id,filing_uuid,filing_type,registrant_name,registrant_id,client_name,filing_year,filing_period,issue_code,specific_issues,government_entities,income_amount,expense_amount,is_no_activity,is_termination,received_date
287831,c633c49e-5bf6-445a-b0f2-b756b5b933e7,YY,"SUSAN J. WHITE & ASSOCIATES, INC.",41181,CALIFORNIA ASSOCIATION OF HEALTH INSURING ORGANIZATIONS,2004,year_end,MMM,,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE,White House Office",0,,0,0,2000-08-14T00:00:00-04:00
287834,18cb1368-1da7-4e73-a87c-a91d97cf9ca5,YY,"SUSAN J. WHITE & ASSOCIATES, INC.",41181,LOS ANGELES COUNTY CA,2004,year_end,MMM,,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE,White House Office",80000,,0,0,2000-08-14T00:00:00-04:00
287836,93363b66-8bb3-4288-aebf-bdd33cb9e2ff,Y@,"SUSAN J. WHITE & ASSOCIATES, INC.",41181,CALIFORNIA HEALTHCARE ASSN,2004,year_end,MMM,,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE,White House Office",20000,,0,0,2000-08-14T00:00:00-04:00
287840,61bc16e4-b910-4060-8569-33dfbb39f8ae,YY,"SUSAN J. WHITE & ASSOCIATES, INC.",41181,COOK COUNTY IL,2004,year_end,MMM,,"HOUSE OF REPRESENTATIVES,SENATE,White House Office",60000,,0,0,2000-08-14T00:00:00-04:00
287847,b953a654-d327-474d-a288-7ca119fb570a,YY,"SUSAN J. WHITE & ASSOCIATES, INC.",41181,CUYAHOGA COUNTY,2004,year_end,MMM,,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE,White House Office",20000,,0,0,2000-08-14T00:00:00-04:00
287886,f4f35ad5-4bf7-44b7-89cf-ae781939abe9,MM,NOVARTIS,9204,NOVARTIS,2004,mid_year,MMM,"H.R.2218, Regulation of non corrective contact lens as medical devices
S.1, Prescription Drug and Medicare Improvement Act of 2003
H.R.1, Medicare Prescription Drug Modernization Act of 2003
H.R.2427, Pharmaceutical Market Access Act of 2003
HR1288/S1037, Access to Cancer Therapies Act of 2003
S178, Comprehensive Immunosuppressive Drug Coverage for Transplant Patients Act of 2003
S191/HR2223, Immunosuppressive Drug Coverage Act of 2003
HR588, Medicare Fairness for Organ Transplant Recipients Act of 2003
HR2356, Prescription Drug Comparative Effectiveness Act of 2003
S.650, Pediatric Research Equity Act of 2003
HR2769, Save our Seniors Act of 2003
HR2427 Pharmaceutical Market Access Act of 2003
HR2857, Pediatric Research Equity Act of 2003
HR1170, Child Medication Safety Act of 2003

Medicare Prescription Drugs & Modfernization Act
The Bipartisan Medicare Prescription Drug Act of 2001 (Sen. Kennedy-Draft Bill)
Prospective Payment System
Medicare Reform","HOUSE OF REPRESENTATIVES,SENATE",,1479577,0,0,2003-08-12T00:00:00-04:00
287902,4b7c0d08-42f2-4a05-9f2b-54eaab164ae4,YY,"MEDICAID POLICY, LLC",53983,CALIFORNIA RURAL INDIAN HEALTH BOARD INC,2004,year_end,MMM,,"Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS)",0,,0,0,2004-01-12T00:00:00-05:00
287909,6e3b3b6c-51c1-442d-a937-33756d64bd14,MM,ZERO PROSTATE CANCER,28388,ZERO PROSTATE CANCER,2004,mid_year,MMM,Medicare/Medicaid: Cancer and Prostate Cancer,"Centers For Disease Control & Prevention (CDC),Centers For Medicare and Medicaid Services (CMS),Defense, Dept of (DOD),Food & Drug Administration (FDA),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Natl Institutes of Health (NIH),SENATE,Veterans Affairs, Dept of (VA)",,40000,0,0,2004-01-21T00:00:00-05:00
288046,e4d37fde-eadd-4104-8ed4-1f19515da9c1,YY,HOGAN LOVELLS US LLP,18422,AMGEN INC.,2004,year_end,MMM,,"Health & Human Services, Dept of (HHS),Homeland Security, Dept of (DHS),HOUSE OF REPRESENTATIVES,SENATE",160000,,0,0,2004-02-11T00:00:00-05:00
288068,7c57562e-60d1-4512-832f-576e1a86169c,YY,"RYAN MACKINNON VASAPOLI AND BERZOK, LLP",30187,PFIZER INC,2004,year_end,MMM,,"HOUSE OF REPRESENTATIVES,SENATE",80000,,0,0,2004-02-11T00:00:00-05:00
288092,5f7756d8-b4ea-4cc3-8e91-70b3b4a43017,YY,"HEALTH NET, INC.",289396,HEALTH NET INC,2004,year_end,MMM,,"Centers For Medicare and Medicaid Services (CMS),Executive Office of the President (EOP),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",,200000,0,0,2004-02-11T00:00:00-05:00
288261,123940e2-2d03-406a-b420-47c8d337e7aa,YY,"CAPITOL ASSOCIATES, INC.",8101,NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS,2004,year_end,MMM,,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2004-02-14T00:00:00-05:00
288288,aab07f60-aed0-4e4b-b7b8-bf6cfc5a9c64,YY,"CAPITOL ASSOCIATES, INC.",8101,JOINT COUNCIL OF ALLERGY ASTHMA & IMMUNOLOGY D/B/A ADVOCACY COUNCIL OF ACAAI,2004,year_end,MMM,,"HOUSE OF REPRESENTATIVES,Labor, Dept of (DOL),SENATE",40000,,0,0,2004-02-14T00:00:00-05:00
288304,fbf16fbb-d56b-4657-92d6-d27424a20fe3,YY,"CAPITOL ASSOCIATES, INC.",8101,NATIONAL ATHLETIC TRAINERS ASSOCIATION,2004,year_end,MMM,,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2004-02-14T00:00:00-05:00
288316,4fb7ee14-36d8-4c4a-b39f-f5d75965a7c5,YY,"CAPITOL ASSOCIATES, INC.",8101,NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS,2004,year_end,MMM,,"Centers For Medicare and Medicaid Services (CMS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2004-02-14T00:00:00-05:00
