Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009

S. 63 - Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009; S. 54/H.R. 2273 - Registered Nursing Staffing Act; Medicare Quality Cancer Care Demonstration; Medicare Hospital Outpatient Supervision Requirements; H.R. 1927 - Assuring and Improving Cancer Treatment Education and Cancer Symptom Management Act; Health Reform; H.R. 2939 - Oncology Care Quality Improvement Act of 2009; Medicare Reimbursement for Cancer Care; S. 1773/H.R. 1844 - Comprehensive Cancer Care Improvement Act; H.R. 3962 - Affordable Health Care for America Act; H.R. 3590 - Patient Protection and Affordable Care Act; H.R. 4872 - Reconciliation Act of 2010; S. 717/H.R. 6224 - 21st Century Cancer ALERT (Access to Life-Saving Early Detection, Research and Treatment) Act.

Client expense: Not reported · Firm income: $40,000

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

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. 63 - Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009; S. 54/H.R. 2273 - Registered Nursing Staffing Act; Medicare Quality Cancer Care Demonstration; Medicare Hospital Outpatient Supervision Requirements; H.R. 1927 - Assuring and Improving Cancer Treatment Education and Cancer Symptom Management Act; Health Reform; H.R. 2939 - Oncology Care Quality Improvement Act of 2009; Medicare Reimbursement for Cancer Care; S. 1773/H.R. 1844 - Comprehensive Cancer Care Improvement Act; H.R. 3962 - Affordable Health Care for America Act; H.R. 3590 - Patient Protection and Affordable Care Act; H.R. 4872 - Reconciliation Act of 2010; S. 717/H.R. 6224 - 21st Century Cancer ALERT (Access to Life-Saving Early Detection, Research and Treatment) Act.

Client expense: Not reported · Firm income: $40,000

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

S. 54; Registered Nurse Safe Staffing Act of 2009 S. 63; Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009 S. 1796: America's Health Future Act S.A. 2908; "Support for Family Caregivers Under Medicare and Mediciad" S. 1776; Medicare Physician Fairness Act of 2009 H.R. 5527/S. 3991; Registered Nurse Safe Staffing Act All provisions related to support of the FMAP extension included in H.R. 1586

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), 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

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

S. 63 - Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009; S. 54/H.R. 2273 - Registered Nursing Staffing Act; Medicare Quality Cancer Care Demonstration; Medicare Hospital Outpatient Supervision Requirements; H.R. 1927 - Assuring and Improving Cancer Treatment Education and Cancer Symptom Management Act; Health Reform; H.R. 2939 - Oncology Care Quality Improvement Act of 2009; Medicare Reimbursement for Cancer Care; S. 1773/H.R. 1844 - Comprehensive Cancer Care Improvement Act; H.R. 3962 - Affordable Health Care for America Act; H.R. 3590 - Patient Protection and Affordable Care Act; H.R. 4872 - Reconciliation Act of 2010.

Client expense: Not reported · Firm income: $40,000

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

S. 54; Registered Nurse Safe Staffing Act of 2009 S. 63; Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009 H.R. 3185/S. 1569; Medicare Graduate Nursing Education Act H.R. 684/S. 330; Medicare Prescription Drug Savings and Choice Act of 2009 S. 1796: America's Health Future Act SA 2908; "Support for Family Caregivers Under Medicare and Medicaid" H.R. 4872; The Health Care and Education Affordability Reconciliation Act S. 1776; Medicare Physician Fairness Act of 2009 H.R. 5527/S. 3991; Registered Nurse Safe Staffing Act

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

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. 2560/S. 1131; Independence at Home Act of 2009. Provisions in Health Care Reform related to nursing and nurse led models of care. H.R. 1101/S. 662; The Midwifery Care Access and Reimbursement Equity Act. Provisions in Health Care Reform related to reimbursement for certified nurse midwives.. S. 54; Registered Nurse Safe Staffing Act of 2009 S. 63; Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009. H.R. 3185/S. 1569; Medicare Graduate Nursing Education Act. H.R. 684/S. 330; Medicare Prescription Drug Savings and Choice Act of 2009. Provisions related to Advanced Practic Nurses and Registered nurses related to general health care reform initiatives. H.R. 3590; Patient Protection and Affordable Care Act. Provisions related to medical underwriting. H.R. 3200; Affordable Health Choices Act of 2009 Provisions related to affordability and privacy, health care disparities, and graduate nurse education. S. 1796; America's Healthy Future Act Provisions related to health care and nursing. SA 2908; "Support for Family Caregivers Under Medicare and Medicaid" S. 1776; Medicare Physician Fairness Act of 2009 Provisions related to the sustainable growth rate formula in medicare. H.R. 3962; Affordable Health Care for America Act. Provisions related to mental health and addiction, prevention, treatment and recovery and support services, and all other health care provisions. Provisions in HCR which would encourage the formation of health care choice compacts. Provisions related to payment rate for primary care services to equal the payment rate for Medicare. H.R. 4872 The Health Care and Education Affordability Reconciliation Act.

