Craig Thomas Rural Hospital and Provider Equity Act of 2009

H.R. 2204, Medicare Access to Rural Anesthesiology Act: Rural Pass Through; S.1157, Craig Thomas Rural Hospital and Provider Equity Act of 2009; Johnson Amendment, An amendment to H.R. 3200 to set Medicare payment rates for anesthesia services at a rate not less than the average paid by exchange participant health benefit plans. H.R. 4371, To amend the Social Security Act to continue using 2009 relative value units for certain cardiology services. Part B Medicare Physician's Fee Schedule: Implementation of Medicare Anesthesiology Teaching Funding Restoration Act H.R. 4851, The Continuing Extension Act of 2010 H.R. 4213, Tax Extenders Act of 2009 H.R. 4691, The Temporary Extension Act of 2010 H.J. Res. 45 Statutory Pay-As-You-Go Act of 2010 H.R. 4872, The Health Care and Education Affordability and Reconciliation Act of 2010 2010 Medicare Physician Fee Schedule proposed and final rules Medicare Reform, Payment Issues: Physician Quality Reporting Initiative, Medicare Sustainable Growth Rate Physician Payment Update Scope of Practice Bundled payments CMS Interpretive Guidelines CMS IPPS Medicare Payment CMS Physician Resource Use Reports CMS ICD-10 CMS Hospital Outpatient Payment Proposed Rule CMS Hospital Acquired Conditions CMS Value-Based purchasing CMS Recovery Audit Contractors Program CMS Practicing Physicians' Advisory Council Nominations Medicaid Expansion: Provider payment levels Medicare Expansion, Ages 55-64 Independent Payment Advisory Board (IPAB) Balance billing MedPAC nominations CMS Handoffs Accountable Care Organizations Misvalued codes Historical Medicare payment undervaluation for anesthesiology services (33% problem) Medical loss ratios Anesthesia Conversion Factor Public Plan - Negotiated Provider Payment Rates

Client expense: $210,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE

S. 3015 (111th Congress)/H.R. 3865 (110th Congress): The Home Health Care Access Protection Act -- all sections S. 457/H.R. 3030: Fostering Independence Through Technology Act of 2009 -- all sections S. 1157: Craig Thomas Rural Hospital and Provider Equity Act -- sections 11, 14, and 18 S. 2814/H.R. 4993: Home Health Care Planning Improvement Act -- all sections H.R. 2068, Medicare Telehealth Enhancement Act -- sections 104, 105, and 106 S. 1131/H.R. 2560: The Independence at Home Act -- All sections H.R.3790: (Bill to repeal competitive acquisition program for DME) All sections H.R. 1: American Recovery and Reinvestment Act of 2009 Sections relating to technology

Client expense: $110,000 · Firm income: Not reported

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

S1157 - the Craig Thomas Rural Hospital and Provider Equity Act of 2009 Patient Protection and Affordable Care Act - PL 111-148 HR 3692 - the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act

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

Government targets: SENATE

Implementation of Affordable Care Act; House Resolution 1600 honoring PA Week; Medicaid Coverage of Services Provided by PAs (S. 63/HR 6373); Home Health Care Planning Improvement Act (S. 2814/HR 4993); Veterans Issues (HR 6339, S. 3234, S. 1963); FMCSA proposed registry of certified medical examiers; PA Hospice Issue (S. 318, S. 1157): Federal Workers' Compensation legislation (HR 5270); FY 2011 L/HHS Approps; Pay Equity for federal PAs, HIT, DEA, Health workforce issues.

Client expense: $230,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Indian Affairs (BIA), Bureau of Prisons (BOP), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Motor Carrier Safety Administration, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

S. 307 / H.R. 668: Critical Access Hospital Flexibility Act S. 318: Medicare Rural Health Access Improvement Act H.R. 362: Rural Hospital Assistance Act of 2009 S. 511: Access to Durable Medical Equipment Act of 2009 S. 1157: Craig Thomas Rural Hospital and Provider Equity Act of 2009 H.R. 3590: Patient Protection and Affordable Care Act H.R. 4872: Health Care and Education Reconciliation Act H.R. 6346: Rural Hospital Protection Act H.R. 6072: Electronic Health Record Incentives for Multi-Campus Hospitals Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 3015 (111th Congress)/H.R.3865 (110th Congress): The Home Health Care Access Protection Act - All sections S. 457/H.R. 3030: Fostering Independence Through Technology Act of 2009 -- All sections S. 1157: Craig Thomas Rural Hospital and Provider Equity Act -- sections 11, 14 and 18 S. 2814/H.R.4993: Home Health Care Planning Improvement Act -- All sections H.R. 2068, Medicare Telehealth Enhancement Act -- sections 104, 105, and 106 S. 1131/H.R. 2560: The Independence at Home Act -- All sections S. 1104/H.R. 2307: RE-Aligning Care Act -- All sections S. 421: Medicare Hospice Protection Act -- All sections S. 631: The Patient Safety and Abuse Prevention Act of 2009 -- All sections S. 1123: The Medicare Rural Home Health Preservation Act All sections H.R.3790: (Bill to repeal competitive acquisition program for DME) All sections S.3000: (Bill to extend Medicaid FMAP for six months) All sections H.R.4263: State Medicaid Assistance Extension Act of 2009 All sections H.R. 1: American Recovery and Reinvestment Act of 2009 Sections relating to technology

