Home Health Care Planning Improvement Act of 2009

H.R.3590, Patient Protection and Affordable Care Act - Lobbied in support of and on implementation of health care legislation that would reform the health care system to provide affordable quality health care and expand access to long-term services and supports. Provided information on the need for nursing education capacity and the retention of newer and older nurses in the workplace (no bill). S.1569/H.R.3185, Medicare Graduate Nursing Education Act - Advocated for modernizing Medicare funding so that nursing education funds are directed to advanced nurse practice programs to help produce more highly-skilled nurses to care for the Medicare population. S. 623/HR 1558, Pre-existing Condition Patient Protection Act of 2009 - Lobbied in support of bill that would prohibit insurers from denying health insurance or delaying coverage for people with pre-existing conditions. H.R. 2778, Health Equity and Accountability through Research Act of 2009 - Lobbied in support of bill that would address racial and ethnic disparities in care. S. 979/HR 2360, Small Business Health Options Programs Act - Lobbied in support of bill that would establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable and accessible. S.1213, Patient-Centered Outcomes Research Act - Lobbied in support of bill that would create a public-private partnership to conduct and disseminate comparative effectiveness research. S. 726/H.R. 1427, Promoting Innovation and Access to Life Saving Medicines - Discussed legislation which would create a pathway for approval of safe, effective biosimilar and generic biologic drugs. H.R. 3090, Health Equity and Accountability Act - Discussed need to end racial and ethnic disparities in care. S. 3686, Labor, HHS, Education and Related Agencies Appropriations Act FY 2011 - Lobbied for funding for healthcare services, research and training involving NIH, AHRQ, CMS, HRSA, HHS and AOA. H.R. 3082, H.R. 3081, H.J. Res.101, H.J. Res. 105, Continuing Appropriations and Surface Transportation Extensions Act, 2011 - Lobbied for funding for various federal programs serving Older Americans, most notably SSA Administrative expenses, LIHEAP, aging services, HECM reverse mortgage subsidy and Section 202, Housing for the Elderly. H.R. 4872, Health Care and Education Reconciliation Act - Lobbied in support of health care law which makes improvements such as closing the Part D coverage gap, in the Patient Protection and Affordable Care Act and implementation of some provisions. H.R. 5364, Special Care Dentistry Act - Discussed bill that would require states to provide oral health coverage for aged, blind,or disabled individuals through a separate state adult dental program, with 100% federal match. H.R. 4213, American Workers, State and Business Relief Act/American Jobs and Closing Tax Loopholes Act - Lobbied for extension of UI, COBRA, FMAP, and SGR. H.R. 3081, Continuing Resolution, FY 2011 - Lobbied for funding for SSA, various health care, employment, aging services and nutrition programs. H.R. 4224, Together We Care Act - Bill creates a three-year pilot program to train public housing residents to provide covered home-based health services. H.R. 5853, Fiscal Responsibility and Retirement Security Act - Bill requires review and approval by law prior to collection of premiums under the CLASS program, to require notice to individuals prior to enrollment, and to require termination of the program in the event of actuarial unsoundness, and for other purposes. S. 2814, Home Health Care Planning Improvement Act of 2010 - Bill recognizes and authorizes nurse practitioners, clinical nurse specialists, certified nurse-midwives and physician assistants as eligible health care professionals who can order home health services under Medicare. H.R. 4993, Home Health Care Planning Improvement Act of 2010 - Bill recognizes and authorizes nurse practitioners, clinical nurse specialists, certified nurse-midwives and physician assistants as eligible health care professionals who can order home health services under Medicare.

Client expense: $9,120,000 · Firm income: Not reported

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Energy, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Energy Regulatory Commission (FERC), Federal Reserve System, Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Highway Traffic Safety Administration (NHTSA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Vice President of the United States, SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