288357,386b740d-37a1-4528-a421-957aaa6ffb25,YY,AMERICAN MEDICAL ASSOCIATION,2877,AMERICAN MEDICAL ASSOCIATION,2004,year_end,MMM,,"Centers For Medicare and Medicaid Services (CMS),Environmental Protection Agency (EPA),Executive Office of the President (EOP),Federal Trade Commission (FTC),Food & Drug Administration (FDA),Government Accountability Office (GAO),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",,9280000,0,0,2004-02-14T00:00:00-05:00
288364,ac6e0470-591b-4b0b-aa21-1b9e6ea06d6a,YY,"CAPITOL ASSOCIATES, INC.",8101,HEALTHCARE BUSINESS & MANAGEMENT ASSOC (FKA HEALTHCARE BILLING & MGMT),2004,year_end,MMM,,"Centers For Medicare and Medicaid Services (CMS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,SENATE",80000,,0,0,2004-02-14T00:00:00-05:00
288372,82852b15-6188-4b29-a1a4-2d09f2418c0a,YY,THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA,18672,HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA,2004,year_end,MMM,,"HOUSE OF REPRESENTATIVES,SENATE",,140000,0,0,2004-02-15T00:00:00-05:00
288398,afcefc34-1e6e-4f24-a4d9-1ec41c440018,YY,LIBERTY SQUARE GROUP,73191,LIBERTY SQUARE DC LLC (FOR UNIV OF MASS INSTITUTE FOR COMMUNITY INCLUSION),2004,year_end,MMM,,"HOUSE OF REPRESENTATIVES,SENATE",0,,0,0,2004-02-15T00:00:00-05:00
288424,5293d7c5-1b14-41c7-94d9-40dfeca16e80,MM,AMERICAN UROLOGICAL ASSOCIATION,90352,AMERICAN UROLOGICAL ASSOCIATION,2004,mid_year,MMM,,"HOUSE OF REPRESENTATIVES,Natl Institutes of Health (NIH),SENATE",,250000,0,0,2004-02-15T00:00:00-05:00
288568,a69013bc-ff9b-4632-af8e-2591a7e0cd88,MT,"BURNETT, LAIRD D.",84252,HOSPITAL FOR SPECIAL SURGERY,2004,mid_year,MMM,,"HOUSE OF REPRESENTATIVES,SENATE",0,,0,0,2004-02-18T00:00:00-05:00
288572,82e4bf18-a5af-48ca-9508-23ef3b47405a,YY,"SHOULTZ, DAVID",50023,VARIAN MEDICAL SYSTEMS,2004,year_end,MMM,,"Centers For Medicare and Medicaid Services (CMS),Defense, Dept of (DOD),HOUSE OF REPRESENTATIVES,Natl Institutes of Health (NIH),SENATE",60000,,0,0,2004-02-23T00:00:00-05:00
288591,bef73d96-2c99-412e-8388-86c3b324079d,YY,"SHOULTZ, DAVID",50023,NATL ELECTRICAL MANUFACTURERS ASSN (NEMA),2004,year_end,MMM,,"Centers For Medicare and Medicaid Services (CMS),Food & Drug Administration (FDA),HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2004-02-23T00:00:00-05:00
288600,cc0e8cd5-8667-46e0-ab57-ca3208e6388d,YY,NATIONAL RURAL HEALTH ASSOCATION,53048,NATIONAL RURAL HEALTH ASSOCATION,2004,year_end,MMM,,"Executive Office of the President (EOP),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE,Veterans Affairs, Dept of (VA)",,80000,0,0,2004-02-23T00:00:00-05:00
288675,66514e47-1462-4d2f-a046-a458c04e2a7c,MM,CORRELOGIC SYSTEMS,82352,CORRELOGIC SYSTEMS,2004,mid_year,MMM,,HOUSE OF REPRESENTATIVES,0,,0,0,2004-04-26T00:00:00-04:00
288735,522eedfe-bd19-4157-9763-c6df9869bda7,MT,"GREENBERG TRAURIG, LLP",16896,WAL-MART STORES INC,2004,mid_year,MMM,,"HOUSE OF REPRESENTATIVES,SENATE",40000,,0,0,2004-05-11T00:00:00-04:00
288818,4fad5cac-91b1-4dd7-b7f0-a40ffbb09e42,MM,TREA SENIOR CITIZENS LEAGUE,38426,TREA SENIOR CITIZENS LEAGUE,2004,mid_year,MMM,,"HOUSE OF REPRESENTATIVES,SENATE",,100000,0,0,2004-06-22T00:00:00-04:00
288911,04cce548-3bad-48ad-84c5-d1fa31519b94,MT,"BURNETT, LAIRD D.",84252,AMERICAN MEDICAL GROUP ASSN,2004,mid_year,MMM,,"HOUSE OF REPRESENTATIVES,SENATE",0,,0,0,2004-07-01T00:00:00-04:00
289022,9560c52e-ec5e-4d95-9f97-26b60f7e8888,MM,WASHINGTON STATE HOSPITAL ASSN,53037,WASHINGTON STATE HOSPITAL ASSN,2004,mid_year,MMM,,"HOUSE OF REPRESENTATIVES,SENATE",40000,,0,0,2004-07-08T00:00:00-04:00
289067,23ad6cc4-f050-45f0-9230-cf7f372b78e7,MM,KINDRED HEALTHCARE D/B/A SCIONHEALTH,39952,KINDRED HEALTHCARE,2004,mid_year,MMM,,"Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",,60000,0,0,2004-07-09T00:00:00-04:00
289078,b0ae9d0d-deb1-478d-aef2-2498d342589a,MM,AMERICAN CAPITOL GROUP,305852,PHARMACEUTICAL RESEARCH AND MANUFACTURERS OF AMERICA,2004,mid_year,MMM,,"Executive Office of the President (EOP),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2004-07-09T00:00:00-04:00
289083,a272d6e9-8cf4-460f-9983-1640a85f973c,MM,AMERICAN CAPITOL GROUP,305852,WYETH,2004,mid_year,MMM,,"Executive Office of the President (EOP),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2004-07-09T00:00:00-04:00
289095,8118cdff-ff73-4297-9bda-4263feacdc07,MM,AMERICAN CAPITOL GROUP,305852,SANOFI US SERVICES INC,2004,mid_year,MMM,,"Executive Office of the President (EOP),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2004-07-09T00:00:00-04:00
289170,ea4ee8e0-2d7d-42a4-aece-42b994536a83,MM,"CAPITOL HILL STRATEGIES,  LLC",91774,PHRMA,2004,mid_year,MMM,"HR1, Medicare Prescription Drug, Improvement and Modernization Act",,120000,,0,0,2004-07-12T00:00:00-04:00
289200,6e1c0bf1-f309-4c86-85c7-dd50296992a3,MM,ALLIANCE FOR CHILDREN AND FAMILIES,47826,ALLIANCE FOR CHILDREN AND FAMILIES,2004,mid_year,MMM,"Medicare prescription drug law
Mental health parity
Mentally Ill Offender Treatment and Crime Reduction Act, S. 1194/HR 2387
Substance abuse programs
Medicaid FMAP
State Children's Health Insurance Safety Net Preservation Act, S. 2222
Medicaid Provider Reimbursement
Family Opportunity Act","Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",,20000,0,0,2004-07-12T00:00:00-04:00
289206,c3d05b80-42e9-4f96-b4d5-f8f7ab23d08a,MM,"MURDOCH, WALRATH & HOLMES",26205,CALIFORNIA RETIRED TEACHERS ASSOCIATION,2004,mid_year,MMM,,"HOUSE OF REPRESENTATIVES,SENATE",0,,0,0,2004-07-12T00:00:00-04:00
