J. VICTORIA CASTOR

340B Disproportionate Share Hospital (DSH) payments health care workforce initiatives

HR 1 One Big Beautiful Bill Act Continuing Appropriations and Extensions Act, 2026, H.R. 5371

HR 1 One Big Beautiful Bill Act Continuing Appropriations and Extensions Act, 2026, H.R. 5371

340B Disproportionate Share Hospital (DSH) payments health care workforce initiatives

HR 1 One Big Beautiful Bill Act

HR 1 One Big Beautiful Bill Act

340B Disproportionate Share Hospital (DSH) payments health care workforce initiatives, including visa issues

maintaining telehealth regulations and flexibilities beyond public health emergency

FY 25 and FY26 Appropriations Reconciliation FY 26 Budget Resolution

340B Disproportionate Share Hospital (DSH) payments health care workforce initiatives, including visa issues

maintaining telehealth regulations and flexibilities beyond public health emergency

FY 25 and FY26 Appropriations Reconciliation FY 26 Budget Resolution

maintaining telehealth regulations beyond emergency HR 2584 - SAVE Act HR 3561 - PATIENT Act HR 1613 - Drug Price Transparency in Medicaid Act HR 3290 - amending 340B program HR 3089 - Accelerating Kids Access to Care Act Disproportionate Share Hospital (DSH) payments

health care workforce initiatives, including visa issues mental health (for adults and pediatrics) H.R.5378 - Lower Costs, More Transparency Act S.2840 - Bipartisan Primary Care and Health Workforce Act

health care workforce initiatives, including visa issues mental health (for adults and pediatrics) H.R.5378 - Lower Costs, More Transparency Act S.2840 - Bipartisan Primary Care and Health Workforce Act

maintaining telehealth regulations beyond emergency HR 2584 - SAVE Act HR 3561 - PATIENT Act HR 1613 - Drug Price Transparency in Medicaid Act HR 3290 - amending 340B program HR 3089 - Accelerating Kids Access to Care Act Disproportionate Share Hospital (DSH) payments

maintaining telehealth regulations beyond emergency HR 2584 - SAVE Act HR 3561 - PATIENT Act HR 1613 - Drug Price Transparency in Medicaid Act HR 3290 - amending 340B program HR 3089 - Accelerating Kids Access to Care Act

health care workforce initiatives, including visa issues mental health (for adults and pediatrics) H.R.5378 - Lower Costs, More Transparency Act S.2840 - Bipartisan Primary Care and Health Workforce Act

FY24 Appropriations maintaining telehealth regulations beyond emergency HR 2584 - SAVE Act HR 3561 - PATIENT Act HR 1613 - Drug Price Transparency in Medicaid Act HR 3290 - amending 340B program HR 3089 - Accelerating Kids Access to Care Act

health care workforce initiatives, including visa issues mental health (for adults and pediatrics) H.R.5378 - Lower Costs, More Transparency Act S.2840 - Bipartisan Primary Care and Health Workforce Act

FY24 Appropriations maintaining telehealth regulations beyond emergency HR 2584 - SAVE Act HR 3561 - PATIENT Act HR 1613 - Drug Price Transparency in Medicaid Act HR 3290 - amending 340B program

health care workforce initiatives, including visa issues mental health (for adults and pediatrics) H.R.5378 - Lower Costs, More Transparency Act S.2840 - Bipartisan Primary Care and Health Workforce Act

Medicare sequester FY24 Appropriations maintaining telehealth regulations beyond emergency HR 2584 - SAVE Act HR 3561 - PATIENT Act HR 1613 - Drug Price Transparency in Medicaid Act HR 3290 - amending 340B program

health care workforce initiatives, including visa issues mental health (for adults and pediatrics)

Medicare sequester FY24 Appropriations maintaining telehealth regulations beyond emergency HR 2584 - SAVE Act HR 3561 - PATIENT Act HR 1613 - Drug Price Transparency in Medicaid Act HR 3290 - amending 340B program

health care workforce initiatives, including visa issues mental health (for adults and pediatrics)

health care workforce initiatives mental health (for adults and pediatrics)

Medicare sequester FY23, FY24 Appropriations maintaining telehealth regulations beyond emergency

Medicare sequester FY23, FY24 Appropriations maintaining telehealth regulations beyond emergency

health care workforce initiatives mental health (for adults and pediatrics)

Draft bills related to social determinants of health health care workforce initiatives Mental health (adult and pediatric)

Medicare sequester and FY23 Appropriations maintaining telehealth regulations beyond national emergency H.R. 4040 Advancing Telehealth Beyond COVID-19 Act

Implementation of H.R. 1319 American Rescue Plan Act of 2021; Medicare sequester; maintaining telehealth regulations beyond national emergency, H.R. 4040 Advancing Telehealth Beyond COVID-19 Act

Draft bills related to social determinants of health; implementation of H.R. 1319 American Rescue Plan Act of 2021; health care workforce initiatives Mental health (adult and pediatric)

Implementation of H.R. 1319 American Rescue Plan Act of 2021; Medicare sequester; maintaining telehealth regulations beyond national emergency

Draft bills related to social determinants of health; implementation of H.R. 1319 American Rescue Plan Act of 2021; health care workforce initiatives Mental health (adult and pediatric)

Draft bills related to social determinants of health; implementation of H.R. 1319 American Rescue Plan Act of 2021; health care workforce initiatives

Implementation of H.R. 1319 American Rescue Plan Act of 2021; Medicare sequester; maintaining telehealth regulations beyond national emergency

Implementation of H.R. 1319 American Rescue Plan Act of 2021; Medicare sequester; maintaining telehealth regulations beyond national emergency

Draft bills related to social determinants of health; implementation of H.R. 1319 American Rescue Plan Act of 2021

H.R. 1319 American Rescue Plan Act of 2021 - provisions related to Medicare sequestration

S. 168/H.R. 708 Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act Provisions; draft bills related to social determinants of health; H.R. 1319 American Rescue Plan Act of 2021 - Issues related to pandemic healthcare provision