S.330/H.R.684, Medicare Prescription Drug Savings and Choice Act of 2009 - Discussed legislation which would create a government-operated Medicare prescription drug plan. Provided information on the need for nursing education capacity and the retention of newer and older nurses in the workplace (no bill). Discussed implementation of healthcare coverage for the 50-64 year old population, age rating, and closing the doughnut hole. S.1133/H.R. 2580, Empowering Medicare Patient Choices Act - Discussed legislation that would promote patient decision aids to help people make informed, evidence-based decisions about health care treatment options. S. 960, Medicare Early Access Act of 2009 - Support for legislation to let Americans aged 55-64 who are otherwise without access to group or public coverage buy into Medicare. H.R. 2700, Prescription Coverage Now Act of 2009 - Discussed legislation that would assist low-invome individuals in obtaining subsidized prescription drug coverage under the Medicare prescription drug program by expediting the application and qualification process and by revising the resource standards used to determine eligibility for such subsidies, and for other purposes. S. 1185, Medicare Financial Stability for Beneficiaries Act of 2009 - Discussed legislation that would ensure that low-income beneficiaries have improved access to health care under the Medicare and Medicaid programs. H.R. 2716, Medicare Savings Program Improvement Act of 2009 - Discussed legislation that would provide financial stability for older Americans and people with disabilities through improvements in the Medicare Savings Program. Advocated for modernizing Medicare funding so that nursing education funds are directed to advanced nurse practice programs to help produce more highly-skilled nurses to care for the Medicare population (no bill). Discussed ideas to improve medicare for medicare beneficiaries. (no bill) Discussed Medicare physician payment issues. (no bill) S. 2128, Prevent Healthcare Fraud Act - Discussed Medicare Fraud. Discussed idea of an annual physical for Medicare beneficiaries (no bill). S.975 Seniors and Taxpayers Obligation and Protection Act - Lobbied in support of legislation. S.1256 Home and Community Balanced Incentives Act - Discussed implementation of certain enacted provisions. H.R. 3631, Medicare Premium Fairness Act - Lobbied to pass legislation to allow premiums for Medicare Part B to remain at 2009 levels for all beneficiaries. S. 2926, the Economic Fairness for Seniors Act - Discussed the implications of legislation to provide $250 in economic relief to seniors, veterans and the disabled in response to the lack of a COLA in 2010; allow Medicare Part B premiums to remain at 2009 levels for all beneficiaries and to study the use of a new Consumer Price Index for use in calculating future Social Security COLAs. H.R. 3590, Patient Protection and Affordable Care Act - Lobbied in support of and on new implementation of health care law that would reform the health care system to provide affordable quality health care, reduce drug costs and expand access to long-term services and supports. H.R. 4872, Health Care and Education Reconciliation Act - Lobbied in support of and on implementation of health care law to make improvements in the Patient Protection and Affordable Care Act and implementation of certain provisions. H.R. 4993/S. 2814, Home Health Planning Improvement Act of 2010 - Wrote letters in support of Nurse Practitioners, Clinical Nurse Specialists, and Physician Assistants being able to order Medicare funded home health care. Extension of enhanced FMAP (no bill number) H. R. 3962/P.L. 111-192, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 - Which among other things, postpones the reduction of Medicare reimbursements for physician services until November 30, 2010. H.R. 6130, Strengthening Medicare Anti-Fraud Measures Act - Discussed medicare fraud. H.R. 5044/S. 3632, Medicare Fraud Enforcement and Prevention Act - Discussed medicare fraud. H.R. 5546, no official title, anti-fraud measure -Discussed medicare fraud. H.R. 5950, Improving Access to Medicare Coverage Act - To count a periof of observation status in a hospital exceeding 24 hours toward satisfying the 3-day inpatient hospital requirement for coverage of skilled nursing facility services under Medicare. H.R. 2773/S. 1295, Medicare Transitional Care Act and S. Amdt. 3273, Protection and Affordable Care Act - To cover transitional care services to improve the quality and care under the Medicare Program. S. 3632, The Medicare and Medicaid Fraud Enforcement and Prevention Act of 2010 - Fraud bill would seek to curtail wasted fraud and abuse in the Medicare and Healthcare Programs. House Amendment to Senate Amendment to H.R. 2847 "Jobs for Main Street Act" - Discussed redirection of some TARP funds to extend unemployment insurance and COBRA eligibility and FMAP assistance to state governments. H.R. 4213 American Workers, State, and Business Relief Act/American Jobs and Closing Tax Loopholes Act - Lobbied for extension of UI, COBRA, FMAP, and SGR. S. 3686, Labor, HHS, Education and related agencies Appropriations Act, FY 2011 - Lobbied for FMAP fix and related health care programs. S. 2814/H.R. 4993, Home Health Care Planning Improvements Act of 2010 - Legislation would allow advanced practice nurses and physician assistants to order medicare supported home health care. Discussed Durable Medical Equipment bidding. (no bill) H.R.5712, Physician Payment and Therapy Relief Act of 2010 - Lobbied in support of legislation that would provide a one-month extension of the existing physician payment update. H.R.4994, Medicare and Medicaid Extenders Act of 2010 - Lobbied in support of legislation that would provide a one year extension of the physician payment update. H.R. 3081, Continuing Resolution FY 2011, H.J.Res. 105, making further continuing appropriations for fiscal year 2011, and H.J.Res. 101 making further continuing appropriations for fiscal year 2011 - Lobbied for FMA fix inclusion in appropriations legislation.

Use of NHSC funds authorized under ACA Including nurse-managed health clinics in ACA S. 1776, the Medicare Physician Fairness Act of 2009 H.R. 2350/1174; Preserving Patient Access to Primary Care Act of 2009 H.R. 4993/S. 2814; Home Health Care Planning Improvement Act of 2009 H.R. 2730; Student to School Nurse Ratio Improvement Act of 2009 S. 1303; Women's Medical Home Demonstration Act All provisions related to Certified Nurses Day Resolution (H. Res. 1158) H.R. 5270; Improving access to workers compensation for Injured Federal Workers Act H.R. 5040; Health Information Technology Extension for Behavioral health Services Act of 2010 H.R. 1191: Safe Drug Disposal S. 27/H.R. 2043: Nurse Education, Expansion and Development Act of 2009 (NEED Act) Provisions related to a resolution regarding Safe Patient Handling and Movement Initiative (H. Res. 510). S. 1267; Evidence-Based Home Visitation Act of 2009 H.R. 1946; Health Workforce Investment Act of 2009 H.R. 2371; Nurse Training and Retention Act of 2009 S. 1796; America's Healthy Future Act S. 1697; Affordable Health Choices Act H.R. 3191; Positive Aging Act of 2009 H.R. 1460/S. 1022; The Nurses Higher Education and Loan Repayment Act of 2002 H.R. 2535; Blueprint for Health Act of 2009 The Health Equity and Accountability Act of 2009 H.R. 2381/S. 1788; The Nurse and Health Care Worker Protection Act of 2009 S. 1679; Affordable Health Choices Act - Reasonable Break Time for Nursing Mothers U.S. Food and Drug Administration, related to re-evaluation of BPA S.A. 2928; "To include Direct Care Workers as a priority for the National Health Care Workforce Commission" H.R. 4601; National Nurse Act of 2010, provisions related to creation of the Office of the National Nurse Women's Health Amendment (Sec. 271(a)(4)) of Public Service Act H.R. 5742; Medical Checklist Act of 2010

