National Health Insurance Act

See addendum H.Con.Res. 312Budget Resolution for FY 2009 HR 1200American Health Security Act of 2007 HR 1368Personalized Health Information Act HR 15 National Health Insurance Act HR 2184Enhanced Health Care Value for All Act HR 2406Healthcare Information Technology Enterprise Integration Act HR 2497Fair and Reliable Medical Justice Act HR 2580Help Efficient, Accessible, Low-cost, Timely Healthcare Act HR 2833Preexisting Condition Exclusion Patient Protection Act of 2007 HR 3014Health Equity and Accountability Act HR 5348American Health Benefits Program Act of 2008 HR 6357Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act HR 6444Healthy Americans Act HR 676United States National Health Insurance Act S 1198Catastrophic Health Coverage Promotion Act S 1481Fair and Reliable Medical Justice Act S 1693Wired for Health Care Quality Act S 1899Universal Health Coverage Act of 2007 S 2041False Claims Act Amendments S 2236Preexisting Condition Exclusion Patient Protection Act of 2007 S 243 Medical Care Access Protection Act S 325 Health Partnership Act S 334 Healthy Americans Act

Client expense: $500,000 · Firm income: Not reported

Government targets: Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

H.R.15: To provide a program of national health insurance, and for other purposes. H.R.113: To amend the Internal Revenue Code of 1986 to require group health plans to provide coverage for reconstructive surgery following mastectomy, consistent with the Women's Health and Cancer Rights Act of 1998. H.R.119: To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. H.R.282: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for second opinions. H.R.283: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans permit enrollees direct access to services of obstetrical and gynecological physician services directly and without a referral. H.R.506: To provide for innovation in health care through State initiatives that expand coverage and access. H.R.676: To provide for comprehensive health insurance coverage for all United States residents, and for other purposes. H.R.758: To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. H.R.914: To amend the Internal Revenue Code of 1986 to allow individuals a refundable credit against income tax for the purchase of private health insurance, and for other purposes. H.R.979: To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to protect consumers in managed care plans and other health coverage. H.R.1076: To promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. H.R.1367: To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans. H.R.1368: To establish a program to provide financial incentives to encourage the adoption and use of interactive personal health records. H.R.1424: To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans. H.R.1802: To amend the Internal Revenue Code of 1986 to provide a refundable tax credit to small businesses for the costs of qualified health insurance. H.R.1820: To amend the Internal Revenue Code of 1986 to extend the exclusion from gross income for employer-provided health coverage for employees' spouses and dependent children to coverage provided to other eligible designated beneficiaries of employees. H.R.1841: To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. H.R. 2034: to provide quality, affordable health care for all Americans. H.R. 2132: to amend the Public Health Service Act to establish a small business health benefits program. H.R. 2302: to amend the Internal Revenue Code of 1986 to allow a deduction for premiums for high deductible health plans required with respect to health savings accounts. H.R. 2633: to improve the health of Americans and reduce health care costs by reorienting the nation's health care system toward prevention, wellness, and self care. H.R. 2737: to amend the Internal Revenue Code of 1986 to allow previously uninsured individuals a refundable credit for health insurance costs and to provide tax incentives to encourage small business health plans.H.R.1111: To amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. H.R.2851: To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to ensure that dependent students who take a medically necessary leave of absence do not lose health insurance coverage, and for other purposes. H.R.3195: To restore the intent and protections of the Americans with Disabilities Act of 1990. H.R. 3234: To amend the Internal Revenue Code of 1986 to improve access to health care through expanded health savings accounts. H.R. 3306: To amend the Internal Revenue Code of 1986 to allow amounts in a health flexible spending arrangement that are unused during a plan year to be carried over to subsequent plan years or deposited into certain health or retirement plans. H.R. 3584: To amend title XXI of the Social Security Act to extend funding for 18 months for the State Children's Health Insurance Program (SCHIP), and for other purposes. H.R. 3800: to advance the adoption of nationwide interoperable health information technology and to improve health care quality and reduce health care costs in the United States. H.R. 4222: to amend title I of the Employee Retirement Income Security Act of 1974, the Internal Revenue Code of 1986, and title XXII of the Public Health Service Act to extend COBRA benefits for certain TAA-eligible individuals and PBGC recipients. H.R. 4232: to improve mental and substance use health care. H.R. 4848: to extend for one year parity in the application of certain limits to mental health benefits, and for other purposes. H.R.5442: To provide individuals with access to health information of which they are a subject, to ensure personal privacy, security, and confidentiality with respect to health related information in promoting the development of a nationwide interoperable health information infrastructure, to impose criminal and civil penalties for unauthorized use of personal health information, to provide for the strong enforcement of these rights, to protect States' rights, and for other purposes. H.R.5449: To amend the Employee Retirement Income Security Act of 1974, Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit discrimination in group health coverage and individual health insurance coverage. H.R.6357:to amend the Public Health Service Act to promote the adoption of health information technology, and for other purposes. H.R. 6444: to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. H.R.6357: To amend the Public Health Service Act to promote the adoption of health information technology, and for other purposes. H.R. 6699: to amend title XVIII of the Social Security Act to reform Medicare payments to physicians and certain other providers and improve Medicare benefits, to encourage the offering of health coverage by small businesses, to provide tax incentives for the purchase of health insurance by individuals, to increase access to health care for veterans, to address the nursing shortage. H.Res 1228: Ensuring access to affordable and quality health care without exacerbating the Federal budget or contributing to market inflation while providing greater choices for consumers. S.95: A bill to amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. S.99: A bill to amend the Internal Revenue Code of 1986 to provide a refundable credit for small business employee health insurance expenses. S.243: A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system. S.244: A bill to improve women's access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the delivery of obstetrical and gynecological services. S.325: A bill to provide for innovation in health care through State initiatives that expand coverage and access and improve quality and efficiency in the health care system. S.400: A bill to amend the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code of 1986 to ensure that dependent students who take a medically necessary leave of absence do not lose health insurance coverage, and for other purposes. S.459: A bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. S.558: A bill to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. S.616: A bill to promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. S.733: A bill to promote the development of health care cooperatives that will help businesses to pool the health care purchasing power of employers, and for other purposes. S.1019: A bill to provide comprehensive reform of the health care system of the United States, and for other purposes. S.1198: to determine successful methods to provide protection from catastrophic health expenses for individuals who have exceeded health insurance lifetime limits, to provide catastrophic health insurance coverage for uninsured individuals, and for other purposes. S.1298: to amend the Social Security Act to establish a federal reinsurance program for catastrophic health care costs. S.1342: A bill to improve the health of Americans and reduce health care costs by reorienting the Nation's health care system toward prevention, wellness, and self care. S.1693: A bill to enhance the adoption of a nationwide interoperable health information technology system and to improve the quality and reduce the costs of health care in the United States. S.1753: to amend the Internal Revenue Code of 1986 to provide a tax credit to employers for the costs of implementing wellness programs, and for other purposes. S.1754: A bill to amend the Public Health Service Act to provide for a workplace wellness education campaign and an evaluation of employer-based wellness programs, and for other purposes. S.1881: to amend the Americans with Disabilities Act of 1990 to restore the intent and protections of that law, and for other purposes. S. 2236: to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to provide additional limitations on preexisting condition exclusions in group health plans and health insurance coverage in the group and individual markets. S. 2499: to amend titles XVIII, XIX, and XXI of the Social Security Act to extend provisions under the Medicare, Medicaid, and State Children's Health Insurance programs S. 2706: to impose a limitation on lifetime aggregate limits imposed by health plans S. 2748: to direct the secretary of health and human services to publish physical activity guidelines for the general public, and for other purposes S. 3321: to amend the Public Health Service Act to provide coordinated leadership in federal efforts to prevent and reduce overweight and obesity and to promote sound health and nutrition among Americans S. 3402: to provide information and education to consumers concerning health care services and health insurance coverage. S. 3406: to restore the intent and protections of the Americans with Disabilities Act of 1990.

Client expense: $470,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade & Development Agency (USTDA), U.S. Trade Representative (USTR)

S.3: Medicare Prescription Drug Price Negotiation Act of 2007 S.158: Access to Affordable Health Care Act S. 273: Prescription Drug and Health Improvement Act of 2007 S. 290: Rural Physicians Relief Act of 2007 S. 334: Healthy Americans Act S. 397: Tax Equity and Affordability Act of 2007 S. 498: Rural Medicare Equity Act of 2007 S. 1342: HeLP America Act S. 1605: Craig Thomas Rural Hospital and Provider Equity Act of 2007 S. 1710: Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2008 S. 2785: Save Medicare Act of 2008 S. 2603: Medicare Fraud Prevention Act of 2008 S. 2687: Medicare Beneficiary Protection Act of 2008 S. 2786: Medicare Rural Health Access Improvement Act of 2008 H.R.4: Medicare Prescription Drug Price Negotiation Act of 2007 H.R.15: National Health Insurance Act H.R.118: To amend part D of title XVIII of the Social Security Act to authorize the Secretary of Health and Human Services to negotiate prices for part D covered drugs for Medicare beneficiaries. H.R.205: Medicare Prescription Drug Enrollment Extension Act of 2007 H.R.298: Flexible Spending Accounts Growth and Opportunities Act of 2007 HR 914: Tax Equity and Affordability Act of 2007 H.R. 1651: Rural Health Quality Advisory Commission Act of 2007 HR 2056: Medicare Part D Improvement Act of 2007 HR 2633: HeLP America Act (Introduced in House) HR 2860: Health Care Access and Rural Equity (H-CARE) Act of 2007 HR 3014: Health Equity and Accountability Act of 2007 H.R. 3043: Department of Health and Human Services Appropriations Act, 2008 HR 3163: Healthy Americans HR 4848: To extend for one year parity in the application of certain limits to mental health benefits, and for other purposes HR 1424: Paul Wellstone Mental Health and Addiction Equity Act of 2007 HR 5445: To amend part B of title XVIII of the Social Security Act to increase Medicare payments for physicians' services through December 31, 2009. H.R. 6143: Pension Protection Act ERISA Amendments of 2008 H.R. 6382: Pension Protection Technical Corrections Act of 2008 H.R. 7242: Pension Protection Act IRC Amendments of 2008

