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Community Living Assistance Services and Supports Act
Legislative Progress
Momentum (last 30 days)
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0 actions · 0 new cosponsors · 0 votes
Speed vs cohort
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0d open
vs 4,048 other S bills in the 111th — cohort avg 29d
No CRS summary is available for this bill yet. The source title, actions, sponsors, and text versions below come from Congress.gov.
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Sources: Congress.gov
2010 · third_quarter · Health Issues
H.R. 3200 America's Affordable Health Choices Act S.245/H.R.468 - Retooling for an Aging America, Building the Healthcare workforce. All provisions relating to expanding education and training opportunities in geriatric and long-term care for licensed health professionals, direct care workers, and family caregivers. H.R.3590 Patient Protection and Affordable Care Act - All Sections related to care coordination, transitional care, long term care services and supports access to affordable insurance, provisions related to individuals with Alzheimer's disease and caregivers and provisions related to research including the Cures Acceleration Network. H.R. 4872 Health Care and Education Reconciliation Act of 2010 S.697/H.R.1721, The Community Living Assistance Services and Supports Act, all provisions relating to establishing a national, voluntary disability insurance program S.1004, Realigning Care Act, All Sections S.2809/H.R.4123 Alzheimers Treatment & Caregiver Support Act, All Sections S.3036/H.R.4689 National Alzheimers Project Act, All Sections H.R.908, Missing Alzheimer's Disease Patient Alert Program Reauthorization of 2009
Client expense: $110,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
HR 1583 (McCarran-Ferguson). S 819 (Autism). HR 1253 (disclosure rules) HR 1691/S 688 (prohibit plan rescissions and establish minimum hospital stays for cancer patients) HR 1558/S623 ; also HR 1619, S. 643, HR 1092 (prohibit pre-existing condition exclusions). S. 442/ HR 1085 (prohibit aggregate lifetime limit) S. 697 /HR 1721 (Long Term Care) HR 975 (Mammography mandate) HR 1339 (Mandate to cover deformities)
Client expense: $1,641,400 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
2010 · fourth_quarter · Health Issues
Health care reform and issues in both health care reform and independent legislation. See following page. See also Medicare and Medicaid. Support implementation of comprehensive health care reform legislation (Patient Protection and Affordable Care Act, HR 3590 and Health Care & Education Reconciliation Act of 201, HR 4872) and the related goals of reducing costs, improving quality and expanding health care coverage for Americans with disabilities and chronic conditions and all Americans (including those who lack health insurance). Issues with asterisks * indicate legislation pursued both as part of health care reform and independently. Issues include: Provide for health coverage that adequately meets the needs of people with disabilities and chronic conditions including -- Covering durable medical equipment, prosthetics and orthotics (DMEPOS) including but not limited to power wheelchairs that meet the individual needs of people with disabilities and chronic conditions, enable them to be as independent as possible, to live in their homes and participate in their communities, and enable them to be employed without fear of losing health care/services and supports they need. This includes retaining the first month purchase option for people who have permanent or long-term need for power wheelchairs and including DMEPOS as covered in essential health insurance benefits; delaying CMS competitive bidding program; and having DMEPOS included as essential benefits in health insurance coverage. Providing insurance market reforms, such as those included in House and/or Senate bills, that could greatly improve the lives of people with disabilities and chronic conditions by allowing increased access to health care, such as: --Requiring health insurers to provide the same coverage, charge the same premiums and renew policies to people no matter what their disability or other pre-existing or newly acquired conditions. Currently, unless they have employer-sponsored plans, people with disabilities are often denied coverage altogether, the policies exclude needed services or the premiums are way too costly. --Prohibiting annual and lifetime caps on coverage. People with serious injuries or conditions often quickly exceed these caps due to lengthy hospital stays and/or extensive rehabilitation -- Requiring health insurance to cover rehabilitation and habilitative services. -- Providing for a temporary high risk pool through which people with disabilities and other pre-existing conditions may obtain health insurance pending full implementation of health insurance market reforms. Concerns about the proposed excise tax on medical devices -- that an excise tax on manufacturers would increase their costs which are likely to be passed on to consumers, resulting in increased costs for medical equipment for people with disabilities and chronic conditions who depend on them. Providing for prevention and wellness including --Developing standards for accessible medical equipment; --Authorizing funds to establish a Prevention and Public Health Investment Fund; --Providing for community Transformation Grants that include focus on the needs of people with disabilities; -- Including disability status within data collection on health disparities; -- Proving training programs for primary care providers and dentistry professionals on how to treat individuals with disabilities; Concerns about well-intended wellness provisions that reward people for meeting health standards set by employers and insurance companies with potentially serious unintended onsequences that people with disabilities or other chronic conditions will be unable to meet the health or participation standards because of a limitation, and consequently they would have to pay more for their health coverage, including but not limited to higher deductibles, than people without disabilities or chronic conditions. Providing for comparative effectiveness research and using the resulting information in a way that respects that what works for many people will not work for all; Providing for home and community-based services and supports for people with disabilities and chronic conditions such as Community Living Assistance and Supports (CLASS) provisions* and the Community First ChoiceOption in health care reform. Support increasing Medicaid elibility to a nationwide standard for those whose incomes are up to 133% of the Federal Poverty Level. Since many people with disabilities have low incomes, this would extend Medicaid coverage to many people with disabilities, including childless adults. - Support elimination of Medicare Part D coverage gap (Part D "donut hole") and immediate $250 rebate for beneficiaries who fall into donut hole in 2010. continued next page Note -- Asterisk * indicates issue pursued both independently and as part of health care reform. CLASS Act* -- S. 697/H.R. 1721 included in HR 3590 (Senate health care reform bill) and HR 3962 (House health care reform bill) . Support legislation to establish a voluntary payroll deduction insurance plan so that people with disabilities will be able to pay for assistance with activities of daily living. This would enable them to remain in their homes and off of the Medicaid program. CBO estimates that the CLASS provisions will save Medicaid $2.5 billion in the first 10 years alone. Community Choice Act* (S. 683/H.R. 1670). Support legislation to make services in the home and community the norm under Medicaid - enabling people to stay in their homes and remain part of their communities rather than having to go into nursing homes or other institutions to receive needed services. Became Community First Choice Option in health care reform bills. End Medicares 24-month waiting period* - S 700/HR 1708. Support legislation to end the waiting period for Medicare for people who qualify for Title II Social Security disability benefits and people with life-threatening conditions. Comparative Effectiveness Research HR 2502/S 1213* Support legislation to create non-government independent entities to study the comparative effectiveness of treatments in health care. Mental Illness Chronic Care Improvement (MICCI) Act, S 1136* Support legislation to facilitate access to needed medical services. Amend the Medicare Savings Programs and the Low Income Subsidy* to align, simplify and increase income eligibility, eliminate or substantially increase asset limits, stabilize the programs and make administrative simplifications. First month purchase option* Advocated to maintain the current ability for Medicare beneficiaries to purchase their power wheelchair in the first month of use. Both the House and Senate included language in health reform that would require a beneficiary to rent a power wheelchair for 13 months before purchase. Supported inclusion in HR 3590 and HR 3962 of provisions to exempt Class III and higher power wheel chairs from the rental period and to retain the first-month purchase option under existing law. Community First Choice Option* would allow states to create Medicaid plans that would reverse the institutional bias in Medicaid. The option would provide a 6% increase in FMAP matching funds to states. Supported H.R.2575 to provide parity under group health plans and group health insurance coverage in the provision of benefits for prosthetic devices and orthotics devices, components and benefits for other medical and surgical services. Met with senior HHS officials to talk about implementation of health reform. See also Medicare and Medicaid.
2010 · fourth_quarter · Trade (domestic/foreign)
H.R. 2748 - To amend the Internal Revenue Code of 1986 to encourage guaranteed lifetime income payments by excluding from income a portion of such payments. S. 1389 - A bill to clarify the exemption for certain annuity contracts and insurance policies from Federal regulation under the Securities Act of 1933. H.R. 1984 - To amend title I of the Employee Retirement Income Security Act of 1974 to provide special reporting and disclosure rules for individual account plans and to provide a minimum investment option requirement for such plans. H.R. 1988 - To amend title I of the Employee Retirement Income Security Act of 1974 to provide for independent investment advice for participants and beneficiaries under individual account plans. H.R. 2989 - To amend the Employee Retirement Income Security Act of 1974 to provide special reporting and disclosure rules for individual account plans and to provide a minimum investment option requirement for such plans, to amend such Act to provide for independent investment advice for participants and beneficiaries under individual account plans, and to amend such Act and the Internal Revenue Code of 1986 to provide transitional relief under certain pension funding rules added by the Pension Protection Act of 2006. H.R. 2779 - To amend the Internal Revenue Code of 1986 to provide transparency with respect to fees and expenses charged to participant-directed defined contribution plans, and to improve participant communication. S. 697 - A bill to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes. H.R. 1721 - To amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes. H.R. 2733 - To clarify the exemption for certain annuity contracts and insurance policies from Federal regulation under the Securities Act of 1933.