Implementation of Affordable Care Act; House Resolution 1600; Medicaid Coverage of Services Provided by PAs (S 63/HR 6373); Home Health Care Planning Improvement Act (S 2814/HR 4993); PA Veterans Issues (HR 6339, S 3234, S 1963), PA hospice issue (S. 318, S 1157); Federal Workers' Comp. (HR 5270); Medicaid HIT Incentive Payments for PAs; FMCSA proposed registry of certified medical examiners; FY 2011 L/HHS appropriations; Pay equity for federal PAs; DEA; Health workforce issues.

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

Government targets: 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, SENATE, Veterans Affairs, Dept of (VA), White House Office

Health reform including Medicare and Medicaid reimbursement, HIT, and transitional, coordinated care, tax and health insurers. H.R. 3590, H.R. 3680, H.R. 4872, S. 1728, S. 3315, H.R. 5803; scope of practice S. 2814, H.R. 4993; pilot programs.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), 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 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

Legislation and issues related to: Physician/nurse reimbursement; Medicare Medical Home; Accountable Care Organizations; H.R. 4993/S. 2814 - Home Health Care Planning Improvement Act; provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); H.R. 2754/S. 1104 - Nurse Managed Health Clinic Investment Act; S. 1569 - Medicare Graduate Nursing Education Act.

Client expense: Not reported · Firm income: $7,800

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

Legislation and issues related to: Physician/nurse reimbursement; Medicare Medical Home; Accountable Care Organizations; H.R. 4993/S. 2814 - Home Health Care Planning Improvement Act; provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); H.R. 2754/S. 1104 - Nurse Managed Health Clinic Investment Act; S. 1569 - Medicare Graduate Nursing Education Act.

Client expense: Not reported · Firm income: $7,800

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

Health reform including Medicare and Medicaid reimbursement, HIT, and transitional, coordinated care, tax and health insurers. H.R. 3590, H.R. 3680, H.R. 4872, S. 1728, S. 3315, H.R. 5803; scope of practice S. 2814, H.R. 4993.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.3590, Patient Protection and Affordable Care Act - Lobbied in support of and on implementation of health care legislation that would reform the health care system to provide affordable quality health care and expand access to long-term services and supports. Provided information on the need for nursing education capacity and the retention of newer and older nurses in the workplace (no bill). S.1569/H.R.3185, Medicare Graduate Nursing Education Act - Advocated for modernizing Medicare funding so that nursing education funds are directed to advanced nurse practice programs to help produce more highly-skilled nurses to care for the Medicare population. S. 623/HR 1558, Pre-existing Condition Patient Protection Act of 2009 - Lobbied in support of bill that would prohibit insurers from denying health insurance or delaying coverage for people with pre-existing conditions. H.R. 2778, Health Equity and Accountability through Research Act of 2009 - Lobbied in support of bill that would address racial and ethnic disparities in care. S. 979/HR 2360, Small Business Health Options Programs Act - Lobbied in support of bill that would establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable and accessible. S.1213, Patient-Centered Outcomes Research Act - Lobbied in support of bill that would create a public-private partnership to conduct and disseminate comparative effectiveness research. S. 726/H.R. 1427, Promoting Innovation and Access to Life Saving Medicines - Discussed legislation which would create a pathway for approval of safe, effective biosimilar and generic biologic drugs. H.R. 3090, Health Equity and Accountability Act - Discussed need to end racial and ethnic disparities in care. S. 3686, Labor, HHS, Education and Related Agencies Appropriations Act FY 2011 - Lobbied for funding for healthcare services, research and training involving NIH, AHRQ, CMS, HRSA, HHS and AOA. H.R. 4872, Health Care and Education Reconciliation Act - Lobbied in support of health care law which makes improvements such as closing the Part D coverage gap, in the Patient Protection and Affordable Care Act and implementation of some provisions. H.R. 5364, Special Care Dentistry Act - Discussed bill that would require states to provide oral health coverage for aged, blind, or disabled individuals through a separate state adult dental program, with 100% federal match. H.R. 4213, American Workers, State and Business Relief Act/American Jobs and Closing Tax Loopholes Act - Lobbied for extension of UI, COBRA, FMAP, and SGR. H.R. 3081, Continuing Resolution, FY 2011 - Lobbied for funding for SSA, various health care, employment, aging services and nutrition programs. H.R. 5795, Personalize Your Care Act - Bill gives Americans the opportunity to make advance care plans should he or she become unable to direct their own care. S. 1177, Confidence in Long-Term Care Insurance Act - Bill provides options to help Americans pay for the long-term services and supports they may need, including to help them live in their homes and communities. H.R. 5890, Long-Term Care Insurance Reform Act - Bill provides options to help Americans pay for the long-term services and supports they may need, including to help them live in their homes and communities. S. 776, Promoting Small House Nursing Homes Act - Provides incentives for new, affordable models of long-term services and supports. H.R. 4224, Together We Care Act - Bill creates a three-year pilot program to train public housing residents to provide covered home-based health services. H.R. 5853, Fiscal Responsibility and Retirement Security Act - Bill requires review and approval by law prior to collection of premiums under the CLASS program, to require notice to individuals prior to enrollment, and to require termination of the program in the event of actuarial unsoundness, and for other purposes. S. 2814, Home Health Care Planning Improvement Act of 2010 - Bill recognizes and authorizes nurse practitioners, clinical nurse specialists, certified nurse-midwives and physician assistants as eligible health care professionals who can order home health services under Medicare. H.R. 4993, Home Health Care Planning Improvement Act of 2010 - Bill recognizes and authorizes nurse practitioners, clinical nurse specialists, certified nurse-midwives and physician assistants as eligible health care professionals who can order home health services under Medicare.

