Medicare Long-Term Care Hospital Improvement Act of 2009

Annual Update for Inpatient Hospital Prospective Payment System Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009, all titles H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.275 - Children's Health Insurance Program Reauthorization Act of 2009, all titles S.935 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healthy Future Act of 2009 H.R. 3962 - Presentation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R. 3590 - Patient Protection and Affordable Care Act H.R. 4213 - American Jobs and Closing Tax Loophole Act of 2010 H.R. 4872 - Health Care and Education Reconciliation Act of 2010 H.R. 3081 - Continuing Appropriations Act of 2011

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.444/S.1239, 340B Program Improvement and Integrity Act of 2009, Medicare Recovery Audit Contractor (RAC) Program. President's Budget, Medicare and Medicaid hospital reimbursement issues. H.R.4213, American Jobs and Closing Tax Loopholes Act of 2010, Medicare payment related issues. Public Law 111-226, Education and Medicaid Funding for States Act, FMAP issues. H.R.2124/S.935, Medicare Long-Term Care Hospital Improvement Act of 2009, Long term care related issues. H.R.1776, Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2009, Heatlh Quality related issues. S.301, Physician Payments Sunshine Act of 2009, Health Transparency related issues. Health care reform, Hospital related issues and initiatives. Public Law 111-148, The Patient Protection and Affordable Care Act, Hospital related issues and initiatives. H.R.4872, Health Care and Education Reconciliation Act of 2010, Hospital related issues and initiatives. H.R.5712, Veterans', Seniors' and Childrens Technical Corrections Acto f 2010, 340B program issues. S.3793, Job Creation and Tax Cuts Act of 2010, 340B program issues. H.R.444/S.1239, 340B Program IMprovement and Integrity Act of 2009, 340B program issues.

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

S 973/HR 2251, Resident Physician shortage Reductions Act of 2009, To amend title XVIII of the Social Security Act (SSA) to provide the distributions of additional residency positions, and for other purposes, S 1355, Rural Health Clinic Patient Access and Improvement Act of undeserved rural area and for other purposes HR 2350, Preserving Patient Access of Primary Care Act of 2009, to amend the Public Health Service Act and the SSA to increase the number of primary care physicians and primary care provider and to improve patient access to primary care services and physicians and primary care provider and to improve patient access to primary care services and for other purposes. HR 2176, Nursing and Allied Health Education Preservations Act of 2009, to amend title XVIII of SSA to continue the ability of hospitals to supply a needed workforce of nurses and allied health professional by preserving funding for hospitals operating nursing and allied health educations programs. S 935/HR 2124 Medicare Long-Term Care Hospital Improvement Act of 2009, to extend subsections (c) and (d) of sections 114 of the Medicare,Medicaid and SCHIP Extension Act of 2007 to provide for regulatory stability during the development of facility and patients criteria for long-term care hospitals under the Medicare Program and for other purposes. S 254/HR 254 Medicare Home Infusion Therapy coverage Act of 2009., to amend title XVIII of the Social Security Act to provide for the coverage of home infusion therapy under the Medicare Program HR 1776, Quality FIRST, to amend title XVIII of the SSA to implement a performance-based payment methodology for the provisions of such service under the Medicare Program, and for other purposes. S 1796/ HR 3200 Americans Healthy Future Act. Senate bill, all Medicare provisions, to provide affordable, quality hearth care for all Americans and reduce the growth in health care spending, and for other purposes HR 2753, Inpatient Psychiatric Service for Individuals Under Aged 21 in Psychiatric Facilities or Programs, 42 CFR 441.151. (a)(2), centers for Medicare and Medicaid Services. To delay the implementations of new Medicare hospital geographic wage reclassifications criteria until the Secretary of Heath and Human Services issues a proposal to revise the hospital wage index classifications system that addresses certain considerations. S 1679/ HR 3962 Affordable Health Choices Act, entire bill, an original bill to make quality, affordable health care available to all Americans, reduce the cost, improve health care quality all Americans and reduce the growth in health care spending and for other purposes. HR 3961, Medicare Physician Payments Reforms Act of 2009. entire bill, to amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physicians and to reinstitution and update the Pay-As-you- Go requirements of budget neutrally on new tax and mandatory spending legislation, enforces by the of annual automatic sequestrations. HR 3590 - the Patient Protections and Affordable Care Act, entire bill, An act entitled The Patient Protection and Affordable Care Act. HR 4851 - The Continuing Extension of Act 2010 HR 4691- Temporary Extension Act 2010 HR 4872, Health Care and Education Reconciliation Act of 2010 HR 2847 - Hiring Incentive to Restore Employment HR 4213, American Workers, State and Business Relief Incentive Program CMS Proposed Rule: Electronic Health Record Incentive Program CME Interim Final Rule: Health Information's Technology, Initial Set of Standards, Implementations Specification and Certification Criteria for Electronic Health Record Technology

