KIRSTEN SLOAN

S 623/HR 1038 (Access to Life Saving Medicine Act), HR 1956 (Patient Protection and Innovative Biologic Medicines Act of 2007), HR 5629 (Pathway for Biosimilars Act) - Lobbied to ensure that Waxman Biogenerics legislation is enacted particularly provisions related to ensuring a safe, effective pathway for the approval of comparable, interchangeable biologics. HR 1902 (Protecting Consumer Access to Generic Drugs Act of 2007)/ S 316 (Preserve Access to Affordable Generics Act -Provisions related to preventing abuses in patent settlements between generic and brand name prescription drug manufactures. S 1145 Patient Reform Act of 2007- Ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. Discussion regarding prescription drug affordability (no Bill). S 3230 Labor/HHS/Education Appropriations FY 2009 - Lobbying for spending levels for Rx comparative effectiveness and to reduce FDA generic drug processing backlog.

LONG TERM CARE (SENATE) - Senate, nursing home quality: discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality, poor performing nursing homes, family caregiving, nursing home compliance guidance, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration LONG TERM CARE (SENATE) - Senate, nursing home quality: discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE HR 3001 - CLASS Act shared and discussed actuarial analysis of the CLASS Act, a bill to create a public insurance program for long-term services and supports LONG TERM CARE HR 3363 - Discussed support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections; focused consumer protections LONG TERM CARE S 1070/S 1577 - Elder Justice Act (S. 1070) and Patient Safety and Abuse Prevention Act (S. 1577): support for both pieces of legislation and strategy for how they might both move forward this year LONG TERM CARE S 1340 - Geriatric Assessment and Chronic Care Coordination Act, discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill LONG TERM CARE S 1758 - CLASS ACT - discussions on Class Act, including actuarial analysis, provisions and strategy on the bill. Bill would create a public long-term care financing program. LONG TERM CARE S 2337 - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. LONG TERM CARE S 2337/HR 3363 (SENATE) - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections LONG TERM CARE S 2708 - Caring for an Aging America Act, a health and long-term care workforce bill to increase the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality, poor performing nursing homes, family caregiving, nursing home compliance guidance, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration LONG TERM CARE HR 3001 - CLASS Act shared and discussed actuarial analysis of the CLASS Act, a bill to create a public insurance program for long-term services and supports LONG TERM CARE HR 3363 - Discussed support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections; focused consumer protections LONG TERM CARE S 1070/S 1577 - Elder Justice Act (S. 1070) and Patient Safety and Abuse Prevention Act (S. 1577): support for both pieces of legislation and strategy for how they might both move forward this year LONG TERM CARE S 1340 - Geriatric Assessment and Chronic Care Coordination Act, discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill LONG TERM CARE S 1758 - CLASS ACT - discussions on Class Act, including actuarial analysis, provisions and strategy on the bill. Bill would create a public long-term care financing program. LONG TERM CARE S 2337 - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. LONG TERM CARE S 2337/HR 3363 (SENATE) - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections LONG TERM CARE S 2708 - Caring for an Aging America Act, a health and long-term care workforce bill to increase the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE (SENATE) - Senate, nursing home quality: discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill LONG TERM CARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality, poor performing nursing homes, family caregiving, nursing home compliance guidance, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration LONG TERM CARE HR 3001 - CLASS Act shared and discussed actuarial analysis of the CLASS Act, a bill to create a public insurance program for long-term services and supports LONG TERM CARE HR 3363 - Discussed support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections; focused consumer protections LONG TERM CARE S 1070/S 1577 - Elder Justice Act (S. 1070) and Patient Safety and Abuse Prevention Act (S. 1577): support for both pieces of legislation and strategy for how they might both move forward this year LONG TERM CARE S 1758 - CLASS ACT - discussions on Class Act, including actuarial analysis, provisions and strategy on the bill. Bill would create a public long-term care financing program. LONG TERM CARE S 2337/HR 3363 (SENATE) - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections LONG TERM CARE S 1340 - Geriatric Assessment and Chronic Care Coordination Act, discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill LONG TERM CARE S 2337 - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE (SENATE) - Senate, nursing home quality: discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill LONG TERM CARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality, poor performing nursing homes, family caregiving, nursing home compliance guidance, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration LONG TERM CARE HR 3001 - CLASS Act shared and discussed actuarial analysis of the CLASS Act, a bill to create a public insurance program for long-term services and supports LONG TERM CARE HR 3363 - Discussed support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections; focused consumer protections LONG TERM CARE S 1758 - CLASS ACT - discussions on Class Act, including actuarial analysis, provisions and strategy on the bill. Bill would create a public long-term care financing program. LONG TERM CARE S 2337/HR 3363 (SENATE) - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections LONG TERM CARE S 1340 - Geriatric Assessment and Chronic Care Coordination Act, discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill LONG TERM CARE S 2337 - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. LONG TERM CARE S 2708 - Caring for an Aging America Act, a health and long-term care workforce bill to increase the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill LONG TERM CARE S 1070/S 1577 - Elder Justice Act (S. 1070) and Patient Safety and Abuse Prevention Act (S. 1577): support for both pieces of legislation and strategy for how they might both move forward this year MEDICAID (HOUSE) - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Filed comment letters on proposed regulations involving cost sharing and flexibility in benefit packages. MEDICAID (SENATE) - Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. MEDICAID HR 1174 - S1174 Health Hospitals Act discussed with sponsors staff potential endorsement of this legislation to require hospitals to report infection rates. MEDICAID HR 5140 (SENATE) - Recovery Rebates and Economic Stimulus for the American People Act of 2008 supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs. MEDICAID HR 5613 - Protecting the Medicaid Safety Net Act support this legislation that places a moratorium on harmful Medicaid regulations. MEDICAID (HOUSE) - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. MEDICAID (SENATE) - Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Filed comment letters on proposed regulations involving cost sharing and flexibility in benefit packages. MEDICAID HR 1174 - S1174 Health Hospitals Act discussed with sponsors staff potential endorsement of this legislation to require hospitals to report infection rates. MEDICAID HR 5140 (SENATE) - Recovery Rebates and Economic Stimulus for the American People Act of 2008 supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs MEDICAID HR 5613 - Protecting the Medicaid Safety Net Act support this legislation that places a moratorium on harmful Medicaid regulations. MEDICAID (HOUSE) - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. MEDICAID (SENATE) - Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Filed comment letters on proposed regulations involving cost sharing and flexibility in benefit packages. MEDICAID HR 1174 - S1174 Health Hospitals Act discussed with sponsors staff potential endorsement of this legislation to require hospitals to report infection rates. MEDICAID HR 5140 (SENATE) - Recovery Rebates and Economic Stimulus for the American People Act of 2008 supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs MEDICAID HR 5613 - Protecting the Medicaid Safety Net Act support this legislation that places a moratorium on harmful Medicaid regulations. MEDICAID (HOUSE) - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Filed comment letters on proposed regulations involving cost sharing and flexibility in benefit packages MEDICAID HR 1174 - S1174 Health Hospitals Act discussed with sponsors staff potential endorsement of this legislation to require hospitals to report infection rates. MEDICAID HR 5140 (SENATE) - Recovery Rebates and Economic Stimulus for the American People Act of 2008 supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs MEDICAID HR 5613 - Protecting the Medicaid Safety Net Act support this legislation that places a moratorium on harmful Medicaid regulations. MEDICAID (SENATE) - Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Medicaid Personal Assistance Services State Plan option discussion of comment letter sending and receipt MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR 3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE S.2408 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE S.2408 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR 3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE S.2408 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE S.2408 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR 3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE S.2408 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE S.2408 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. MEDICARE S.2408 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE S.2408 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR 3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement.

HR 3001/ S 1340 - Shared and discusssed actuarial analysis of the CLASS Act regarding creation of a public insurance program for long-term services. S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 Geriatric Assessment and Chronic Care Coordination Act of 2007- Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174 Healthy Hospitals Act of 2007- Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. Medicaid Personal Assistance Services State Plan option- discussion of comment letter sending and receipt. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. S 2480/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641/ HR 5799 Nursing Home Quality and Transparency Legislation Act - To protect residents and support for the Nursing Home Transparency and Improvement Act. Discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration. HR 5702 Advance Directive Promotion Act of 2008 - Negotiated provisions on portability of advance directives. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Input on draft legislation to make arbitration clauses between LTC facilities and their residents or representatives unenforceable; support for this legislation once it was introduced as the Fairness in Nursing Home Arbitration Act, including support letter. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers. Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives. S 1577/HR 3078 - Support for Patient Safety and Abuse Prevention Act (S 1577) and moving the issue forward; provided feedback and in testimony. S 2921 Caring for Wounded Warriors Act of 2008 - Services and supports for family caregivers of certain veterans. Feedback on draft legislation to provide chronic care coordination services to certain Medicare beneficiaries; approaches to improving chronic care for Medicare beneficiaries; discussion of chronic care and Special Needs Plans. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S 1758 - Long-term care financing proposals, including the CLASS Act, a public LTC financing program. S. 3164 - Lobbied on Medicare Fraud bill (Martinez and Cornyn) - All provisions related to protecting participants and the Medicare program from fraud and abuse. S. 3118 - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Long Term Care/Reverse Mortgages - To protect consumers when reverse mortgages are used as a LTC financing tool. Green Houses and culture change in LTC facilities. HR 2642 - To keep moratorium on all seven Medicaid regulations in the supplemental appropriations bill. Lobbied on appeal notices for Medicare beneficiaries in Medicare Advantage plans. S 1102 - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 - Lobbied for legislation to increase Medicare Part D LIS asset limits. S 3101/HR 6331 - (Medicare) Lobbied for legislation to protect part B premiums, increase LIS and MSP asset limits, and promote e-prescribing in Medicare. HR 2642 - (Medicaid) Lobbied for inclusion of Medicaid regulation moratorium in Iraq Supplemental.

HR 3001/ S 1340 - Shared and discusssed actuarial analysis of the CLASS Act regarding creation of a public insurance program for long-term services. S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070/S 1577 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 - Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. S 2708 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174/S 1174 - Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates. HR 5140- Supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs. HR 5613- Supported this legislation, particularly provisions related to placing a moratorium on harmful Medicaid regulations. Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. Filed comment letters with HHS on proposed regulations involving cost sharing and flexibility in benefit packages. Medicaid Personal Assistance Services State Plan option- discussion of comment letter sending and receipt. Advocated for part B premium protection and asset test improvement. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. S 2480/HR 4296- Supported provisions related to requiring e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641/ HR 5799 Nursing home quality; discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill. Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated, and provided input on legislation regarding advance directives under Medicare and Medicaid;portability of advance directives, and public education around advance directives. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration.

Nursing home quality; discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill (Senate). Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated, and provided input on legislation regarding advance directives under Medicare and Medicaid; portability of advance directives, and public education around advance directives. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration. HR 3001 - Shared and discusssed actuarial analysis of the CLASS Act. S 2337/HR 3363 - Discusssed support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070.S 1577 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 - Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. HR 1758 - Discussions on bill, including actuarial analysis, provisions and strategy on the bill. S 2708 - Increase the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174/S 1174 - Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates.

S 2337/HR 3363 Long-Term Care Affordability and Security Act - Discussed consumer protections for LTC insurance. S 1070/HR 1783 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation, strategy for how they might both move forward next year. S 3327/HR 7212 - Empowered at Home Act - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid and other improvements to bill. Also lobbied in support of the bill. HR 7110/S 3604 Job Creation and Unemployment Relief Act - Lobbied for FMAP funding. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries, and promote e-prescriptions in medicare (no bill number). S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641 Nursing Home Transparency and Improvement Act and HR 7128 Nursing Home Transparency and Quality of Care Improvement Act - Discussed the bill and provided suggestions for changes to the bill, nursing home quality and proposed five star rating system cms; poor performing nursing homes, family caregiving initiative, nursing home compliance guidelines, Home Health CAHPS, LTC Partnership Program (under Medicaid data reporting requirements), LTC Quality Alliance. To build support and obtain sponsors for Medicaid Family Caregiver Assessment Demonstration proposal (no bill number). Discussion and input on legislation to improve the health/LTC workforce and support family caregivers (no bill number). Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives (no bill number). HR 7114/S3613 Independence at Home Act/Chronic Care Coordination - Lobbied on and support for legislation to provide chronic care coordination services to certain Medicare beneficiaries. S 3101/HR 6331 Medicare Improvements for Patients and Providers Act of 2008 - Discussed implementation to help improve Medicare. Lobbied for appeal notices for Medicare beneficiaries in Medicare Advantage plans (no bill number). S 1102 Part D Equity for Low-Income Services - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 Prescription Coverage Now Act - Lobbied for legislation to increase Medicare Part D LIS asset limits. HR 6033 - Discussed provisions of Home-Based Health Services Job Training and Caregiving Act and ways to improve bill.

S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070/HR 1783 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation, strategy for how they might both move forward this year, bill markup, background for score on S.1577. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. S 3230 Empowered at Home Act - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. HR 7110/S 3604 Job Creation and Unemployment Relief Act - Lobbied for FMAP funding. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. HR 6331 Medicare Improvements for Patients and Providers Act - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries, and promote e-prescriptions in medicare. S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641 Nursing Home Transparency and Improvement Act - Lobbied in support of the bill and to increase co-sponsors; criminal background checks for LTC employees; nursing home quality and proposed five star rating system cms; poor performing nursing homes, family caregiving initiative, nursing home compliance guidelines, Home Health CAHPS, LTC Partnership Program (under Medicaid data reporting requirements), status of Nursing Home Value Based Purchasing Demonstration, Prepare to Care for use in innovative employer caregiving programs satellite broadcast, LTC Quality Alliance. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support and obtain sponsors for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Lobbied to support the Fairness in Nursing Home Arbitration Act and oppose amendments to weaken the bill. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers (no bill). Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives (no bill). S 1577- Support for Patient Safety and Abuse Prevention Act (S 1577) and marking up the bill; provided feedback and in testimony. HR 7114/S3613 Independence at Home Act/Chronic Care Coordination - Feedback on and support for legislation to provide chronic care coordination services to certain Medicare beneficiaries. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S. 3118 Preserving Access to Medicare Act - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Green Houses and culture change in LTC facilities, person centered care and medical homes - testimony and input on draft bill - no bill number. Lobbied for appeal notices for Medicare beneficiaries in Medicare Advantage plans (no bill). S 1102 Part D Equity for Low-Income Services - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 Prescription Coverage Now Act - Lobbied for legislation to increase Medicare Part D LIS asset limits. HR 5702 End-of-Life Care Advance Directive Promotion Act - Discussed ideas for end-of-life care legislation and how to help ensure patient wishes are respected; Advance Directive Promotion Act. Provided feedback on draft legislation regarding physician orders for life sustaining treatment. S.334 - Discussed long-term care broadly and including it in health care reform, including the Healthy Americans Act. Discussed voting in LTC facilities, such as nursing homes, current status and law on the issue (no bill). S 3327 - Provided input and support for the Empowered at Home Act to make improvements in Medicaid HCBS; LTC insurance tax incentives and consumer protection improvements and a caregiver tax credit. Invitations and information about a solutions forum on balancing of state LTC systems. HR 3363/S 2337 - Discussed consumer protections for LTC insurance, premium increases and claims denials, support for family caregivers including assessment, consumer complaints and support for the LTC Affordability and Security Act. HR 6033 - Discussed provisions of Home-Based Health Services Job Training and Caregiving Act. H.Con.Res 133 - Provided input on and support for new LTC Awareness Week resolution. LTC - General discussion of LTC, home and community based services, family caregiving, chronic care, workforce, quality and financing options.(no bill) CMS - Lobbied on the Medicare Medical Home Demo implementation.

HR 3001/ S 1340 - Shared and discusssed actuarial analysis of the CLASS Act regarding creation of a public insurance program for long-term services. S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 Geriatric Assessment and Chronic Care Coordination Act of 2007- Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174 Healthy Hospitals Act of 2007- Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. Medicaid Personal Assistance Services State Plan option- discussion of comment letter sending and receipt. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. S 2480/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641/ HR 5799 Nursing Home Quality and Transparency Legislation Act - To protect residents and support for the Nursing Home Transparency and Improvement Act. Discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration. HR 5702 Advance Directive Promotion Act of 2008 - Negotiated provisions on portability of advance directives. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Input on draft legislation to make arbitration clauses between LTC facilities and their residents or representatives unenforceable; support for this legislation once it was introduced as the Fairness in Nursing Home Arbitration Act, including support letter. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers. Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives. S 1577/HR 3078 - Support for Patient Safety and Abuse Prevention Act (S 1577) and moving the issue forward; provided feedback and in testimony. S 2921 Caring for Wounded Warriors Act of 2008 - Services and supports for family caregivers of certain veterans. Feedback on draft legislation to provide chronic care coordination services to certain Medicare beneficiaries; approaches to improving chronic care for Medicare beneficiaries; discussion of chronic care and Special Needs Plans. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S 1758 - Long-term care financing proposals, including the CLASS Act, a public LTC financing program. S. 3164 - Lobbied on Medicare Fraud bill (Martinez and Cornyn) - All provisions related to protecting participants and the Medicare program from fraud and abuse. S. 3118 - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Long Term Care/Reverse Mortgages - To protect consumers when reverse mortgages are used as a LTC financing tool. Green Houses and culture change in LTC facilities. HR 2642 - To keep moratorium on all seven Medicaid regulations in the supplemental appropriations bill. Lobbied on appeal notices for Medicare beneficiaries in Medicare Advantage plans. S 1102 - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 - Lobbied for legislation to increase Medicare Part D LIS asset limits. S 3101/HR 6331 - (Medicare) Lobbied for legislation to protect part B premiums, increase LIS and MSP asset limits, and promote e-prescribing in Medicare. HR 2642 - (Medicaid) Lobbied for inclusion of Medicaid regulation moratorium in Iraq Supplemental.

TAX REFORM HR 5140 - (HOUSE)Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5140 - (HOUSE) Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 2167 - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 5140 (HOUSE)- Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5719 - A discussion of the various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. TAX REFORM HR 2167 (SENATE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM S 1141 (SENATE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM S 1141 (HOUSE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 2167 (SENATE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 2167 (HOUSE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 5140 - (HOUSE)Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5719 - A discussion of the various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. TAX REFORM S 1141 (HOUSE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM S 1141 (SENATE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 2167 (HOUSE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 2167 (SENATE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM S 1141 (SENATE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM S 1141 (HOUSE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM (HOUSE) - A general discussion of the political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable. TAX REFORM (SENATE) - A general discussion of the political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable. TAX REFORM (HOUSE) - Meeting with tax counsel for the House Small Business Committee to discuss the agenda for the Committee hearing scheduled for April 10, 2008. TAX REFORM HR 1540 - To exclude from gross income amounts received as damages due to discriminatory conduct TAX REFORM HR 5719 - A discussion of the various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. TAX REFORM-SAVINGS INCENTIVES HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (SENATE) - Urging vote for Recovery Rebates and Economic Stimulus for the American People Act of 2008 (H.R. 5140) TAX RELIEF HR 5140 (SENATE) - Letters and discussions to support passage of Economic Stimulus Bill to ensure that it includes stimulus payments for older Americans who are eligible to receive one. TAX RELIEF HR 5140 (HOUSE) - Letters and discussions to support passage of Economic Stimulus Bill to ensure that it includes stimulus payments for older Americans who are eligible to receive one.

HR 5140 Tax Relief, urged vote for Recovery Rebates and Economic Stimulus for the American People Act of 2008 - Discussed implementation of bill. HR 2167/ S 1141 Automatic IRA of 2007- Provisions related to establishing an auto IRA for workers not covered by pension plan. HR 5719 Taxpayer Assistance and Simplification Act of 2008 - Discussed various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. Discussed political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable (no Bill). HR 1540 Civil Rights Tax Relief Act of 2007- Provisions related to excluding from gross income amounts received as damages due to discriminatory conduct. S 3032/S 3532 Give Act - Discussed expansion of volunteerism opportunities and civic engagement. HR 6283 Reimbursing Our American Drivers (ROAD) Act of 2008 - Lobbied in favor of allowing non-profit organizations to reimburse volunteers (without income tax consequences for mileage driven for charitable purposes up to the business mileage rate, and increasing the mileage deduction allowed for charitable purposes. S 3260 Financial Services and General Government Appropriations, FY 2009 - Lobbied for increased funding for IRS taxpayer assistance programs (Tax Counseling for the Elderly and VITA). Discussed tax-exempt issues regarding 501(c) organizations (no bill).

HR 5140 Tax Relief, urging vote for Recovery Rebates and Economic Stimulus for the American People Act of 2008. HR 2167/ S 1141 Automatic IRA of 2007- Provisions related to establishing an auto IRA for workers not covered by pension plan. HR 5719 Taxpayer Assistance and Simplification Act of 2008 - Discussed various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. Discussed political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable (no Bill). HR 1540 Civil Rights Tax Relief Act of 2007- Provisions related to excluding from gross income amounts received as damages due to discriminatory conduct. HR 6237 Tax Relief for Long-Term Care Act of 2008 - All provisions regarding tax relief for family caregivers and purchasers of LTC insurance, the Tax Relief Act of 2008. S 3032/S 3532 Give Act HR 6283 Reimbursing Our American Drivers (ROAD) Act of 2008 - Lobbied in favor of allowing non-profit organizations to reimburse volunteers (without income tax consequences for mileage driven for charitable purposes up to the business mileage rate, and increasing the mileage deduction allowed for charitable purposes. S 3260 Financial Services and General Government Appropriations, FY 2009 - Lobbied for increased funding for IRS taxpayer assistance programs (Tax Counseling for the Elderly and VITA).

HR 5140- Lobbied in favor of including senior rebate in the economic stimulus bill. HR 2167/ S 114- Provisions related to establishing an auto IRA for workers not covered by pension plan. HR 5719- Discussed various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. A general discussion of the political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable. Meeting with tax counsel for the House Small Business Committee to discuss the agenda for the Committee hearing scheduled for April 10, 2008. HR 1540- Provisions related to excluding from gross income amounts received as damages due to discriminatory conduct.