289284,705fe054-4063-4891-9668-15a94c653eb2,MM,"VERITAS ADVISORS, LLP",283878,SAINT LUKES HEALTH SYSTEM (FKA ST LUKES REGIONAL MEDICAL CENTER LTD),2004,mid_year,MMM,,"HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2004-07-14T00:00:00-04:00
289389,6100c3ce-77e3-4773-852c-48f840db6724,MM,MARSHALL BRACHMAN,6848,UNITED SURGICAL PARTNERS INTERNATIONAL INC,2004,mid_year,MMM,,"HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2004-07-14T00:00:00-04:00
289398,27a67dc5-ec7e-4f40-b52e-4d24be9c131b,MM,MARSHALL BRACHMAN,6848,BAYLOR SCOTT AND WHITE HEALTH -- FORMERLY BAYLOR HEALTH CARE SYSTEM,2004,mid_year,MMM,,"HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2004-07-14T00:00:00-04:00
289428,65975fd6-4d65-49f6-8546-2c7dcae41673,MM,"DEBRUNNER & ASSOCIATES, INC.",11834,MONONGAHELA VALLEY HOSPITAL,2004,mid_year,MMM,Rehabilitation Rule,"Centers For Medicare and Medicaid Services (CMS),Defense, Dept of (DOD),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,SENATE",45000,,0,0,2004-07-15T00:00:00-04:00
289434,fc0fde22-f35a-4c26-996a-a0503914894a,MM,"DEBRUNNER & ASSOCIATES, INC.",11834,ALBERT EINSTEIN HEALTHCARE NETWORK,2004,mid_year,MMM,"Medicare Reimbursement
Medicaid Reimbursement
2005 Hospital Inpatient Rule
PPS Regulation for Rehabilitation Hospitals
Medicare Modernization Act","Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2004-07-15T00:00:00-04:00
289464,a2bf2485-188e-4d1b-b2e8-7cd8be1b443a,MM,"DEBRUNNER & ASSOCIATES, INC.",11834,CATHOLIC HEALTHCARE WEST,2004,mid_year,MMM,"H.R.1 - Medicare Prescription Drug and Modernization Act of 2003
S.1 - Medicare Prescription Drug and Modernization Act of 2003
Medicare Reimbursement
Medicaid Reimbursement
Bad Debt Payments
Medicare Disproportionate Share Payments
Medicaid Disproportionate Share Payments","HOUSE OF REPRESENTATIVES,SENATE",17500,,0,0,2004-07-15T00:00:00-04:00
289469,db744a50-e7ee-4057-9df0-849533da90fd,MM,"DEBRUNNER & ASSOCIATES, INC.",11834,SUSQUEHANNA HEALTH SYSTEM,2004,mid_year,MMM,"H.R.1 - Medicare Prescription Drugs and Modernization Act of 2003
S.1 - Medicare Prescription Drugs and Modernization Act of 2003
Geographic Reclassification
Medicare Reimbursement
Medicaid Reimbursement
2005 Hospital Inpatient Proposed Rule","Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,SENATE",52500,,0,0,2004-07-15T00:00:00-04:00
289471,b3d59c4d-f05d-49cf-9b5c-9263e6219b16,MM,"DEBRUNNER & ASSOCIATES, INC.",11834,SAFETY-NET ASSOCIATION OF PENNSYLVANIA,2004,mid_year,MMM,"H.R.1 - Medicare Prescription Drugs and Modernization Act of 2003
S.1 - Medicare Prescription Drugs and Modernization Act of 2003","HOUSE OF REPRESENTATIVES,SENATE",3450,,0,0,2004-07-15T00:00:00-04:00
289492,9a5a1dfb-6cc4-4a07-80d4-c77529623e39,MM,"DEBRUNNER & ASSOCIATES, INC.",11834,SOUTHCOAST HEALTH SYSTEM,2004,mid_year,MMM,"H.R.1 - Medicare Prescription Drugs & Modernization Act of 2003
S.1 - Medicare Prescription Drugs & Modernization Act of 2003
Geographic Reclassification
Medicare Reimbursement
Medicaid Reimbursement
Inpatient Rule
Occupational Mix
Uncompensated Care Data Collection","Centers For Medicare and Medicaid Services (CMS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2004-07-15T00:00:00-04:00
289501,bed1d905-8c3d-422d-9e9b-e5f7c5c1dc5e,MM,"DEBRUNNER & ASSOCIATES, INC.",11834,NUVANCE HEALTH / HEALTH QUEST,2004,mid_year,MMM,"H.R.1 - Medicare Prescription Drugs & Modernization Act of 2003
S.1 - Medicare Prescription Drugs & Modernization Act of 2003
Geographic Reclassification
2005 Hospital Inpatient Proposed Rule","Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,SENATE",72000,,0,0,2004-07-15T00:00:00-04:00
289515,638514b3-fe04-4a09-91bc-045ba0887c27,MM,CMS,284653,CMS,2004,mid_year,MMM,,"Centers For Medicare and Medicaid Services (CMS),SENATE",0,,0,0,2004-07-15T00:00:00-04:00
289518,40f22a52-cd87-4987-8e76-5566cc3a14ba,MM,"DEBRUNNER & ASSOCIATES, INC.",11834,PRIVATE ESSENTIAL ACCESS COMMUNITY HOSPITALS,2004,mid_year,MMM,"H.R.1 - Medicare Prescription Drugs and Modernization Act of 2003
S.1 - Medicare Prescription Drugs and Modernization Act of 2003
Medicare Reimbursement
Medicaid Reimbursement
Cost Report on Uncompensated Care Data Collection
Medicaid Waiver
2005 House & Senate Budget Resolutions","Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",72000,,0,0,2004-07-15T00:00:00-04:00
289528,9fedf80f-1f07-48e5-b556-ad6d5ce938ac,MM,"DEBRUNNER & ASSOCIATES, INC.",11834,NATIONAL ALLIANCE OF SAFETY-NET HOSPITALS (FKA NATIONAL ASSOCIATION OF URBAN HOS,2004,mid_year,MMM,"H.R.1 - Medicare Prescription Drugs and Modernization Act of 2003
S.1 - Medicare Prescription Drugs and Modernization Act of 2003
Medicare Reimbursement - Disproportionate Share, Bad Debt, IME, Medicare DSH, Outliers
Medicaid Reimbursement, Medicaid DSH
Cost Report on Uncompensated Care Data Collection
Occupational Mix
2005 Hospital Inpatient Proposed Rule
2005 House & Senate Budget Resolutions","Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",151000,,0,0,2004-07-15T00:00:00-04:00
289533,95f1bbf2-939f-4a6d-b33b-056cb816d7dd,MM,"DEBRUNNER & ASSOCIATES, INC.",11834,THOMAS JEFFERSON UNIVERSITY HOSPITAL,2004,mid_year,MMM,"H.R.1 - Medicare Prescription Drugs and Modernization Act of 2003