Annual Update for Inpatient Hospital Prospective Payment System Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009, all titles H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.275 - Children's Health Insurance Program Reauthorization Act of 2009, all titles S.935 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healthy Future Act of 2009 H.R. 3962 Presentation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R. 3590 Patient Protection and Affordable Care Act H.R. 4213 American Jobs and Closing Tax Loophole Act of 2010 H.R. 4872 Health Care and Education Reconciliation Act of 2010

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

Annual Update for Inpatient Hospital Prospective Payment System Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009, all titles H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.275 - Children's Health Insurance Program Reauthorization Act of 2009, all titles S.935 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healthy Future Act of 2009 H.R. 3962 Presentation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R. 3590 Patient Protection and Affordable Care Act H.R. 4213 American Jobs and Closing Tax Loophole Act of 2010 H.R. 4872 Health Care and Education Reconciliation Act of 2010

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

H.R.444/S.1239, 340B Program Improvement and Integrity Act of 2009, Medicare Recovery Audit Contractor (RAC) Program. President's Budget, Medicare and Medicaid hospital reimbursement issues. H.R.4213, American Jobs and Closing Tax Loopholes Act of 2010, Medicare payment related issues. H.R.2124/S.935, Medicare Long-Term Care Hospital Improvement Act of 2009, Long term care related issues. H.R.1776, Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2009, Heatlh Quality related issues. S.301, Physician Payments Sunshine Act of 2009, Health Transparency related issues. Health care reform, Hospital related issues and initiatives. Public Law 111-148, The Patient Protection and Affordable Care Act, Hospital related issues and initiatives. H.R.4872, Health Care and Education Reconciliation Act of 2010, Hospital related issues and initiatives.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Annual Update for Inpatient Hospital Prospective Payment System Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009, all titles H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.275 - Children's Health Insurance Program Reauthorization Act of 2009, all titles S.935 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009 H.R. 3962 Affordable Health Care for America Act H.R. 3590 Patient Protection and Affordable Care Act

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

Annual Update for Inpatient Hospital Prospective Payment System Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009, all titles H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.275 - Children's Health Insurance Program Reauthorization Act of 2009, all titles S.935 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009 H.R. 3962 Affordable Health Care for America Act H.R. 3590 Patient Protection and Affordable Care Act