S. 168/H.R. 708 Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act Provisions is draft bills related to social determinants of health H.R. 1319 American Rescue Plan Act of 2021 - Issues related to pandemic healthcare provision

H.R. 1319 American Rescue Plan Act of 2021 - provisions related to Medicare sequestration

S. 168/H.R. 708 Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act Provisions is draft bills related to social determinants of health H.R. 1319 American Rescue Plan Act of 2021 - Issues related to pandemic healthcare provision

H.R. 1319 American Rescue Plan Act of 2021 - provisions related to Medicare sequestration

H.R. 133 Consolidated Appropriations Act, 2021; Medicare Disproportionate Share Hospital Payments - provisions related to "medicaid shortfall" and third-party payments, Medicare NextGen Accountable Care Organization (ACO) patient threshold provisions, mandatory spending sequester provisions, telehealth reimbursement and expansion provisions

H.R. 748; S. 3548 Coronavirus Aid, Relief, and Economic Security (CARES) Act - implementation of provisions related to funding relief for hospitals and healthcare providers H.R. 133 Consolidated Appropriations Act, 2021; pandemic support for hospitals, healthcare providers

HEROES Act H.R. 6800/ COVID 4 Supplemental Appropriations - Medicare Disproportionate Share Hospital Payments - provisions related to "medicaid shortfall" and third-party payments H.R. 1041/S. 586 Critical Access Hospital Relief Act

HEROES Act H.R. 6800/COVID 4 Supplemental- provisions related to funding relief for hospitals and healthcare providers; Issues related to COVID-19 pandemic response for healthcare providers and hospitals H.R. 748; S. 3548 Coronavirus Aid, Relief, and Economic Security (CARES) Act - implementation of provisions related to funding relief for hospitals and healthcare providers

HEROES Act H.R. 6800/ COVID 4 Supplemental Appropriations - Medicare Disproportionate Share Hospital Payments - provisions related to "medicaid shortfall" and third-party payments H.R. 1041/S. 586 Critical Access Hospital Relief Act S. 895 - Rural Hospital Regulatory Relief Act - provisions related to the reduction of direct supervision requirements

HEROES Act H.R. 6800/COVID 4 Supplemental- provisions related to funding relief for hospitals and healthcare providers; Issues related to COVID-19 pandemic response for healthcare providers and hospitals H.R. 748; S. 3548 Coronavirus Aid, Relief, and Economic Security (CARES) Act - implementation of provisions related to funding relief for hospitals and healthcare providers S. 4160 - provisions related to section 340B of the Public Health Service Act H.R.6788; S.3599 Healthcare Workforce Resilience Act - provisions for allocation of unused visas for healthcare professionals

Medicaid Fiscal Accountability Regulation (CMS-2393-P) Medicare Disproportionate Share Hospital Payments - provisions related to "medicaid shortfall" and third-party payments H.R. 748; S. 3548 Coronavirus Aid, Relief, and Economic Security (CARES) Act, provisions related to telehealth service reimbursement, expansion of services allowed; restrictions on use H.R. 1041/S. 586 Critical Access Hospital Relief Act S. 895 - Rural Hospital Regulatory Relief Act - provisions related to the reduction of direct supervision requirements Medicare 340B Drug Discount Program

H.R. 748; S. 3548 Coronavirus Aid, Relief, and Economic Security (CARES) Act - provisions related to funding relief for hospitals and healthcare providers; Issues related to COVID-19 pandemic response for healthcare providers and hospitals H.R. 5826 Consumer Protections Against Surprise Medical Bills Act of 2020 S. 2986; H.R. 4004 Social Determinants Accelerator Act OPTN/ UNOS organ transplant policy changes, adoption of acuity circle policy for liver allocation Issues related to drug pricing policy -- patent length, direct to patient advertising, 340B program, manufacture cost transparency H.R. 506 Hospital Competition Act - provisions related to health care provider mergers and acquisitions S. 1895 Lower Health Care Costs Act H.R. 3630 No Surprises Act

OPTN/ UNOS organ transplant policy changes, adoption of acuity circle policy for liver allocation Issues related to drug pricing policy -- patent length, direct to patient advertising, 340B program, manufacture cost transparency H.R. 506 Hospital Competition Act - provisions related to health care provider mergers and acquisitions S. 1895 Lower Health Care Costs Act H.R. 3630 No Surprises Act H.R. 3584 Laboratory Access for Beneficiaries Act

H.R. 1041/S. 586 Critical Access Hospital Relief Act S. 895 - Rural Hospital Regulatory Relief Act - provisions related to the reduction of direct supervision requirements Medicare Disproportionate Share Hospital Payments - law requiring DSH payment reductions Medicare 340B Drug Discount Program H.R. 3414 Opioid Workforce Act - provisions related to graduate medical education

H.R. 1041/S. 586 Critical Access Hospital Relief Act S. 895 - Rural Hospital Regulatory Relief Act - provisions related to the reduction of direct supervision requirements Medicare Disproportionate Share Hospital Payments - law requiring DSH payment reductions Medicare 340B Drug Discount Program Issues related to hospital price transparency H.R. 3414 Opioid Workforce Act - provisions related to graduate medical education

S.1379/H.R. 269 - Pandemic All Hazards Preparedness and Advancing Innovation Act - provisions related to hospital preparedness and eligibility OPTN/ UNOS organ transplant policy changes, adoption of acuity circle policy for liver allocation Issues related to drug pricing policy -- patent length, direct to patient advertising, 340B program, manufacture cost transparency H.R. 506 Hospital Competition Act - provisions related to health care provider mergers and acquisitions S. 1895 Lower Health Care Costs Act H.R. 3630 No Surprises Act