Client expense: $1,113,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.15: To provide a program of national health insurance, and for other purposes. H.R.113: To amend the Internal Revenue Code of 1986 to require group health plans to provide coverage for reconstructive surgery following mastectomy, consistent with the Women's Health and Cancer Rights Act of 1998. H.R.119: To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. H.R.282: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for second opinions. H.R.283: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans permit enrollees direct access to services of obstetrical and gynecological physician services directly and without a referral. H.R.506: To provide for innovation in health care through State initiatives that expand coverage and access. H.R.676: To provide for comprehensive health insurance coverage for all United States residents, and for other purposes. H.R.914: To amend the Internal Revenue Code of 1986 to allow individuals a refundable credit against income tax for the purchase of private health insurance, and for other purposes. H.R.979: To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to protect consumers in managed care plans and other health coverage. H.R.1076: To promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. H.R.1368: To establish a program to provide financial incentives to encourage the adoption and use of interactive personal health records. H.R.1424: To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans. H.R.1802: To amend the Internal Revenue Code of 1986 to provide a refundable tax credit to small businesses for the costs of qualified health insurance. H.R.1820: To amend the Internal Revenue Code of 1986 to extend the exclusion from gross income for employer-provided health coverage for employees' spouses and dependent children to coverage provided to other eligible designated beneficiaries of employees. H.R.1841: To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. H.R. 2034: to provide quality, affordable health care for all Americans. H.R. 2132: to amend the Public Health Service Act to establish a small business health benefits program. H.R. 2302: to amend the Internal Revenue Code of 1986 to allow a deduction for premiums for high deductible health plans required with respect to health savings accounts. H.R. 2633: to improve the health of Americans and reduce health care costs by reorienting the nation's health care system toward prevention, wellness, and self care. H.R. 2737: to amend the Internal Revenue Code of 1986 to allow previously uninsured individuals a refundable credit for health insurance costs and to provide tax incentives to encourage small business health plans. H.R.1111: To amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. H.R.1367: To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans. H.R. 3234: To amend the Internal Revenue Code of 1986 to improve access to health care through expanded health savings accounts. H.R. 3306: To amend the Internal Revenue Code of 1986 to allow amounts in a health flexible spending arrangement that are unused during a plan year to be carried over to subsequent plan years or deposited into certain health or retirement plans. H.R. 3584: To amend title XXI of the Social Security Act to extend funding for 18 months for the State Children's Health Insurance Program (SCHIP), and for other purposes. H.R. 3800: to advance the adoption of nationwide interoperable health information technology and to improve health care quality and reduce health care costs in the United States. H.R. 4222: to amend title I of the Employee Retirement Income Security Act of 1974, the Internal Revenue Code of 1986, and title XXII of the Public Health Service Act to extend COBRA benefits for certain TAA-eligible individuals and PBGC recipients. H.R. 4232: to improve mental and substance use health care. H.R. 4848: to extend for one year parity in the application of certain limits to mental health benefits, and for other purposes. H.R.6357:to amend the Public Health Service Act to promote the adoption of health information technology, and for other purposes. S.95: A bill to amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. S.99: A bill to amend the Internal Revenue Code of 1986 to provide a refundable credit for small business employee health insurance expenses. S.244: A bill to improve women's access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the delivery of obstetrical and gynecological services. S.325: A bill to provide for innovation in health care through State initiatives that expand coverage and access and improve quality and efficiency in the health care system. S.400: A bill to amend the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code of 1986 to ensure that dependent students who take a medically necessary leave of absence do not lose health insurance coverage, and for other purposes. S.459: A bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. S.558: A bill to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. S.616: A bill to promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. S.733: A bill to promote the development of health care cooperatives that will help businesses to pool the health care purchasing power of employers, and for other purposes. S.243: A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system. S.1019: A bill to provide comprehensive reform of the health care system of the United States, and for other purposes. S.1198: to determine successful methods to provide protection from catastrophic health expenses for individuals who have exceeded health insurance lifetime limits, to provide catastrophic health insurance coverage for uninsured individuals, and for other purposes. S.1298: to amend the Social Security Act to establish a federal reinsurance program for catastrophic health care costs. S.1342: A bill to improve the health of Americans and reduce health care costs by reorienting the Nation's health care system toward prevention, wellness, and self care. S.1693: A bill to enhance the adoption of a nationwide interoperable health information technology system and to improve the quality and reduce the costs of health care in the United States. S.1753: to amend the Internal Revenue Code of 1986 to provide a tax credit to employers for the costs of implementing wellness programs, and for other purposes. S.1754: A bill to amend the Public Health Service Act to provide for a workplace wellness education campaign and an evaluation of employer-based wellness programs, and for other purposes. S.1881: to amend the Americans with Disabilities Act of 1990 to restore the intent and protections of that law, and for other purposes. S. 2236: to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to provide additional limitations on preexisting condition exclusions in group health plans and health insurance coverage in the group and individual markets. S. 2499: to amend titles XVIII, XIX, and XXI of the Social Security Act to extend provisions under the Medicare, Medicaid, and State Children's Health Insurance programs S. 2706: to impose a limitation on lifetime aggregate limits imposed by health plans S. 2748: to direct the secretary of health and human services to publish physical activity guidelines for the general public, and for other purposes H.R.5442: To provide individuals with access to health information of which they are a subject, to ensure personal privacy, security, and confidentiality with respect to health related information in promoting the development of a nationwide interoperable health information infrastructure, to impose criminal and civil penalties for unauthorized use of personal health information, to provide for the strong enforcement of these rights, to protect States' rights, and for other purposes. H.R.5449: To amend the Employee Retirement Income Security Act of 1974, Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit discrimination in group health coverage and individual health insurance coverage. H.Res 1228: Ensuring access to affordable and quality health care without exacerbating the Federal budget or contributing to market inflation while providing greater choices for consumers.

Client expense: $540,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade & Development Agency (USTDA), U.S. Trade Representative (USTR)

See addendum H.Con.Res. 312Budget Resolution for FY 2009 HR 1200American Health Security Act of 2007 HR 1368Personalized Health Information Act HR 15 National Health Insurance Act HR 2184Enhanced Health Care Value for All Act HR 2406Healthcare Information Technology Enterprise Integration Act HR 2497Fair and Reliable Medical Justice Act HR 2580Help Efficient, Accessible, Low-cost, Timely Healthcare Act HR 2833Preexisting Condition Exclusion Patient Protection Act of 2007 HR 3014Health Equity and Accountability Act HR 5348American Health Benefits Program Act of 2008 HR 6357Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act HR 676United States National Health Insurance Act S 1198 Catastrophic Health Coverage Promotion Act S 1481 Fair and Reliable Medical Justice Act S 1693 Wired for Health Care Quality Act S 1899 Universal Health Coverage Act of 2007 S 2041 False Claims Act Amendments S 2236 Preexisting Condition Exclusion Patient Protection Act of 2007 S 243 Medical Care Access Protection Act S 325 Health Partnership Act S 334 Healthy Americans Act S.Con.Res. 70Budget Resolution for FY 2009 Labor-HHS-Education Appropriations Act for fiscal year 2009 (draft bills by Harkin and Obey)

Client expense: $540,000 · Firm income: Not reported

Government targets: Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

S.3: Medicare Prescription Drug Price Negotiation Act of 2007 S.158: Access to Affordable Health Care Act S. 273: Prescription Drug and Health Improvement Act of 2007 S. 290: Rural Physicians Relief Act of 2007 S. 334: Healthy Americans Act S. 397: Tax Equity and Affordability Act of 2007 S. 498: Rural Medicare Equity Act of 2007 S. 1342: HeLP America Act S. 1605: Craig Thomas Rural Hospital and Provider Equity Act of 2007 S. 1710: Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2008 S. 2785: Save Medicare Act of 2008 S. 2603: Medicare Fraud Prevention Act of 2008 S. 2687: Medicare Beneficiary Protection Act of 2008 S. 2786: Medicare Rural Health Access Improvement Act of 2008 H.R.4: Medicare Prescription Drug Price Negotiation Act of 2007 H.R.15: National Health Insurance Act H.R.118: To amend part D of title XVIII of the Social Security Act to authorize the Secretary of Health and Human Services to negotiate prices for part D covered drugs for Medicare beneficiaries. H.R.205: Medicare Prescription Drug Enrollment Extension Act of 2007 H.R.298: Flexible Spending Accounts Growth and Opportunities Act of 2007 HR 914: Tax Equity and Affordability Act of 2007 H.R. 1651: Rural Health Quality Advisory Commission Act of 2007 HR 2056: Medicare Part D Improvement Act of 2007 HR 2633: HeLP America Act (Introduced in House) HR 2860: Health Care Access and Rural Equity (H-CARE) Act of 2007 HR 3014: Health Equity and Accountability Act of 2007 H.R. 3043: Department of Health and Human Services Appropriations Act, 2008 HR 3163: Healthy Americans HR 4848: To extend for one year parity in the application of certain limits to mental health benefits, and for other purposes HR 1424: Paul Wellstone Mental Health and Addiction Equity Act of 2007 HR 5445: To amend part B of title XVIII of the Social Security Act to increase Medicare payments for physicians' services through December 31, 2009.

