Nursing Home Transparency and Improvement Act of 2009

1. Medicare Physician Fee Schedule - AAGP urges Congress to replace the current Medicare reimbursement formula with one that more accurately reflects the volume and intensity of services furnished to Medicare beneficiaries and to take action to avert future cuts in Medicare payments to physicians and other health care providers. Support H.R. 3961, the "Medicare Physcian Payment Reform Act of 2009," to permanently repeal the sustainable growth rate (SGR) formula that calls for annual cuts in Medicare physician payments and replace it with a new payment system. Support S. 1776, the "Medicare Physician Fairness Act of 2009," to eliminate Medicare's sustainable growth rate formula. 2. H. R. 1415, the "Medicaid Emergency Psychiatric Care Demonstration Project Act," a bill to provide for a demonstration project regarding Medicaid reimbursement for stabilization of emergency medical conditions by non-publicly owned or operated institutions for mental disorders. Support all provisions. 3. S. 647, the "Nursing Home Transparency and Improvement Act of 2009," to increase public transparency of nursing home owners and operators, including nursing home chains, by requiring nursing homes to disclose the corporate entities that own them and the affiliated entities that operate, manage or control them. Support all provisions. 4. Oppose any exclusion of specific medical specialties from primary care bonuses under Medicare. 5. Support bonus payments under Medicare for geriatric specialists. 6. Support extension of 5% increase in Medicare payment for psychotherapy services. 7. Support elimination of the Medicare disabililty waiting period. 8. Support S. 2908, support for family caregivers under Medicare and Medicaid. 9. Support legislative efforts to avert or repeal the elimination of the billing codes for consultation services, as called for in the Centers for Medicare and Medicaid Services final rule on the calendar year 2010 Medicare Physician Fee Schedule. (H.R. 3590). 10. S. 3028 and H.R. 6143, to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare program. Support all provisions. 11. Support extension of Medicaid assistance to states that was included as part of the American Recovery and Reinvestment Act (ARRA). 12. Support H.R. 3962, the "Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010"; support provision to prevent the 21 percent cut in Medicare payments to physicians through November 30, 2010, and give physicians a 2.2 percent increase in Medicare reimbursement. 13. Support H. R. 5712, to avert for one month a 23 percent cut in Medicare physician reimbursement rates that was scheduled to take effect on December 1, 2010. 14. Support H. R. 4994, to prevent a 25 percent cut in Medicare physician pay rates that was due to take effect on January 1, 2011, and extend current payment rates through December 31, 2011.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3590: the Patient Protection and Affordable Care Act H.R. 4872: the Health Care and Education Reconciliation Act of 2010 S. 534: A bill to amend title XVIII of the Social Security Act to reduce cost-sharing under part D of such title for certain non-institutional full-benefit dual eligible individuals. S. 647: A bill to amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the trageting of the enforcement of requirements with respect to such facilities. S.1110: A bill to amend title XVIII of the Social Security Act to create a sensible infrastructure for delivery system reform by renaming the Medicare Payment Advisory Commission, making the Commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy. S. 683: A bill to amend title XIX of the Social Security Act to provide individuals with disabilities and older American with equal access to community-based attendant services and supports, and for other purposes. S. 46: A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S. 750: A bill to amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R. 2006: To amend the Social Security Act to enhance the social security of the Nation by ensuing adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect and exploitation, and for other purposes. H.R. 43: To amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. H.R. 448: Elder Abuse Victims Act of 2009. H.R. 3200: America's Affordable Health Choices Act of 2009. To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 1407: To amend title XVIII of the Social Security Act to reduce cost-sharing under Part D of such title of certain non-instutional full-benefit dual eligible individuals. S. 702: A bill to amend the Internal Revenue Code of 1986 to allow long-term care insurance to be offered under Cafeteria plans and flexible spending arrangements and to provide additional consumer protections for long-term care insurance. H.R. 1255: To protect the interests of each resident of intermediate care facilities for the mentally retarded in class action lawsuits on behalf of such resident. H.R. 1457: To amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, and for other purposes. H.R. 3962: To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 4505: A bill that will allow state veterans homes to provide services to non-veteran parents of any child (one or more) who died while serving in the armed forces, has passed in the House and Senate. S. 1679: An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce. H.R. 2223: To provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers. S. 1131: A bill to amend title XVIII of the Social Security Act to provide certain high cost Medicare beneficiaries suffering from multiple chronic conditions with access to coordinated, primary care medical services in lower cost treatment settings, such as their residences, under a plan of care developed by a team of qualified and experiences health care professionals. S.1004: A bill to amend title XVIII of the Social Security Act to provide Medicare beneficiaries with access to geriatric assessments and chronic care management and coordination services, and for other purposes. H.R. 2: To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S. 795: A bill to amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, and for other purposes. S.631: A bill to provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers. S. 458: A bill to amend the False Claims Act. H.R. 2043: To amend the Public Health Service Act to authorize capitation grants to increase the number of nursing faculty and students, and for other purposes. H.R. 1642: To provide loans and grants for fire sprinkler retrofitting in nursing facilities. H.R. 1494: To ensure that a private for-profit nursing home affected by a major disaster receives the same reimbursement as a public nursing home affected by a major disaster. H.R. 448: To protect seniors in the United States from elder abuse by establishing specialized elder abuse prosecution and research programs and activities to aid victims of elder abuse, to provide training to prosecutors and other law enforcement related to elder abuse prevention and protection, to establish programs that provide for emergency crisis response teams to combat elder abuse, and for other purposes. H.R. 3191: To amend the Public Health Service Act to provide for integration of mental health services and mental health treatment outreach teams, and for other purposes. S. 386: A bill to improve enforcement of mortgage fraud, securities fraud, financial institutional fraud, and other frauds related to federal assistance and relief programs, for the recovery of funds lost to these frauds, and for other purposes. H.R. 5457: Nursing Home Patient and Medicaid Assistance Act of 2010. H.R. 6130: The Strengthening Medicare Anti-Fraud Measures Act of 2010. H.R. 6261: To amend titles XVIII and XIX of the Social Security Act to improve oversight of nursing facilities under the Medicare and Medicaid programs by ensuring adequate, trained surveyors, and for other purposes. H.R. 5712: Veterans', Seniors', Childrens', Health Tech. Corrections Act of 2010. H.R. 1586: FAA Air Transportation Modernization and Safety Improvement Act-which provides for an extension of additional FMAP support until June 2011. H.R. 6074: Enhancing Quality through Survey System Improvements Act of 2010. H.R. 5950: A bill introduced on June 29th, Rep Joe Courtney (D-CT), introduced the Improving Access to Medicare Coverage Act of 2010, which requires observation stays exceeding 24 hours to be considered as inpatient days for the purpose of meeting the 3-day inpatient hospital requirement for Medicare coverage of SNF stays. H.R. 5850: To solve the staffing issues and backlog in processing HUD 232 loans. H.R. 5950: Improving Access to Medicare Coverage Act of 2010. H.R. 5546: To provide for the establishment of a fraud, waste and abuse detection and mitigation program for the Medicare program under Titles XVIII of the Social Security Act. S. 2781: Rosa's Law. H.R. 5457: Nursing Home Patient and Medicaid Assistance Act of 2010.