Client expense: $327,083 · Firm income: Not reported

S. 63 - Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009; S. 54/H.R. 2273 - Registered Nursing Staffing Act; Medicare Quality Cancer Care Demonstration; Medicare Hospital Outpatient Supervision Requirements; H.R. 1927 - Assuring and Improving Cancer Treatment Education and Cancer Symptom Management Act; Health Reform; H.R. 2939 - Oncology Care Quality Improvement Act of 2009; Medicare Reimbursement for Cancer Care; S. 1773/H.R. 1844 - Comprehensive Cancer Care Improvement Act; H.R. 3962 - Affordable Health Care for America Act; H.R. 3590 - Patient Protection and Affordable Care Act; H.R. 4872 - Reconciliation Act of 2010.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

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. 63 - Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009; S. 54/H.R. 2273 - Registered Nursing Staffing Act; Medicare Quality Cancer Care Demonstration; Medicare Hospital Outpatient Supervision Requirements; H.R. 1927 - Assuring and Improving Cancer Treatment Education and Cancer Symptom Management Act; Health Reform; H.R. 2939 - Oncology Care Quality Improvement Act of 2009; Medicare Reimbursement for Cancer Care; S. 1773/H.R. 1844 - Comprehensive Cancer Care Improvement Act; H.R. 3962 - Affordable Health Care for America Act; H.R. 3590 - Patient Protection and Affordable Care Act.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

H.R. 2560/S. 1131; Independence at Home Act of 2009. Provisions in Health Care Reform related to nursing and nure led models of care. H.R. 1101/S. 662; The Midwifery Care Access and Reimbursement Equity Act. Provisions in Health Care Reform related to reimbursement for certified nurse midwives.. S. 54; Registered Nurse Safe Staffing Act of 2009 S. 63; Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009. H.R. 3185/S. 1569; Medicare Graduate Nursing Education Act. H.R. 684/S. 330; Medicare Prescription Drug Savings and Choice Act of 2009. Provisions related to Advanced Practic Nurses and Registered nurses related to general health care reform initiatives. H.R. 3590; Patient Protection and Affordable Care Act. Provisions related to medical underwriting. H.R. 3200; Affordable Health Choices Act of 2009 Provisions related to affordability and privacy, health care disparities, and graduate nurse education. S. 1796; America's Healthy Future Act Provisions related to health care and nursing. SA 2908; "Support for Family Caregivers Under Medicare and Medicaid" S. 1776; Medicare Physician Fairness Act of 2009 Provisions related to the sustainable growth rate formula in medicare. H.R. 3962; Affordable Health Care for America Act. Provisions related to mental health and addiction, prevention, treatment and recovery serices, and all other health care provisions.

Client expense: $376,632 · Firm income: Not reported

Physician reimbursement rates; Health IT Provisions; Medicare Medical Home Issues; Home Health Reimbursement 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; 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.

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

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

H.R. 2560/S. 1131; Independence at Home Act of 2009. H.R. 1101/S. 662; The Midwifery Care Access and Reimbursement Equity Act. H.R. 2773/S.1295; The Medicare Transitional Care Act S. 54; Registered Nurse Safe Staffing Act of 2009 S. 63; Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009. H.R. 3185/S. 1569; Medicare Graduate Nursing Education Act. H.R. 684/S. 330; Medicare Prescription Drug Savings and Choice Act of 2009. Provisions related to Advanced Practic Nurses and Registered nurses in general health care reform initiatives. Provisions related to the public plan option in health care reform initiatives. Provisions related to quality in health care reform initiatives.

Client expense: $443,250 · Firm income: Not reported

S. 63 - Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009; S. 54/H.R. 2273 - Registered Nursing Staffing Act; Medicare Quality Cancer Care Demonstration; Medicare Hospital Outpatient Supervision Requirements; H.R. 1927 - Assuring and Improving Cancer Treatment Education and Cancer Symptom Management Act; Health Reform; H.R. 2939 - Oncology Care Quality Improvement Act of 2009; Medicare Reimbursement for Cancer Care.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

Physician reimbursement rates; Health IT Provisions; Medicare Medical Home Issues; Home Health Reimbursement 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;

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

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

H.R. 2560/S.1131: Independence at Home Act of 2009 H.R. 1101/S. 662: The Midwifery Care Access and Reimbursement Equity Act S. 54: Registered Nurse Safe Staffing Act of 2009 S. 63: Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009 H.R. 684/S. 330: Medicare Prescription Drug Savings and Choice Act of 2009 Provisions related to Advanced Practice Nurses and Registered nurses related to general health care reform initiatives. Provisions related to quality initiatives in health reform legislation. Provisions related to expanding Medicaid in health reform legislation.