Client expense: $1,251,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.15: To provide a program of national health insurance, and for other purposes. H.R.113: To amend the Internal Revenue Code of 1986 to require group health plans to provide coverage for reconstructive surgery following mastectomy, consistent with the Women's Health and Cancer Rights Act of 1998. H.R.119: To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. H.R.282: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for second opinions. H.R.283: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans permit enrollees direct access to services of obstetrical and gynecological physician services directly and without a referral. H.R.506: To provide for innovation in health care through State initiatives that expand coverage and access. H.R.676: To provide for comprehensive health insurance coverage for all United States residents, and for other purposes. H.R.914: To amend the Internal Revenue Code of 1986 to allow individuals a refundable credit against income tax for the purchase of private health insurance, and for other purposes. H.R.979: To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to protect consumers in managed care plans and other health coverage. H.R.1076: To promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. H.R.1368: To establish a program to provide financial incentives to encourage the adoption and use of interactive personal health records. H.R.1424: To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans. H.R.1802: To amend the Internal Revenue Code of 1986 to provide a refundable tax credit to small businesses for the costs of qualified health insurance. H.R.1820: To amend the Internal Revenue Code of 1986 to extend the exclusion from gross income for employer-provided health coverage for employees' spouses and dependent children to coverage provided to other eligible designated beneficiaries of employees. H.R.1841: To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. H.R. 2034: to provide quality, affordable health care for all Americans. H.R. 2132: to amend the Public Health Service Act to establish a small business health benefits program. H.R. 2302: to amend the Internal Revenue Code of 1986 to allow a deduction for premiums for high deductible health plans required with respect to health savings accounts. H.R. 2633: to improve the health of Americans and reduce health care costs by reorienting the nation's health care system toward prevention, wellness, and self care. H.R. 2737: to amend the Internal Revenue Code of 1986 to allow previously uninsured individuals a refundable credit for health insurance costs and to provide tax incentives to encourage small business health plans. H.R.1111: To amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. H.R.1367: To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans. H.R. 3234: To amend the Internal Revenue Code of 1986 to improve access to health care through expanded health savings accounts. H.R. 3306: To amend the Internal Revenue Code of 1986 to allow amounts in a health flexible spending arrangement that are unused during a plan year to be carried over to subsequent plan years or deposited into certain health or retirement plans. H.R. 3584: To amend title XXI of the Social Security Act to extend funding for 18 months for the State Children's Health Insurance Program (SCHIP), and for other purposes. H.R. 3800: to advance the adoption of nationwide interoperable health information technology and to improve health care quality and reduce health care costs in the United States. H.R. 4222: to amend title I of the Employee Retirement Income Security Act of 1974, the Internal Revenue Code of 1986, and title XXII of the Public Health Service Act to extend COBRA benefits for certain TAA-eligible individuals and PBGC recipients. H.R. 4232: to improve mental and substance use health care. H.R. 4848: to extend for one year parity in the application of certain limits to mental health benefits, and for other purposes. H.R.6357:to amend the Public Health Service Act to promote the adoption of health information technology, and for other purposes. S.95: A bill to amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. S.99: A bill to amend the Internal Revenue Code of 1986 to provide a refundable credit for small business employee health insurance expenses. S.244: A bill to improve women's access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the delivery of obstetrical and gynecological services. S.325: A bill to provide for innovation in health care through State initiatives that expand coverage and access and improve quality and efficiency in the health care system. S.400: A bill to amend the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code of 1986 to ensure that dependent students who take a medically necessary leave of absence do not lose health insurance coverage, and for other purposes. S.459: A bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. S.558: A bill to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. S.616: A bill to promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. S.733: A bill to promote the development of health care cooperatives that will help businesses to pool the health care purchasing power of employers, and for other purposes. S.243: A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system. S.1019: A bill to provide comprehensive reform of the health care system of the United States, and for other purposes. S.1198: to determine successful methods to provide protection from catastrophic health expenses for individuals who have exceeded health insurance lifetime limits, to provide catastrophic health insurance coverage for uninsured individuals, and for other purposes. S.1298: to amend the Social Security Act to establish a federal reinsurance program for catastrophic health care costs. S.1342: A bill to improve the health of Americans and reduce health care costs by reorienting the Nation's health care system toward prevention, wellness, and self care. S.1693: A bill to enhance the adoption of a nationwide interoperable health information technology system and to improve the quality and reduce the costs of health care in the United States. S.1753: to amend the Internal Revenue Code of 1986 to provide a tax credit to employers for the costs of implementing wellness programs, and for other purposes. S.1754: A bill to amend the Public Health Service Act to provide for a workplace wellness education campaign and an evaluation of employer-based wellness programs, and for other purposes. S.1881: to amend the Americans with Disabilities Act of 1990 to restore the intent and protections of that law, and for other purposes. S. 2236: to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to provide additional limitations on preexisting condition exclusions in group health plans and health insurance coverage in the group and individual markets. S. 2499: to amend titles XVIII, XIX, and XXI of the Social Security Act to extend provisions under the Medicare, Medicaid, and State Children's Health Insurance programs S. 2706: to impose a limitation on lifetime aggregate limits imposed by health plans S. 2748: to direct the secretary of health and human services to publish physical activity guidelines for the general public, and for other purposes H.R.5442: To provide individuals with access to health information of which they are a subject, to ensure personal privacy, security, and confidentiality with respect to health related information in promoting the development of a nationwide interoperable health information infrastructure, to impose criminal and civil penalties for unauthorized use of personal health information, to provide for the strong enforcement of these rights, to protect States' rights, and for other purposes. H.R.5449: To amend the Employee Retirement Income Security Act of 1974, Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit discrimination in group health coverage and individual health insurance coverage. H.Res 1228: Ensuring access to affordable and quality health care without exacerbating the Federal budget or contributing to market inflation while providing greater choices for consumers.

Client expense: $540,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade & Development Agency (USTDA), U.S. Trade Representative (USTR)

See addendum HR 1200 American Health Security Act of 2007, HR 1368 Personalized Health Information Act, HR 1368 Personalized Health Information Act of 2007, HR 15 National Health Insurance Act, HR 2833 Preexisting Condition Exclusion Patient Protection Act of 2007, HR 5348 American Health Benefits Program Act of 2008, HR 676 United States National Health Insurance Act, S 1693 Wired for Health Care Quality Act, S 1899 Universal Health Coverage Act of 2007, S 2236 Preexisting Condition Exclusion Patient Protection Act of 2007, S 2706 Health Insurance Coverage, Protection Act , S 334 Healthy Americans Act

Client expense: $320,000 · Firm income: Not reported

H.R.15: To provide a program of national health insurance, and for other purposes. H.R.113: To amend the Internal Revenue Code of 1986 to require group health plans to provide coverage for reconstructive surgery following mastectomy, consistent with the Women's Health and Cancer Rights Act of 1998. H.R.119: To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. H.R.282: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for second opinions. H.R.283: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans permit enrollees direct access to services of obstetrical and gynecological physician services directly and without a referral. H.R.506: To provide for innovation in health care through State initiatives that expand coverage and access. H.R.676: To provide for comprehensive health insurance coverage for all United States residents, and for other purposes. H.R.914: To amend the Internal Revenue Code of 1986 to allow individuals a refundable credit against income tax for the purchase of private health insurance, and for other purposes. H.R.979: To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to protect consumers in managed care plans and other health coverage. H.R.1076: To promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. H.R.1368: To establish a program to provide financial incentives to encourage the adoption and use of interactive personal health records. H.R.1424: To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans. H.R.1802: To amend the Internal Revenue Code of 1986 to provide a refundable tax credit to small businesses for the costs of qualified health insurance. H.R.1820: To amend the Internal Revenue Code of 1986 to extend the exclusion from gross income for employer-provided health coverage for employees' spouses and dependent children to coverage provided to other eligible designated beneficiaries of employees. H.R.1841: To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. H.R. 2034: to provide quality, affordable health care for all Americans. H.R. 2132: to amend the Public Health Service Act to establish a small business health benefits program. H.R. 2302: to amend the Internal Revenue Code of 1986 to allow a deduction for premiums for high deductible health plans required with respect to health savings accounts. H.R. 2633: to improve the health of Americans and reduce health care costs by reorienting the nation's health care system toward prevention, wellness, and self care. H.R. 2737: to amend the Internal Revenue Code of 1986 to allow previously uninsured individuals a refundable credit for health insurance costs and to provide tax incentives to encourage small business health plans. H.R.1111: To amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. H.R.1367: To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans. H.R. 3234: To amend the Internal Revenue Code of 1986 to improve access to health care through expanded health savings accounts. H.R. 3306: To amend the Internal Revenue Code of 1986 to allow amounts in a health flexible spending arrangement that are unused during a plan year to be carried over to subsequent plan years or deposited into certain health or retirement plans. H.R. 3584: To amend title XXI of the Social Security Act to extend funding for 18 months for the State Children's Health Insurance Program (SCHIP), and for other purposes. H.R. 3800: to advance the adoption of nationwide interoperable health information technology and to improve health care quality and reduce health care costs in the United States. H.R. 4222: to amend title I of the Employee Retirement Income Security Act of 1974, the Internal Revenue Code of 1986, and title XXII of the Public Health Service Act to extend COBRA benefits for certain TAA-eligible individuals and PBGC recipients. H.R. 4232: to improve mental and substance use health care. H.R. 4848: to extend for one year parity in the application of certain limits to mental health benefits, and for other purposes. S.95: A bill to amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. S.99: A bill to amend the Internal Revenue Code of 1986 to provide a refundable credit for small business employee health insurance expenses. S.244: A bill to improve women's access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the delivery of obstetrical and gynecological services. S.325: A bill to provide for innovation in health care through State initiatives that expand coverage and access and improve quality and efficiency in the health care system. S.400: A bill to amend the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code of 1986 to ensure that dependent students who take a medically necessary leave of absence do not lose health insurance coverage, and for other purposes. S.459: A bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. S.558: A bill to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. S.616: A bill to promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. S.733: A bill to promote the development of health care cooperatives that will help businesses to pool the health care purchasing power of employers, and for other purposes. S.243: A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system. S.1019: A bill to provide comprehensive reform of the health care system of the United States, and for other purposes. S.1198: to determine successful methods to provide protection from catastrophic health expenses for individuals who have exceeded health insurance lifetime limits, to provide catastrophic health insurance coverage for uninsured individuals, and for other purposes. S.1298: to amend the Social Security Act to establish a federal reinsurance program for catastrophic health care costs. S.1342: A bill to improve the health of Americans and reduce health care costs by reorienting the Nation's health care system toward prevention, wellness, and self care. S.1693: A bill to enhance the adoption of a nationwide interoperable health information technology system and to improve the quality and reduce the costs of health care in the United States. S.1753: to amend the Internal Revenue Code of 1986 to provide a tax credit to employers for the costs of implementing wellness programs, and for other purposes. S.1754: A bill to amend the Public Health Service Act to provide for a workplace wellness education campaign and an evaluation of employer-based wellness programs, and for other purposes. S.1881: to amend the Americans with Disabilities Act of 1990 to restore the intent and protections of that law, and for other purposes. S. 2236: to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to provide additional limitations on preexisting condition exclusions in group health plans and health insurance coverage in the group and individual markets. S. 2499: to amend titles XVIII, XIX, and XXI of the Social Security Act to extend provisions under the Medicare, Medicaid, and State Children's Health Insurance programs S. 2706: to impose a limitation on lifetime aggregate limits imposed by health plans S. 2748: to direct the secretary of health and human services to publish physical activity guidelines for the general public, and for other purposes H.R.5442: To provide individuals with access to health information of which they are a subject, to ensure personal privacy, security, and confidentiality with respect to health related information in promoting the development of a nationwide interoperable health information infrastructure, to impose criminal and civil penalties for unauthorized use of personal health information, to provide for the strong enforcement of these rights, to protect States' rights, and for other purposes. H.R.5449: To amend the Employee Retirement Income Security Act of 1974, Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit discrimination in group health coverage and individual health insurance coverage.