S.1 - Medicare Prescription Drugs and Modernization Act of 2003
Medicare Reimbursement - Medicare Disproportionate Share, IME
Medicaid Reimbursement
2005 Hospital Inpatient Proposed Rule
Hospital Billing and Charges","Centers For Medicare and Medicaid Services (CMS),Defense, Dept of (DOD),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,SENATE",45000,,0,0,2004-07-15T00:00:00-04:00
289651,719327e5-6049-47f0-89c0-7f611ab46fea,MM,MEDICAL DEVICE MANUFACTURERS ASSOCIATION,24794,MEDICAL DEVICE MANUFACTURERS ASSOCIATION,2004,mid_year,MMM,,"Centers For Medicare and Medicaid Services (CMS),Federal Trade Commission (FTC),Food & Drug Administration (FDA),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",,100000,0,0,2004-07-20T00:00:00-04:00
289670,caa2a763-6439-4afb-8c62-203d50f0b4d0,MM,THE MCMANUS GROUP,286096,PHARMACEUTICAL RESEARCH AND MANUFACTURERS OF AMERICA,2004,mid_year,MMM,,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2004-07-20T00:00:00-04:00
289684,82e94fb3-2393-4a7b-bfb5-244b98bd51e9,MM,"DIGENOVA & TOENSING, LLP",12254,AMERICAN HOSPITAL ASSOCIATION,2004,mid_year,MMM,,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Justice, Dept of (DOJ),SENATE",140000,,0,0,2004-07-20T00:00:00-04:00
289708,23b48baf-6a3e-4be8-853f-53860ffcb554,MM,THE MCMANUS GROUP,286096,AMERICAN MEDICAL ASSOCIATION,2004,mid_year,MMM,,"Health & Human Services, Dept of (HHS),SENATE",20000,,0,0,2004-07-20T00:00:00-04:00
289753,03a2048c-c0a3-44c0-8444-97d8167568e1,MM,THE MCMANUS GROUP,286096,TRANSPLANT PHARMACY COALITION,2004,mid_year,MMM,,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2004-07-20T00:00:00-04:00
289803,079060f7-7677-4604-8557-d1dab39d8bbb,MM,THE MCMANUS GROUP,286096,AMBULATORY SURGERY CENTER ASSOCIATION,2004,mid_year,MMM,,"HOUSE OF REPRESENTATIVES,SENATE",40000,,0,0,2004-07-20T00:00:00-04:00
289867,b4b8ddab-be00-4ffe-b20c-393d6c3e9b35,MM,THE MCMANUS GROUP,286096,GENENTECH,2004,mid_year,MMM,,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",40000,,0,0,2004-07-20T00:00:00-04:00
289929,f2160030-2c3b-4ff5-b7d0-2f16109364f3,MM,"ALLIANCE OF COMMUNITY HEALTH PLANS, INC.",18353,"ALLIANCE OF COMMUNITY HEALTH PLANS, INC.",2004,mid_year,MMM,,"Centers For Medicare and Medicaid Services (CMS),Executive Office of the President (EOP),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Office of Management & Budget (OMB),SENATE,White House Office",,240000,0,0,2004-07-21T00:00:00-04:00
289946,22117911-fc66-49a3-8338-88fbe615c11c,MM,"GOGAL, LAURA",76478,ST LOUIS 2004,2004,mid_year,MMM,,"Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Office of Management & Budget (OMB),SENATE",20000,,0,0,2004-07-21T00:00:00-04:00
289954,e18611ed-dd7e-4638-b2af-dc196c8b2ea3,MM,MORRISON PUBLIC AFFAIRS GROUP,67193,KIRBY MCINERNEY & SQUIRE,2004,mid_year,MMM,,"HOUSE OF REPRESENTATIVES,SENATE",0,,0,0,2004-07-21T00:00:00-04:00
290202,06a2ce01-8d0c-400f-8840-908b575beae4,MM,LAW OFFICES OF MARK S. JOFFE,48315,MEDICARE COST CONTRACTORS ALLIANCE,2004,mid_year,MMM,,"HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2004-07-23T00:00:00-04:00
290219,4464b3ad-1e25-41d7-a552-e7a94b7dfd99,MM,"HEALTHPARTNERS, INC.",45128,"HEALTHPARTNERS, INC",2004,mid_year,MMM,,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",,20000,0,0,2004-07-23T00:00:00-04:00
290238,295354e5-65b8-4554-af80-f3bdf24a5105,MT,"CAGNOLI, W. ALLAN",85470,PARTNERSHIP FOR PREVENTION,2004,mid_year,MMM,,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",0,,0,0,2004-07-23T00:00:00-04:00
290357,87ebd7ac-364d-45c5-9164-667a659fa8cd,MM,"ABERNATHY CONSULTANTS, CATHY",69151,TENET HEALTHCARE,2004,mid_year,MMM,Legislation pertaining to H.R. 1--Medicare Prescription Drug and Modernization Act of 2003,HOUSE OF REPRESENTATIVES,80000,,0,0,2004-07-26T00:00:00-04:00
290424,496b7983-1683-4771-9876-c167ff94e98f,MM,DENNY MILLER ASSOCIATES,25328,CELL THERAPEUTICS,2004,mid_year,MMM,"Regulations required by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003","HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2004-07-26T00:00:00-04:00
290425,4ee686bf-a6be-4720-9510-a7f5430bde71,MM,"ABERNATHY CONSULTANTS, CATHY",69151,JOHNSON & JOHNSON,2004,mid_year,MMM,Legislation pertaining to H.R. 1--Medicare Prescription Drug and Modernization Act of 2003,HOUSE OF REPRESENTATIVES,140000,,0,0,2004-07-26T00:00:00-04:00
290515,204a46a2-e97b-4692-8959-0cabefd7bd3f,MM,DENNY MILLER ASSOCIATES,25328,CELL THERAPEUTICS,2004,mid_year,MMM,Regulations required by the Medicare Prescription Drug Improvement and Modernization Act of 2003,"HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2004-07-27T00:00:00-04:00
290583,426b00ea-288c-47fb-8c1a-2ac480e8b4dc,MM,"PIZER & COMPANY, L.L.C",31601,SCHOOL DISTRICT OF PHILADELPHIA,2004,mid_year,MMM,,"Education, Dept of,HOUSE OF REPRESENTATIVES,SENATE,White House Office",60000,,0,0,2004-07-27T00:00:00-04:00
290594,861af7cc-2f69-4e26-b8bd-4c056d395aa4,MT,HUNTON ANDREWS KURTH LLP,18978,CLEVELAND CLINIC FOUNDATION,2004,mid_year,MMM,,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",80000,,0,0,2004-07-27T00:00:00-04:00