Client expense: $320,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 2204, Medicare Access to Rural Anesthesiology Act: Rural Pass Through; S.1157, Craig Thomas Rural Hospital and Provider Equity Act of 2009; S.1776, Medicare Physician Fairness Act of 2009; H.R. 3961, Medicare Physician Payment Reform Act of 2009; Johnson Amendment, An amendment to H.R. 3200 to set Medicare payment rates for anesthesia services at a rate not less than the average paid by exchange participant health benefit plans. H.R. 4371, To amend the Social Security Act to continue using 2009 relative value units for certain cardiology services. Part B Medicare Physician's Fee Schedule: Implementation of Medicare Anesthesiology Teaching Funding Restoration Act H.R. 4851, The Continuing Extension Act of 2010 H.R. 4213, Tax Extenders Act of 2009 H.R. 4691, The Temporary Extension Act of 2010 H.J. Res. 45 Statutory Pay-As-You-Go Act of 2010 H.R. 4872, The Health Care and Education Affordability and Reconciliation Act of 2010 2010 Medicare Physician Fee Schedule proposed and final rules Medicare Reform, Payment Issues: Physician Quality Reporting Initiative, Medicare Sustainable Growth Rate Physician Payment Update Scope of Practice Bundled payments CMS ACE Demonstration CMS Interpretive Guidelines CMS IPPS Medicare Payment CMS Physician Resource Use Reports CMS ICD-10 CMS Medicare Physician Practice Expense Relative Value Units CMS Hospital Outpatient Payment Proposed Rule CMS Hospital Acquired Conditions CMS Value-Based purchasing CMS Recovery Audit Contractors Program CMS Practicing Physicians' Advisory Council Nominations Medicaid Expansion: Provider payment levels Medicare Expansion, Ages 55-64 Independent Payment Advisory Board (IPAB) Balance billing MedPAC nominations CMS Handoffs Anesthesia Information Management System (AIMS) Accountable Care Organizations Misvalued codes Historical Medicare payment undervaluation for anesthesiology services (33% problem) Medical loss ratios Nevada Medicaid anesthesia payment rates Anesthesia Conversion Factor Public Plan - Negotiated Provider Payment Rates

Client expense: $210,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE

Implementation of Health Care Reform (Patient Protection & Affordable Care Act); Medicare Coverage of Services Provided by PAs (S. 318, S. 1157); bill to establish a full-time director of PA Sercices at the VA (S. 1963); Medicaid Coverage of Services Provided by PAs (S. 63); Federal Workers' Compensation legislation (HR 5270), FY 2010 L/HHS Appropriations, FMCSA Truck Driver Physicals; Pay equity for federally employed PAs, DEA, HIT issues.

Client expense: $227,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Indian Affairs (BIA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Motor Carrier Safety Administration, Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Medicare Payment Advisory Commission (MedPAC), Natl Institute of Mental Health (NIMH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA), White House Office

H.R. 2204, Medicare Access to Rural Anesthesiology Act: Rural Pass Through; S.1157, Craig Thomas Rural Hospital and Provider Equity Act of 2009; S.1776, Medicare Physician Fairness Act of 2009; H.R. 3961, Medicare Physician Payment Reform Act of 2009; Johnson Amendment, An amendment to H.R. 3200 to set Medicare payment rates for anesthesia services at a rate not less than the average paid by exchange participant health benefit plans. H.R. 4371, To amend the Social Security Act to continue using 2009 relative value units for certain cardiology services. Part B Medicare Physician's Fee Schedule: Implementation of Medicare Anesthesiology Teaching Funding Restoration Act H.R. 4851, The Continuing Extension Act of 2010 H.R. 4213, Tax Extenders Act of 2009 H.R. 4691, The Temporary Extension Act of 2010 H.J. res. 45 Statutory Pay-As-You-Go Act of 2010 H.R. 4872, The Health Care and Education Affordability and Reconciliation Act of 2010 2010 Medicare Physician Fee Schedule proposed and final rules Medicare Reform, Payment Issues: Physician Quality Reporting Initiative, Medicare Sustainable Growth Rate Physician Payment Update Scope of Practice Bundled payments CMS ACE Demonstration CMS Interpretive Guidelines CMS IPPS Medicare Payment CMS Physician Resource Use Reports CMS ICD-10 CMS Medicare Physician Practice Expense Relative Value Units CMS Hospital Outpatient Payment Proposed Rule CMS Hospital Acquired Conditions CMS Value-Based purchasing CMS Recovery Audit Contractors Program CMS Practicing Physicians' Advisory Council Nominations Medicaid Expansion: Provider payment levels Medicare Expansion, Ages 55-64 Independent Medicare Advisory Committee (IMAC) and Independent Medicare Advisory Board (IMAB) Balance billing MedPAC nominations CMS Handoffs Anesthesia Information Management System Accountable Care Organizations Misvalued codes Historical Medicare payment undervaluation for anesthesiology services (33% problem) Medical loss ratios Nevada Medicaid anesthesia payment rates

Client expense: $340,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE

S.1157, The Craig Thomas Rural Hospital and Provider Equity Act of 2009 as it relates to Medicare reimbursement for anesthesiology services in certain rural hospitals. H.R. 4213, The American Workers, State, and Business Relief Act of 2010 / The American Jobs and Closing Tax Loopholes Act, as it relates to physician reimbursement.