2010 · fourth_quarter · Health Issues
- HR 109, "To provide for the offering of Health Benefit Plans to individuals, to increase funding for State high risk health insurance pools, and to promote best practice protocols for State high risk pools" a/k/a "America's Affordable Health Care Act", regarding all provisions. - S 391/HR 1321, "A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away" a/k/a "Healthy Americans Act", regarding all provisions. - HR 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" a/k/a "American Recovery and Reinvestment Act of 2009", regarding COBRA Benefits Section 3002 and Comparative Effectiveness Council Section 9201. - HR 2096/S 702, "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", a/k/a "The Long-Term Care Affordability and Security Act of 2009", regarding all provisions. - S 1177, "A bill to improve consumer protections for purchasers of long-term care insurance, and for other purposes", a/k/a "Long-Term Care Insurance Act of 2009", regarding all provisions. - HR 2520, "To provide comprehensive solutions for the health care system of the United States, and for other purposes", a/k/a "Patients Choice Act", regarding all provisions. - S 1099, "A bill to provide comprehensive solutions for the health care system of the United States, and for other purposes", a/k/a "Patients Choice Act", regarding all provisions. - S 1213, "A bill to amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Patient-Centered Outcomes Research Trust Fund, and for other purposes", a/k/a "Patient-Centered Outcome Research Act of 2009", regarding all provisions. - HR 1721/S 697, "A bill to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes", a/k/a "Community Living Assistance Services and Supports Act", regarding all provisions. - 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", a/k/a "Affordable Health Choices Act", regarding all provisions. - S 1730, "A bill to provide for minimum loss ratios for health insurance coverage", a/k/a "Fairness in Health Insurance Act of 2009", regarding all provisions. - HR 3200, "To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes", a/k/a "America's Affordable Health Choices Act of 2009" regarding all provisions. - HR 3962, "To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes", a/k/a, "Affordable Health Care for America Act", regarding all provisions. - HR 3590, "Patient Protection & Affordable Care Act", regarding all provisions. - S 1636, "A bill to develop a model disclosure form to assist consumers in purchasing long-term care insurance", a/k/a "Long-Term Care Insurance Consumer Right-to-Know Act", regarding all provisions. - HR 4372, "Health Care and Education Affordability Reconciliation Act", regarding all provisions.
| Democratic |
| RI |
| Sherrod Brown | Democratic | OH |
| Tom Harkin | Democratic | IA |
Client expense: $80,000 · Firm income: Not reported
Government targets: AMTRAK - Natl Railroad Passenger Corporation, Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Client expense: $1,000,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC), U.S. Trade Representative (USTR)
2010 · fourth_quarter · Insurance
- HR 1721/ S 697, "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", a/k/a, "Long-Term Care Affordability and Security Act of 2009", regarding all provisions. - S 434, "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" a/k/a "Empowered at Home Act", regarding all provisions. - HR 897, "To amend the Internal Revenue Code of 1986 to allow individuals a deduction for qualified long-term care insurance premiums, use of such insurance under cafeteria plans and flexible spending arrangements, and a credit for individuals with long-term care needs" a/k/a "Long-Term Care and Retirement Security Act of 2009", regarding all provisions. - HR 1880, "To establish a system of regulation and supervision for insurers, insurance agencies, and insurance producers chartered or licensed under Federal law that ensures the stability and financial integrity of those insurers, agencies, and producers and that protects policyholders and other consumers served by such insurers, agencies, or producers", a/k/a "The National Insurance Consumer Protection Act", regarding all provisions. - HR 2609, "To establish an Office of Insurance Information in the Department of the Treasury", a/k/a "Insurance Information Act of 2009", regarding all provisions. -HR 2554, "To reform the National Association of Registered Agents and Brokers, and for other purposes", regarding all provisions. - HR 1721/S 697, "A bill to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes", a/k/a "Community Living Assistance Services and Supports Act", regarding all provisions. - S 1177, "A bill to improve consumer protections for purchasers of long-term care insurance, and for other purposes", a/k/a "Long-Term Care Insurance Act of 2009", regarding all provisions. - HR 2096, "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", a/k/a "The Long-Term Care Affordability and Security Act of 2009", regarding all provisions. - The Administration's Regulatory Reform Proposal, regarding all provisions. - HR 4173, "To provide for financial regulatory reform, to protect consumers and investors, to enhance Federal understanding of insurance issues, to regulate the over-the-counter derivatives markets, and for other purposes", a/k/a "Wall Street Reform & Consumer Protection Act of 2009", regarding Title VI and Title I Subtitle G. - HR 3126, "To establish the Consumer Financial Protection Agency, and for other purposes", a/k/a, "Consumer Financial Protection Agency Act of 2009", regarding all provisions. - "Restoring American Financial Stability Act", regarding all provisions.
Client expense: $1,000,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC), U.S. Trade Representative (USTR)
2010 · fourth_quarter · Health Issues
H.R. 1032/S422 - HEART for Women Act H.R. 1210 - Arthritis Prevention, Control and Cure Act H.R. 2345- A bill to Amend the Fair and Accurate Credit Transactions Act of 2003 H.R. 3014- Health Information Technology Financing Act of 2009 Prevention Initiatives S. 697- Community Living Assistance Services and Supports Act Comparative Effectiveness Physical Therapy involvement on President's Council on Physical Fitness and Sports Healthy People 2020 Rehabilitation as an essential benefit in Health Care Reform S. 2741- Rural Telemedicine Enhancing Community Health Act Non-discrimination in Health Care Reform H.R. 3590- Patient Protection and Affordable Care Act H.R. 4872-Health Care & Education Affordability Reconciliation Act H.R. 4662- Lymphedema Diagnosis and Treatment Cost Saving Act of 2010 Access to Affordable Healthcare Reducing Health Disparities Eliminating Arbitrary Limits on Benefits Adequate Healthcare Workforce Eliminate Referral for Profit Expanding HIT incentives Falls Awareness/ Falls Prevention Traumatic Brain Injury Awareness H.R. 6172 Protecting Student Athletes From Concussions Act H.R. 1347 Concussion Treatment & Care Tools Act of 2009 S. Res. 633 National Falls Prevention Day Supporting the International Convention on the Rights of Persons with Disabilities (CRPD) Patient Rights & Market Reforms H.Res. 1438 The Peripheral Arterial Disease (P.A.D.) Resolution Quality H.R. 3851/S. 1810 Physical Activity Guidelines for American Act Comments on the Role of Physical Therapy in Multidisciplinary Pain Programs for Chronis Non-Cancer Pain Nomination for Interangency Pain Research Coordinating Committee Comments on the Role of Physical Therapy in Wheeled Mobility Service Delivery Comments on Role of Physical Therapy in Comparative Effectiveness of for Kneww Pain Secondary to Osteoarthritis Comments on Role of Physical Therapy in Future Research Needs for the Treatment of Common Hip Fractures S. 3987 Red Flag Program Clarification Act H.R. 1086- Help Efficient, Accessible, Low-Cost, Timely Healthcare Act (HEALTH) H.R. 5690- MedMal Act- Meaningful End to Defensive Medicine & Aimless Lawsuits Act National Public Health Initiative on Diabetes Preservation of Public Health & Prevention Fund
Client expense: $240,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office
2010 · fourth_quarter · Labor Issues/Antitrust/Workplace
H.R. 3590: Patient Protection and Affordable Care Act H.R. 2847: The Hiring Incentives to Restore Employment (HIRE) Act H.R. 4872: Health Care & Education Affordability Act (Reconciliation Bill) S. 478: A bill to amend the National Labor Relations Act, to ensure the right of employees to a secret-ballot election conducted by the National Labor Relations Board. S. 245: A bill to expend, train, and support all sectors of the health care workforce for the growing population of older individuals in the United States. S. 697: A bill to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have chioices about community participation, education, and employment, and for other purposes. H.R. 4321: American Workers, State, Business Relief Act of 2010. S.1022: A bill to amend the Public Health Service Act to establish a graduate degree loan repayment program for nurses who become nursing school faculty members. S.560: A bill to amend the National Labor Relations Act to establish an efficient system to enable employees to form, join, or assist labor organizations, to provide for mandatory injunctions for unfair labor practices during the organizing efforts, and for other purposes. H.R. 2536: To provide relief for the shortage of nurses in the United States, and for other purposes. H.R. 1946: To amend the Public Health Service Act to address health workforce shortages. H.R. 1409: To amend the National Labor Relations Act to establish an efficient system to enable employees to form, join, or assist labor organizations, to provide for mandatory injunctions for unfair labor practices furing organizing efforts, and for other purposes. H.R. 1176: To amend the National Labor Relations Act to ensure the right of employees to a secret-ballot election conducted by the National Labor Relations Board. H.R. 468: To expand, train, and support all sectors of the health care workforce to care for the growing population of older individuals in the United States. H.R. 1788: To amend the provisions of title 31, United States Code, relating to false claims to clarify and make technical amendments to those provisions, and for other purposes. H.R. 1460: To amend the Public Health Service Act to establish a graduate degree loan repayment program for nurses who become nursing school faculty members. H.R. 2381: To direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, direct care registered nurses, and all other health care workers by establishing a safe patient handling and injury prevention standard, and for other purposes. H.R. 4213: American Jobs and Closing Tax Loopholes Act of 2010. H.R. 868: Direct Support Professionals Fairness and Security Act of 2009. S. 3772: Paycheck Fairness Act. Dept. of Labor, Wage and Hour Division: Child Labor Law final rule, 29 CFR parts 570 and 579.