290660,dd641af8-9d25-4d90-814b-a9bce42ae2e1,MM,NATIONAL COUNCIL ON INDEPENDENT LIVING,61471,NATIONAL COUNCIL ON INDEPENDENT LIVING,2004,mid_year,MMM,,"Centers For Medicare and Medicaid Services (CMS),Education, Dept of,Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Housing & Urban Development, Dept of (HUD),SENATE",,0,0,0,2004-07-27T00:00:00-04:00
290729,b96a0123-1437-49d0-8e64-b3376544ce54,MM,AMERICAN SOCIETY FOR MICROBIOLOGY,3355,AMERICAN SOCIETY FOR MICROBIOLOGY,2004,mid_year,MMM,"Medicare reimbursement for clinical lab tests, P.L. 108-173",HOUSE OF REPRESENTATIVES,,,0,0,2004-07-27T00:00:00-04:00
290733,29204810-164b-4012-b459-f204fd9d5bb3,MT,HUNTON ANDREWS KURTH LLP,18978,CHILDREN'S MERCY HOSPITAL,2004,mid_year,MMM,,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2004-07-27T00:00:00-04:00
290734,b30fade5-0a1b-4158-afc8-a35ebb161da3,MT,HUNTON ANDREWS KURTH LLP,18978,AMGEN,2004,mid_year,MMM,,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",40000,,0,0,2004-07-27T00:00:00-04:00
290845,0be60bb4-94a1-4c63-ad5d-0134cd2a82ed,MM,"MAYFORTH GROUP, LLC.",76412,RHODE ISLAND ASSOCIATION OF FACILITIES AND SERVICES FOR THE AGING,2004,mid_year,MMM,,"HOUSE OF REPRESENTATIVES,SENATE",0,,0,0,2004-07-28T00:00:00-04:00
290867,c05bee5c-53d1-4ac8-8808-1c6051ca62f5,MA,MERITCARE HEALTH SYSTEMS,285858,MERITCARE HEALTH SYSTEMS,2004,mid_year,MMM,"HR 816-Health Care Access and Rural Equity Act of 2003. Medicare rural health care improvments. 

HR 1/ S 1-Medicare Prescription Drug and Modernization Act of 2003. Prescription drug benefits, rural hospital adjustments.","HOUSE OF REPRESENTATIVES,SENATE",,,0,0,2004-07-28T00:00:00-04:00
290923,f95f6551-46b2-457b-a77c-46e39924dfb5,MM,AMERICAN SOCIETY OF RADIOLOGIC TECHNOLOGISTS,47303,AMERICAN SOCIETY OF RADIOLOGIC TECHNOLOGISTS,2004,mid_year,MMM,,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",,150000,0,0,2004-07-28T00:00:00-04:00
290952,f1836427-b319-44b6-9df1-6680bbfcc93a,MM,NATIONAL PATIENT ADVOCATE FOUNDATION,28311,NATIONAL PATIENT ADVOCATE FOUNDATION,2004,mid_year,MMM,,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",,125748,0,0,2004-07-28T00:00:00-04:00
290966,02302494-1d8f-4939-b535-8b1240429c38,MT,"DCI GROUP, L.L.C.",61174,HEALTH PARTNERS,2004,mid_year,MMM,Medicare/Medicaid,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",,,0,0,2004-07-28T00:00:00-04:00
290986,34bdf82b-83e9-4f17-b5f0-a41eecbb67e0,MM,THE MCMANUS GROUP,286096,AMERICAN OCCUPATIONAL THERAPY ASSOCIATION,2004,mid_year,MMM,,,40000,,0,0,2004-07-28T00:00:00-04:00
291002,9bc80756-9951-4f47-b8bb-9a3d3c065983,MM,ASSOCIATION OF CANCER CARE CENTERS (FKA ASSOCIATION OF COMMUNITY CANCER CENTERS),71952,ASSOCIATION OF CANCER CARE CENTERS (FKA ASSOCIATION OF COMMUNITY CANCER CENTERS),2004,mid_year,MMM,,"Centers For Medicare and Medicaid Services (CMS),Government Accountability Office (GAO),HOUSE OF REPRESENTATIVES,SENATE",,0,0,0,2004-07-28T00:00:00-04:00
291005,9d25e24a-96e4-4969-9357-bb46078b4913,MM,"MAYFORTH GROUP, LLC.",76412,COMPUCLAIM,2004,mid_year,MMM,,"HOUSE OF REPRESENTATIVES,SENATE",0,,0,0,2004-07-28T00:00:00-04:00
291011,2bfdd834-7922-4268-bcd1-cc0e0803c207,MM,MERITCARE HEALTH SYSTEMS,285858,MERITCARE HEALTH SYSTEMS,2004,mid_year,MMM,"HR 816-Health Care Access and Rural Equity Act of 2003. Medicare rural health care improvments. 

HR 1/ S 1-Medicare Prescription Drug and Modernization Act of 2003. Prescription drug benefits, rural hospital adjustments.","HOUSE OF REPRESENTATIVES,SENATE",,,0,0,2004-07-28T00:00:00-04:00
291107,d65619bc-846a-49e6-9a9b-08f11313cd28,MM,AMERICAN SOCIETY OF CATARACT & REFRACTIVE SURGERY,3402,AMERICAN SOCIETY OF CATARACT & REFRACTIVE SURGERY,2004,mid_year,MMM,,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",,283000,0,0,2004-07-28T00:00:00-04:00
291174,3ee7206b-dff5-47eb-ac9b-112c63c329e9,MM,THERAPEUTIC COMMUNITIES OF AMERICA,81178,THERAPEUTIC COMMUNITIES OF AMERICA,2004,mid_year,MMM,,"Energy, Dept of,Executive Office of the President (EOP),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Justice, Dept of (DOJ),Office of Natl Drug Control Policy (NDCP),SENATE,White House Office",40000,,0,0,2004-07-29T00:00:00-04:00
291406,05e5bc5c-d4f3-4be6-ba55-d52537239d50,MM,THE NATIONAL GRANGE OF THE ORDER OF PATRONS OF HUSBANDRY,27913,NATIONAL GRANGE OF THE ORDER OF PATRONS OF HUSBANDRY,2004,mid_year,MMM,,"Agriculture, Dept of (USDA),Commerce, Dept of (DOC),Education, Dept of,Environmental Protection Agency (EPA),Federal Communications Commission (FCC),Federal Trade Commission (FTC),Food & Drug Administration (FDA),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Interior, Dept of (DOI),Justice, Dept of (DOJ),SENATE,U.S. Trade Representative (USTR)",,20000,0,0,2004-07-29T00:00:00-04:00
291416,74d6ae9f-e46a-4654-ae0c-cfb0b7d3a4b0,MM,MARSHFIELD CLINIC HEALTH SYSTEM,57830,MARSHFIELD CLINIC HEALTH SYSTEM,2004,mid_year,MMM,"Medicare Prescription Drug, Improvement, and Modernization Act of 2003 - Public Law No: 108-173
(Sec. 106) Establishes a State Pharmaceutical Assistance Transition Commission to develop a proposal for addressing the unique transitional issues facing State pharmaceutical assistance programs as a result of the enactment of this Act.