Client expense: $870,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade & Development Agency (USTDA), U.S. Trade Representative (USTR)

S.3: Medicare Prescription Drug Price Negotiation Act of 2007 S.158: Access to Affordable Health Care Act S. 273: Prescription Drug and Health Improvement Act of 2007 S. 290: Rural Physicians Relief Act of 2007 S. 334: Healthy Americans Act S. 397: Tax Equity and Affordability Act of 2007 S. 498: Rural Medicare Equity Act of 2007 S. 1342: HeLP America Act S. 1605: Craig Thomas Rural Hospital and Provider Equity Act of 2007 S. 1710: Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2008 S. 2785: Save Medicare Act of 2008 S. 2603: Medicare Fraud Prevention Act of 2008 S. 2687: Medicare Beneficiary Protection Act of 2008 S. 2786: Medicare Rural Health Access Improvement Act of 2008 H.R.4: Medicare Prescription Drug Price Negotiation Act of 2007 H.R.15: National Health Insurance Act H.R.118: To amend part D of title XVIII of the Social Security Act to authorize the Secretary of Health and Human Services to negotiate prices for part D covered drugs for Medicare beneficiaries. H.R.205: Medicare Prescription Drug Enrollment Extension Act of 2007 H.R.298: Flexible Spending Accounts Growth and Opportunities Act of 2007 HR 914: Tax Equity and Affordability Act of 2007 H.R. 1651: Rural Health Quality Advisory Commission Act of 2007 HR 2056: Medicare Part D Improvement Act of 2007 HR 2633: HeLP America Act (Introduced in House) HR 2860: Health Care Access and Rural Equity (H-CARE) Act of 2007 HR 3014: Health Equity and Accountability Act of 2007 H.R. 3043: Department of Health and Human Services Appropriations Act, 2008 HR 3163: Healthy Americans HR 4848: To extend for one year parity in the application of certain limits to mental health benefits, and for other purposes HR 1424: Paul Wellstone Mental Health and Addiction Equity Act of 2007 HR 5445: To amend part B of title XVIII of the Social Security Act to increase Medicare payments for physicians' services through December 31, 2009.

Client expense: $1,006,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Prescription Drug Price Negotiation Act (H.R. 4) National Health Insurance Act (H.R. 15) Flexible Spending Accounts Growth and Opportunities Act of 2007 (H.R. 298) Genetic Information Nondiscrimination Act (H.R. 493) Health Partnership through Creative Federalism Act (H.R. 506) Childrens Health Insurance (CHIP) Reauthorization Act of 2007 (H.R. 976) Access to Life-Saving Medicine Act (H.R. 1038) Emergency Retiree Health Benefits Protection Act of 2007 (H.R. 1322) Paul Wellstone Mental Health and Addiction Equity Act 0f 2007 (H.R. 1424) Tax Equity for Health Plan Beneficiaries Act (H.R. 1820) Patient Protection and Innovative Biologic Medicines Act of 2007 (H.R. 1956) Promoting Health for Future Generations Act (H.R. 2639) Childrens Health and Medicare Act of 2007 (H.R. 3162) Healthy Americans Act (H.R. 3163) HSA Improvement and Expansion Act (H.R. 3234) Flexible Health Savings Act (H.R. 3306) Long-Term Care Affordability and Security Act of 2007 (H.R. 3363) Medicare Quality Enhancement Act (H.R. 3370) Employment Non-Discrimination Act (H.R. 3685) Early Warning and Health Care for Workers Affected by Globalization Act (H. R. 3796) Trade and Globalization Assistance Act (H.R. 3920) Defenders of Freedom Tax Relief Act of 2007/Heroes Earnings Assistance and Tax Relief Act of 2007-title as passed (H.R. 3997) Mental Health Parity Extension Legislation (H.R. 4848) Technologies for Restoring Users Security and Trust in (TRUST) in Health Information Act of 2008 (H.R. 5442) Medicare, Medicaid and SCHIP Extensions Act of 2007 Medicare Funding Warning Response Act of 2008 (H.R. 5480) Senate Medicare Prescription Drug Negotiation Act of 2007 (S. 3) Health Partnership Act (S. 325) Healthy Americans Act (S. 334) Genetic Information Nondiscrimination Act (S. 358) Mental Health Parity Act of 2007 (S. 558) Access to Life-Saving Medicine Act (S. 623) Universal Health Care Choice and Access Act (S. 1019) State-based Health Care Reform Act (S. 1169) Medicare Quality Enhancement Act (S. 1544) Tax Equity for Domestic Partner and Health Beneficiaries Act (S. 1556) Wired for Health Care Quality Act (S. 1693) Biologics Price Competition and Innovation Act (S. 1695) Healthy Workforce Act (S. 1753) Community Living Assistance Services and Supports Act (the CLASS Act) (S. 1758) Ten Steps to Transform Health Care in America Act (S. 1783) Healthy Tax Reform Act (S. 1875) Childrens Health Insurance Reauthorization Act (S. 1893) Long-Term Care Affordability and Security Act of 2007 (S. 2337) Medicare, Medicaid and SCHIP Extension Act of 2007 (S. 2499) Medicare Funding Warning Response Act of 2008 (S. 2662) Disability Savings Act (S. 2741) Regulatory communication with covered federal officials on legislative issues. HHS value-driven health care and health information technology (S. 1693), Medicare funding (H.R. 5480/S. 2662) DOL ERISA case - employer health spending requirements mandate in San Francisco Health Care Security Ordinance White House mental health parity (H.R. 1424/S. 558)

Client expense: $289,643 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Pension Benefit Guaranty Corporation (PBGC), SENATE, Treasury, Dept of, White House Office

H.R.15: To provide a program of national health insurance, and for other purposes. H.R.113: To amend the Internal Revenue Code of 1986 to require group health plans to provide coverage for reconstructive surgery following mastectomy, consistent with the Women's Health and Cancer Rights Act of 1998. H.R.119: To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. H.R.282: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for second opinions. H.R.283: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans permit enrollees direct access to services of obstetrical and gynecological physician services directly and without a referral. H.R.506: To provide for innovation in health care through State initiatives that expand coverage and access. H.R.676: To provide for comprehensive health insurance coverage for all United States residents, and for other purposes. H.R.914: To amend the Internal Revenue Code of 1986 to allow individuals a refundable credit against income tax for the purchase of private health insurance, and for other purposes. H.R.979: To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to protect consumers in managed care plans and other health coverage. H.R.1076: To promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. H.R.1368: To establish a program to provide financial incentives to encourage the adoption and use of interactive personal health records. H.R.1424: To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans. H.R.1802: To amend the Internal Revenue Code of 1986 to provide a refundable tax credit to small businesses for the costs of qualified health insurance. H.R.1820: To amend the Internal Revenue Code of 1986 to extend the exclusion from gross income for employer-provided health coverage for employees' spouses and dependent children to coverage provided to other eligible designated beneficiaries of employees. H.R.1841: To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. H.R. 2034: to provide quality, affordable health care for all Americans. H.R. 2132: to amend the Public Health Service Act to establish a small business health benefits program. H.R. 2302: to amend the Internal Revenue Code of 1986 to allow a deduction for premiums for high deductible health plans required with respect to health savings accounts. H.R. 2633: to improve the health of Americans and reduce health care costs by reorienting the nation's health care system toward prevention, wellness, and self care. H.R. 2737: to amend the Internal Revenue Code of 1986 to allow previously uninsured individuals a refundable credit for health insurance costs and to provide tax incentives to encourage small business health plans. H.R.1111: To amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. H.R.1367: To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans. H.R. 3234: To amend the Internal Revenue Code of 1986 to improve access to health care through expanded health savings accounts. H.R. 3306: To amend the Internal Revenue Code of 1986 to allow amounts in a health flexible spending arrangement that are unused during a plan year to be carried over to subsequent plan years or deposited into certain health or retirement plans. H.R. 3584: To amend title XXI of the Social Security Act to extend funding for 18 months for the State Children's Health Insurance Program (SCHIP), and for other purposes. H.R. 3800: to advance the adoption of nationwide interoperable health information technology and to improve health care quality and reduce health care costs in the United States. H.R. 4222: to amend title I of the Employee Retirement Income Security Act of 1974, the Internal Revenue Code of 1986, and title XXII of the Public Health Service Act to extend COBRA benefits for certain TAA-eligible individuals and PBGC recipients. H.R. 4232: to improve mental and substance use health care. H.R. 4848: to extend for one year parity in the application of certain limits to mental health benefits, and for other purposes. S.95: A bill to amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. S.99: A bill to amend the Internal Revenue Code of 1986 to provide a refundable credit for small business employee health insurance expenses. S.244: A bill to improve women's access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the delivery of obstetrical and gynecological services. S.325: A bill to provide for innovation in health care through State initiatives that expand coverage and access and improve quality and efficiency in the health care system. S.400: A bill to amend the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code of 1986 to ensure that dependent students who take a medically necessary leave of absence do not lose health insurance coverage, and for other purposes. S.459: A bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. S.558: A bill to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. S.616: A bill to promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. S.733: A bill to promote the development of health care cooperatives that will help businesses to pool the health care purchasing power of employers, and for other purposes. S.243: A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system. S.1019: A bill to provide comprehensive reform of the health care system of the United States, and for other purposes. S.1198: to determine successful methods to provide protection from catastrophic health expenses for individuals who have exceeded health insurance lifetime limits, to provide catastrophic health insurance coverage for uninsured individuals, and for other purposes. S.1298: to amend the Social Security Act to establish a federal reinsurance program for catastrophic health care costs. S.1342: A bill to improve the health of Americans and reduce health care costs by reorienting the Nation's health care system toward prevention, wellness, and self care. S.1693: A bill to enhance the adoption of a nationwide interoperable health information technology system and to improve the quality and reduce the costs of health care in the United States. S.1753: to amend the Internal Revenue Code of 1986 to provide a tax credit to employers for the costs of implementing wellness programs, and for other purposes. S.1754: A bill to amend the Public Health Service Act to provide for a workplace wellness education campaign and an evaluation of employer-based wellness programs, and for other purposes. S.1881: to amend the Americans with Disabilities Act of 1990 to restore the intent and protections of that law, and for other purposes. S. 2236: to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to provide additional limitations on preexisting condition exclusions in group health plans and health insurance coverage in the group and individual markets. S. 2499: to amend titles XVIII, XIX, and XXI of the Social Security Act to extend provisions under the Medicare, Medicaid, and State Children's Health Insurance programs S. 2706: to impose a limitation on lifetime aggregate limits imposed by health plans S. 2748: to direct the secretary of health and human services to publish physical activity guidelines for the general public, and for other purposes H.R.5442: To provide individuals with access to health information of which they are a subject, to ensure personal privacy, security, and confidentiality with respect to health related information in promoting the development of a nationwide interoperable health information infrastructure, to impose criminal and civil penalties for unauthorized use of personal health information, to provide for the strong enforcement of these rights, to protect States' rights, and for other purposes. H.R.5449: To amend the Employee Retirement Income Security Act of 1974, Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit discrimination in group health coverage and individual health insurance coverage.