Client expense: $500,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), SENATE

Tracking of federal Medicare legislation; S.512, Fairness in Nursing Home Arbitration Act; S.647, Nursing Home Transparency and Improvement Act of 2009; Reform of the Federal Stafford Act; H.R. 1, American Recovery and Reinvestment Act of 2009; S. Con. Res. 13 - FY 2010 Budget; H.R. 3200, America's Affordable Health Choices Act of 2009; S.1679, The Affordable Health Choices Act; S. 1796, America's Healthy Future Act; S.1776, Medicare Physician Fairness Act; H.R. 4213, American Jobs and Closing Tax Loopholes Act - FMAP provisions; H.R. 1586 amended version, Title II State Fiscal Relief - FMAP

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tracking of federal Medicare legislation; S.512, Fairness in Nursing Home Arbitration Act; S.647, Nursing Home Transparency and Improvement Act of 2009; Reform of the Federal Stafford Act; H.R. 1, American Recovery and Reinvestment Act of 2009; S. Con. Res. 13 - FY 2010 Budget; H.R. 3200, America's Affordable Health Choices Act of 2009; S.1679, The Affordable Health Choices Act; S. 1796, America's Healthy Future Act; S.1776, Medicare Physician Fairness Act; H.R. 4213, American Jobs and Closing Tax Loopholes Act - FMAP provisions; H.R. 1586 amended version, Title II State Fiscal Relief - FMAP

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tracking of federal Medicare legislation; S.512, Fairness in Nursing Home Arbitration Act; S.647, Nursing Home Transparency and Improvement Act of 2009; Reform of the Federal Stafford Act; H.R. 1, American Recovery and Reinvestment Act of 2009; S. Con. Res. 13 - FY 2010 Budget; H.R. 3200, America's Affordable Health Choices Act of 2009; S.1679, The Affordable Health Choices Act; S. 1796, America's Healthy Future Act; S.1776, Medicare Physician Fairness Act; H.R. 4213, American Jobs and Closing Tax Loopholes Act - FMAP provisions; H.R. 1586 amended version, Title II State Fiscal Relief - FMAP

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tracking of federal Medicare legislation; S.512, Fairness in Nursing Home Arbitration Act; S.647, Nursing Home Transparency and Improvement Act of 2009; Reform of the Federal Stafford Act; H.R. 1, American Recovery and Reinvestment Act of 2009; S. Con. Res. 13 - FY 2010 Budget; H.R. 3200, America's Affordable Health Choices Act of 2009; S.1679, The Affordable Health Choices Act; S. 1796, America's Healthy Future Act; S.1776, Medicare Physician Fairness Act; H.R. 4213, American Jobs and Closing Tax Loopholes Act - FMAP provisions; H.R. 1586 amended version, Title II State Fiscal Relief - FMAP

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. Medicare Physician Fee Schedule - AAGP urges Congress to replace the current Medicare reimbursement formula with one that more accurately reflects the volume and intensity of services furnished to Medicare beneficiaries and to take action to avert future cuts in Medicare payments to physicians and other health care providers. Support H.R. 3961, the "Medicare Physcian Payment Reform Act of 2009," to permanently repeal the sustainable growth rate (SGR) formula that calls for annual cuts in Medicare physician payments and replace it with a new payment system. Support S. 1776, the "Medicare Physician Fairness Act of 2009," to eliminate Medicare's sustainable growth rate formula. 2. H. R. 1415, the "Medicaid Emergency Psychiatric Care Demonstration Project Act," a bill to provide for a demonstration project regarding Medicaid reimbursement for stabilization of emergency medical conditions by non-publicly owned or operated institutions for mental disorders. Support all provisions. 3. S. 647, the "Nursing Home Transparency and Improvement Act of 2009," to increase public transparency of nursing home owners and operators, including nursing home chains, by requiring nursing homes to disclose the corporate entities that own them and the affiliated entities that operate, manage or control them. Support all provisions. 4. Oppose any exclusion of specific medical specialties from primary care bonuses under Medicare. 5. Support bonus payments under Medicare for geriatric specialists. 6. Support extension of 5% increase in Medicare payment for psychotherapy services. 7. Support elimination of the Medicare disabililty waiting period. 8. Support S. 2908, support for family caregivers under Medicare and Medicaid. 9. Support legislative efforts to avert or repeal the elimination of the billing codes for consultation services, as called for in the Centers for Medicare and Medicaid Services final rule on the calendar year 2010 Medicare Physician Fee Schedule. (H.R. 3590). 10. S. 3028 and H.R. 6143, to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare program. Support all provisions. 11. Support extension of Medicaid assistance to states that was included as part of the American Recovery and Reinvestment Act (ARRA). 12. Support H.R. 3962, the "Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010"; support provision to prevent the 21 percent cut in Medicare payments to physicians through November 30, 2010, and give physicians a 2.2 percent increase in Medicare reimbursement.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1237, Fairness in Nursing Home Act of 2009 S. 512 Fairness in Nursing Home Act of 2009 S. 647, Nursing Home Transparency Act of 2009 Healthcare Reform / Skilled Nursing Facilities

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tracking of federal Medicare legislation; S.512, Fairness in Nursing Home Arbitration Act; S.647, Nursing Home Transparency and Improvement Act of 2009; Reform of the Federal Stafford Act; H.R. 1, American Recovery and Reinvestment Act of 2009; S. Con. Res. 13 - FY 2010 Budget; H.R. 3200, America's Affordable Health Choices Act of 2009; S.1679, The Affordable Health Choices Act; S. 1796, America's Healthy Future Act; S.1776, Medicare Physician Fairness Act; S.697, CLASS Act H.R. 4213, American Jobs and Closing Tax Loopholes Act - FMAP provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tracking of federal Medicare legislation; S.512, Fairness in Nursing Home Arbitration Act; S.647, Nursing Home Transparency and Improvement Act of 2009; Reform of the Federal Stafford Act; H.R. 1, American Recovery and Reinvestment Act of 2009; S. Con. Res. 13 - FY 2010 Budget; H.R. 3200, America's Affordable Health Choices Act of 2009; S.1679, The Affordable Health Choices Act; S. 1796, America's Healthy Future Act; S.1776, Medicare Physician Fairness Act; S.697, CLASS Act H.R. 4213, American Jobs and Closing Tax Loopholes Act - FMAP provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tracking of federal Medicare legislation; S.512, Fairness in Nursing Home Arbitration Act; S.647, Nursing Home Transparency and Improvement Act of 2009; Reform of the Federal Stafford Act; H.R. 1, American Recovery and Reinvestment Act of 2009; S. Con. Res. 13 - FY 2010 Budget; H.R. 3200, America's Affordable Health Choices Act of 2009; S.1679, The Affordable Health Choices Act; S. 1796, America's Healthy Future Act; S.1776, Medicare Physician Fairness Act; S.697, CLASS Act; H.R. 4213, American Jobs and Closing Tax Loopholes Act - FMAP provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tracking of federal Medicare legislation; S.512, Fairness in Nursing Home Arbitration Act; S.647, Nursing Home Transparency and Improvement Act of 2009; Reform of the Federal Stafford Act; H.R. 1, American Recovery and Reinvestment Act of 2009; S. Con. Res. 13 - FY 2010 Budget; H.R. 3200, America's Affordable Health Choices Act of 2009; S.1679, The Affordable Health Choices Act; S. 1796, America's Healthy Future Act; S.1776, Medicare Physician Fairness Act; S.697, CLASS Act H.R. 4213, American Jobs and Closing Tax Loopholes Act - FMAP provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3590: the Patient Protection and Affordable Care Act H.R. 4872: the Health Care and Education Reconciliation Act of 2010 S. 534: A bill to amend title XVIII of the Social Security Act to reduce cost-sharing under part D of such title for certain non-institutional full-benefit dual eligible individuals. S. 647: A bill to amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the trageting of the enforcement of requirements with respect to such facilities. S.1110: A bill to amend title XVIII of the Social Security Act to create a sensible infrastructure ofr delivery system reform by renaming the Medicare Payment Advisory Commission, making the Commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy. S. 683: A bill to amend title XIX of the Social Security Act to provide individuals with disabilities and older American with equal access to community-based attendant services and supports, and for other purposes. S. 46: A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S. 750: A bill to amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R. 2006: To amend the Social Security Act to enhance the social security of the Nation by ensuing adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute edler abuse, neglect and exploitation, and for other purposes. H.R. 43: To amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. H.R. 448: Elder Abuse Victims Act of 2009. H.R. 3200: America's Affordable Health Choices Act of 2009. To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 1407: To amend title XVIII of the Social Security Act to reduce cost-sharing under Part D of such title of certain non-instutional full-benefit dual eligible individuals. S. 702: A bill to amend the Internal Revenue Code of 1986 to allow long-term care insurance to be offered under Cafeteria plans and flexible spending arrangements and to provide additional consumer protections for long-term care insurance. H.R. 1255: To protect the interests of each resident of intermediate care facilities for the mentally retarded in class action lawsuits on behalf of such resident. H.R. 1457: To amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, and for other purposes. H.R. 3962: To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. S. 1679: An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce. H.R. 2223: To provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers. S. 1131: A bill to amend title XVIII of the Social Security Act to provide certain high cost Medicare beneficiaries suffering from multiple chronic conditions with access to coordinated, primary care medical services in lower cost treatment settings, such as their residences, under a plan of care developed by a team of qualified and experiences health care professionals. S.1004: A bill to amend title XVIII of the Social Security Act to provide Medicare beneficiaries with access to geriatric assessments and chronic care management and coordination services, and for other purposes. H.R. 2: To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S. 795: A bill to amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, and for other purposes. S.631: A bill to provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers. S. 458: A bill to amend the False Claims Act. H.R. 2043: To amend the Public Health Service Act to authorize capitation grants to increase the number of nursing faculty and students, and for other purposes. H.R. 1642: To provide loans and grants for fire sprinkler retrofitting in nursing facilities. H.R. 1494: To ensure that a private for-profit nursing home affected by a major disaster receives the same rreimbursement as a public nursing home affected by a major disaster. H.R. 448: To protect seniors in the United States from elder abuse by establishing specialized elder abuse prosecution and research programs and activities to aid victims of elder abuse, to provide training to prosecutors and other law enforcement related to elder abuse prevention and protection, to establish programs that provide for emergency crisis response teams to combat elder abuse, and for other purposes. H.R. 3191: To amend the Public Health Service Act to provide for integration of mental health services and mental health treatment outreach teams, and for other purposes. S. 386: A bill to improve enforcement of mortgage fraud, securities fraud, financial institutional fraud, and other frauds related to federal assistance and relief programs, for the recovery of funds lost to these frauds, and for other purposes. H.R. 5457: Nursing Home Patient and Medicaid Assistance Act of 2010.