S.330/H.R.684, Medicare Prescription Drug Savings and Choice Act of 2009 - Discussed legislation which would create a government-operated Medicare prescription drug plan. Provided information on the need for nursing education capacity and the retention of newer and older nurses in the workplace (no bill). S.683/H.R.1670, Community Choice Act - Supported Community First Choice Option version of this legislation in health care reform and inquired about eligibility criteria and implementation. S.631/H.R.2223, Patient Safety and Abuse Prevention Act in Patient Protection and Affordable Care Act (P.L.111-148) - Discussed implementation of criminal background checks for employees of long-term care providers in healthcare reform law. Discussed implementation of healthcare coverage for the 50-64 year old population, age rating, and closing the doughnut hole. S.1133/H.R. 2580, Empowering Medicare Patient Choices Act - Discussed legislation that would promote patient decision aids to help people make informed, evidence-based decisions about health care treatment options. S. 960, Medicare Early Access Act of 2009 - Support for legislation to let Americans aged 55-64 who are otherwise without access to group or public coverage buy into Medicare. H.R. 2700, Prescription Coverage Now Act of 2009 - Discussed legislation that would assist low-invome individuals in obtaining subsidized prescription drug coverage under the Medicare prescription drug program by expediting the application and qualification process and by revising the resource standards used to determine eligibility for such subsidies, and for other purposes. S. 1185, Medicare Financial Stability for Beneficiaries Act of 2009 - Discussed legislation that would ensure that low-income beneficiaries have improved access to health care under the Medicare and Medicaid programs. H.R. 2716, Medicare Savings Program Improvement Act of 2009 - Discussed legislation that would provide financial stability for older Americans and people with disabilities through improvements in the Medicare Savings Program. Advocated for modernizing Medicare funding so that nursing education funds are directed to advanced nurse practice programs to help produce more highly-skilled nurses to care for the Medicare population (no bill). Discussed ideas to improve medicare for medicare beneficiaries. (no bill) Discussed Medicare physician payment issues. (no bill) S. 2128, Prevent Healthcare Fraud Act - Discussed Medicare Fraud. Discussed idea of an annual physical for Medicare beneficiaries (no bill). S.975 Seniors and Taxpayers Obligation and Protection Act - Lobbied in support of legislation. S.1256 Home and Community Balanced Incentives Act - Discussed implementation of certain enacted provisions. H.R. 3631, Medicare Premium Fairness Act - Lobbied to pass legislation to allow premiums for Medicare Part B to remain at 2009 levels for all beneficiaries. S. 2926, the Economic Fairness for Seniors Act - Discussed the implications of legislation to provide $250 in economic relief to seniors, veterans and the disabled in response to the lack of a COLA in 2010; allow Medicare Part B premiums to remain at 2009 levels for all beneficiaries and to study the use of a new Consumer Price Index for use in calculating future Social Security COLAs. H.R. 3590, Patient Protection and Affordable Care Act - Lobbied in support of and on new implementation of health care law that would reform the health care system to provide affordable quality health care, reduce drug costs and expand access to long-term services and supports. H.R. 4872, Health Care and Education Reconciliation Act - Lobbied in support of and on implementation of health care law to make improvements in the Patient Protection and Affordable Care Act and implementation of certain provisions. H.R. 4993/S. 2814, Home Health Planning Improvement Act of 2010 - Wrote letters in support of Nurse Practitioners, Clinical Nurse Specialists, and Physician Assistants being able to order Medicare funded home health care. Extension of enhanced FMAP (no bill number) H. R. 3962/P.L. 111-192, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 - Which among other things, postpones the reduction of Medicare reimbursements for physician services until November 30, 2010. H.R. 6130, Strengthening Medicare Anti-Fraud Measures Act - Discussed medicare fraud. H.R. 5044/S. 3632, Medicare Fraud Enforcement and Prevention Act - Discussed medicare fraud. H.R. 5546, no official title, anti-fraud measure -Discussed medicare fraud. H.R. 5950, Improving Access to Medicare Coverage Act - To count a periof of observation status in a hospital exceeding 24 hours toward satisfying the 3-day inpatient hospital requirement for coverage of skilled nursing facility services under Medicare. H.R. 2773/S. 1295, Medicare Transitional Care Act and S. Amdt. 3273, Protection and Affordable Care Act - To cover transitional care services to improve the quality and care under the Medicare Program. S. 3632, The Medicare and Medicaid Fraud Enforcement and Prevention Act of 2010 - Fraud bill would seek to curtail wasted fraud and abuse in the Medicare and Healthcare Programs. House Amendment to Senate Amendment to H.R. 2847 "Jobs for Main Street Act" - Discussed redirection of some TARP funds to extend unemployment insurance and COBRA eligibility and FMAP assistance to state governments. H.R. 4213 American Workers, State, and Business Relief Act/American Jobs and Closing Tax Loopholes Act - Lobbied for extension of UI, COBRA, FMAP, and SGR. S. 3686, Labor, HHS, Education and related agencies Appropriations Act, FY 2011 - Lobbied for FMAP fix and related health care programs. H.R. 3081, Continuing Resolution, FY 2011 - Lobbied for FMAP fix inclusion in appropriations legislation. S. 2814/H.R. 4993, Home Health Care Planning Improvements Act of 2010 - Legislation would allow advanced practice nurses and physician assistants to order medicare supported home health care. Discussed Durable Medical Equipment bidding. (no bill)