HR 5140 Recovery Rebates and Economic Stimulus for the American People Act of 2008 - Lobbied in favor of including senior rebate in the economic stimulus bill. HR 2167/ S 1141 Automatic IRA of 2007- Provisions related to establishing an auto IRA for workers not covered by pension plan. HR 5719 Taxpayer Assistance and Simplification Act of 2008 - Discussed various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. A general discussion of the political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable (no Bill). Meeting with House Small Business Committee to discuss the agenda for the Committee hearing scheduled for April 10, 2008 on small business taxes and impact on retirement security (no Bill). HR 1540 Civil Rights Tax Relief Act of 2007- Provisions related to excluding from gross income amounts received as damages due to discriminatory conduct. HR 6237 Tax Relief for Long-Term Care Act of 2008 - All provisions regarding tax relief for family caregivers and purchasers of LTC insurance, the Tax Relief Act of 2008.

Nursing home quality; discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill (Senate). Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated, and provided input on legislation regarding advance directives under Medicare and Medicaid; portability of advance directives, and public education around advance directives. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration. HR 3001 - Shared and discusssed actuarial analysis of the CLASS Act. S 2337/HR 3363 - Discusssed support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070.S 1577 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 - Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. HR 1758 - Discussions on bill, including actuarial analysis, provisions and strategy on the bill. S 2708 - Increase the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174/S 1174 - Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates.

S 2337/HR 3363 Long-Term Care Affordability and Security Act - Discussed consumer protections for LTC insurance. S 1070/HR 1783 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation, strategy for how they might both move forward next year. S 3327/HR 7212 - Empowered at Home Act - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid and other improvements to bill. Also lobbied in support of the bill. HR 7110/S 3604 Job Creation and Unemployment Relief Act - Lobbied for FMAP funding. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries, and promote e-prescriptions in medicare (no bill number). S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641 Nursing Home Transparency and Improvement Act and HR 7128 Nursing Home Transparency and Quality of Care Improvement Act - Discussed the bill and provided suggestions for changes to the bill, nursing home quality and proposed five star rating system cms; poor performing nursing homes, family caregiving initiative, nursing home compliance guidelines, Home Health CAHPS, LTC Partnership Program (under Medicaid data reporting requirements), LTC Quality Alliance. To build support and obtain sponsors for Medicaid Family Caregiver Assessment Demonstration proposal (no bill number). Discussion and input on legislation to improve the health/LTC workforce and support family caregivers (no bill number). Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives (no bill number). HR 7114/S3613 Independence at Home Act/Chronic Care Coordination - Lobbied on and support for legislation to provide chronic care coordination services to certain Medicare beneficiaries. S 3101/HR 6331 Medicare Improvements for Patients and Providers Act of 2008 - Discussed implementation to help improve Medicare. Lobbied for appeal notices for Medicare beneficiaries in Medicare Advantage plans (no bill number). S 1102 Part D Equity for Low-Income Services - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 Prescription Coverage Now Act - Lobbied for legislation to increase Medicare Part D LIS asset limits. HR 6033 - Discussed provisions of Home-Based Health Services Job Training and Caregiving Act and ways to improve bill.

S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070/HR 1783 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation, strategy for how they might both move forward this year, bill markup, background for score on S.1577. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. S 3230 Empowered at Home Act - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. HR 7110/S 3604 Job Creation and Unemployment Relief Act - Lobbied for FMAP funding. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. HR 6331 Medicare Improvements for Patients and Providers Act - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries, and promote e-prescriptions in medicare. S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641 Nursing Home Transparency and Improvement Act - Lobbied in support of the bill and to increase co-sponsors; criminal background checks for LTC employees; nursing home quality and proposed five star rating system cms; poor performing nursing homes, family caregiving initiative, nursing home compliance guidelines, Home Health CAHPS, LTC Partnership Program (under Medicaid data reporting requirements), status of Nursing Home Value Based Purchasing Demonstration, Prepare to Care for use in innovative employer caregiving programs satellite broadcast, LTC Quality Alliance. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support and obtain sponsors for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Lobbied to support the Fairness in Nursing Home Arbitration Act and oppose amendments to weaken the bill. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers (no bill). Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives (no bill). S 1577- Support for Patient Safety and Abuse Prevention Act (S 1577) and marking up the bill; provided feedback and in testimony. HR 7114/S3613 Independence at Home Act/Chronic Care Coordination - Feedback on and support for legislation to provide chronic care coordination services to certain Medicare beneficiaries. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S. 3118 Preserving Access to Medicare Act - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Green Houses and culture change in LTC facilities, person centered care and medical homes - testimony and input on draft bill - no bill number. Lobbied for appeal notices for Medicare beneficiaries in Medicare Advantage plans (no bill). S 1102 Part D Equity for Low-Income Services - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 Prescription Coverage Now Act - Lobbied for legislation to increase Medicare Part D LIS asset limits. HR 5702 End-of-Life Care Advance Directive Promotion Act - Discussed ideas for end-of-life care legislation and how to help ensure patient wishes are respected; Advance Directive Promotion Act. Provided feedback on draft legislation regarding physician orders for life sustaining treatment. S.334 - Discussed long-term care broadly and including it in health care reform, including the Healthy Americans Act. Discussed voting in LTC facilities, such as nursing homes, current status and law on the issue (no bill). S 3327 - Provided input and support for the Empowered at Home Act to make improvements in Medicaid HCBS; LTC insurance tax incentives and consumer protection improvements and a caregiver tax credit. Invitations and information about a solutions forum on balancing of state LTC systems. HR 3363/S 2337 - Discussed consumer protections for LTC insurance, premium increases and claims denials, support for family caregivers including assessment, consumer complaints and support for the LTC Affordability and Security Act. HR 6033 - Discussed provisions of Home-Based Health Services Job Training and Caregiving Act. H.Con.Res 133 - Provided input on and support for new LTC Awareness Week resolution. LTC - General discussion of LTC, home and community based services, family caregiving, chronic care, workforce, quality and financing options.(no bill) CMS - Lobbied on the Medicare Medical Home Demo implementation.

S 623/HR 1038 (Access to Life Saving Medicine Act), HR 1956 (Patient Protection and Innovative Biologic Medicines Act of 2007), HR 5629 (Pathway for Biosimilars Act) - Lobbied to ensure that Waxman Biogenerics legislation is enacted particularly provisions related to ensuring a safe, effective pathway for the approval of comparable, interchangeable biologics. HR 1902 (Protecting Consumer Access to Generic Drugs Act of 2007)/ S 316 (Preserve Access to Affordable Generics Act -Provisions related to preventing abuses in patent settlements between generic and brand name prescription drug manufactures. S 1145 Patient Reform Act of 2007- Ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. Discussion regarding prescription drug affordability (no Bill). S 3230 Labor/HHS/Education Appropriations FY 2009 - Lobbying for spending levels for Rx comparative effectiveness. S 3289 Agriculture and Rural Development Appropriations, FY 2009 - Lobbied to reduce FDA generic drug processing backlog.

S 623/HR 1038 (Access to Life Saving Medicine Act), HR 1956 (Patient Protection and Innovative Biologic Medicines Act of 2007), HR 5629 (Pathway for Biosimilars Act) - Lobbied to ensure that Waxman Biogenerics legislation is enacted particularly provisions related to ensuring a safe, effective pathway for the approval of comparable, interchangeable biologics. HR 1902 (Protecting Consumer Access to Generic Drugs Act of 2007)/ S 316 (Preserve Access to Affordable Generics Act -Provisions related to preventing abuses in patent settlements between generic and brand name prescription drug manufactures. S 1145 Patient Reform Act of 2007- Ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. Discussion regarding prescription drug affordability (no Bill). S 3230 Labor/HHS/Education Appropriations FY 2009 - Lobbying for spending levels for Rx comparative effectiveness and to reduce FDA generic drug processing backlog.

S 623, HR 1038, HR 1956, HR 5629-Lobbied to ensure that Waxman biogenerics legislation is enacted particularly provisions related to ensuring a safe, effective pathway for the approval of comparable, interchangeable biologics. HR 1902/ S 316-Provisions related to preventing abuses in patent settlements between generic and brand name prescription drug manufactures. S 1145-Ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. S 242-Lobbied to ensure the passage of legislation that would create a safe system of prescription drug importation. Discussion regarding prescription drug affordability.

BIOLOGICS HR 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS S 623 (SENATE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS H.R. 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS S 623 (SENATE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS HR. 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS S 623 (SENATE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS HR. 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS S 623 (SENATE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. PRESCRIPTION DRUGS (HOUSE) - Discussions on prescription drug affordability PRESCRIPTION DRUGS (SENATE) - Discussions on prescription drug affordability PRESCRIPTION DRUGS HR 1902 (HOUSE) - Patent Settlements (HR 1902/S. 316) legislation seeks to prevent abuses in patent settlements between generic and brand name prescription drug manufacturers. PRESCRIPTION DRUGS S 242 - Lobbied to ensure the passage of legislation that would create a safe system of importation. PRESCRIPTION DRUGS S 1145 - Patent Reform (S. 1145) ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. PRESCRIPTION DRUGS S. 316 (SENATE) - Patent Settlements (HR 1902/S. 316) legislation seeks to prevent abuses in patent settlements between generic and brand name prescription drug manufacturers. PRESCRIPTION DRUGS (HOUSE) - Discussions on prescription drug affordability PRESCRIPTION DRUGS (SENATE) - Discussions on prescription drug affordability BIOLOGICS H.R. 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. PRESCRIPTION DRUGS HR 1902 (HOUSE) - Patent Settlements (HR 1902/S. 316) legislation seeks to prevent abuses in patent settlements between generic and brand name prescription drug manufacturers. PRESCRIPTION DRUGS S 1145 - Patent Reform (S. 1145) ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. PRESCRIPTION DRUGS S 242 - Lobbied to ensure the passage of legislation that would create a safe system of importation. BIOLOGICS S 623 (SENATE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. PRESCRIPTION DRUGS (HOUSE) - Discussions on prescription drug affordability PRESCRIPTION DRUGS (SENATE) - Discussions on prescription drug affordability BIOLOGICS H.R. 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. PRESCRIPTION DRUGS HR 1902 (HOUSE) - Patent Settlements (HR 1902/S. 316) legislation seeks to prevent abuses in patent settlements between generic and brand name prescription drug manufacturers. BIOLOGICS S 623 (SENATE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. PRESCRIPTION DRUGS S 1145 - Patent Reform (S. 1145) ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. PRESCRIPTION DRUGS S 242 - Lobbied to ensure the passage of legislation that would create a safe system of importation. BIOLOGICS HR. 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. PRESCRIPTION DRUGS (HOUSE) - Discussions on prescription drug affordability PRESCRIPTION DRUGS (SENATE) - Discussions on prescription drug affordability PRESCRIPTION DRUGS HR 1902 (HOUSE) - Patent Settlements (HR 1902/S. 316) legislation seeks to prevent abuses in patent settlements between generic and brand name prescription drug manufacturers. PRESCRIPTION DRUGS S 1145 - Patent Reform (S. 1145) ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. PRESCRIPTION DRUGS S 242 - Lobbied to ensure the passage of legislation that would create a safe system of importation. PRESCRIPTION DRUGS S. 316 (SENATE) - Patent Settlements (HR 1902/S. 316) legislation seeks to prevent abuses in patent settlements between generic and brand name prescription drug manufacturers.

S 623/HR 1038 (Access to Life Saving Medicine Act), HR 1956 (Patient Protection and Innovative Biologic Medicines Act of 2007), HR 5629 (Pathway for Biosimilars Act) - Lobbied to ensure that Waxman Biogenerics legislation is enacted particularly provisions related to ensuring a safe, effective pathway for the approval of comparable, interchangeable biologics. HR 1902 (Protecting Consumer Access to Generic Drugs Act of 2007)/ S 316 (Preserve Access to Affordable Generics Act -Provisions related to preventing abuses in patent settlements between generic and brand name prescription drug manufactures. S 1145 Patient Reform Act of 2007- Ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. Discussion regarding prescription drug affordability (no Bill). S 3230 Labor/HHS/Education Appropriations FY 2009 - Lobbying for spending levels for Rx comparative effectiveness and to reduce FDA generic drug processing backlog.

S 623, HR 1038, HR 1956, HR 5629-Lobbied to ensure that Waxman biogenerics legislation is enacted particularly provisions related to ensuring a safe, effective pathway for the approval of comparable, interchangeable biologics. HR 1902/ S 316-Provisions related to preventing abuses in patent settlements between generic and brand name prescription drug manufactures. S 1145-Ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. S 242-Lobbied to ensure the passage of legislation that would create a safe system of prescription drug importation. Discussion regarding prescription drug affordability.

BIOLOGICS HR 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS S 623 (SENATE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS H.R. 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS S 623 (SENATE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS HR. 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS S 623 (SENATE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS HR. 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS S 623 (SENATE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. PRESCRIPTION DRUGS (HOUSE) - Discussions on prescription drug affordability PRESCRIPTION DRUGS (SENATE) - Discussions on prescription drug affordability PRESCRIPTION DRUGS HR 1902 (HOUSE) - Patent Settlements (HR 1902/S. 316) legislation seeks to prevent abuses in patent settlements between generic and brand name prescription drug manufacturers. PRESCRIPTION DRUGS S 242 - Lobbied to ensure the passage of legislation that would create a safe system of importation. PRESCRIPTION DRUGS S 1145 - Patent Reform (S. 1145) ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. PRESCRIPTION DRUGS S. 316 (SENATE) - Patent Settlements (HR 1902/S. 316) legislation seeks to prevent abuses in patent settlements between generic and brand name prescription drug manufacturers. PRESCRIPTION DRUGS (HOUSE) - Discussions on prescription drug affordability PRESCRIPTION DRUGS (SENATE) - Discussions on prescription drug affordability BIOLOGICS H.R. 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. PRESCRIPTION DRUGS HR 1902 (HOUSE) - Patent Settlements (HR 1902/S. 316) legislation seeks to prevent abuses in patent settlements between generic and brand name prescription drug manufacturers. PRESCRIPTION DRUGS S 1145 - Patent Reform (S. 1145) ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. PRESCRIPTION DRUGS S 242 - Lobbied to ensure the passage of legislation that would create a safe system of importation. BIOLOGICS S 623 (SENATE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. PRESCRIPTION DRUGS (HOUSE) - Discussions on prescription drug affordability PRESCRIPTION DRUGS (SENATE) - Discussions on prescription drug affordability BIOLOGICS H.R. 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. PRESCRIPTION DRUGS HR 1902 (HOUSE) - Patent Settlements (HR 1902/S. 316) legislation seeks to prevent abuses in patent settlements between generic and brand name prescription drug manufacturers. BIOLOGICS S 623 (SENATE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. PRESCRIPTION DRUGS S 1145 - Patent Reform (S. 1145) ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. PRESCRIPTION DRUGS S 242 - Lobbied to ensure the passage of legislation that would create a safe system of importation. BIOLOGICS HR. 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. PRESCRIPTION DRUGS (HOUSE) - Discussions on prescription drug affordability PRESCRIPTION DRUGS (SENATE) - Discussions on prescription drug affordability PRESCRIPTION DRUGS HR 1902 (HOUSE) - Patent Settlements (HR 1902/S. 316) legislation seeks to prevent abuses in patent settlements between generic and brand name prescription drug manufacturers. PRESCRIPTION DRUGS S 1145 - Patent Reform (S. 1145) ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. PRESCRIPTION DRUGS S 242 - Lobbied to ensure the passage of legislation that would create a safe system of importation. PRESCRIPTION DRUGS S. 316 (SENATE) - Patent Settlements (HR 1902/S. 316) legislation seeks to prevent abuses in patent settlements between generic and brand name prescription drug manufacturers.

S 623/HR 1038 (Access to Life Saving Medicine Act), HR 1956 (Patient Protection and Innovative Biologic Medicines Act of 2007), HR 5629 (Pathway for Biosimilars Act) - Lobbied to ensure that Waxman Biogenerics legislation is enacted particularly provisions related to ensuring a safe, effective pathway for the approval of comparable, interchangeable biologics. HR 1902 (Protecting Consumer Access to Generic Drugs Act of 2007)/ S 316 (Preserve Access to Affordable Generics Act -Provisions related to preventing abuses in patent settlements between generic and brand name prescription drug manufactures. S 1145 Patient Reform Act of 2007- Ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. Discussion regarding prescription drug affordability (no Bill). S 3230 Labor/HHS/Education Appropriations FY 2009 - Lobbying for spending levels for Rx comparative effectiveness. S 3289 Agriculture and Rural Development Appropriations, FY 2009 - Lobbied to reduce FDA generic drug processing backlog.

HR 5140- Lobbied in favor of including senior rebate in the economic stimulus bill. HR 2167/ S 114- Provisions related to establishing an auto IRA for workers not covered by pension plan. HR 5719- Discussed various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. A general discussion of the political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable. Meeting with tax counsel for the House Small Business Committee to discuss the agenda for the Committee hearing scheduled for April 10, 2008. HR 1540- Provisions related to excluding from gross income amounts received as damages due to discriminatory conduct.

HR 5140 Tax Relief, urging vote for Recovery Rebates and Economic Stimulus for the American People Act of 2008. HR 2167/ S 1141 Automatic IRA of 2007- Provisions related to establishing an auto IRA for workers not covered by pension plan. HR 5719 Taxpayer Assistance and Simplification Act of 2008 - Discussed various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. Discussed political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable (no Bill). HR 1540 Civil Rights Tax Relief Act of 2007- Provisions related to excluding from gross income amounts received as damages due to discriminatory conduct. HR 6237 Tax Relief for Long-Term Care Act of 2008 - All provisions regarding tax relief for family caregivers and purchasers of LTC insurance, the Tax Relief Act of 2008. S 3032/S 3532 Give Act HR 6283 Reimbursing Our American Drivers (ROAD) Act of 2008 - Lobbied in favor of allowing non-profit organizations to reimburse volunteers (without income tax consequences for mileage driven for charitable purposes up to the business mileage rate, and increasing the mileage deduction allowed for charitable purposes. S 3260 Financial Services and General Government Appropriations, FY 2009 - Lobbied for increased funding for IRS taxpayer assistance programs (Tax Counseling for the Elderly and VITA).

HR 5140 Recovery Rebates and Economic Stimulus for the American People Act of 2008 - Lobbied in favor of including senior rebate in the economic stimulus bill. HR 2167/ S 1141 Automatic IRA of 2007- Provisions related to establishing an auto IRA for workers not covered by pension plan. HR 5719 Taxpayer Assistance and Simplification Act of 2008 - Discussed various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. A general discussion of the political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable (no Bill). Meeting with House Small Business Committee to discuss the agenda for the Committee hearing scheduled for April 10, 2008 on small business taxes and impact on retirement security (no Bill). HR 1540 Civil Rights Tax Relief Act of 2007- Provisions related to excluding from gross income amounts received as damages due to discriminatory conduct. HR 6237 Tax Relief for Long-Term Care Act of 2008 - All provisions regarding tax relief for family caregivers and purchasers of LTC insurance, the Tax Relief Act of 2008.

TAX REFORM HR 5140 - (HOUSE)Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5140 - (HOUSE) Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 2167 - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 5140 (HOUSE)- Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5719 - A discussion of the various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. TAX REFORM HR 2167 (SENATE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM S 1141 (SENATE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM S 1141 (HOUSE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 2167 (SENATE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 2167 (HOUSE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 5140 - (HOUSE)Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5719 - A discussion of the various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. TAX REFORM S 1141 (HOUSE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM S 1141 (SENATE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 2167 (HOUSE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 2167 (SENATE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM S 1141 (SENATE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM S 1141 (HOUSE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM (HOUSE) - A general discussion of the political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable. TAX REFORM (SENATE) - A general discussion of the political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable. TAX REFORM (HOUSE) - Meeting with tax counsel for the House Small Business Committee to discuss the agenda for the Committee hearing scheduled for April 10, 2008. TAX REFORM HR 1540 - To exclude from gross income amounts received as damages due to discriminatory conduct TAX REFORM HR 5719 - A discussion of the various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. TAX REFORM-SAVINGS INCENTIVES HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (SENATE) - Urging vote for Recovery Rebates and Economic Stimulus for the American People Act of 2008 (H.R. 5140) TAX RELIEF HR 5140 (SENATE) - Letters and discussions to support passage of Economic Stimulus Bill to ensure that it includes stimulus payments for older Americans who are eligible to receive one. TAX RELIEF HR 5140 (HOUSE) - Letters and discussions to support passage of Economic Stimulus Bill to ensure that it includes stimulus payments for older Americans who are eligible to receive one.

HR 5140 Tax Relief, urged vote for Recovery Rebates and Economic Stimulus for the American People Act of 2008 - Discussed implementation of bill. HR 2167/ S 1141 Automatic IRA of 2007- Provisions related to establishing an auto IRA for workers not covered by pension plan. HR 5719 Taxpayer Assistance and Simplification Act of 2008 - Discussed various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. Discussed political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable (no Bill). HR 1540 Civil Rights Tax Relief Act of 2007- Provisions related to excluding from gross income amounts received as damages due to discriminatory conduct. S 3032/S 3532 Give Act - Discussed expansion of volunteerism opportunities and civic engagement. HR 6283 Reimbursing Our American Drivers (ROAD) Act of 2008 - Lobbied in favor of allowing non-profit organizations to reimburse volunteers (without income tax consequences for mileage driven for charitable purposes up to the business mileage rate, and increasing the mileage deduction allowed for charitable purposes. S 3260 Financial Services and General Government Appropriations, FY 2009 - Lobbied for increased funding for IRS taxpayer assistance programs (Tax Counseling for the Elderly and VITA). Discussed tax-exempt issues regarding 501(c) organizations (no bill).