(Sec. 108) Authorizes the Secretary to make grants to physicians for the purpose of assisting them to implement electronic prescription drug programs that comply with appropriate standards. Authorizes appropriations.
Title II: Medicare Advantage - Subtitle B: Immediate Improvements - (Sec. 211) Revises the payment system, requiring all plans to be paid at a rate at least as high as the rate for traditional Medicare fee-for-service plans. Makes change in budget neutrality for blend. Increases minimum percentage increase to national growth rate. 
Requires the Secretary to submit to Congress a report that describes the impact of additional financing provided under this Act and other Acts on the availability on Medicare Advantage plans in different areas and its impact on lowering premiums and increasing benefits under such plans.
Subtitle C: Offering of Medicare Advantage (MA) Regional Plans; Medicare Advantage Competition - (Sec. 221) Directs the Secretary to establish regional plans to encourage private plans to serve Medicare beneficiaries in from 10 to 50 regions, including in rural areas, within the 50 States and the District of Columbia beginning not later than January 1, 2005. Includes risk corridors for plans during the first two years of the program in 2006 and 2007; a stabilization fund to encourage plan entry and limit plan withdrawals; a blended benchmark that will allow plan bids to influence the benchmark amount; and network adequacy stabilization payments to assist plans in forming adequate networks, particularly in rural areas.
Subtitle D: Additional Reforms - 
(Sec. 237) Provides that Federally Qualified Heatlh Centers (FQHCs) will receive a wrap-around payment for the reasonable costs of care provided to Medicare managed care patients served at such centers. Raises reimbursements to FQHCs in order that when they are combined with MA payments and cost-sharing payments from beneficiaries they equal 100 percent of the reasonable costs of providing such services. Extends the safe harbor to include any remuneration between a FQHC (or entity controlled by an FQHC) and an MA organization. 
(Sec. 238) Requires the Secretary to enter into an arrangement under which the Institute of Medicine of the National Academy of Sciences shall conduct an evaluation (for the Secretary and Congress) of leading health care performance measures in the public and private sectors and options to implement policies that align performance with payment under the Medicare program. 
Title III: Combatting Waste, Fraud, and Abuse - (Sec. 302) Directs the Secretary to conduct a demonstration project on the application of competitive acquisition to clinical diagnostic laboratory tests. 
(Sec. 303) requires the Secretary, beginning in 2004, to make adjustments in practice expense relative value units for certain drug administration services when establishing the physician fee schedule; (2) require the Secretary to use the survey data submitted to the Secretary as of January 1, 2003, by a certain physician specialty organization; and (3) require the Secretary, beginning in 2005, to use supplemental survey data to adjust practice expense relative value units for certain drug administration services in the physician fee schedule if that supplemental survey data includes information on the expenses associated with administering drugs and biologicals the administration of drugs and biologicals, the survey meets criteria for acceptance, and the survey is submitted by March 1, 2004, for 2005, or March 1, 2005, for 2006. 
Requires the Secretary to: (1) promptly evaluate existing drug administration codes for physicians' services to ensure accurate reporting and billing for such services, taking into account levels of complexity of the administration and resource consumption; (2) make adjustments to the nonphysician work pool methodology for the determination of practice expense relative value units under the physician fee schedule so that practice expense relative value units for services determined under such methodology are not affected relative to the practice expense relative value units of services not determined under such methodology; and (3) review and appropriately modify Medicare's payment policy in effect on October 1, 2003, for the administration of more than one drug or biological to an individual on a single day through the push technique. Makes the increase in expenditures resulting from this provision exempt from the budget-neutrality requirement in 2004. 
Requires a transitional adjustment or additional payment for services furnished from January 1, 2004, through December 31, 2005, to be made for drug administration services. Requires the part B payment to be made to the physician and equal a percentage of the payment otherwise made. 
Directs the MEDPAC to review the payment changes made under this section insofar as they affect payments under Medicare part B for items and services furnished by oncologists and for drug administration services furnished by other specialists. Requires the Commission to submit a report to the Secretary and Congress and for the Secretary to make appropriate payment adjustments on the basis of such report.
Provides that the following drugs and biologicals are to be paid at 95 percent of the average wholesale price (AWP): (1) a drug or biological furnished before January 1, 2004; (2) blood clotting factors furnished during 2004; (3) a drug or biological furnished during 2004 that was not available for part B payment as of April 1, 2003; (3) pneumoccal influenza and hepatitus B vaccines furnished on or after January 1, 2004; and (4) a drug or biological furnished during 2004 in connection with the furnishing of renal dialysis services if separately billed by renal dialysis facilities. Provides in general that payments for other drugs furnished in 2004 will equal 85 percent of the AWP (determined as of April 1, 2003). Provides that, beginning in 2005, drugs or biologicals, except for pneumococcal, influenza, and hepatitis B vaccines and those associated with certain renal dialysis services, will be paid using either the average sales price methodology or through the competitive acquisition program. Provides that infusion drugs furnished through covered durable medical equipment starting January 1, 2004, will be paid at 95 percent of the AWP in effect on October 1, 2003, and that those infusion drugs which may be furnished in a competitive area starting January 1, 2007, will be paid on the competitive price. Provides that intravenous immune globulin will be paid at 95 percent of the AWP in 2004 and paid according to the average sales price method in 2005. 
Title IV: Rural Provisions - 
Subtitle B: Provisions Relating to Part B Only - 
(Sec. 412) Directs the Secretary to increase the work geographic index to 1.00 for any locality for which such work geographic index is less than 1.00 for services furnished on or after January 1, 2004, and before January 1, 2007. 
(Sec. 413) Establishes a new five percent incentive payment program designed to reward both primary care and specialist care physicians for furnishing physicians' services on or after January 1, 2005, and before January 1, 2008 in physician scarity areas.
Directs the Secretary to pay the current law ten percent Health Professional Shortage Area (HPSA) incentive payment for services furnished in full county primary care geographic area HPSAs automatically rather than having the physician identify the health professional shortage area involved.