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
2010 · third_quarter · Health Issues
H.R. 3200, S. 1679, America's Affordable Health Choices Act of 2009, all provisions H.R. 4872, Health Care and Education Reconciliation Act of 2010, all provisions S. 697, H.R. 3001Community Living Assistance Services And Supports (CLASS) Act, all provisions H.R. 3950, Patient Protection and Affordable Care Act, all provisions
Client expense: $2,180,000 · Firm income: Not reported
Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR)
2010 · fourth_quarter · Health Issues
H.R. 3200, S. 1679, America's Affordable Health Choices Act of 2009, all provisions H.R. 4872, Health Care and Education Reconciliation Act of 2010, all provisions S. 697, H.R. 3001Community Living Assistance Services And Supports (CLASS) Act, all provisions H.R. 3950, Patient Protection and Affordable Care Act, all provisions
Client expense: $2,000,000 · Firm income: Not reported
Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR)
2010 · fourth_quarter · Health Issues
H.R. 3200, S. 1679, America's Affordable Health Choices Act of 2009, all provisions H.R. 4872, Health Care and Education Reconciliation Act of 2010, all provisions S. 697, H.R. 3001Community Living Assistance Services And Supports (CLASS) Act, all provisions H.R. 3950, Patient Protection and Affordable Care Act, all provisions
Client expense: $2,000,000 · Firm income: Not reported
Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR)
2010 · fourth_quarter · Medicare/Medicaid
Long term health care, tax reform, taxation of life insurance companies, mortgage insurance and housing; H.R.1, American Recovery and Reinvestment Act of 2009; S.1679, The Affordable Health Choices Act; H.R. 3200, America's Affordable Health Choices Act of 2009; S. 1796, America's Healthy Future Act; H.R.3126, Consumer Financial Protection Agency Act; H.R. 4173, Wall Street Reform and Consumer Protection Act; S.3217, Restoring American Financial Stability Act of 2010; S.697, CLASS Act; H.R. 5981, FHA premiums bill
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · fourth_quarter · Insurance
Long term health care, tax reform, taxation of life insurance companies, mortgage insurance and housing; H.R.1, American Recovery and Reinvestment Act of 2009; S.1679, The Affordable Health Choices Act; H.R. 3200, America's Affordable Health Choices Act of 2009; S. 1796, America's Healthy Future Act; H.R.3126, Consumer Financial Protection Agency Act; H.R. 4173, Wall Street Reform and Consumer Protection Act; S.3217, Restoring American Financial Stability Act of 2010; S.697, CLASS Act; H.R. 5981, FHA premiums bill
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · fourth_quarter · Banking
Long term health care, tax reform, taxation of life insurance companies, mortgage insurance and housing; H.R.1, American Recovery and Reinvestment Act of 2009; S.1679, The Affordable Health Choices Act; H.R. 3200, America's Affordable Health Choices Act of 2009; S. 1796, America's Healthy Future Act; H.R.3126, Consumer Financial Protection Agency Act; H.R. 4173, Wall Street Reform and Consumer Protection Act; S.3217, Restoring American Financial Stability Act of 2010; S.697, CLASS Act; H.R. 5981, FHA premiums bill
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · fourth_quarter · Taxation/Internal Revenue Code
Long term health care, tax reform, taxation of life insurance companies, mortgage insurance and housing; H.R.1, American Recovery and Reinvestment Act of 2009; S.1679, The Affordable Health Choices Act; H.R. 3200, America's Affordable Health Choices Act of 2009; S. 1796, America's Healthy Future Act; H.R.3126, Consumer Financial Protection Agency Act; H.R. 4173, Wall Street Reform and Consumer Protection Act; S.3217, Restoring American Financial Stability Act of 2010; S.697, CLASS Act; H.R. 5981, FHA premiums bill
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · fourth_quarter · Health Issues
Long term health care, tax reform, taxation of life insurance companies, mortgage insurance and housing; H.R.1, American Recovery and Reinvestment Act of 2009; S.1679, The Affordable Health Choices Act; H.R. 3200, America's Affordable Health Choices Act of 2009; S. 1796, America's Healthy Future Act; H.R.3126, Consumer Financial Protection Agency Act; H.R. 4173, Wall Street Reform and Consumer Protection Act; S.3217, Restoring American Financial Stability Act of 2010; S.697, CLASS Act; H.R. 5981, FHA premiums bill
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · fourth_quarter · Financial Institutions/Investments/Securities
Long term health care, tax reform, taxation of life insurance companies, mortgage insurance and housing; H.R.1, American Recovery and Reinvestment Act of 2009; S.1679, The Affordable Health Choices Act; H.R. 3200, America's Affordable Health Choices Act of 2009; S. 1796, America's Healthy Future Act; H.R.3126, Consumer Financial Protection Agency Act; H.R. 4173, Wall Street Reform and Consumer Protection Act; S.3217, Restoring American Financial Stability Act of 2010; S.697, CLASS Act; H.R. 5981, FHA premiums bill
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · fourth_quarter · Housing
Long term health care, tax reform, taxation of life insurance companies, mortgage insurance and housing; H.R.1, American Recovery and Reinvestment Act of 2009; S.1679, The Affordable Health Choices Act; H.R. 3200, America's Affordable Health Choices Act of 2009; S. 1796, America's Healthy Future Act; H.R.3126, Consumer Financial Protection Agency Act; H.R. 4173, Wall Street Reform and Consumer Protection Act; S.3217, Restoring American Financial Stability Act of 2010; S.697, CLASS Act; H.R. 5981, FHA premiums bill
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · fourth_quarter · Retirement
Long term health care, tax reform, taxation of life insurance companies, mortgage insurance and housing; H.R.1, American Recovery and Reinvestment Act of 2009; S.1679, The Affordable Health Choices Act; H.R. 3200, America's Affordable Health Choices Act of 2009; S. 1796, America's Healthy Future Act; H.R.3126, Consumer Financial Protection Agency Act; H.R. 4173, Wall Street Reform and Consumer Protection Act; S.3217, Restoring American Financial Stability Act of 2010; S.697, CLASS Act; H.R. 5981, FHA premiums bill
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · fourth_quarter · Health Issues
S. 697/H.R. 1721: Community Living Assistance Services and Supports (CLASS Act) -- all sections H.R. 3590: Patient Protection and Affordable Care Act -- sections related to home health, hospice, CLASS, and fraud and abuse
Client expense: $110,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2010 · fourth_quarter · Health Issues
H.R.1192 To amend the Internal Revenue Code of 1986 to provide more help to Alzheimer's disease caregivers. Long Term Care Trust Accounts Act S.702 Long Term Care Affordability and Security Act S.697 CLASS Act S1177 Confidence In LongTerm Care Insurance Act of 2009 H.R.519 To authorize additional appropriations for the family caregiver support program under the Older Americans Act of 1965, and for the National Clearinghouse for Long-Term Care Information, for fiscal years 2010, 2011, and 2012 H.R.2096 Long Term Care Cafeteria and Flexible Spending Account H.R.1721 CLASS Act H.R.897 Deduction for Long Term Care Insurance Premiums under Cafeteria Plans and Flexible Spending Arrangements S.1626 Long Term Care insurance Integrity Act of 2009 S.1796 An original bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes H.R.3200 America's Affordable Health Choices Right-to-Know Act of 2009 S.1679 Affordable Health Choices Act H.R.3962 Affordable Healthcare for America Act S1728 Patient Protection and Affordable Care Act of 2009 HR5890 Long Term Insurance Reform Act of 2010
Client expense: $900,000 · Firm income: Not reported
Government targets: Federal Deposit Insurance Corporation (FDIC), Federal Housing Finance Agency (FHFA), HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of
2010 · fourth_quarter · Health Issues
1. S. 750, the "Caring for an Aging America Act of 2009," a bill to provide for the establishment of a new geriatric and gerontology loan repayment program. Support all provisions. 2. S. 245/H.R. 468, the "Retooling the Health Care Workforce for an Aging American Act of 2009". This bill addresses the current and future shortage of health care personnel who are trained to care for older adults. Support all provisions. 3. S. 682, the "Mental Health on Campus Improvement Act," to amend the Public Health Service Act to improve mental and behavioral services on college campuses. Support all provisions. 4. S. 697, the "Community Living Assistance Supports and Services Act (CLASS Act)," to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment. Support all provisions. Support inclusion of provisions of this bill in healht care reform legislation (H.R. 3590). 5. H.R. 1457, the "Geriatrics Loan Forgiveness Act of 2009," 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, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professional Shortage Area. Support all provisions. 6. Discussed with House and Senate staff the need to include older adults in clinical trials. 7. Support comparative effectiveness research focused specifically on treatments for older adults and mental illness. 8. Support programs to reverse the declining numbers of geriatric specialists. 9. Support legislation to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. 10. Support H.R. 1932/S. 999, the "Child Health Care Crisis Relief Act," to address the national shortage of children's mental health professionals, including school-based professionals, by encouraging more individuals to enter these critical fields. 11. S. 678, "Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009". Support all provisions, but especially those that strengthen protections for those in the criminal and juvenile justices systems with needs related to mental health and substance abuse. 12. Support H.R. 2901, "Healthy Transitions Act," to provide access to knowledge, skills, and supports that are necessary for a successful transition to adulthood for young adults with mental health disorders. The bill would provide technical and monetary assistance to states as they implement plans to develop a coordinated service delivery system in order to maximize continuity of care and access to services. The bill would also establish planning and implementation grants to assist peer support programs and programs promoting independent living, life skills, employment, and education. 