Legislation and issues related to: authorization and appropriations of Title VIII funding for nursing education; H.R. 2754/S. 1104 - Graduate Nursing Education; Nurse Managed Health Clinic Investment Act; H.R. 4993/S. 2814 - Home Health Care Planning Improvement Act; provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); physician/nurse reimbursement; Medicare Medical Home; Accountable Care Organizations.

Client expense: Not reported · Firm income: Not reported

Legislation and issues related to: authorization and appropriations of Title VIII funding for nursing education; H.R. 2754/S. 1104 - Graduate Nursing Education; Nurse Managed Health Clinic Investment Act; H.R. 4993/S. 2814 - Home Health Care Planning Improvement Act; provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); physician/nurse reimbursement; Medicare Medical Home; Accountable Care Organizations.

Client expense: Not reported · Firm income: Not reported

Legislation and issues related to: authorization and appropriations of Title VIII funding for nursing education; H.R. 2754/S. 1104 - Graduate Nursing Education; Nurse Managed Health Clinic Investment Act; H.R. 4993/S. 2814 - Home Health Care Planning Improvement Act; provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); physician/nurse reimbursement; Medicare Medical Home; Accountable Care Organizations.

Client expense: Not reported · Firm income: Not reported

Legislation and issues related to: physician/nurse reimbursement; Medicare Medical Home; Accountable Care Organizations; authorization and appropriations of Title VIII funding for nursing education; H.R. 2754/S. 1104 - Graduate Nursing Education; Nurse Managed Health Clinic Investment Act; H.R. 4993/S. 2814 - Home Health Care Planning Improvement Act; provisions of the Patient Protection & Affordable Care Act (P.L. 111-148).

Client expense: Not reported · Firm income: Not reported

Legislation and issues related to: physician/nurse reimbursement; Medicare Medical Home; Accountable Care Organizations; authorization and appropriations of Title VIII funding for nursing education; H.R. 2754/S. 1104 - Graduate Nursing Education; Nurse Managed Health Clinic Investment Act; H.R. 4993/S. 2814 - Home Health Care Planning Improvement Act; provisions of the Patient Protection & Affordable Care Act (P.L. 111-148).

Client expense: Not reported · Firm income: Not reported

Legislation and issues related to: physician/nurse reimbursement; Medicare Medical Home; Accountable Care Organizations; authorization and appropriations of Title VIII funding for nursing education; H.R. 2754/S. 1104 - Graduate Nursing Education; Nurse Managed Health Clinic Investment Act; H.R. 4993/S. 2814 - Home Health Care Planning Improvement Act; provisions of the Patient Protection & Affordable Care Act (P.L. 111-148).

Client expense: Not reported · Firm income: Not reported

Legislation and issues related to: authorization and appropriations of Title VIII funding for nursing education; H.R. 2754/S. 1104 - Graduate Nursing Education; Nurse Managed Health Clinic Investment Act; H.R. 4993/S. 2814 - Home Health Care Planning Improvement Act; provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); physician/nurse reimbursement; Medicare Medical Home; Accountable Care Organizations.

Client expense: Not reported · Firm income: Not reported

Legislation and issues related to: authorization and appropriations of Title VIII funding for nursing education; H.R. 2754/S. 1104 - Graduate Nursing Education; Nurse Managed Health Clinic Investment Act; H.R. 4993/S. 2814 - Home Health Care Planning Improvement Act; provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); physician/nurse reimbursement; Medicare Medical Home; Accountable Care Organizations.