Client expense: $870,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade & Development Agency (USTDA), U.S. Trade Representative (USTR)

Regulatory Equal Employment Opportunity Commission (EEOC) on Clarification of the Applicability of the Age Discrimination in Employment Act (ADEA) to Employer-Sponsored Health Care Benefits for Retirees Internal Revenue Service (IRS) Proposed Rule on Employee Benefits Cafeteria Plans {REG-142695-05} issued August 3, 3007 Health and Human Services Department (HHS) Proposed Rule on Chartered Value Exchanges, issued May 8, 2007 Treasury/IRS proposed regulations on health, long-term care and disability insurance in a qualified plan [NPRM published August 20, 2007, (72 Fed. Reg. 4621)] Department of Defense (DOD) – TRICARE Amendment – Employer Sponsored Group Health Plans Treasury/IRS proposed rules on Comparable Contributions to HSAs, Accelerated Employer Contributions, NPRM published June 1, 2007 (Fed. Reg. 30501) Treasury/IRS additional HSA guidance, Notice 2007-22, released February 15, 2007 National Health Insurance Act (H.R. 15) Flexible Spending Accounts Growth and Opportunities Act of 2007 (H.R. 298) Genetic Information Nondiscrimination Act (H.R. 493) Health Partnership through Creative Federalism Act (H.R. 506) Children’s Health Insurance (CHIP) Reauthorization Act of 2007 (H.R. 976) Access to Life-Saving Medicine Act (H.R. 1038) Paul Wellstone Mental Health and Addiction Equity Act 0f 2007 (H.R. 1424) Tax Equity for Health Plan Beneficiaries Act (H.R. 1820) Patient Protection and Innovative Biologic Medicines Act of 2007 (H.R. 1956) Promoting Health for Future Generations Act (H.R. 2639) Children’s Health and Medicare Act of 2007 (H.R. 3162) Healthy Americans Act (H.R. 3163) HSA Improvement and Expansion Act (H.R. 3234) Flexible Health Savings Act (H.R. 3306) Long-Term Care Affordability and Security Act of 2007 (H.R. 3363) Medicare Quality Enhancement Act (H.R. 3370) Employment Non-Discrimination Act (H.R. 3685) Early Warning and Health Care for Workers Affected by Globalization Act (H. R. 3796) Trade and Globalization Assistance Act (H.R. 3920) Defenders of Freedom Tax Relief Act of 2007/Heroes Earnings Assistance and Tax Relief Act of 2007-title as passed (H.R. 3997) Senate Medicare Prescription Drug Negotiation Act of 2007 (S. 3) Health Partnership Act (S. 325) Healthy Americans Act (S. 334) Genetic Information Nondiscrimination Act (S. 358) Mental Health Parity Act of 2007 (S. 558) Access to Life-Saving Medicine Act (S. 623) Universal Health Care Choice and Access Act (S. 1019) State-based Health Care Reform Act (S. 1169) Medicare Quality Enhancement Act (S. 1544) Tax Equity for Domestic Partner and Health Beneficiaries Act (S. 1556) Wired for Health Care Quality Act (S. 1693) Biologics Price Competition and Innovation Act (S. 1695) Healthy Workforce Act (S. 1753) Ten Steps to Transform Health Care in America Act (S. 1783) Healthy Tax Reform Act (S. 1875) Children’s Health Insurance Reauthorization Act (S. 1893) Long-Term Care Affordability and Security Act of 2007 (S. 2337) Medicare, Medicaid and SCHIP Extension Act of 2007 (S. 2499) Medicare Prescription Drug Price Negotiation Act (H.R. 4)

Client expense: $200,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

HR 298-FSA Rollover; HR 2132-Small Business Health Plans; S 46-Individual Premiums paid via HSA Account “Affordability in the Individual Market Act” INS; HR 3234-HSA Expansion “HSA Improvement and Expansion Act-TAX; S 334-Healthy Americans Act -HCR; HR 1200-Universal Health Coverage; HR 2761-TRIA; HR 1198-Reinsurance; S 400-Insurance Protections for College Students “Michelle’s Law”; S 558-Mental Health Parity “Mental Health Parity Act” –INS; HR 46-Tax Breaks for Small Businesses; HR 227-Tax Breaks for Individual Coverage “Tax Equity for Individuals Act” -TAX; S 1753-Employer Tax Credits for Wellness; HR 1820; S 1556-Health Plan Tax Equity; S 1848-TAA Health Coverage Improvement; HR 506-Small Group Health Care Reform; HR 976 -Children’s Health Insurance Reauthorization Act” - MMM; HR 3162-SCHIP “Children’s Health and Medicare Protection Act”-MMM; HR 493 “Genetic Information Nondiscrimination Act” INS; S 358-Genetic Nondiscrimination “Genetic Information Nondiscrimination Act” -INS; S 927-Catastrophe Savings Accounts Act of 2007; S 930-Hurricane and Tornado Mitigation Investment Act of 2007; HR 920-Multiple Peril Insurance Act of 2007; S 928-Homeowners Protection Act of 2007; S 926-Policyholder Disaster Protection Act of 2007; HR 1682; HR 3121-Flood Insurance Reform and Modernization Act of 2007; HR 920-Multiple Peril Insurance Act of 2007; HR 921-Flood Insurance Community Outreach Grant Program Act of 2007; HR 922-National Flood Insurance Program Participation Evaluation Act of 2007; S 40; HR 3200-National Insurance Act of 2007; HR 1049-Amend Misinterpreted Excessive Regulation in Corporate America Act; HR 1065-Nonadmitted and Reinsurance Reform Act of 2007; HR 1081; S 618-Insurance Industry Competition Act of 2007; HR 1685-Data Security Act of 2007; HR 220-Identity Theft Prevention Act of 2007; HR 336-Identity Theft Prevention and Timely Reporting Act of 2007; HR 958-Data Accountability and Trust Act; S 1178-Identity Theft Prevention Act of 2007; S 1202-Personal Data Protection Act of 2007; S 239-Notification of Risk to Personal Data Act of 2007; S 495-Personal Data Privacy and Security Act of 2007; S 806-Consumer ID Protection and Security Act; S 1260-Data Security Act of 2007; HR 3185-Pension Reform Covering Hybrid Plans; HR 22; S 662-Postal Reform and Insurance Regulation Reform; HR 1368 -Personalized Health Information Act” – HCR; HR 1424 -Paul Wellstone Mental Health and Addiction Equity Act” –INS; S 1893 -Children’s Health Insurance Program Reauthorization Act- MMM; S 1224 -Children’s Health Insurance Program Reauthorization Act- MMM; HR 4460 -Health Care Choice Act- INS; S 397 -Tax Equity and Affordability Act- TAX; HR 3306 -Flexible Health Savings Act- TAX; S 1710 -Labor-HHS-Education Appropriations Act- HCR; HR 3043 -Labor-HHS-Education Appropriations Act- HCR; HR 2764 -Omnibus Appropriations Act- HCR; S 1693 -Wired for Health Care Quality Act- HCR and Insurance Regulation Reform Legislation and regulations affecting insurance products including flood, terrorism, health insurance and HSA expansion, as well as tax issues. Other Lobbying activity include: HR 15-National Health Care Coverage, HR 676-Single Payer, HR 1368-Health IT, (continued on next page)