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

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), SENATE

1. Medicare Physician Fee Schedule - AAGP urges Congress to replace the current Medicare reimbursement formula with one that more accurately reflects the volume and intensity of services furnished to Medicare beneficiaries and to take action to avert future cuts in Medicare payments to physicians and other health care providers. Support H.R. 3961, the "Medicare Physcian Payment Reform Act of 2009," to permanently repeal the sustainable growth rate (SGR) formula that calls for annual cuts in Medicare physician payments and replace it with a new payment system. Support S. 1776, the "Medicare Physician Fairness Act of 2009," to eliminate Medicare's sustainable growth rate formula. 2. H. R. 1415, the "Medicaid Emergency Psychiatric Care Demonstration Project Act," a bill to provide for a demonstration project regarding Medicaid reimbursement for stabilization of emergency medical conditions by non-publicly owned or operated institutions for mental disorders. Support all provisions. 3. S. 647, the "Nursing Home Transparency and Improvement Act of 2009," to increase public transparency of nursing home owners and operators, including nursing home chains, by requiring nursing homes to disclose the corporate entities that own them and the affiliated entities that operate, manage or control them. Support all provisions. 4. Oppose any exclusion of specific medical specialties from primary care bonuses under Medicare. 5. Support bonus payments under Medicare for geriatric specialists. 6. Support extension of 5% increase in Medicare payment for psychotherapy services. 7. Support elimination of the Medicare disabililty waiting period. 8. Support addition of screening for depression to the list of Medicare covered preventative services in health care reform legislation (H.R. 3590). 9. Support behavioral health providers in the list of employees at community based medical homes in health care reform legislation. (H.R. 3590) 10. Support S. 2908, support for family caregivers under Medicare and Medicaid. 11. Support legislative efforts to avert or repeal the elimination of the billing codes for consultation services, as called for in the Centers for Medicare and Medicaid Services final rule on the calendar year 2010 Medicare Physician Fee Schedule. (H.R. 3590). 12. S. 3028, to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare program. Support all provisions. 13. Support extension of Medicaid assistance to states that was included as part of the American Recovery and Reinvestment Act (ARRA). 14. Support H.R. 3962, the "Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010"; support provision to prevent the 21 percent cut in Medicare payments to physicians through November 30, 2010, and give physicians a 2.2 percent increase in Medicare reimbursement.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1237, Fairness in Nursing Home Act of 2009 S. 512 Fairness in Nursing Home Act of 2009 S. 647, Nursing Home Transparency Act of 2009 Healthcare Reform / Skilled Nursing Facilities

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tracking of federal Medicare legislation; S.512, Fairness in Nursing Home Arbitration Act; S.647, Nursing Home Transparency and Improvement Act of 2009; Reform of the Federal Stafford Act; H.R. 1, American Recovery and Reinvestment Act of 2009; S. Con. Res. 13 - FY 2010 Budget; H.R. 3200, America's Affordable Health Choices Act of 2009; S.1679, The Affordable Health Choices Act; S. 1796, America's Healthy Future Act; S.1776, Medicare Physician Fairness Act; S.697, CLASS Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tracking of federal Medicare legislation; S.512, Fairness in Nursing Home Arbitration Act; S.647, Nursing Home Transparency and Improvement Act of 2009; Reform of the Federal Stafford Act; H.R. 1, American Recovery and Reinvestment Act of 2009; S. Con. Res. 13 - FY 2010 Budget; H.R. 3200, America's Affordable Health Choices Act of 2009; S.1679, The Affordable Health Choices Act; S. 1796, America's Healthy Future Act; S.1776, Medicare Physician Fairness Act; S.697, CLASS Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tracking of federal Medicare legislation; S.512, Fairness in Nursing Home Arbitration Act; S.647, Nursing Home Transparency and Improvement Act of 2009; Reform of the Federal Stafford Act; H.R. 1, American Recovery and Reinvestment Act of 2009; S. Con. Res. 13 - FY 2010 Budget; H.R. 3200, America's Affordable Health Choices Act of 2009; S.1679, The Affordable Health Choices Act; S. 1796, America's Healthy Future Act; S.1776, Medicare Physician Fairness Act; S.697, CLASS Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tracking of federal Medicare legislation; S.512, Fairness in Nursing Home Arbitration Act; S.647, Nursing Home Transparency and Improvement Act of 2009; Reform of the Federal Stafford Act; H.R. 1, American Recovery and Reinvestment Act of 2009; S. Con. Res. 13 - FY 2010 Budget; H.R. 3200, America's Affordable Health Choices Act of 2009; S.1679, The Affordable Health Choices Act; S. 1796, America's Healthy Future Act; S.1776, Medicare Physician Fairness Act; S.697, CLASS Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3590: the Patient Protection and Affordable Care Act H.R. 4872: the Health Care and Education Reconciliation Act of 2010 S. 534: A bill to amend title XVIII of the Social Security Act to reduce cost-sharing under part D of such title for certain non-institutional full-benefit dual eligible individuals. S. 647: A bill to amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the trageting of the enforcement of requirements with respect to such facilities. S.1110: A bill to amend title XVIII of the Social Security Act to create a sensible infrastructure ofr delivery system reform by renaming the Medicare Payment Advisory Commission, making the Commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy. S. 683: A bill to amend title XIX of the Social Security Act to provide individuals with disabilities and older American with equal access to community-based attendant services and supports, and for other purposes. S. 46: A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S. 750: A bill to amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R. 2006: To amend the Social Security Act to enhance the social security of the Nation by ensuing adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute edler abuse, neglect and exploitation, and for other purposes. H.R. 43: To amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. H.R. 448: Elder Abuse Victims Act of 2009. H.R. 3200: America's Affordable Health Choices Act of 2009. To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 1407: To amend title XVIII of the Social Security Act to reduce cost-sharing under Part D of such title of certain non-instutional full-benefit dual eligible individuals. S. 702: A bill to amend the Internal Revenue Code of 1986 to allow long-term care insurance to be offered under Cafeteria plans and flexible spending arrangements and to provide additional consumer protections for long-term care insurance. H.R. 1255: To protect the interests of each resident of intermediate care facilities for the mentally retarded in class action lawsuits on behalf of such resident. H.R. 1457: To amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, and for other purposes. H.R. 3962: To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. S. 1679: An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce. H.R. 2223: To provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers. S. 1131: A bill to amend title XVIII of the Social Security Act to provide certain high cost Medicare beneficiaries suffering from multiple chronic conditions with access to coordinated, primary care medical services in lower cost treatment settings, such as their residences, under a plan of care developed by a team of qualified and experiences health care professionals. S.1004: A bill to amend title XVIII of the Social Security Act to provide Medicare beneficiaries with access to geriatric assessments and chronic care management and coordination services, and for other purposes. H.R. 2: To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S. 795: A bill to amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, and for other purposes. S.631: A bill to provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers. S. 458: A bill to amend the False Claims Act. H.R. 2043: To amend the Public Health Service Act to authorize capitation grants to increase the number of nursing faculty and students, and for other purposes. H.R. 1642: To provide loans and grants for fire sprinkler retrofitting in nursing facilities. H.R. 1494: To ensure that a private for-profit nursing home affected by a major disaster receives the same rreimbursement as a public nursing home affected by a major disaster. H.R. 448: To protect seniors in the United States from elder abuse by establishing specialized elder abuse prosecution and research programs and activities to aid victims of elder abuse, to provide training to prosecutors and other law enforcement related to elder abuse prevention and protection, to establish programs that provide for emergency crisis response teams to combat elder abuse, and for other purposes. H.R. 3191: To amend the Public Health Service Act to provide for integration of mental health services and mental health treatment outreach teams, and for other purposes. S. 386: A bill to improve enforcement of mortgage fraud, securities fraud, financial institutional fraud, and other frauds related to federal assistance and relief programs, for the recovery of funds lost to these frauds, and for other purposes.