S.1379/H.R. 269 - Pandemic All Hazards Preparedness and Advancing Innovation Act - provisions related to hospital preparedness and eligibility OPTN/ UNOS organ transplant policy changes, adoption of acuity circle policy for liver allocation Issues related to drug pricing policy -- patent length, direct to patient advertising, 340B program, manufacture cost transparency H.R. 506 Hospital Competition Act - provisions related to health care provider mergers and acquisitions S. 1895 Lower Health Care Costs Act H.R. 3630 No Surprises Act RIN 0955-AA01 21st Century Cures Act

H.R. 1041/S. 586 Critical Access Hospital Relief Act S. 895 - Rural Hospital Regulatory Relief Act - provisions related to the reduction of direct supervision requirements Medicare Disproportionate Share Hospital Payments - law requiring DSH payment reductions Medicare 340B Drug Discount Program Issues related to hospital price transparency H.R. 1763; S. 348 Resident Physician Shortage Reduction Act - provisions related to graduate medical education slots allocation H.R. 3414 Opioid Workforce Act - provisions related to graduate medical education CMS-1716-P Hospital Inpatient Prospective Payment Systems CMS-9115-P Interoperability and Patient Access

H.R. 1041 - To Repeal the 96-hour Certification Rule S. 895 - Rural Hospital Regulatory Relief Act - provisions related to the repeal of direct supervision requirements Medicare Disproportionate Share Hospital payments - law requiring DSH payment reductions Medicare 340B Drug Discount program Issues related to hospital price transparency H.R. 1763 ; S. 348 Resident Physician Shortage Reduction Act - provisions related to graduate medical education slots allocation

S. 317; H.R. 1226 ACE Kids Act H.R. 1839 Medical Services Investment and Accountability Act - Provisions identical to ACE Kids Act H.R. 269 - Pandemic All Hazards Preparedness and Advancing Innovation Act - provisions related to hospital preparedness and eligibility OPTN/ UNOS organ transplant policy changes, adoption of acuity circle policy for liver allocation Issues related to drug pricing policy -- patent length, direct to patient advertising, 340B program, manufacture cost transparency H.R. 7084 Hospital Competition Act - provisions related to health care provider mergers and acquisitions

H.R. 4710 340B PAUSE Act S. 2312 HELP Act S. 2957; H.R. 5385 Children's Hospital Support Graduate Medical Education Reauthorization H.R. 5678 Rural Emergency Medical Center Act Medicare Program: Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Payment Systems and Quality Reporting Programs, CMS-1695-P Medicare and Medicaid Programs; Regulatory Provisions To Promote Program Efficiency, Transparency, and Burden Reduction OPTNs Public Comment Proposal Liver and Intestine Distribution Using Distance from Donor Hospital

H.R.3325, S.428 ACE Kids Act H.R.659 Standard Merger and Acquisition Reviews Through Equal Rules (SMARTER) Act H.R. 2852 Pandemic and All-Hazards Preparedness Act - Provisions regarding Academic Medical Centers eligibility Issues related to UNOS Organ Transplant policy changes

H.R.3325, S.428 ACE Kids Act H.R.659 Standard Merger and Acquisition Reviews Through Equal Rules (SMARTER) Act H.R. 2852 Pandemic and All-Hazards Preparedness Act - Provisions regarding Academic Medical Centers eligibility Issues related to UNOS Organ Transplant policy changes S. 2843; H.R. 5818 Opioid Workforce Act - Issues related to opioid epidemic response

H.R. 4710 340B PAUSE Act S. 2312 HELP Act S. 2957; H.R. 5385 Children's Hospital Support Graduate Medical Education Reauthorization H.R. 5678 Rural Emergency Medical Center Act CMS-1695-P Comments CMS-1694-P Comments on uncompensated care costs and worksheet, hospital standard charge requirements, Car T Cell reimbursement, Inpatient Quality Reporting Program (IQR) CMS Request for Information: Physician Self-referral law CMS-1693-P, Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program; and Medicaid Promoting Interoperability Program

H.R. 4710 340B PAUSE Act S. 2312 HELP Act S. 2957; H.R. 5385 Children's Hospital Graduate Medical Education Reauthorization H.R. 5678 Rural Emergency Medical Center Act 2019 IPPS- CMS-1689-P

H.R.3325, S. 428 ACE Kids Act H.R. 659 Standard Merger and Acquisition Reviews Through Equal Rules (SMARTER) Act H.R. 2852 Pandemic and All-Hazards Preparedness Act - provisions regarding Academic Medical Center eligibility Issues related to UNOS liver transplants policy S. 2843; H.R. 5818 Opioid Workforce Act - Issues related to opioid epidemic response

Medicaid and CHIP managed Care Final Rule [42 CFR Part 438] Medicaid 1115 Waiver - Healthy Indiana Plan OPPS Proposed Rule [CMS-1677-F] H.R. 4710 - 340B PAUSE Act S. 2312 HELP Act

H.R.3325, S. 428 ACE Kids Act H.R. 659 Standard Merger and Acquisition Reviews Through Equal Rules (SMARTER) Act Issues related to UNOS liver transplants policy Issues related to opioid epidemic response

H.R.1628 American Health Care Act; provisions related to Medicaid Senate Amendment in the nature of a Substitute to H.R. 1628; provisions related to Medicaid Medicaid and CHIP Managed Care Final Rule [42 CFR Part 438] Medicaid 1115 Waiver - Healthy Indiana Plan 340B Drug Discount Program OPPS Proposed Rule [CMS-1678-P] IPPS and LTCH PPS Final Rule [CMS-1677-F]

H.R.1628 American Health Care Act; Senate Amendment in the nature of a substitute to HR 1628 (Better Care Reconciliation Act) H.R.741, S.243 Rural Hospital Relief Act; provisions related to direct supervision H.R.3325, S. 428 ACE Kids Act H.R. 659 Standard Merger and Acquisition Reviews Through Equal Rules (SMARTER) Act H.R. 2953 Preventative Health Saving Act Issues related to UNOS liver transplants