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

H.R.444/S.1239, 340B Program Improvement and Integrity Act of 2009, Medicare Recovery Audit Contractor (RAC) Program. President's Budget, Medicare and Medicaid hospital reimbursement issues. H.R.2124/S.935, Medicare Long-Term Care Hospital Improvement Act of 2009, Long term care related issues. H.R.1776, Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2009, Heatlh Quality related issues. S.301, Physician Payments Sunshine Act of 2009, Health Transparency related issues. Health care reform, Hospital related issues and initiatives. H.R.3200, America's Affordable Health Choices Act of 2009, Hospital related issues and initiatives. S.1679, Affordable Health Choices Act, Hospital related issues and initiatives. Public Law 111-148, The Patient Protection and Affordable Care Act, Hospital related issues and initiatives. H.R.4872, Health Care and Education Reconciliation Act of 2010, Hospital related issues and initiatives.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 973/HR 2251, Resident Physician shortage Reductions Act of 2009, To amend title XVIII of the Social Security Act (SSA) to provide the distributions of additional residency positions, and for other purposes, S 1355, Rural Health Clinic Patient Access and Improvement Act of undeserved rural area and for other purposes HR 2350, Preserving Patient Access of Primary Care Act of 2009, to amend the Public Health Service Act and the SSA to increase the number of primary care physicians and primary care provider and to improve patient access to primary care services and physicians and primary care provider and to improve patient access to primary care services and for other purposes. HR 2176, Nursing and Allied Health Education Preservations Act of 2009, to amend title XVIII of SSA to continue the ability of hospitals to supply a needed workforce of nurses and allied health professional by preserving funding for hospitals operating nursing and allied health educations programs. S 935/HR 2124 Medicare Long-Term Care Hospital Improvement Act of 2009, to extend subsections (c) and (d) of sections 114 of the Medicare,Medicaid and SCHIP Extension Act of 2007 to provide for regulatory stability during the development of facility and patients criteria for long-term care hospitals under the Medicare Program and for other purposes. S 254/HR 254 Medicare Home Infusion Therapy coverage Act of 2009., to amend title XVIII of the Social Security Act to provide for the coverage of home infusion therapy under the Medicare Program HR 1776, Quality FIRST, to amend title XVIII of the SSA to implement a performance-based payment methodology for the provisions of such service under the Medicare Program, and for other purposes. S 1796/ HR 3200 Americans Healthy Future Act. Senate bill, all Medicare provisions, to provide affordable, quality hearth care for all Americans and reduce the growth in health care spending, and for other purposes HR 2753, Inpatient Psychiatric Service for Individuals Under Aged 21 in Psychiatric Facilities or Programs, 42 CFR 441.151. (a)(2), centers for Medicare and Medicaid Services. To delay the implementations of new Medicare hospital geographic wage reclassifications criteria until the Secretary of Heath and Human Services issues a proposal to revise the hospital wage index classifications system that addresses certain considerations. S 1679/ HR 3962 Affordable Health Choices Act, entire bill, an original bill to make quality, affordable health care available to all Americans, reduce the cost, improve health care quality all Americans and reduce the growth in health care spending and for other purposes. HR 3961, Medicare Physician Payments Reforms Act of 2009. entire bill, to amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physicians and to reinstitution and update the Pay-As-you- Go requirements of budget neutrally on new tax and mandatory spending legislation, enforces by the of annual automatic sequestrations. HR 3590 - the Patient Protections and Affordable Care Act, entire bill, An act entitled The Patient Protectiom and Affordable Care Act.

S 973/HR 2251, Resident Physician shortage Reductions Act of 2009, To amend title XVIII of the Social Security Act (SSA) to provide the distributions of additional residency positions, and for other purposes, S 1355, Rural Health Clinic Patient Access and Improvement Act of undeserved rural area and for other purposes HR 2350, Preserving Patient Access of Primary Care Act of 2009, to amend the Public Health Service Act and the SSA to increase the number of primary care physicians and primary care provider and to improve patient access to primary care services and physicians and primary care provider and to improve patient access to primary care services and for other purposes. HR 2176, Nursing and Allied Health Education Preservations Act of 2009, to amend title XVIII of SSA to continue the ability of hospitals to supply a needed workforce of nurses and allied health professional by preserving funding for hospitals operating nursing and allied health educations programs. S 935/HR 2124 Medicare Long-Term Care Hospital Improvement Act of 2009, to extend subsections (c) and (d) of sections 114 of the Medicare,Medicaid and SCHIP Extension Act of 2007 to provide for regulatory stability during the development of facility and patients criteria for long-term care hospitals under the Medicare Program and for other purposes. S 254/HR 254 Medicare Home Infusion Therapy coverage Act of 2009., to amend title XVIII of the Social Security Act to provide for the coverage of home infusion therapy under the Medicare Program HR 1776, Quality FIRST, to amend title XVIII of the SSA to implement a performance-based payment methodology for the provisions of such service under the Medicare Program, and for other purposes. HR 3200 Americans Healthy Future Act. Senate bill, all Medicare provisions, to provide affordable, quality hearlth care for all Americans and reduce the growth in health care spending, and for other purposes HR 2753, Inpatient Psychiatric Service for Individuals Under Aged 21 in Psychiatric Facilities or Programs, 42 CFR 441.151. (a)(2), centers for Medicare and Medicaid Services. To delay the implementations of new Medicare hospital geographic wage reclassifications criteria until the Secretary of Heath and Human Services issues a proposal to revise the hospital wage index classificatins system that addresses certain considerations.