Client expense: $460,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), SENATE

Medicare/Part B Premium Hold Harmless. H.R. 3631: Provisions extending the current "hold harmless" policy to all Medicare enrollees to ensure 2010 Part B monthly premiums remain at the current rate. Comprehensive Health Care Reform. P.L. 111-148, P.L. 111-152, H.R. 4872, H.R. 3590: provisions related to reducing Medicare Advantage plan payments, reducing the coverage gap in Part D, requiring wealthier Medicare beneficiaries to pay a greater share of the cost of their premiums under Medicare Parts B and D, permitting the Department of Health and Human Services to negotiate drug prices for the Part D program, simplifying plan benefit designs under Part C, expanding benefits for low-income beneficiaries under the Medicare Savings Programs and the Part D Low-Income Subsidy (LIS), improving the process for reassigning LIS beneficiaries to new plans, expanding coverage of prevention services establishing a Medicare Commission, providing expanded Medicaid coverage for home and community-based services, expanding Medicaid coverage of attendant and other home services and supports, establishing a new national insurance program for long-term supports and services, authorizing funding to provide language services to limited English proficiency beneficiaries, authorizing the collection of data regarding disparities in the provision of care, providing safeguards and subsidies to assure affordability of health coverage for seniors, preserving state benefit laws and requirements, reducing permitted age rating ratio for insurance premiums, inclusion of patient-centered quality reporting requirements for providers, creating new claims reviews processes and provider certification, requiring reporting by practitioners of gifts received from pharmaceutical and medical device manufacturers. Medicare/Commission. P.L. 111-148, P.L. 111-152, H.R. 4872: creating an independent commission authorized to establish Medicare payment and policy designed to reduce Medicare spending growth. Medicare/Prescription Drug Plan. S. 330, H.R. 684: authorizing the establishment of a Medicare-operated prescription drug plan; S. 266: authorizing the Secretary of Health and Human Services to negotiate lower prescription drug prices. Medicare/Part D Generics. S. 75: requiring the use of generics where available unless the brand name drug is determined to be medically necessary. Medicare/Part D cost-sharing. S. 1630: establishing limits on required beneficiary cost-sharing under Part D drug plans. Medicare/Part D dual eligibles. P.L. 111-148, P.L. 111-152, H.R. 4872, S. 1634: removing enrollment barriers for low-income beneficiaries and establishing a Medicare-operated prescription drug plan. Medicare/Combating Waste, Fraud, Abuse. P.L. 111-148, P.L. 111-152, H.R. 4872, H.R. 27: relating to provisions to combat waste, fraud, and abuse within Medicare; H.R. 203: increasing civil and criminal penalties for acts involving fraud and abuse and increasing the surety bond amount for suppliers of durable medical equipment. Medicare/Therapy Caps. P.L. 111-148, P.L. 111-152, H.R. 4872, H.R. 3590, H.R. 43, S. 46: repealing or extending exceptions to outpatient rehabilitation therapy caps. Medicare/Private Contracts. H.R. 164: prohibiting denial of Social Security benefits to persons who elect not to participate in Medicare. Medicare/Hearing Coverage. H.R. 504: authorizing coverage of hearing aids and auditory rehabilitation services under Medicare Part B. Medicare/Dental Coverage. H.R. 870: authorizing coverage under Part B for medically necessary dental procedures. Medicare/Rural Improvements. H.R. 902/S. 382: provision authorizing improvements to services provided to beneficiaries residing in rural areas. Medicare/Shingles Vaccine. H.R. 1038: extending Part B coverage to the shingles vaccine. Medicare/Home Health. H.R. 1094: authorizing home health care agencies to assign the most appropriate skilled service to make the initial assessment visit under a Medicare home health plan of care for rehabilitation services. Medicare/Health Care Vouchers. H.R. 1118: authorizing Medicare-eligible seniors to elect to receive vouchers for a health savings account, premiums for a high deductible health insurance plan, or both, in lieu of regular Medicare benefits and suspending Medicare late enrollment penalties between ages 65 and 70. Medicare/Skilled Nursing Facilities. H.R. 1125, S. 647: provisions related to requiring the reporting of expenditures for nursing services at skilled nursing facilities and requiring disclosure of corporate ownership. Medicare/Prevention. H.R. 1213: provisions authorizing ultrasound screening for abdominal aortic aneurysms to at-risk Medicare beneficiaries between the ages of 65 and 75 without the requirement of a prior initial preventive physical examination; H.R. 1894, S. 769: expanding access to bone mass measurement benefits under Part B. Medicare/Part B Drug Payments. P.L. 111-148, P.L. 111-152, H.R. 4872, H.R. 3590, H.R. 1392: relating to appropriate Part B payment amounts for drugs and biologicals. Medicare/Low Income Prescription Drug Benefits. P.L. 111-148, P.L. 111-152, H.R. 4872, H.R. 3590, H.R. 1407, S. 534: authorizing a reduction in cost-sharing under Part D for non-institutionalized, full-benefit dual eligible individuals. Medicare/Disability Benefits. S. 700, H.R. 1708, H.R. 2881: phasing-out the 24-month waiting period for disabled individuals to become eligible for Medicare benefits and eliminating the waiting period for individuals with life-threatening conditions. Medicare/Prescription Drugs for kidney transplants. H.R. 1458, S. 565: provision related to continued coverage for immunosuppressive drugs furnished to beneficiaries that have received kidney transplants and whose entitlement to coverage would otherwise expire. Medicare/Intravenous Drugs. H.R. 1765, S.701: relating to the payment for intravenous immune globulin (IVIG) for the treatment of primary immune deficiency diseases in a patient's home and for certain disposable pumps as durable medical equipment in place of non-disposable pumps. Medicare/Home Infusion Therapy. H.R. 574, S.254: extending Medicare coverage to home infusion therapy. Medicare/Physical Therapy Services. H.R. 1829: authorizing physical therapists to evaluate and treat Medicare beneficiaries without physician referral. Medicare/Part D Premiums. H.R. 1832: limiting Part D premium increases to no more than the Social Security cost-of-living adjustment and requiring the Secretary of Health and Human Services to negotiate lower prescription drug prices. Medicare/Cancer Hospice and Palliative Care. H.R. 1844: provisions authorizing coverage of comprehensive cancer care planning, establishing a Medicare hospice care demonstration, and authorizing grant programs for cancer palliative care and symptom management, provider education, and related research. Medicare/Hospice and Advanced Care Planning. S. 1150, H.R. 2911: provisions related to changing hospice payments and providing advance care planning resources. Medicare/Physician-Manufacturer Transparency. P.L. 111-148, P.L. 111-152, H.R. 4872, H.R. 3590, S. 301: increasing the transparency of the relationship between physicians and the manufacturers of drugs, devices, biologicals, and medical supplies. Medicare/Care Coordination Services. P.L. 111-148, P.L. 111-152, H.R. 4872, H.R. 3590, S. 1131, H.R. 2560: provisions establishing pilot care coordination programs. Medicaid/Home and Community-based Long Term Care. P.L. 111-148, P.L. 111-152, H.R. 4872, H.R. 3590, S. 434, S.1257, H.R. 28552: provisions to remove barriers to providing home and community-based services including providing a state option to provide home and community-based services to individuals for whom such services are likely to prevent, delay, or decrease the likelihood of an individual's need for institutionalized care and authorizing the implementation of assistance grants for states electing to provide home and community-based services under Medicaid; provisions to provide a single point of entry to long term services; provisions to support nursing home diversion programs. Medicaid/Community-based Attendant Services and Supports. P.L. 111-148, P.L. 111-152, H.R. 4872, H.R. 3590, S. 683, H.R. 1670: authorizing coverage of community-based attendant services and supports under Medicaid, increasing funding and establishing a demonstration program for beneficiaries dually eligible for Medicare and Medicaid. P.L. 110-275, P.L. 108-173: implementation of regulations and guidance relating to beneficiary eligibility, enrollment, and effectiveness of exceptions and appeals processes under Medicare Parts C and D.