Client expense: Not reported · Firm income: Not reported

Legislation and issues related to: authorization and appropriations of Title VIII funding for nursing education; H.R. 2754/S. 1104 - Graduate Nursing Education; Nurse Managed Health Clinic Investment Act; H.R. 4993/S. 2814 - Home Health Care Planning Improvement Act; provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); physician/nurse reimbursement; Medicare Medical Home; Accountable Care Organizations.

Client expense: Not reported · Firm income: Not reported

Legislation and issues related to: physician/nurse reimbursement; Medicare Medical Home; Accountable Care Organizations; authorization and appropriations of Title VIII funding for nursing education; H.R. 2754/S. 1104 - Graduate Nursing Education; Nurse Managed Health Clinic Investment Act; H.R. 4993/S. 2814 - Home Health Care Planning Improvement Act; provisions of the Patient Protection & Affordable Care Act (P.L. 111-148).

Client expense: Not reported · Firm income: Not reported

Legislation and issues related to: physician/nurse reimbursement; Medicare Medical Home; Accountable Care Organizations; authorization and appropriations of Title VIII funding for nursing education; H.R. 2754/S. 1104 - Graduate Nursing Education; Nurse Managed Health Clinic Investment Act; H.R. 4993/S. 2814 - Home Health Care Planning Improvement Act; provisions of the Patient Protection & Affordable Care Act (P.L. 111-148).

Client expense: Not reported · Firm income: Not reported

Legislation and issues related to: physician/nurse reimbursement; Medicare Medical Home; Accountable Care Organizations; authorization and appropriations of Title VIII funding for nursing education; H.R. 2754/S. 1104 - Graduate Nursing Education; Nurse Managed Health Clinic Investment Act; H.R. 4993/S. 2814 - Home Health Care Planning Improvement Act; provisions of the Patient Protection & Affordable Care Act (P.L. 111-148).

Client expense: Not reported · Firm income: Not reported

Legislation and issues related to: physician/nurse reimbursement; Medicare Medical Home; Accountable Care Organizations; authorization and appropriations of Title VIII funding for nursing education; H.R. 2754/S. 1104 - Graduate Nursing Education; Nurse Managed Health Clinic Investment Act; H.R. 4993/S. 2814 - Home Health Care Planning Improvement Act; provisions of the Patient Protection & Affordable Care Act (P.L. 111-148).

Client expense: Not reported · Firm income: Not reported

Legislation and issues related to: physician/nurse reimbursement; Medicare Medical Home; Accountable Care Organizations; authorization and appropriations of Title VIII funding for nursing education; H.R. 2754/S. 1104 - Graduate Nursing Education; Nurse Managed Health Clinic Investment Act; H.R. 4993/S. 2814 - Home Health Care Planning Improvement Act; provisions of the Patient Protection & Affordable Care Act (P.L. 111-148).

Client expense: Not reported · Firm income: Not reported

Legislation and issues related to: physician/nurse reimbursement; Medicare Medical Home; Accountable Care Organizations; authorization and appropriations of Title VIII funding for nursing education; H.R. 2754/S. 1104 - Graduate Nursing Education; Nurse Managed Health Clinic Investment Act; H.R. 4993/S. 2814 - Home Health Care Planning Improvement Act; provisions of the Patient Protection & Affordable Care Act (P.L. 111-148).

Client expense: Not reported · Firm income: Not reported

Physician reimbursement rates; Medicare Medical Home Issues; S. 63, the Medicaid Advanced Practice Nurses & Physician Assistants Act of 2009; H.R. 2754/S. 1104 - Graduate Nursing Education Issues; Nurse Managed Health Clinic Investment Act; S. 2814 - Home Health Care Planning Improvement Act of 2009; Issues Relating to Accountable Care Organizations and Medical Homes.

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

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

H.R. 2350/1174; Preserving Patient Access to Primary Care Act of 2009 H.R. 2730; Student to School Nurse Ratio Improvement Act of 2009 S. 1303; Women's Medical Home Demonstration Act All provisions related to Certified Nurses Day Resolution (H. Res. 1158) H.R. 5270; Improving access to workers compensation for Injured Federal Workers Act H.R. 5040; Health Information Technology Extension for Behavioral health Services Act of 2010 H.R. 1191: Safe Drug Disposal S. 27/H.R. 2043: Nurse Education, Expansion and Development Act of 2009 (NEED Act) Provisions related to a resolution regardining Safe Patient Handling and Movement Initiative (H. Res. 510). S. 1267; Evidence-Based Home Visitation Act of 2009 H.R. 1946; Health Workforce Investment Act of 2009 H.R. 2371; Nurse Training and Retention Act of 2009 S. 1796; America's Healthy Future Act S. 1697; Affordable Health Choices Act H.R. 3191; Positive Aging Act of 2009 H.R. 1460/S. 1022; The Nurses Higher Education and Loan Repayment Act of 2002 H.R. 2535; Blueprint for Health Act of 2009 The Health Equity and Accountability Act of 2009 H.R. 2381/S. 1788; The Nurse and Health Care Worker Protection Act of 2009 S. 1679; Affordable Health Choices Act - Resonable Break Time for Nursing Mothers U.S. Food and Drug Administration, related to re-evaluation of BPA H.R. 4993/S. 2814; Home Health Care Planning Improvement Act of 2009 S.A. 2928; "To include Direct Care Workers as a priority for the National Health Care Workforce Commission" H.R. 4601; National Nurse Act of 2010, provisions related to creation of the Office of the National Nurse Women's Health Admendment (Sec. 271(a)(4)) of Public Service Act H.R. 5742; Medical Checklist Act of 2010