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 307 / H.R. 668: Critical Access Hospital Flexibility Act S. 318: Medicare Rural Health Access Improvement Act H.R. 362: Rural Hospital Assistance Act of 2009 S. 511: Access to Durable Medical Equipment Act of 2009 S. 1157: Craig Thomas Rural Hospital and Provider Equity Act of 2009 H.R. 3590: Patient Protection and Affordable Care Act H.R. 4872: Health Care and Education Reconciliation Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 3015 (111th Congress)/H.R.3865 (110th Congress): The Home Health Care Access Protection Act - All sections S. 457/H.R. 3030: Fostering Independence Through Technology Act of 2009 -- All sections S. 1157: Craig Thomas Rural Hospital and Provider Equity Act -- sections 11, 14 and 18 S. 2814/H.R.4993: Home Health Care Planning Improvement Act -- All sections H.R. 2068, Medicare Telehealth Enhancement Act -- sections 104, 105, and 106 S. 1131/H.R. 2560: The Independence at Home Act -- All sections S. 1104/H.R. 2307: RE-Aligning Care Act -- All sections S. 421: Medicare Hospice Protection Act -- All sections S. 631: The Patient Safety and Abuse Prevention Act of 2009 -- All sections S. 1123: The Medicare Rural Home Health Preservation Act All sections H.R.3790: (Bill to repeal competitive acquisition program for DME) All sections S.3000: (Bill to extend Medicaid FMAP for six months) All sections H.R.4263: State Medicaid Assistance Extension Act of 2009 All sections

Client expense: $130,000 · Firm income: Not reported

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

Issues related to home and hospice care, rural telehealth, Medicare and state's health insurance program legislation, Fostering Independence Through Technology Act of 2009 (S.457); Comprehensive Health Reform Act of 2009 (S.4); The Elder Care Tax Credit (H.R. 517); Children's Health Insurance Program Reauthorization Act of 2009 (H.R. 2). Affordable Healthcare for America Act (H.R. 3962), Patient Protection and Affordable Care Act (H.R. 3590); (S./Amdt. 2786). The Craig Thomas "Rural Hospital and Provider Equity Act" (S. 1157) Medicare "Rural Home Health Preservation Act" (S. 1123) "Seniors and Taxpayers Obligation Protection Act of 2009" (S. 975) "Medicaid Accountability through Transparency Act" (H.R. 1928) "Fostering Independence Through Technology Act of 2009" (S. 457) "The Employee Free Choice Act" (S. 560/H.R. 1409)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 3200, America's Affordable Health Choices Act, H.R. 3962, Affordable Health Care for America Act, H.R. 3590, The Patient Protection & Affordable Health Care Act, and H.R. 4872, the Health Care and Education Reconciliation Act of 2010, as they relate to Medicare reimbursement for anesthesiologists. S.1157, The Craig Thomas Rural Hospital and Provider Equity Act of 2009 as it relates to Medicare reimbursement for anesthesiology services in certain rural hospitals.

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Care Reform (House & Senate Bills, HR 3590, HR 4872), Medicare Coverage of Services Provided by PAs (S. 318, S.1157); Bill to establish a full time Director of PA Services at the VA (S.1963); Medicaid Coverage of Services provided by PAs (S.63); Federal Employees Compensation Act, FY 10 L-hhs Appropriations; FMCSA Regulations on Truck Driver Physicals; Pay equity for federally employed PAs; DEA electronic prescribing regulations.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Motor Carrier Safety Administration, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Office of Management & Budget (OMB), Office of Personnel Management (OPM), President of the U.S., SENATE, White House Office

H.R. 2204, Medicare Access to Rural Anesthesiology Act: Rural Pass Through; S.1157, Craig Thomas Rural Hospital and Provider Equity Act of 2009; S.1776, Medicare Physician Fairness Act of 2009; H.R. 3961, Medicare Physician Payment Reform Act of 2009; Johnson Amendment, An amendment to H.R. 3200 to set Medicare payment rates for anesthesia services at a rate not less than the average paid by exchange participant health benefit plans. H.R. 4371, To amend the Social Security Act to continue using 2009 relative value units for certain cardiology services. Part B Medicare Physician's Fee Schedule: Implementation of Medicare Anesthesiology Teaching Funding Restoration Act H.R. 4851, The Continuing Extension Act of 2010 H.R. 4213, Tax Extenders Act of 2009 H.R. 4691, The Temporary Extension Act of 2010 H.J. res. 45 Statutory Pay-As-You-Go Act of 2010 H.R. 4872, The Health Care and Education Affordability and Reconciliation Act of 2010 2010 Medicare Physician Fee Schedule proposed and final rules Medicare Reform, Payment Issues: Physician Quality Reporting Initiative, Medicare Sustainable Growth Rate Physician Payment Update Scope of Practice Bundled payments CMS ACE Demonstration CMS Interpretive Guidelines CMS IPPS Medicare Payment CMS Physician Resource Use Reports CMS ICD-10 CMS Medicare Physician Practice Expense Relative Value Units CMS Hospital Outpatient Payment Proposed Rule CMS Hospital Acquired Conditions CMS Value-Based purchasing CMS Recovery Audit Contractors Program CMS Physician Practice Information Survey CMS Practicing Physicians' Advisory Council Nominations Medicaid Expansion: Provider payment levels Medicare Expansion, Ages 55-64 Independent Medicare Advisory Committee (IMAC) and Independent Medicare Advisory Board (IMAB) Balance billing MedPAC nominations CMS Handoffs Anesthesia Information Management System Accountable Care Organizations

Client expense: $210,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE

S. 2181/H.R.3865 (110th Congress): The Home Health Care Access Protection Act - All sections S. 457/H.R. 3030: Fostering Independence Through Technology Act of 2009 -- All sections S. 1157: Craig Thomas Rural Hospital and Provider Equity Act -- sections 11, 14 and 18 S. 2814: Home Health Care Planning Improvement Act of 2009 -- All sections H.R. 2068, Medicare Telehealth Enhancement Act -- sections 104, 105, and 106 S. 1131/H.R. 2560: The Independence at Home Act -- All sections S. 1104/H.R. 2307: RE-Aligning Care Act -- All sections S. 421: Medicare Hospice Protection Act -- All sections S. 631: The Patient Safety and Abuse Prevention Act of 2009 -- All sections S. 1123: The Medicare Rural Home Health Preservation Act All sections