Client expense: $350,000 · Firm income: Not reported

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

1. Medicare Physician Fee Schedule - AAGP urges Congress to replace the current Medicare reimbursement formula with one that more accurately reflects the volume and intensity of services furnished to Medicare beneficiaries and to take action to avert future cuts in Medicare payments to physicians and other health care providers. Support H.R. 3961, the "Medicare Physcian Payment Reform Act of 2009," to permanently repeal the sustainable growth rate (SGR) formula that calls for annual cuts in Medicare physician payments and replace it with a new payment system. Support S. 1776, the "Medicare Physician Fairness Act of 2009," to eliminate Medicare's sustainable growth rate formula. 2. H. R. 1415, the "Medicaid Emergency Psychiatric Care Demonstration Project Act," a bill to provide for a demonstration project regarding Medicaid reimbursement for stabilization of emergency medical conditions by non-publicly owned or operated institutions for mental disorders. Support all provisions. 3. S. 647, the "Nursing Home Transparency and Improvement Act of 2009," to increase public transparency of nursing home owners and operators, including nursing home chains, by requiring nursing homes to disclose the corporate entities that own them and the affiliated entities that operate, manage or control them. Support all provisions. 4. Opposed any exclusion of specific medical specialties from primary care bonuses under Medicare. 5. Support bonus payments under Medicare for geriatric specialists. 6. Support extension of 5% increase in Medicare payment for psychotherapy services. 7. Support elimination of the Medicare disabililty waiting period. 8. Support addition of screening for depression to the list of Medicare covered preventative services in health care reform legislation (H.R. 3590). 9. Support behavioral health providers in the list of employees at community based medical homes in health care reform legislation. (H.R. 3590) 10. Support S. 2908, support for family caregivers under Medicare and Medicaid. Support inclusion of that language in the Senate's health care reform bill (H.R. 3590). 11. Support legislative efforts to avert or repeal the elimination of the billing codes for consultation services, as called for in the Centers for Medicare and Medicaid Services final rule on the calendar year 2010 Medicare Physician Fee Schedule. 12. Support eligibility for Medicaid at 150 percent of the federal poverty level in health care reform legislation (H.R. 3590). 13. S. 3028, to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare program. Support all provisions. 14. H.R. 4691: Support the language providing for a one-month extension (through March 31, 2010) of the current Medicare physician fee schedule, averting a reimbursement reduction. 15. H. R. 4851, the "Continuing Extension Act of 2010": Support the language providing for a one-month delay (Until May 1, 2010) of the 21 percent cut in Medicare physician reimbursement. 16. H.R. 4213, the "American Workers, State and Business Relief Act of 2010": Support Senate amendment to delay cut in Medicare physician reimbursement until October 1, 2010. 17. Support extension of Medicaid assistance to states that was included as part of the American Recovery and Reinvestment Act (ARRA).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1237, Fairness in Nursing Home Act of 2009 S. 512 Fairness in Nursing Home Act of 2009 S. 647, Nursing Home Transparency Act of 2009 Healthcare Reform / Skilled Nursing Facilities

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tracking of federal Medicare legislation; S.512, Fairness in Nursing Home Arbitration Act; S.647, Nursing Home Transparency and Improvement Act of 2009; Reform of the Federal Stafford Act; H.R. 1, American Recovery and Reinvestment Act of 2009; S. Con. Res. 13 - FY 2010 Budget; H.R. 3200, America's Affordable Health Choices Act of 2009; The Affordable Health Choices Act; S. 1796, America's Healthy Future Act; S.1776, Medicare Physician Fairness Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tracking of federal Medicare legislation; S.512, Fairness in Nursing Home Arbitration Act; S.647, Nursing Home Transparency and Improvement Act of 2009; Reform of the Federal Stafford Act; H.R. 1, American Recovery and Reinvestment Act of 2009; S. Con. Res. 13 - FY 2010 Budget; H.R. 3200, America's Affordable Health Choices Act of 2009; The Affordable Health Choices Act; S. 1796, America's Healthy Future Act; S.1776, Medicare Physician Fairness Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tracking of federal Medicare legislation; S.512, Fairness in Nursing Home Arbitration Act; S.647, Nursing Home Transparency and Improvement Act of 2009; Reform of the Federal Stafford Act; H.R. 1, American Recovery and Reinvestment Act of 2009; S. Con. Res. 13 - FY 2010 Budget; H.R. 3200, America's Affordable Health Choices Act of 2009; The Affordable Health Choices Act; S. 1796, America's Healthy Future Act; S.1776, Medicare Physician Fairness Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tracking of federal Medicare legislation; S.512, Fairness in Nursing Home Arbitration Act; S.647, Nursing Home Transparency and Improvement Act of 2009; Reform of the Federal Stafford Act; H.R. 1, American Recovery and Reinvestment Act of 2009; S. Con. Res. 13 - FY 2010 Budget; H.R. 3200, America's Affordable Health Choices Act of 2009; The Affordable Health Choices Act; S. 1796, America's Healthy Future Act; S.1776, Medicare Physician Fairness Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbied in favor of the Senate Patient Protection and Affordable Care Act, the combined Senate-House health reform bill, and specifically for inclusion of the following provisions and amendments: S. 647 and House language for the "Nursing Home Transparancy and Improvement Act of 2009;" Senate Wellness Exam for Medicare benficiaries and provision on "detection of any cognitive impairment;" S. 245 and H.R. 468, "Retooling the Health Care Workforce;" as well as specific provisions from the bill on direct care training; S. 697 and H.R. 1721, Community Living Assistance Services and Supports (CLASS) Act;" S. 1131 and H.R. 2560, The Independence at Home Act; S. 795, "Elder Justice Act;" and S. 631, "Patient Safety and Abuse Prevention Act." Also lobbied in favor of the following amendments to the Senate health reform bill: Clinical trials amendment (Brown, 2871) Support for family caregivers under Medicare and Medicaid (Klobuchar 2908) Priorities for the National Health Care Workforce Commission (Casey 2928) Growing Geriatric Care Workforce (Boxer 2944) Improve Consumer Protections for Long-Term Care (Kohl 2996) Improves Medicare reimbursement to Primary Care (Klobuchar 2997) Also lobbied for a Senate sponsor for the Alzheimer's Treatment and Caregiver Support Act, S. 2809; for introduction and support of National Memory Screening Day resolutions (S.Res.185 and H.Res.910); and for co-sponsors for H.R. 3043, the Medicare Adult Day Care Services Act of 2009" and its inclusion in health reform.