Annual Update for Inpatient Hospital Prospective Payment System Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009, all titles H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.275 - Children's Health Insurance Program Reauthorization Act of 2009, all titles S.935 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009 H.R. 3962 Affordable Health Care for America Act H.R. 3590 Patient Protection and Affordable Care Act

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

Annual Update for Inpatient Hospital Prospective Payment System Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009, all titles H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.275 - Children's Health Insurance Program Reauthorization Act of 2009, all titles S.935 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009 H.R. 3962 Affordable Health Care for America Act H.R. 3590 Patient Protection and Affordable Care Act

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

H.R.444/S.1239, 340B Program Improvement and Integrity Act of 2009, Medicare Recovery Audit Contractor (RAC) Program. President's Budget, Medicare and Medicaid hospital reimbursement issues. H.R.2124/S.935, Medicare Long-Term Care Hospital Improvement Act of 2009, Long term care related issues. H.R.1776, Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2009, Heatlh Quality related issues. S.301, Physician Payments Sunshine Act of 2009, Health Transparency related issues. Health care reform, Hospital related issues and initiatives. H.R.3200, America's Affordable Health Choices Act of 2009, Hospital related issues and initiatives. S.1679, Affordable Health Choices Act, Hospital related issues and initiatives.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 935, Medicare Long Term Care Hospital Improvement Act of 2009, all sections. To extend section 114, subsection (c) and (d) of the Medicare, Medicaid, SCHIP Extension Act of 2007 to provide regulatory stability during the development of facility and patient criteria for long term care hospitals. H.R. 2124, Medicare Long Term Care Hospital Improvement Act of 2009, all sections. To extend section 114, subsection (c) and (d) of the Medicare, Medicaid, SCHIP Extension Act of 2007 to provide regulatory stability during the development of facility and patient criteria for long term care hospitals. H.R. 43, Medicare Access to Rehabilitation Services Act of 2009, section 1 and 2. To repeal the Medicare outpatient therapy cap. S. 46, Medicare Access to Rehabilitation Services Act of 2009, section 1 and 2. To repeal the Medicare outpatient therapy cap. S. 697, Community Living Assistance Services and Support Act, Title I, section 101, Title II, section 201-204. Calls for the establishment of a national, voluntary insurance program for purchasing community living assistance and support services and other purposes. H.R. 3590, The Patient Protection and Affordable Care Act, all sections related to post-acute Medicare reimbursements,delivery system reforms, pilots and demonstration projects, care coordination and quality and transparency. S. 1110, Medicare Payment Advisory Commission (MedPAC) Reform Act, all sections. To make the Medicare Payment Advisory Commission an executive branch agency and providing the Commission new resources and authority to implement Medicare payment policy.

Client expense: $830,000 · Firm income: Not reported

Issues involving Medicare, long term care hospitals & health care reform in S.935 & H.R.2124, the Patient Protection & Affordable Care Act (Mgr. Amdt. sponsor by Senator Harry Reid in 12/09), the America's Healthy Future Act, S. 1796 (sponsored by Senator Max Baucus), the Affordable Health Choices Act (Reported from the Senate Health, Education, Labor and Pensions Committee) and H.R. 3200 (America's Affordable Health Choices Act of 2009) which are under consideration by the 111th Congress.

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

America's Affordable Health Choices Act of 2009 (HR 3200); Affordable Health Choices Act (S. 1679); House and Senate Health Reform Proposals; Employee Free Choice Act of 2009 (H.R. 1409/S.560); Long-Term Care Hospital Bills (H.R. 2124/S. 935; MedPAC Reform Act of 2009 (S. 1110, S.1380); Medicare Program: Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2010.

Client expense: Not reported · Firm income: $110,000

Annual Update for Inpatient Hospital Prospective Payment System Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009, all titles H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.275 - Children's Health Insurance Program Reauthorization Act of 2009, all titles S.935 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Annual Update for Inpatient Hospital Prospective Payment System Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009, all titles H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.275 - Children's Health Insurance Program Reauthorization Act of 2009, all titles S.935 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Hospital and physician payments under Medicare and Medicaid, general. Medicare/Medicaid Reform (HR 3200) -- (Bundling of Medicare acute and post-acute hospital payments, payments for readmissions, value-based purchasing, physician self-referral). Medicare Long-Term Care Hospital Improvement Act (HR 2124, S. 935) Resident Physician Shortage Reduction Act (S. 973, HR 2251, HR 3200) Medicare graduate medical education payments to Doctors Medical Center of Modesto.

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

Monitor all aspects of healthcare legislation impacting post-acute care providers, inpatient rehabilitation, and long-term acute care hospitals. Monitor H.R. 2124/S.935, Medicare Long-Term Care Hospital Improvement Act of 2009, and Monitor S.295.

Client expense: $476,300 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor all aspects of healthcare legislation impacting post-acute care providers, inpatient rehabilitation, and long-term acute care hospitals. Monitor H.R. 2124/S.935, Medicare Long-Term Care Hospital Improvement Act of 2009, and Monitor S.295.

Client expense: $476,300 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.295, Medicare Quality and Payment Reform Act of 2009; America's Affordable Health Choices Act of 2009 (H.R. 3200); Affordable Health Choices Act of 2009 (S.1679); General Healthcare Reform Legislation; Employee Free Choice Act of 2009 (H.R. 1409/S.560); Long-Term Care Hospitals Legislation (H.R. 2124/S.935); MedPAC Reform Act of 2009 (S.1110; S.1380); Medicare Program: Inpatient Rehabilitation Facility Prospective Payment System for Fiscal Year 2010 (CMS-1538-F).

Client expense: $389,500 · Firm income: Not reported

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

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

S. 647, Nursing Home Transparency and Improvement Act of 2009, all sections. A bill to improve the transparency of information on skilled nursing facilities and to clarify and improve targeting of the enforcement of requirements with respect to such facilities. S. 935, Medicare Long Term Care Hospital Improvement Act of 2009, all sections. To extend section 114, subsection (c) and (d) of the Medicare, Medicaid, SCHIP Extension Act of 2007 to provide regulatory stability during the development of facility and patient criteria for long term care hospitals. H.R. 2124, Medicare Long Term Care Hospital Improvement Act of 2009, all sections. To extend section 114, subsection (c) and (d) of the Medicare, Medicaid, SCHIP Extension Act of 2007 to provide regulatory stability during the development of facility and patient criteria for long term care hospitals. H.R. 43, Medicare Access to Rehabilitation Services Act of 2009, section 1 and 2. To repeal the Medicare outpatient therapy cap. S. 46, Medicare Access to Rehabilitation Services Act of 2009, section 1 and 2. To repeal the Medicare outpatient therapy cap. S. 697, Community Living Assistance Services and Support Act of 2009, Title I, section 101, Title II, section 201-204. Calls for the establishment of a national, voluntary insurance program for purchasing community living assistance and support services and other purposes. S. 295, Medicare Quality and Payment Reform Act of 2009, all sections. To improve the quality and efficiency of the Medicare program through the measurement of readmission rates and resource use and other purposes.

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

H.R.444/S.1239, 340B Program Improvement and Integrity Act of 2009, Medicare Recovery Audit Contractor (RAC) Program. President's Budget, Medicare and Medicaid hospital reimbursement issues. H.R.2124/S.935, Medicare Long-Term Care Hospital Improvement Act of 2009, Long term care related issues. H.R.1776, Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2009, Heatlh Quality related issues. S.301, Physician Payments Sunshine Act of 2009, Health Transparency related issues. Health care reform, Hospital related issues and initiatives. H.R.3200, America's Affordable Health Choices Act of 2009, Hospital related issues and initiatives. S.1679, Affordable Health Choices Act, Hospital related issues and initiatives.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues invoving Medicare, long term care hospitals and health care reform included in S. 935 and H.R. 2124 as well as in the America's Healthy Future Act (sponsored by Senator Max Baucus) the Affordable Health Choices Act (reported from the Senate Health, Education, Labor and Pensions Committee) and H.R. 3200 (America's Affordable Health Choices Act of 2009) which are under consideration by the 111th Congress.

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3200, Health Reform - Post-Acute Care Bundling Proposals H.R. 1409/S. 560, Employee Free Choice Act of 2009 H.R. 2124/S. 935, Long Term Care Hospital Bills

Client expense: Not reported · Firm income: $110,000

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

Monitor all aspects of healthcare legislation impacting post-acute care providers, inpatient rehabilitation, and long-term acute care hospitals. Monitor H.R. 2124/S.935, Medicare Long-Term Care Hospital Improvement Act of 2009, and Monitor S.295

Client expense: $390,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor all aspects of healthcare legislation impacting post-acute care providers, inpatient rehabilitation, and long-term acute care hospitals. Monitor H.R. 2124/S.935, Medicare Long-Term Care Hospital Improvement Act of 2009, and Monitor S.295.

Client expense: $390,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Hospital and physician payments under Medicare and Medicaid, general Administration's proposed FY2010 Budget bundling of Medicare acute and post acute hospital payments, payments for readmissions, value-based purchasing Medicare Long-Term Care Hospital Improvement Act (HR 2124, S. 935) Resident Physician Shortage Reduction Act (S. 973, HR 2251) Extension of regulatory moratoria - Medicaid graduate medical education payments, Medicaid intergovernmental transfers and provider taxes; Medicare capital IME payments Medicare graduate medical education payments to Doctors Medical Center of Modesto.

Client expense: $330,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

S. 647, Nursing Home Transparency and Improvement Act of 2009, all sections. S. 295, Medicare Quality and Payment Reform Act of 2009, all sections. S. 697, Community Living Assistance Services and Support Act of 2009, Title I, section 101, Title II, section 201-204. H.R. 2124, Medicare Long Term Care Hospital Improvement Act of 2009, all sections. S. 935, Medicare Long Term Care Hospital Improvement Act of 2009, all sections. H.R. 43, Medicare Access to Rehabilitation Services Act of 2009, section 1 and 2. S. 46, Medicare Access to Rehabilitation Services Act of 2009, section 1 and 2.

Client expense: $470,000 · Firm income: Not reported

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

Medicare: Urge CMS to withdraw the state-specific budget neutrality (BNA) policy when issuing the FY 2010 IPPS rule; support HR2525/S1108, the Safeguarding Our Hospitals Future, a bill that would repeal the state-specific budget neutrality policy and return to national budget neutrality for the rural and imputed rural floors; seek a hold harmless for NJ DSH hospitals due to inaccuracies associated with the states algorithm created for Medicare DSH payments to hospitals; support efforts to prohibit cuts to capital Indirect Medical Education (IME) in FY2010 IPPS rule scheduled to take effect October 1; support extension of Section 508 of the MMA; support HR2124/S935, to extend MMSEA protections to LTCHs.

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

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

Annual Update for Inpatient Hospital Prospective Payment System Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009, all titles S.275 - Children's Health Insurance Program Reauthorization Act of 2009, all titles H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles S.935 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Annual Update for Inpatient Hospital Prospective Payment System Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.2 - Children's Health Insurance Program Reauthorization Act of 2009, all titles S.275 - Children's Health Insurance Program Reauthorization Act of 2009, all titles H.R.2124 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles S.935 - Medicare Long-Term Care Hospital Improvement Act of 2009, all titles

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Issues involving Medicare and long term care hospitals, including S. 935 and H.R. 2124.

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.2, Children's Health Insurance Program Reauthorization Act of 2009, SCHIP reauthorization. H.R.444/S.1239, 340B Program Improvement and Integrity Act of 2009, Medicare Recovery Audit Contractor (RAC) Program. President's Budget, Medicare and Medicaid hospital reimbursement issues. H.R.2124/S.935, Medicare Long-Term Care Hospital Improvement Act of 2009, Long term care related issues. H.R.1776, Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2009, Heatlh Quality related issues. S.301, Physician Payments Sunshine Act of 2009, Health Transparency related issues. Health care reform, Hospital related issues and initiatives.

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

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