{"database": "lobbying", "table": "lobbying_activities", "is_view": false, "human_description_en": "where filing_period = \"year_end\", filing_year = 2003 and issue_code = \"MMM\" sorted by filing_year descending", "rows": [[224261, "fef136b2-ad1b-466d-ba0b-cb4ecf9a4aef", "YY", "POWELL GOLDSTEIN LLP", 31942, "AMERICAN HEART ASSN", 2003, "year_end", "MMM", null, "Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE", 60000, null, 0, 0, "2003-02-17T00:00:00-05:00"], [224264, "c3431429-1722-4aa2-8721-cb068373dffa", "YT", "FEDERAL POLICY GROUP, LLC", 72975, "ERICKSON RETIREMENT COMMUNALITIES", 2003, "year_end", "MMM", null, "Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", 80000, null, 0, 0, "2003-02-17T00:00:00-05:00"], [224369, "876fdd97-4bb0-43f8-b0a9-57b2fb1c5fb6", "YY", "CMS", 284653, "CMS", 2003, "year_end", "MMM", null, "Centers For Medicare and Medicaid Services (CMS)", 0, null, 0, 0, "2003-02-24T00:00:00-05:00"], [224392, "e10ff5a0-d64f-421b-bb00-886d921aad9d", "YY", "AMERICAN COLLEGE OF CHEST PHYSICIANS", 1956, "AMERICAN COLLEGE OF CHEST PHYSICIANS", 2003, "year_end", "MMM", null, "Food & Drug Administration (FDA),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,SENATE", null, 250000, 0, 0, "2003-02-24T00:00:00-05:00"], [224465, "7d81b92f-8641-4dd3-a891-8d90f0b3138b", "YT", "WILBUR GROUP", 50216, "NATL CHRONIC CARE CONSORTIUM", 2003, "year_end", "MMM", null, "HOUSE OF REPRESENTATIVES,SENATE", 0, null, 0, 0, "2003-04-01T00:00:00-05:00"], [224523, "9d80bd91-008d-4c78-bc98-06663a19c87d", "YY", "CEPHALON, INC.", 8761, "CEPHALON INC", 2003, "year_end", "MMM", null, "HOUSE OF REPRESENTATIVES,SENATE", null, 100000, 0, 0, "2003-04-01T00:00:00-05:00"], [224533, "a04f1c6d-3d4f-47d0-9061-f50ea5bc0ea3", "YY", "THE MARGOLIN GROUP", 80350, "COUNTY OF LOS ANGELES", 2003, "year_end", "MMM", null, "Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Office of Management & Budget (OMB),SENATE,Treasury, Dept of,White House Office", 60000, null, 0, 0, "2003-04-01T00:00:00-05:00"], [224553, "e3c16719-db51-405f-8cb4-a3e90d97e609", "YY", "NATIONAL RURAL HEALTH ASSOCATION", 53048, "NATIONAL RURAL HEALTH ASSOCATION", 2003, "year_end", "MMM", null, "Executive Office of the President (EOP),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", null, 80000, 0, 0, "2003-04-01T00:00:00-05:00"], [224731, "ae5511e2-df15-4fa7-88dd-575ee622b094", "YA", "UNIVERSITY OF CHICAGO HOSPITALS", 81692, "UNIVERSITY OF CHICAGO HOSPITALS", 2003, "year_end", "MMM", null, "Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", null, 235200, 0, 0, "2003-06-16T00:00:00-04:00"], [231867, "e95f682c-f55f-4598-adbd-38d57d171e5a", "YY", "NOVARTIS", 9204, "NOVARTIS", 2003, "year_end", "MMM", "HR1530, Prescription Drug Competition Act of 2001\r\nHR1387, Drug Availability and Health Care Access Improvement Act of 2001\r\nHR1624/S913, Access to Cancer Therapies Act\r\nS10, Medicare Prescription Drug Coverage Act of 2001\r\nS1135, Medicare Reform Act 2001\r\nS1185, Seniors Prescription Insurance Coverage Equity Act of 2001\r\nS1239, Medicare Rx Drug Discount & Security Act of 2001\r\nS880/HR1839, Immunosuppressive Drug Coverage Act of 2001\r\nS982IS/HR2058IH, Medicare Wellness Act of 2001\r\n\r\nMedicare Prescription Drug & Modernization Act\r\nThe Bipartisan Medicare Prescription Drug Act of 2001 (Sen. 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Reform.\r\nE&M documentation guidelines.", "Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", 40000, null, 0, 0, "2004-02-05T00:00:00-05:00"], [256221, "2b98b1ae-28be-45a0-8931-97d1e7774d21", "YY", "MEDICAL ADVOCACY SERVICES", 24772, "RENAL PHYSICIANS ASSN", 2003, "year_end", "MMM", "Medicare Physician Fee Schedule Updates.\r\nESRD Disease demonstration projects.