Client expense: $520,000 · Firm income: Not reported

Government targets: Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

HR 298-FSA Rollover; HR 2132-Small Business Health Plans; S 46-Individual Premiums paid via HSA Account “Affordability in the Individual Market Act” INS; HR 3234-HSA Expansion “HSA Improvement and Expansion Act-TAX; S 334-Healthy Americans Act -HCR; HR 1200-Universal Health Coverage; HR 2761-TRIA; HR 1198-Reinsurance; S 400-Insurance Protections for College Students “Michelle’s Law”; S 558-Mental Health Parity “Mental Health Parity Act” –INS; HR 46-Tax Breaks for Small Businesses; HR 227-Tax Breaks for Individual Coverage “Tax Equity for Individuals Act” -TAX; S 1753-Employer Tax Credits for Wellness; HR 1820; S 1556-Health Plan Tax Equity; S 1848-TAA Health Coverage Improvement; HR 506-Small Group Health Care Reform; HR 976 -Children’s Health Insurance Reauthorization Act” - MMM; HR 3162-SCHIP “Children’s Health and Medicare Protection Act”-MMM; HR 493 “Genetic Information Nondiscrimination Act” INS; S 358-Genetic Nondiscrimination “Genetic Information Nondiscrimination Act” -INS; S 927-Catastrophe Savings Accounts Act of 2007; S 930-Hurricane and Tornado Mitigation Investment Act of 2007; HR 920-Multiple Peril Insurance Act of 2007; S 928-Homeowners Protection Act of 2007; S 926-Policyholder Disaster Protection Act of 2007; HR 1682; HR 3121-Flood Insurance Reform and Modernization Act of 2007; HR 920-Multiple Peril Insurance Act of 2007; HR 921-Flood Insurance Community Outreach Grant Program Act of 2007; HR 922-National Flood Insurance Program Participation Evaluation Act of 2007; S 40; HR 3200-National Insurance Act of 2007; HR 1049-Amend Misinterpreted Excessive Regulation in Corporate America Act; HR 1065-Nonadmitted and Reinsurance Reform Act of 2007; HR 1081; S 618-Insurance Industry Competition Act of 2007; HR 1685-Data Security Act of 2007; HR 220-Identity Theft Prevention Act of 2007; HR 336-Identity Theft Prevention and Timely Reporting Act of 2007; HR 958-Data Accountability and Trust Act; S 1178-Identity Theft Prevention Act of 2007; S 1202-Personal Data Protection Act of 2007; S 239-Notification of Risk to Personal Data Act of 2007; S 495-Personal Data Privacy and Security Act of 2007; S 806-Consumer ID Protection and Security Act; S 1260-Data Security Act of 2007; HR 3185-Pension Reform Covering Hybrid Plans; HR 22; S 662-Postal Reform and Insurance Regulation Reform; HR 1368 -Personalized Health Information Act” – HCR; HR 1424 -Paul Wellstone Mental Health and Addiction Equity Act” –INS; S 1893 -Children’s Health Insurance Program Reauthorization Act- MMM; S 1224 -Children’s Health Insurance Program Reauthorization Act- MMM; HR 4460 -Health Care Choice Act- INS; S 397 -Tax Equity and Affordability Act- TAX; HR 3306 -Flexible Health Savings Act- TAX; S 1710 -Labor-HHS-Education Appropriations Act- HCR; HR 3043 -Labor-HHS-Education Appropriations Act- HCR; HR 2764 -Omnibus Appropriations Act- HCR; S 1693 -Wired for Health Care Quality Act- HCR and Insurance Regulation Reform Legislation and regulations affecting insurance products including flood, terrorism, health insurance and HSA expansion, as well as tax issues. Other Lobbying activity includes: HR 15-National Health Care Coverage, HR 676-Single Payer, HR 1368-Health IT (continued on next page)

Client expense: $520,000 · Firm income: Not reported

Government targets: Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

HR 298-FSA Rollover; HR 2132-Small Business Health Plans; S 46-Individual Premiums paid via HSA Account “Affordability in the Individual Market Act” INS; HR 3234-HSA Expansion “HSA Improvement and Expansion Act-TAX; S 334-Healthy Americans Act -HCR; HR 1200-Universal Health Coverage; HR 2761-TRIA; HR 1198-Reinsurance; S 400-Insurance Protections for College Students “Michelle’s Law”; S 558-Mental Health Parity “Mental Health Parity Act” –INS; HR 46-Tax Breaks for Small Businesses; HR 227-Tax Breaks for Individual Coverage “Tax Equity for Individuals Act” -TAX; S 1753-Employer Tax Credits for Wellness; HR 1820; S 1556-Health Plan Tax Equity; S 1848-TAA Health Coverage Improvement; HR 506-Small Group Health Care Reform; HR 976 -Children’s Health Insurance Reauthorization Act” - MMM; HR 3162-SCHIP “Children’s Health and Medicare Protection Act”-MMM; HR 493 “Genetic Information Nondiscrimination Act” INS; S 358-Genetic Nondiscrimination “Genetic Information Nondiscrimination Act” -INS; S 927-Catastrophe Savings Accounts Act of 2007; S 930-Hurricane and Tornado Mitigation Investment Act of 2007; HR 920-Multiple Peril Insurance Act of 2007; S 928-Homeowners Protection Act of 2007; S 926-Policyholder Disaster Protection Act of 2007; HR 1682; HR 3121-Flood Insurance Reform and Modernization Act of 2007; HR 920-Multiple Peril Insurance Act of 2007; HR 921-Flood Insurance Community Outreach Grant Program Act of 2007; HR 922-National Flood Insurance Program Participation Evaluation Act of 2007; S 40; HR 3200-National Insurance Act of 2007; HR 1049-Amend Misinterpreted Excessive Regulation in Corporate America Act; HR 1065-Nonadmitted and Reinsurance Reform Act of 2007; HR 1081; S 618-Insurance Industry Competition Act of 2007; HR 1685-Data Security Act of 2007; HR 220-Identity Theft Prevention Act of 2007; HR 336-Identity Theft Prevention and Timely Reporting Act of 2007; HR 958-Data Accountability and Trust Act; S 1178-Identity Theft Prevention Act of 2007; S 1202-Personal Data Protection Act of 2007; S 239-Notification of Risk to Personal Data Act of 2007; S 495-Personal Data Privacy and Security Act of 2007; S 806-Consumer ID Protection and Security Act; S 1260-Data Security Act of 2007; HR 3185-Pension Reform Covering Hybrid Plans; HR 22; S 662-Postal Reform and Insurance Regulation Reform; HR 1368 -Personalized Health Information Act” – HCR; HR 1424 -Paul Wellstone Mental Health and Addiction Equity Act” –INS; S 1893 -Children’s Health Insurance Program Reauthorization Act- MMM; S 1224 -Children’s Health Insurance Program Reauthorization Act- MMM; HR 4460 -Health Care Choice Act- INS; S 397 -Tax Equity and Affordability Act- TAX; HR 3306 -Flexible Health Savings Act- TAX; S 1710 -Labor-HHS-Education Appropriations Act- HCR; HR 3043 -Labor-HHS-Education Appropriations Act- HCR; HR 2764 -Omnibus Appropriations Act- HCR; S 1693 -Wired for Health Care Quality Act- HCR and Insurance Regulation Reform Legislation and regulations affecting insurance products including flood, terrorism, health insurance and HSA expansion, as well as tax issues. Other Lobbying activity includes: HR 15-National Health Care Coverage, HR 676-Single Payer, HR 1368-Health IT (continued on next page)

Client expense: $520,000 · Firm income: Not reported

Government targets: Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

HR 298-FSA Rollover; HR 2132-Small Business Health Plans; S 46-Individual Premiums paid via HSA Account “Affordability in the Individual Market Act” INS; HR 3234-HSA Expansion “HSA Improvement and Expansion Act-TAX; S 334-Healthy Americans Act -HCR; HR 1200-Universal Health Coverage; HR 2761-TRIA; HR 1198-Reinsurance; S 400-Insurance Protections for College Students “Michelle’s Law”; S 558-Mental Health Parity “Mental Health Parity Act” –INS; HR 46-Tax Breaks for Small Businesses; HR 227-Tax Breaks for Individual Coverage “Tax Equity for Individuals Act” -TAX; S 1753-Employer Tax Credits for Wellness; HR 1820; S 1556-Health Plan Tax Equity; S 1848-TAA Health Coverage Improvement; HR 506-Small Group Health Care Reform; HR 976 -Children’s Health Insurance Reauthorization Act” - MMM; HR 3162-SCHIP “Children’s Health and Medicare Protection Act”-MMM; HR 493 “Genetic Information Nondiscrimination Act” INS; S 358-Genetic Nondiscrimination “Genetic Information Nondiscrimination Act” -INS; S 927-Catastrophe Savings Accounts Act of 2007; S 930-Hurricane and Tornado Mitigation Investment Act of 2007; HR 920-Multiple Peril Insurance Act of 2007; S 928-Homeowners Protection Act of 2007; S 926-Policyholder Disaster Protection Act of 2007; HR 1682; HR 3121-Flood Insurance Reform and Modernization Act of 2007; HR 920-Multiple Peril Insurance Act of 2007; HR 921-Flood Insurance Community Outreach Grant Program Act of 2007; HR 922-National Flood Insurance Program Participation Evaluation Act of 2007; S 40; HR 3200-National Insurance Act of 2007; HR 1049-Amend Misinterpreted Excessive Regulation in Corporate America Act; HR 1065-Nonadmitted and Reinsurance Reform Act of 2007; HR 1081; S 618-Insurance Industry Competition Act of 2007; HR 1685-Data Security Act of 2007; HR 220-Identity Theft Prevention Act of 2007; HR 336-Identity Theft Prevention and Timely Reporting Act of 2007; HR 958-Data Accountability and Trust Act; S 1178-Identity Theft Prevention Act of 2007; S 1202-Personal Data Protection Act of 2007; S 239-Notification of Risk to Personal Data Act of 2007; S 495-Personal Data Privacy and Security Act of 2007; S 806-Consumer ID Protection and Security Act; S 1260-Data Security Act of 2007; HR 3185-Pension Reform Covering Hybrid Plans; HR 22; S 662-Postal Reform and Insurance Regulation Reform; HR 1368 -Personalized Health Information Act” – HCR; HR 1424 -Paul Wellstone Mental Health and Addiction Equity Act” –INS; S 1893 -Children’s Health Insurance Program Reauthorization Act- MMM; S 1224 -Children’s Health Insurance Program Reauthorization Act- MMM; HR 4460 -Health Care Choice Act- INS; S 397 -Tax Equity and Affordability Act- TAX; HR 3306 -Flexible Health Savings Act- TAX; S 1710 -Labor-HHS-Education Appropriations Act- HCR; HR 3043 -Labor-HHS-Education Appropriations Act- HCR; HR 2764 -Omnibus Appropriations Act- HCR; S 1693 -Wired for Health Care Quality Act- HCR and Insurance Regulation Reform Legislation and regulations affecting insurance products including flood, terrorism, health insurance and HSA expansion, as well as tax issues. Other Lobbying activity includes: HR 15-National Health Care Coverage, HR 676-Single Payer, HR 1368-Health IT (continued on next page)