H.R.1628 American Health Care Act; Senate Amendment in the nature of a substitute to HR 1628 (Better Care Reconciliation Act) H.R.741, S.243 Rural Hospital Relief Act; provisions related to direct supervision H.R.3325, S. 428 ACE Kids Act H.R. 659 Standard Merger and Acquisition Reviews Through Equal Rules (SMARTER) Act H.R. 2953 Preventative Health Saving Act Issues related to UNOS liver transplants

H.R.1628 American Health Care Act; provisions related to Medicaid Senate Amendment in the nature of a Substitute to H.R. 1628; provisions related to Medicaid Medicaid and CHIP Managed Care Final Rule [42 CFR Part 438] Medicaid 1115 Waiver - Healthy Indiana Plan 340B Drug Discount Program OPPS Proposed Rule [CMS-1678-P] IPPS and LTCH PPS Final Rule [CMS-1677-F]

H.R.1628 American Health Care Act; Senate Amendment in the nature of a substitute to HR 1628 (Better Care Reconciliation Act) H.R.741, S.243 Rural Hospital Relief Act; provisions related to direct supervision S. 428 ACE Kids Act H.R. 659 Standard Merger and Acquisition Reviews Through Equal Rules (SMARTER) Act H.R. 2953 Preventative Health Saving Act

H.R.1628 American Health Care Act; provisions related to Medicaid Senate Amendment in the nature of a Substitute to H.R. 1628; provisions related to Medicaid Medicaid and CHIP Managed Care Final Rule [42 CFR Part 438] Medicaid 1115 Waiver - Healthy Indiana Plan 340B Drug Discount Program

H.R.1628 American Health Care Act H.R.741, S.243 Rural Hospital Relief Act; provisions related to direct supervision S. 428 ACE Kids Act H.R. 659 Standard Merger and Acquisition Reviews Through Equal Rules (SMARTER) Act

H.R.1628 American Health Care Act; provisions related to Medicaid Medicaid and CHIP Managed Care Final Rule [42 CFR Part 438] Medicaid 1115 Waiver - Healthy Indiana Plan 2.0

H.R. 6- 21st Century Cures- Issues related to telemedicine reimbursement; ACE Kids Act;NIH research funding; rare disease research; pediatric research; electronic health records; Accountable Care Organizations; 340B program S.524 - Comprehensive Addiction and Recovery Act; provisions related to prevention and treatment programs

Medicare Advantage program; issues related to reimbursements H.R. 546, S. 298 ACE Kids Act

H.R. 6- 21st Century Cures- Issues related to telemedicine reimbursement; ACE Kids Act;NIH research funding; rare disease research; pediatric research; electronic health records; Accountable Care Organizations; 340B program S.524 - Comprehensive Addiction and Recovery Act; provisions related to prevention and treatment programs

Medicare Advantage program; issues related to reimbursements H.R. 1343, S. 688 Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 257 Protecting Access to Rural Therapy Services (PARTS) Act; provisions related to direct supervision at Critical Access Hospitals H.R. 546, S. 298 ACE Kids Act

H.R. 6- 21st Century Cures- Issues related to telemedicine reimbursement; ACE Kids Act;NIH research funding; rare disease research; pediatric research; electronic health records; Accountable Care Organizations; 340B program S.524 - Comprehensive Addiction and Recovery Act; provisions related to prevention and treatment programs

Medicare Advantage program; issues related to reimbursements H.R. 1343, S. 688 Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 257 Protecting Access to Rural Therapy Services (PARTS) Act; provisions related to direct supervision at Critical Access Hospitals H.R. 169, S.258 Critical Access Hospital Relief Act; provisions related to 96-hour certification requirement H.R. 546, S. 298 ACE Kids Act H.R. 3292- Medicare IME Pool Act of 2015; Graduate Medical Education

H.R. 6- 21st Century Cures- Issues related to telemedicine reimbursement; ACE Kids Act;NIH research funding; rare disease research; pediatric research; electronic health records; Accountable Care Organizations; 340B program

Hospital Compare Star Ratings Medicare Advantage program; issues related to reimbursements H.R. 1343, S. 688 Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 257 Protecting Access to Rural Therapy Services (PARTS) Act; provisions related to direct supervision at Critical Access Hospitals H.R. 169, S.258 Critical Access Hospital Relief Act; provisions related to 96-hour certification requirement H.R. 2156 Medicare Audit Improvement Act of 2015; RAC Audits H.R. 546, S. 298 ACE Kids Act H.R. 3291- Medicare Crosswalk Hospital Code Development Act H.R. 3292- Medicare IME Pool Act of 2015; Graduate Medical Education

H.R. 6- 21st Century Cures- Issues related to telemedicine reimbursement; ACE Kids Act;NIH research funding; rare disease research; pediatric research; electronic health records; Accountable Care Organizations; 340B program

H.R. 2 Medicare Access and CHIP Reauthorization Act of 2015; provisions related to Medicare payment for hospital services; CHIP funding; legislative delay of CMS 2-midnight rule H.R. 1343, S. 688 Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 257 Protecting Access to Rural Therapy Services (PARTS) Act; provisions related to direct supervision at Critical Access Hospitals H.R. 169, S.258 Critical Access Hospital Relief Act; provisions related to 96-hour certification requirement H.R. 2156 Medicare Audit Improvement Act of 2015; RAC Audits H.R. 546, S. 298 ACE Kids Act H.R. 3291- Medicare Crosswalk Hospital Code Development Act H.R. 3292- Medicare IME Pool Act of 2015; Graduate Medical Education

H.R. 2 Medicare Access and CHIP Reauthorization Act of 2015; provisions related to Medicare payment for hospital services; CHIP funding; legislative delay of CMS 2-midnight rule H.R. 1343, S. 688 Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 257 Protecting Access to Rural Therapy Services (PARTS) Act; provisions related to direct supervision at Critical Access Hospitals H.R. 169, S.258 Critical Access Hospital Relief Act; provisions related to 96-hour certification requirement H.R. 2156 Medicare Audit Improvement Act of 2015; RAC Audits H.R. 546, S. 298 ACE Kids Act H.R. 3291- Medicare Crosswalk Hospital Code Development Act H.R. 3292- Medicare IME Pool Act of 2015; Graduate Medical Education