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

H.R. 2204, Medicare Access to Rural Anesthesiology Act: Rural Pass Through; S.1157, Craig Thomas Rural Hospital and Provider Equity Act of 2009; S.1776, Medicare Physician Fairness Act of 2009; H.R. 3961, Medicare Physician Payment Reform Act of 2009; Johnson Amendment, An amendment to H.R. 3200 to set Medicare payment rates for anesthesia services at a rate not less than the average paid by exchange participant health benefit plans. H.R. 4371, To amend the Social Security Act to continue using 2009 relative value units for certain cardiology services. Part B Medicare Physician's Fee Schedule: Implementation of Medicare Anesthesiology Teaching Funding Restoration Act 2010 Medicare Physician Fee Schedule proposed and final rules Medicare Reform, Payment Issues: Physician Quality Reporting Initiative, Medicare Sustainable Growth Rate Physician Payment Update Scope of Practice Bundled payments CMS ACE Demonstration CMS Interpretive Guidelines CMS IPPS Medicare Payment CMS Physician Resource Use Reports CMS ICD-10 CMS Medicare Physician Practice Expense Relative Value Units CMS Hospital Outpatient Payment Proposed Rule CMS Hospital Acquired Conditions CMS Value-Based purchasing CMS Recovery Audit Contractors Program CMS Physician Practice Information Survey CMS Practicing Physicians' Advisory Council Nominations Medicaid Expansion: Provider payment levels Medicare Expansion, Ages 55-64 Independent Medicare Advisory Committee (IMAC) and Independent Medicare Advisory Board (IMAB)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE

H.R. 3200, America's Affordable Health Choices Act, H.R. 3962, Affordable Health Care for America Act and H.R. 3590, The Patient Protection & Affordable Health Care Act as it relates to Medicare reimbursement for anesthesiology. S.1157, The Craig Thomas Rural Hospital and Provider Equity Act of 2009 as it relates to Medicare reimbursement for anesthesiology services in certain rural hospitals.

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Coverage of Services Provided by PAs, (S. 318, S. 1157), FY 2010 Labor/HHS Appropriations; Bill to establish fulltime Director of PA Services at the VA (HR 1302, S. 155), Inclusion of PAs in HC Reform Legislation (HR 3590, HR 3962)Federal Employees Compensation Act, FMCSA Regulations on Truck Driver Physicals, Pay equity for federally employed PAs

Client expense: $253,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Motor Carrier Safety Administration, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Transportation, Dept of (DOT), U.S. Postal Service (USPS), Veterans Affairs, Dept of (VA), White House Office

S. 2181/H.R.3865 (110th Congress): The Home Health Care Access Protection Act - All sections S. 457/H.R. 3030: Fostering Independence Through Technology Act of 2009 -- All sections S. 1157: Craig Thomas Rural Hospital and Provider Equity Act -- sections 11, 14 and 18 S. 2814: Home Health Care Planning Improvement Act of 2009 -- All sections H.R. 2068, Medicare Telehealth Enhancement Act -- sections 104, 105, and 106 S. 1131/H.R. 2560: The Independence at Home Act -- All sections S. 1104/H.R. 2307: RE-Aligning Care Act -- All sections S. 421: Medicare Hospice Protection Act -- All sections S. 631: The Patient Safety and Abuse Prevention Act of 2009 -- All sections S. 1123: The Medicare Rural Home Health Preservation Act All sections

Client expense: $270,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

-Rural Health Issues: H.R. 362, Rural Hospital Assistance Act; S. 318, Medicare Rural Health Access Improvement Act; S.307 and H.R. 668, Critical Access Flexibility Act; S. 628, Conrad State 30 Improvement Act; S. 1279/H.R. 3256, Rural Community Hospital Demonstration Extension Act; S.1157, Craig Thomas Rural Hospital and Provider Equity Act. -H.R. 444, 340B Program Improvement and Integrity Act. -Health Reform Legislation H.R. 3200 and Americas Healthy Future Act of 2009 (not yet numbered) and S. 1679, cost analysis of the effect of pending legislation on Missouri hospitals; implications of proposed Medicaid expansions; payments to hospitals under a public plan of coverage; the use of disproportionate share hospital payments to fund health reform; the creation of an autonomous payment council to set Medicare payment rates, and an agreement by several national hospital organizations to support payment reductions to provide funding for health reform. H.R. 3200, inclusion of expanded 340B pharmaceutical purchasing discount program, Medicare payment reductions to physicians imposed by the use of a sustainable growth rate formula in calculating physician payments and restrictions on the ability of physicians to refer their patients to hospitals in which the physicians have an ownership interest. -Legislation to prevent the implementation of a 21% reduction in Medicare payments to physicians scheduled under current law to take effect January 1, 2010. -Legislative or regulatory action to resolve inconsistent coverage determinations among various Medicare contractors, including Medicare Administrative Contractors, Home Health/Hospice Medicare Administrative Contractors, Recovery Audit Contractors, Quality Improvement Organizations and Durable Medical Equipment Regional Contractors. -Provided requested information on the distribution by category of public and private insurance coverage in Missouri.