Client expense: $520,000 · Firm income: Not reported

Government targets: Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

HR 298-FSA Rollover; HR 2132-Small Business Health Plans; S 46-Individual Premiums paid via HSA Account “Affordability in the Individual Market Act” INS; HR 3234-HSA Expansion “HSA Improvement and Expansion Act-TAX; S 334-Healthy Americans Act -HCR; HR 1200-Universal Health Coverage; HR 2761-TRIA; HR 1198-Reinsurance; S 400-Insurance Protections for College Students “Michelle’s Law”; S 558-Mental Health Parity “Mental Health Parity Act” –INS; HR 46-Tax Breaks for Small Businesses; HR 227-Tax Breaks for Individual Coverage “Tax Equity for Individuals Act” -TAX; S 1753-Employer Tax Credits for Wellness; HR 1820; S 1556-Health Plan Tax Equity; S 1848-TAA Health Coverage Improvement; HR 506-Small Group Health Care Reform; HR 976 -Children’s Health Insurance Reauthorization Act” - MMM; HR 3162-SCHIP “Children’s Health and Medicare Protection Act”-MMM; HR 493 “Genetic Information Nondiscrimination Act” INS; S 358-Genetic Nondiscrimination “Genetic Information Nondiscrimination Act” -INS; S 927-Catastrophe Savings Accounts Act of 2007; S 930-Hurricane and Tornado Mitigation Investment Act of 2007; HR 920-Multiple Peril Insurance Act of 2007; S 928-Homeowners Protection Act of 2007; S 926-Policyholder Disaster Protection Act of 2007; HR 1682; HR 3121-Flood Insurance Reform and Modernization Act of 2007; HR 920-Multiple Peril Insurance Act of 2007; HR 921-Flood Insurance Community Outreach Grant Program Act of 2007; HR 922-National Flood Insurance Program Participation Evaluation Act of 2007; S 40; HR 3200-National Insurance Act of 2007; HR 1049-Amend Misinterpreted Excessive Regulation in Corporate America Act; HR 1065-Nonadmitted and Reinsurance Reform Act of 2007; HR 1081; S 618-Insurance Industry Competition Act of 2007; HR 1685-Data Security Act of 2007; HR 220-Identity Theft Prevention Act of 2007; HR 336-Identity Theft Prevention and Timely Reporting Act of 2007; HR 958-Data Accountability and Trust Act; S 1178-Identity Theft Prevention Act of 2007; S 1202-Personal Data Protection Act of 2007; S 239-Notification of Risk to Personal Data Act of 2007; S 495-Personal Data Privacy and Security Act of 2007; S 806-Consumer ID Protection and Security Act; S 1260-Data Security Act of 2007; HR 3185-Pension Reform Covering Hybrid Plans; HR 22; S 662-Postal Reform and Insurance Regulation Reform; HR 1368 -Personalized Health Information Act” – HCR; HR 1424 -Paul Wellstone Mental Health and Addiction Equity Act” –INS; S 1893 -Children’s Health Insurance Program Reauthorization Act- MMM; S 1224 -Children’s Health Insurance Program Reauthorization Act- MMM; HR 4460 -Health Care Choice Act- INS; S 397 -Tax Equity and Affordability Act- TAX; HR 3306 -Flexible Health Savings Act- TAX; S 1710 -Labor-HHS-Education Appropriations Act- HCR; HR 3043 -Labor-HHS-Education Appropriations Act- HCR; HR 2764 -Omnibus Appropriations Act- HCR; S 1693 -Wired for Health Care Quality Act- HCR and Insurance Regulation Reform Legislation and regulations affecting insurance products including flood, terrorism, health insurance and HSA expansion, as well as tax issues. Other Lobbying activity includes: HR 15-National Health Care Coverage, HR 676-Single Payer, HR 1368-Health IT (continued on next page)

Client expense: $520,000 · Firm income: Not reported

Government targets: Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

HR 298-FSA Rollover; HR 2132-Small Business Health Plans; S 46-Individual Premiums paid via HSA Account “Affordability in the Individual Market Act” INS; HR 3234-HSA Expansion “HSA Improvement and Expansion Act-TAX; S 334-Healthy Americans Act -HCR; HR 1200-Universal Health Coverage; HR 2761-TRIA; HR 1198-Reinsurance; S 400-Insurance Protections for College Students “Michelle’s Law”; S 558-Mental Health Parity “Mental Health Parity Act” –INS; HR 46-Tax Breaks for Small Businesses; HR 227-Tax Breaks for Individual Coverage “Tax Equity for Individuals Act” -TAX; S 1753-Employer Tax Credits for Wellness; HR 1820; S 1556-Health Plan Tax Equity; S 1848-TAA Health Coverage Improvement; HR 506-Small Group Health Care Reform; HR 976 -Children’s Health Insurance Reauthorization Act” - MMM; HR 3162-SCHIP “Children’s Health and Medicare Protection Act”-MMM; HR 493 “Genetic Information Nondiscrimination Act” INS; S 358-Genetic Nondiscrimination “Genetic Information Nondiscrimination Act” -INS; S 927-Catastrophe Savings Accounts Act of 2007; S 930-Hurricane and Tornado Mitigation Investment Act of 2007; HR 920-Multiple Peril Insurance Act of 2007; S 928-Homeowners Protection Act of 2007; S 926-Policyholder Disaster Protection Act of 2007; HR 1682; HR 3121-Flood Insurance Reform and Modernization Act of 2007; HR 920-Multiple Peril Insurance Act of 2007; HR 921-Flood Insurance Community Outreach Grant Program Act of 2007; HR 922-National Flood Insurance Program Participation Evaluation Act of 2007; S 40; HR 3200-National Insurance Act of 2007; HR 1049-Amend Misinterpreted Excessive Regulation in Corporate America Act; HR 1065-Nonadmitted and Reinsurance Reform Act of 2007; HR 1081; S 618-Insurance Industry Competition Act of 2007; HR 1685-Data Security Act of 2007; HR 220-Identity Theft Prevention Act of 2007; HR 336-Identity Theft Prevention and Timely Reporting Act of 2007; HR 958-Data Accountability and Trust Act; S 1178-Identity Theft Prevention Act of 2007; S 1202-Personal Data Protection Act of 2007; S 239-Notification of Risk to Personal Data Act of 2007; S 495-Personal Data Privacy and Security Act of 2007; S 806-Consumer ID Protection and Security Act; S 1260-Data Security Act of 2007; HR 3185-Pension Reform Covering Hybrid Plans; HR 22; S 662-Postal Reform and Insurance Regulation Reform; HR 1368 -Personalized Health Information Act” – HCR; HR 1424 -Paul Wellstone Mental Health and Addiction Equity Act” –INS; S 1893 -Children’s Health Insurance Program Reauthorization Act- MMM; S 1224 -Children’s Health Insurance Program Reauthorization Act- MMM; HR 4460 -Health Care Choice Act- INS; S 397 -Tax Equity and Affordability Act- TAX; HR 3306 -Flexible Health Savings Act- TAX; S 1710 -Labor-HHS-Education Appropriations Act- HCR; HR 3043 -Labor-HHS-Education Appropriations Act- HCR; HR 2764 -Omnibus Appropriations Act- HCR; S 1693 -Wired for Health Care Quality Act- HCR and Insurance Regulation Reform Legislation and regulations affecting insurance products including flood, terrorism, health insurance and HSA expansion, as well as tax issues. Other Lobbying activity include: HR 15-National Health Care Coverage, HR 676-Single Payer, HR 1368-Health IT, (continued on next page)

Client expense: $500,000 · Firm income: Not reported

Government targets: Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

HR 298-FSA Rollover; HR 2132-Small Business Health Plans; S 46-Individual Premiums paid via HSA Account “Affordability in the Individual Market Act” INS; HR 3234-HSA Expansion “HSA Improvement and Expansion Act-TAX; S 334-Healthy Americans Act -HCR; HR 1200-Universal Health Coverage; HR 2761-TRIA; HR 1198-Reinsurance; S 400-Insurance Protections for College Students “Michelle’s Law”; S 558-Mental Health Parity “Mental Health Parity Act” –INS; HR 46-Tax Breaks for Small Businesses; HR 227-Tax Breaks for Individual Coverage “Tax Equity for Individuals Act” -TAX; S 1753-Employer Tax Credits for Wellness; HR 1820; S 1556-Health Plan Tax Equity; S 1848-TAA Health Coverage Improvement; HR 506-Small Group Health Care Reform; HR 976 -Children’s Health Insurance Reauthorization Act” - MMM; HR 3162-SCHIP “Children’s Health and Medicare Protection Act”-MMM; HR 493 “Genetic Information Nondiscrimination Act” INS; S 358-Genetic Nondiscrimination “Genetic Information Nondiscrimination Act” -INS; S 927-Catastrophe Savings Accounts Act of 2007; S 930-Hurricane and Tornado Mitigation Investment Act of 2007; HR 920-Multiple Peril Insurance Act of 2007; S 928-Homeowners Protection Act of 2007; S 926-Policyholder Disaster Protection Act of 2007; HR 1682; HR 3121-Flood Insurance Reform and Modernization Act of 2007; HR 920-Multiple Peril Insurance Act of 2007; HR 921-Flood Insurance Community Outreach Grant Program Act of 2007; HR 922-National Flood Insurance Program Participation Evaluation Act of 2007; S 40; HR 3200-National Insurance Act of 2007; HR 1049-Amend Misinterpreted Excessive Regulation in Corporate America Act; HR 1065-Nonadmitted and Reinsurance Reform Act of 2007; HR 1081; S 618-Insurance Industry Competition Act of 2007; HR 1685-Data Security Act of 2007; HR 220-Identity Theft Prevention Act of 2007; HR 336-Identity Theft Prevention and Timely Reporting Act of 2007; HR 958-Data Accountability and Trust Act; S 1178-Identity Theft Prevention Act of 2007; S 1202-Personal Data Protection Act of 2007; S 239-Notification of Risk to Personal Data Act of 2007; S 495-Personal Data Privacy and Security Act of 2007; S 806-Consumer ID Protection and Security Act; S 1260-Data Security Act of 2007; HR 3185-Pension Reform Covering Hybrid Plans; HR 22; S 662-Postal Reform and Insurance Regulation Reform; HR 1368 -Personalized Health Information Act” – HCR; HR 1424 -Paul Wellstone Mental Health and Addiction Equity Act” –INS; S 1893 -Children’s Health Insurance Program Reauthorization Act- MMM; S 1224 -Children’s Health Insurance Program Reauthorization Act- MMM; HR 4460 -Health Care Choice Act- INS; S 397 -Tax Equity and Affordability Act- TAX; HR 3306 -Flexible Health Savings Act- TAX; S 1710 -Labor-HHS-Education Appropriations Act- HCR; HR 3043 -Labor-HHS-Education Appropriations Act- HCR; HR 2764 -Omnibus Appropriations Act- HCR; S 1693 -Wired for Health Care Quality Act- HCR and Insurance Regulation Reform Legislation and regulations affecting insurance products including flood, terrorism, health insurance and HSA expansion, as well as tax issues. Other Lobbying activity includes: HR 15-National Health Care Coverage, HR 676-Single Payer, HR 1368-Health IT (continued on next page)