H.R. 6- 21st Century Cures- Issues related to telemedicine reimbursement; ACE Kids Act;NIH research funding; rare disease research; pediatric research; electronic health records; Accountable Care Organizations; 340B program

H.R. 2 Medicare Access and CHIP Reauthorization Act of 2015; provisions related to Medicare payment for hospital services; CHIP funding; legislative delay of CMS 2-midnight rule H.R. 1343, S. 688 Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 257 Protecting Access to Rural Therapy Services (PARTS) Act; provisions related to direct supervision at Critical Access Hospitals H.R. 169, S.258 Critical Access Hospital Relief Act; provisions related to 96-hour certification requirement Medicare Graduate Medical Education H.R. 2156 Medicare Audit Improvement Act of 2015; RAC Audits H.R. 546, S. 298 ACE Kids Act

H.R. 6- 21st Century Cures- Issues related to telemedicine reimbursement; ACE Kids Act;NIH research funding; rare disease research; pediatric research; electronic health records; Accountable Care Organizations; 340B program H.R. 270 FLEX-IT Act

H.R. 6- 21st Century Cures- Issues related to telemedicine reimbursement; ACE Kids Act;NIH research funding; rare disease research; pediatric research; electronic health records; Accountable Care Organizations; 340B program H.R. 270 FLEX-IT Act

H.R. 2 Medicare Access and CHIP Reauthorization Act of 2015; provisions related to Medicare payment for hospital services; CHIP funding; legislative delay of CMS 2-midnight rule H.R. 1343, S. 688 Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 257 Protecting Access to Rural Therapy Services (PARTS) Act; provisions related to direct supervision at Critical Access Hospitals H.R. 169, S.258 Critical Access Hospital Relief Act; provisions related to 96-hour certification requirement Medicare Graduate Medical Education H.R. 2156 Medicare Audit Improvement Act of 2015; RAC Audits H.R. 546, S. 298 ACE Kids Act

H.Con.Res. 27 House Budget Resolution; provisions related to Medicare and Medicaid policy S.Con.Res. 11 Senate Budget Resolution; provisions related to Medicare and Medicaid policy

21st Century Cures (draft language)- Issues related to telemedicine reimbursement; ACE Kids Act; electronic health records; Accountable Care Organizations H.R. 546, S. 298 ACE Kids Act H.R. 270 FLEX-IT Act

H.R. 2 Medicare Access and CHIP Reauthorization Act of 2015; provisions related to Medicare payment for hospital services; CHIP funding; legislative delay of CMS 2-midnight rule H.R> 1343, S. 688 Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 257 Protecting Access to Rural Therapy Services (PARTS) Act; provisions related to direct supervision at Critical Access Hospitals H.R. 169, S.258 Critical Access Hospital Relief Act; provisions related to 96-hour certification requirement Medicare Graduate Medical Education

21st Century Cures (draft language)- Issues related to telemedicine reimbursement; ACE Kids Act; electronic health records; Accountable Care Organizations H.R. 546, S. 298 ACE Kids Act H.R. 270 FLEX-IT Act

H.Con.Res. 27 House Budget Resolution; provisions related to Medicare and Medicaid policy S.Con.Res. 11 Senate Budget Resolution; provisions related to Medicare and Medicaid policy

H.R. 2 Medicare Access and CHIP Reauthorization Act of 2015; provisions related to Medicare payment for hospital services; CHIP funding; legislative delay of CMS 2-midnight rule H.R> 1343, S. 688 Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 257 Protecting Access to Rural Therapy Services (PARTS) Act; provisions related to direct supervision at Critical Access Hospitals H.R. 169, S.258 Critical Access Hospital Relief Act; provisions related to 96-hour certification requirement Medicare Graduate Medical Education

FDA-2013-N-1317 Tentative Determination Regarding Partially Hydrogenated Oils

REG-130266-11- NPRM- Additional Requirements for Charitable Hospitals; provisions related to financial assistance requirements and emergency care policies REG-106499-12- NPRM- Community Health Needs Assessment for Charitable Hospitals; hospital collaboration, implemetation strategy, and guidance

H.R. 1201- Training Tomorrow's Doctors Today; Graduate Medical Education provisions S. 577, H.R. 1180- Resident Physician Shortage Reducation Act Hospital Evaluation and Management site-neutrality payment proposal H.R. 1920- DSH Reducation Relief Act of 2013 H.R. 1787, S. 842- Rural Hospital Access Act of 2013; Critical Access Hospitals S. 1143, H.R. 2801- Protecting Access to Rural Therapy Services Act- provisions re "direct supervision" at Critical Access Hospitals S. 1871- SGR Repeal and Medicare Beneficiary Access Improvement Act; Medicare Sustainable Growth Rate provisions and "general supervision" provisions for rural and Critical Access Hospitals H.R. 2810- Medicare Patient Access and Quality Improvement Act; Sustainable Growth Rate Provisions H.R. 3077-Telehealth Enhancement Act of 2013 H.R. 3991- Critical Access Hospital Relief Act of 2014; provisions on 96-hour physician certification requirement H.R. 4302- Protecting Access to Medicare Act of 2014 CMS-1606-P Inpatient Psychiatric Facilities Prospective Payment System-Update for Fiscal Year Beginning October 1, 2014 H.R. 5558- ACO Improvement Act H.R. 4851- FLEX-IT Act; provsions related to "Meaningful Use"

