A bill to amend title XVIII of the Social Security Act to provide for the update under the Medicare physician fee schedule for years beginning with 2010 and to sunset the application of the sustainable growth rate formula, and for other purposes.

H.R. 4213, American Workers, State, and Business Relief Act of 2010, provisions relating to Sustainable Growth Rate (SGR) H.R. 4691, Temporary Extension Act of 2010, provisions relating to SGR/Medicare Physician Payment H.R. 4851, Continuing Extension Act of 2010, provisions relating to SGR S. 2997, Medical Care Access Protection Act of 2009, all provisions Medicare program - physician payment reform/SGR/Rebasing Medicare program - Fraud and Abuse Medicare program - Private Contracting Medicare program - Health IT "Meaningful Use" Regulations Medicare program - Physician Quality Reporting Initiative (PQRI) Medicare program - Enrollment issues Medicare program - Recovery Audit Contractors Medicare program - HIPAA Issues (Payer ID, ICD-10) Medicare program - Consultations Code policy Medicare program - Temporary payment cuts Medicare program - Ambulatory Surgical Center payments Medicare program - Self-referral Medicare program - Graduate Medical Education Medicare/Medicaid programs - Electronic Health Record Program Medicare program - Recovery Audit Contractors (RAC) Medicaid program - Medicaid Federal Medical Assistance Percentages (FMAP)

Client expense: $6,150,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, White House Office

Legislation related to a securities transaction tax, including HR 1068, HR 4191 and S 2997; bills related to the extension of expired and expiring tax provisions, including HR 4213 (Tax Extenders Act); bills related to the estate tax, including HR 436 and HR 4154; and legislation related to new taxes on unearned income, inclduing HR 4872 (Health Care and Education Reconciliation Act).

Client expense: $621,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

Legislation related to a securites transaction tax, including HR 1068, HR 4191, and S 2997; bills related to the estate tax, including HR 436 and HR 4154; and bills related to extending expiring tax provisions, including HR 4121.

Client expense: $588,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of