LONG TERM CARE (SENATE) - Senate, nursing home quality: discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality, poor performing nursing homes, family caregiving, nursing home compliance guidance, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration LONG TERM CARE (SENATE) - Senate, nursing home quality: discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE HR 3001 - CLASS Act shared and discussed actuarial analysis of the CLASS Act, a bill to create a public insurance program for long-term services and supports LONG TERM CARE HR 3363 - Discussed support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections; focused consumer protections LONG TERM CARE S 1070/S 1577 - Elder Justice Act (S. 1070) and Patient Safety and Abuse Prevention Act (S. 1577): support for both pieces of legislation and strategy for how they might both move forward this year LONG TERM CARE S 1340 - Geriatric Assessment and Chronic Care Coordination Act, discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill LONG TERM CARE S 1758 - CLASS ACT - discussions on Class Act, including actuarial analysis, provisions and strategy on the bill. Bill would create a public long-term care financing program. LONG TERM CARE S 2337 - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. LONG TERM CARE S 2337/HR 3363 (SENATE) - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections LONG TERM CARE S 2708 - Caring for an Aging America Act, a health and long-term care workforce bill to increase the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality, poor performing nursing homes, family caregiving, nursing home compliance guidance, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration LONG TERM CARE HR 3001 - CLASS Act shared and discussed actuarial analysis of the CLASS Act, a bill to create a public insurance program for long-term services and supports LONG TERM CARE HR 3363 - Discussed support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections; focused consumer protections LONG TERM CARE S 1070/S 1577 - Elder Justice Act (S. 1070) and Patient Safety and Abuse Prevention Act (S. 1577): support for both pieces of legislation and strategy for how they might both move forward this year LONG TERM CARE S 1340 - Geriatric Assessment and Chronic Care Coordination Act, discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill LONG TERM CARE S 1758 - CLASS ACT - discussions on Class Act, including actuarial analysis, provisions and strategy on the bill. Bill would create a public long-term care financing program. LONG TERM CARE S 2337 - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. LONG TERM CARE S 2337/HR 3363 (SENATE) - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections LONG TERM CARE S 2708 - Caring for an Aging America Act, a health and long-term care workforce bill to increase the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE (SENATE) - Senate, nursing home quality: discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill LONG TERM CARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality, poor performing nursing homes, family caregiving, nursing home compliance guidance, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration LONG TERM CARE HR 3001 - CLASS Act shared and discussed actuarial analysis of the CLASS Act, a bill to create a public insurance program for long-term services and supports LONG TERM CARE HR 3363 - Discussed support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections; focused consumer protections LONG TERM CARE S 1070/S 1577 - Elder Justice Act (S. 1070) and Patient Safety and Abuse Prevention Act (S. 1577): support for both pieces of legislation and strategy for how they might both move forward this year LONG TERM CARE S 1758 - CLASS ACT - discussions on Class Act, including actuarial analysis, provisions and strategy on the bill. Bill would create a public long-term care financing program. LONG TERM CARE S 2337/HR 3363 (SENATE) - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections LONG TERM CARE S 1340 - Geriatric Assessment and Chronic Care Coordination Act, discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill LONG TERM CARE S 2337 - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE (SENATE) - Senate, nursing home quality: discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill LONG TERM CARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality, poor performing nursing homes, family caregiving, nursing home compliance guidance, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration LONG TERM CARE HR 3001 - CLASS Act shared and discussed actuarial analysis of the CLASS Act, a bill to create a public insurance program for long-term services and supports LONG TERM CARE HR 3363 - Discussed support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections; focused consumer protections LONG TERM CARE S 1758 - CLASS ACT - discussions on Class Act, including actuarial analysis, provisions and strategy on the bill. Bill would create a public long-term care financing program. LONG TERM CARE S 2337/HR 3363 (SENATE) - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections LONG TERM CARE S 1340 - Geriatric Assessment and Chronic Care Coordination Act, discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill LONG TERM CARE S 2337 - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. LONG TERM CARE S 2708 - Caring for an Aging America Act, a health and long-term care workforce bill to increase the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill LONG TERM CARE S 1070/S 1577 - Elder Justice Act (S. 1070) and Patient Safety and Abuse Prevention Act (S. 1577): support for both pieces of legislation and strategy for how they might both move forward this year MEDICAID (HOUSE) - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Filed comment letters on proposed regulations involving cost sharing and flexibility in benefit packages. MEDICAID (SENATE) - Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. MEDICAID HR 1174 - S1174 Health Hospitals Act discussed with sponsors staff potential endorsement of this legislation to require hospitals to report infection rates. MEDICAID HR 5140 (SENATE) - Recovery Rebates and Economic Stimulus for the American People Act of 2008 supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs. MEDICAID HR 5613 - Protecting the Medicaid Safety Net Act support this legislation that places a moratorium on harmful Medicaid regulations. MEDICAID (HOUSE) - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. MEDICAID (SENATE) - Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Filed comment letters on proposed regulations involving cost sharing and flexibility in benefit packages. MEDICAID HR 1174 - S1174 Health Hospitals Act discussed with sponsors staff potential endorsement of this legislation to require hospitals to report infection rates. MEDICAID HR 5140 (SENATE) - Recovery Rebates and Economic Stimulus for the American People Act of 2008 supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs MEDICAID HR 5613 - Protecting the Medicaid Safety Net Act support this legislation that places a moratorium on harmful Medicaid regulations. MEDICAID (HOUSE) - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. MEDICAID (SENATE) - Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Filed comment letters on proposed regulations involving cost sharing and flexibility in benefit packages. MEDICAID HR 1174 - S1174 Health Hospitals Act discussed with sponsors staff potential endorsement of this legislation to require hospitals to report infection rates. MEDICAID HR 5140 (SENATE) - Recovery Rebates and Economic Stimulus for the American People Act of 2008 supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs MEDICAID HR 5613 - Protecting the Medicaid Safety Net Act support this legislation that places a moratorium on harmful Medicaid regulations. MEDICAID (HOUSE) - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Filed comment letters on proposed regulations involving cost sharing and flexibility in benefit packages MEDICAID HR 1174 - S1174 Health Hospitals Act discussed with sponsors staff potential endorsement of this legislation to require hospitals to report infection rates. MEDICAID HR 5140 (SENATE) - Recovery Rebates and Economic Stimulus for the American People Act of 2008 supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs MEDICAID HR 5613 - Protecting the Medicaid Safety Net Act support this legislation that places a moratorium on harmful Medicaid regulations. MEDICAID (SENATE) - Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Medicaid Personal Assistance Services State Plan option discussion of comment letter sending and receipt MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR 3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE S.2408 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE S.2408 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR 3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE S.2408 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE S.2408 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR 3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE S.2408 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE S.2408 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. MEDICARE S.2408 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE S.2408 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR 3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement.

HR 3001/ S 1340 - Shared and discusssed actuarial analysis of the CLASS Act regarding creation of a public insurance program for long-term services. S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 Geriatric Assessment and Chronic Care Coordination Act of 2007- Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174 Healthy Hospitals Act of 2007- Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. Medicaid Personal Assistance Services State Plan option- discussion of comment letter sending and receipt. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. S 2480/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641/ HR 5799 Nursing Home Quality and Transparency Legislation Act - To protect residents and support for the Nursing Home Transparency and Improvement Act. Discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration. HR 5702 Advance Directive Promotion Act of 2008 - Negotiated provisions on portability of advance directives. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Input on draft legislation to make arbitration clauses between LTC facilities and their residents or representatives unenforceable; support for this legislation once it was introduced as the Fairness in Nursing Home Arbitration Act, including support letter. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers. Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives. S 1577/HR 3078 - Support for Patient Safety and Abuse Prevention Act (S 1577) and moving the issue forward; provided feedback and in testimony. S 2921 Caring for Wounded Warriors Act of 2008 - Services and supports for family caregivers of certain veterans. Feedback on draft legislation to provide chronic care coordination services to certain Medicare beneficiaries; approaches to improving chronic care for Medicare beneficiaries; discussion of chronic care and Special Needs Plans. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S 1758 - Long-term care financing proposals, including the CLASS Act, a public LTC financing program. S. 3164 - Lobbied on Medicare Fraud bill (Martinez and Cornyn) - All provisions related to protecting participants and the Medicare program from fraud and abuse. S. 3118 - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Long Term Care/Reverse Mortgages - To protect consumers when reverse mortgages are used as a LTC financing tool. Green Houses and culture change in LTC facilities. HR 2642 - To keep moratorium on all seven Medicaid regulations in the supplemental appropriations bill. Lobbied on appeal notices for Medicare beneficiaries in Medicare Advantage plans. S 1102 - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 - Lobbied for legislation to increase Medicare Part D LIS asset limits. S 3101/HR 6331 - (Medicare) Lobbied for legislation to protect part B premiums, increase LIS and MSP asset limits, and promote e-prescribing in Medicare. HR 2642 - (Medicaid) Lobbied for inclusion of Medicaid regulation moratorium in Iraq Supplemental.

HR 3001/ S 1340 - Shared and discusssed actuarial analysis of the CLASS Act regarding creation of a public insurance program for long-term services. S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070/S 1577 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 - Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. S 2708 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174/S 1174 - Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates. HR 5140- Supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs. HR 5613- Supported this legislation, particularly provisions related to placing a moratorium on harmful Medicaid regulations. Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. Filed comment letters with HHS on proposed regulations involving cost sharing and flexibility in benefit packages. Medicaid Personal Assistance Services State Plan option- discussion of comment letter sending and receipt. Advocated for part B premium protection and asset test improvement. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. S 2480/HR 4296- Supported provisions related to requiring e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641/ HR 5799 Nursing home quality; discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill. Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated, and provided input on legislation regarding advance directives under Medicare and Medicaid;portability of advance directives, and public education around advance directives. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration.

Nursing home quality; discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill (Senate). Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated, and provided input on legislation regarding advance directives under Medicare and Medicaid; portability of advance directives, and public education around advance directives. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration. HR 3001 - Shared and discusssed actuarial analysis of the CLASS Act. S 2337/HR 3363 - Discusssed support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070.S 1577 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 - Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. HR 1758 - Discussions on bill, including actuarial analysis, provisions and strategy on the bill. S 2708 - Increase the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174/S 1174 - Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates.

HR 3001/ S 1340 - Shared and discusssed actuarial analysis of the CLASS Act regarding creation of a public insurance program for long-term services. S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 Geriatric Assessment and Chronic Care Coordination Act of 2007- Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174 Healthy Hospitals Act of 2007- Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. Medicaid Personal Assistance Services State Plan option- discussion of comment letter sending and receipt. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. S 2480/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641/ HR 5799 Nursing Home Quality and Transparency Legislation Act - To protect residents and support for the Nursing Home Transparency and Improvement Act. Discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration. HR 5702 Advance Directive Promotion Act of 2008 - Negotiated provisions on portability of advance directives. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Input on draft legislation to make arbitration clauses between LTC facilities and their residents or representatives unenforceable; support for this legislation once it was introduced as the Fairness in Nursing Home Arbitration Act, including support letter. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers. Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives. S 1577/HR 3078 - Support for Patient Safety and Abuse Prevention Act (S 1577) and moving the issue forward; provided feedback and in testimony. S 2921 Caring for Wounded Warriors Act of 2008 - Services and supports for family caregivers of certain veterans. Feedback on draft legislation to provide chronic care coordination services to certain Medicare beneficiaries; approaches to improving chronic care for Medicare beneficiaries; discussion of chronic care and Special Needs Plans. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S 1758 - Long-term care financing proposals, including the CLASS Act, a public LTC financing program. S. 3164 - Lobbied on Medicare Fraud bill (Martinez and Cornyn) - All provisions related to protecting participants and the Medicare program from fraud and abuse. S. 3118 - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Long Term Care/Reverse Mortgages - To protect consumers when reverse mortgages are used as a LTC financing tool. Green Houses and culture change in LTC facilities. HR 2642 - To keep moratorium on all seven Medicaid regulations in the supplemental appropriations bill. Lobbied on appeal notices for Medicare beneficiaries in Medicare Advantage plans. S 1102 - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 - Lobbied for legislation to increase Medicare Part D LIS asset limits. S 3101/HR 6331 - (Medicare) Lobbied for legislation to protect part B premiums, increase LIS and MSP asset limits, and promote e-prescribing in Medicare. HR 2642 - (Medicaid) Lobbied for inclusion of Medicaid regulation moratorium in Iraq Supplemental.

S 2337/HR 3363 Long-Term Care Affordability and Security Act - Discussed consumer protections for LTC insurance. S 1070/HR 1783 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation, strategy for how they might both move forward next year. S 3327/HR 7212 - Empowered at Home Act - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid and other improvements to bill. Also lobbied in support of the bill. HR 7110/S 3604 Job Creation and Unemployment Relief Act - Lobbied for FMAP funding. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries, and promote e-prescriptions in medicare (no bill number). S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641 Nursing Home Transparency and Improvement Act and HR 7128 Nursing Home Transparency and Quality of Care Improvement Act - Discussed the bill and provided suggestions for changes to the bill, nursing home quality and proposed five star rating system cms; poor performing nursing homes, family caregiving initiative, nursing home compliance guidelines, Home Health CAHPS, LTC Partnership Program (under Medicaid data reporting requirements), LTC Quality Alliance. To build support and obtain sponsors for Medicaid Family Caregiver Assessment Demonstration proposal (no bill number). Discussion and input on legislation to improve the health/LTC workforce and support family caregivers (no bill number). Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives (no bill number). HR 7114/S3613 Independence at Home Act/Chronic Care Coordination - Lobbied on and support for legislation to provide chronic care coordination services to certain Medicare beneficiaries. S 3101/HR 6331 Medicare Improvements for Patients and Providers Act of 2008 - Discussed implementation to help improve Medicare. Lobbied for appeal notices for Medicare beneficiaries in Medicare Advantage plans (no bill number). S 1102 Part D Equity for Low-Income Services - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 Prescription Coverage Now Act - Lobbied for legislation to increase Medicare Part D LIS asset limits. HR 6033 - Discussed provisions of Home-Based Health Services Job Training and Caregiving Act and ways to improve bill.

HR 3001/ S 1340 - Shared and discusssed actuarial analysis of the CLASS Act regarding creation of a public insurance program for long-term services. S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 Geriatric Assessment and Chronic Care Coordination Act of 2007- Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174 Healthy Hospitals Act of 2007- Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. Medicaid Personal Assistance Services State Plan option- discussion of comment letter sending and receipt. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. S 2480/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641/ HR 5799 Nursing Home Quality and Transparency Legislation Act - To protect residents and support for the Nursing Home Transparency and Improvement Act. Discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration. HR 5702 Advance Directive Promotion Act of 2008 - Negotiated provisions on portability of advance directives. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Input on draft legislation to make arbitration clauses between LTC facilities and their residents or representatives unenforceable; support for this legislation once it was introduced as the Fairness in Nursing Home Arbitration Act, including support letter. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers. Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives. S 1577/HR 3078 - Support for Patient Safety and Abuse Prevention Act (S 1577) and moving the issue forward; provided feedback and in testimony. S 2921 Caring for Wounded Warriors Act of 2008 - Services and supports for family caregivers of certain veterans. Feedback on draft legislation to provide chronic care coordination services to certain Medicare beneficiaries; approaches to improving chronic care for Medicare beneficiaries; discussion of chronic care and Special Needs Plans. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S 1758 - Long-term care financing proposals, including the CLASS Act, a public LTC financing program. S. 3164 - Lobbied on Medicare Fraud bill (Martinez and Cornyn) - All provisions related to protecting participants and the Medicare program from fraud and abuse. S. 3118 - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Long Term Care/Reverse Mortgages - To protect consumers when reverse mortgages are used as a LTC financing tool. Green Houses and culture change in LTC facilities. HR 2642 - To keep moratorium on all seven Medicaid regulations in the supplemental appropriations bill. Lobbied on appeal notices for Medicare beneficiaries in Medicare Advantage plans. S 1102 - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 - Lobbied for legislation to increase Medicare Part D LIS asset limits. S 3101/HR 6331 - (Medicare) Lobbied for legislation to protect part B premiums, increase LIS and MSP asset limits, and promote e-prescribing in Medicare. HR 2642 - (Medicaid) Lobbied for inclusion of Medicaid regulation moratorium in Iraq Supplemental.

S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070/HR 1783 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation, strategy for how they might both move forward this year, bill markup, background for score on S.1577. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. S 3230 Empowered at Home Act - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. HR 7110/S 3604 Job Creation and Unemployment Relief Act - Lobbied for FMAP funding. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. HR 6331 Medicare Improvements for Patients and Providers Act - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries, and promote e-prescriptions in medicare. S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641 Nursing Home Transparency and Improvement Act - Lobbied in support of the bill and to increase co-sponsors; criminal background checks for LTC employees; nursing home quality and proposed five star rating system cms; poor performing nursing homes, family caregiving initiative, nursing home compliance guidelines, Home Health CAHPS, LTC Partnership Program (under Medicaid data reporting requirements), status of Nursing Home Value Based Purchasing Demonstration, Prepare to Care for use in innovative employer caregiving programs satellite broadcast, LTC Quality Alliance. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support and obtain sponsors for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Lobbied to support the Fairness in Nursing Home Arbitration Act and oppose amendments to weaken the bill. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers (no bill). Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives (no bill). S 1577- Support for Patient Safety and Abuse Prevention Act (S 1577) and marking up the bill; provided feedback and in testimony. HR 7114/S3613 Independence at Home Act/Chronic Care Coordination - Feedback on and support for legislation to provide chronic care coordination services to certain Medicare beneficiaries. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S. 3118 Preserving Access to Medicare Act - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Green Houses and culture change in LTC facilities, person centered care and medical homes - testimony and input on draft bill - no bill number. Lobbied for appeal notices for Medicare beneficiaries in Medicare Advantage plans (no bill). S 1102 Part D Equity for Low-Income Services - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 Prescription Coverage Now Act - Lobbied for legislation to increase Medicare Part D LIS asset limits. HR 5702 End-of-Life Care Advance Directive Promotion Act - Discussed ideas for end-of-life care legislation and how to help ensure patient wishes are respected; Advance Directive Promotion Act. Provided feedback on draft legislation regarding physician orders for life sustaining treatment. S.334 - Discussed long-term care broadly and including it in health care reform, including the Healthy Americans Act. Discussed voting in LTC facilities, such as nursing homes, current status and law on the issue (no bill). S 3327 - Provided input and support for the Empowered at Home Act to make improvements in Medicaid HCBS; LTC insurance tax incentives and consumer protection improvements and a caregiver tax credit. Invitations and information about a solutions forum on balancing of state LTC systems. HR 3363/S 2337 - Discussed consumer protections for LTC insurance, premium increases and claims denials, support for family caregivers including assessment, consumer complaints and support for the LTC Affordability and Security Act. HR 6033 - Discussed provisions of Home-Based Health Services Job Training and Caregiving Act. H.Con.Res 133 - Provided input on and support for new LTC Awareness Week resolution. LTC - General discussion of LTC, home and community based services, family caregiving, chronic care, workforce, quality and financing options.(no bill) CMS - Lobbied on the Medicare Medical Home Demo implementation.

LONG TERM CARE (SENATE) - Senate, nursing home quality: discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality, poor performing nursing homes, family caregiving, nursing home compliance guidance, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration LONG TERM CARE (SENATE) - Senate, nursing home quality: discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE HR 3001 - CLASS Act shared and discussed actuarial analysis of the CLASS Act, a bill to create a public insurance program for long-term services and supports LONG TERM CARE HR 3363 - Discussed support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections; focused consumer protections LONG TERM CARE S 1070/S 1577 - Elder Justice Act (S. 1070) and Patient Safety and Abuse Prevention Act (S. 1577): support for both pieces of legislation and strategy for how they might both move forward this year LONG TERM CARE S 1340 - Geriatric Assessment and Chronic Care Coordination Act, discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill LONG TERM CARE S 1758 - CLASS ACT - discussions on Class Act, including actuarial analysis, provisions and strategy on the bill. Bill would create a public long-term care financing program. LONG TERM CARE S 2337 - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. LONG TERM CARE S 2337/HR 3363 (SENATE) - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections LONG TERM CARE S 2708 - Caring for an Aging America Act, a health and long-term care workforce bill to increase the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality, poor performing nursing homes, family caregiving, nursing home compliance guidance, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration LONG TERM CARE HR 3001 - CLASS Act shared and discussed actuarial analysis of the CLASS Act, a bill to create a public insurance program for long-term services and supports LONG TERM CARE HR 3363 - Discussed support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections; focused consumer protections LONG TERM CARE S 1070/S 1577 - Elder Justice Act (S. 1070) and Patient Safety and Abuse Prevention Act (S. 1577): support for both pieces of legislation and strategy for how they might both move forward this year LONG TERM CARE S 1340 - Geriatric Assessment and Chronic Care Coordination Act, discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill LONG TERM CARE S 1758 - CLASS ACT - discussions on Class Act, including actuarial analysis, provisions and strategy on the bill. Bill would create a public long-term care financing program. LONG TERM CARE S 2337 - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. LONG TERM CARE S 2337/HR 3363 (SENATE) - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections LONG TERM CARE S 2708 - Caring for an Aging America Act, a health and long-term care workforce bill to increase the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE (SENATE) - Senate, nursing home quality: discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill LONG TERM CARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality, poor performing nursing homes, family caregiving, nursing home compliance guidance, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration LONG TERM CARE HR 3001 - CLASS Act shared and discussed actuarial analysis of the CLASS Act, a bill to create a public insurance program for long-term services and supports LONG TERM CARE HR 3363 - Discussed support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections; focused consumer protections LONG TERM CARE S 1070/S 1577 - Elder Justice Act (S. 1070) and Patient Safety and Abuse Prevention Act (S. 1577): support for both pieces of legislation and strategy for how they might both move forward this year LONG TERM CARE S 1758 - CLASS ACT - discussions on Class Act, including actuarial analysis, provisions and strategy on the bill. Bill would create a public long-term care financing program. LONG TERM CARE S 2337/HR 3363 (SENATE) - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections LONG TERM CARE S 1340 - Geriatric Assessment and Chronic Care Coordination Act, discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill LONG TERM CARE S 2337 - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE (SENATE) - Senate, nursing home quality: discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill LONG TERM CARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality, poor performing nursing homes, family caregiving, nursing home compliance guidance, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration LONG TERM CARE HR 3001 - CLASS Act shared and discussed actuarial analysis of the CLASS Act, a bill to create a public insurance program for long-term services and supports LONG TERM CARE HR 3363 - Discussed support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections; focused consumer protections LONG TERM CARE S 1758 - CLASS ACT - discussions on Class Act, including actuarial analysis, provisions and strategy on the bill. Bill would create a public long-term care financing program. LONG TERM CARE S 2337/HR 3363 (SENATE) - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections LONG TERM CARE S 1340 - Geriatric Assessment and Chronic Care Coordination Act, discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill LONG TERM CARE S 2337 - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. LONG TERM CARE S 2708 - Caring for an Aging America Act, a health and long-term care workforce bill to increase the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill LONG TERM CARE S 1070/S 1577 - Elder Justice Act (S. 1070) and Patient Safety and Abuse Prevention Act (S. 1577): support for both pieces of legislation and strategy for how they might both move forward this year MEDICAID (HOUSE) - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Filed comment letters on proposed regulations involving cost sharing and flexibility in benefit packages. MEDICAID (SENATE) - Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. MEDICAID HR 1174 - S1174 Health Hospitals Act discussed with sponsors staff potential endorsement of this legislation to require hospitals to report infection rates. MEDICAID HR 5140 (SENATE) - Recovery Rebates and Economic Stimulus for the American People Act of 2008 supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs. MEDICAID HR 5613 - Protecting the Medicaid Safety Net Act support this legislation that places a moratorium on harmful Medicaid regulations. MEDICAID (HOUSE) - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. MEDICAID (SENATE) - Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Filed comment letters on proposed regulations involving cost sharing and flexibility in benefit packages. MEDICAID HR 1174 - S1174 Health Hospitals Act discussed with sponsors staff potential endorsement of this legislation to require hospitals to report infection rates. MEDICAID HR 5140 (SENATE) - Recovery Rebates and Economic Stimulus for the American People Act of 2008 supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs MEDICAID HR 5613 - Protecting the Medicaid Safety Net Act support this legislation that places a moratorium on harmful Medicaid regulations. MEDICAID (HOUSE) - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. MEDICAID (SENATE) - Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Filed comment letters on proposed regulations involving cost sharing and flexibility in benefit packages. MEDICAID HR 1174 - S1174 Health Hospitals Act discussed with sponsors staff potential endorsement of this legislation to require hospitals to report infection rates. MEDICAID HR 5140 (SENATE) - Recovery Rebates and Economic Stimulus for the American People Act of 2008 supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs MEDICAID HR 5613 - Protecting the Medicaid Safety Net Act support this legislation that places a moratorium on harmful Medicaid regulations. MEDICAID (HOUSE) - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Filed comment letters on proposed regulations involving cost sharing and flexibility in benefit packages MEDICAID HR 1174 - S1174 Health Hospitals Act discussed with sponsors staff potential endorsement of this legislation to require hospitals to report infection rates. MEDICAID HR 5140 (SENATE) - Recovery Rebates and Economic Stimulus for the American People Act of 2008 supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs MEDICAID HR 5613 - Protecting the Medicaid Safety Net Act support this legislation that places a moratorium on harmful Medicaid regulations. MEDICAID (SENATE) - Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Medicaid Personal Assistance Services State Plan option discussion of comment letter sending and receipt MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR 3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE S.2408 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE S.2408 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR 3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE S.2408 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE S.2408 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR 3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE S.2408 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE S.2408 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. MEDICARE S.2408 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE S.2408 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR 3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement.

Nursing home quality; discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill (Senate). Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated, and provided input on legislation regarding advance directives under Medicare and Medicaid; portability of advance directives, and public education around advance directives. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration. HR 3001 - Shared and discusssed actuarial analysis of the CLASS Act. S 2337/HR 3363 - Discusssed support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070.S 1577 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 - Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. HR 1758 - Discussions on bill, including actuarial analysis, provisions and strategy on the bill. S 2708 - Increase the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174/S 1174 - Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates.

HR 3001/ S 1340 - Shared and discusssed actuarial analysis of the CLASS Act regarding creation of a public insurance program for long-term services. S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070/S 1577 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 - Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. S 2708 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174/S 1174 - Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates. HR 5140- Supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs. HR 5613- Supported this legislation, particularly provisions related to placing a moratorium on harmful Medicaid regulations. Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. Filed comment letters with HHS on proposed regulations involving cost sharing and flexibility in benefit packages. Medicaid Personal Assistance Services State Plan option- discussion of comment letter sending and receipt. Advocated for part B premium protection and asset test improvement. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. S 2480/HR 4296- Supported provisions related to requiring e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641/ HR 5799 Nursing home quality; discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill. Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated, and provided input on legislation regarding advance directives under Medicare and Medicaid;portability of advance directives, and public education around advance directives. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration.

Lobbied to ensure that comparative effectiveness research is promoted (including appropriations financing for AHRQ's Section 1013 funding) and/or that Medicare Part D is not means tested. Budget summary memo on AARP's analysis of the President's budget. HCR 312- Lobbied in favor of Medicare premium protection language in the budget and for a reconciliation bill for health. S 2063/HR 3655 Bipartisan Task Force for Responsible Fiscal Action Act of 2007- Lobbied in favor of a health reform framework in the entitlement task force legislation. SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. HR 3654 Safe Commission Act - Discussed AARP's position on entitlement commission legislation, including health care and revenue. HR 3654 Safe Commission Act - Discussed AARP's concerns about healthcare key issues and funding impact of entitlement commission.

BUDGET/APPROPRIATIONS (SENATE)- lobbied to ensure that comparative effectiveness research is promoted (including appropriations financing for AHRQs section 1013 funding) and/or that Medicare Part D is not means tested. BUDGET/APPROPRIATIONS (HOUSE) - Budget summary memo on AARP's analysis on the analysis of the President's budget. BUDGET/APPROPRIATIONS HCR 312 - Lobbied in favor of Medicare premium protection language in the budget and for a reconciliation bill for health. BUDGET/APPROPRIATIONS HCR 312 - Lobbied in favor of Medicare premium protection language in the budget and for a reconciliation bill for health. BUDGET/APPROPRIATIONS S 2063 - Lobbied in favor of a health reform framework in the entitlement task force legislation. BUDGET/APPROPRIATIONS SCR70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. BUDGET/APPROPRIATIONS SCR70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. BUDGET/APPROPRIATIONS (SENATE) - Helped draft budget react sent to Congress. BUDGET/APPROPRIATIONS (HOUSE - Helped draft budget react sent to Congress. BUDGET/APPROPRIATIONS HCR 312 - Lobbied in favor of Medicare premium protection language in the budget and for a reconciliation bill for health. BUDGET/APPROPRIATIONS HCR 312 - Lobbied in favor of Medicare premium protection language in the budget and for a reconciliation bill for health. BUDGET/APPROPRIATIONS S 2063 - Lobbied in favor of a health reform framework in the entitlement task force legislation. BUDGET/APPROPRIATIONS SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. BUDGET/APPROPRIATIONS SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. BUDGET/APPROPRIATIONS HR 3654 - Discussed AARPs position on entitlement commission legislation, including the need to explicitly state that revenues must be on the table. BUDGET/APPROPRIATIONS SCR 312 - A letter to Senate urging our support of the Concurrent Budget Resolution for Fiscal Year 2009 BUDGET/APPROPRIATIONS SCR 312 - A letter to Senate urging our support of the Concurrent Budget Resolution for Fiscal Year 2009 BUDGET/APPROPRIATIONS (SENATE) - Budget summary memo on AARP's analysis on the analysis of the President's budget. BUDGET/APPROPRIATIONS (HOUSE) - Budget summary memo on AARP's analysis on the analysis of the President's budget. BUDGET/APPROPRIATIONS (SENATE) - Lobbied to ensure that comparative effectiveness research is promoted (including appropriations financing for AHRQs section 1013 funding) and/or that Medicare Part D is not means tested. BUDGET/APPROPRIATIONS ( SENATE)-Lobbied to ensure that comparative effectiveness research is promoted (including appropriations financing for AHRQs section 1013 funding) and/or that Medicare Part D is not means tes BUDGET/APPROPRIATIONS (SENATE) - Budget summary memo on AARP's analysis on the analysis of the President's budget. BUDGET/APPROPRIATIONS (HOUSE) - Budget summary memo on AARP's analysis on the analysis of the President's budget. BUDGET/APPROPRIATIONS HCR 312 - Lobbied in favor of Medicare premium protection language in the budget and for a reconciliation bill for health. BUDGET/APPROPRIATIONS S 2063 - Lobbied in favor of a health reform framework in the entitlement task force legislation. BUDGET/APPROPRIATIONS SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health.

Lobbied to ensure that comparative effectiveness research is promoted (including appropriations financing for AHRQ's Section 1013 funding) and/or that Medicare Part D is not means tested (no bill). Budget summary memo on AARP's analysis of the President's budget (no bill). HCR 312- Lobbied in favor of Medicare premium protection language in the budget and for a reconciliation bill for health. S 2063/HR 3655 Bipartisan Task Force for Responsible Fiscal Action Act of 2007- Lobbied in favor of a health reform framework in the entitlement task force legislation. SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. HR 3654 Safe Commission Act - Discussed AARP's position on entitlement commission legislation, including health care and revenue. Discussed AARP's concerns about healthcare key issues and funding impact of entitlement commission. HR 2638 Consolidated Security, Disaster Assistance and Continuing Appropriations, 2009 - Lobbied for energy assistance, weatherization, senior nutrition and other health, housing, and social services funding. S 3230 Labor-HHS Appropriations Act of FY 2009 - Lobbied for energy assistance, senior nutrition, Older Americans Act, Social Security Administration, comparative effectiveness and other social services programs. S 3261 Transportation-HUD Appropriations bill, FY2009 - Lobbied for senior housing and transit programs. HR 2642 Military Construction and Veterans Affairs Appropriations Act, 2008 - Lobbied to include one-year moratorium on regulations that would have cut federal medicaid funding. HR 7110/S3604 Job Creation and Unemployment Relief Act - Lobbied for SSA administrative expenses, weatherization and energy assistance and FMAP funding. S 3289 Agriculture and Rural Development Appropriation, FY 2009 - Lobbied for Commodity Supplemental Food Program, rural rental housing, and FDA generic drug processing. S 3260 Financial Services and General Government Appropriations - Lobbied for IRS taxpayer assistance program. S 3182 Commerce, Justice-Science Appropriations, FY 2009 - Lobbied for National Telecommunications and Information Administration, DTV transition converter box coupon program. S 3258 Energy and Water Development Appropriations, FY 2009 - Lobbied for weatherization assistance.

Lobbied to ensure that comparative effectiveness research is promoted (including appropriations financing for AHRQ's Section 1013 funding) and/or that Medicare Part D is not means tested (no bill). Budget summary memo on AARP's analysis of the President's budget (no bill). HCR 312- Lobbied in favor of Medicare premium protection language in the budget and for a reconciliation bill for health. S 2063/HR 3655 Bipartisan Task Force for Responsible Fiscal Action Act of 2007- Lobbied in favor of a health reform framework in the entitlement task force legislation. SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. HR 3654 Safe Commission Act - Discussed AARP's position on entitlement commission legislation, including health care and revenue. Discussed AARP's concerns about healthcare key issues and funding impact of entitlement commission. HR 2638 Consolidated Security, Disaster Assistance and Continuing Appropriations, 2009 - Lobbied for energy assistance, weatherization, senior nutrition and other health, housing, and social services funding. S 3230 Labor-HHS Appropriations Act of FY 2009 - Lobbied for energy assistance, senior nutrition, Older Americans Act, Social Security Administration, comparative effectiveness and other social services programs. S 3261 Transportation-HUD Appropriations bill, FY2009 - Lobbied for senior housing and transit programs. HR 2642 Military Construction and Veterans Affairs Appropriations Act, 2008 - Lobbied to include one-year moratorium on regulations that would have cut federal medicaid funding. HR 7110/S3604 Job Creation and Unemployment Relief Act - Lobbied for SSA administrative expenses, weatherization and energy assistance and FMAP funding. S 3289 Agriculture and Rural Development Appropriation, FY 2009 - Lobbied for Commodity Supplemental Food Program, rural rental housing, and FDA generic drug processing. S 3260 Financial Services and General Government Appropriations - Lobbied for IRS taxpayer assistance program. S 3182 Commerce, Justice-Science Appropriations, FY 2009 - Lobbied for National Telecommunications and Information Administration, DTV transition converter box coupon program. S 3258 Energy and Water Development Appropriations, FY 2009 - Lobbied for weatherization assistance.

Lobbied to ensure that comparative effectiveness research is promoted (including appropriations financing for AHRQ's Section 1013 funding) and/or that Medicare Part D is not means tested. Budget summary memo on AARP's analysis of the President's budget. HCR 312- Lobbied in favor of Medicare premium protection language in the budget and for a reconciliation bill for health. S 2063/HR 3655 Bipartisan Task Force for Responsible Fiscal Action Act of 2007- Lobbied in favor of a health reform framework in the entitlement task force legislation. SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. HR 3654 Safe Commission Act - Discussed AARP's position on entitlement commission legislation, including health care and revenue. HR 3654 Safe Commission Act - Discussed AARP's concerns about healthcare key issues and funding impact of entitlement commission.

S 2795 - Discussed concerns on small business health insurance coverage. Discussed proposal for health insurance reinsurance. S 334 - Discussed Senator Wyden's health care reform bill and possible Senate hearing with staff. Stakeholder meeting on health care quality. HR 3701/S 845 - Lobbied for all provisions to direct the Secretary of HHS to conduct public and professional education, research, and demonstration grants to prevent falls among the elderly. SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security - the most pressing domestic issues facing our nation. Lobbied for spending levels for Rx comparative effectiveness, nursing education, NIH research, and other similar accounts. Prepared LHHS Subcommittee FY 2009 request letter asking for funding of SSA Admin., respite care programs, supportive services and nutrition programs, energy assistance, drug and medical research and falls prevention. Discussed the need for bipartisan action on health care reform legislation, and how AARP could be helpful in vetting such proposals with its members. Expressed concern about proposed regulation regarding reduction of annual reassignment of LIS population in Part D. HR 3800/S 1693 - Strongly promoted enactment of this legislation to promote adoption of health information technology. S 2408/HR 4296 - Supported this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not.

S 2795 - Discussed concerns on small business health insurance coverage. Discussed proposal for health insurance reinsurance. S 334 - Discussed Senator Wyden's health care reform bill and possible Senate hearing with staff. Stakeholder meeting on health care quality. HR 3701/S 845 - Lobbied for all provisions to direct the Secretary of HHS to conduct public and professional education, research, and demonstration grants to prevent falls among the elderly. SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security - the most pressing domestic issues facing our nation. Lobbied for spending levels for Rx comparative effectiveness, nursing education, NIH research, Falls Prevention and other similar accounts. Prepared LHHS Subcommittee FY 2009 request letter asking for funding of SSA Admin., respite care programs, supportive services and nutrition programs, energy assistance, drug and medical research and falls prevention. Discussed the need for bipartisan action on health care reform legislation, and how AARP could be helpful in vetting such proposals with its members. Health IT - Proposed legislation to reduce annual reassignment of LIS population in Part D and discussed notice and comment rulemaking proceeding re annual LIS population reassignment. HR 3800/S 1693 - Strongly promoted enactment of this legislation to promote adoption of health information technology. S 2408/HR 4296 - Support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not.

S 2795/HR 5918 Small Business Health Options Program Act of 2008 - Discussed concerns on small business health insurance coverage. Discussed proposal for health insurance reinsurance. S 334 Healthy Americans Act - Discussed Senator Wyden's health care reform bill. Stakeholder meeting on health care quality. HR 3701/S 845 Keeping Seniors Safe from Falls Act of 2007- Lobbied for all provisions to direct the Secretary of HHS to conduct public and professional education, research, and demonstration grants to prevent falls among the elderly. SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security - the most pressing domestic issues facing our nation. Lobbied for spending levels for Rx comparative effectiveness, nursing education, NIH research, Falls Prevention and other similar accounts. Discussed the need for bipartisan action on health care reform legislation, and how AARP could be helpful in vetting such proposals with its members. Expressed concern about proposed regulation regarding reduction of annual reassignment of LIS population in Medicare Part D. HR 3800/S 1693 - Wired for Health Act/Promotion of Health Information Technology Act - Strongly promoted enactment of this legislation to promote adoption of health information technology. S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported this legislation to require e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. Lobbied for legislation to promote Health IT. Lobbied on structure of Health IT standard-setting body.

HEALTH INSURANCE (HOUSE) - Discussed proposal for health insurance reinsurance. HEALTH INSURANCE S 2795 - Discussed concerns on small business health insurance coverage HEALTH INSURANCE S 334 - Discussed Senator Wyden's health care reform bill and possible Senate hearing with staff HEALTH INSURANCE (HOUSE) - Discussed proposal for health insurance reinsurance. HEALTH INSURANCE S 2795 - Discussed concerns on small business health insurance coverage HEALTH INSURANCE S 334 - Discussed Senator Wyden's health care reform bill and possible Senate hearing with staff HEALTH INSURANCE (HOUSE) - Discussed proposal for health insurance reinsurance. HEALTH INSURANCE S 2795 - Discussed concerns on small business health insurance coverage HEALTH INSURANCE S 334 - Discussed Senator Wyden's health care reform bill and possible Senate hearing with staff HEALTH INSURANCE (HOUSE) - Discussed proposal for health insurance reinsurance with Velaquez's staff HEALTH INSURANCE (SENATE) - Stakeholder meeting on health care quality in health care. HEALTH INSURANCE S 2795 - Discussed concerns on small business health insurance coverage HEALTH INSURANCE S 334 - Discussed Senator Wyden's health care reform bill and possible Senate hearing with staff HEALTH ISSUES HR 3701/S 845 - Keeping Seniors Safe From Falls Act of 2007 HR3701/S845 lobbied for all provisions to direct the Secretary of HHS to conduct public and professional education, research, and demonstration grants to prevent falls among the elderly. HEALTH ISSUES SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. HEALTH ISSUES HR 3701/S 845 - Keeping Seniors Safe From Falls Act of 2007 HR3701/S845 lobbied for all provisions to direct the Secretary of HHS to conduct public and professional education, research, and demonstration grants to prevent falls among the elderly. HEALTH ISSUES SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. HEALTH ISSUES HR 3701/S 845 - Keeping Seniors Safe From Falls Act of 2007 HR3701/S845 lobbied for all provisions to direct the Secretary of HHS to conduct public and professional education, research, and demonstration grants to prevent falls among the elderly. HEALTH ISSUES (HOUSE) - Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security the most pressing domestic issues facing our nation. HEALTH ISSUES (HOUSE) - Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security the most pressing domestic issues facing our nation. HEALTH ISSUES (SENATE) - Lobbying for spending levels for Rx comparative effectiveness, nursing education, NIH research, Falls Prevention and other similar accounts. HEALTH ISSUES (HOUSE) - Lobbying for spending levels for Rx comparative effectiveness, nursing education, NIH research, Falls Prevention and other similar accounts. HEALTH ISSUES (SENATE) - Prepared LHHS Subcommittee FY 2009 request letter asking for funding of SSA Admin., respite care programs, supportive services and nutrition programs, energy assistance, drug and medical research and falls prevention. HEALTH ISSUES (HOUSE) - Prepared LHHS Subcommittee FY 2009 request letter asking for funding of SSA Admin., respite care programs, supportive services and nutrition programs, energy assistance, drug and medical research and falls prevention. HEALTH ISSUES (SENATE) - Discussed the need for bipartisan action on health care reform legislation, and how AARP could be helpful in vetting such proposals with its members. HEALTH ISSUES (HOUSE) - Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security the most pressing domestic issues facing our nation. HEALTH ISSUES (SENATE) - Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security the most pressing domestic issues facing our nation. HEALTH IT (DEPARTMENT OF HEALTH & HUMAN SERVICES) - (Proposed regulation to reduce annual reassignment of LIS population in Part D) Administrator called Bill to give him a heads up that CMS would be publishing an NPRM to reduce the annual reassignment of the LIS population in Part D, and asked for AARP to review and comment on the proposal. Bill assured him that we would and expressed concern about the disruption caused by the annual reassignment. HEALTH IT HR 3800 (HOUSE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 1693 (SENATE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 2408/H.R.4296 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT S 2408/H.R.4296 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT (DEPARTMENT OF HEALTH & HUMAN SERVICES) - (Proposed regulation to reduce annual reassignment of LIS population in Part D) Administrator called Bill to give him a heads up that CMS would be publishing an NPRM to reduce the annual reassignment of the LIS population in Part D, and asked for AARP to review and comment on the proposal. Bill assured him that we would and expressed concern about the disruption caused by the annual reassignment. HEALTH IT S 1693 (SENATE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 2408/H.R.4296 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT S 2408/H.R.4296 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT HR 3800 (HOUSE) - S. 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 1693 (SENATE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 1693 (HOUSE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 2408/H.R.4296 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT HR 3800 (HOUSE) - S. 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 1693 (SENATE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 1693 (HOUSE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 2408/H.R.4296 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT S 2408/H.R.4296 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT (DEPARTMENT OF HEALTH & HUMAN SERVICES) - (Proposed regulation to reduce annual reassignment of LIS population in Part D) Administrator called Bill to give him a heads up that CMS would be publishing an NPRM to reduce the annual reassignment of the LIS population in Part D, and asked for AARP to review and comment on the proposal. Bill assured him that we would and expressed concern about the disruption caused by the annual reassignment.