Client expense: $145,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to home and hospice care, rural telehealth, Medicare and state's health insurance program legislation, Fostering Independence Through Technology Act of 2009 (S.457); Comprehensive Health Reform Act of 2009 (S.4); The Elder Care Tax Credit (H.R. 517); Children's Health Insurance Program Reauthorization Act of 2009 (H.R. 2). Affordable Healthcare for America Act (H.R. 3962), Patient Protection and Affordable Care Act (H.R. 3590); (S./Amdt. 2786). The Craig Thomas "Rural Hospital and Provider Equity Act" (S. 1157) Medicare "Rural Home Health Preservation Act" (S. 1123) "Seniors and Taxpayers Obligation Protection Act of 2009" (S. 975) "Medicaid Accountability through Transparency Act" (H.R. 1928) "Fostering Independence Through Technology Act of 2009" (S. 457) "The Employee Free Choice Act" (S. 560/H.R. 1409)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

-Rural Health Issues: H.R. 362, Rural Hospital Assistance Act; S. 318, Medicare Rural Health Access Improvement Act; S.307 and H.R. 668, Critical Access Flexibility Act; S. 628, Conrad State 30 Improvement Act; S. 1279/H.R. 3256, Rural Community Hospital Demonstration Extension Act; S.1157, Craig Thomas Rural Hospital and Provider Equity Act. -Health Reform Legislation H.R. 3200 and Americas Healthy Future Act of 2009 (not yet numbered) and S. 1679, cost analysis of the effect of pending legislation on Missouri hospitals; implications of proposed Medicaid expansions; payments to hospitals under a public plan of coverage; the use of disproportionate share hospital payments to fund health reform; the creation of an autonomous payment council to set Medicare payment rates, and an agreement by several national hospital organizations to support payment reductions to provide funding for health reform. H.R. 3200, inclusion of expanded 340B pharmaceutical purchasing discount program, Medicare payment reductions to physicians imposed by the use of a sustainable growth rate formula in calculating physician payments and restrictions on the ability of physicians to refer their patients to hospitals in which the physicians have an ownership interest. -H.R. 444, 340B Program Improvement and Integrity Act. -Legislation to prevent the implementation of a 21% reduction in Medicare payments to physicians scheduled under current law to take effect January 1, 2010. -Legislative or regulatory action to resolve inconsistent coverage determinations among various Medicare contractors, including Medicare Administrative Contractors, Home Health/Hospice Medicare Administrative Contractors, Recovery Audit Contractors, Quality Improvement Organizations and Durable Medical Equipment Regional Contractors. -Provided requested information on the distribution by category of public and private insurance coverage in Missouri.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 307 / H.R. 668: Critical Access Hospital Flexibility Act S. 318: Medicare Rural Health Access Improvement Act H.R. 362: Rural Hospital Assistance Act of 2009 S. 511: Access to Durable Medical Equipment Act of 2009 S. 1157: Craig Thomas Rural Hospital and Provider Equity Act of 2009 S. 1279 / H.R. 3256: Rural Community Hospital Demonstration Extension Act H.R. 2251: Resident Physician Shortage Reduction Act of 2009 H.R. 3200: America's Affordable Health Choices Act of 2009 S. 1679: Affordable Health Choices Act America's Healthy Future Act of 2009 H.R. 444: 340B Program Improvement and Integrity Act of 2009 S. 1585 / H.R. 3151: Rural Access to Nurse Anesthesia Services Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Coverage of Services Provided by PAs (s. 318, S. 1157); FY 10 Labor/HHS Appropriations; Bill to establish a full-time director of PA services at the VA (HR 1302, S. 1157); Health Care Reform & Inclusion of PAs in models of care (HR 3299, HELP bill, Finance bill); Federal Employees Compensation Act; FMCSA Regulations on Truck Driver Physicals; Pay equity for PAs in federal employment

Client expense: $253,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Motor Carrier Safety Administration, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA), White House Office

H.R. 3200, America's Affordable Health Choices Act / "America's Healthy Future Act" (unnumbered Senate bill) as it relates to Medicare reimbursement for anesthesiology. S.1157, The Craig Thomas Rural Hospital and Provider Equity Act of 2009 as it relates to Medicare reimbursement for anesthesiology services in certain rural hospitals.

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to home and hospice care, rural telehealth, Medicare and state's health insurance program legislation, Fostering Independence Through Technology Act of 2009 (S. 457); Comprehensive Health Reform Act of 2009 (S.4); The Elder Care Tax Credit (H.R. 517); Children's Health Insurance Program Reauthorization Act of 2009 (H.R. 2). The Craig Thomas "Rural Hospital and Provider Equity Act" (S. 1157) Medicare "Rural Home Health Preservation Act" (S. 1123) "Seniors and Taxpayers Obligation Protection Act of 2009" (S. 975) "Medicaid Accountability through Transparency Act" (S. 974) "Home Healthcare Nurse Promotion Act of 2009" (H.R. 1928) "Fostering Independence Through Technology Act of 2009" (S. 457) "The Employee Free Choice Act" (S. 560/H.R. 1409)

Client expense: Not reported · Firm income: $30,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