Directs the Comptroller General to conduct a study for a report to Congress on the differences in payment amounts under the Medicare physician fee schedule for physicians' services in different geographic areas. 
 (Sec. 417) Amends the Balanced Budget Act of 1997 to extend the telemedicine demonstration project by 4 years and to increase total funding for the project. 
Subtitle D: (Sec. 432) Amends SSA title VII to expand the functions of the Office of Rural Health Policy to include administering grants, cooperative agreements, and contracts to provide technical assistance and other necessary activities to support activities related to improving health care in rural areas.
(Sec. 433) Directs the MEDPAC to conduct a study of specified rural provisions of this title for various reports to Congress. 
Title VI: Provisions Relating to Part B - Subtitle A: Provisions Relating to Physicians' Services - Amends SSA title XVIII with respect to payment for physicians' services to: (1) provide that the update to the conversion factor for 2004 and 2005 will not be less than 1.5 percent; (2) modify the formula for calculating the sustainable growth rate to provide that the gross domestic product factor will be based on the annual average change over the preceding 10 years (a 10-year rolling average); 
(Sec. 604) Directs the Comptroller General to conduct a study for a report to Congress on access of Medicare beneficiaries to physician's services under the Medicare program.
(Sec. 605) Requires the Secretary to review and consider alternative data sources than those currently used to establish the geographic index for the practice expense component under the Medicare physician fee schedule no later than January 1, 2005. Requires the Secretary to select two physician payment localities for such purposes, one to be a rural area and the other one will be a statewide locality that includes both urban and rural areas. 
(Sec. 606) Directs the MEDPAC to submit to Congress: (1) a report on the effect of refinements to the practice expense component of payments for physicians' services after the transition to a full resource-based payment system in 2002; and (2) a report on the extent to which increases in the volume of physicians' services under Medicare part B are a result of care that improves the health and well-being of Medicare beneficiaries. 
Subtitle C: Other Provisions - 
(Sec. 626) Provides that in FY 2004, starting April 1, 2004, the ambulatory surgery center (ASC) update will be the Consumer Price Index for all urban consumers (U.S. city average) as estimated as of March 31, 2003, minus 3.0 percentage points. Provides that in FY 2005, the last quarter of calendar year 2005, and each of calendar years 2006 through 2009, the ASC update will be zero percent. 
Provides that upon implementation of the new ASC payment system, the Secretary will no longer be required to update ASC rates based on a survey of the actual audited costs incurred by a representative sample of ASCs every five years. 
Provides that subject to recommendations by the General Accounting Office, the Secretary will implement a revised payment system for payment of surgical services furnished in ASCs. Requires the new system to be implemented so that it is first effective on or after January 1, 2006, and not later than January 1, 2008. 
Requires the Comptroller General to conduct a study for a report to Congress that compares the relative costs of procedures furnished in ambulatory surgical centers to the relative costs of procedures furnished in hospital outpatient departments. 
(Sec. 628) Provides that there will be no updates to the clinical diagnostic laboratory test fee schedule for 2004 through 2008. 
Subtitle D: Additional Demonstrations, Studies, and Other Provisions - 
(Sec. 646) Amends SSA title XVIII to direct the Secretary to establish a 5-year demonstration program under which the Secretary is required to approve demonstration projects that examine health delivery factors that encourage the delivery of improved quality in patient care. 
(Sec. 648) Directs the Secretary to establish demonstration projects under which the Secretary is required to evaluate methods that improve the quality of care provided to individuals with chronic conditions and that reduce expenditures that would otherwise be made under the Medicare program on behalf of such individuals for such chronic conditions. Requires the Secretary to conduct a demonstration project in at least one area that the Secretary determines has a population of individuals entitled to benefits under Medicare part A, and enrolled under Medicare part B, with a rate of incidence of diabetes that significantly exceeds the national average rate of all areas. 
(Sec. 649) Directs the Secretary to establish a pay-for-performance demonstration program with physicians to meet the needs of eligible beneficiaries through the adoption and use of health information technology and evidence-based outcomes measures 
Title VII: Provisions Relating to Parts A and B - 
Subtitle C: Chronic Care Improvement - (Sec. 721) Amends SSA title XVIII to require the Secretary to provide for the phased-in development, testing, evaluation, and implementation of chronic care improvement programs. Requires the programs to be designed to improve clinical quality and beneficiary satisfaction and achieve spending targets with respect to expenditures under Medicare for targeted beneficiaries with one or more threshold conditions. Makes necessary appropriations. 
(Sec. 722) Requires each Medicare Advantage organization to have an ongoing quality improvement program for improving the quality of care provided to enrollees in each MA plan offered by such organization (other than an MA private fee-for-service plan or an MSA plan) effective for contract years beginning January 1, 2006. Requires as part of the quality improvement program for each MA organization to have a chronic care improvement program. 
Title IX: Subtitle E: Miscellaneous Provisions - 
(Sec. 953) Requires the Comptroller General to report to Congress on: (1) the appropriateness of the updates in the conversion factor including the appropriateness of the sustainable growth rate formula for 2002 and subsequently. Requires the report to examine the stability and predictability of such updates and rate and alternatives for the use of such rate in the updates; and (2) all aspects of physician compensation for services furnished under Medicare and how those aspects interact and the effect on appropriate compensation for physician services.
Subtitle B: Miscellaneous (Sec. 1012) Directs the Secretary to establish the Commission on Systemic Interoperability to develop a comprehensive strategy for the adoption and implementation of health care information technology standards, that includes a timeline and prioritization for such adoption and implementation. Authorizes appropriations.




HR 1539, the Hospital Investment Act of 2003, introduced by Rep. G. Kleczka, amends title XVIII (Medicare) of the Social Security Act to limit the hospital ownership exception to physician self-referral restrictions to interests purchased on terms generally available to the public
HR 1622, the Quality Cancer Care Preservation Act, introduced by Rep. Charles Norwood and Lois Capps, to amend title XVIII of the Social Security Act and otherwise revise the Medicare Program to reform the method of paying for covered drugs, drug administration services, and chemotherapy support services.  
HR 2161, the Prescription Value Act introduced by Rep. Doug Bereuter, which would require the Agency for Healthcare Research and Quality (AHRQ) to collect and assess scientific evidence regarding the value of prescription drugs frequently used by Medicare or Medicaid beneficiaries.
On September 27, 2002 the Centers for Medicare and Medicaid Services published a notice in the Federal Register informing interested parties of an opportunity to submit proposals for participation in the Medicare Physician Group Practice Demonstration (PGP) project to test a hybrid payment methodology that combines Medicare fee-for-service payments with a bonus pool derived from savings achieved by improvements in patient care management.  Marshfield Clinic submitted a proposal for this demonstration and remains in contact with the Centers for Medicare and Medicaid Services regarding the proposal.