13. Support H.R. 1193, the "Federal Response to Eliminate Easting Disorders Act" (H.R. 1193/S. 3260), to create Centers of Excellence dedicated to research collaboration, create a Center of Epidemiology to study the prevalence, economic impact and related morbidity and mortality rates of eating disorders, provide for evidence-based standards of care, establish education and prevention grant programs for training of health professionals and schools at all levels, provide public service announcements, and enhance access to care for those who suffer from eating disorders. 14. Support H.R. 2531, the "Mental Health in Schools Act of 2009," to authorize competitive grants to local school districts to assist them in early mental health interventions and referrals for treatment, to provide supports for students and their families, and to allow for staff training to be culturally and linguistically appropriate. 15. H. R. 3191 and S. 3698, the "Positive Aging Act," to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. Support all provisions. 16. Support S. 1857 and H. R. 4204, to establish national centers of excellence for the treatment of depression and bipolar disorders. 17. Support S. 2928, to include direct care workers as a priority for the National Health Care Workforce Commission. 18. Support efforts to strengthen existing Title VII geriatric health professions education programs. 19. Support H.R. 5466, the "SAMHSA Modernization Act of 2010," to reauthorize programs administered by the Substance Abuse and Mental Health Services Administration. Support provisions to improve the accessibility and quality of mental heatlh services for the elderly. 20. Support H.R. 5040, the "Health Information Technology Extension for Behavioral Health Sciences Act of 2010," to extend the meaningful use incentives established through the American Recovery and Reinvestment Act to mental health and substance abuse providers and facilities, including psychiatric hospitals, community mental health centers, mental health treatment facilities, clinical psychologists and social workers.
Client expense: $20,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · fourth_quarter · Health Issues
S. 683/H.R. 1670, Community Choice Act of 2009, provisions related to Developmental Disabilities H.R.1721/S.697, The Community Living Assistance Services & Supports Act (CLASS Act), provisions related to Developmental Disabilities H.R.2413/S.819, Autism Treatment Acceleration Act, provisions related to Developmental Disabilities H.R.3184/S.1186, Medicare Independent Living Act of 2009, provisions related to Developmental Disabilities Public Law 111-148, Patient Protection and Affordable Care Act, provisions related to Developmental Disabilities Public Law 111-152, Health Care and Education Reconciliation Act of 2010, provisions related to Developmental Disabilities S.4044, Combating Autism Reauthorization Act of 2010, provisions related to Developmental Disabilities
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2010 · third_quarter · Health Issues
Health care reform and issues in both health care reform and independent legislation. See following page. See also Medicare and Medicaid. Support implementation of comprehensive health care reform legislation (Patient Protection and Affordable Care Act, HR 3590 and Health Care & Education Reconciliation Act of 201, HR 4872) and the related goals of reducing costs, improving quality and expanding health care coverage for Americans with disabilities and chronic conditions and all Americans (including those who lack health insurance). Issues with asterisks * indicate legislation pursued both as part of health care reform and independently. Issues include: Provide for health coverage that adequately meets the needs of people with disabilities and chronic conditions including -- Covering durable medical equipment, prosthetics and orthotics (DMEPOS) including but not limited to power wheelchairs that meet the individual needs of people with disabilities and chronic conditions, enable them to be as independent as possible, to live in their homes and participate in their communities, and enable them to be employed without fear of losing health care/services and supports they need. This includes retaining the first month purchase option for people who have permanent or long-term need for power wheelchairs and including DMEPOS as covered in essential health insurance benefits; delaying CMS competitive bidding program; and having DMEPOS included as essential benefits in health insurance coverage. Providing insurance market reforms, such as those included in House and/or Senate bills, that could greatly improve the lives of people with disabilities and chronic conditions by allowing increased access to health care, such as: --Requiring health insurers to provide the same coverage, charge the same premiums and renew policies to people no matter what their disability or other pre-existing or newly acquired conditions. Currently, unless they have employer-sponsored plans, people with disabilities are often denied coverage altogether, the policies exclude needed services or the premiums are way too costly. --Prohibiting annual and lifetime caps on coverage. People with serious injuries or conditions often quickly exceed these caps due to lengthy hospital stays and/or extensive rehabilitation -- Requiring health insurance to cover rehabilitation and habilitative services. -- Providing for a temporary high risk pool through which people with disabilities and other pre-existing conditions may obtain health insurance pending full implementation of health insurance market reforms. Concerns about the proposed excise tax on medical devices -- that an excise tax on manufacturers would increase their costs which are likely to be passed on to consumers, resulting in increased costs for medical equipment for people with disabilities and chronic conditions who depend on them. Providing for prevention and wellness including --Developing standards for accessible medical equipment; --Authorizing funds to establish a Prevention and Public Health Investment Fund; --Providing for community Transformation Grants that include focus on the needs of people with disabilities; -- Including disability status within data collection on health disparities; -- Proving training programs for primary care providers and dentistry professionals on how to treat individuals with disabilities; Concerns about well-intended wellness provisions that reward people for meeting health standards set by employers and insurance companies with potentially serious unintended onsequences that people with disabilities or other chronic conditions will be unable to meet the health or participation standards because of a limitation, and consequently they would have to pay more for their health coverage, including but not limited to higher deductibles, than people without disabilities or chronic conditions. Providing for comparative effectiveness research and using the resulting information in a way that respects that what works for many people will not work for all; Providing for home and community-based services and supports for people with disabilities and chronic conditions such as Community Living Assistance and Supports (CLASS) provisions* and the Community First ChoiceOption in health care reform. Support increasing Medicaid elibility to a nationwide standard for those whose incomes are up to 133% of the Federal Poverty Level. Since many people with disabilities have low incomes, this would extend Medicaid coverage to many people with disabilities, including childless adults. - Support elimination of Medicare Part D coverage gap (Part D "donut hole") and immediate $250 rebate for beneficiaries who fall into donut hole in 2010. continued next page Note -- Asterisk * indicates issue pursued both independently and as part of health care reform. CLASS Act* -- S. 697/H.R. 1721 included in HR 3590 (Senate health care reform bill) and HR 3962 (House health care reform bill) . Support legislation to establish a voluntary payroll deduction insurance plan so that people with disabilities will be able to pay for assistance with activities of daily living. This would enable them to remain in their homes and off of the Medicaid program. CBO estimates that the CLASS provisions will save Medicaid $2.5 billion in the first 10 years alone. Community Choice Act* (S. 683/H.R. 1670). Support legislation to make services in the home and community the norm under Medicaid - enabling people to stay in their homes and remain part of their communities rather than having to go into nursing homes or other institutions to receive needed services. Became Community First Choice Option in health care reform bills. End Medicares 24-month waiting period* - S 700/HR 1708. Support legislation to end the waiting period for Medicare for people who qualify for Title II Social Security disability benefits and people with life-threatening conditions. Comparative Effectiveness Research HR 2502/S 1213* Support legislation to create non-government independent entities to study the comparative effectiveness of treatments in health care. Mental Illness Chronic Care Improvement (MICCI) Act, S 1136* Support legislation to facilitate access to needed medical services. Amend the Medicare Savings Programs and the Low Income Subsidy* to align, simplify and increase income eligibility, eliminate or substantially increase asset limits, stabilize the programs and make administrative simplifications. First month purchase option* Advocated to maintain the current ability for Medicare beneficiaries to purchase their power wheelchair in the first month of use. Both the House and Senate included language in health reform that would require a beneficiary to rent a power wheelchair for 13 months before purchase. Supported inclusion in HR 3590 and HR 3962 of provisions to exempt Class III and higher power wheel chairs from the rental period and to retain the first-month purchase option under existing law. Community First Choice Option* would allow states to create Medicaid plans that would reverse the institutional bias in Medicaid. The option would provide a 6% increase in FMAP matching funds to states. Supported H.R.2575 to provide parity under group health plans and group health insurance coverage in the provision of benefits for prosthetic devices and orthotics devices, components and benefits for other medical and surgical services. Met with senior HHS officials to talk about implementation of health reform. See also Medicare and Medicaid.