Client expense: $419,539 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Physician reimbursement rates; Health IT Provisions; Medicare Medical Home Issues; Home Health Reimbursement 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;

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

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

S. 63 - Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009; S. 54/H.R. 2273 - Registered Nursing Staffing Act; Medicare Quality Cancer Care Demonstration; Medicare Hospital Outpatient Supervision Requirements; H.R. 1927 - Assuring and Improving Cancer Treatment Education and Cancer Symptom Management Act; Health Reform; H.R. 2939 - Oncology Care Quality Improvement Act of 2009

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

S. 54: Registered Nurse Safe Staffing Act of 2009. S. 63: Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009, H.R. 684, S. 330: Medicare Prescription Drug Savings and Choice Act of 2009 Provisions related to Advanced Practice Nurses and Registered nurses related to general health care reform initiatives.

Client expense: $344,137 · Firm income: Not reported

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

S. 63 - Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009; S. 54 - Registered Nursing Staffing Act; Medicare Coverage of Cancer Patient Treatment Education; Medicare Quality Cancer Care Demonstration; Medicare Hospital Outpatient Supervision Requirements

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

Physician reimbursement rates; Health IT Provisions in H.R. 1, the American Recovery & Reimbursement Act; Medicare Home Issues; Home Health Reimbursement Issues; S. 53, the Nursing School Clinics Act of 2009; S. 63, the Medicaid Advanced Practice Nurses & Physician Assistants Act of 2009; Graduate Nursing Education Issues; Nurse Managed Health Clinic Investment Act