\r\nDocumentation requirements.", "Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", 60000, null, 0, 0, "2004-02-05T00:00:00-05:00"], [256246, "cf7c166b-bf45-438e-9841-efbb2d22a7ef", "YY", "REGENCE BLUECROSS BLUESHIELD OF UTAH", 87791, "REGENCE BLUECROSS BLUESHIELD OF UTAH", 2003, "year_end", "MMM", "H.R. 1, Medicare Prescription Drug and Modernization Act of 2003, Title I -- Medicare Prescription Drug Benefit, Title II \u2013 Medicare Enhanced Fee-For-Service and Medicare Advantage Programs; Medicare Competition, Title III \u2013 Combating Waste, Fraud and Abuse, Title IV \u2013 Rural Health Care Improvements, Section 402 \u2013 Immediate Establishment of Uniform Standardized Amount in Rural and Small Urban Areas, Title V \u2013 Provisions Relating to Part A, Title VI \u2013 Provisions Relating to Part B, Title IX \u2013 Regulatory Reduction and Contracting Reform, Subtitle B- Contracting Reform, Subtitle C \u2013 Education and Outreach, and Title XI \u2013 Access to Affordable Pharmaceuticals.\r\n\r\nS. 1, Prescription Drug and Medicare Improvement Act of 2003, Title I \u2013 Medicare Prescription Drug Benefit, Section 101 \u2013 Medicare Voluntary Prescription Drug Delivery Program, Section 103 \u2013 Medigap, Section 111 \u2013 Medicare Prescription Drug Discount Card and Transitional Assistance for Low-Income Beneficiaries, Title II \u2013 Medicare Advantage, Title IV \u2013 Medicare Fee-For-Service Improvements, Section 421 \u2013 Establishment of Floor on Geographic Adjustments of Payments for Physician Services, Title V \u2013 Medicare Appeals, Regulatory and Contracting Improvements, Section 521 \u2013 Increased Flexibility in Medicare Administration, Section 531 \u2013 Provider Education and Technical Assistance, Section 532 \u2013 Access to and Prompt Responses from Medicare Contractors.\r\n\r\nLabor HHS Appropriations Bills, Medicare Contractor Funding provisions", "HOUSE OF REPRESENTATIVES,SENATE", null, null, 0, 0, "2004-02-05T00:00:00-05:00"], [256262, "2ff7780b-7fb2-4698-8e8a-e03df0e6827e", "YY", "MEDICAL ADVOCACY SERVICES", 24772, "AMERICAN COLLEGE OF RHEUMATOLOGY", 2003, "year_end", "MMM", "CMS's rulemaking on the Medicare fee schedule.\r\nCMS's effort to reform the AWP Methodology for Part B covered drugs.", "Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", 60000, null, 0, 0, "2004-02-05T00:00:00-05:00"], [256272, "c7272bbc-eb4b-46ef-b96b-4a039fbd3d7c", "YY", "POWERS PYLES SUTTER & VERVILLE, P.C.", 32008, "MEDICAL GROUP MANAGEMENT ASSOCIATION", 2003, "year_end", "MMM", "Stark Law Medicare Reform", null, 25000, null, 0, 0, "2004-02-05T00:00:00-05:00"], [256320, "81ad547c-3c34-41b0-ba34-3501d737349b", "YY", "NOVARTIS", 9204, "NOVARTIS", 2003, "year_end", "MMM", "HR2218 Regulation of non corrective contact lens as medical devices\r\nS1 Prescription Drug and Medicare Improvement Act of 2003\r\nHR1 Medicare Prescription Drug Modernization Act of 2003\r\nHR2427 Pharmaceutical Market Access Act of 2003\r\nHR2857 Pedicatric Research Equity Act of 2003\r\nHR1170 Child Medication Safety Act of 2003\r\n\r\nMedicare Prescription Drugs & Modernization Act\r\nThe Bipartisan Medicare prescription Drug Act of 2001 (Sen.Kennedy-Draft Bill)\r\nProspective Payment System\r\nMedicare Reform", "HOUSE OF REPRESENTATIVES,SENATE", null, 1474129, 0, 0, "2004-02-06T00:00:00-05:00"], [256325, "5419f5fc-1277-4070-9dd3-37bea506b87d", "YY", "BKSH & ASSOCIATES", 6291, "PUERTO RICO FEDERAL AFFAIRS ADMINISTRATION", 2003, "year_end", "MMM", "H.R. 1, Medicare Prescription Drug and Modernization Act of 2003 and S. 1, Prescription Drug and Medicare Improvement Act of 2003.", "HOUSE OF REPRESENTATIVES,Justice, Dept of (DOJ),SENATE", 310000, null, 0, 0, "2004-02-06T00:00:00-05:00"], [256397, "64650257-0b38-40c0-bac1-b55b462af572", "YY", "MARSHFIELD CLINIC HEALTH SYSTEM", 57830, "MARSHFIELD CLINIC HEALTH SYSTEM", 2003, "year_end", "MMM", "Medicare part B physician payment provisions of the omnibus appropriations bill HJR 2.\r\n\r\nS. 1054, Jobs and Growth Tax Relief Reconciliation Act of 2003, introduced by Senator Grassley. Specifically, amendment No. 594, To amend title XVIII of the Social Security Act to enhance beneficiary access to quality health care services in rural areas under the Medicare program. All provisions improving the reimbursement of physician in rural areas.