Client expense: $401,501 · Firm income: Not reported

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

Physician reimbursement rates; Medicare Medical Home Issues; S. 63, the Medicaid Advanced Practice Nurses & Physician Assistants Act of 2009; H.R. 2754/S. 1104 - Graduate Nursing Education Issues; Nurse Managed Health Clinic Investment Act; S. 2814 - Home Health Care Planning Improvement Act of 2009; H.R. 4872, the Health Care and Education Reconciliation Act of 2010; The Patient Protection & Affordable Care Act (P.L. 111-148).

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

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

H.R. 2350/1174; Preserving Patient Access to Primary Care Act of 2009 H.R. 2730; Student to School Nurse Ratio Improvement Act of 2009 S. 1303; Women's Medical Home Demonstration Act All provisions related to the National Nurse Week Resolution (H. Res 1261) All provisions related to Certified Nurses Day Resolution (H. Res. 1158) H.R. 5270; "Improving access to workers compensation for Injured Federal Workers Act H.R. 5040; Health Information Technology Extension for Behavioral Health Services Act of 2010 H.R. 1191; Safe Drug Disposal S. 27H.R. 2043; Nurse Education, Expansion, and Development Act of 2009 (NEED Act) Provisions related to a resolution regarding Safe Patient Handling and Movement initiative (H. Res. 510). S. 1267; Evidence-Based Home Visitation Act of 2009 H.R. 1946; Health Workforce Investment Act of 2009 H.R. 2371; Nurse Training and Retention Act of 2009 S. 1796; America's Healthy Future Act S. 1697; Affordable Health Choices Act H.R. 3191; Positive Aging Act of 2009 H.R. 1460/S.1022; The Nurses Higher Education and Loan Repayment Act of 2002 H.R. 2535; Blueprint for Health Act of 2009 The Health Equity and Accountability Act of 2009 H.R. 3962; Affordale Health Care for America Act H.R. 2381/S. 1788; The Nurse and Health Care Worker Protection Act of 2009 S. 1679; Affordable Health Choices Act - Resonable Break Time for Nursing Mothers U.S. Food and Drug Administration, related to re-evaluation of BPA H.R. 4993/S. 2814; Home Health Care Planning Improvement Act of 2009 SA. 2928; "To include Direct Care Workers as a priority for the National Health Care Workforce Commission" H.R. 4872; Health Care and Education Affordability Reconciliation Act H.R. 4601; National Nurse Act of 2010, provisions related to creation of the Office of the National Nurse

Client expense: $468,758 · Firm income: Not reported

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

H.R. 2350/S. 1174; Preserving Patient Access to Primary Care Act of 2009 H.R. 2730; Student to School Nurse Ratio Improvement Act of 2009 S. 1303; Women's Medical Home Demonstration Act H.R. 2043/S. 497; Nurse Education, Expansion, and Development Act of 2009 (NEED Act) Provisions related to a resolution regarding Safe Patient Handling and Movement initiative. Provisions related to registered nurses and advanced practice nurses related to health care reform initiatives. S. 1267; Evidence-Based Home Visitation Act of 2009 H.R. 1946; Health Workforce Investment Act of 2009 H.R. 2731; Nurse Training and Retention Act of 2009 H.R. 3200; America's Affordable Health Choices Act, Provisions related to affordability and privacy, health care disparities, nursing and healthcare. S. 1796; America's Healthy Future Act. Provision related to health care and nursing. S. 1679; Affordable Health Choices Act Provisions related to preventive wellness in health reform initiatives. Provisions related to health care choice compacts. Provisions related to mental health and addiction in health reform initiatives. Provisions related to benefit standards for health plans in health reform initiatives. Provisions related to medical malpractice in health reform initatives. Provisions related to advanced technology education programs for nursing. H.R. 3191; Positive Aging Act of 2009 H.R. 1460/S. 1022; The Nurses Higher Education and Loan Repayment Act of 2002 Provisions related to the establishment of an independent commission to advise the Secretary of HHS on an essential benefits package in health care reform initiatives. H.R. 2535; Blueprint for Health Act of 2009 Provisions related to a geriatric loan repayment program in health care reform. Provisions related to health care disparities in health care reform initiatives. The Health Equity and Accountability Act of 2009. Provisions related to quality in health care initiatives. Provisions related to the Advanced Technology Nurisng Education initiatives in health care reform legislation. H.R. 3962; Affordable Health Care for America Act. Provisions related to mental health and addiction prevention treatment and recovery services and all other health care provisions. Close the Loophole to Medical Underwriting in the Senate Health Care Reform Bill. Provisions related to medical underwriting. H.R. 3590; Patient Protection and Affordable Care Act. Provisions related to nursing and health care quality. S. 1788; The Nurse and Health Care Worker Protection Act of 2009. Provisions to eliminate manual lifting. S. 1679; Affordable Health Choices Act - Reasonable Break Time for Nursing Mothers. Provisions related to breast feeding and break time. Genetic Information Nondiscrimination Act (GINA). Provision related to - genetic discrimination issues. U.S. Food and Drug Administration; related to re-evaluation of BPA. S. 2814; Home Health Care Planning Improvement Act of 2009; Provisions related to increased access to home health services. SA. 2928; "To include Direct Care Workers as a priority for the National Health Care Workforce Commission". Senator Mikulski's Women's Health Amendment Provisions related to protecting and improving women's health care. Provision related to FDA implementation regs to create unique device identifications (UDI) system for medical devices Supporting National Influenza Vaccination week. H.R. 4872 Health Care and Education Affordability Reconciliation Act Reauthorization of SAMHSA( Substance Abuse and Mental Health Services Administration). Provisions related to nurse home visitation services Provisions related to employer responsibility in health care reform. H.R. 4601 - National Nurse Act of 2010, provisions related to creation of the Office of the National Nurse