Client expense: $80,000 · Firm income: Not reported
Government targets: AMTRAK - Natl Railroad Passenger Corporation, Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)
2010 · third_quarter · Health Issues
H.R.1192 To amend the Internal Revenue Code of 1986 to provide more help to Alzheimer's disease caregivers. Long Term Care Trust Accounts Act S.702 Long Term Care Affordability and Security Act S.697 CLASS Act S1177 Confidence In LongTerm Care Insurance Act of 2009 H.R.519 To authorize additional appropriations for the family caregiver support program under the Older Americans Act of 1965, and for the National Clearinghouse for Long-Term Care Information, for fiscal years 2010, 2011, and 2012 H.R.2096 Long Term Care Cafeteria and Flexible Spending Account H.R.1721 CLASS Act H.R.897 Deduction for Long Term Care Insurance Premiums under Cafeteria Plans and Flexible Spending Arrangements S.1626 Long Term Care insurance Integrity Act of 2009 S.1796 An original bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes H.R.3200 America's Affordable Health Choices Right-to-Know Act of 2009 S.1679 Affordable Health Choices Act H.R.3962 Affordable Healthcare for America Act S1728 Patient Protection and Affordable Care Act of 2009 HR5890 Long Term Insurance Reform Act of 2010
Client expense: $980,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · third_quarter · Health Issues
H.R. 3200 America's Affordable Health Choices Act S.245/H.R.468 - Retooling for an Aging America, Building the Healthcare workforce. All provisions relating to expanding education and training opportunities in geriatric and long-term care for licensed health professionals, direct care workers, and family caregivers. H.R.3590 Patient Protection and Affordable Care Act - All Sections related to care coordination, transitional care, long term care services and supports access to affordable insurance, provisions related to individuals with Alzheimer's disease and caregivers and provisions related to research including the Cures Acceleration Network. H.R. 4872 Health Care and Education Reconciliation Act of 2010 S.697/H.R.1721, The Community Living Assistance Services and Supports Act, all provisions relating to establishing a national, voluntary disability insurance program S.1004, Realigning Care Act, All Sections S.2809/H.R.4123 Alzheimers Treatment & Caregiver Support Act, All Sections S.3036/H.R.4689 National Alzheimers Project Act, All Sections H.R.908, Missing Alzheimer's Disease Patient Alert Program Reauthorization of 2009
Client expense: $50,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2010 · third_quarter · Health Issues
H.R. 3200, S. 1679, America's Affordable Health Choices Act of 2009, all provisions H.R. 4872, Health Care and Education Reconciliation Act of 2010, all provisions S. 697, H.R. 3001Community Living Assistance Services And Supports (CLASS) Act, all provisions H.R. 3950, Patient Protection and Affordable Care Act, all provisions
Client expense: $2,460,000 · Firm income: Not reported
Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR)
2010 · third_quarter · Insurance
- HR 1721/ S 697, "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", a/k/a, "Long-Term Care Affordability and Security Act of 2009", regarding all provisions. - S 434, "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" a/k/a "Empowered at Home Act", regarding all provisions. - HR 897, "To amend the Internal Revenue Code of 1986 to allow individuals a deduction for qualified long-term care insurance premiums, use of such insurance under cafeteria plans and flexible spending arrangements, and a credit for individuals with long-term care needs" a/k/a "Long-Term Care and Retirement Security Act of 2009", regarding all provisions. - HR 1880, "To establish a system of regulation and supervision for insurers, insurance agencies, and insurance producers chartered or licensed under Federal law that ensures the stability and financial integrity of those insurers, agencies, and producers and that protects policyholders and other consumers served by such insurers, agencies, or producers", a/k/a "The National Insurance Consumer Protection Act", regarding all provisions. - HR 2609, "To establish an Office of Insurance Information in the Department of the Treasury", a/k/a "Insurance Information Act of 2009", regarding all provisions. -HR 2554, "To reform the National Association of Registered Agents and Brokers, and for other purposes", regarding all provisions. - HR 1721/S 697, "A bill to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes", a/k/a "Community Living Assistance Services and Supports Act", regarding all provisions. - S 1177, "A bill to improve consumer protections for purchasers of long-term care insurance, and for other purposes", a/k/a "Long-Term Care Insurance Act of 2009", regarding all provisions. - HR 2096, "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", a/k/a "The Long-Term Care Affordability and Security Act of 2009", regarding all provisions. - The Administration's Regulatory Reform Proposal, regarding all provisions. - HR 4173, "To provide for financial regulatory reform, to protect consumers and investors, to enhance Federal understanding of insurance issues, to regulate the over-the-counter derivatives markets, and for other purposes", a/k/a "Wall Street Reform & Consumer Protection Act of 2009", regarding Title VI and Title I Subtitle G. - HR 3126, "To establish the Consumer Financial Protection Agency, and for other purposes", a/k/a, "Consumer Financial Protection Agency Act of 2009", regarding all provisions. - "Restoring American Financial Stability Act", regarding all provisions.
Client expense: $1,150,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC), U.S. Trade Representative (USTR)
2010 · third_quarter · Health Issues
- HR 109, "To provide for the offering of Health Benefit Plans to individuals, to increase funding for State high risk health insurance pools, and to promote best practice protocols for State high risk pools" a/k/a "America's Affordable Health Care Act", regarding all provisions. - S 391/HR 1321, "A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away" a/k/a "Healthy Americans Act", regarding all provisions. - HR 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" a/k/a "American Recovery and Reinvestment Act of 2009", regarding COBRA Benefits Section 3002 and Comparative Effectiveness Council Section 9201. - HR 2096/S 702, "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", a/k/a "The Long-Term Care Affordability and Security Act of 2009", regarding all provisions. - S 1177, "A bill to improve consumer protections for purchasers of long-term care insurance, and for other purposes", a/k/a "Long-Term Care Insurance Act of 2009", regarding all provisions. - HR 2520, "To provide comprehensive solutions for the health care system of the United States, and for other purposes", a/k/a "Patients Choice Act", regarding all provisions. - S 1099, "A bill to provide comprehensive solutions for the health care system of the United States, and for other purposes", a/k/a "Patients Choice Act", regarding all provisions. - S 1213, "A bill to amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Patient-Centered Outcomes Research Trust Fund, and for other purposes", a/k/a "Patient-Centered Outcome Research Act of 2009", regarding all provisions. - HR 1721/S 697, "A bill to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes", a/k/a "Community Living Assistance Services and Supports Act", regarding all provisions. - 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", a/k/a "Affordable Health Choices Act", regarding all provisions. - S 1730, "A bill to provide for minimum loss ratios for health insurance coverage", a/k/a "Fairness in Health Insurance Act of 2009", regarding all provisions. - HR 3200, "To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes", a/k/a "America's Affordable Health Choices Act of 2009" regarding all provisions. - HR 3962, "To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes", a/k/a, "Affordable Health Care for America Act", regarding all provisions. - HR 3590, "Patient Protection & Affordable Care Act", regarding all provisions. - S 1636, "A bill to develop a model disclosure form to assist consumers in purchasing long-term care insurance", a/k/a "Long-Term Care Insurance Consumer Right-to-Know Act", regarding all provisions. - HR 4372, "Health Care and Education Affordability Reconciliation Act", regarding all provisions.