\r\n          Save this template.Issue Template Text BUD budget/appropriations            OrS. 1, Prescription Drug and Medicare Improvement Act of 2003'introduced by Senators Grassley and Baucus.  Provisions calling for a statutory increase in Medicare physician payments for 2004-2005;  provisions equalizing payments for physicians in rural areas for 2004?2007 by implementing a floor of 1.0 for the geographic adjustment of physician work, and practice expense. Incentive payments for physicians in underserved areas. \u201cMedicare Equity\u201d concepts developed by Senate Finance Committee taking incremental steps towards Medicare reform, including restructuring CMS, improving Medicare+Choice, increasing the number of plans in rural areas, and easing payment inequities between urban and rural providers.  Regulatory reform of CMS.   Specific provisions include: Sec. 108, Protecting seniors with cancer;  Sec. 203, Payments to MedicareAdvantage organizations;  Sec. 421, Establishment of floor on geographic adjustments of payments for physicians' services; Sec. 422, Medicare incentive payment program improvements; Sec. 431, Application of coinsurance and deductible for clinical diagnostic laboratory tests. Sec. 432, Basing Medicare payments for covered outpatient drugs on market prices; Sec. 441, Medicare health care quality demonstration programs.  Sec. 442, Medicare complex clinical care management payment demonstration.  Sec. 443, Medicare fee-for-service care coordination demonstration program; Sec. 444, GAO study of geographic differences in payments for physicians' services; Sec. 441, Medicare health care quality demonstration programs.  Sec. 442, Medicare complex clinical care management payment demonstration.  Sec. 443, Medicare fee-for-service care coordination demonstration program;   Sec. 444, GAO study of geographic differences in payments for physicians' services;  Sec. 453, Clarifications to certain exceptions to Medicare limits on physician referrals;  Sec. 455, MEDPAC study on Medicare payments and efficiencies in the health care system; Sec. 464, Sense of the Senate concerning Medicare payment update for physicians and other health professionals;  Sec. 504. Streamlining and simplification of Medicare regulations. \r\n\r\nHR 2473, Medicare Prescription Drug and Modernization Act of 2003, introduced by Rep. Bill Thomas, to amend title XVIII of the Social Security Act to provide for a voluntary program for prescription drug coverage under the Medicare Program, to modernize the Medicare Program.\r\n\r\nHR 1, Medicare Prescription Drug and Modernization Act of 2003, introduced by Reps. Thomas, Tauzin, Johnson and Bilirakis, provisions establishing a 1.5% Medicare Part B conversion factor update in 2004 and 2005; provisions instructing GAO to examine the impact of the geographic adjustment factor on physician payments under the Medicare physician fee schedule; increasing Medicare+Choice payments; Full reimbursement of Medicare Allowed Costs under Medicare Part B; preservation of floor payments in rural areas under Medicare+Choice. Demonstration programs under Medicare to increase beneficiary and plan participation in the Medicare +Choice Program. Specific provisions include: Sec. 241. Application of FEHBP-style competitive reform beginning in 2010. Sec. 303. Competitive acquisition of covered outpatient drugs and biologicals. Sec. 413. GAO study of geographic differences in payments for physicians' services; Sec. 417, Medicare incentive payment program improvements for physician scarcity; Sec. 505. MedPAC report on specialty hospitals; Sec. 601 Revision of updates for physicians' services; Sec. 602. Studies on access to physicians' services; Sec. 603. MedPAC report on payment for physicians' services; Sec. 605. Establishment of floor on work geographic adjustment; Sec. 611. Coverage of an initial preventive physical examination; Sec. 625. Adjustment to payments for services furnished in ambulatory surgical centers; Sec. 941. Policy development regarding evaluation and management (E & M) documentation guidelines.\r\n\r\nFederal reimbursement of telehealth grant programs through Medicaid and Medicare.