-Rural Health Issues: H.R. 362, Rural Hospital Assistance Act; S. 318, Medicare Rural Health Access Improvement Act; S.307 and H.R. 668, Critical Access Flexibility Act; S. 628, Conrad State 30 Improvement Act; S. 1279/H.R. 3256, Rural Community Hospital Demonstration Extension Act; S.1157, Craig Thomas Rural Hospital and Provider Equity Act. -H.R. 444, 340B Program Improvement and Integrity Act. -Health Reform Legislation H.R. 3200 and Americas Healthy Future Act of 2009 (not yet numbered) and S. 1679, cost analysis of the effect of pending legislation on Missouri hospitals; implications of proposed Medicaid expansions; payments to hospitals under a public plan of coverage; the use of disproportionate share hospital payments to fund health reform; the creation of an autonomous payment council to set Medicare payment rates, and an agreement by several national hospital organizations to support payment reductions to provide funding for health reform. H.R. 3200, inclusion of expanded 340B pharmaceutical purchasing discount program, Medicare payment reductions to physicians imposed by the use of a sustainable growth rate formula in calculating physician payments and restrictions on the ability of physicians to refer their patients to hospitals in which the physicians have an ownership interest. -Legislation to prevent the implementation of a 21% reduction in Medicare payments to physicians scheduled under current law to take effect January 1, 2010. -Legislative or regulatory action to resolve inconsistent coverage determinations among various Medicare contractors, including Medicare Administrative Contractors, Home Health/Hospice Medicare Administrative Contractors, Recovery Audit Contractors, Quality Improvement Organizations and Durable Medical Equipment Regional Contractors. -Provided requested information on the distribution by category of public and private insurance coverage in Missouri.

Client expense: $140,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3293 FY 10 Labor HHS Education Appropriations; HR 3200 America's Affordable Health Choices Act of 2009; S 1679 Affordable Health Choices Act; S ____ America's Healthy Future Act of 2009; HR 3082/S 1407 FY 10 Military Construction and Veterans Affairs Appropriations; HR 3326 FY 10 Defense Approps; HR 2053/S 2056 Medicare Anesthesiology Teaching Funding Restoration Act; HR 3151/S 1585 Rural Access to Nurse Anesthesia Services Act of 2009; HR 1932 Medicare Academic Anesthesiology and CRNA Payment Improvement Act of 2007; Title VIII of Public Health Service Act - Reauthorization of Title VIII of the Public Health Service Act (42 USC 296 et seq); S 252/HR 919 Veterans' Medical Personnel Recruitment and Retention Act of 2009; HR 3185/S 1569 A bill to expand our Nation's Advanced Practice Registered Nurse Workforce; HR 756/S 660 A bill to amend the Public Health Service Act with respect to pain care; S 1157 A bill to amend title XVIII of the Social Security Act to protect and preserve access of Medicare beneficiaries in rural areas to healthcare providers under the Medicare program, and for other purposes.

Client expense: $437,000 · Firm income: Not reported

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

H.R. 2204, S. 1157, Medicare Access to Rural Anesthesiology Act: Rural Pass Through Part B Medicare Physician's Fee Schedule: Implementation of Medicare Anesthesiology Teaching Funding Restoration Act Medicare Reform, Payment Issues: Physician Quality Reporting Initiative, Medicare Sustainable Growth Rate Physician Payment Update Quality Improvement Organizations Scope of Practice CMS ACE Demonstration CMS Interpretative Guidelines CMS IPPS Medicare Payment CMS Physician Resource Use Reports CMS ICD-10 CMS Hospital Outpatient Payment Proposed Rule CMS 5010 Form CMS Hospital Acquired Conditions CMS Value-Based purchasing CMS Recovery Audit Contractors Program CMS Physician Practice Information Survey CMS Practicing Physicians' Advisory Council Nominations

Client expense: $320,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE

Issues related to home and hospice care, rural health, telehealth. medicare and state's health insurance program legislation, Fostering Independence Through Technology Act of 2009 (S. 457); Comprehensive Health Reform Act of 2009 (S. 4); The Elder Care Tax Credit (H. R. 517); Children's Health Insurance Program Reauthorization Act of 2009 (H. R. 2). The Craig Thomas "Rural Hospital and Provider Equity Act" (S. 1157) Medicare "Rural Home Health Preservation Act" (S. 1123) "Seniors and Taxpayers Obligation Protection Act of 2009" (S. 975) "Medicaid Accountability through Transparency Act" (S. 974) "Home Healthcare Nurse Promotion Act of 2009" (H. R. 1928) "Fostering Independence Through Technology Act of 2009" (S. 457) "The Employee Free Choice Act" (S. 560/H. R. 1409)

Client expense: Not reported · Firm income: $50,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Medicare Part B independent-practice coverage of Marriage and Family Therapists, including S 671, S 1157, HR 1693, HR 3090, HR 3200 and Senate HELP and Senate Finance cmte health reform bills

Client expense: $25,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

H.R. 2204, S. 1157, Medicare Access to Rural Anesthesiology Act: Rural Pass Through Part B Medicare Physician's Fee Schedule: Implementation of Medicare Anesthesiology Teaching Funding Restoration Act Medicare Reform, Payment Issues: Physician Quality Reporting Initiative, Medicare Sustainable Growth Rate Physician Payment Update Quality Improvement Organizations Scope of Practice CMS ACE Demonstration CMS Interpretative Guidelines CMS IPPS Medicare Payment CMS Physician Resource Use Reports CMS ICD-10 CMS Hospital Outpatient Payment Proposed Rule CMS 5010 Form CMS Hospital Acquired Conditions CMS Value-Based purchasing CMS Recovery Audit Contractors Program