Client expense: $1,150,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC), U.S. Trade Representative (USTR)
2010 · third_quarter · Labor Issues/Antitrust/Workplace
H.R. 3590: Patient Protection and Affordable Care Act H.R. 2847: The Hiring Incentives to Restore Employment (HIRE) Act H.R. 4872: Health Care & Education Affordability Act (Reconciliation Bill) S. 478: A bill to amend the National Labor Relations Act, to ensure the right of employees to a secret-ballot election conducted by the National Labor Relations Board. S. 245: A bill to expend, train, and support all sectors of the health care workforce for the growing population of older individuals in the United States. S. 697: A bill to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have chioices about community participation, education, and employment, and for other purposes. H.R. 4321: American Workers, State, Business Relief Act of 2010. S.1022: A bill to amend the Public Health Service Act to establish a graduate degree loan repayment program for nurses who become nursing school faculty members. S.560: A bill to amend the National Labor Relations Act to establish an efficient system to enable employees to form, join, or assist labor organizations, to provide for mandatory injunctions for unfair labor practices during the organizing efforts, and for other purposes. H.R. 2536: To provide relief for the shortage of nurses in the United States, and for other purposes. H.R. 1946: To amend the Public Health Service Act to address health workforce shortages. H.R. 1409: To amend the National Labor Relations Act to establish an efficient system to enable employees to form, join, or assist labor organizations, to provide for mandatory injunctions for unfair labor practices furing organizing efforts, and for other purposes. H.R. 1176: To amend the National Labor Relations Act to ensure the right of employees to a secret-ballot election conducted bu the National Labor Relations Board. H.R. 468: To expand, train, and support all sectors of the health care workforce to care for the growing population of older individuals in the United States. H.R. 1788: To amend the provisions of title 31, United States Code, relating to false claims to clarify and make technical amendments to those provisions, and for other purposes. H.R. 1460: To amend the Public Health Service Act to establish a graduate degree loan repayment program for nurses who become nursing school faculty members. H.R. 2381: To direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, direct care registered nurses, and all other health care workers by establishing a safe patient heandling and injury prevention standard, and for other purposes. H.R. 4213: American Jobs and Closing Tax Loopholes Act of 2010. H.R. 868: Direct Support Professionals Fairness and Security Act of 2009. Dept. of Labor, Wage and Hour Division: Child Labor Law final rule, 29 CFR parts 570 and 579.
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
2010 · second_quarter · Health Issues
H.R. 1032/S422 - HEART for Women Act H.R. 1210 - Arthritis Prevention, Control and Cure Act H.R. 2345- A bill to Amend the Fair and Accurate Credit Transactions Act of 2003 H.R. 3014- Health Information Technology Financing Act of 2009 Prevention Initiatives S. 697- Community Living Assistance Services and Supports Act Comparative Effectiveness Physical Therapy involvement on President's Council on Physical Fitness and Sports Healthy People 2020 Rehabilitation as an essential benefit in Health Care Reform S. 2741- Rural Telemedicine Enhancing Community Health Act Non-discrimination in Health Care Reform H.R. 3590- Patient Protection and Affordable Care Act H.R. 4872-Health Care & Education Affordability Reconciliation Act H.R. 4662- Lymphedema Diagnosis and Treatment Cost Saving Act of 2010 Access to Affordable Healthcare Reducing Health Disparities Eliminating Arbitrary Limits on Benefits Adequate Healthcare Workforce Eliminate Referral for Profit Expanding HIT incentives Falls Awareness Traumatic Brain Injury Awareness Nomination for National Health Care Workforce Commission Nomination for Patient-Centered Outcomes Research Institute Board of Governors
Client expense: $280,000 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office
2010 · third_quarter · Insurance
Long term health care, tax reform, taxation of life insurance companies, mortgage insurance and housing; H.R.1, American Recovery and Reinvestment Act of 2009; S.1679, The Affordable Health Choices Act; H.R. 3200, America's Affordable Health Choices Act of 2009; S. 1796, America's Healthy Future Act; H.R.3126, Consumer Financial Protection Agency Act; H.R. 4173, Wall Street Reform and Consumer Protection Act; S.3217, Restoring American Financial Stability Act of 2010; S.697, CLASS Act; H.R. 5981, FHA premiums bill
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · third_quarter · Taxation/Internal Revenue Code
Long term health care, tax reform, taxation of life insurance companies, mortgage insurance and housing; H.R.1, American Recovery and Reinvestment Act of 2009; S.1679, The Affordable Health Choices Act; H.R. 3200, America's Affordable Health Choices Act of 2009; S. 1796, America's Healthy Future Act; H.R.3126, Consumer Financial Protection Agency Act; H.R. 4173, Wall Street Reform and Consumer Protection Act; S.3217, Restoring American Financial Stability Act of 2010; S.697, CLASS Act; H.R. 5981, FHA premiums bill
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · third_quarter · Banking
Long term health care, tax reform, taxation of life insurance companies, mortgage insurance and housing; H.R.1, American Recovery and Reinvestment Act of 2009; S.1679, The Affordable Health Choices Act; H.R. 3200, America's Affordable Health Choices Act of 2009; S. 1796, America's Healthy Future Act; H.R.3126, Consumer Financial Protection Agency Act; H.R. 4173, Wall Street Reform and Consumer Protection Act; S.3217, Restoring American Financial Stability Act of 2010; S.697, CLASS Act; H.R. 5981, FHA premiums bill
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · third_quarter · Health Issues
Long term health care, tax reform, taxation of life insurance companies, mortgage insurance and housing; H.R.1, American Recovery and Reinvestment Act of 2009; S.1679, The Affordable Health Choices Act; H.R. 3200, America's Affordable Health Choices Act of 2009; S. 1796, America's Healthy Future Act; H.R.3126, Consumer Financial Protection Agency Act; H.R. 4173, Wall Street Reform and Consumer Protection Act; S.3217, Restoring American Financial Stability Act of 2010; S.697, CLASS Act; H.R. 5981, FHA premiums bill
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · third_quarter · Retirement
Long term health care, tax reform, taxation of life insurance companies, mortgage insurance and housing; H.R.1, American Recovery and Reinvestment Act of 2009; S.1679, The Affordable Health Choices Act; H.R. 3200, America's Affordable Health Choices Act of 2009; S. 1796, America's Healthy Future Act; H.R.3126, Consumer Financial Protection Agency Act; H.R. 4173, Wall Street Reform and Consumer Protection Act; S.3217, Restoring American Financial Stability Act of 2010; S.697, CLASS Act; H.R. 5981, FHA premiums bill
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · third_quarter · Medicare/Medicaid
Long term health care, tax reform, taxation of life insurance companies, mortgage insurance and housing; H.R.1, American Recovery and Reinvestment Act of 2009; S.1679, The Affordable Health Choices Act; H.R. 3200, America's Affordable Health Choices Act of 2009; S. 1796, America's Healthy Future Act; H.R.3126, Consumer Financial Protection Agency Act; H.R. 4173, Wall Street Reform and Consumer Protection Act; S.3217, Restoring American Financial Stability Act of 2010; S.697, CLASS Act; H.R. 5981, FHA premiums bill
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · third_quarter · Housing
Long term health care, tax reform, taxation of life insurance companies, mortgage insurance and housing; H.R.1, American Recovery and Reinvestment Act of 2009; S.1679, The Affordable Health Choices Act; H.R. 3200, America's Affordable Health Choices Act of 2009; S. 1796, America's Healthy Future Act; H.R.3126, Consumer Financial Protection Agency Act; H.R. 4173, Wall Street Reform and Consumer Protection Act; S.3217, Restoring American Financial Stability Act of 2010; S.697, CLASS Act; H.R. 5981, FHA premiums bill
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · third_quarter · Financial Institutions/Investments/Securities
Long term health care, tax reform, taxation of life insurance companies, mortgage insurance and housing; H.R.1, American Recovery and Reinvestment Act of 2009; S.1679, The Affordable Health Choices Act; H.R. 3200, America's Affordable Health Choices Act of 2009; S. 1796, America's Healthy Future Act; H.R.3126, Consumer Financial Protection Agency Act; H.R. 4173, Wall Street Reform and Consumer Protection Act; S.3217, Restoring American Financial Stability Act of 2010; S.697, CLASS Act; H.R. 5981, FHA premiums bill
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · third_quarter · Housing
HR 5072, FHA Reform Act of 2010 HR 1728, Mortgage Reform and Anti-Predatory Lending Act HR 3126, Consumer Financial Protection Agency Act of 2009 HR 4173, Wall Street and Consumer Protection Act S 697, HR 1721, CLASS Act S __, Restoring American Financial Stability Act of 2009