H.R. 4920- ACE Kids Act of 2014; issues related to CHIP H.R. 5364; S. 2461- Issues related to CHIPH.R. 2810- Medicare Patient Access and Quality Improvement Act; Sustainable Growth Rate Provisions H.R. 3077-Telehealth Enhancement Act of 2013 H.R. 3991- Critical Access Hospital Relief Act of 2014; provisions on 96-hour physician certification requirement H.R. 4302- Protecting Access to Medicare Act of 2014 CMS-1606-P Inpatient Psychiatric Facilities Prospective Payment System-Update for Fiscal Year Beginning October 1, 2014 H.R. 5558- ACO Improvement Act H.R. 4851- FLEX-IT Act; provsions related to "Meaningful Use" H.R. 1180; S. 577 Resident Physician Shortage Reduction Act; issues related to Graduate Medical Education slots, criteria, and funding H.R. 1201- Training Tomorrow's Doctors Today; issues related to Graduate medical Education slots, criteria, and funding

H.R. 4080; S. 2405- Trauma Systems and Regionalization of Emergency Care; issues related to hospital designation relating to pandemic preparedness and Ebola treatment

H.R. 1201- Training Tomorrow's Doctors Today; Graduate Medical Education provisions S. 577, H.R. 1180- Resident Physician Shortage Reducation Act Hospital Evaluation and Management site-neutrality payment proposal H.R. 1920- DSH Reducation Relief Act of 2013H.R. 1787, S. 842- Rural Hospital Access Act of 2013; Critical Access Hospitals S. 1143, H.R. 2801- Protecting Access to Rural Therapy Services Act- provisions re "direct supervision" at Critical Access Hospitals S. 1871- SGR Repeal and Medicare Beneficiary Access Improvement Act; Medicare Sustainable Growth Rate provisions and "general supervision" provisions for rural and Critical Access Hospitals H.R. 2810- Medicare Patient Access and Quality Improvement Act; Sustainable Growth Rate Provisions H.R. 3077-Telehealth Enhancement Act of 2013 H.R. 3991- Critical Access Hospital Relief Act of 2014; provisions on 96-hour physician certification requirement H.R. 4302- Protecting Access to Medicare Act of 2014 CMS-1606-P Inpatient Psychiatric Facilities Prospective Payment System-Update for Fiscal Year Beginning October 1, 2014 H.R. 5558- ACO Improvement Act H.R. 4851- FLEX-IT Act; provsions related to "Meaningful Use"

H.R. 1201- Training Tomorrow's Doctors Today; Graduate Medical Education provisions S. 577, H.R. 1180- Resident Physician Shortage Reducation Act Hospital Evaluation and Management site-neutrality payment proposal H.R. 1920- DSH Reducation Relief Act of 2013H.R. 1787, S. 842- Rural Hospital Access Act of 2013; Critical Access Hospitals S. 1143, H.R. 2801- Protecting Access to Rural Therapy Services Act- provisions re "direct supervision" at Critical Access Hospitals S. 1871- SGR Repeal and Medicare Beneficiary Access Improvement Act; Medicare Sustainable Growth Rate provisions and "general supervision" provisions for rural and Critical Access Hospitals H.R. 2810- Medicare Patient Access and Quality Improvement Act; Sustainable Growth Rate Provisions H.R. 3077-Telehealth Enhancement Act of 2013 H.R. 3991- Critical Access Hospital Relief Act of 2014; provisions on 96-hour physician certification requirement H.R. 4302- Protecting Access to Medicare Act of 2014 CMS-1606-P Inpatient Psychiatric Facilities Prospective Payment System-Update for Fiscal Year Beginning October 1, 2014

FDA-2013-N-1317 Tentative Determination Regarding Partially Hydrogenated Oils

REG-130266-11- NPRM- Additional Requirements for Charitable Hospitals; provisions related to financial assistance requirements and emergency care policies REG-106499-12- NPRM- Community Health Needs Assessment for Charitable Hospitals; hospital collaboration, implemetation strategy, and guidance

H.R. 1201- Training Tomorrow's Doctors Today; Graduate Medical Education provisions S. 577, H.R. 1180- Resident Physician Shortage Reducation Act Hospital Evaluation and Management site-neutrality payment proposal H.R. 1920- DSH Reducation Relief Act of 2013H.R. 1787, S. 842- Rural Hospital Access Act of 2013; Critical Access Hospitals H.R. 1250, S. 1012- Medicare Audit Improvement Act, RAC Audits Medicare coverage policy for treatment with intravenous immunoglobulin (IVIG) for patients pending kidney transplant S. 1143, H.R. 2801- Protecting Access to Rural Therapy Services Act- provisions re "direct supervision" at Critical Access Hospitals S. 1871- SGR Repeal and Medicare Beneficiary Access Improvement Act; Medicare Sustainable Growth Rate provisions and "general supervision" provisions for rural and Critical Access Hospitals H.R. 2810- Medicare Patient Access and Quality Improvement Act; Sustainable Growth Rate Provisions H.R. 3077-Telehealth Enhancement Act of 2013 H.R. 3698- Two Midnight Rule Delay Act of 2013 H.R. 2019- Gabriella Miller Kids First Research Act H.R. 3991- Critical Access Hospital Relief Act of 2014; provisions on 96-hour physician certification requirement H.R. 4302- Protecting Access to Medicare Act of 2014

H.R. 574 Medicare Physician Payment Innovation Act of 2013; GME funding reduction provisions H.R. 1201- Training Tomorrow's Doctors Today; Graduate Medical Education provisions S. 577- Resident Physician Shortage Reducation Act Hospital Evaluation and Management site-neutrality payment proposalH.R. 1920- DSH Reduction Relief Act of 2013 H.R. 1787- Rural Hospital Access Act of 2013; Critical Access Hospitals S. 842- Rural Hospital Access Act of 2013; Critical Access Hospitals H.R. 1250- Medicare Audit Improvement Act S. 1012- Medcare Audit Improvement Act Medicare coverage policy for treatment with intravenous immunoglobulin (IVIG) for patients pending kidney transplant CMS-1450-P, Medicare & Medicaid Programs; Home Health PPS Rate Update for CY 2014; Home Health Quality Reporting Requirements; and Cost Allocation of Home Health Survey Expenses CMS-1326-P, End-Stage Renal Disease PPS and Quality Incentive Program CMS-1599-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals & LTCH PPS CMS-1600-P, Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule, Clinical Lab Fee Schedule and Other Revisions to Part B for CY 2014; provisions regarding telemedicine across state lines