\r\n\r\nModification of Medicare physician fee schedule geographic work adjustor. HR 33, the Rural Equity Payment Index Reform Act (REPAIR) introduced by Rep. Doug Bereuter, would lessen the disparity in Medicare physician payment that currently exists between urban and rural areas.\r\nS. 881, by Bingaman Rural Equity Payment Index Reform Act of 2003 to establish a minimum geographic cost-of-practice index value for physicians' services furnished under the medicare program\r\nS. 36, Feingold legislation to eliminate the geographic physician work adjustment factor from the geographic indices used to adjust payments under the Medicare physician fee schedule.\r\nHR 810, Medicare Regulatory and Contracting Reform Act of 2003, introduced by Rep. Nancy Johnson (Sec. 501) Prohibits the Secretary from implementing any new documentation guidelines for, or clinical examples of, evaluation and management physician services under Medicare unless the Secretary:  has developed the guidelines in collaboration with practicing physicians (including both generalists and specialists) and provided for an assessment of the proposed guidelines by the physician community; has established a program to educate physicians on the use of such guidelines. Requires the Secretary to make changes to the manner in which existing evaluation and management documentation guidelines are implemented to reduce paperwork burdens on physicians.\r\nS. 1148 Medicare Quality Improvement Act'  by Jeffords authorizing the Centers for Medicare and Medicaid Services to conduct research demonstrations to examine health delivery factors that encourage the delivery of improved quality in patient care.\r\nHR 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\r\nHR 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.  \r\nHR 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.\r\nOn 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.\r\nHR 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. \r\nOppose 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),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", null, 160878, 0, 0, "2004-02-06T00:00:00-05:00"], [256416, "074df040-bd93-410e-b5c6-a84648f41a05", "YY", "AMERICAN COLLEGE OF PHYSICIANS", 2002, "AMERICAN COLLEGE OF PHYSICIANS", 2003, "year_end", "MMM", "Medicare Prescription Drug, Improvement and Modernization Act of 2003,H.R.1,S.1\r\nElectronic prescribing,coding,regulatory reform,care coordination and disease management,Evaluation and Management(E/M) Services,costof prescription drugs,drug discount cards,rural payments,lab co-pays,Medicaid DSH,Telemedicine,Health Savings Accounts\r\nMedicare Regulatory and Contractig Reform Act of 2003,H.R.810,S.1,H.R.1\r\nCMS Rule on the Physicians'Fee Schedule\r\nEmergency Medical Treatment and Active Labor Act(EMTALA)\r\nHHS Office of Inspector General regulations on hospital privileges and other compliance issues.\r\nPayment for vaccines, physician-administered drugs.", "Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,President of the U.S.,SENATE,White House Office", null, 1060000, 0, 0, "2004-02-06T00:00:00-05:00"], [256425, "aad95fc8-54b8-466e-b4bd-84042b34ce3c", "YY", "BECTON, DICKINSON AND COMPANY", 5767, "BECTON DICKINSON AND COMPANY", 2003, "year_end", "MMM", "S.1 Medicare Reform Legislation\r\nH.R.1 Medicare Reform Legislation\r\nH.R.569 Medicare Access to Preventative and Diagnostic Tests Act\r\nH.R.810 Medicare Needlestick Prevention Act\r\nH.R.941 Medicare Innovation and Responsiveness Act", "Defense, Dept of (DOD),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", null, 658773, 0, 0, "2004-02-06T00:00:00-05:00"], [256459, "310e9a48-f3f5-41ba-bfca-18828ecdc387", "YY", "AMERICAN FOUNDATION FOR THE BLIND", 2401, "AMERICAN FOUNDATION FOR THE BLIND", 2003, "year_end", "MMM", null, "Education, Dept of,General Services Administration (GSA),HOUSE OF REPRESENTATIVES,Housing & Urban Development, Dept of (HUD),Internal Revenue Service (IRS),Labor, Dept of (DOL),SENATE", null, 85000, 0, 0, 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