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

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

HR 27Medicare Fraud Prevention and Enforcement Act of 2009, a bill to amend title XVIII of the Social Security Act to establish additional provisions to combat waste, fraud, and abuse within the Medicare Program, and for other purposes; HR 43 and S 46, Medicare Access to Rehabilitation Services Act of 2009, a bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps; S 53 Nursing School Clinics Act of 2009, a bill to amend title XIX of the Social Security Act to provide for coverage of services provided by nursing school clinics under State Medicaid programs; S 54 Registered Nurse Safe Staffing Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for patient protection by establishing minimum nurse staffing ratios at certain Medicare providers, and for other purposes; S 63 Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009, a bill to amend title XIX of the Social Security Act to improve access to advanced practice nurses and physicians' assistants under the Medicaid Program; HR 319 Legal Immigrant Children's Health Improvement Act of 2009, a bill to amend titles XIX and XXI of the Social Security Act to permit States the option of coverage of legal immigrants under the Medicaid Program and the State children's health insurance program (SCHIP); S 214 Children's Health Equity Technical Amendments Act of 2009, a bill to amend title XXI of the Social Security Act to permit qualifying States to use their allotments under the State Children's Health Insurance Program for any fiscal year for certain Medicaid expenditures; HR 362 and S 318 Medicare Rural Health Access Improvement Act of 2009, a bill to amend title XVIII of the Social Security Act to improve access to health care under the Medicare program for beneficiaries residing in rural areas; HR 465,a bill to amend titles XIX and XXI of the Social Security Act to permit States to ensure coverage without a 5-year delay of certain children and pregnant women under the Medicaid program and SCHIP; HR 487, a bill to waive the 35-mile requirement for designation of a critical access hospital under the Medicare program; HR 592 and S 264 E-Centives Act of 2009, a bill to amend title XIX of the Social Security Act to encourage the use of certified health information technology by providers in the Medicaid Program and the Children's Health Insurance Program, and for other purposes; HR 619 a bill to amend title XIX of the Social Security Act to remove the exclusion from medical assistance under the Medicaid Program of items and services for patients in an institution for mental diseases; S 295 Medicare Quality and Payment Reform Act of 2009, to amend title XVIII of the Social Security Act to improve the quality and efficiency of the Medicare program through measurement of readmission rates and resource use and to develop a pilot program to provide episodic payments to organized groups of multispecialty and multilevel providers of services and suppliers for hospitalization episodes associated with select, high cost diagnoses; S 301Physician Payments Sunshine Act of 2009, a bill to amend title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, biologicals, or medical supplies for which payment is made under Medicare, Medicaid, or SCHIP; HR 668 and S 307 Critical Access Hospital Flexibility Act of 2009, a bill to amend title XVIII of the Social Security Act to provide flexibility in the manner in which beds are counted for purposes of determining whether a hospital may be designated as a critical access hospital under the Medicare program and to exempt from the critical access hospital inpatient bed limitation the number of beds provided for certain veterans; HR 902 and S. 382 MediFair Act of 2009, a bill to amend title XVIII of the Social Security Act to improve the provision of items and services provided to Medicare beneficiaries residing in States with more cost-effective health care delivery systems; HR 1094 Medicare Home Health Flexibility Act of 2009, a bill to ensure that home health agencies can assign the most appropriate skilled service to make the initial assessment visit for home health services for Medicare beneficiaries requiring rehabilitation therapy under a home health plan of care, based upon physician referral; S 434 Empowered at Home Act of 2009, a bill to amend title XIX of the Social Security Act to improve the State plan amendment option for providing home and community-based services under the Medicaid program, and for other purposes; S 438 Improved Medical Decision Incentive Act of 2009, a bill to provide for the voluntary development by States of qualifying best practices for health care and to encourage such voluntary development by amending titles XVIII and XIX of the Social Security Act to provide differential rates of payment favoring treatment provided consistent with qualifying best practices under the Medicare and Medicaid programs, and for other purposes; HR 1117 Medically Fragile Children's Act of 2009, a bill to amend title XIX of the Social Security Act to establish a State plan option under Medicaid to provide an all-inclusive program of care for children who are medically fragile or have one or more chronic conditions that impede their ability to function; HR 1118 Health Care Choices for Senior Act, a bill to amend the Social Security Act to improve choices available to Medicare eligible seniors by permitting them to elect (instead of regular Medicare benefits) to receive a voucher for a health savings acount, for premiums for a high deductible health insurance plan, or both and by suspending Medicare late enrollment penalties between ages 65 and 70; HR 1125 Long-Term Care Quality Improvement Act of 2009, a bill to amend title XVIII of the Social Security Act to improve the quality of care in skilled nursing facilities under the Medicare Program through requiring the reporting of expenditures for nursing; HR 1137 Athletic Trainers' Equal Access to Medicare Act of 2009, a bill to amend title XVIII of the Social Security Act to provide improved access to physical medicine and rehabilitation services under part B of the Medicare Program, and for other purposes; S 457 Fostering Independence Through Technology Act of 2009, a bill to establish pilot projects under the Medicare program to provide incentives for home health agencies to utilize home monitoring and communications technologies; HR 1188 and S 468 Access to Emergency Medical Services Act of 2009, a bill to amend title XVIII of the Social Security Act to improve access to emergency medical services and the quality and efficiency of care furnished in emergency departments of hospitals and critical access hospitals by establishing a bipartisan commission to examine factors that affect the effective delivery of such services, by providing for additional payments for certain physician services furnished in such emergency departments, and by establishing a Centers for Medicare & Medicaid Services Working Group, and for other purposes; HR 1643 and S 648 Medicare Access to Community Health Centers (MATCH) Act of 2009, a bill to amend title XVIII of the Social Security Act to establish a prospective payment system instead of the reasonable cost-based reimbursement method for Medicare-covered services provided by Federally qualified health centers and to expand the scope of such covered services to account for expansions in the scope of services provided by Federally qualified health centers since the inclusion of such services for coverage under the Medicare Program; S 677 Reforming an Entitlement through Premium Adjustments based on Income Resources (REPAIR) Act of 2009, a bill to amend title XVIII of the Social Security Act to require wealthy beneficiaries to pay a greater share of their premiums under the Medicare prescription drug program; S 712 Rural Medicare Equity Act of 2009, a bill to amend title XVIII of the Social Security Act to improve the Medicare program for beneficiaries residing in rural areas; HR 1776 Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2009, a bill to amend title XVIII of the Social Security Act to expand the development of quality measures for inpatient hospital services, to implement a performance-based payment methodology for the provision of such services under the Medicare Program; Senator Schumer and Senator Roberts Letter eliminating IME Cuts CMS to withdraw the Capital IME cut that was included in last years Medicare IPPS rule; Letter to President Obama from Neal/ Tiberi on Capitol IME PROTECT AMERICAS TEACHING HOSPITALS, asking him to withdraw a provision in the FY 2010 IPPS rule that would cut reimbursements to teaching hospitals. Letter to CMS asking to eliminate the state-specific budget neutrality policy for the rural and imputed rural floor indices in the upcoming FY2010 Inpatient Prospective Payment System Rule (IPPS).Working on legislation to amend the Medicare Recovery Audit Contractor Program.