H.J. Res. 59- Bipartisan Budget Agreement

REG-130266-11- NPRM- Additional Requirements for Charitable Hospitals; provisions related to financial assistance requirements and emergency care policies REG-106499-12- NPRM- Community Health Needs Assessment for Charitable Hospitals; hospital collaboration, implemetation strategy, and guidance

H.R. 1201- Training Tomorrow's Doctors Today; Graduate Medical Education provisions S. 577, H.R. 1180- Resident Physician Shortage Reducation Act Hospital Evaluation and Management site-neutrality payment proposalH.R. 1920- DSH Reduction Relief Act of 2013 H.R. 1787, S. 842- Rural Hospital Access Act of 2013; Critical Access Hospitals H.R. 1250, S. 1012- Medicare Audit Improvement Act, RAC Audits Medicare coverage policy for treatment with intravenous immunoglobulin (IVIG) for patients pending kidney transplant S. 1143, H.R. 2801- Protecting Access to Rural Therapy Services Act- provisions re "direct supervision" at Critical Access Hospitals S. 1871- SGR Repeal and Medicare Beneficiary Access Improvement Act; Medicare Sustainable Growth Rate provisions and "general supervision" provisions for rural and Critical Access Hospitals H.R. 2810- Medicare Patient Access and Quality Improvement Act; Sustainable Growth Rate Provisions CMS-1450-P, Medicare & Medicaid Programs; Home Health PPS Rate Update for CY 2014; Home Health Quality Reporting Requirements; and Cost Allocation of Home Health Survey Expenses CMS-1326-P, End-Stage Renal Disease PPS and Quality Incentive Program CMS-1599-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals & LTCH PPS CMS-1600-P, Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule, Clinical Lab Fee Schedule and Other Revisions to Part B for CY 2014; provisions regarding telemedicine across state lines

H.R. 574 Medicare Physician Payment Innovation Act of 2013; GME funding reduction provisions H.R. 1201- Training Tomorrow's Doctors Today; Graduate Medical Education provisions S. 577- Resident Physician Shortage Reducation Act Hospital Evaluation and Management site-neutrality payment proposalH.R. 1920- DSH Reduction Relief Act of 2013 H.R. 1787- Rural Hospital Access Act of 2013; Critical Access Hospitals S. 842- Rural Hospital Access Act of 2013; Critical Access Hospitals H.R. 1250- Medicare Audit Improvement Act S. 1012- Medcare Audit Improvement Act Medicare coverage policy for treatment with intravenous immunoglobulin (IVIG) for patients pending kidney transplant CMS-1450-P, Medicare & Medicaid Programs; Home Health PPS Rate Update for CY 2014; Home Health Quality Reporting Requirements; and Cost Allocation of Home Health Survey Expenses CMS-1326-P, End-Stage Renal Disease PPS and Quality Incentive Program CMS-1599-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals & LTCH PPS CMS-1600-P, Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule, Clinical Lab Fee Schedule and Other Revisions to Part B for CY 2014; provisions regarding telemedicine across state lines

Graduate Medical Education Funding proposed cuts; H.R. 574 Medicare Physician Payment Innovation Act of 2013 Hospital Assessment Fee proposed reductions Hospital Evaluation and Management site-neutrality payment proposal CMS 3267- Part II - Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction; Proposed RuleMedicare coverage policy for treatment with intravenous immunoglobulin (IVIG) for patients pending kidney transplant CMS-1599-P, Medicare Program; Hospital IPPS for Acute Care Hospitals and LTCH PPS and Proposed FY 2014 Rates; Quality Reporting Requirements; Hospital Conditions of Participation; Proposed Rule Medicaid and Medicare Disproportionate Share Hospital Cuts Critical Access Hospital programs

REG-130266-11- NPRM- Additional Requirements for Charitable Hospitals; provisions related to financial assistance requirements and emergency care policies REG-106499-12- NPRM- Community Health Needs Assessment for Charitable Hospitals; hospital collaboration, implemetation strategy, and guidance

NPRM-IRS-2012-15537- Additional Requirements for Charitable Hospitals

Graduate Medical Education Funding proposed cuts; H.R. 574 Medicare Physician Payment Innovation Act of 2013 Hospital Assessment Fee proposed reductions Hospital Evaluation and Management site-neutrality payment proposal CMS-3267 Part II-Regulatory Provisions To Promote Program Efficiency, Transparency, and Burden ReductionMedicare coverage policy for treatment with intravenous immunoglobulin (IVIG) for patients pending kidney transplant

Proposed Rule- CMS-2012-0142- ACA Essential Health Benefits Proposed Rule- CMS-2012-9972-P- ACA Health Insurance Markets

Graduate Medical Education Proposed Reductions Hospital Assessment Fee Proposed Threshold Reductions Hospital Evaluation and Management Coding Proposed Reductions Hospital Outpatient and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs Disproportionate Share Hospital Payment Proposed Reductions CMS-6037-P, Medicare Program, Reporting and Returning Overpayments S. 778 Protect Access to Rural Therapy Services Act H.R. 8 American Tax Relief Act; Sustainable Growth Rate Expiring Patch

NPRM- IRS-2012-15537- Additional Requirements for Charitable Hospitals

The Health Information Technology for Economic and Clinical Health (HITECH) Act, Stage 2 Definition of Meaningful Use of EHR S. 3187, the FDA Safety and Innovation Act, title 10, section 1007

Medicare Programs; Electronic Health Records Incentives Program- Stage 2 Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2013 Rates Hospital Outpatient and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Inpatient Rehabilitation Facilities Quality Reporting Program; Quality Improvement Organization Regulations Proposed Medical Education Reductions CMS-6037-P, Medicare Program, Reporting and Returning Overpayments