Client expense: $22,500 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1237: The Fairness in Nursing Home Arbitration Act which would prohibit use of pre-dispute arbitration agreements of nursing facilities or assisted living residences. H.R. 1020: Arbitration Fairness Act of 2009. The bill would prohibit the use of all pre-dispute arbitration agreements. H.R. 1788: Oppose the False Claims Correction Act of 2009. S.458: A bill which propose further amendments to the civil False Claims Act (FCA) to expand the scope of liability under the statute and remove necessary safeguards against unfounded qui tam lawsuits. Consider recently passed anti-fraud bill (S.86) this year's compromise to ensure the FCA is a more potent and useful weapon against taxpayer fraud. S. 512: A bill to amend chapter 1 of title 9, United States Code with respect to arbitration. S. 386: The Fraud Enforcement and Recovery Act of 2009 (FERA). This bill is intended to improve enforcement against mortgage, securities and other fraud related to federal assistance and relief programs. The bill also includes changes to the False Claims Act Amendments of 1986 that would increase the liability for contractors and subcontractos who submit false claims for repayment on government contracts. S. 647: A bill to amend titles XVIII and XIX of the Social Security Act, to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. H.R. 1237: To amend chapter 1 of title 9 of United States Code with respect to arbitration. H.R.: 1255: To protect the interests of each resident of intermediate care facilities for the mentally retarded in class action lawsuits on behalf of such residents. S. 931: Arbitration Fairness Act of 2009 introduced in the Senate.

Client expense: $440,000 · 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. 1407: To amend title XVIII of the Social Security Act to reduce cost-sharing under Part D of such title for certain non-institutional full-benefit dual eligible individuals. S. 534: A bill to amend title XVIII of the Social Security Act to reduce cost-sharing under part D of such title for certain non-institutional full-benefit dual eligible individuals. S. 647: A bill to amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. S. 1110: A bill to amend title XVIII of the Social Security Act to create a sensible infrastructure for delivery system reform by renaming the Medicare Payment Advisory Commission, making the Commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy. S. 683: A bill to amend title XIX of the Social Security Act to provide individuals with disabilities and older Americans with equal access to community-based attendant services and supports, and for other purposes. S. 46: A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S. 750: A bill to amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R. 1: Making supplemental appropriations for job preservation and creation, infrastructure investment, energy efficiency and science, assistance to the unemployed, and State and local fiscal stabilization, for fiscal year ending September 30, 2009, and for other purposes. H.R. 2: The Children's Health Insurance Program Reauthorization Act of 2009, establishing a Medicaid and CHIP Payment and Access Commission (MACPAC). This new Commission will provide Congress with a new, credible forum to discuss specific ways to strengthen the nation's Medicaid payment system, and ensure the growing needs of America's most vulnerable, frail, elderly and the disabled beneficiaries are met and in the years ahead. H.R. 2006: To amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect and exploitation, and for other purposes. H.R. 43: To amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. H.R. 1255: A bill which protects the interests of each resident of intermediate care facilities for the mentally retarded or developmentally disabled (ICFs/MRDD) in related class action lawsuits. H.R. 448: Elder Abuse Victims Act of 2009. H.R. 3200: America's Affordable Health Choices Act of 2009. To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. S. 1796: America's Healthy Future Act of 2009. To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 632: To encourage, enhance, and integrate Silver Alert plans throughout the United States, to authorize grants for the assistance of organizations to find missing adults, and for other purpose. S. 1131: A bill to amend title XVIII of the Social Security Act to provide certain high cost Medicare beneficiaries suffering from multiple chronic conditions with access to coordinated, primary care medical services in lower cost treatment settings, such as their residences, under a plan of care developed by a team of qualified and experienced health care professionals. S. 1004: A bill to amend title XVIII of the Social Security Act to provide Medicare beneficiaries with access to geriatric assessments and chronic care management and coordination services, and for other purposes. S. 702: A bill to amend the Internal Revenue Code of 1986 to allow long-term care insurance to be offered under Cafeteria plans and flexible spending arrangements and to provide additional consumer protections for long-term care insurance. H.R. 1255: To protect the interests of each resident of intermediate care facilities for the mentally retarded in class action lawsuits on behalf of such resident. H.R. 632: To encourage, enhance, and integrate Silver Alert plans throughout the United States, to authorize grants for the assistance of organizations to find missing adults, and for other purposes. H.R. 1457: To amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, and for other purposes. H.R. 3191: To amend the Public Health Service Act to provide for integration of mental health services and mental health treatment outreach teams, and for other purposes. H.R. 3962: To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 3590: The Patient Protection and Affordable Care Act. S. 1679 An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce. H.R. 2223: To provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers.

Client expense: $440,000 · Firm income: Not reported

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

Medicare/Part B Premium Hold Harmless. H.R. 3631: Provisions extending the current "hold harmless" policy to all Medicare enrollees to ensure 2010 Part B monthly premiums remain at the current rate. Comprehensive Health Care Reform. H.R. 3590, H.R. 3962, H.R. 3200, S. 1679: provisions related to reducing Medicare Advantage plan payments, reducing the coverage gap in Part D, requiring wealthier Medicare beneficiaries to pay a greater share of the cost of their premiums under Medicare Parts B and D, permitting the Department of Health and Human Services to negotiate drug prices for the Part D program, simplifying plan benefit designs under Part C, expanding benefits for low-income beneficiaries under the Medicare Savings Programs and the Part D Low-Income Subsidy (LIS), improving the process for reassigning LIS beneficiaries to new plans, expanding coverage of prevention services establishing a Medicare Commission, providing expanded Medicaid coverage for home and community-based services, expanding Medicaid coverage of attendant and other home services and supports, establishing a new national insurance program for long-term supports and services, authorizing funding to provide language services to limited English proficiency beneficiaries, authorizing the collection of data regarding disparities in the provision of care, providing safeguards and subsidies to assure affordability of health coverage for seniors, preserving state benefit laws and requirements, reducing permitted age rating ratio for insurance premiums, inclusion of patient-centered quality reporting requirements for providers, creating new claims reviews processes and provider certification, requiring reporting by practitioners of gifts received from pharmaceutical and medical device manufacturers. Medicare/Commission. S. 1110 and S. 1380: authorizing an enhanced MedPAC as an executive branch commission with authority to implement Medicare payment and policy designed to reduce Medicare spending growth. Medicare/Prescription Drug Plan. S. 330/H.R. 684: authorizing the establishment of a Medicare-operated prescription drug plan; S. 266: authorizing the Secretary of Health and Human Services to negotiate lower prescription drug prices and to use the savings to reduce the coverage gap. Medicare/Part D Generics. S. 75: requiring the use of generics where available unless the brand name drug is determined to be medically necessary. Medicare/Part D cost-sharing. S. 1630: establishing limits on required beneficiary cost-sharing under Part D drug plans. Medicare/Part D dual eligibles. S. 1634: removing enrollment barriers for low-income beneficiaries and establishing a Medicare-operated prescription drug plan. Medicare/Combating Waste, Fraud, Abuse. H.R. 27: relating to additional provisions to combat waste, fraud, and abuse within Medicare; H.R. 203: increasing civil and criminal penalties for acts involving fraud and abuse and increasing the surety bond amount for suppliers of durable medical equipment. Medicare/Therapy Caps. H.R. 43/S. 46: repealing outpatient rehabilitation therapy caps. Medicare/Private Contracts. H.R. 164: prohibiting denial of Social Security benefits to persons who elect not to participate in Medicare. Medicare/Hearing Coverage. H.R. 504: authorizing coverage of hearing aids and auditory rehabilitation services under Medicare Part B. Medicare/Dental Coverage. H.R. 870: authoring coverage under Part B for medically necessary dental procedures. Medicare/Rural Improvements. H.R. 902/S. 382: provision authorizing improvements to services provided to beneficiaries residing in rural areas. Medicare/Shingles Vaccine. H.R. 1038: extending Part B coverage to the shingles vaccine. Medicare/Home Health. H.R. 1094: authorizing home health care agencies to assign the most appropriate skilled service to make the initial assessment visit under a Medicare home health plan of care for rehabilitation services. Medicare/Health Care Vouchers. H.R. 1118: authorizing Medicare-eligible seniors to elect to receive vouchers for a health savings account, premiums for a high deductible health insurance plan, or both, in lieu of regular Medicare benefits and suspending Medicare late enrollment penalties between ages 65 and 70. Medicare/Skilled Nursing Facilities. H.R. 1125, S. 647: provisions related to requiring the reporting of expenditures for nursing services at skilled nursing facilities and requiring disclosure of corporate ownership. Medicare/Prevention. H.R. 1213: provisions authorizing ultrasound screening for abdominal aortic aneurysms to at-risk Medicare beneficiaries between the ages of 65 and 75 without the requirement of a prior initial preventive physical examination; H.R. 1894/S. 769: expanding access to bone mass measurement benefits under Part B. Medicare/Part B Drug Payments. H.R. 1392: relating to appropriate Part B payment amounts for drugs and biologicals. Medicare/Low Income Prescription Drug Benefits. H.R. 1407/S. 534: authorizing a reduction in cost-sharing under Part D for non-institutionalized, full-benefit dual eligible individuals. Medicare/Disability Benefits. S. 700/H.R. 1708, H.R. 2881: phasing-out the 24-month waiting period for disabled individuals to become eligible for Medicare benefits and eliminating the waiting period for individuals with life-threatening conditions. Medicare/Prescription Drugs for kidney transplants. H.R. 1458/S. 565: provision related to continued coverage for immunosuppressive drugs furnished beneficiaries that have received kidney transplants and whose entitlement to coverage would otherwise expire. Medicare/Intravenous Drugs. H.R. 1765/S.701: relating to the payment for intravenous immune globulin (IVIG) for the treatment of primary immune deficiency diseases in a patient's home and for certain disposable pumps as durable medical equipment in place of non-disposable pumps. Medicare/Home Infusion Therapy. H.R. 574/S.254: extending Medicare coverage to home infusion therapy. Medicare/Physical Therapy Services. H.R. 1829: authorizing physical therapists to evaluate and treat Medicare beneficiaries without physician referral. Medicare/Part D Premiums. H.R. 1832: limiting Part D premium increases to no more than the Social Security cost-of-living adjustment and requiring the Secretary of Health and Human Services to negotiate lower prescription drug prices. Medicare/Cancer Hospice and Palliative Care. H.R. 1844: provisions authorizing coverage of comprehensive cancer care planning, establishing a Medicare hospice care demonstration, and authorizing grant programs for cancer palliative care and symptom management, provider education, and related research. Medicare/Hospice and Advanced Care Planning. S. 1150, H.R. 2911: provisions related to changing hospice payments and providing advance care planning resources. Medicare/Physician-Manufacturer Transparency. S. 301: increasing the transparency of the relationship between physicians and the manufacturers of drugs, devices, biologicals, and medical supplies. Medicare/Care Coordination Services. S. 1131, H.R. 2560: provisions establishing pilot care coordination program.