HR 883 Medicare Laboratory Services Access Act of 2003 introduced by Rep English, Phil  - Amends title XVIII (Medicare) of the Social Security Act (SSA) to specify as $5.42 for 2004, adjusted for inflation in each subsequent year, the nominal fee for collecting specimens for clinical diagnostic laboratory tests under Medicare. 

Request for an advisory opinion regarding the “Stark Law” Section 1877(g)(6) of the Social Security Act and Sections 411.370 et seq. of Title 42 of the Code of Federal Regulations. Whether Marshfield Clinic's physician-shareholders have an ownership or investment interest in Marshfield Clinic for purposes of the Stark Law.

Oppose limits on the laboratory CPI update.","Agency for Healthcare Research & Quality (AHRQ),Agriculture, Dept of (USDA),Centers For Medicare and Medicaid Services (CMS),Congressional Budget Office (CBO),Executive Office of the President (EOP),Food & Drug Administration (FDA),Government Accountability Office (GAO),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,Natl Institutes of Health (NIH),President of the U.S.,SENATE",,187307,0,0,2004-07-29T00:00:00-04:00
291476,62140b5b-3536-4389-865c-258729270c42,MM,HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY,72793,HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY,2004,mid_year,MMM,Medicare Modernization Act (HR1 & S1); Medicare Regions; Medicare+Choice Program,"Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",,20000,0,0,2004-07-30T00:00:00-04:00
291575,50949d7e-e0fa-47ea-9124-40e623f598c3,MT,ARENTFOX SCHIFF LLP,4208,ASSISTED LIVING FEDERATION OF AMERICA,2004,mid_year,MMM,,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Housing & Urban Development, Dept of (HUD),SENATE",20000,,0,0,2004-07-30T00:00:00-04:00
291576,bee17b18-0e16-43ee-ad45-77bd4f24e7e6,MM,"EMD SERONO, INC.",48736,EMD SERONO INC,2004,mid_year,MMM,"Assure coverage and reimbursement for treatment of AIDS Wasting Syndrome
Oppose artificial price controls on pharmaceutical products
Support prescription drug coverage for Medicare recipients","Centers For Medicare and Medicaid Services (CMS),Food & Drug Administration (FDA),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Natl Institutes of Health (NIH),Office of Management & Budget (OMB),SENATE",,35000,0,0,2004-07-30T00:00:00-04:00
291626,1c44818d-444c-42c3-af5a-11b365dc1a66,MM,KESSLER & ASSOCIATES BUSINESS SERVICES,21506,PFIZER,2004,mid_year,MMM,Functional Equivalency; AWP; Repatriation/Section 965,"HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2004-08-02T00:00:00-04:00
291639,f8544492-3b17-4e9b-bdd5-03c499caae0b,MT,CELGENE CORPORATION,62893,CELGENE CORPORATION,2004,mid_year,MMM,Medicare coverage for oral anti-cancer drugs,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",,36000,0,0,2004-08-02T00:00:00-04:00
291644,ca2af2f1-542a-4b66-afd5-017253974e9e,MM,CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES,8497,CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES,2004,mid_year,MMM,,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",,260000,0,0,2004-08-02T00:00:00-04:00
291658,9a29d03c-c570-4609-b317-2ee2e9cdab46,MM,NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS,26706,NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS,2004,mid_year,MMM,"Medicare Reform and Medicare Prescription Drug Coverage - H.R.1, S.1; Federal Health Coverage Expansions - S.582, S.827, S.1016, S.1244, H.R.2630, H.R.1143, H.R.1733; Medicare Safety Net Access Act of 2003-H.R.1377, S.654; Health Center Issues in Medicaid/SCHIP; Implementation of the Medicare Prospective Payment System for FQHCs; Children's Dental Health-S.1142; Medicare provisions in Jobs and Growth bill - H.R.2; Start Healthy, Stay Healthy Act-S.1033, H.R.2268.   Medicaid Integrity/Waiver Bill- S.2222; State Medicaid Relief Bill - H.R.4961, S.2671.","Executive Office of the President (EOP),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",,260000,0,0,2004-08-02T00:00:00-04:00
291693,340f54c1-a022-4ac9-b40a-770325084191,MM,INTERNATIONAL ASSOCIATION OF FIRE CHIEFS,45788,INTERNATIONAL ASSOCIATION OF FIRE CHIEFS,2004,mid_year,MMM,Medicare payment policies for ambulance services.,"Centers For Medicare and Medicaid Services (CMS),Commerce, Dept of (DOC),Federal Communications Commission (FCC),Health & Human Services, Dept of (HHS),Homeland Security, Dept of (DHS),HOUSE OF REPRESENTATIVES,Interior, Dept of (DOI),Internal Revenue Service (IRS),Labor, Dept of (DOL),SENATE,Transportation, Dept of (DOT)",,80000,0,0,2004-08-02T00:00:00-04:00
291718,4fd74eff-e720-4491-a50c-9455e9f47e9f,MM,"O'NEILL, ATHY & CASEY, P.C.",42752,COALITION OF BOSTON TEACHING HOSPITALS,2004,mid_year,MMM,,"HOUSE OF REPRESENTATIVES,SENATE",120000,,0,0,2004-08-02T00:00:00-04:00
291728,18b0f0b0-6ee1-48ca-a36e-9f489f12f333,MM,PINNACLE HEALTH SYSTEM,31532,PINNACLE HEALTH SYSTEM,2004,mid_year,MMM,,"HOUSE OF REPRESENTATIVES,SENATE",36000,,0,0,2004-08-02T00:00:00-04:00
291749,1fec7271-0bba-4d4b-91d8-d97629303dd4,MT,CELGENE CORPORATION,62893,CELGENE CORPORATION,2004,mid_year,MMM,,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",,36000,0,0,2004-08-02T00:00:00-04:00
291752,dd0db5d5-127c-44f9-8f51-e6cd3b04e673,MM,"O'NEILL, ATHY & CASEY, P.C.",42752,MCLEAN HOSPITAL,2004,mid_year,MMM,,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",40000,,0,0,2004-08-02T00:00:00-04:00
291758,3be6d9d0-8b5a-4e17-93fe-fa5e3cfb3d2b,MM,KESSLER & ASSOCIATES BUSINESS SERVICES,21506,BRISTOL MYERS SQUIBB,2004,mid_year,MMM,ETI/FSC;FTC Settlements;Functional Eqivalency,"HOUSE OF REPRESENTATIVES,SENATE",73000,,0,0,2004-08-02T00:00:00-04:00
291768,f17a1a99-ac40-4a8a-ab1f-f58d0b55d74c,MM,"O'NEILL, ATHY & CASEY, P.C.",42752,TEMPLE UNIVERSITY HEALTH SYSTEM,2004,mid_year,MMM,,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",40000,,0,0,2004-08-02T00:00:00-04:00