NPRM- IRS-2012-15537- Additional Requirements for Charitable Hospitals

Medicare Program; Reform of Hospital and Critical Access Hospital Conditions of Participation Medicare Program; Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction Medicare Program; Medicare Secondary Payer and Future Medicals Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2013 Rates Proposed Medical Education Reductions CMS-6037-P, Medicare Program, Reporting and Returning Overpayments CMS-5052-N, Medicare Program; Solicitation for Proposals for the Medicare Graduate Nurse Education Demonstration Program

H.R. 3590 and H.R. 4872, the Patient Protection and Affordable Care Act, Section 9006

CMS-3239-P, Medicare Program: Hospital Inpatient Value-Based Purchasing Program CMS-1345-P, Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations CMS-1518-P, Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2012 Rates Proposed Medical Education Reductions H.R. 3765, the Temporary Payroll Tax Cut Continuation Act of 2011, Sec. 301 H.R. 3630, The Middle Class Tax Relief & Job Creation Act, Sec. 2201 CMS-6037-P, Medicare Program, Reporting and Returning Overpayments H.R. 3630 - Middle Class Tax Relief and Job Creation Act of 2012 CMS-5052-N, Medicare Program; Solicitation for Proposals for the Medicare Graduate Nurse Education Demonstration Program

IRS Notice 2011-52, Community Health Needs Assessment

H.R. 2500, Equal Access and Parity for Multi-Campus Hospitals Act H.R. 3590, the Patient Protection and Affordable Care Act, Section 9006

H.R.2055 -- Consolidated Appropriations Act, 2012, Division F H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011 -- hospital cuts H.R. 3630, The Middle Class Tax Relief & Job Creation Act - Sections 2223, 2224, 2225

CMS-1504-P, Medicare Program; Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates, Critical Access Hospital Direct Supervision Requirement CMS-1504-P, Medicare Program; Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates, Graduate Medical Education residency slots reallocation CMS-3239-P, Medicare Program: Hospital Inpatient Value-Based Purchasing Program CMS-1345-P, Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations CMS-1518-P, Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2012 Rates Proposed Medical Education Reductions

H.R. 2500, Equal Access and Parity for Multi-Campus Hospitals Act H.R. 3590, the Patient Protection and Affordable Care Act, Section 9006

CMS-1504-P, Medicare Program; Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates, Critical Access Hospital Direct Supervision Requirement CMS-1504-P, Medicare Program; Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates, Graduate Medical Education residency slots reallocation CMS-2339-P, Medicare Program: Hospital Inpatient Value-Based Purchasing Program CMS-1345-P, Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations CMS-1518-P, Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2012 Rates

H.R. 2500, Equal Access and Parity for Multi-Campus Hospitals Act H.R. 3590, the Patient Protection and Affordable Care Act, Section 9006

CMS-1504-P, Medicare Program; Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates, Critical Access Hospital Direct Supervision Requirement CMS-1504-P, Medicare Program; Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates, Graduate Medical Education residency slots reallocation CMS-2339-P, Medicare Program: Hospital Inpatient Value-Based Purchasing Program CMS-1345-P, Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations

H.R. 6072, S. 3708 Electronic Health Record Incentives for Multi-Campus Hospitals Act of 2010, all provisions H.R. 3590, the Patient Protection and Affordable Care Act, Section 9006 H.R. 3590, the Patient Protection and Affordable Care Act, Section 5101--National Health Care Workforce Commission nomination H.R. 3590, the Patient Protection and Affordable Care Act, Section 4001--Advisory Group on Prevention, Health Promotion, and Integrative and Public Health nomination

Affordable Care Act Implementation Medicare Reimbursement Changes

Affordable Care Act Implementation Medicare Reimbursement Changes

Congressional project requests H.R. 1, American Recovery and Reinvesment Act -- USDA Rural Development Grant

H.R. 6072, S. 3708 Electronic Health Record Incentives for Multi-Campus Hospitals Act of 2010, all provisions H.R. 3590, the Patient Protection and Affordable Care Act, Section 9006 H.R. 3590, the Patient Protection and Affordable Care Act, Section 5101--National Health Care Workforce Commission nomination H.R. 3590, the Patient Protection and Affordable Care Act, Section 4001--Advisory Group on Prevention, Health Promotion, and Integrative and Public Health nomination

Congressional project requests

H.R. 6072, S. 3708 Electronic Health Record Incentives for Multi-Campus Hospitals Act of 2010, all provisions H.R. 3590, the Patient Protection and Affordable Care Act, Section 9006 H.R. 3590, the Patient Protection and Affordable Care Act, Section 5101--National Health Care Workforce Commission nomination H.R. 3590, the Patient Protection and Affordable Care Act, Section 4001--Advisory Group on Prevention, Health Promotion, and Integrative and Public Health nomination

CMS-1504-P, Medicare Program; Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates, Critical Access Hospital Direct Certification Requirement CMS-1504-P, Medicare Program; Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates, Graduate Medical Education residency slots reallocation

The American Recovery and Reinvestment Act (ARRA), Congressional project requests

HR 3590: Patient Protection and Affordable Care Act, MEDCAC

Inpatient Prospective Payment System (IPPS) rule

HR 3590: Patient Protection and Affordable Care Act, MEDCAC

The American Recovery and Reinvestment Act (ARRA), Congressional project requests

FY 2011 appropriations

Medicaid Budget Issues, physician and hospital reimbursement, IGT issues, community benefits legislation, medical error reporting, IME, GME and DME legislation, DSH payments, Hospital Wage Rate issues and Municipal Credit issues

Medicaid budget issues and Congressional appropriations

Medicaid Budget Issues, physician and hospital reimbursement, IGT issues, community benefits legislation, medical error reporting, IME, GME and DME legislation, DSH payments, Hospital Wage Rate issues and Municipal Credit issues.

Medicaid Budget Issues, physician and hospital reimbursement, IGT issues, community benefits legislation, medical error reporting, IME, GME and DME legislation, DSH payments, Hospital Wage Rate issues and Municipal Credit issues.

Medicaid budget issues and Congressional appropriations