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

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

1. Medicare Physician Fee Schedule - AAGP urges Congress to replace the current Medicare reimbursement formula with one that more accurately reflects the volume and intensity of services furnished to Medicare beneficiaries and to take action to avert future cuts in Medicare payments to physicians and other health care providers. Support H.R. 3961, the "Medicare Physcian Payment Reform Act of 2009," to permanently repeal the sustainable growth rate (SGR) formula that calls for annual cuts in Medicare physician payments and replace it with a new payment system. Support S. 1776, the "Medicare Physician Fairness Act of 2009," to eliminate Medicare's sustainable growth rate formula. 2. H. R. 1415, the "Medicaid Emergency Psychiatric Care Demonstration Project Act," a bill to provide for a demonstration project regarding Medicaid reimbursement for stabilization of emergency medical conditions by non-publicly owned or operated institutions for mental disorders. Support all provisions. 3. S. 647, the "Nursing Home Transparency and Improvement Act of 2009," to increase public transparency of nursing home owners and operators, including nursing home chains, by requiring nursing homes to disclose the corporate entities that own them and the affiliated entities that operate, manage or control them. Support all provisions. 4. Opposed any exclusion of specific medical specialties from primary care bonuses under Medicare. 5. Support bonus payments under Medicare for geriatric specialists. 6. Support extension of 5% increase in Medicare payment for psychotherapy services. 7. Support elimination of the Medicare disabililty waiting period. 8. Support addition of screening for depression to the list of Medicare covered preventative services in health care reform legislation (H.R. 3200/S.1679/draft Senate bill) 9. Support behavioral health providers in the list of employees at community based medical homes in health care reform legislation. (H.R. 3200/S. 1679/draft Senate bill) 10. Support S. 2908, support for family caregivers under Medicare and Medicaid. Support inclusion of that language in the Senate's health care reform bill (H.R. 3590). 11. Support legislative efforts to avert or repeal the elimination of the billing codes for consultation services, as called for in the Centers for Medicare and Medicaid Services final rule on the calendar year 2010 Medicare Physician Fee Schedule.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1237 and S 512, Fairness in Nursing Home Arbitration Act of 2009; HR 3200, America's Affordable Health Choices Act of 2009; S 647, Nursing Home Transparency Act of 2009; and HR 1721 and S 697, Community Living Assistance Services and Support Act (CLASS); S 1679, Affordable Health Choices Act (Senate HELP Committee Proposal) and S 1796, America's Health Future Act of 2009, (Senate Finance Committee proposal): CONTINUED ON NEXT PAGE issues pertaining to Medicare and Medicaid funding for nursing facilities, quality of care in nursing homes, use of arbitration agreements in nursing facilities, healthcare reform for skilled nursing facilities, and CMS Medicare regulations.

Client expense: $870,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

HR 1237 and S 512, Fairness in Nursing Home Arbitration Act of 2009; HR 3200, America's Affordable Health Choices Act of 2009; S 647, Nursing Home Transparency Act of 2009; and S 1679, Affordable Health Choices Act (Senate HELP Committee Proposal) and S 1796, America's Health Future Act of 2009, (Senate Finance Committee proposal): CONTINUED ON NEXT PAGE issues pertaining to Medicare and Medicaid funding for nursing facilities, quality of care in nursing homes, use of arbitration agreements in nursing facilities, healthcare reform for skilled nursing facilities, and CMS Medicare regulations.

Client expense: $870,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 1237, Fairness in Nursing Home Act of 2009 S. 512 Fairness in Nursing Home Act of 2009 S. 647, Nursing Home Transparency Act of 2009 Healthcare Reform / Skilled Nursing Facilities

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1237 and S 512, Fairness in Nursing Home Arbitration Act of 2009; HR 3200, America's Affordable Health Choices Act of 2009; S 647, Nursing Home Transparency Act of 2009: issues pertaining to Medicare and Medicaid funding for nursing facilities, quality of care in nursing homes, use of arbitration agreements in nursing facilities, healthcare reform for skilled nursing facilities, and CMS Medicare regulations.

Client expense: $800,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

HR 1237 and S 512, Fairness in Nursing Home Arbitration Act of 2009; HR 3200, America's Affordable Health Choices Act of 2009; S 647, Nursing Home Transparency Act of 2009: issues pertaining to Medicare and Medicaid funding for nursing facilities, quality of care in nursing homes, use of arbitration agreements in nursing facilities, healthcare reform for skilled nursing facilities, and CMS Medicare regulations.