Client expense: $320,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE

HConRes85, FY2010 Budget Resolution; SConRes13, FY2010 Budget Resolution; S.386, Fraud Enforcement and Recovery Act of 2009; H.R.1748, Fight Fraud Act of 2009; H.R.1176, Secret Ballot Protection Act; S.478, Secret Ballot Protection Act of 2009; H.R.1409, Employee Free Choice Act of 2009; S.560, Employee Free Choice Act of 2009; H.R.668, Critical Access Hospital Flexibility Act of 2009; S.307, Critical Access Hospital Flexibility Act of 2009; S.1157, Craig Thomas Rural Hospital and Provider Equity Act of 2009; S.973, Resident Physician Shortage Reduction Act of 2009; H.R.2251 Resident Physician Shortage Reducation Act of 2009; S.1380 Medicare Payment Advisory Commission (MeDPAC) Reform Act of 2009; S.1110, Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009; H.R.2718, Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009; S.497, Nurse Education, Expansion, and Development Act of 2009; H.R.2043, Nurse Education, Expansion, and Development Act of 2009; House Tri-Committee Health Care Reform Discussion Draft Legislation (Ways & Means, Energy & Commerce, and Education & Labor); House Tri-Committee Health Care Reform Legislation--America's Affordable Health Choices Act of 2009; Senate Health, Education, Labor and Pensions (HELP) Committee Health Care Reform Legislation--Affordable Health Choices Act; FFY 2010 President's Budget; President's health reform proposals offered in June 13 memorandum; Senate Finance Committee Health Care Reform Policy Option Papers; FFY 2010 Labor, HHS, Education, and Pension Appropriations bill; FFY 2009 Medicare Inpatient Hospital PPS Rules; FFY 2010 Medicare Inpatient Hospital PPS Rules; CY 2010 Medicare Outpatient PPS Rules; CY 2010 Medicare Inpatient Psychiatric Facility PPS Rules; FFY 2010 Medicare Inpatient Rehabilitation Facility PPS and "75% Rule" Rules; FFY 2010 Medicare Skilled Nursing Facility PPS Rules; CY 2010 Medicare Home Health Agency PPS Rules; FFY 2010 Hospice Rules; CY 2010 Medicare Physician Fee Schedule Update; Enhanced federal medical assistance percentage (FMAP); Health information technology (HIT); Capital Indirect Medical Education payments to teaching hospitals; Medicaid regulations affecting public hospitals, GME, provider tax, outpatient coverage, targeted case management, rehabilitation, and school based health; Department of Housing and Urban Development's Federal Housing Assistance mortgage program for hospitals; Defined benefit pension plans; National Institute of Health funding; Health care workforce recruiting and training funding; National Health Service Corp. funding; Public Health Service Act nursing and allied health professions program funding; Comparative effectiveness funding; Preventative health and wellness programs funding; Community health center funding; Coverage for the uninsured; Hospital fundraising and recipient "opt-out;" Medicaid DSH Allocations to States; Children's Health Insurance Program funding; CMS August 17th directive to states establishing new requirements for increasing SCHIP coverage; Secret ballot process for hospital employee unionization; Hospital pay-for-performance/value-based purchasing; Hospital pay-for-reporting quality measure reporting; Hospital readmissions; Bundling of hospital and physician and/or post-acute care provier payments; Health care-associated infections reporting; Medical error reporting; Medicare Graduate Medical Educaiton (GME) payments to hospitals; Medicare Dispropoprtionate Share Hospital (DSH) payments; False Claims Act expansion addressing fraud related to federal assistance and relief programs that could expose hospitals to liability for receiving and retaining overpayments; Medicare funding warning/"trigger;" Medicare wage index; Hospice reimbursement; Recoveray Audit Contractor (RAC) program; IRS Form 990 Revision; Not-for-profit hospital tax-exempt status; Tax deductiblity of charitable contributions; Community benefit reporting; "Stark" and physician self-referral regulations; Hospital pricing transparency; Coverage for undocumented immigrants; Hospital charity care/financial aid; Associated health plans; Emergency preparedness; Mental health parity; Limited service hospitals; Competitive bidding for clinical laboratory services; Expansion of the Medicaid 340B drug pricing program.

Client expense: $240,000 · 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), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

Issues related to the reimbursement of physicians and anesthesiology in rural areas. S. 1157, The Craig Thomas Rural Hospital and Provider Equity Act of 2009 as it relates to Medicare reimbursement for anesthesiology services in certain rural hospitals. Health care reform legislation as it relates to reimbursement for anesthesiology.