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · third_quarter · Health Issues
S. 683/H.R. 1670, Community Choice Act of 2009, provisions related to Developmental Disabilities H.R.1721/S.697, The Community Living Assistance Services & Supports Act (CLASS Act), provisions related to Developmental Disabilities H.R.2413/S.819, Autism Treatment Acceleration Act, provisions related to Developmental Disabilities H.R.3184/S.1186, Medicare Independent Living Act of 2009, provisions related to Developmental Disabilities Public Law 111-148, Patient Protection and Affordable Care Act, provisions related to Developmental Disabilities Public Law 111-152, Health Care and Education Reconciliation Act of 2010, provisions related to Developmental Disabilities
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2010 · third_quarter · Health Issues
H.R. 1032/S422 - HEART for Women Act H.R. 1210 - Arthritis Prevention, Control and Cure Act H.R. 2345- A bill to Amend the Fair and Accurate Credit Transactions Act of 2003 H.R. 3014- Health Information Technology Financing Act of 2009 Prevention Initiatives S. 697- Community Living Assistance Services and Supports Act Comparative Effectiveness Physical Therapy involvement on President's Council on Physical Fitness and Sports Healthy People 2020 Rehabilitation as an essential benefit in Health Care Reform S. 2741- Rural Telemedicine Enhancing Community Health Act Non-discrimination in Health Care Reform H.R. 3590- Patient Protection and Affordable Care Act H.R. 4872-Health Care & Education Affordability Reconciliation Act H.R. 4662- Lymphedema Diagnosis and Treatment Cost Saving Act of 2010 Access to Affordable Healthcare Reducing Health Disparities Eliminating Arbitrary Limits on Benefits Adequate Healthcare Workforce Eliminate Referral for Profit Expanding HIT incentives Falls Awareness Traumatic Brain Injury Awareness Nomination for National Health Care Workforce Commission Nomination for Patient-Centered Outcomes Research Institute Board of Governors H.R. 6172 Protecting Student Athletes From Concussions Act H.R. 1347 Concussion Treatment & Care Tools Act of 2009 S. Res. 633 National Falls Prevention Day Supporting the International Convention on the Rights of Persons with Disabilities (CRPD) Patient Rights & Market Reforms H.Res. 1438 The Peripheral Arterial Disease (P.A.D.) Resolution Quality
Client expense: $310,000 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office
2010 · third_quarter · Health Issues
S. 697/H.R. 1721 - Community Living Assistance Services and Supports (CLASS Act) - All sections H.R. 3590: Patient Protection and Affordable Care Act, H.R. 3590 - sections related to home health, hospice, CLASS, and fraud and abuse H.R. 3962: Affordable Health Care for America Act - sections related to home health, hospice, CLASS and fraud and abuse
Client expense: $320,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2010 · third_quarter · Retirement
H.R. 2748 - To amend the Internal Revenue Code of 1986 to encourage guaranteed lifetime income payments by excluding from income a portion of such payments. S. 1389 - A bill to clarify the exemption for certain annuity contracts and insurance policies from Federal regulation under the Securities Act of 1933. H.R. 1984 - To amend title I of the Employee Retirement Income Security Act of 1974 to provide special reporting and disclosure rules for individual account plans and to provide a minimum investment option requirement for such plans. H.R. 1988 - To amend title I of the Employee Retirement Income Security Act of 1974 to provide for independent investment advice for participants and beneficiaries under individual account plans. H.R. 2989 - To amend the Employee Retirement Income Security Act of 1974 to provide special reporting and disclosure rules for individual account plans and to provide a minimum investment option requirement for such plans, to amend such Act to provide for independent investment advice for participants and beneficiaries under individual account plans, and to amend such Act and the Internal Revenue Code of 1986 to provide transitional relief under certain pension funding rules added by the Pension Protection Act of 2006. H.R. 2779 - To amend the Internal Revenue Code of 1986 to provide transparency with respect to fees and expenses charged to participant-directed defined contribution plans, and to improve participant communication. S. 697 - A bill to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes. H.R. 1721 - To amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes. H.R. 2733 - To clarify the exemption for certain annuity contracts and insurance policies from Federal regulation under the Securities Act of 1933.
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · third_quarter · Health Issues
1. S. 750, the "Caring for an Aging America Act of 2009," a bill to provide for the establishment of a new geriatric and gerontology loan repayment program. Support all provisions. 2. S. 245/H.R. 468, the "Retooling the Health Care Workforce for an Aging American Act of 2009". This bill addresses the current and future shortage of health care personnel who are trained to care for older adults. Support all provisions. 3. S. 682, the "Mental Health on Campus Improvement Act," to amend the Public Health Service Act to improve mental and behavioral services on college campuses. Support all provisions. 4. S. 697, the "Community Living Assistance Supports and Services Act (CLASS Act)," to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment. Support all provisions. Support inclusion of provisions of this bill in healht care reform legislation (H.R. 3590). 5. H.R. 1457, the "Geriatrics Loan Forgiveness Act of 2009," 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, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professional Shortage Area. Support all provisions. 6. Discussed with House and Senate staff the need to include older adults in clinical trials. 7. Support comparative effectiveness research focused specifically on treatments for older adults and mental illness. 8. Support programs to reverse the declining numbers of geriatric specialists. 9. Support legislation to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. 10. Support H.R. 1932/S. 999, the "Child Health Care Crisis Relief Act," to address the national shortage of children's mental health professionals, including school-based professionals, by encouraging more individuals to enter these critical fields. 11. S. 678, "Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009". Support all provisions, but especially those that strengthen protections for those in the criminal and juvenile justices systems with needs related to mental health and substance abuse. 12. Support H.R. 2901, "Healthy Transitions Act," to provide access to knowledge, skills, and supports that are necessary for a successful transition to adulthood for young adults with mental health disorders. The bill would provide technical and monetary assistance to states as they implement plans to develop a coordinated service delivery system in order to maximize continuity of care and access to services. The bill would also establish planning and implementation grants to assist peer support programs and programs promoting independent living, life skills, employment, and education. 13. Support H.R. 1193, the "Federal Response to Eliminate Easting Disorders Act" (H.R. 1193/S. 3260), to create Centers of Excellence dedicated to research collaboration, create a Center of Epidemiology to study the prevalence, economic impact and related morbidity and mortality rates of eating disorders, provide for evidence-based standards of care, establish education and prevention grant programs for training of health professionals and schools at all levels, provide public service announcements, and enhance access to care for those who suffer from eating disorders. 14. Support H.R. 2531, the "Mental Health in Schools Act of 2009," to authorize competitive grants to local school districts to assist them in early mental health interventions and referrals for treatment, to provide supports for students and their families, and to allow for staff training to be culturally and linguistically appropriate. 15. H. R. 3191 and S. 3698, the "Positive Aging Act," to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. Support all provisions. 16. Support S. 1857 and H. R. 4204, to establish national centers of excellence for the treatment of depression and bipolar disorders. 17. Support S. 2928, to include direct care workers as a priority for the National Health Care Workforce Commission. 18. Support efforts to strengthen existing Title VII geriatric health professions education programs. 19. Support H.R. 5466, the "SAMHSA Modernization Act of 2010," to reauthorize programs administered by the Substance Abuse and Mental Health Services Administration. Support provisions to improve the accessibility and quality of mental heatlh services for the elderly. 20. Support H.R. 5040, the "Health Information Technology Extension for Behavioral Health Sciences Act of 2010," to extend the meaningful use incentives established through the American Recovery and Reinvestment Act to mental health and substance abuse providers and facilities, including psychiatric hospitals, community mental health centers, mental health treatment facilities, clinical psychologists and social workers.
