR 3889, HR 3819, HR 3795, HR 3681, HR 3458, HR 3415, HR 3286, HR 3249, HR 3070, HR 3047, HR 3008, HR 2818, HR 2790, HR 2697, HR 2696, HR 2623, HR 2612, HR 2514, HR 2378, HR 2259, HR 2239, HR 2219, HR 2192, HR 2190, HR 2173, HR 2172, HR 2026, HR 2005, HR 1944, HR 1927, HR 1925, HR 1853, HR 1589, HR 1538, HR 1527, HR 1490, HR 1448, HR 1477, HR 1472, HR 1470, HR 1444, HR 1435, HR 1426, HR 1382, HR 1370, HR 1354, HR 1318, HR 1315, HR 1284, HR 1265, HR 1214, HR 1197, HR 1137, HR 995, HR 976, HR 963, HR 797, HR 728, HR 704, HR 676, HR 675, HR 652, HR 649, HR 634, HR 612, HR 542, HR 538, HR 463, HR 402, HR 358, HR 343, HR 339, HR 336, HR 333, HR 315, HR 303, HR 243, HR 161, HR 156, HR 109, HR 100, HR 92, HR 81, HR 67, H.Con.RES 336, H.Con.RES 176, S 3023, S 2984, S 2969, S 2963, S 2961, S 2951, S 2938, S 2937, S 2926, S 2921, S 2899, S 2889, S 2864, S 2825, S 2824, S 2799, S 2797, S 2796, S 2768, S 2737, S 2701, S 2683, S 2639, S 2674, S 2617, S 2573, S 2550, S 2471, S 2383, S 2377, S 2309, S 2273, S 2162, S 2160, S 2142, S 2139, S 2138, S 2091, S 2090, S 2026, S 2004, S 1718, S.1454, S 1441, S 1326, S 1315, S 1314, S 1271, S 1266, 2 1265, S 1261, S 1233, S 1215, S 1205, S 1196, S 1163, S 1147, S 1096, S 1065, S 1043, S 1026, S 994, S 961, S 935, S 882, S 874, S 848, S 847, S 815, S 698, S 692, S 643, S 610, S 526, S 479, S 472, S 439, S 423, S 383, S 349 S 326, S 225, S 168, S 161, S 117, S 67, S 57, S 38, S 22.

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

See Next Page For Listing H.R. 1119 Purple Heart Family Equity Act of 2007; H.R. 343 Military Retirees Health Care Act of 2007; H.R. 1224 Keeping Faith With The Greatest Generation Military Retirees Act; H.R. 2303/H.R. 1390 Perpetual Purple Heart Stamp; S. 22 Post 9/11 Veterans Educational Assistance Act of 2007; H.R. 5441- To Amend Title 10, USC, to Extend The Special Survivor Indemnity Allowance To Survivors 0f Certain Members Of The Armed Forces Who Die On Active Duty; S. 935/H.R. 1927 To Repeal The Requirement For Reduction Of Survivors Annuities Under The SBP By Veterans DIC, and for other purposes; H.R. 1589 Military Surviving Spouse Equity Act; H.R. 2642 - Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2008, provisions related to the GI Bill; S. 3167-Amendment To Title 38, USC, To Clarify The Conditions Under Which Veterans, Their Surviving Spouses and Their Children May Be Treated As Adjudicated Mentally Incompetent For Certain Purposes; H.R. 2721- To Require the Secretary of The VA To Develop and the Secretary of DOD To Distribute To Members of the Armed Forces Upon Their Discharge Or Release From Active Duty, Information in a Compact Disk Read-Only Memory Format That Lists and Explains The Health, Education, and Other Benefits For Which Veterans Are Eligible Under the Laws Administered By The Secretary of Veterans Affairs; S.1315-Veterans Benefits Enhancement Act of 2007; H.R. 1472 Disabled Veterans Fairness Act; H.R. 5564 Jenny's Law; H.R. 2642 Supplemental Appropriations Act of 2008, AMDT 4979 and related sections relating to The GI Bill For the 21st Century; H.R. 6185 Tricare Continuity of Coverage For National Guard and Reserve Families Act of 2008; H.R. 5797 Roth TSP Act of 2008; H.R. 5868- Caleb Martin - Travis Dodson Wounded Warrior Retention Act; H.R. 5825 The Hubbard Act; S.J.R. 40 Proposed Amendment To The Constitution Of The United States To Authorize Congress And States To Prohibit The Act of Desecration Of The Flag Of The United States; HJ.R. 12 Proposing An Amendment To The Constitution of the United States To Authorize Congress To Prohibit The Physical Desecration of the Flag of The United States; H.R. 5595 Make Our Veterans Smile Act of 2007; S. 2825 Veterans' Compensation Equity Act of 2008; H.R. 3195 ADA Amendments Act of 2008; S. 1881 Americans With Disabilities Act Restoration Act of 2007; S.2639/H.R. 2514 Assured Funding For Veterans' Health Care Act; S. 2825 Veterans' Compensation Equity Act of 2008; H.R. 5509 Noble Warriors Act; S. 2674 America's Wounded Warriors Act; H.R. 579 Military Retirees Health Care Protection Act; DOD Policy: Oppose any attempt to award the Purple Heart Medal to those with PTSD or Mental Illness.

Improving survivor benefits for widows of deceased veterans and to restore and improve Veterans benefits. S22,S225,S326,S384,S644,S648,S935,S1063,S1315,S1326,S1606,S1784,S2162,S2504,S2825,S2836,S2854,S2921,S2938,S2992 HR23,HR92,HR657,HR690,HR760,HR843,HR1211,HR1214,HR1428,HR1585,HR1589,HR1641,HR1927,HR2202,HR2247, HR2385,HR2682,HR2702,HR2790,HR2910,HR3026,HR3393,HR3458,HR3819,HR4053,HR4107,HR4137,HR4146,HR4204, HR4930,HR5223,HR5315,HR5595,HR5609,HR5684,HR5740,HR5791,HR5854,HR5864,HR5868,HR6185

Client expense: $626,803 · Firm income: Not reported

Improve Tax equity for servicemembers. S206,S207,S326,S384,S450,S455,S773,S935,S1166,S1593,S1927,HR418,HR843,HR867,HR1110,HR1974,HR2234,HR2639, HR2772,HR3038,HR3827,HR3996,HR3997,HR5140,HR5441,HR5787,HR5797,HR5987

Client expense: $626,803 · Firm income: Not reported

Improving survivor benefits for widows of deceased veterans and to restore and improve Veterans benefits. S.22,S.225,S.326,S384,S644,S935,S1063,S1315,S1326,S1606,S1784,S2162, - HR 5684, HR5740 HR23,HR92,HR657,HR760,HR843,HR1211,HR1214,HR1585,HR1589,HR1641,HR1927,HR2202,HR2247,HR2385,HR2682, HR2702,HR2790,HR2910,HR3026,HR3393,HR3458,HR3819,HR4053,HR4107,HR4137,HR4146,HR4204,HR5223

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

Improvements in Military compensation and benefits. S.38,S.67,S206,S.439,S.604,S648,S773,S935,S986,S1243,S1547,S1606,S2400,S2573,S2599,S2641,S2689,SCONRES70 HR81,HR82,HR89,HR303,HR333,HR579,HR599,HR657,HR690,HR704,HR737,HR784,HR992,HR1023,HR1102,HR1110, HR1223,HR1428,HR1436,HR1439,HR1593,HR1927,HR2027,HR2319,HR2638,HR2682,HR3026,HR3038,HR3174, HR3191,HR3793,HR4930,HR5441,HR5481,HCONRES32

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

H. R. 2514 Assured funding for Veterans Health Care Act H. R. 2303/S. 1390 Perpetual Purple Heart Stamp Act H.R.1436 and S. 439 Retired Pay Restoration Act of 2007 HJR 12 Amend the Constitution of the United States to prevent the desecration of the flag of the United States H.R. 963 and H.R.1472 Disabled Veterans Fairness Act" H.R. 1119 Purple Heart Family Equity Act of 2007 S. 2639 Assured Funding for Veterans Health Care Act S. 22 "Post 9-11 Veterans Educational Assistance Act of 2007" H.R. 5131 Lance Corporal Jeremy Burris Act H.R. 992 Recognize the sacrifices of all mothers in the Armed Forces who have deployed to theatres of combat on behalf of the United States H.R. 559 Make Our Veterans Smile Act of 2008 S.935/H.R. 1927 To repeal the requirement for reduction of survivor annuities under the Survivor Benefit Plan by Veterans Dependency and Indemnity compensation and for other purposes H.R. 3195 ADA Restoration Act of 2007 S. 1881 Americans with Disabilities Act Restoration Act of 2007 S. 2674 Americas Wounded Warrior Act H.R. 5509 Noble Warriors Act House" H.R. 1119 "Purple Heart Family Equity Act of 2007"