Client expense: $800,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

Tracking of federal Medicare legislation; S.512, Fairness in Nursing Home Arbitration Act; S. 647, Nursing Home Transparency and Improvement Act of 2009; Reform of the Federal Stafford Act; H.R. 1, American Recovery and Reinvestment Act of 2009; S. Con. Res. 13 - FY 2010 Budget; H.R. 3200, America's Affordable Health Choices Act of 2009; The Affordable Health Choices Act, America's Healthy Future Act; S.1776, Medicare Physician Fairness Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tracking of federal Medicare legislation; S.512, Fairness in Nursing Home Arbitration Act; S. 647, Nursing Home Transparency and Improvement Act of 2009; Reform of the Federal Stafford Act; H.R. 1, American Recovery and Reinvestment Act of 2009; S. Con. Res. 13 - FY 2010 Budget; H.R. 3200, America's Affordable Health Choices Act of 2009; The Affordable Health Choices Act, America's Healthy Future Act; S.1776, Medicare Physician Fairness Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tracking of federal Medicare legislation; S.512, Fairness in Nursing Home Arbitration Act; S. 647, Nursing Home Transparency and Improvement Act of 2009; Reform of the Federal Stafford Act; H.R. 1, American Recovery and Reinvestment Act of 2009; S. Con. Res. 13 - FY 2010 Budget; H.R. 3200, America's Affordable Health Choices Act of 2009; The Affordable Health Choices Act, America's Healthy Future Act; S.1776, Medicare Physician Fairness Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tracking of federal Medicare legislation; S.512, Fairness in Nursing Home Arbitration Act; S. 647, Nursing Home Transparency and Improvement Act of 2009; Reform of the Federal Stafford Act; H.R. 1, American Recovery and Reinvestment Act of 2009; S. Con. Res. 13 - FY 2010 Budget; H.R. 3200, America's Affordable Health Choices Act of 2009; The Affordable Health Choices Act, America's Healthy Future Act; S.1776, Medicare Physician Fairness Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbied for a Senate sponsor for the Alzheimer's Treatment and Caregiver Support Act and for co-sponsors for H.R. 3043, the Medicare Adult Day Care Services Act of 2009." Urged cosponsorship and inclusion in Senate HELP, Senate Finance, and the House Tri-Committee health reform bills for the following proposals: S. 647 (and not yet introduced House version) of the "Nursing Home Transparancy and Improvement Act of 2009;" S. 245 and H.R. 468, "Retooling the Health Care Workforce;" S. 697 and H.R. 1721, Community Living Assistance Services and Supports (CLASS) Act;" S. 1004 and H.R. 2307, The RE-Aligning Care Act, and S. 1131 and H.R. 2560, The Independence at Home Act; H.R. 3191, "The Positive Aging Act;" and S. 1263, the Senior Navigation and Planning Act of 2009.

Client expense: $22,500 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1407: To amend title XVIII of the Social Security Act to reduce cost-sharing under Part D of such title for certain non-institutional full-benefit dual eligible individuals. S. 534: A bill to amend title XVIII of the Social Security Act to reduce cost-sharing under part D of such title for certain non-institutional full-benefit dual eligible individuals. S. 647: A bill to amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. S. 1110: A bill to amend title XVIII of the Social Security Act to create a sensible infrastructure for delivery system reform by renaming the Medicare Payment Advisory Commission, making the Commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy. S. 683: A bill to amend title XIX of the Social Security Act to provide individuals with disabilities and older Americans with equal access to community-based attendant services and supports, and for other purposes. S. 46: A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S. 750: A bill to amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R. 1: Making supplemental appropriations for job preservation and creation, infrastructure investment, energy efficiency and science, assistance to the unemployed, and State and local fiscal stabilization, for fiscal year ending September 30, 2009, and for other purposes. H.R. 2: The Children's Health Insurance Program Reauthorization Act of 2009, establishing a Medicaid and CHIP Payment and Access Commission (MACPAC). This new Commission will provide Congress with a new, credible forum to discuss specific ways to strengthen the nation's Medicaid payment system, and ensure the growing needs of America's most vulnerable, frail, elderly and the disabled beneficiaries are met and in the years ahead. H.R. 2006: To amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect and exploitation, and for other purposes. H.R. 43: To amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. H.R. 1255: A bill which protects the interests of each resident of intermediate care facilities for the mentally retarded or developmentally disabled (ICFs/MRDD) in related class action lawsuits. H.R. 448: Elder Abuse Victims Act of 2009. H.R. 3200: America's Affordable Health Choices Act of 2009. To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. S. 1796: America's Healthy Future Act of 2009. To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 632: To encourage, enhance, and integrate Silver Alert plans throughout the United States, to authorize grants for the assistance of organizations to find missing adults, and for other purpose. S. 1131: A bill to amend title XVIII of the Social Security Act to provide certain high cost Medicare beneficiaries suffering from multiple chronic conditions with access to coordinated, primary care medical services in lower cost treatment settings, such as their residences, under a plan fo care developed by a team of qualified and experienced health care professionals. S. 1004: A bill to amend title XVIII of the Social Security Act to provide Medicare beneficiaries with access to geriatric assessments and chronic care management and coordination services, and for other purposes. S. 702: A bill to amend the Internal Revenue Code of 1986 to allow long-term care insurance to be offered under Cafeteria plans and flexible spending arrangements and to provide additional consumer protections for long-term care insurance.

Client expense: $420,000 · 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. 1237: The Fairness in Nursing Home Arbitration Act which would prohibit use of pre-dispute arbitration agreements of nursing facilities or assisted living residences. H.R. 1020: Arbitration Fairness Act of 2009. The bill would prohibit the use of all pre-dispute arbitration agreements. H.R. 1788: Oppose the False Claims Correction Act of 2009. S.458: A bill which propose further amendments to the civil False Claims Act (FCA) to expand the scope of liability under the statute and remove necessary safeguards against unfounded qui tam lawsuits. Consider recently passed anti-fraud bill (S.86) this year's compromise to ensure the FCA is a more potent and useful weapon against taxpayer fraud. S. 512: A bill to amend chapter 1 of title 9, United States Code with respect to arbitration. S. 386: The Fraud Enforcement and Recovery Act of 2009 (FERA). This bill is intended to improve enforcement against mortgage, securities and other fraud related to federal assistance and relief programs. The bill also includes changes to the False Claims Act Amendments of 1986 that would increase the liability for contractors and subcontractos who submit false claims for repayment on government contracts. S. 647: A bill to amend titles XVIII and XIX of the Social Security Act, to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. H.R. 1237: To amend chapter 1 of title 9 of United States Code with respect to arbitration. S. 931: Arbitration Fairness Act of 2009 introduced in the Senate.

Client expense: $420,000 · Firm income: Not reported

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

S. 647, Nursing Home Transparency and Improvement Act, all sections. A bill to improve the transparency of information on skilled nursing facilities and to clarify and improve targeting of the enforcement of requirements with respect to such facilities. S. 935, Medicare Long Term Care Hospital Improvement Act of 2009, all sections. To extend section 114, subsection (c) and (d) of the Medicare, Medicaid, SCHIP Extension Act of 2007 to provide regulatory stability during the development of facility and patient criteria for long term care hospitals. H.R. 2124, Medicare Long Term Care Hospital Improvement Act of 2009, all sections. To extend section 114, subsection (c) and (d) of the Medicare, Medicaid, SCHIP Extension Act of 2007 to provide regulatory stability during the development of facility and patient criteria for long term care hospitals. H.R. 43, Medicare Access to Rehabilitation Services Act of 2009, section 1 and 2. To repeal the Medicare outpatient therapy cap. S. 46, Medicare Access to Rehabilitation Services Act of 2009, section 1 and 2. To repeal the Medicare outpatient therapy cap. S. 697, Community Living Assistance Services and Support Act, Title I, section 101, Title II, section 201-204. Calls for the establishment of a national, voluntary insurance program for purchasing community living assistance and support services and other purposes. H.R. 3200, America's Affordable Health Choices Act, Sections 1101-1103, 1111-1112, 1121, 1131, 1146, 1149, 1151-1154, 1301-1303, 1411-1432, and 1441. All provisions related to post-acute care delivery including transparency of information, preventable hospital readmission rates, Medicare reimbursement and other issues related to post-acute care coordination. Senate Finance Committee, Chairman's Mark, America's Healthy Future Act. All provisions related to post-acute care delivery including transparency of information, preventable hospital readmission rates, Medicare reimbursement and other issues related to post-acute care coordination. S. 1110, Medicare Payment Advisory Commission (MedPAC) Reform Act, all sections. To make the Medicare Payment Advisory Commission an executive branch agency and providing the Commission new resources and authority to implement Medicare payment policy.

Client expense: $800,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office