Client expense: $20,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · second_quarter · Health Issues
H.R. 3200, S. 1679, America's Affordable Health Choices Act of 2009, all provisions H.R. 4872, Health Care and Education Reconciliation Act of 2010, all provisions S. 697, H.R. 3001Community Living Assistance Services And Supports (CLASS) Act, all provisions H.R. 3950, Patient Protection and Affordable Care Act, all provisions
Client expense: $2,890,000 · Firm income: Not reported
Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR)
2010 · second_quarter · Medicare/Medicaid
The Direct Support Professionals Fiarness and Security Act of 2009 (H.R. 868) The Patient Protection and Affordable Care Act (H.R. 3590) The Community Living Services and Supports Act (H.R. 1721 and S. 697) The Community Choice Act of 2009 (H.R. 1670 and S. 683) --American Workers, State and Business Relief Act of 2010 (supported Federal Medicaid Match provisions) (H.R. 4213) --A bill to extend the increase in the FMAP provided in the American Recovery and Reinvestment Act of 2009 for an additional 6 months. (S. 3000)
Client expense: $44,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · second_quarter · Health Issues
Health care reform and issues in both health care reform and independent legislation. See following page. See also Medicare and Medicaid. Support comprehensive health care reform legislation (Patient Protection and Affordable Care Act, HR 3590 and Health Care & Education Reconciliation Act of 201, HR 4872) and the related goals of reducing costs, improving quality and expanding health care coverage for Americans with disabilities and chronic conditions and all Americans (including those who lack health insurance). Issues with asterisks * indicate legislation pursued both as part of health care reform and independently. Issues include: Provide for health coverage that adequately meets the needs of people with disabilities and chronic conditions including -- Covering durable medical equipment, prosthetics and orthotics (DMEPOS) including but not limited to power wheelchairs that meet the individual needs of people with disabilities and chronic conditions, enable them to be as independent as possible, to live in their homes and participate in their communities, and enable them to be employed without fear of losing health care/services and supports they need. This includes retaining the first month purchase option for people who have permanent or long-term need for power wheelchairs and including DMEPOS as covered in essential health insurance benefits; delaying CMS competitive bidding program; and having DMEPOS included as essential benefits in health insurance coverage. Providing insurance market reforms, such as those included in House and/or Senate bills, that could greatly improve the lives of people with disabilities and chronic conditions by allowing increased access to health care, such as: --Requiring health insurers to provide the same coverage, charge the same premiums and renew policies to people no matter what their disability or other pre-existing or newly acquired conditions. Currently, unless they have employer-sponsored plans, people with disabilities are often denied coverage altogether, the policies exclude needed services or the premiums are way too costly. --Prohibiting annual and lifetime caps on coverage. People with serious injuries or conditions often quickly exceed these caps due to lengthy hospital stays and/or extensive rehabilitation -- Requiring health insurance to cover rehabilitation and habilitative services. -- Providing for a temporary high risk pool through which people with disabilities and other pre-existing conditions may obtain health insurance pending full implementation of health insurance market reforms. Concerns about the proposed excise tax on medical devices -- that an excise tax on manufacturers would increase their costs which are likely to be passed on to consumers, resulting in increased costs for medical equipment for people with disabilities and chronic conditions who depend on them. Providing for prevention and wellness including --Developing standards for accessible medical equipment; --Authorizing funds to establish a Prevention and Public Health Investment Fund; --Providing for community Transformation Grants that include focus on the needs of people with disabilities; -- Including disability status within data collection on health disparities; -- Proving training programs for primary care providers and dentistry professionals on how to treat individuals with disabilities; Concerns about well-intended wellness provisions that reward people for meeting health standards set by employers and insurance companies with potentially serious unintended onsequences that people with disabilities or other chronic conditions will be unable to meet the health or participation standards because of a limitation, and consequently they would have to pay more for their health coverage, including but not limited to higher deductibles, than people without disabilities or chronic conditions. Providing for comparative effectiveness research and using the resulting information in a way that respects that what works for many people will not work for all; Providing for home and community-based services and supports for people with disabilities and chronic conditions such as Community Living Assistance and Supports (CLASS) provisions* and the Community First ChoiceOption in health care reform. Support increasing Medicaid elibility to a nationwide standard for those whose incomes are up to 133% of the Federal Poverty Level. Since many people with disabilities have low incomes, this would extend Medicaid coverage to many people with disabilities, including childless adults. - Support elimination of Medicare Part D coverage gap (Part D "donut hole") and immediate $250 rebate for beneficiaries who fall into donut hole in 2010. continued next page Note -- Asterisk * indicates issue pursued both independently and as part of health care reform. CLASS Act* -- S. 697/H.R. 1721 included in HR 3590 (Senate health care reform bill) and HR 3962 (House health care reform bill) . Support legislation to establish a voluntary payroll deduction insurance plan so that people with disabilities will be able to pay for assistance with activities of daily living. This would enable them to remain in their homes and off of the Medicaid program. CBO estimates that the CLASS provisions will save Medicaid $2.5 billion in the first 10 years alone. Community Choice Act* (S. 683/H.R. 1670). Support legislation to make services in the home and community the norm under Medicaid - enabling people to stay in their homes and remain part of their communities rather than having to go into nursing homes or other institutions to receive needed services. Became Community First Choice Option in health care reform bills. End Medicares 24-month waiting period* - S 700/HR 1708. Support legislation to end the waiting period for Medicare for people who qualify for Title II Social Security disability benefits and people with life-threatening conditions. Comparative Effectiveness Research HR 2502/S 1213* Support legislation to create non-government independent entities to study the comparative effectiveness of treatments in health care. Mental Illness Chronic Care Improvement (MICCI) Act, S 1136* Support legislation to facilitate access to needed medical services. Amend the Medicare Savings Programs and the Low Income Subsidy* to align, simplify and increase income eligibility, eliminate or substantially increase asset limits, stabilize the programs and make administrative simplifications. First month purchase option* Advocated to maintain the current ability for Medicare beneficiaries to purchase their power wheelchair in the first month of use. Both the House and Senate included language in health reform that would require a beneficiary to rent a power wheelchair for 13 months before purchase. Supported inclusion in HR 3590 and HR 3962 of provisions to exempt Class III and higher power wheel chairs from the rental period and to retain the first-month purchase option under existing law. Community First Choice Option* would allow states to create Medicaid plans that would reverse the institutional bias in Medicaid. The option would provide a 6% increase in FMAP matching funds to states. Supported H.R.2575 to provide parity under group health plans and group health insurance coverage in the provision of benefits for prosthetic devices and orthotics devices, components and benefits for other medical and surgical services. Met with senior HHS officials to talk about implementation of health reform. See also Medicare and Medicaid.
Client expense: $80,000 · Firm income: Not reported
Government targets: AMTRAK - Natl Railroad Passenger Corporation, Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)
2010 · second_quarter · Retirement
Long term health care, tax reform, taxation of life insurance companies, mortgage insurance and housing; H.R.1, American Recovery and Reinvestment Act of 2009; S.1679, The Affordable Health Choices Act; H.R. 3200, America's Affordable Health Choices Act of 2009; S. 1796, America's Healthy Future Act; H.R.3126, Consumer Financial Protection Agency Act; H.R. 4173, Wall Street Reform and Consumer Protection Act; S.3217, Restoring American Financial Stability Act of 2010; S.697, CLASS Act
Client expense: Not reported · Firm income: $80,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2010 · second_quarter · Housing
Long term health care, tax reform, taxation of life insurance companies, mortgage insurance and housing; H.R.1, American Recovery and Reinvestment Act of 2009; S.1679, The Affordable Health Choices Act; H.R. 3200, America's Affordable Health Choices Act of 2009; S. 1796, America's Healthy Future Act; H.R.3126, Consumer Financial Protection Agency Act; H.R. 4173, Wall Street Reform and Consumer Protection Act; S.3217, Restoring American Financial Stability Act of 2010; S.697, CLASS Act
Client expense: Not reported · Firm income: $80,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE