FREDERIK KALSBEEK

Medicare and Medicaid funding for health care services. Medicare and Medicaid policy for delivery of health care, health care operational issues, and quality of care issues. We also may lobby for specific budgeted earmarks in the annual Federal Budget. We may also lobby issues related to Medicare Advantage programs, general insurance coverage for health care, and labor union issues related to health care staffing.

Medicare and Medicaid funding for health care services. Medicare and Medicaid policy for delivery of health care, health care operational issues, and quality of care issues. We also may lobby for specific budgeted earmarks in the annual Federal Budget. We may also lobby issues related to Medicare Advantage programs, general insurance coverage for health care, and labor union issues related to health care staffing.

Medicare and Medicaid funding for health care services. Medicare and Medicaid policy for delivery of health care, health care operational issues, and quality of care issues. We also may lobby for specific budgeted earmarks in the annual Federal Budget. We may also lobby issues related to Medicare Advantage programs, general insurance coverage for health care, and labor union issues related to health care staffing.

OSF opposed H.R.1800 "Employee Free Choice Act" which would have allowed individual emplopyees to be pressured by unions in their efforts to organize.

proposed cuts by the Congress to Medicare Advantage Plans. We lobbied in opposition to rate freezes proposed for Home Health Services, and also against Part B physician fees scheduled to be cut by <10%>. We lobbied in opposition to the proposed elimination of "Medicare Beneficiary Bad Debts", when these senior citizens are too poor to pay their deductibles and copayments. We lobbied in support of fully funding the FDA budget at the $2 billion level in order to meet their general operational requirements, and expecially their Rx drug oversight responsibilities. We successfully lobbied the IRS to make a variety of changes in their proposed revision of the annual 990 Report filed by non- profit organizations, particularly Schedule H. We also lobbied in opposition to the establishment of a minimum national charity standard to be set at 5% as proposed by several key Congressional Leaders. We opposed provisions in the original S1300 which would have put new user fees and surcharges on medical helicopters. We lobbied for support of S.2319 for the continued future of trauma care and prevention of future trauma center closings. OSF Healthcare System lobbied very hard to support legislation to reauthorize and expand the Supplemental Children's Health Insurance Program (SCHIP). HR 976 and S1893. OSF lobbied a variety of Medicare and Medicaid issues in the President's proposed FY2008 Federal budget. We lobbied against proposed cuts to hospital inflation updates, and to a proposed behavioral offset to per case rates. We lobbied in opposition to

Emergency Department. Total cost of the Emergency Department project is $5.3 million. OSF Healthcare System lobbied for federal earmark appropriations in the FY08 budget for two projects. For OSF St. Mary Medical Center in Galesburg, IL, we requested $1 million in federal earmark funding from various federal appropriations bills to renovate and expand the Intensive Care Unit and Cardiology Services. Total cost of the project is $6 million. For OSF St Francis Hospital in Escanaba, MI, we requested $750,000 in federal earmark funding from various appropriation bills to expand and renovate the

Lobbied for a $1 million FY2008 federal budget earmark appropriation for OSF St. Mary's Medical Center, Galesburg, IL to renovate & expand their ICU. Lobbied for a $750,000 FY2008 federal budget earmark appropriation for OSF St. Francis Hospital, Escanaba, MI to expand & remodel their ED.

Opposed FY08 budget cuts to Medicare in new CMS regulations. Opposed new regulations by CMS that would negatively impact OSFHP local Medicare Advantage Program. Supported the 1 year Medicaid Moratorium on changes included in the Iraq War Funding bill. Opposed the Employee Free Choice Act, HR 800. Opposed new medical helicopter user fees included in S.1300.