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

HR 5509, HR 4107, HR 4053, HR 3819, HR 2790, HR 2623, HR 2612, HR 2514, HR 2239, HR 2190, HR 2026, HR 1944, HR 1927, HR 1589, HR 1538, HR 1477, HR 1472, HR 1470, HR 1426, HR 1382, HR 1354, HR 1318, HR 1315, HR 1284, HR 1265, HR 1214, HR 1197, HR 1137, HR 995, HR 976, HR 963, HR 797, HR 728, HR 704, HR 676, HR 675, HR 652, HR 649, HR 634, HR 612, HR 402, HR 358, HR 343, HR 333HR 303, HR 243, HR 161, HR 156, HR 109, HR 100, HR 81, HR 67, H.Con.RES 176, S 2799, S 2639, S 2674, S 2617, S 2160, S 2026, S.1454, S 1441, S 1326, S 1315, S 1314, S 1271, S 1266, 2 1265, S 1196, S 1096, S 1065, S 994, S 935, S 848, S 847, S 815, S 698, S 643, S 479, S 439, S 423, S 383, S 349 S 326, S 161, S 67, S 57, S 22.

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Small Business Administration (SBA), U.S. Postal Service (USPS), Veterans Employment & Training Service

Improvements in Military compensation and benefits. S.38, S.67, S.206,S.439,S.604,S.648,S.773,S.935,S.986,S.1243,S.1606,S.1547,S.2400,S.2573 HR81,HR82,HR89,HR303,H333,HR579,HR657,HR690,HR704,HR737,HR1102,HR1110,HR1223 HR1428,HR1023,HR1436,HR1439,HR1593,HR1927,HR2027,HR2319,HR2638,HR3038,HR3174,HR3191,HR3793,HR4930

Client expense: $850,000 · Firm income: Not reported

Improving survivor benefits for widows of deceased veterans and to restore and improve Veterans Benefits. S.22,S.225,S326,S384,S644,S935,S1063,S1315,S1326,S1606, HR23,HR92,HR657,HR760,HR843,HR1211,HR1214,HR1585,HR1589,HR1641,HR1927,HR2247,HR2385,HR2682 HR2702,HR2910,HR3026,HR3393,HR4986

Client expense: $850,000 · Firm income: Not reported

H. R. 657 To amend title 10, United States Code, to provide for forgiveness of certain overpayments of retired pay paid to deceased retired members of the Armed Forces following their death. H. R. 333 To amend title 10, United States Code, to permit retired members of the Armed Forces who have a service-connected disability rated less than 50 percent to receive concurrent payment of both retired pay and veterans' disability compensation. H. R. 2996 To amend title 37, United States Code, to provide a dislocation allowance under section 407 of such title to retired members of the uniformed services, including members placed on the temporary disability retired list, moving from their last duty station to their designated home. H. R. 1428 To amend title 10, United States Code, to reduce the eligibility age for receipt of non-regular military service retired pay for members of the Ready Reserve in active federal status or on active duty for significant periods. H. R. 1223 To amend the Social Security Act to waive Medicare part B premiums for certain military retirees. S. 1315 To amend title 38, United States Code, to enhance life insurance benefits for disabled veterans, and for other purposes. S. 935 To repeal the requirement for reduction of survivor annuities under the Survivor Benefit Plan by veterans' dependency and indemnity compensation, and for other purposes. H. R. 89 To amend title 10, United States Code, to extend eligibility for combat-related special compensation paid to certain uniformed services retirees. H. R. 303 permit certain additional retired members of the Armed Forces who have a service-connected disability to receive both disability compensation from the VA and DoD retirement pay

Client expense: $79,500 · Firm income: Not reported

H.R. 1527, Rural Veterans Access to Care Act; S. 303, Retired Pay Restoration Act; H.R. 690, lowers minimum retirement age; H.R. 343, Military Retiree Health Care Relief Act of 2007; S. 326, Disabled Veterans Tax Fairness Act of 2007; H.R. 748, accelerates SBP "paid up" provision to Oct 1, 07; H.R. 1927 and S. 935, repeal the requirement for reduction of SBP by DIC; H.R. 1115 and S. 659, provide death gratuity for certain members to be paid to parents, brother, or sister; H.R. 1589, reintroduces Military Retiree Survivor Benefit Equity Act; H.R. 579, Military Retirees Health Care Protection Act S. 986 and H.R. 89, CRSC Act; H.R. 1318, Veterans' Benefits Protection Act; H.R. 1436 and S. 439, Retired Pay Restoration Act; H.R. 1732, provides alternative retired pay rates and disability compensation rates for military members w/combat-related disability; H.R. 1750, amends Civil Relief Act from 90 days to 1 year protection from mortgage foreclosure; H.R. 1354, Lane Evans Veterans Health and Benefits Improvement Act of 2007; S. 604, Military Health Care Protection Act;