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2919, Medicare Efficiency Incentive Act of 2009: entire bill. S. 1249, Medicare Payment Improvement Act of 2009: entire bill. S. 1262, Medical Efficiency and Delivery Improvement of Care Act of 2009: Section 3003: Value index under the Medicare physician fee schedule. H.R. 3074, Medicare Payment Fairness Act of 2009: entire bill. S. 295, Medicare Quality and Payment Reform Act of 2009: provisions relating to hospitals. H.R. 2251, Resident Physician Shortage Reduction Act of 2009: provisions relating to hospitals. H.R. 2350, Preserving Patient Access to Primary Care Act of 2009: provisions relating to hospitals. H.R. 1776, Quality FIRST Act of 2009: entire bill. H.R. 2844, Medicare Payment Improvement Act of 2009, entire bill. S. 1031, National Nursing Shortage Reform and Patient Advocacy Act, provisions relating to hospitals. H.R. 2525, Safeguarding our Hospitals' Futures Act of 2009, entire bill. S. 1108, Safeguarding our Hospitals' Futures Act of 2009, entire bill. H.R. 362, Rural Hospital Assistance Act of 2009: entire bill. H.R. 2891, Access to Frontline Health Care Act of 2009: entire bill. HELP Committee health reform proposal, The Affordable Health Choices Act: provisions relating to hospitals. House Tri-Committee health reform discussion draft: provisions relating to hospitals. S.318, Medicare Rural Health Access Improvement Act of 2009: provisions relating to hospitals. H.R. 1, The American Reinvestment and Recovery Act: provisions relating to hospitals including, HIT; comparative effectiveness. H.R. 2201, the Medicare Equity & Accessibility Act: provisions relating to hospitals. S. 1157, The Craig Thomas Rural Hospital and Provider Equity Act: provisions relating to hospitals. Other Issues: Medicare Geographic Disparity: Feingold-Klobuchar letter and McCollum-Obey letter. Capital IME payments to hospitals: Neal-Tiberi letter and Schumer-Roberts letter. Value-based purchasing as it relates to payments for hospitals. DSH payments to hospitals, including Sullivan, Bingaman, Inhofe letter. CMS proposed FY2010 rule, provisions relating to hospitals. Budget neutrality adjustment to rural floor of wage index: Congressmen Larsen, Pascrell, and LoBiondo Letter. Other issues continued: Graduate medical education as it relates to hospitals. Hospital physician self-referral issue. CMS final 2009 Medicare Outpatient Prospective Payment System rule: incident to policy. Monitored issues relating to GPO Safe Harbor. Issues relating to Medicare Administrative Contractors. Monitored issues relating to Medicare Recovery Audit Contractors. Monitored HHS Provider Conscience Regulation. Moratorium on Medicare regulation related to hospice budget neutrality adjustment factor. SGR fix--physician payment in Medicare.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to home and hospice care, rural health, telehealth, medicare and state's health insurance program legislation, Fostering Independence Through Technology Act of 2009 (S. 457); Comprehensive Health Reform Act of 2009 (S. 4); The Elder Care Tax Credit (H.R. 517); Children's Health Insurance Program Reauthorization Act of 2009 (H. R. 2). The Craig Thomas Rural Hospital and Provider Equity Act (S. 1157) Medicare Rural Home Health Preservation Act" (S.1123) S. 975 Seniors and Taxpayers Obligation Protection Act of 2009 S. 974 Medicaid Accountability through Transparency Act H.R. 1928 Home Healthcare Nurse Promotion Act of 2009 S. 457 Fostering Independence Through Technology Act of 2009 S. 560/H.R. 1409The Employee Free Choice Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Issues related to home and hospice care, rural health, telehealth, medicare and state's health insurance program legislation, Fostering Independence Through Technology Act of 2009 (S. 457); Comprehensive Health Reform Act of 2009 (S. 4); The Elder Care Tax Credit (H.R. 517); Children's Health Insurance Program Reauthorization Act of 2009 (H. R. 2). The Craig Thomas Rural Hospital and Provider Equity Act (S. 1157) Medicare Rural Home Health Preservation Act" (S.1123) S. 975 Seniors and Taxpayers Obligation Protection Act of 2009 S. 974 Medicaid Accountability through Transparency Act H.R. 1928 Home Healthcare Nurse Promotion Act of 2009 S. 457 Fostering Independence Through Technology Act of 2009 S. 560/H.R. 1409The Employee Free Choice Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Issues related to home and hospice care, rural health, telehealth, medicare and state's health insurance program legislation, Fostering Independence Through Technology Act of 2009 (S. 457); Comprehensive Health Reform Act of 2009 (S. 4); The Elder Care Tax Credit (H.R. 517); Children's Health Insurance Program Reauthorization Act of 2009 (H. R. 2). The Craig Thomas Rural Hospital and Provider Equity Act (S. 1157) Medicare Rural Home Health Preservation Act" (S.1123) S. 975 Seniors and Taxpayers Obligation Protection Act of 2009 S. 974 Medicaid Accountability through Transparency Act H.R. 1928 Home Healthcare Nurse Promotion Act of 2009 S. 457 Fostering Independence Through Technology Act of 2009 S. 560/H.R. 1409The Employee Free Choice Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Requested support for S. 1157 The Craig Thomas Rural Hospital and Provider Equity Act (S.1157) would provide a temporary payment increase for hospitals with low-volume inpatient discharges. the bill would extend the outpatient hold-harmless provision for sole community hospitals and rural hospitals with fewer than 100 beds, remove the cap on disproportionate share adjustment percentages for all hospitals and improve payments for ambulance services in rural areas.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Coverage of Services Provided by PAs (S. 318, S. 1157); FY 10 L-HHS Appropriations; Bill to establish a full-time Director of PA Services at the VA (HR 1302, S. 1157); Health Care Reform & Inclusion of PAs in models of care (HR 3200); Federal Employees Compensation Act; FMCSA REgulations on Truck Driver Physicals; Pay Equity for PAs at Army medical facilities; VA PA pay equity issues.

Client expense: $302,341 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Federal Motor Carrier Safety Administration, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA), White House Office

H.R. 1470 - Equity for Our Nation's Self Employed Act S. 725 - Equity for Our Nation's Self Employed Act S. 1157 - Craig Thomas Rural Hospital and Provider Equity Act of 2009 House Tri-Committee Health Reform Discussion Draft Senate Affordable Health Choices Act

Client expense: $660,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Energy, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Minerals Management Service, SENATE, U.S. Trade Representative (USTR), White House Office

S. 307 / H.R. 668: Critical Access Hospital Flexibility Act S. 318: Medicare Rural Health Access Improvement Act H.R. 362: Rural Hospital Assistance Act of 2009 S. 511: Access to Durable Medical Equipment Act of 2009 S. 1157: Craig Thomas Rural Hospital and Provider Equity Act of 2009 S. 1279: Rural Community Hospital Demonstration Extension Act H.R. 2251: Resident Physician Shortage Reduction Act of 2009

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE