RICHARD PELL

(i) HR 2: The Medicare Access and CHIP Reauthorization Act of 2015 -- Title I (SGR repeal), Title 2 (especially Section 203 therapy cap exceptions); Title IV (offsets especially section 411, (ii) HR 1571/S 843 related to counting of observation days for SNF coverage(iii) CMS proposed rule making implementing the IMPACT Act and FY16 SNF PPS rules; (iv) CMS proposed rules soliciting comments on bundling demonstrations

(i) HR 2: The Medicare Access and CHIP Reauthorization Act of 2015 -- Title I (SGR repeal), Title 2 (especially Section 203 therapy cap exceptions); Title IV (offsets especially section 411, (ii) HR 1571/S 843 related to counting of observation days for SNF coverage(iii) CMS proposed rule making implementing the IMPACT Act and FY16 SNF PPS rules; (iv) CMS proposed rules soliciting comments on bundling demonstrations

(i) HR 2: The Medicare Access and CHIP Reauthorization Act of 2015 -- Title I (SGR repeal), Title 2 (especially Section 203 therapy cap exceptions); Title IV (offsets especially section 411, (ii) HR 1571/S 843 related to counting of observation days for SNF coverage(iii) CMS proposed rule making implementing the IMPACT Act and FY16 SNF PPS rules; (iv) CMS proposed rules soliciting comments on bundling demonstrations

(i) HR 2: The Medicare Access and CHIP Reauthorization Act of 2015 -- Title I (SGR repeal), Title 2 (especially Section 203 therapy cap exceptions); Title IV (offsets especially section 411, (ii) HR 1571/S 843 related to counting of observation days for SNF coverage(iii) CMS proposed rule making implementing the IMPACT Act and FY16 SNF PPS rules

(i) HR 2: The Medicare Access and CHIP Reauthorization Act of 2015 -- Title I (SGR repeal), Title 2 (especially Section 203 therapy cap exceptions); Title IV (offsets especially section 411, (ii) HR 1571/S 843 related to counting of observation days for SNF coverage(iii) CMS proposed rule making implementing the IMPACT Act and FY16 SNF PPS rules; (iv) CMS proposed rules soliciting comments on bundling demonstrations

CMS FY15 proposed SNF PPS rules and provisions of proposed PPS rules for hospitals/IRFs/hospice affecting SNF services; HR 4994, the IMPACT Act of 2014; S 569/H.R. 1177/H.R. 3531 redefining hospital observation days; and provisions of H.R 4015, S 1871, S 2000 and S 2110 addressing SGR repeal with specific attention to provisions affecting therapy; CMS proposed CY15 rules for Medicare Professional Services and related rulemaking for home health agencies, ESRD and DEMPOS

CMS Implementation of SNF PPS FY15 PPS rules; H.R. 4999, the IMPACT Act; S 569/H.R. 1177/H.R. 3531 redefining hospital observation days; and provisions of H.R. 4015, S 1871, S 2000 and S 2110 addressing SGR repeal with specific attention to provisions affecting therapy; and CMS CY15 rules for Medicare Professional Services and related rulemaking for home health agencies, ESRD and DMEPOS

(1) CMS FY15 proposed SNF PPS rules and provisions of proposed PPS rules for hospital/IRFs/hospice affecting SNF services; (2) provisions of HR 4015, S 1871, S 2000, and S 2110 addressiong SGR repeal with specific attention to provisions affecting therapy, (3) S 569/H.R. 1177/H.R. 3531 redefining hospital observation days, and (4) proposed IMPACT Act standardizing reporting for post-acute care services

(1) CMS FY15 proposed SNF PPS rules and provisions of proposed PPS rules for hospital/IRFs/hospice affecting SNF services; (2) provisions of HR 4015, S 1871, S 2000, and S 2110 addressiong SGR repeal with specific attention to provisions affecting therapy, (3) S 569/H.R. 1177/H.R. 3531 redefining hospital observation days, and (4) proposed IMPACT Act standardizing reporting for post-acute care services

CMS Implementation of SNF PPS FY15 PPS rules; H.R. 4999, the IMPACT Act; S 569/H.R. 1177/H.R. 3531 redefining hospital observation days; and provisions of H.R. 4015, S 1871, S 2000 and S 2110 addressing SGR repeal with specific attention to provisions affecting therapy; and CMS CY15 rules for Medicare Professional Services and related rulemaking for home health agencies, ESRD and DMEPOS

CMS FY15 proposed SNF PPS rules and provisions of proposed PPS rules for hospitals/IRFs/hospice affecting SNF services; HR 4994, the IMPACT Act of 2014; S 569/H.R. 1177/H.R. 3531 redefining hospital observation days; and provisions of H.R 4015, S 1871, S 2000 and S 2110 addressing SGR repeal with specific attention to provisions affecting therapy; CMS proposed CY15 rules for Medicare Professional Services and related rulemaking for home health agencies, ESRD and DEMPOS

(1) CMS FY15 proposed SNF PPS rules and provisions of proposed PPS rules for hospital/IRFs/hospice affecting SNF services; (2) provisions of HR 4015, S 1871, S 2000, and S 2110 addressiong SGR repeal with specific attention to provisions affecting therapy, (3) S 569/H.R. 1177/H.R. 3531 redefining hospital observation days, and (4) proposed IMPACT Act standardizing reporting for post-acute care services

CMS FY15 proposed SNF PPS rules and provisions of proposed PPS rules for hospitals/IRFs/hospice affecting SNF services; HR 4994, the IMPACT Act of 2014; S 569/H.R. 1177/H.R. 3531 redefining hospital observation days; and provisions of H.R 4015, S 1871, S 2000 and S 2110 addressing SGR repeal with specific attention to provisions affecting therapy; CMS proposed CY15 rules for Medicare Professional Services and related rulemaking for home health agencies, ESRD and DEMPOS

CMS Implementation of SNF PPS FY15 PPS rules; H.R. 4999, the IMPACT Act; S 569/H.R. 1177/H.R. 3531 redefining hospital observation days; and provisions of H.R. 4015, S 1871, S 2000 and S 2110 addressing SGR repeal with specific attention to provisions affecting therapy; and CMS CY15 rules for Medicare Professional Services and related rulemaking for home health agencies, ESRD and DMEPOS

(1) Provisions of the Protecting Access to Medicare Act (H.R. 4302) related to fee schedules, therapy cap exception, and SNF Value-based purchasing; (2) provisions of H 4015, S 1871, S 2000 and S 2110 addressing SGR repeal and replace with specific attention to provisions affecting therapy services, (3) Medicare and Medicaid funding issues for SNFs/rehab services raised in budget President's and Congressional proposed budgets, and (4) CMS payment rules for SNFs and related providers

CMS FY15 proposed SNF PPS rules and provisions of proposed PPS rules for hospitals/IRFs/hospice affecting SNF services; HR 4994, the IMPACT Act of 2014; S 569/H.R. 1177/H.R. 3531 redefining hospital observation days; and provisions of H.R 4015, S 1871, S 2000 and S 2110 addressing SGR repeal with specific attention to provisions affecting therapy; CMS proposed CY15 rules for Medicare Professional Services and related rulemaking for home health agencies, ESRD and DEMPOS

CMS Implementation of SNF PPS FY15 PPS rules; H.R. 4999, the IMPACT Act; S 569/H.R. 1177/H.R. 3531 redefining hospital observation days; and provisions of H.R. 4015, S 1871, S 2000 and S 2110 addressing SGR repeal with specific attention to provisions affecting therapy; and CMS CY15 rules for Medicare Professional Services and related rulemaking for home health agencies, ESRD and DMEPOS

CMS FY15 proposed SNF PPS rules and provisions of proposed PPS rules for hospitals/IRFs/hospice affecting SNF services; HR 4994, the IMPACT Act of 2014; S 569/H.R. 1177/H.R. 3531 redefining hospital observation days; and provisions of H.R 4015, S 1871, S 2000 and S 2110 addressing SGR repeal with specific attention to provisions affecting therapy; CMS proposed CY15 rules for Medicare Professional Services and related rulemaking for home health agencies, ESRD and DEMPOS

(1) CMS FY15 proposed SNF PPS rules and provisions of proposed PPS rules for hospital/IRFs/hospice affecting SNF services; (2) provisions of HR 4015, S 1871, S 2000, and S 2110 addressiong SGR repeal with specific attention to provisions affecting therapy, (3) S 569/H.R. 1177/H.R. 3531 redefining hospital observation days, and (4) proposed IMPACT Act standardizing reporting for post-acute care services

(1) Provisions of the Protecting Access to Medicare Act (H.R. 4302) related to fee schedules, therapy cap exception, and SNF Value-based purchasing; (2) provisions of H 4015, S 1871, S 2000 and S 2110 addressing SGR repeal and replace with specific attention to provisions affecting therapy services, (3) Medicare and Medicaid funding issues for SNFs/rehab services raised in budget President's and Congressional proposed budgets, and (4) CMS payment rules for SNFs and related providers

CMS Implementation of SNF PPS FY15 PPS rules; H.R. 4999, the IMPACT Act; S 569/H.R. 1177/H.R. 3531 redefining hospital observation days; and provisions of H.R. 4015, S 1871, S 2000 and S 2110 addressing SGR repeal with specific attention to provisions affecting therapy; and CMS CY15 rules for Medicare Professional Services and related rulemaking for home health agencies, ESRD and DMEPOS

(1) CMS FY15 proposed SNF PPS rules and provisions of proposed PPS rules for hospital/IRFs/hospice affecting SNF services; (2) provisions of HR 4015, S 1871, S 2000, and S 2110 addressiong SGR repeal with specific attention to provisions affecting therapy, (3) S 569/H.R. 1177/H.R. 3531 redefining hospital observation days, and (4) proposed IMPACT Act standardizing reporting for post-acute care services

(1) Provisions of the Protecting Access to Medicare Act (H.R. 4302) related to fee schedules, therapy cap exception, and SNF Value-based purchasing; (2) provisions of H 4015, S 1871, S 2000 and S 2110 addressing SGR repeal and replace with specific attention to provisions affecting therapy services, (3) Medicare and Medicaid funding issues for SNFs/rehab services raised in budget President's and Congressional proposed budgets, and (4) CMS payment rules for SNFs and related providers

CMS Implementation of SNF PPS FY15 PPS rules; H.R. 4999, the IMPACT Act; S 569/H.R. 1177/H.R. 3531 redefining hospital observation days; and provisions of H.R. 4015, S 1871, S 2000 and S 2110 addressing SGR repeal with specific attention to provisions affecting therapy; and CMS CY15 rules for Medicare Professional Services and related rulemaking for home health agencies, ESRD and DMEPOS

CMS FY15 proposed SNF PPS rules and provisions of proposed PPS rules for hospitals/IRFs/hospice affecting SNF services; HR 4994, the IMPACT Act of 2014; S 569/H.R. 1177/H.R. 3531 redefining hospital observation days; and provisions of H.R 4015, S 1871, S 2000 and S 2110 addressing SGR repeal with specific attention to provisions affecting therapy; CMS proposed CY15 rules for Medicare Professional Services and related rulemaking for home health agencies, ESRD and DEMPOS

(1) Provisions of the Protecting Access to Medicare Act (H.R. 4302) related to fee schedules, therapy cap exception, and SNF Value-based purchasing; (2) provisions of H 4015, S 1871, S 2000 and S 2110 addressing SGR repeal and replace with specific attention to provisions affecting therapy services, (3) Medicare and Medicaid funding issues for SNFs/rehab services raised in budget President's and Congressional proposed budgets, and (4) CMS payment rules for SNFs and related providers

CMS Implementation of SNF PPS FY15 PPS rules; H.R. 4999, the IMPACT Act; S 569/H.R. 1177/H.R. 3531 redefining hospital observation days; and provisions of H.R. 4015, S 1871, S 2000 and S 2110 addressing SGR repeal with specific attention to provisions affecting therapy; and CMS CY15 rules for Medicare Professional Services and related rulemaking for home health agencies, ESRD and DMEPOS

CMS FY15 proposed SNF PPS rules and provisions of proposed PPS rules for hospitals/IRFs/hospice affecting SNF services; HR 4994, the IMPACT Act of 2014; S 569/H.R. 1177/H.R. 3531 redefining hospital observation days; and provisions of H.R 4015, S 1871, S 2000 and S 2110 addressing SGR repeal with specific attention to provisions affecting therapy; CMS proposed CY15 rules for Medicare Professional Services and related rulemaking for home health agencies, ESRD and DEMPOS

(1) CMS FY15 proposed SNF PPS rules and provisions of proposed PPS rules for hospital/IRFs/hospice affecting SNF services; (2) provisions of HR 4015, S 1871, S 2000, and S 2110 addressiong SGR repeal with specific attention to provisions affecting therapy, (3) S 569/H.R. 1177/H.R. 3531 redefining hospital observation days, and (4) proposed IMPACT Act standardizing reporting for post-acute care services

(1) CMS FY15 proposed SNF PPS rules and provisions of proposed PPS rules for hospital/IRFs/hospice affecting SNF services; (2) provisions of HR 4015, S 1871, S 2000, and S 2110 addressiong SGR repeal with specific attention to provisions affecting therapy, (3) S 569/H.R. 1177/H.R. 3531 redefining hospital observation days, and (4) proposed IMPACT Act standardizing reporting for post-acute care services

CMS Implementation of SNF PPS FY15 PPS rules; H.R. 4999, the IMPACT Act; S 569/H.R. 1177/H.R. 3531 redefining hospital observation days; and provisions of H.R. 4015, S 1871, S 2000 and S 2110 addressing SGR repeal with specific attention to provisions affecting therapy; and CMS CY15 rules for Medicare Professional Services and related rulemaking for home health agencies, ESRD and DMEPOS

CMS FY15 proposed SNF PPS rules and provisions of proposed PPS rules for hospitals/IRFs/hospice affecting SNF services; HR 4994, the IMPACT Act of 2014; S 569/H.R. 1177/H.R. 3531 redefining hospital observation days; and provisions of H.R 4015, S 1871, S 2000 and S 2110 addressing SGR repeal with specific attention to provisions affecting therapy; CMS proposed CY15 rules for Medicare Professional Services and related rulemaking for home health agencies, ESRD and DEMPOS

(i) Repeal of the SGR formula and revisions of the Medicare professional fee schedules including provisions that have an impact on rehabilitation services, (ii) CMS proposed FY14 SNF PPS rules, (iii) S 569/H.R. 1177 redefing hospital observation days as inpatient for SNFs

(1) Responses to request for stakeholder input on post-acute reforms - House Ways and Means and Senate Finance Committees, and related requests for comments on draft legislation; (2) Revisions of the Medicare professional fee schedules especially provisions affecting rehabilitation services, (3) S 569/H.R. 1177 redefining hospital observation days as inpatient for SNFs, and (4) CMS payment rules for hospitals, SNFs, and professional services

(1) Revisions of the Medicare professional fee schedules especially provisions affecting rehabilitation services, (2) Division B of H.J. Res 59 related to professional fee schedules and provisions affecting rehabilitation services, (3) S569/H.R. 1177 redefining hospital observation days as inpatient for SNFs and H.R. 3531 altering 3-day prior SNF requirement, and (4) CMS payment rules for hospitals, SNFs and professional services

(i) Outpatient Therapy issues including stabilizing professional fee schedules, extension of Part B cap exceptions process and MPPR increase (sec 601, 603&633 of H.R. 8) and CMS implementation guidance; (ii) S 569/HR 1177 redefining hospital observation days as inpatient for SNF; (iii) repeal of SGR and re-calculation of professional fees... impact on rehabilitation services

(1) Revisions of the Medicare professional fee schedules especially provisions affecting rehabilitation services, (2) Division B of H.J. Res 59 related to professional fee schedules and provisions affecting rehabilitation services, (3) S569/H.R. 1177 redefining hospital observation days as inpatient for SNFs and H.R. 3531 altering 3-day prior SNF requirement, and (4) CMS payment rules for hospitals, SNFs and professional services

(1) Responses to request for stakeholder input on post-acute reforms - House Ways and Means and Senate Finance Committees, and related requests for comments on draft legislation; (2) Revisions of the Medicare professional fee schedules especially provisions affecting rehabilitation services, (3) S 569/H.R. 1177 redefining hospital observation days as inpatient for SNFs, and (4) CMS payment rules for hospitals, SNFs, and professional services

(i) Repeal of the SGR formula and revisions of the Medicare professional fee schedules including provisions that have an impact on rehabilitation services, (ii) CMS proposed FY14 SNF PPS rules, (iii) S 569/H.R. 1177 redefing hospital observation days as inpatient for SNFs

(i) Outpatient Therapy issues including stabilizing professional fee schedules, extension of Part B cap exceptions process and MPPR increase (sec 601, 603&633 of H.R. 8) and CMS implementation guidance; (ii) S 569/HR 1177 redefining hospital observation days as inpatient for SNF; (iii) repeal of SGR and re-calculation of professional fees... impact on rehabilitation services

(1) Revisions of the Medicare professional fee schedules especially provisions affecting rehabilitation services, (2) Division B of H.J. Res 59 related to professional fee schedules and provisions affecting rehabilitation services, (3) S569/H.R. 1177 redefining hospital observation days as inpatient for SNFs and H.R. 3531 altering 3-day prior SNF requirement, and (4) CMS payment rules for hospitals, SNFs and professional services

(i) Outpatient Therapy issues including stabilizing professional fee schedules, extension of Part B cap exceptions process and MPPR increase (sec 601, 603&633 of H.R. 8) and CMS implementation guidance; (ii) S 569/HR 1177 redefining hospital observation days as inpatient for SNF; (iii) repeal of SGR and re-calculation of professional fees... impact on rehabilitation services

(1) Revisions of the Medicare professional fee schedules especially provisions affecting rehabilitation services, (2) Division B of H.J. Res 59 related to professional fee schedules and provisions affecting rehabilitation services, (3) S569/H.R. 1177 redefining hospital observation days as inpatient for SNFs and H.R. 3531 altering 3-day prior SNF requirement, and (4) CMS payment rules for hospitals, SNFs and professional services

(i) Reduction in Medicaid Provider Assessment (proposed as an alternative funding source proposal to pay for student loans HR 4628/S 2343) and proposed as alternative to sequestration (House Reconciliation Package HR 5652); (ii) Medicare SNF Funding Issues (function 550 and 570 various Budget resolutions including S Con Res 41, H Con Res 112); and (iii) CMS Payment Rules for Medicare skilled nursing facilities

(i) Reduction in Medicaid Provider Assessment (proposed as an alternative funding source proposal to pay for student loans HR 4628/S 2343) and proposed as alternative to sequestration (House Reconciliation Package HR 5652); (ii) Medicare SNF Funding Issues (function 550 and 570 various Budget resolutions including S Con Res 41, H Con Res 112); and (iii) CMS Payment Rules for Medicare skilled nursing facilities

(i) Outpatient Therapy issues including stabilizing Professional fee schedules, extension of Part B cap exceptions process and MPPR increase [sec 601,603 & 633 of H.R. 8]; (ii) oppose reduction in Medicaid provider assessment [proposed as a pay-for in HR 6684]; (iii) oppose automatic sequestration [delayed 2 months by H.R. 8]; (iv) rules for post-acute services including SNFs, homecare, IRFs and LTAHs

(i) Outpatient Therapy issues including stabilizing Professional fee schedules, extension of Part B cap exceptions process and MPPR increase [sec 601,603 & 633 of H.R. 8]; (ii) oppose reduction in Medicaid provider assessment [proposed as a pay-for in HR 6684]; (iii) oppose automatic sequestration [delayed 2 months by H.R. 8]; (iv) rules for post-acute services including SNFs, homecare, IRFs and LTAHs

Funding the Federal Government FY12 - Function 550 and Function 570 issues affecting Medicare and Medicaid; H. Con Res 34 Proposed Medicare FY12 SNF PPS Rules issued Federal Register, 5/6/11; Proposed Medicare Accountable Care Organization Rules (issued Federal Register April 7, 2011), H.R. 1546/S 829 regarding Part B Therapy Cap

(i) H.R. 3630 Middle Class Tax Relief .. sections related to Medicare professional fee schedules, therapy cap exceptions and bad debt pay-for; similar issues in H.R. 3765 Temporary Payroll Tax; (ii) H.R. 674 - Withholding tax relief; (iii) implementation of final SNF PPS Rules with effort to promote 3-year phased correction; (iv) Final Medicare Professional Fee Schedules issued Nov 1

H.R. 4691, Temporary Extension Act provisions related to Medicare professional fee schedules/therapy cap; H.R. 4213, The American Workers, State and Business Relief Act - FMAP extension, fee schedules; H.R. 3590, Patient Protection and Afforable Care Act - provisions addressing nursing homes and rehabilitation; H.R.4851, Continuing Extension Act/CMS SNF FY11 PPS Rules

H.R. 4691, Temporary Extension Act provisions related to Medicare professional fee schedules/therapy cap; H.R. 4213, The American Workers, State and Business Relief Act - FMAP extension, fee schedules; H.R. 3590, Patient Protection and Afforable Care Act - provisions addressing nursing homes and rehabilitation; H.R.4851, Continuing Extension Act/CMS SNF FY11 PPS Rules

H.R. 4851 Continuing Extension Act (Section 4); H.R. 4213 (Section 512 - RUG IV, Section 521 - Medicare professional fee schedules & Section 524 - extension enhanced FMAP) CMS implementation of RUG IV revised payment methodology for Medicare SNFs and implementation of MDS 3.0 revised patient assessment instrument

H.R. 4994, Medicare and Medicaid Extenders Act (sections 202, 104 & 101) H.R. 5712 Physician Payment and Therapy Relief Act CMS - Implementation of RUG IV/MDS 3.0 (rules finalized July 22, 2010, implemented October 1, 2011) CMS - Medicare Professional Fee Schedules (rules finalized November 2, 2011) provisions affecting therapy services

(1) SNF PPS RUG IV Implementation Date - Sec 3, HR 5712/Baucus Jobs Creation/Tax Cut Proposal (Sec VII) (2) Extension of Enhanced Medicaid FMAP - Senate Amendment 4567 to H.R. 1586 (3) CMS - RUG IV/MDS FY11 Payment Notice (Federal Register, July 22, 2010) (4) CMS - Medicare Professional Fee Schedules (Federal Register, July 13, 2010) provisions affecting therapy services

H.R. 4994, Medicare and Medicaid Extenders Act (sections 202, 104 & 101) H.R. 5712 Physician Payment and Therapy Relief Act CMS - Implementation of RUG IV/MDS 3.0 (rules finalized July 22, 2010, implemented October 1, 2011) CMS - Medicare Professional Fee Schedules (rules finalized November 2, 2011) provisions affecting therapy services

(1) SNF PPS RUG IV Implementation Date - Sec 3, HR 5712/Baucus Jobs Creation/Tax Cut Proposal (Sec VII) (2) Extension of Enhanced Medicaid FMAP - Senate Amendment 4567 to H.R. 1586 (3) CMS - RUG IV/MDS FY11 Payment Notice (Federal Register, July 22, 2010) (4) CMS - Medicare Professional Fee Schedules (Federal Register, July 13, 2010) provisions affecting therapy services

H.R. 4691, Temporary Extension Act provisions related to Medicare professional fee schedules/therapy cap; H.R. 4213, The American Workers, State and Business Relief Act - FMAP extension, fee schedules; H.R. 3590, Patient Protection and Afforable Care Act - provisions addressing nursing homes and rehabilitation; H.R.4851, Continuing Extension Act/CMS SNF FY11 PPS Rules

H.R. 4851 Continuing Extension Act (Section 4); H.R. 4213 (Section 512 - RUG IV, Section 521 - Medicare professional fee schedules & Section 524 - extension enhanced FMAP) CMS implementation of RUG IV revised payment methodology for Medicare SNFs and implementation of MDS 3.0 revised patient assessment instrument

H.R. 4691, Temporary Extension Act provisions related to Medicare professional fee schedules/therapy cap; H.R. 4213, The American Workers, State and Business Relief Act - FMAP extension, fee schedules; H.R. 3590, Patient Protection and Afforable Care Act - provisions addressing nursing homes and rehabilitation; H.R.4851, Continuing Extension Act/CMS SNF FY11 PPS Rules

- CMS Proposed Rules for FY10 SNF PPS issued April 30, 2009; CMS Final Rules for FY10 SNF PPS issued on July 30, 2009 and provisions of both documents that relate to FY11 implementation of MDS 3.0 and RUG IV - Health Care Reform: H.R. 3200 under consideration in the House of Representatives sections related to Medicare skilled nursing centers and home care; similar provisions under development in Senate Finance and HELP Committees

H.R. 1 American Recovery & Reinvestment Act, Section 5001 Medicaid FMAP Relief H.R. 1105 2009 Omnibus Appropriations, funding for Department of Health and Human Services Health Care Reform - - no specific legislation STRIVE Time Studies supporting FY10 SNF PPS Rules -- proposed rules expected late April 2009

- CMS Final Rules for FY10 SNF PPS issuedJuly 30, 2009, and provisions related to FY11 implementation of MDS 3.0 and RUG IV - HealthCare Reform, H.R. 3962 (Affordable HealthCare for America Act) and H.R. 3590 (Patient Protection and Affordable Care Act) sections of the legislative dealing with funding for Medicare skilled nursing centers, post- acute bundling and re-hospitalization and rehabilitation - fee schedules and therapy cap exceptions

- CMS Final Rules for FY10 SNF PPS issuedJuly 30, 2009, and provisions related to FY11 implementation of MDS 3.0 and RUG IV - HealthCare Reform, H.R. 3962 (Affordable HealthCare for America Act) and H.R. 3590 (Patient Protection and Affordable Care Act) sections of the legislative dealing with funding for Medicare skilled nursing centers, post- acute bundling and re-hospitalization and rehabilitation - fee schedules and therapy cap exceptions

H.R. 3162 - sections affecting funding for post-acute services - SNF, IRF, LTCH, Rehab H. Con Res 312/S Con Res 70 - sections affecting funding for Medicare, Medicaid; reconciliation instructions Reconciliation FY09 Appropriations -- issues affecting Medicare, Medicaid, post acute providers Grassley-Kohl Nursing Home Reform measure

H.R. 3162 - sections affecting funding for post-acute services - SNF, IRF, LTCH, Rehab H. Con Res 312/S Con Res 70 - sections affecting funding for Medicare, Medicaid; reconciliation instructions Reconciliation FY09 Appropriations -- issues affecting Medicare, Medicaid, post acute providers Grassley-Kohl Nursing Home Reform measure

H.Con. Res 312/S Con Res 70 - sections affecting funding for Medicare, Medicaid, reconciliation instructions Congressional consideration of extending the Medicare Extenders Act - focus on therapy cap, fee schedules and funding offsets Discussions with CMS regarding SNF PPS revisions, especially expected proposed rules for SNF PPS FY09

H.R. 3162 - sections affecting funding for post-acute services - SNF, IRF, LTCH, Rehab H. Con Res 312/S Con Res 70 - sections affecting funding for Medicare, Medicaid; reconciliation instructions Reconciliation FY09 Appropriations -- issues affecting Medicare, Medicaid, post acute providers Grassley-Kohl Nursing Home Reform measure

H.R. 3162 - sections affecting funding for post-acute services - SNF, IRF, LTCH, Rehab H. Con Res 312/S Con Res 70 - sections affecting funding for Medicare, Medicaid; reconciliation instructions Reconciliation FY09 Appropriations -- issues affecting Medicare, Medicaid, post acute providers Grassley-Kohl Nursing Home Reform measure

H.R. 3162 - sections affecting funding for post-acute services - SNF, IRF, LTCH, Rehab H. Con Res 312/S Con Res 70 - sections affecting funding for Medicare, Medicaid; reconciliation instructions Reconciliation FY09 Appropriations -- issues affecting Medicare, Medicaid, post acute providers Grassley-Kohl Nursing Home Reform measure

H.R. 3162 - sections affecting funding for post-acute services - SNF, IRF, LTCH, Rehab H. Con Res 312/S Con Res 70 - sections affecting funding for Medicare, Medicaid; reconciliation instructions Reconciliation FY09 Appropriations -- issues affecting Medicare, Medicaid, post acute providers Grassley-Kohl Nursing Home Reform measure

H.R. 3162 - sections affecting funding for post-acute services - SNF, IRF, LTCH, Rehab H. Con Res 312/S Con Res 70 - sections affecting funding for Medicare, Medicaid; reconciliation instructions Reconciliation FY09 Appropriations -- issues affecting Medicare, Medicaid, post acute providers Grassley-Kohl Nursing Home Reform measure

H.R. 3162 - sections affecting funding for post-acute services - SNF, IRF, LTCH, Rehab H. Con Res 312/S Con Res 70 - sections affecting funding for Medicare, Medicaid; reconciliation instructions Reconciliation FY09 Appropriations -- issues affecting Medicare, Medicaid, post acute providers Grassley-Kohl Nursing Home Reform measure

H.R. 3162 - sections affecting funding for post-acute services - SNF, IRF, LTCH, Rehab H. Con Res 312/S Con Res 70 - sections affecting funding for Medicare, Medicaid; reconciliation instructions Reconciliation FY09 Appropriations -- issues affecting Medicare, Medicaid, post acute providers Grassley-Kohl Nursing Home Reform measure

HR 6331 - Medicare Improvement for Patients and Providers Act focus specifically on three items (i) fee schedule update factor, (ii) Medicare Part B therapy cap, and (iii) consolidated billing Proposed FY09 Medicare SNF PPS Rules - issued May, 2008 w/ 60-day comment period -- multiple issues within rules

H.R. 6331 - Medicare Improvement for Patients and Providers Act focused specifically on three items (i) fee schedule update factor, (ii) Medicare A Part B therapy cap and (iii) consolidated billing. Proposed FY09 Medicare SNF PPS Rules - issued May, 2008 w/ 60 day comment period - multiple issues within rules

H.R. 7128 - Nursing Home Transparency Act of 2008 Senator Baucus report outlining platform for healthcare reforms Medicaid FMAP relief - various Economic Stimulus plans CMS implementation of "Five Star" Nursing Home Rating System

H.R. 3162 - sections affecting funding for post-acute services - SNF, IRF, LTCH, Rehab H. Con Res 312/S Con Res 70 - sections affecting funding for Medicare, Medicaid; reconciliation instructions Reconciliation FY09 Appropriations -- issues affecting Medicare, Medicaid, post acute providers Grassley-Kohl Nursing Home Reform measure

H.R. 3162 - sections affecting funding for post-acute services - SNF, IRF, LTCH, Rehab H. Con Res 312/S Con Res 70 - sections affecting funding for Medicare, Medicaid; reconciliation instructions Reconciliation FY09 Appropriations -- issues affecting Medicare, Medicaid, post acute providers Grassley-Kohl Nursing Home Reform measure

H.R. 3162 - sections affecting funding for post-acute services - SNF, IRF, LTCH, Rehab H. Con Res 312/S Con Res 70 - sections affecting funding for Medicare, Medicaid; reconciliation instructions Reconciliation FY09 Appropriations -- issues affecting Medicare, Medicaid, post acute providers Grassley-Kohl Nursing Home Reform measure

H.R. 3162 - sections affecting funding for post-acute services - SNF, IRF, LTCH, Rehab H. Con Res 312/S Con Res 70 - sections affecting funding for Medicare, Medicaid; reconciliation instructions Reconciliation FY09 Appropriations -- issues affecting Medicare, Medicaid, post acute providers Grassley-Kohl Nursing Home Reform measure

H.R. 3162 - sections affecting funding for post-acute services - SNF, IRF, LTCH, Rehab H. Con Res 312/S Con Res 70 - sections affecting funding for Medicare, Medicaid; reconciliation instructions Reconciliation FY09 Appropriations -- issues affecting Medicare, Medicaid, post acute providers Grassley-Kohl Nursing Home Reform measure

H.R. 3162 - sections affecting funding for post-acute services - SNF, IRF, LTCH, Rehab H. Con Res 312/S Con Res 70 - sections affecting funding for Medicare, Medicaid; reconciliation instructions Reconciliation FY09 Appropriations -- issues affecting Medicare, Medicaid, post acute providers Grassley-Kohl Nursing Home Reform measure

H.R. 3162 - sections affecting funding for post-acute services - SNF, IRF, LTCH, Rehab H. Con Res 312/S Con Res 70 - sections affecting funding for Medicare, Medicaid; reconciliation instructions Reconciliation FY09 Appropriations -- issues affecting Medicare, Medicaid, post acute providers Grassley-Kohl Nursing Home Reform measure

H.R. 3162 - sections affecting funding for post-acute services - SNF, IRF, LTCH, Rehab H. Con Res 312/S Con Res 70 - sections affecting funding for Medicare, Medicaid; reconciliation instructions Reconciliation FY09 Appropriations -- issues affecting Medicare, Medicaid, post acute providers Grassley-Kohl Nursing Home Reform measure

H.R. 3162 - sections affecting funding for post-acute services - SNF, IRF, LTCH, Rehab H. Con Res 312/S Con Res 70 - sections affecting funding for Medicare, Medicaid; reconciliation instructions Reconciliation FY09 Appropriations -- issues affecting Medicare, Medicaid, post acute providers Grassley-Kohl Nursing Home Reform measure