Physician reimbursement rates; Health IT Provisions; Medicare Medical Home Issues; S. 53, the Nursing School Clinics Act of 2009; S. 63, the Medicaid Advanced Practice Nurses & Physician Assistants Act of 2009; H.R. 2754/S. 1104 - Graduate Nursing Education Issues; Nurse Managed Health Clinic Investment Act; S. 1131/H.R. 2560 - the Independence at Home Act; H.R. 3590, the Patient Protection and Affordable Care Act; S. 1679, Affordable Care Choices Act; S. 2814 - Home Health Care Planning Improvememt Act of 2009; H.R. 3962, the Affordable Health Care for America Act; H.R. 3780, Health Care Reform Provisions; H.R. 3961, Medicare Physician Payment Reform Act, Sustainable Growth Rate Issues; H.R. 4872, the Health Care and Education Reconciliation Act of 2010; The Patient Protection & Affordable Care Act (P.L. 111-148).

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

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

H.R. 2350/S. 1174; Preserving Patient Access to Primary Care Act of 2009 H.R. 2730; Student to School Nurse Ratio Improvement Act of 2009 S. 1303; Women's Medical Home Demonstration Act H.R. 2043/S. 497; Nurse Education, Expansion, and Development Act of 2009 (NEED Act) Provisions related to a resolution regarding Safe Patient Handling and Movement initiative. Provisions related to registered nurses and advanced practice nurses related to health care reform initiatives. S. 1267; Evidence-Based Home Visitation Act of 2009 H.R. 1946; Health Workforce Investment Act of 2009 H.R. 2731; Nurse Training and Retention Act of 2009 H.R. 3200; America's Affordable Health Choices Act, Provisions related to affordability and privacy, health care disparities, nursing and healthcare. S. 1796; America's Healthy Future Act. Provision related to health care and nursing. S. 1679; Affordable Health Choices Act Provisions related to preventive wellness in health reform initiatives. Provisions related to health care choice compacts. Provisions related to mental health and addiction in health reform initiatives. Provisions related to benefit standards for health plans in health reform initiatives. Provisions related to medical malpractice in health reform initatives. Provisions related to advanced technology education programs for nursing. H.R. 3191; Positive Aging Act of 2009 H.R. 1460/S. 1022; The Nurses Higher Education and Loan Repayment Act of 2002 Provisions related to the establishment of an independent commission to advise the Secretary of HHS on an essential benefits package in health care reform initiatives. H.R. 2535; Blueprint for Health Act of 2009 Provisions related to a geriatric loan repayment program in health care reform. Provisions related to health care disparities in health care reform initiatives. The Health Equity and Accountability Act of 2009. Provisions related to quality in health care initiatives. Provisions related to the Advanced Technology Nurisng Education initiatives in health care reform legislation. H.R. 3962; Affordable Health Care for America Act. Provisions related to mental health and addiction prevention treatment and recovery services and all other health care provisions. Close the Loophole to Medical Underwriting in the Senate Health Care Reform Bill. Provisions related to medical underwriting. H.R. 3590; Patient Protection and Affordable Care Act. Provisions related to nursing and health care quality. Support of Pamela Hyde to be Administrator for the Substance Abuse and Mental Health Services Administration. S. 1788; The Nurse and Health Care Worker Protection Act of 2009. Provisions to eliminate manual lifting. S. 1679; Affordable Health Choices Act - Reasonable Break Time for Nursing Mothers. Provisions related to breast feeding and break time. Genetic Information Nondiscrimination Act (GINA). Provision related to - genetic discrimination issues. U.S. Food and Drug Administration; related to re-evaluation of BPA. S. 2814; Home Health Care Planning Improvement Act of 2009; Provisions related to increased access to home health services. SA. 2928; "To include Direct Care Workers as a priority for the National Health Care Workforce Commission". Senator Mikulski's Women's Health Amendment Provisions related to protecting and improving women's health care.

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