Tom's practice focuses on complex federal and state health care legal and regulatory matters with a special expertise in Medicare and Medicaid law, including coverage, reimbursement and regulatory oversight. He represents healthcare providers and payers before CMS and other components of HHS, Congress, and the Department of Labor. Tom is a former commissioner of the Medicaid and CHIP Payment and Access Commission, an advisory body that provides policy advice to Congress and the states on the Medicaid and CHIP programs. Prior to joining Foley Hoag, Tom served in a succession of high-level federal health care policy positions throughout the Administration of President George W. Bush. In 2008, he served as acting General Counsel of HHS; from 2005 – 2008, he served as health policy counselor to HHS Secretary Michael Leavitt. From 2001 – 2005, he was the chief legal officer of the Centers for Medicare & Medicaid Services. Tom played a key role in the implementation of every major health policy initiative enacted during his time at HHS, including Medicare Part D and the Medicare Advantage programs. He also chaired policy briefings on Medicare and Medicaid policy at HHS, the Office of Management and Budget, and the White House.