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

members; Lobbied to end immediately all limitations for service connected disabled military retirees to receive both their full military retired pay and their VA disability pay regardless of the VA disability rating, whether the retiree is a longevity retiree, a Chapter 61 retiree, or a TERA retiree. Supported many bills to end this practice including HR333, HR303, S986, HR1436, S439 and HR89; Lobbied to improve benefits for the National Guard and Reserve, active, retired, their dependents and survivors including: improve retirement benefits including lowering the age when retired pay may begin to be collected S684 and HR1428; Lobbied to improve the education benefits for the Active Duty National Guard and Reserve S22. And to transfer the Reserve Montgomery GI Bill from DOD jurisdiction to VA jurisdiction S644, HR1641 Lobbied to improve medical treatment for our returning Wounded Warriors ( numerous provisions now included in S1606 and sections 101-501 in S1547) Lobbied to improve benefits for survivors of military personnel who died on active duty or as a result of service connected disability: by ending the dollar for dollar offset of DOD's Survivor Benefit Program (SBP) by payment of VA's Disability Indemity Compensation (DIC) S935, HR1927 and HR704 Lobbied to move up paid up provision of SBP to October 1, 2007 Included in S935 and HR1927 and stand alone in HR784 Lobbied to improve TRICARE Program by waiving Medicare B Payments for TRICARE for Life for military retirees who entered the military prior to December 7, 1956 HR1223; allow military retirees to opt out of TRICARE for Life and into FEHBP while retaining TRICARE Pharmacy benefits HR1222, Lobbied to improve the Former Spouse Protection Act; Lobbied in support of emergency defense supplemental HR2206 Lobbyed in support of the National Defense Authorization Act (NDAA) (HR1585) and (S1547) which may include many of the following issues: TRICARE to stop the proposed enrollment fee and co-pays for military retirees under the age of 65 and their dependents and survivors in TRICARE Prime and TRICARE Standard; lobbying against proposals to increase co-pays for TRICARE Pharmacy plan for all pharmacy beneficiaries except active duty

Overall funding levels for the Army, Army end strength, military and Army civilian pay and compensation authorizations; Army modernization funding, to include Army Transformation, Homeland Security, quality of life initiatives, Weapons Systems, Space & Missile Defense, and military health care; Army Retiree issues. -Institute of Land Warfare Publications -Military Construction Appropriations Bill -HR 4949, the Military Retirees' Health Care Protection Act -HR 657, the Military Retiree Survivor Comfort Act -HR 867, the Guardsmen & Reservists' Tax Fairness Act of 2007 -Department of Defense Task Force on the Future of Military Health Care -Preserve Walter Reed Army Medical Center Act of 2007 -2005 Base Realignment and Closure Commission -Global Climate Change Security Oversight Act -S. 648, the National Guard and Reserve Retirement Modernization Act -S. 935 and the military Survivor Benefit Plan (SBP) -HR 1428, the National Guard and Reserve Retirement Modernization Act -HR 1927 and the military Survivor Benefit Plan (SBP) -2007 Emergency Supplemental Appropriations Bill -2008 Defense Authorization Bill (See Attachment)

Client expense: Not reported · Firm income: Not reported

Improvements in the Military Retirement System and enhance Military Health Care Programs and Benefits. S.38, S.67, S.206, S.439, S.450, S.604, S.648, S.773, S.935, S.986, S.1243, S.1606 - HR82, HR89, HR303, HR333, HR579, HR657, HR690, HR704, HR737, HR748, HR1102, HR1223, HR1428, HR1436, HR1439, HR1927, HR2027, HR2319

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

Improving survivor benefits for widows of deceased veterans and to restore and improve Veteran's Benefits. S.22, S.326, S.384, S.935, S.1036, S.1326, S.1606 - HR92, HR657, HR1585, HR1589, HR1927, HR2682

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