Regarding restraints, H.R. 4247 had more "juice" in the last session, a Senate co-sponsor and a number of organizations including the aformentioned National Disability Rights Network lobbying hard for it. Is there a grand bargained to be reached with Harkin to try to combine the two bills? (look this is all speculation, nothing is actually going to get passed in this Congress)
But I guess regarding lobbying Congress, there's only so much more you can share with Miller's office. I kind of get the sense he has his mind made up. Harkin hasn't drafted legislation yet, and whereas the Republicans threatened to filibuster in the last session because something had already passed the House, there were negotiations a the end of the last session, but no bill. With no way of it actually passing, there might actually be a bill written up this time in the Senate.
P & A stands for Protection and Advocacy.