HEALTH INSURANCE (HOUSE) - Discussed proposal for health insurance reinsurance. HEALTH INSURANCE S 2795 - Discussed concerns on small business health insurance coverage HEALTH INSURANCE S 334 - Discussed Senator Wyden's health care reform bill and possible Senate hearing with staff HEALTH INSURANCE (HOUSE) - Discussed proposal for health insurance reinsurance. HEALTH INSURANCE S 2795 - Discussed concerns on small business health insurance coverage HEALTH INSURANCE S 334 - Discussed Senator Wyden's health care reform bill and possible Senate hearing with staff HEALTH INSURANCE (HOUSE) - Discussed proposal for health insurance reinsurance. HEALTH INSURANCE S 2795 - Discussed concerns on small business health insurance coverage HEALTH INSURANCE S 334 - Discussed Senator Wyden's health care reform bill and possible Senate hearing with staff HEALTH INSURANCE (HOUSE) - Discussed proposal for health insurance reinsurance with Velaquez's staff HEALTH INSURANCE (SENATE) - Stakeholder meeting on health care quality in health care. HEALTH INSURANCE S 2795 - Discussed concerns on small business health insurance coverage HEALTH INSURANCE S 334 - Discussed Senator Wyden's health care reform bill and possible Senate hearing with staff HEALTH ISSUES HR 3701/S 845 - Keeping Seniors Safe From Falls Act of 2007 HR3701/S845 lobbied for all provisions to direct the Secretary of HHS to conduct public and professional education, research, and demonstration grants to prevent falls among the elderly. HEALTH ISSUES SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. HEALTH ISSUES HR 3701/S 845 - Keeping Seniors Safe From Falls Act of 2007 HR3701/S845 lobbied for all provisions to direct the Secretary of HHS to conduct public and professional education, research, and demonstration grants to prevent falls among the elderly. HEALTH ISSUES SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. HEALTH ISSUES HR 3701/S 845 - Keeping Seniors Safe From Falls Act of 2007 HR3701/S845 lobbied for all provisions to direct the Secretary of HHS to conduct public and professional education, research, and demonstration grants to prevent falls among the elderly. HEALTH ISSUES (HOUSE) - Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security the most pressing domestic issues facing our nation. HEALTH ISSUES (HOUSE) - Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security the most pressing domestic issues facing our nation. HEALTH ISSUES (SENATE) - Lobbying for spending levels for Rx comparative effectiveness, nursing education, NIH research, Falls Prevention and other similar accounts. HEALTH ISSUES (HOUSE) - Lobbying for spending levels for Rx comparative effectiveness, nursing education, NIH research, Falls Prevention and other similar accounts. HEALTH ISSUES (SENATE) - Prepared LHHS Subcommittee FY 2009 request letter asking for funding of SSA Admin., respite care programs, supportive services and nutrition programs, energy assistance, drug and medical research and falls prevention. HEALTH ISSUES (HOUSE) - Prepared LHHS Subcommittee FY 2009 request letter asking for funding of SSA Admin., respite care programs, supportive services and nutrition programs, energy assistance, drug and medical research and falls prevention. HEALTH ISSUES (SENATE) - Discussed the need for bipartisan action on health care reform legislation, and how AARP could be helpful in vetting such proposals with its members. HEALTH ISSUES (HOUSE) - Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security the most pressing domestic issues facing our nation. HEALTH ISSUES (SENATE) - Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security the most pressing domestic issues facing our nation. HEALTH IT (DEPARTMENT OF HEALTH & HUMAN SERVICES) - (Proposed regulation to reduce annual reassignment of LIS population in Part D) Administrator called Bill to give him a heads up that CMS would be publishing an NPRM to reduce the annual reassignment of the LIS population in Part D, and asked for AARP to review and comment on the proposal. Bill assured him that we would and expressed concern about the disruption caused by the annual reassignment. HEALTH IT HR 3800 (HOUSE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 1693 (SENATE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 2408/H.R.4296 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT S 2408/H.R.4296 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT (DEPARTMENT OF HEALTH & HUMAN SERVICES) - (Proposed regulation to reduce annual reassignment of LIS population in Part D) Administrator called Bill to give him a heads up that CMS would be publishing an NPRM to reduce the annual reassignment of the LIS population in Part D, and asked for AARP to review and comment on the proposal. Bill assured him that we would and expressed concern about the disruption caused by the annual reassignment. HEALTH IT S 1693 (SENATE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 2408/H.R.4296 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT S 2408/H.R.4296 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT HR 3800 (HOUSE) - S. 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 1693 (SENATE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 1693 (HOUSE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 2408/H.R.4296 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT HR 3800 (HOUSE) - S. 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 1693 (SENATE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 1693 (HOUSE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 2408/H.R.4296 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT S 2408/H.R.4296 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT (DEPARTMENT OF HEALTH & HUMAN SERVICES) - (Proposed regulation to reduce annual reassignment of LIS population in Part D) Administrator called Bill to give him a heads up that CMS would be publishing an NPRM to reduce the annual reassignment of the LIS population in Part D, and asked for AARP to review and comment on the proposal. Bill assured him that we would and expressed concern about the disruption caused by the annual reassignment.

S 3408 - Lobbying in favor of the Conrad-Baucus legislation to create an independent comparative effectiveness entity to conduct and desseminate independent comparative effectiveness research. SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. Lobbied for quality health care (no bill). Lobbied for spending levels for Rx comparative effectiveness, nursing education, NIH research, Falls Prevention and other similar accounts (no bill). Discussed the need for bipartisan action on health care reform legislation, and how AARP could be helpful in vetting such proposals with its members (no bill). Expressed concern about proposed regulation regarding reduction of annual reassignment of LIS population in Medicare Part D. HR 3800/S 1693 - Wired for Health Act/Promotion of Health Information Technology Act - Strongly promoted enactment of this legislation to promote adoption of health information technology. HR 6357 Pro(tech)t Act - Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008. Lobbied for the adoption of Health IT. S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported this legislation to require e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. Lobbied for legislation to promote Health IT (no bill). Lobbied on structure of Health IT standard-setting body (no bill). Health Care Reform - Inquiry on medical home or primary care home legislation. HR 6898 Health-e Information Technology Act - Lobbied to promote Health IT and on structure of Health IT standard-setting body.

S 2795 - Discussed concerns on small business health insurance coverage. Discussed proposal for health insurance reinsurance. S 334 - Discussed Senator Wyden's health care reform bill and possible Senate hearing with staff. Stakeholder meeting on health care quality. HR 3701/S 845 - Lobbied for all provisions to direct the Secretary of HHS to conduct public and professional education, research, and demonstration grants to prevent falls among the elderly. SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security - the most pressing domestic issues facing our nation. Lobbied for spending levels for Rx comparative effectiveness, nursing education, NIH research, and other similar accounts. Prepared LHHS Subcommittee FY 2009 request letter asking for funding of SSA Admin., respite care programs, supportive services and nutrition programs, energy assistance, drug and medical research and falls prevention. Discussed the need for bipartisan action on health care reform legislation, and how AARP could be helpful in vetting such proposals with its members. Expressed concern about proposed regulation regarding reduction of annual reassignment of LIS population in Part D. HR 3800/S 1693 - Strongly promoted enactment of this legislation to promote adoption of health information technology. S 2408/HR 4296 - Supported this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not.

S 2795/HR 5918 Small Business Health Options Program Act of 2008 - Discussed concerns on small business health insurance coverage. Discussed proposal for health insurance reinsurance. S 334 Healthy Americans Act - Discussed Senator Wyden's health care reform bill. Stakeholder meeting on health care quality. HR 3701/S 845 Keeping Seniors Safe from Falls Act of 2007- Lobbied for all provisions to direct the Secretary of HHS to conduct public and professional education, research, and demonstration grants to prevent falls among the elderly. SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security - the most pressing domestic issues facing our nation. Lobbied for spending levels for Rx comparative effectiveness, nursing education, NIH research, Falls Prevention and other similar accounts. Discussed the need for bipartisan action on health care reform legislation, and how AARP could be helpful in vetting such proposals with its members. Expressed concern about proposed regulation regarding reduction of annual reassignment of LIS population in Medicare Part D. HR 3800/S 1693 - Wired for Health Act/Promotion of Health Information Technology Act - Strongly promoted enactment of this legislation to promote adoption of health information technology. S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported this legislation to require e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. Lobbied for legislation to promote Health IT. Lobbied on structure of Health IT standard-setting body.

S 3408 Comparative Effectiveness Research Act - Lobbying in favor of the Conrad-Baucus legislation to create an independent comparative effectiveness entity to conduct and desseminate independent comparative effectiveness research. HR 1108 Family Smoking Prevention and Tobacco Control Act - To give the FDA authority to regulate tobacco products. Lobbied for spending levels for Rx comparative effectiveness, nursing education, NIH research, Falls Prevention and other similar accounts (no bill). Discussed the need for bipartisan action on health care reform legislation, such as affordable quality healthcare. (no bill) Expressed concern about proposed regulation regarding reduction of annual reassignment of LIS population in Medicare Part D. HR 6357 Pro (TECH)t Act; S 1693/HR 3800 Wired for Health Act/Promotion of Health Technology Act - Lobbied for legislation to promote Health IT. Lobbied on structure of Health IT standard-setting body (no bill). Discussed asset tests relating to the Part B savings program and possible changes to current law (no bill).

S 2795 - Discussed concerns on small business health insurance coverage. Discussed proposal for health insurance reinsurance. S 334 - Discussed Senator Wyden's health care reform bill and possible Senate hearing with staff. Stakeholder meeting on health care quality. HR 3701/S 845 - Lobbied for all provisions to direct the Secretary of HHS to conduct public and professional education, research, and demonstration grants to prevent falls among the elderly. SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security - the most pressing domestic issues facing our nation. Lobbied for spending levels for Rx comparative effectiveness, nursing education, NIH research, Falls Prevention and other similar accounts. Prepared LHHS Subcommittee FY 2009 request letter asking for funding of SSA Admin., respite care programs, supportive services and nutrition programs, energy assistance, drug and medical research and falls prevention. Discussed the need for bipartisan action on health care reform legislation, and how AARP could be helpful in vetting such proposals with its members. Health IT - Proposed legislation to reduce annual reassignment of LIS population in Part D and discussed notice and comment rulemaking proceeding re annual LIS population reassignment. HR 3800/S 1693 - Strongly promoted enactment of this legislation to promote adoption of health information technology. S 2408/HR 4296 - Support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not.

HR 3001/ S 1340 - Shared and discusssed actuarial analysis of the CLASS Act regarding creation of a public insurance program for long-term services. S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 Geriatric Assessment and Chronic Care Coordination Act of 2007- Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174 Healthy Hospitals Act of 2007- Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. Medicaid Personal Assistance Services State Plan option- discussion of comment letter sending and receipt. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. S 2480/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641/ HR 5799 Nursing Home Quality and Transparency Legislation Act - To protect residents and support for the Nursing Home Transparency and Improvement Act. Discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration. HR 5702 Advance Directive Promotion Act of 2008 - Negotiated provisions on portability of advance directives. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Input on draft legislation to make arbitration clauses between LTC facilities and their residents or representatives unenforceable; support for this legislation once it was introduced as the Fairness in Nursing Home Arbitration Act, including support letter. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers. Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives. S 1577/HR 3078 - Support for Patient Safety and Abuse Prevention Act (S 1577) and moving the issue forward; provided feedback and in testimony. S 2921 Caring for Wounded Warriors Act of 2008 - Services and supports for family caregivers of certain veterans. Feedback on draft legislation to provide chronic care coordination services to certain Medicare beneficiaries; approaches to improving chronic care for Medicare beneficiaries; discussion of chronic care and Special Needs Plans. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S 1758 - Long-term care financing proposals, including the CLASS Act, a public LTC financing program. S. 3164 - Lobbied on Medicare Fraud bill (Martinez and Cornyn) - All provisions related to protecting participants and the Medicare program from fraud and abuse. S. 3118 - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Long Term Care/Reverse Mortgages - To protect consumers when reverse mortgages are used as a LTC financing tool. Green Houses and culture change in LTC facilities. HR 2642 - To keep moratorium on all seven Medicaid regulations in the supplemental appropriations bill. Lobbied on appeal notices for Medicare beneficiaries in Medicare Advantage plans. S 1102 - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 - Lobbied for legislation to increase Medicare Part D LIS asset limits. S 3101/HR 6331 - (Medicare) Lobbied for legislation to protect part B premiums, increase LIS and MSP asset limits, and promote e-prescribing in Medicare. HR 2642 - (Medicaid) Lobbied for inclusion of Medicaid regulation moratorium in Iraq Supplemental.

S 2337/HR 3363 Long-Term Care Affordability and Security Act - Discussed consumer protections for LTC insurance. S 1070/HR 1783 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation, strategy for how they might both move forward next year. S 3327/HR 7212 - Empowered at Home Act - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid and other improvements to bill. Also lobbied in support of the bill. HR 7110/S 3604 Job Creation and Unemployment Relief Act - Lobbied for FMAP funding. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries, and promote e-prescriptions in medicare (no bill number). S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641 Nursing Home Transparency and Improvement Act and HR 7128 Nursing Home Transparency and Quality of Care Improvement Act - Discussed the bill and provided suggestions for changes to the bill, nursing home quality and proposed five star rating system cms; poor performing nursing homes, family caregiving initiative, nursing home compliance guidelines, Home Health CAHPS, LTC Partnership Program (under Medicaid data reporting requirements), LTC Quality Alliance. To build support and obtain sponsors for Medicaid Family Caregiver Assessment Demonstration proposal (no bill number). Discussion and input on legislation to improve the health/LTC workforce and support family caregivers (no bill number). Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives (no bill number). HR 7114/S3613 Independence at Home Act/Chronic Care Coordination - Lobbied on and support for legislation to provide chronic care coordination services to certain Medicare beneficiaries. S 3101/HR 6331 Medicare Improvements for Patients and Providers Act of 2008 - Discussed implementation to help improve Medicare. Lobbied for appeal notices for Medicare beneficiaries in Medicare Advantage plans (no bill number). S 1102 Part D Equity for Low-Income Services - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 Prescription Coverage Now Act - Lobbied for legislation to increase Medicare Part D LIS asset limits. HR 6033 - Discussed provisions of Home-Based Health Services Job Training and Caregiving Act and ways to improve bill.

S 2795 - Discussed concerns on small business health insurance coverage. Discussed proposal for health insurance reinsurance. S 334 - Discussed Senator Wyden's health care reform bill and possible Senate hearing with staff. Stakeholder meeting on health care quality. HR 3701/S 845 - Lobbied for all provisions to direct the Secretary of HHS to conduct public and professional education, research, and demonstration grants to prevent falls among the elderly. SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security - the most pressing domestic issues facing our nation. Lobbied for spending levels for Rx comparative effectiveness, nursing education, NIH research, Falls Prevention and other similar accounts. Prepared LHHS Subcommittee FY 2009 request letter asking for funding of SSA Admin., respite care programs, supportive services and nutrition programs, energy assistance, drug and medical research and falls prevention. Discussed the need for bipartisan action on health care reform legislation, and how AARP could be helpful in vetting such proposals with its members. Health IT - Proposed legislation to reduce annual reassignment of LIS population in Part D and discussed notice and comment rulemaking proceeding re annual LIS population reassignment. HR 3800/S 1693 - Strongly promoted enactment of this legislation to promote adoption of health information technology. S 2408/HR 4296 - Support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not.

LONG TERM CARE (SENATE) - Senate, nursing home quality: discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality, poor performing nursing homes, family caregiving, nursing home compliance guidance, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration LONG TERM CARE (SENATE) - Senate, nursing home quality: discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE HR 3001 - CLASS Act shared and discussed actuarial analysis of the CLASS Act, a bill to create a public insurance program for long-term services and supports LONG TERM CARE HR 3363 - Discussed support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections; focused consumer protections LONG TERM CARE S 1070/S 1577 - Elder Justice Act (S. 1070) and Patient Safety and Abuse Prevention Act (S. 1577): support for both pieces of legislation and strategy for how they might both move forward this year LONG TERM CARE S 1340 - Geriatric Assessment and Chronic Care Coordination Act, discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill LONG TERM CARE S 1758 - CLASS ACT - discussions on Class Act, including actuarial analysis, provisions and strategy on the bill. Bill would create a public long-term care financing program. LONG TERM CARE S 2337 - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. LONG TERM CARE S 2337/HR 3363 (SENATE) - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections LONG TERM CARE S 2708 - Caring for an Aging America Act, a health and long-term care workforce bill to increase the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality, poor performing nursing homes, family caregiving, nursing home compliance guidance, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration LONG TERM CARE HR 3001 - CLASS Act shared and discussed actuarial analysis of the CLASS Act, a bill to create a public insurance program for long-term services and supports LONG TERM CARE HR 3363 - Discussed support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections; focused consumer protections LONG TERM CARE S 1070/S 1577 - Elder Justice Act (S. 1070) and Patient Safety and Abuse Prevention Act (S. 1577): support for both pieces of legislation and strategy for how they might both move forward this year LONG TERM CARE S 1340 - Geriatric Assessment and Chronic Care Coordination Act, discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill LONG TERM CARE S 1758 - CLASS ACT - discussions on Class Act, including actuarial analysis, provisions and strategy on the bill. Bill would create a public long-term care financing program. LONG TERM CARE S 2337 - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. LONG TERM CARE S 2337/HR 3363 (SENATE) - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections LONG TERM CARE S 2708 - Caring for an Aging America Act, a health and long-term care workforce bill to increase the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE (SENATE) - Senate, nursing home quality: discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill LONG TERM CARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality, poor performing nursing homes, family caregiving, nursing home compliance guidance, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration LONG TERM CARE HR 3001 - CLASS Act shared and discussed actuarial analysis of the CLASS Act, a bill to create a public insurance program for long-term services and supports LONG TERM CARE HR 3363 - Discussed support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections; focused consumer protections LONG TERM CARE S 1070/S 1577 - Elder Justice Act (S. 1070) and Patient Safety and Abuse Prevention Act (S. 1577): support for both pieces of legislation and strategy for how they might both move forward this year LONG TERM CARE S 1758 - CLASS ACT - discussions on Class Act, including actuarial analysis, provisions and strategy on the bill. Bill would create a public long-term care financing program. LONG TERM CARE S 2337/HR 3363 (SENATE) - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections LONG TERM CARE S 1340 - Geriatric Assessment and Chronic Care Coordination Act, discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill LONG TERM CARE S 2337 - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE (SENATE) - Senate, nursing home quality: discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill LONG TERM CARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality, poor performing nursing homes, family caregiving, nursing home compliance guidance, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration LONG TERM CARE HR 3001 - CLASS Act shared and discussed actuarial analysis of the CLASS Act, a bill to create a public insurance program for long-term services and supports LONG TERM CARE HR 3363 - Discussed support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections; focused consumer protections LONG TERM CARE S 1758 - CLASS ACT - discussions on Class Act, including actuarial analysis, provisions and strategy on the bill. Bill would create a public long-term care financing program. LONG TERM CARE S 2337/HR 3363 (SENATE) - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections LONG TERM CARE S 1340 - Geriatric Assessment and Chronic Care Coordination Act, discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill LONG TERM CARE S 2337 - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. LONG TERM CARE S 2708 - Caring for an Aging America Act, a health and long-term care workforce bill to increase the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill LONG TERM CARE S 1070/S 1577 - Elder Justice Act (S. 1070) and Patient Safety and Abuse Prevention Act (S. 1577): support for both pieces of legislation and strategy for how they might both move forward this year MEDICAID (HOUSE) - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Filed comment letters on proposed regulations involving cost sharing and flexibility in benefit packages. MEDICAID (SENATE) - Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. MEDICAID HR 1174 - S1174 Health Hospitals Act discussed with sponsors staff potential endorsement of this legislation to require hospitals to report infection rates. MEDICAID HR 5140 (SENATE) - Recovery Rebates and Economic Stimulus for the American People Act of 2008 supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs. MEDICAID HR 5613 - Protecting the Medicaid Safety Net Act support this legislation that places a moratorium on harmful Medicaid regulations. MEDICAID (HOUSE) - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. MEDICAID (SENATE) - Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Filed comment letters on proposed regulations involving cost sharing and flexibility in benefit packages. MEDICAID HR 1174 - S1174 Health Hospitals Act discussed with sponsors staff potential endorsement of this legislation to require hospitals to report infection rates. MEDICAID HR 5140 (SENATE) - Recovery Rebates and Economic Stimulus for the American People Act of 2008 supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs MEDICAID HR 5613 - Protecting the Medicaid Safety Net Act support this legislation that places a moratorium on harmful Medicaid regulations. MEDICAID (HOUSE) - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. MEDICAID (SENATE) - Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Filed comment letters on proposed regulations involving cost sharing and flexibility in benefit packages. MEDICAID HR 1174 - S1174 Health Hospitals Act discussed with sponsors staff potential endorsement of this legislation to require hospitals to report infection rates. MEDICAID HR 5140 (SENATE) - Recovery Rebates and Economic Stimulus for the American People Act of 2008 supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs MEDICAID HR 5613 - Protecting the Medicaid Safety Net Act support this legislation that places a moratorium on harmful Medicaid regulations. MEDICAID (HOUSE) - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Filed comment letters on proposed regulations involving cost sharing and flexibility in benefit packages MEDICAID HR 1174 - S1174 Health Hospitals Act discussed with sponsors staff potential endorsement of this legislation to require hospitals to report infection rates. MEDICAID HR 5140 (SENATE) - Recovery Rebates and Economic Stimulus for the American People Act of 2008 supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs MEDICAID HR 5613 - Protecting the Medicaid Safety Net Act support this legislation that places a moratorium on harmful Medicaid regulations. MEDICAID (SENATE) - Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Medicaid Personal Assistance Services State Plan option discussion of comment letter sending and receipt MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR 3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE S.2408 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE S.2408 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR 3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE S.2408 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE S.2408 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR 3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE S.2408 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE S.2408 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. MEDICARE S.2408 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE S.2408 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR 3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement.

HR 3001/ S 1340 - Shared and discusssed actuarial analysis of the CLASS Act regarding creation of a public insurance program for long-term services. S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070/S 1577 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 - Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. S 2708 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174/S 1174 - Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates. HR 5140- Supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs. HR 5613- Supported this legislation, particularly provisions related to placing a moratorium on harmful Medicaid regulations. Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. Filed comment letters with HHS on proposed regulations involving cost sharing and flexibility in benefit packages. Medicaid Personal Assistance Services State Plan option- discussion of comment letter sending and receipt. Advocated for part B premium protection and asset test improvement. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. S 2480/HR 4296- Supported provisions related to requiring e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641/ HR 5799 Nursing home quality; discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill. Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated, and provided input on legislation regarding advance directives under Medicare and Medicaid;portability of advance directives, and public education around advance directives. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration.

S 2795/HR 5918 Small Business Health Options Program Act of 2008 - Discussed concerns on small business health insurance coverage. Discussed proposal for health insurance reinsurance. S 334 Healthy Americans Act - Discussed Senator Wyden's health care reform bill. Stakeholder meeting on health care quality. HR 3701/S 845 Keeping Seniors Safe from Falls Act of 2007- Lobbied for all provisions to direct the Secretary of HHS to conduct public and professional education, research, and demonstration grants to prevent falls among the elderly. SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security - the most pressing domestic issues facing our nation. Lobbied for spending levels for Rx comparative effectiveness, nursing education, NIH research, Falls Prevention and other similar accounts. Discussed the need for bipartisan action on health care reform legislation, and how AARP could be helpful in vetting such proposals with its members. Expressed concern about proposed regulation regarding reduction of annual reassignment of LIS population in Medicare Part D. HR 3800/S 1693 - Wired for Health Act/Promotion of Health Information Technology Act - Strongly promoted enactment of this legislation to promote adoption of health information technology. S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported this legislation to require e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. Lobbied for legislation to promote Health IT. Lobbied on structure of Health IT standard-setting body.

S 3408 - Lobbying in favor of the Conrad-Baucus legislation to create an independent comparative effectiveness entity to conduct and desseminate independent comparative effectiveness research. SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. Lobbied for quality health care (no bill). Lobbied for spending levels for Rx comparative effectiveness, nursing education, NIH research, Falls Prevention and other similar accounts (no bill). Discussed the need for bipartisan action on health care reform legislation, and how AARP could be helpful in vetting such proposals with its members (no bill). Expressed concern about proposed regulation regarding reduction of annual reassignment of LIS population in Medicare Part D. HR 3800/S 1693 - Wired for Health Act/Promotion of Health Information Technology Act - Strongly promoted enactment of this legislation to promote adoption of health information technology. HR 6357 Pro(tech)t Act - Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008. Lobbied for the adoption of Health IT. S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported this legislation to require e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. Lobbied for legislation to promote Health IT (no bill). Lobbied on structure of Health IT standard-setting body (no bill). Health Care Reform - Inquiry on medical home or primary care home legislation. HR 6898 Health-e Information Technology Act - Lobbied to promote Health IT and on structure of Health IT standard-setting body.

S 2795 - Discussed concerns on small business health insurance coverage. Discussed proposal for health insurance reinsurance. S 334 - Discussed Senator Wyden's health care reform bill and possible Senate hearing with staff. Stakeholder meeting on health care quality. HR 3701/S 845 - Lobbied for all provisions to direct the Secretary of HHS to conduct public and professional education, research, and demonstration grants to prevent falls among the elderly. SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security - the most pressing domestic issues facing our nation. Lobbied for spending levels for Rx comparative effectiveness, nursing education, NIH research, and other similar accounts. Prepared LHHS Subcommittee FY 2009 request letter asking for funding of SSA Admin., respite care programs, supportive services and nutrition programs, energy assistance, drug and medical research and falls prevention. Discussed the need for bipartisan action on health care reform legislation, and how AARP could be helpful in vetting such proposals with its members. Expressed concern about proposed regulation regarding reduction of annual reassignment of LIS population in Part D. HR 3800/S 1693 - Strongly promoted enactment of this legislation to promote adoption of health information technology. S 2408/HR 4296 - Supported this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not.

HEALTH INSURANCE (HOUSE) - Discussed proposal for health insurance reinsurance. HEALTH INSURANCE S 2795 - Discussed concerns on small business health insurance coverage HEALTH INSURANCE S 334 - Discussed Senator Wyden's health care reform bill and possible Senate hearing with staff HEALTH INSURANCE (HOUSE) - Discussed proposal for health insurance reinsurance. HEALTH INSURANCE S 2795 - Discussed concerns on small business health insurance coverage HEALTH INSURANCE S 334 - Discussed Senator Wyden's health care reform bill and possible Senate hearing with staff HEALTH INSURANCE (HOUSE) - Discussed proposal for health insurance reinsurance. HEALTH INSURANCE S 2795 - Discussed concerns on small business health insurance coverage HEALTH INSURANCE S 334 - Discussed Senator Wyden's health care reform bill and possible Senate hearing with staff HEALTH INSURANCE (HOUSE) - Discussed proposal for health insurance reinsurance with Velaquez's staff HEALTH INSURANCE (SENATE) - Stakeholder meeting on health care quality in health care. HEALTH INSURANCE S 2795 - Discussed concerns on small business health insurance coverage HEALTH INSURANCE S 334 - Discussed Senator Wyden's health care reform bill and possible Senate hearing with staff HEALTH ISSUES HR 3701/S 845 - Keeping Seniors Safe From Falls Act of 2007 HR3701/S845 lobbied for all provisions to direct the Secretary of HHS to conduct public and professional education, research, and demonstration grants to prevent falls among the elderly. HEALTH ISSUES SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. HEALTH ISSUES HR 3701/S 845 - Keeping Seniors Safe From Falls Act of 2007 HR3701/S845 lobbied for all provisions to direct the Secretary of HHS to conduct public and professional education, research, and demonstration grants to prevent falls among the elderly. HEALTH ISSUES SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. HEALTH ISSUES HR 3701/S 845 - Keeping Seniors Safe From Falls Act of 2007 HR3701/S845 lobbied for all provisions to direct the Secretary of HHS to conduct public and professional education, research, and demonstration grants to prevent falls among the elderly. HEALTH ISSUES (HOUSE) - Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security the most pressing domestic issues facing our nation. HEALTH ISSUES (HOUSE) - Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security the most pressing domestic issues facing our nation. HEALTH ISSUES (SENATE) - Lobbying for spending levels for Rx comparative effectiveness, nursing education, NIH research, Falls Prevention and other similar accounts. HEALTH ISSUES (HOUSE) - Lobbying for spending levels for Rx comparative effectiveness, nursing education, NIH research, Falls Prevention and other similar accounts. HEALTH ISSUES (SENATE) - Prepared LHHS Subcommittee FY 2009 request letter asking for funding of SSA Admin., respite care programs, supportive services and nutrition programs, energy assistance, drug and medical research and falls prevention. HEALTH ISSUES (HOUSE) - Prepared LHHS Subcommittee FY 2009 request letter asking for funding of SSA Admin., respite care programs, supportive services and nutrition programs, energy assistance, drug and medical research and falls prevention. HEALTH ISSUES (SENATE) - Discussed the need for bipartisan action on health care reform legislation, and how AARP could be helpful in vetting such proposals with its members. HEALTH ISSUES (HOUSE) - Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security the most pressing domestic issues facing our nation. HEALTH ISSUES (SENATE) - Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security the most pressing domestic issues facing our nation. HEALTH IT (DEPARTMENT OF HEALTH & HUMAN SERVICES) - (Proposed regulation to reduce annual reassignment of LIS population in Part D) Administrator called Bill to give him a heads up that CMS would be publishing an NPRM to reduce the annual reassignment of the LIS population in Part D, and asked for AARP to review and comment on the proposal. Bill assured him that we would and expressed concern about the disruption caused by the annual reassignment. HEALTH IT HR 3800 (HOUSE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 1693 (SENATE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 2408/H.R.4296 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT S 2408/H.R.4296 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT (DEPARTMENT OF HEALTH & HUMAN SERVICES) - (Proposed regulation to reduce annual reassignment of LIS population in Part D) Administrator called Bill to give him a heads up that CMS would be publishing an NPRM to reduce the annual reassignment of the LIS population in Part D, and asked for AARP to review and comment on the proposal. Bill assured him that we would and expressed concern about the disruption caused by the annual reassignment. HEALTH IT S 1693 (SENATE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 2408/H.R.4296 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT S 2408/H.R.4296 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT HR 3800 (HOUSE) - S. 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 1693 (SENATE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 1693 (HOUSE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 2408/H.R.4296 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT HR 3800 (HOUSE) - S. 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 1693 (SENATE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 1693 (HOUSE) - S 1693/HR 3800 Wired for Health Care Act/ Promotion of Health Information Technology Act strongly promoted enactment of this legislation to promote adoption of health information technology. HEALTH IT S 2408/H.R.4296 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT S 2408/H.R.4296 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. HEALTH IT (DEPARTMENT OF HEALTH & HUMAN SERVICES) - (Proposed regulation to reduce annual reassignment of LIS population in Part D) Administrator called Bill to give him a heads up that CMS would be publishing an NPRM to reduce the annual reassignment of the LIS population in Part D, and asked for AARP to review and comment on the proposal. Bill assured him that we would and expressed concern about the disruption caused by the annual reassignment.

S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070/HR 1783 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation, strategy for how they might both move forward this year, bill markup, background for score on S.1577. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. S 3230 Empowered at Home Act - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. HR 7110/S 3604 Job Creation and Unemployment Relief Act - Lobbied for FMAP funding. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. HR 6331 Medicare Improvements for Patients and Providers Act - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries, and promote e-prescriptions in medicare. S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641 Nursing Home Transparency and Improvement Act - Lobbied in support of the bill and to increase co-sponsors; criminal background checks for LTC employees; nursing home quality and proposed five star rating system cms; poor performing nursing homes, family caregiving initiative, nursing home compliance guidelines, Home Health CAHPS, LTC Partnership Program (under Medicaid data reporting requirements), status of Nursing Home Value Based Purchasing Demonstration, Prepare to Care for use in innovative employer caregiving programs satellite broadcast, LTC Quality Alliance. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support and obtain sponsors for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Lobbied to support the Fairness in Nursing Home Arbitration Act and oppose amendments to weaken the bill. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers (no bill). Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives (no bill). S 1577- Support for Patient Safety and Abuse Prevention Act (S 1577) and marking up the bill; provided feedback and in testimony. HR 7114/S3613 Independence at Home Act/Chronic Care Coordination - Feedback on and support for legislation to provide chronic care coordination services to certain Medicare beneficiaries. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S. 3118 Preserving Access to Medicare Act - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Green Houses and culture change in LTC facilities, person centered care and medical homes - testimony and input on draft bill - no bill number. Lobbied for appeal notices for Medicare beneficiaries in Medicare Advantage plans (no bill). S 1102 Part D Equity for Low-Income Services - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 Prescription Coverage Now Act - Lobbied for legislation to increase Medicare Part D LIS asset limits. HR 5702 End-of-Life Care Advance Directive Promotion Act - Discussed ideas for end-of-life care legislation and how to help ensure patient wishes are respected; Advance Directive Promotion Act. Provided feedback on draft legislation regarding physician orders for life sustaining treatment. S.334 - Discussed long-term care broadly and including it in health care reform, including the Healthy Americans Act. Discussed voting in LTC facilities, such as nursing homes, current status and law on the issue (no bill). S 3327 - Provided input and support for the Empowered at Home Act to make improvements in Medicaid HCBS; LTC insurance tax incentives and consumer protection improvements and a caregiver tax credit. Invitations and information about a solutions forum on balancing of state LTC systems. HR 3363/S 2337 - Discussed consumer protections for LTC insurance, premium increases and claims denials, support for family caregivers including assessment, consumer complaints and support for the LTC Affordability and Security Act. HR 6033 - Discussed provisions of Home-Based Health Services Job Training and Caregiving Act. H.Con.Res 133 - Provided input on and support for new LTC Awareness Week resolution. LTC - General discussion of LTC, home and community based services, family caregiving, chronic care, workforce, quality and financing options.(no bill) CMS - Lobbied on the Medicare Medical Home Demo implementation.

LONG TERM CARE (SENATE) - Senate, nursing home quality: discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality, poor performing nursing homes, family caregiving, nursing home compliance guidance, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration LONG TERM CARE (SENATE) - Senate, nursing home quality: discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE HR 3001 - CLASS Act shared and discussed actuarial analysis of the CLASS Act, a bill to create a public insurance program for long-term services and supports LONG TERM CARE HR 3363 - Discussed support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections; focused consumer protections LONG TERM CARE S 1070/S 1577 - Elder Justice Act (S. 1070) and Patient Safety and Abuse Prevention Act (S. 1577): support for both pieces of legislation and strategy for how they might both move forward this year LONG TERM CARE S 1340 - Geriatric Assessment and Chronic Care Coordination Act, discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill LONG TERM CARE S 1758 - CLASS ACT - discussions on Class Act, including actuarial analysis, provisions and strategy on the bill. Bill would create a public long-term care financing program. LONG TERM CARE S 2337 - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. LONG TERM CARE S 2337/HR 3363 (SENATE) - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections LONG TERM CARE S 2708 - Caring for an Aging America Act, a health and long-term care workforce bill to increase the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality, poor performing nursing homes, family caregiving, nursing home compliance guidance, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration LONG TERM CARE HR 3001 - CLASS Act shared and discussed actuarial analysis of the CLASS Act, a bill to create a public insurance program for long-term services and supports LONG TERM CARE HR 3363 - Discussed support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections; focused consumer protections LONG TERM CARE S 1070/S 1577 - Elder Justice Act (S. 1070) and Patient Safety and Abuse Prevention Act (S. 1577): support for both pieces of legislation and strategy for how they might both move forward this year LONG TERM CARE S 1340 - Geriatric Assessment and Chronic Care Coordination Act, discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill LONG TERM CARE S 1758 - CLASS ACT - discussions on Class Act, including actuarial analysis, provisions and strategy on the bill. Bill would create a public long-term care financing program. LONG TERM CARE S 2337 - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. LONG TERM CARE S 2337/HR 3363 (SENATE) - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections LONG TERM CARE S 2708 - Caring for an Aging America Act, a health and long-term care workforce bill to increase the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE (SENATE) - Senate, nursing home quality: discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill LONG TERM CARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality, poor performing nursing homes, family caregiving, nursing home compliance guidance, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration LONG TERM CARE HR 3001 - CLASS Act shared and discussed actuarial analysis of the CLASS Act, a bill to create a public insurance program for long-term services and supports LONG TERM CARE HR 3363 - Discussed support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections; focused consumer protections LONG TERM CARE S 1070/S 1577 - Elder Justice Act (S. 1070) and Patient Safety and Abuse Prevention Act (S. 1577): support for both pieces of legislation and strategy for how they might both move forward this year LONG TERM CARE S 1758 - CLASS ACT - discussions on Class Act, including actuarial analysis, provisions and strategy on the bill. Bill would create a public long-term care financing program. LONG TERM CARE S 2337/HR 3363 (SENATE) - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections LONG TERM CARE S 1340 - Geriatric Assessment and Chronic Care Coordination Act, discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill LONG TERM CARE S 2337 - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. LONG TERM CARE (HOUSE) - Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated and provided input on legislation regarding advance directives under Medicare and Medicaid, portability of advance directives, and public education around advance directives LONG TERM CARE (SENATE) - Senate, nursing home quality: discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill LONG TERM CARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality, poor performing nursing homes, family caregiving, nursing home compliance guidance, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration LONG TERM CARE HR 3001 - CLASS Act shared and discussed actuarial analysis of the CLASS Act, a bill to create a public insurance program for long-term services and supports LONG TERM CARE HR 3363 - Discussed support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections; focused consumer protections LONG TERM CARE S 1758 - CLASS ACT - discussions on Class Act, including actuarial analysis, provisions and strategy on the bill. Bill would create a public long-term care financing program. LONG TERM CARE S 2337/HR 3363 (SENATE) - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections LONG TERM CARE S 1340 - Geriatric Assessment and Chronic Care Coordination Act, discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill LONG TERM CARE S 2337 - Discussion of and support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. LONG TERM CARE S 2708 - Caring for an Aging America Act, a health and long-term care workforce bill to increase the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill LONG TERM CARE S 1070/S 1577 - Elder Justice Act (S. 1070) and Patient Safety and Abuse Prevention Act (S. 1577): support for both pieces of legislation and strategy for how they might both move forward this year MEDICAID (HOUSE) - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Filed comment letters on proposed regulations involving cost sharing and flexibility in benefit packages. MEDICAID (SENATE) - Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. MEDICAID HR 1174 - S1174 Health Hospitals Act discussed with sponsors staff potential endorsement of this legislation to require hospitals to report infection rates. MEDICAID HR 5140 (SENATE) - Recovery Rebates and Economic Stimulus for the American People Act of 2008 supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs. MEDICAID HR 5613 - Protecting the Medicaid Safety Net Act support this legislation that places a moratorium on harmful Medicaid regulations. MEDICAID (HOUSE) - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. MEDICAID (SENATE) - Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Filed comment letters on proposed regulations involving cost sharing and flexibility in benefit packages. MEDICAID HR 1174 - S1174 Health Hospitals Act discussed with sponsors staff potential endorsement of this legislation to require hospitals to report infection rates. MEDICAID HR 5140 (SENATE) - Recovery Rebates and Economic Stimulus for the American People Act of 2008 supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs MEDICAID HR 5613 - Protecting the Medicaid Safety Net Act support this legislation that places a moratorium on harmful Medicaid regulations. MEDICAID (HOUSE) - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. MEDICAID (SENATE) - Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Filed comment letters on proposed regulations involving cost sharing and flexibility in benefit packages. MEDICAID HR 1174 - S1174 Health Hospitals Act discussed with sponsors staff potential endorsement of this legislation to require hospitals to report infection rates. MEDICAID HR 5140 (SENATE) - Recovery Rebates and Economic Stimulus for the American People Act of 2008 supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs MEDICAID HR 5613 - Protecting the Medicaid Safety Net Act support this legislation that places a moratorium on harmful Medicaid regulations. MEDICAID (HOUSE) - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Filed comment letters on proposed regulations involving cost sharing and flexibility in benefit packages MEDICAID HR 1174 - S1174 Health Hospitals Act discussed with sponsors staff potential endorsement of this legislation to require hospitals to report infection rates. MEDICAID HR 5140 (SENATE) - Recovery Rebates and Economic Stimulus for the American People Act of 2008 supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs MEDICAID HR 5613 - Protecting the Medicaid Safety Net Act support this legislation that places a moratorium on harmful Medicaid regulations. MEDICAID (SENATE) - Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. MEDICAID (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Medicaid Personal Assistance Services State Plan option discussion of comment letter sending and receipt MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR 3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE S.2408 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE S.2408 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR 3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE S.2408 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE S.2408 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR 3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE S.2408 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE S.2408 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. MEDICARE S.2408 (HOUSE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE S.2408 (SENATE) - S. 2408/HR4296 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 support this legislation to require e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. MEDICARE (DEPARTMENT OF HEALTH & HUMAN SERVICES) HR 3363 - Support for the Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. MEDICARE (SENATE) - Senate Medicare package--AARP advocated for part B premium protection and asset test improvement.

S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070/HR 1783 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation, strategy for how they might both move forward this year, bill markup, background for score on S.1577. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. S 3230 Empowered at Home Act - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. HR 7110/S 3604 Job Creation and Unemployment Relief Act - Lobbied for FMAP funding. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. HR 6331 Medicare Improvements for Patients and Providers Act - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries, and promote e-prescriptions in medicare. S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641 Nursing Home Transparency and Improvement Act - Lobbied in support of the bill and to increase co-sponsors; criminal background checks for LTC employees; nursing home quality and proposed five star rating system cms; poor performing nursing homes, family caregiving initiative, nursing home compliance guidelines, Home Health CAHPS, LTC Partnership Program (under Medicaid data reporting requirements), status of Nursing Home Value Based Purchasing Demonstration, Prepare to Care for use in innovative employer caregiving programs satellite broadcast, LTC Quality Alliance. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support and obtain sponsors for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Lobbied to support the Fairness in Nursing Home Arbitration Act and oppose amendments to weaken the bill. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers (no bill). Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives (no bill). S 1577- Support for Patient Safety and Abuse Prevention Act (S 1577) and marking up the bill; provided feedback and in testimony. HR 7114/S3613 Independence at Home Act/Chronic Care Coordination - Feedback on and support for legislation to provide chronic care coordination services to certain Medicare beneficiaries. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S. 3118 Preserving Access to Medicare Act - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Green Houses and culture change in LTC facilities, person centered care and medical homes - testimony and input on draft bill - no bill number. Lobbied for appeal notices for Medicare beneficiaries in Medicare Advantage plans (no bill). S 1102 Part D Equity for Low-Income Services - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 Prescription Coverage Now Act - Lobbied for legislation to increase Medicare Part D LIS asset limits. HR 5702 End-of-Life Care Advance Directive Promotion Act - Discussed ideas for end-of-life care legislation and how to help ensure patient wishes are respected; Advance Directive Promotion Act. Provided feedback on draft legislation regarding physician orders for life sustaining treatment. S.334 - Discussed long-term care broadly and including it in health care reform, including the Healthy Americans Act. Discussed voting in LTC facilities, such as nursing homes, current status and law on the issue (no bill). S 3327 - Provided input and support for the Empowered at Home Act to make improvements in Medicaid HCBS; LTC insurance tax incentives and consumer protection improvements and a caregiver tax credit. Invitations and information about a solutions forum on balancing of state LTC systems. HR 3363/S 2337 - Discussed consumer protections for LTC insurance, premium increases and claims denials, support for family caregivers including assessment, consumer complaints and support for the LTC Affordability and Security Act. HR 6033 - Discussed provisions of Home-Based Health Services Job Training and Caregiving Act. H.Con.Res 133 - Provided input on and support for new LTC Awareness Week resolution. LTC - General discussion of LTC, home and community based services, family caregiving, chronic care, workforce, quality and financing options.(no bill) CMS - Lobbied on the Medicare Medical Home Demo implementation.

HR 3001/ S 1340 - Shared and discusssed actuarial analysis of the CLASS Act regarding creation of a public insurance program for long-term services. S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070/S 1577 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 - Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. S 2708 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174/S 1174 - Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates. HR 5140- Supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs. HR 5613- Supported this legislation, particularly provisions related to placing a moratorium on harmful Medicaid regulations. Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. Filed comment letters with HHS on proposed regulations involving cost sharing and flexibility in benefit packages. Medicaid Personal Assistance Services State Plan option- discussion of comment letter sending and receipt. Advocated for part B premium protection and asset test improvement. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. S 2480/HR 4296- Supported provisions related to requiring e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641/ HR 5799 Nursing home quality; discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill. Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated, and provided input on legislation regarding advance directives under Medicare and Medicaid;portability of advance directives, and public education around advance directives. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration.

S 2337/HR 3363 Long-Term Care Affordability and Security Act - Discussed consumer protections for LTC insurance. S 1070/HR 1783 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation, strategy for how they might both move forward next year. S 3327/HR 7212 - Empowered at Home Act - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid and other improvements to bill. Also lobbied in support of the bill. HR 7110/S 3604 Job Creation and Unemployment Relief Act - Lobbied for FMAP funding. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries, and promote e-prescriptions in medicare (no bill number). S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641 Nursing Home Transparency and Improvement Act and HR 7128 Nursing Home Transparency and Quality of Care Improvement Act - Discussed the bill and provided suggestions for changes to the bill, nursing home quality and proposed five star rating system cms; poor performing nursing homes, family caregiving initiative, nursing home compliance guidelines, Home Health CAHPS, LTC Partnership Program (under Medicaid data reporting requirements), LTC Quality Alliance. To build support and obtain sponsors for Medicaid Family Caregiver Assessment Demonstration proposal (no bill number). Discussion and input on legislation to improve the health/LTC workforce and support family caregivers (no bill number). Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives (no bill number). HR 7114/S3613 Independence at Home Act/Chronic Care Coordination - Lobbied on and support for legislation to provide chronic care coordination services to certain Medicare beneficiaries. S 3101/HR 6331 Medicare Improvements for Patients and Providers Act of 2008 - Discussed implementation to help improve Medicare. Lobbied for appeal notices for Medicare beneficiaries in Medicare Advantage plans (no bill number). S 1102 Part D Equity for Low-Income Services - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 Prescription Coverage Now Act - Lobbied for legislation to increase Medicare Part D LIS asset limits. HR 6033 - Discussed provisions of Home-Based Health Services Job Training and Caregiving Act and ways to improve bill.

HR 3001/ S 1340 - Shared and discusssed actuarial analysis of the CLASS Act regarding creation of a public insurance program for long-term services. S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 Geriatric Assessment and Chronic Care Coordination Act of 2007- Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174 Healthy Hospitals Act of 2007- Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. Medicaid Personal Assistance Services State Plan option- discussion of comment letter sending and receipt. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. S 2480/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641/ HR 5799 Nursing Home Quality and Transparency Legislation Act - To protect residents and support for the Nursing Home Transparency and Improvement Act. Discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration. HR 5702 Advance Directive Promotion Act of 2008 - Negotiated provisions on portability of advance directives. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Input on draft legislation to make arbitration clauses between LTC facilities and their residents or representatives unenforceable; support for this legislation once it was introduced as the Fairness in Nursing Home Arbitration Act, including support letter. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers. Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives. S 1577/HR 3078 - Support for Patient Safety and Abuse Prevention Act (S 1577) and moving the issue forward; provided feedback and in testimony. S 2921 Caring for Wounded Warriors Act of 2008 - Services and supports for family caregivers of certain veterans. Feedback on draft legislation to provide chronic care coordination services to certain Medicare beneficiaries; approaches to improving chronic care for Medicare beneficiaries; discussion of chronic care and Special Needs Plans. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S 1758 - Long-term care financing proposals, including the CLASS Act, a public LTC financing program. S. 3164 - Lobbied on Medicare Fraud bill (Martinez and Cornyn) - All provisions related to protecting participants and the Medicare program from fraud and abuse. S. 3118 - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Long Term Care/Reverse Mortgages - To protect consumers when reverse mortgages are used as a LTC financing tool. Green Houses and culture change in LTC facilities. HR 2642 - To keep moratorium on all seven Medicaid regulations in the supplemental appropriations bill. Lobbied on appeal notices for Medicare beneficiaries in Medicare Advantage plans. S 1102 - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 - Lobbied for legislation to increase Medicare Part D LIS asset limits. S 3101/HR 6331 - (Medicare) Lobbied for legislation to protect part B premiums, increase LIS and MSP asset limits, and promote e-prescribing in Medicare. HR 2642 - (Medicaid) Lobbied for inclusion of Medicaid regulation moratorium in Iraq Supplemental.

S 623/HR 1038 (Access to Life Saving Medicine Act), HR 1956 (Patient Protection and Innovative Biologic Medicines Act of 2007), HR 5629 (Pathway for Biosimilars Act) - Lobbied to ensure that Waxman Biogenerics legislation is enacted particularly provisions related to ensuring a safe, effective pathway for the approval of comparable, interchangeable biologics. HR 1902 (Protecting Consumer Access to Generic Drugs Act of 2007)/ S 316 (Preserve Access to Affordable Generics Act -Provisions related to preventing abuses in patent settlements between generic and brand name prescription drug manufactures. S 1145 Patient Reform Act of 2007- Ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. Discussion regarding prescription drug affordability (no Bill). S 3230 Labor/HHS/Education Appropriations FY 2009 - Lobbying for spending levels for Rx comparative effectiveness and to reduce FDA generic drug processing backlog.

S 623, HR 1038, HR 1956, HR 5629-Lobbied to ensure that Waxman biogenerics legislation is enacted particularly provisions related to ensuring a safe, effective pathway for the approval of comparable, interchangeable biologics. HR 1902/ S 316-Provisions related to preventing abuses in patent settlements between generic and brand name prescription drug manufactures. S 1145-Ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. S 242-Lobbied to ensure the passage of legislation that would create a safe system of prescription drug importation. Discussion regarding prescription drug affordability.

BIOLOGICS HR 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS S 623 (SENATE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS H.R. 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS S 623 (SENATE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS HR. 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS S 623 (SENATE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS HR. 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. BIOLOGICS S 623 (SENATE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. PRESCRIPTION DRUGS (HOUSE) - Discussions on prescription drug affordability PRESCRIPTION DRUGS (SENATE) - Discussions on prescription drug affordability PRESCRIPTION DRUGS HR 1902 (HOUSE) - Patent Settlements (HR 1902/S. 316) legislation seeks to prevent abuses in patent settlements between generic and brand name prescription drug manufacturers. PRESCRIPTION DRUGS S 242 - Lobbied to ensure the passage of legislation that would create a safe system of importation. PRESCRIPTION DRUGS S 1145 - Patent Reform (S. 1145) ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. PRESCRIPTION DRUGS S. 316 (SENATE) - Patent Settlements (HR 1902/S. 316) legislation seeks to prevent abuses in patent settlements between generic and brand name prescription drug manufacturers. PRESCRIPTION DRUGS (HOUSE) - Discussions on prescription drug affordability PRESCRIPTION DRUGS (SENATE) - Discussions on prescription drug affordability BIOLOGICS H.R. 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. PRESCRIPTION DRUGS HR 1902 (HOUSE) - Patent Settlements (HR 1902/S. 316) legislation seeks to prevent abuses in patent settlements between generic and brand name prescription drug manufacturers. PRESCRIPTION DRUGS S 1145 - Patent Reform (S. 1145) ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. PRESCRIPTION DRUGS S 242 - Lobbied to ensure the passage of legislation that would create a safe system of importation. BIOLOGICS S 623 (SENATE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. PRESCRIPTION DRUGS (HOUSE) - Discussions on prescription drug affordability PRESCRIPTION DRUGS (SENATE) - Discussions on prescription drug affordability BIOLOGICS H.R. 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. PRESCRIPTION DRUGS HR 1902 (HOUSE) - Patent Settlements (HR 1902/S. 316) legislation seeks to prevent abuses in patent settlements between generic and brand name prescription drug manufacturers. BIOLOGICS S 623 (SENATE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. PRESCRIPTION DRUGS S 1145 - Patent Reform (S. 1145) ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. PRESCRIPTION DRUGS S 242 - Lobbied to ensure the passage of legislation that would create a safe system of importation. BIOLOGICS HR. 1038 (HOUSE) - Biologics (S. 623, HR 1038, HR 1956, HR 5629) lobbied to ensure that Waxman biogenerics legislation is enacted. Legislation will ensure a safe, effective pathway for the approval of comparable, interchangeable biologics. PRESCRIPTION DRUGS (HOUSE) - Discussions on prescription drug affordability PRESCRIPTION DRUGS (SENATE) - Discussions on prescription drug affordability PRESCRIPTION DRUGS HR 1902 (HOUSE) - Patent Settlements (HR 1902/S. 316) legislation seeks to prevent abuses in patent settlements between generic and brand name prescription drug manufacturers. PRESCRIPTION DRUGS S 1145 - Patent Reform (S. 1145) ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. PRESCRIPTION DRUGS S 242 - Lobbied to ensure the passage of legislation that would create a safe system of importation. PRESCRIPTION DRUGS S. 316 (SENATE) - Patent Settlements (HR 1902/S. 316) legislation seeks to prevent abuses in patent settlements between generic and brand name prescription drug manufacturers.

S 623/HR 1038 (Access to Life Saving Medicine Act), HR 1956 (Patient Protection and Innovative Biologic Medicines Act of 2007), HR 5629 (Pathway for Biosimilars Act) - Lobbied to ensure that Waxman Biogenerics legislation is enacted particularly provisions related to ensuring a safe, effective pathway for the approval of comparable, interchangeable biologics. HR 1902 (Protecting Consumer Access to Generic Drugs Act of 2007)/ S 316 (Preserve Access to Affordable Generics Act -Provisions related to preventing abuses in patent settlements between generic and brand name prescription drug manufactures. S 1145 Patient Reform Act of 2007- Ensuring that the existing inequitable conduct provisions in Patent Law Act are not weakened. Discussion regarding prescription drug affordability (no Bill). S 3230 Labor/HHS/Education Appropriations FY 2009 - Lobbying for spending levels for Rx comparative effectiveness. S 3289 Agriculture and Rural Development Appropriations, FY 2009 - Lobbied to reduce FDA generic drug processing backlog.

S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070/HR 1783 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation, strategy for how they might both move forward this year, bill markup, background for score on S.1577. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. S 3230 Empowered at Home Act - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. HR 7110/S 3604 Job Creation and Unemployment Relief Act - Lobbied for FMAP funding. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. HR 6331 Medicare Improvements for Patients and Providers Act - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries, and promote e-prescriptions in medicare. S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641 Nursing Home Transparency and Improvement Act - Lobbied in support of the bill and to increase co-sponsors; criminal background checks for LTC employees; nursing home quality and proposed five star rating system cms; poor performing nursing homes, family caregiving initiative, nursing home compliance guidelines, Home Health CAHPS, LTC Partnership Program (under Medicaid data reporting requirements), status of Nursing Home Value Based Purchasing Demonstration, Prepare to Care for use in innovative employer caregiving programs satellite broadcast, LTC Quality Alliance. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support and obtain sponsors for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Lobbied to support the Fairness in Nursing Home Arbitration Act and oppose amendments to weaken the bill. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers (no bill). Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives (no bill). S 1577- Support for Patient Safety and Abuse Prevention Act (S 1577) and marking up the bill; provided feedback and in testimony. HR 7114/S3613 Independence at Home Act/Chronic Care Coordination - Feedback on and support for legislation to provide chronic care coordination services to certain Medicare beneficiaries. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S. 3118 Preserving Access to Medicare Act - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Green Houses and culture change in LTC facilities, person centered care and medical homes - testimony and input on draft bill - no bill number. Lobbied for appeal notices for Medicare beneficiaries in Medicare Advantage plans (no bill). S 1102 Part D Equity for Low-Income Services - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 Prescription Coverage Now Act - Lobbied for legislation to increase Medicare Part D LIS asset limits. HR 5702 End-of-Life Care Advance Directive Promotion Act - Discussed ideas for end-of-life care legislation and how to help ensure patient wishes are respected; Advance Directive Promotion Act. Provided feedback on draft legislation regarding physician orders for life sustaining treatment. S.334 - Discussed long-term care broadly and including it in health care reform, including the Healthy Americans Act. Discussed voting in LTC facilities, such as nursing homes, current status and law on the issue (no bill). S 3327 - Provided input and support for the Empowered at Home Act to make improvements in Medicaid HCBS; LTC insurance tax incentives and consumer protection improvements and a caregiver tax credit. Invitations and information about a solutions forum on balancing of state LTC systems. HR 3363/S 2337 - Discussed consumer protections for LTC insurance, premium increases and claims denials, support for family caregivers including assessment, consumer complaints and support for the LTC Affordability and Security Act. HR 6033 - Discussed provisions of Home-Based Health Services Job Training and Caregiving Act. H.Con.Res 133 - Provided input on and support for new LTC Awareness Week resolution. LTC - General discussion of LTC, home and community based services, family caregiving, chronic care, workforce, quality and financing options.(no bill) CMS - Lobbied on the Medicare Medical Home Demo implementation.

HR 3001/ S 1340 - Shared and discusssed actuarial analysis of the CLASS Act regarding creation of a public insurance program for long-term services. S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 Geriatric Assessment and Chronic Care Coordination Act of 2007- Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174 Healthy Hospitals Act of 2007- Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. Medicaid Personal Assistance Services State Plan option- discussion of comment letter sending and receipt. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. S 2480/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641/ HR 5799 Nursing Home Quality and Transparency Legislation Act - To protect residents and support for the Nursing Home Transparency and Improvement Act. Discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration. HR 5702 Advance Directive Promotion Act of 2008 - Negotiated provisions on portability of advance directives. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Input on draft legislation to make arbitration clauses between LTC facilities and their residents or representatives unenforceable; support for this legislation once it was introduced as the Fairness in Nursing Home Arbitration Act, including support letter. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers. Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives. S 1577/HR 3078 - Support for Patient Safety and Abuse Prevention Act (S 1577) and moving the issue forward; provided feedback and in testimony. S 2921 Caring for Wounded Warriors Act of 2008 - Services and supports for family caregivers of certain veterans. Feedback on draft legislation to provide chronic care coordination services to certain Medicare beneficiaries; approaches to improving chronic care for Medicare beneficiaries; discussion of chronic care and Special Needs Plans. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S 1758 - Long-term care financing proposals, including the CLASS Act, a public LTC financing program. S. 3164 - Lobbied on Medicare Fraud bill (Martinez and Cornyn) - All provisions related to protecting participants and the Medicare program from fraud and abuse. S. 3118 - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Long Term Care/Reverse Mortgages - To protect consumers when reverse mortgages are used as a LTC financing tool. Green Houses and culture change in LTC facilities. HR 2642 - To keep moratorium on all seven Medicaid regulations in the supplemental appropriations bill. Lobbied on appeal notices for Medicare beneficiaries in Medicare Advantage plans. S 1102 - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 - Lobbied for legislation to increase Medicare Part D LIS asset limits. S 3101/HR 6331 - (Medicare) Lobbied for legislation to protect part B premiums, increase LIS and MSP asset limits, and promote e-prescribing in Medicare. HR 2642 - (Medicaid) Lobbied for inclusion of Medicaid regulation moratorium in Iraq Supplemental.

HR 5140- Lobbied in favor of including senior rebate in the economic stimulus bill. HR 2167/ S 114- Provisions related to establishing an auto IRA for workers not covered by pension plan. HR 5719- Discussed various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. A general discussion of the political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable. Meeting with tax counsel for the House Small Business Committee to discuss the agenda for the Committee hearing scheduled for April 10, 2008. HR 1540- Provisions related to excluding from gross income amounts received as damages due to discriminatory conduct.

TAX REFORM HR 5140 - (HOUSE)Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5140 - (HOUSE) Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 2167 - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 5140 (HOUSE)- Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5719 - A discussion of the various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. TAX REFORM HR 2167 (SENATE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM S 1141 (SENATE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM S 1141 (HOUSE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 2167 (SENATE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 2167 (HOUSE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 5140 - (HOUSE)Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5719 - A discussion of the various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. TAX REFORM S 1141 (HOUSE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM S 1141 (SENATE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 2167 (HOUSE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 2167 (SENATE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM S 1141 (SENATE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM S 1141 (HOUSE) - Legislation to establish an auto IRA for workers not covered by pension plan. TAX REFORM (HOUSE) - A general discussion of the political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable. TAX REFORM (SENATE) - A general discussion of the political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable. TAX REFORM (HOUSE) - Meeting with tax counsel for the House Small Business Committee to discuss the agenda for the Committee hearing scheduled for April 10, 2008. TAX REFORM HR 1540 - To exclude from gross income amounts received as damages due to discriminatory conduct TAX REFORM HR 5719 - A discussion of the various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. TAX REFORM-SAVINGS INCENTIVES HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX REFORM-SAVINGS INCENTIVES HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (HOUSE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (SENATE) - Lobbied in favor of including senior rebate in the stimulus bill. TAX RELIEF HR 5140 (SENATE) - Urging vote for Recovery Rebates and Economic Stimulus for the American People Act of 2008 (H.R. 5140) TAX RELIEF HR 5140 (SENATE) - Letters and discussions to support passage of Economic Stimulus Bill to ensure that it includes stimulus payments for older Americans who are eligible to receive one. TAX RELIEF HR 5140 (HOUSE) - Letters and discussions to support passage of Economic Stimulus Bill to ensure that it includes stimulus payments for older Americans who are eligible to receive one.

HR 5140 Recovery Rebates and Economic Stimulus for the American People Act of 2008 - Lobbied in favor of including senior rebate in the economic stimulus bill. HR 2167/ S 1141 Automatic IRA of 2007- Provisions related to establishing an auto IRA for workers not covered by pension plan. HR 5719 Taxpayer Assistance and Simplification Act of 2008 - Discussed various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. A general discussion of the political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable (no Bill). Meeting with House Small Business Committee to discuss the agenda for the Committee hearing scheduled for April 10, 2008 on small business taxes and impact on retirement security (no Bill). HR 1540 Civil Rights Tax Relief Act of 2007- Provisions related to excluding from gross income amounts received as damages due to discriminatory conduct. HR 6237 Tax Relief for Long-Term Care Act of 2008 - All provisions regarding tax relief for family caregivers and purchasers of LTC insurance, the Tax Relief Act of 2008.

HR 5140 Tax Relief, urging vote for Recovery Rebates and Economic Stimulus for the American People Act of 2008. HR 2167/ S 1141 Automatic IRA of 2007- Provisions related to establishing an auto IRA for workers not covered by pension plan. HR 5719 Taxpayer Assistance and Simplification Act of 2008 - Discussed various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. Discussed political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable (no Bill). HR 1540 Civil Rights Tax Relief Act of 2007- Provisions related to excluding from gross income amounts received as damages due to discriminatory conduct. HR 6237 Tax Relief for Long-Term Care Act of 2008 - All provisions regarding tax relief for family caregivers and purchasers of LTC insurance, the Tax Relief Act of 2008. S 3032/S 3532 Give Act HR 6283 Reimbursing Our American Drivers (ROAD) Act of 2008 - Lobbied in favor of allowing non-profit organizations to reimburse volunteers (without income tax consequences for mileage driven for charitable purposes up to the business mileage rate, and increasing the mileage deduction allowed for charitable purposes. S 3260 Financial Services and General Government Appropriations, FY 2009 - Lobbied for increased funding for IRS taxpayer assistance programs (Tax Counseling for the Elderly and VITA).

HR 5140 Tax Relief, urged vote for Recovery Rebates and Economic Stimulus for the American People Act of 2008 - Discussed implementation of bill. HR 2167/ S 1141 Automatic IRA of 2007- Provisions related to establishing an auto IRA for workers not covered by pension plan. HR 5719 Taxpayer Assistance and Simplification Act of 2008 - Discussed various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. Discussed political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable (no Bill). HR 1540 Civil Rights Tax Relief Act of 2007- Provisions related to excluding from gross income amounts received as damages due to discriminatory conduct. S 3032/S 3532 Give Act - Discussed expansion of volunteerism opportunities and civic engagement. HR 6283 Reimbursing Our American Drivers (ROAD) Act of 2008 - Lobbied in favor of allowing non-profit organizations to reimburse volunteers (without income tax consequences for mileage driven for charitable purposes up to the business mileage rate, and increasing the mileage deduction allowed for charitable purposes. S 3260 Financial Services and General Government Appropriations, FY 2009 - Lobbied for increased funding for IRS taxpayer assistance programs (Tax Counseling for the Elderly and VITA). Discussed tax-exempt issues regarding 501(c) organizations (no bill).

HR 3001/ S 1340 - Shared and discusssed actuarial analysis of the CLASS Act regarding creation of a public insurance program for long-term services. S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 Geriatric Assessment and Chronic Care Coordination Act of 2007- Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174 Healthy Hospitals Act of 2007- Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. Medicaid Personal Assistance Services State Plan option- discussion of comment letter sending and receipt. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. S 2480/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641/ HR 5799 Nursing Home Quality and Transparency Legislation Act - To protect residents and support for the Nursing Home Transparency and Improvement Act. Discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration. HR 5702 Advance Directive Promotion Act of 2008 - Negotiated provisions on portability of advance directives. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Input on draft legislation to make arbitration clauses between LTC facilities and their residents or representatives unenforceable; support for this legislation once it was introduced as the Fairness in Nursing Home Arbitration Act, including support letter. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers. Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives. S 1577/HR 3078 - Support for Patient Safety and Abuse Prevention Act (S 1577) and moving the issue forward; provided feedback and in testimony. S 2921 Caring for Wounded Warriors Act of 2008 - Services and supports for family caregivers of certain veterans. Feedback on draft legislation to provide chronic care coordination services to certain Medicare beneficiaries; approaches to improving chronic care for Medicare beneficiaries; discussion of chronic care and Special Needs Plans. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S 1758 - Long-term care financing proposals, including the CLASS Act, a public LTC financing program. S. 3164 - Lobbied on Medicare Fraud bill (Martinez and Cornyn) - All provisions related to protecting participants and the Medicare program from fraud and abuse. S. 3118 - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Long Term Care/Reverse Mortgages - To protect consumers when reverse mortgages are used as a LTC financing tool. Green Houses and culture change in LTC facilities. HR 2642 - To keep moratorium on all seven Medicaid regulations in the supplemental appropriations bill. Lobbied on appeal notices for Medicare beneficiaries in Medicare Advantage plans. S 1102 - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 - Lobbied for legislation to increase Medicare Part D LIS asset limits. S 3101/HR 6331 - (Medicare) Lobbied for legislation to protect part B premiums, increase LIS and MSP asset limits, and promote e-prescribing in Medicare. HR 2642 - (Medicaid) Lobbied for inclusion of Medicaid regulation moratorium in Iraq Supplemental.

HR 3001/ S 1340 - Shared and discusssed actuarial analysis of the CLASS Act regarding creation of a public insurance program for long-term services. S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070/S 1577 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 - Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. S 2708 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174/S 1174 - Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates. HR 5140- Supported provisions providing rebates to older Americans who do not file income taxes, and potential for adding provisions to temporarily increase federal funding to state Medicaid programs. HR 5613- Supported this legislation, particularly provisions related to placing a moratorium on harmful Medicaid regulations. Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. Filed comment letters with HHS on proposed regulations involving cost sharing and flexibility in benefit packages. Medicaid Personal Assistance Services State Plan option- discussion of comment letter sending and receipt. Advocated for part B premium protection and asset test improvement. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. S 2480/HR 4296- Supported provisions related to requiring e-prescribing in Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641/ HR 5799 Nursing home quality; discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill. Advance directives and end-of-life care: discussed efforts to educate Medicare beneficiaries about advance directives; discussed, negotiated, and provided input on legislation regarding advance directives under Medicare and Medicaid;portability of advance directives, and public education around advance directives. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration.

S 2795/HR 5918 Small Business Health Options Program Act of 2008 - Discussed concerns on small business health insurance coverage. Discussed proposal for health insurance reinsurance. S 334 Healthy Americans Act - Discussed Senator Wyden's health care reform bill. Stakeholder meeting on health care quality. HR 3701/S 845 Keeping Seniors Safe from Falls Act of 2007- Lobbied for all provisions to direct the Secretary of HHS to conduct public and professional education, research, and demonstration grants to prevent falls among the elderly. SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security - the most pressing domestic issues facing our nation. Lobbied for spending levels for Rx comparative effectiveness, nursing education, NIH research, Falls Prevention and other similar accounts. Discussed the need for bipartisan action on health care reform legislation, and how AARP could be helpful in vetting such proposals with its members. Expressed concern about proposed regulation regarding reduction of annual reassignment of LIS population in Medicare Part D. HR 3800/S 1693 - Wired for Health Act/Promotion of Health Information Technology Act - Strongly promoted enactment of this legislation to promote adoption of health information technology. S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported this legislation to require e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. Lobbied for legislation to promote Health IT. Lobbied on structure of Health IT standard-setting body.

S 2337/HR 3363 Long-Term Care Affordability and Security Act - Discussed consumer protections for LTC insurance. S 1070/HR 1783 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation, strategy for how they might both move forward next year. S 3327/HR 7212 - Empowered at Home Act - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid and other improvements to bill. Also lobbied in support of the bill. HR 7110/S 3604 Job Creation and Unemployment Relief Act - Lobbied for FMAP funding. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries, and promote e-prescriptions in medicare (no bill number). S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641 Nursing Home Transparency and Improvement Act and HR 7128 Nursing Home Transparency and Quality of Care Improvement Act - Discussed the bill and provided suggestions for changes to the bill, nursing home quality and proposed five star rating system cms; poor performing nursing homes, family caregiving initiative, nursing home compliance guidelines, Home Health CAHPS, LTC Partnership Program (under Medicaid data reporting requirements), LTC Quality Alliance. To build support and obtain sponsors for Medicaid Family Caregiver Assessment Demonstration proposal (no bill number). Discussion and input on legislation to improve the health/LTC workforce and support family caregivers (no bill number). Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives (no bill number). HR 7114/S3613 Independence at Home Act/Chronic Care Coordination - Lobbied on and support for legislation to provide chronic care coordination services to certain Medicare beneficiaries. S 3101/HR 6331 Medicare Improvements for Patients and Providers Act of 2008 - Discussed implementation to help improve Medicare. Lobbied for appeal notices for Medicare beneficiaries in Medicare Advantage plans (no bill number). S 1102 Part D Equity for Low-Income Services - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 Prescription Coverage Now Act - Lobbied for legislation to increase Medicare Part D LIS asset limits. HR 6033 - Discussed provisions of Home-Based Health Services Job Training and Caregiving Act and ways to improve bill.

S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070/HR 1783 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation, strategy for how they might both move forward this year, bill markup, background for score on S.1577. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. S 3230 Empowered at Home Act - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. HR 7110/S 3604 Job Creation and Unemployment Relief Act - Lobbied for FMAP funding. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. HR 6331 Medicare Improvements for Patients and Providers Act - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries, and promote e-prescriptions in medicare. S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641 Nursing Home Transparency and Improvement Act - Lobbied in support of the bill and to increase co-sponsors; criminal background checks for LTC employees; nursing home quality and proposed five star rating system cms; poor performing nursing homes, family caregiving initiative, nursing home compliance guidelines, Home Health CAHPS, LTC Partnership Program (under Medicaid data reporting requirements), status of Nursing Home Value Based Purchasing Demonstration, Prepare to Care for use in innovative employer caregiving programs satellite broadcast, LTC Quality Alliance. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support and obtain sponsors for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Lobbied to support the Fairness in Nursing Home Arbitration Act and oppose amendments to weaken the bill. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers (no bill). Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives (no bill). S 1577- Support for Patient Safety and Abuse Prevention Act (S 1577) and marking up the bill; provided feedback and in testimony. HR 7114/S3613 Independence at Home Act/Chronic Care Coordination - Feedback on and support for legislation to provide chronic care coordination services to certain Medicare beneficiaries. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S. 3118 Preserving Access to Medicare Act - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Green Houses and culture change in LTC facilities, person centered care and medical homes - testimony and input on draft bill - no bill number. Lobbied for appeal notices for Medicare beneficiaries in Medicare Advantage plans (no bill). S 1102 Part D Equity for Low-Income Services - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 Prescription Coverage Now Act - Lobbied for legislation to increase Medicare Part D LIS asset limits. HR 5702 End-of-Life Care Advance Directive Promotion Act - Discussed ideas for end-of-life care legislation and how to help ensure patient wishes are respected; Advance Directive Promotion Act. Provided feedback on draft legislation regarding physician orders for life sustaining treatment. S.334 - Discussed long-term care broadly and including it in health care reform, including the Healthy Americans Act. Discussed voting in LTC facilities, such as nursing homes, current status and law on the issue (no bill). S 3327 - Provided input and support for the Empowered at Home Act to make improvements in Medicaid HCBS; LTC insurance tax incentives and consumer protection improvements and a caregiver tax credit. Invitations and information about a solutions forum on balancing of state LTC systems. HR 3363/S 2337 - Discussed consumer protections for LTC insurance, premium increases and claims denials, support for family caregivers including assessment, consumer complaints and support for the LTC Affordability and Security Act. HR 6033 - Discussed provisions of Home-Based Health Services Job Training and Caregiving Act. H.Con.Res 133 - Provided input on and support for new LTC Awareness Week resolution. LTC - General discussion of LTC, home and community based services, family caregiving, chronic care, workforce, quality and financing options.(no bill) CMS - Lobbied on the Medicare Medical Home Demo implementation.

S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070/HR 1783 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation, strategy for how they might both move forward this year, bill markup, background for score on S.1577. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. S 3230 Empowered at Home Act - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. HR 7110/S 3604 Job Creation and Unemployment Relief Act - Lobbied for FMAP funding. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. HR 6331 Medicare Improvements for Patients and Providers Act - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries, and promote e-prescriptions in medicare. S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641 Nursing Home Transparency and Improvement Act - Lobbied in support of the bill and to increase co-sponsors; criminal background checks for LTC employees; nursing home quality and proposed five star rating system cms; poor performing nursing homes, family caregiving initiative, nursing home compliance guidelines, Home Health CAHPS, LTC Partnership Program (under Medicaid data reporting requirements), status of Nursing Home Value Based Purchasing Demonstration, Prepare to Care for use in innovative employer caregiving programs satellite broadcast, LTC Quality Alliance. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support and obtain sponsors for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Lobbied to support the Fairness in Nursing Home Arbitration Act and oppose amendments to weaken the bill. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers (no bill). Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives (no bill). S 1577- Support for Patient Safety and Abuse Prevention Act (S 1577) and marking up the bill; provided feedback and in testimony. HR 7114/S3613 Independence at Home Act/Chronic Care Coordination - Feedback on and support for legislation to provide chronic care coordination services to certain Medicare beneficiaries. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S. 3118 Preserving Access to Medicare Act - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Green Houses and culture change in LTC facilities, person centered care and medical homes - testimony and input on draft bill - no bill number. Lobbied for appeal notices for Medicare beneficiaries in Medicare Advantage plans (no bill). S 1102 Part D Equity for Low-Income Services - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 Prescription Coverage Now Act - Lobbied for legislation to increase Medicare Part D LIS asset limits. HR 5702 End-of-Life Care Advance Directive Promotion Act - Discussed ideas for end-of-life care legislation and how to help ensure patient wishes are respected; Advance Directive Promotion Act. Provided feedback on draft legislation regarding physician orders for life sustaining treatment. S.334 - Discussed long-term care broadly and including it in health care reform, including the Healthy Americans Act. Discussed voting in LTC facilities, such as nursing homes, current status and law on the issue (no bill). S 3327 - Provided input and support for the Empowered at Home Act to make improvements in Medicaid HCBS; LTC insurance tax incentives and consumer protection improvements and a caregiver tax credit. Invitations and information about a solutions forum on balancing of state LTC systems. HR 3363/S 2337 - Discussed consumer protections for LTC insurance, premium increases and claims denials, support for family caregivers including assessment, consumer complaints and support for the LTC Affordability and Security Act. HR 6033 - Discussed provisions of Home-Based Health Services Job Training and Caregiving Act. H.Con.Res 133 - Provided input on and support for new LTC Awareness Week resolution. LTC - General discussion of LTC, home and community based services, family caregiving, chronic care, workforce, quality and financing options.(no bill) CMS - Lobbied on the Medicare Medical Home Demo implementation.

HR 3001/ S 1340 - Shared and discusssed actuarial analysis of the CLASS Act regarding creation of a public insurance program for long-term services. S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 Geriatric Assessment and Chronic Care Coordination Act of 2007- Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174 Healthy Hospitals Act of 2007- Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. Medicaid Personal Assistance Services State Plan option- discussion of comment letter sending and receipt. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. S 2480/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641/ HR 5799 Nursing Home Quality and Transparency Legislation Act - To protect residents and support for the Nursing Home Transparency and Improvement Act. Discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration. HR 5702 Advance Directive Promotion Act of 2008 - Negotiated provisions on portability of advance directives. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Input on draft legislation to make arbitration clauses between LTC facilities and their residents or representatives unenforceable; support for this legislation once it was introduced as the Fairness in Nursing Home Arbitration Act, including support letter. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers. Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives. S 1577/HR 3078 - Support for Patient Safety and Abuse Prevention Act (S 1577) and moving the issue forward; provided feedback and in testimony. S 2921 Caring for Wounded Warriors Act of 2008 - Services and supports for family caregivers of certain veterans. Feedback on draft legislation to provide chronic care coordination services to certain Medicare beneficiaries; approaches to improving chronic care for Medicare beneficiaries; discussion of chronic care and Special Needs Plans. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S 1758 - Long-term care financing proposals, including the CLASS Act, a public LTC financing program. S. 3164 - Lobbied on Medicare Fraud bill (Martinez and Cornyn) - All provisions related to protecting participants and the Medicare program from fraud and abuse. S. 3118 - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Long Term Care/Reverse Mortgages - To protect consumers when reverse mortgages are used as a LTC financing tool. Green Houses and culture change in LTC facilities. HR 2642 - To keep moratorium on all seven Medicaid regulations in the supplemental appropriations bill. Lobbied on appeal notices for Medicare beneficiaries in Medicare Advantage plans. S 1102 - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 - Lobbied for legislation to increase Medicare Part D LIS asset limits. S 3101/HR 6331 - (Medicare) Lobbied for legislation to protect part B premiums, increase LIS and MSP asset limits, and promote e-prescribing in Medicare. HR 2642 - (Medicaid) Lobbied for inclusion of Medicaid regulation moratorium in Iraq Supplemental.

HR 5140 Tax Relief, urging vote for Recovery Rebates and Economic Stimulus for the American People Act of 2008. HR 2167/ S 1141 Automatic IRA of 2007- Provisions related to establishing an auto IRA for workers not covered by pension plan. HR 5719 Taxpayer Assistance and Simplification Act of 2008 - Discussed various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. Discussed political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable (no Bill). HR 1540 Civil Rights Tax Relief Act of 2007- Provisions related to excluding from gross income amounts received as damages due to discriminatory conduct. HR 6237 Tax Relief for Long-Term Care Act of 2008 - All provisions regarding tax relief for family caregivers and purchasers of LTC insurance, the Tax Relief Act of 2008. S 3032/S 3532 Give Act HR 6283 Reimbursing Our American Drivers (ROAD) Act of 2008 - Lobbied in favor of allowing non-profit organizations to reimburse volunteers (without income tax consequences for mileage driven for charitable purposes up to the business mileage rate, and increasing the mileage deduction allowed for charitable purposes. S 3260 Financial Services and General Government Appropriations, FY 2009 - Lobbied for increased funding for IRS taxpayer assistance programs (Tax Counseling for the Elderly and VITA).

HR 5140 Recovery Rebates and Economic Stimulus for the American People Act of 2008 - Lobbied in favor of including senior rebate in the economic stimulus bill. HR 2167/ S 1141 Automatic IRA of 2007- Provisions related to establishing an auto IRA for workers not covered by pension plan. HR 5719 Taxpayer Assistance and Simplification Act of 2008 - Discussed various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. A general discussion of the political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable (no Bill). Meeting with House Small Business Committee to discuss the agenda for the Committee hearing scheduled for April 10, 2008 on small business taxes and impact on retirement security (no Bill). HR 1540 Civil Rights Tax Relief Act of 2007- Provisions related to excluding from gross income amounts received as damages due to discriminatory conduct. HR 6237 Tax Relief for Long-Term Care Act of 2008 - All provisions regarding tax relief for family caregivers and purchasers of LTC insurance, the Tax Relief Act of 2008.

HR 5140 Tax Relief, urged vote for Recovery Rebates and Economic Stimulus for the American People Act of 2008 - Discussed implementation of bill. HR 2167/ S 1141 Automatic IRA of 2007- Provisions related to establishing an auto IRA for workers not covered by pension plan. HR 5719 Taxpayer Assistance and Simplification Act of 2008 - Discussed various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. Discussed political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable (no Bill). HR 1540 Civil Rights Tax Relief Act of 2007- Provisions related to excluding from gross income amounts received as damages due to discriminatory conduct. S 3032/S 3532 Give Act - Discussed expansion of volunteerism opportunities and civic engagement. HR 6283 Reimbursing Our American Drivers (ROAD) Act of 2008 - Lobbied in favor of allowing non-profit organizations to reimburse volunteers (without income tax consequences for mileage driven for charitable purposes up to the business mileage rate, and increasing the mileage deduction allowed for charitable purposes. S 3260 Financial Services and General Government Appropriations, FY 2009 - Lobbied for increased funding for IRS taxpayer assistance programs (Tax Counseling for the Elderly and VITA). Discussed tax-exempt issues regarding 501(c) organizations (no bill).

HR 5140 Tax Relief, urging vote for Recovery Rebates and Economic Stimulus for the American People Act of 2008. HR 2167/ S 1141 Automatic IRA of 2007- Provisions related to establishing an auto IRA for workers not covered by pension plan. HR 5719 Taxpayer Assistance and Simplification Act of 2008 - Discussed various provisions that could be included in a bill drafted to make the administration of the tax code more effective and efficient. Discussed political, economic and social conditions that would create the conditions necessary to reform the tax code and possible changes that would simplify the tax code and make it more equitable (no Bill). HR 1540 Civil Rights Tax Relief Act of 2007- Provisions related to excluding from gross income amounts received as damages due to discriminatory conduct. HR 6237 Tax Relief for Long-Term Care Act of 2008 - All provisions regarding tax relief for family caregivers and purchasers of LTC insurance, the Tax Relief Act of 2008. S 3032/S 3532 Give Act HR 6283 Reimbursing Our American Drivers (ROAD) Act of 2008 - Lobbied in favor of allowing non-profit organizations to reimburse volunteers (without income tax consequences for mileage driven for charitable purposes up to the business mileage rate, and increasing the mileage deduction allowed for charitable purposes. S 3260 Financial Services and General Government Appropriations, FY 2009 - Lobbied for increased funding for IRS taxpayer assistance programs (Tax Counseling for the Elderly and VITA).

S 2337/HR 3363 Long-Term Care Affordability and Security Act - Discussed consumer protections for LTC insurance. S 1070/HR 1783 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation, strategy for how they might both move forward next year. S 3327/HR 7212 - Empowered at Home Act - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid and other improvements to bill. Also lobbied in support of the bill. HR 7110/S 3604 Job Creation and Unemployment Relief Act - Lobbied for FMAP funding. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries, and promote e-prescriptions in medicare (no bill number). S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641 Nursing Home Transparency and Improvement Act and HR 7128 Nursing Home Transparency and Quality of Care Improvement Act - Discussed the bill and provided suggestions for changes to the bill, nursing home quality and proposed five star rating system cms; poor performing nursing homes, family caregiving initiative, nursing home compliance guidelines, Home Health CAHPS, LTC Partnership Program (under Medicaid data reporting requirements), LTC Quality Alliance. To build support and obtain sponsors for Medicaid Family Caregiver Assessment Demonstration proposal (no bill number). Discussion and input on legislation to improve the health/LTC workforce and support family caregivers (no bill number). Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives (no bill number). HR 7114/S3613 Independence at Home Act/Chronic Care Coordination - Lobbied on and support for legislation to provide chronic care coordination services to certain Medicare beneficiaries. S 3101/HR 6331 Medicare Improvements for Patients and Providers Act of 2008 - Discussed implementation to help improve Medicare. Lobbied for appeal notices for Medicare beneficiaries in Medicare Advantage plans (no bill number). S 1102 Part D Equity for Low-Income Services - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 Prescription Coverage Now Act - Lobbied for legislation to increase Medicare Part D LIS asset limits. HR 6033 - Discussed provisions of Home-Based Health Services Job Training and Caregiving Act and ways to improve bill.

HR 3001/ S 1340 - Shared and discusssed actuarial analysis of the CLASS Act regarding creation of a public insurance program for long-term services. S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation and strategy for how they might both move forward this year. S 1340 Geriatric Assessment and Chronic Care Coordination Act of 2007- Discussed a demonstration version of this Medicare chronic care coordination and geriatric assessment bill. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. HR 1174 Healthy Hospitals Act of 2007- Discussed with sponsors' staff potential endorsement of this legislation to require hospitals to report infection rates. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. Medicaid Personal Assistance Services State Plan option- discussion of comment letter sending and receipt. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries. S 2480/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641/ HR 5799 Nursing Home Quality and Transparency Legislation Act - To protect residents and support for the Nursing Home Transparency and Improvement Act. Discussion of provisions (civil monetary penalties and Special Focus Facilities) in nursing home transparency, accountability, and quality bill. Special Focus Facilities and disclosure of these facilities; criminal background checks for LTC employees; nursing home quality; poor performing nursing homes, family caregiving, nursing home compliance guidelines, Real Choice Systems Change Grants and family caregiver assessments, Home Health CAHPS, LTC Partnership Program (under Medicaid), Aging and Disability Resource Centers (AoA), health care and the uninsured - steps HHS is taking to address this, Medicare Medical Adult Day Care Demonstration. HR 5702 Advance Directive Promotion Act of 2008 - Negotiated provisions on portability of advance directives. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Input on draft legislation to make arbitration clauses between LTC facilities and their residents or representatives unenforceable; support for this legislation once it was introduced as the Fairness in Nursing Home Arbitration Act, including support letter. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers. Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives. S 1577/HR 3078 - Support for Patient Safety and Abuse Prevention Act (S 1577) and moving the issue forward; provided feedback and in testimony. S 2921 Caring for Wounded Warriors Act of 2008 - Services and supports for family caregivers of certain veterans. Feedback on draft legislation to provide chronic care coordination services to certain Medicare beneficiaries; approaches to improving chronic care for Medicare beneficiaries; discussion of chronic care and Special Needs Plans. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S 1758 - Long-term care financing proposals, including the CLASS Act, a public LTC financing program. S. 3164 - Lobbied on Medicare Fraud bill (Martinez and Cornyn) - All provisions related to protecting participants and the Medicare program from fraud and abuse. S. 3118 - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Long Term Care/Reverse Mortgages - To protect consumers when reverse mortgages are used as a LTC financing tool. Green Houses and culture change in LTC facilities. HR 2642 - To keep moratorium on all seven Medicaid regulations in the supplemental appropriations bill. Lobbied on appeal notices for Medicare beneficiaries in Medicare Advantage plans. S 1102 - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 - Lobbied for legislation to increase Medicare Part D LIS asset limits. S 3101/HR 6331 - (Medicare) Lobbied for legislation to protect part B premiums, increase LIS and MSP asset limits, and promote e-prescribing in Medicare. HR 2642 - (Medicaid) Lobbied for inclusion of Medicaid regulation moratorium in Iraq Supplemental.

S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070/HR 1783 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation, strategy for how they might both move forward this year, bill markup, background for score on S.1577. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. S 3230 Empowered at Home Act - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. HR 7110/S 3604 Job Creation and Unemployment Relief Act - Lobbied for FMAP funding. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. HR 6331 Medicare Improvements for Patients and Providers Act - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries, and promote e-prescriptions in medicare. S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641 Nursing Home Transparency and Improvement Act - Lobbied in support of the bill and to increase co-sponsors; criminal background checks for LTC employees; nursing home quality and proposed five star rating system cms; poor performing nursing homes, family caregiving initiative, nursing home compliance guidelines, Home Health CAHPS, LTC Partnership Program (under Medicaid data reporting requirements), status of Nursing Home Value Based Purchasing Demonstration, Prepare to Care for use in innovative employer caregiving programs satellite broadcast, LTC Quality Alliance. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support and obtain sponsors for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Lobbied to support the Fairness in Nursing Home Arbitration Act and oppose amendments to weaken the bill. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers (no bill). Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives (no bill). S 1577- Support for Patient Safety and Abuse Prevention Act (S 1577) and marking up the bill; provided feedback and in testimony. HR 7114/S3613 Independence at Home Act/Chronic Care Coordination - Feedback on and support for legislation to provide chronic care coordination services to certain Medicare beneficiaries. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S. 3118 Preserving Access to Medicare Act - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Green Houses and culture change in LTC facilities, person centered care and medical homes - testimony and input on draft bill - no bill number. Lobbied for appeal notices for Medicare beneficiaries in Medicare Advantage plans (no bill). S 1102 Part D Equity for Low-Income Services - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 Prescription Coverage Now Act - Lobbied for legislation to increase Medicare Part D LIS asset limits. HR 5702 End-of-Life Care Advance Directive Promotion Act - Discussed ideas for end-of-life care legislation and how to help ensure patient wishes are respected; Advance Directive Promotion Act. Provided feedback on draft legislation regarding physician orders for life sustaining treatment. S.334 - Discussed long-term care broadly and including it in health care reform, including the Healthy Americans Act. Discussed voting in LTC facilities, such as nursing homes, current status and law on the issue (no bill). S 3327 - Provided input and support for the Empowered at Home Act to make improvements in Medicaid HCBS; LTC insurance tax incentives and consumer protection improvements and a caregiver tax credit. Invitations and information about a solutions forum on balancing of state LTC systems. HR 3363/S 2337 - Discussed consumer protections for LTC insurance, premium increases and claims denials, support for family caregivers including assessment, consumer complaints and support for the LTC Affordability and Security Act. HR 6033 - Discussed provisions of Home-Based Health Services Job Training and Caregiving Act. H.Con.Res 133 - Provided input on and support for new LTC Awareness Week resolution. LTC - General discussion of LTC, home and community based services, family caregiving, chronic care, workforce, quality and financing options.(no bill) CMS - Lobbied on the Medicare Medical Home Demo implementation.

S 3408 Comparative Effectiveness Research Act - Lobbying in favor of the Conrad-Baucus legislation to create an independent comparative effectiveness entity to conduct and desseminate independent comparative effectiveness research. HR 1108 Family Smoking Prevention and Tobacco Control Act - To give the FDA authority to regulate tobacco products. Lobbied for spending levels for Rx comparative effectiveness, nursing education, NIH research, Falls Prevention and other similar accounts (no bill). Discussed the need for bipartisan action on health care reform legislation, such as affordable quality healthcare. (no bill) Expressed concern about proposed regulation regarding reduction of annual reassignment of LIS population in Medicare Part D. HR 6357 Pro (TECH)t Act; S 1693/HR 3800 Wired for Health Act/Promotion of Health Technology Act - Lobbied for legislation to promote Health IT. Lobbied on structure of Health IT standard-setting body (no bill). Discussed asset tests relating to the Part B savings program and possible changes to current law (no bill).