Client expense: $500,000 · Firm income: Not reported

Government targets: Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

HR 298-FSA Rollover; HR 2132-Small Business Health Plans; S 46-Individual Premiums paid via HSA Account “Affordability in the Individual Market Act” INS; HR 3234-HSA Expansion “HSA Improvement and Expansion Act-TAX; S 334-Healthy Americans Act -HCR; HR 1200-Universal Health Coverage; HR 2761-TRIA; HR 1198-Reinsurance; S 400-Insurance Protections for College Students “Michelle’s Law”; S 558-Mental Health Parity “Mental Health Parity Act” –INS; HR 46-Tax Breaks for Small Businesses; HR 227-Tax Breaks for Individual Coverage “Tax Equity for Individuals Act” -TAX; S 1753-Employer Tax Credits for Wellness; HR 1820; S 1556-Health Plan Tax Equity; S 1848-TAA Health Coverage Improvement; HR 506-Small Group Health Care Reform; HR 976 -Children’s Health Insurance Reauthorization Act” - MMM; HR 3162-SCHIP “Children’s Health and Medicare Protection Act”-MMM; HR 493 “Genetic Information Nondiscrimination Act” INS; S 358-Genetic Nondiscrimination “Genetic Information Nondiscrimination Act” -INS; S 927-Catastrophe Savings Accounts Act of 2007; S 930-Hurricane and Tornado Mitigation Investment Act of 2007; HR 920-Multiple Peril Insurance Act of 2007; S 928-Homeowners Protection Act of 2007; S 926-Policyholder Disaster Protection Act of 2007; HR 1682; HR 3121-Flood Insurance Reform and Modernization Act of 2007; HR 920-Multiple Peril Insurance Act of 2007; HR 921-Flood Insurance Community Outreach Grant Program Act of 2007; HR 922-National Flood Insurance Program Participation Evaluation Act of 2007; S 40; HR 3200-National Insurance Act of 2007; HR 1049-Amend Misinterpreted Excessive Regulation in Corporate America Act; HR 1065-Nonadmitted and Reinsurance Reform Act of 2007; HR 1081; S 618-Insurance Industry Competition Act of 2007; HR 1685-Data Security Act of 2007; HR 220-Identity Theft Prevention Act of 2007; HR 336-Identity Theft Prevention and Timely Reporting Act of 2007; HR 958-Data Accountability and Trust Act; S 1178-Identity Theft Prevention Act of 2007; S 1202-Personal Data Protection Act of 2007; S 239-Notification of Risk to Personal Data Act of 2007; S 495-Personal Data Privacy and Security Act of 2007; S 806-Consumer ID Protection and Security Act; S 1260-Data Security Act of 2007; HR 3185-Pension Reform Covering Hybrid Plans; HR 22; S 662-Postal Reform and Insurance Regulation Reform; HR 1368 -Personalized Health Information Act” – HCR; HR 1424 -Paul Wellstone Mental Health and Addiction Equity Act” –INS; S 1893 -Children’s Health Insurance Program Reauthorization Act- MMM; S 1224 -Children’s Health Insurance Program Reauthorization Act- MMM; HR 4460 -Health Care Choice Act- INS; S 397 -Tax Equity and Affordability Act- TAX; HR 3306 -Flexible Health Savings Act- TAX; S 1710 -Labor-HHS-Education Appropriations Act- HCR; HR 3043 -Labor-HHS-Education Appropriations Act- HCR; HR 2764 -Omnibus Appropriations Act- HCR; S 1693 -Wired for Health Care Quality Act- HCR and Insurance Regulation Reform Legislation and regulations affecting insurance products including flood, terrorism, health insurance and HSA expansion, as well as tax issues. Other Lobbying activity includes: HR 15-National Health Care Coverage, HR 676-Single Payer, HR 1368-Health IT (continued on next page)

Client expense: $500,000 · Firm income: Not reported

Government targets: Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

HR 298-FSA Rollover; HR 2132-Small Business Health Plans; S 46-Individual Premiums paid via HSA Account “Affordability in the Individual Market Act” INS; HR 3234-HSA Expansion “HSA Improvement and Expansion Act-TAX; S 334-Healthy Americans Act -HCR; HR 1200-Universal Health Coverage; HR 2761-TRIA; HR 1198-Reinsurance; S 400-Insurance Protections for College Students “Michelle’s Law”; S 558-Mental Health Parity “Mental Health Parity Act” –INS; HR 46-Tax Breaks for Small Businesses; HR 227-Tax Breaks for Individual Coverage “Tax Equity for Individuals Act” -TAX; S 1753-Employer Tax Credits for Wellness; HR 1820; S 1556-Health Plan Tax Equity; S 1848-TAA Health Coverage Improvement; HR 506-Small Group Health Care Reform; HR 976 -Children’s Health Insurance Reauthorization Act” - MMM; HR 3162-SCHIP “Children’s Health and Medicare Protection Act”-MMM; HR 493 “Genetic Information Nondiscrimination Act” INS; S 358-Genetic Nondiscrimination “Genetic Information Nondiscrimination Act” -INS; S 927-Catastrophe Savings Accounts Act of 2007; S 930-Hurricane and Tornado Mitigation Investment Act of 2007; HR 920-Multiple Peril Insurance Act of 2007; S 928-Homeowners Protection Act of 2007; S 926-Policyholder Disaster Protection Act of 2007; HR 1682; HR 3121-Flood Insurance Reform and Modernization Act of 2007; HR 920-Multiple Peril Insurance Act of 2007; HR 921-Flood Insurance Community Outreach Grant Program Act of 2007; HR 922-National Flood Insurance Program Participation Evaluation Act of 2007; S 40; HR 3200-National Insurance Act of 2007; HR 1049-Amend Misinterpreted Excessive Regulation in Corporate America Act; HR 1065-Nonadmitted and Reinsurance Reform Act of 2007; HR 1081; S 618-Insurance Industry Competition Act of 2007; HR 1685-Data Security Act of 2007; HR 220-Identity Theft Prevention Act of 2007; HR 336-Identity Theft Prevention and Timely Reporting Act of 2007; HR 958-Data Accountability and Trust Act; S 1178-Identity Theft Prevention Act of 2007; S 1202-Personal Data Protection Act of 2007; S 239-Notification of Risk to Personal Data Act of 2007; S 495-Personal Data Privacy and Security Act of 2007; S 806-Consumer ID Protection and Security Act; S 1260-Data Security Act of 2007; HR 3185-Pension Reform Covering Hybrid Plans; HR 22; S 662-Postal Reform and Insurance Regulation Reform; HR 1368 -Personalized Health Information Act” – HCR; HR 1424 -Paul Wellstone Mental Health and Addiction Equity Act” –INS; S 1893 -Children’s Health Insurance Program Reauthorization Act- MMM; S 1224 -Children’s Health Insurance Program Reauthorization Act- MMM; HR 4460 -Health Care Choice Act- INS; S 397 -Tax Equity and Affordability Act- TAX; HR 3306 -Flexible Health Savings Act- TAX; S 1710 -Labor-HHS-Education Appropriations Act- HCR; HR 3043 -Labor-HHS-Education Appropriations Act- HCR; HR 2764 -Omnibus Appropriations Act- HCR; S 1693 -Wired for Health Care Quality Act- HCR and Insurance Regulation Reform Legislation and regulations affecting insurance products including flood, terrorism, health insurance and HSA expansion, as well as tax issues. Other Lobbying activity includes: HR 15-National Health Care Coverage, HR 676-Single Payer, HR 1368-Health IT (continued on next page)

Client expense: $500,000 · Firm income: Not reported

Government targets: Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

HR 298-FSA Rollover; HR 2132-Small Business Health Plans; S 46-Individual Premiums paid via HSA Account “Affordability in the Individual Market Act” INS; HR 3234-HSA Expansion “HSA Improvement and Expansion Act-TAX; S 334-Healthy Americans Act -HCR; HR 1200-Universal Health Coverage; HR 2761-TRIA; HR 1198-Reinsurance; S 400-Insurance Protections for College Students “Michelle’s Law”; S 558-Mental Health Parity “Mental Health Parity Act” –INS; HR 46-Tax Breaks for Small Businesses; HR 227-Tax Breaks for Individual Coverage “Tax Equity for Individuals Act” -TAX; S 1753-Employer Tax Credits for Wellness; HR 1820; S 1556-Health Plan Tax Equity; S 1848-TAA Health Coverage Improvement; HR 506-Small Group Health Care Reform; HR 976 -Children’s Health Insurance Reauthorization Act” - MMM; HR 3162-SCHIP “Children’s Health and Medicare Protection Act”-MMM; HR 493 “Genetic Information Nondiscrimination Act” INS; S 358-Genetic Nondiscrimination “Genetic Information Nondiscrimination Act” -INS; S 927-Catastrophe Savings Accounts Act of 2007; S 930-Hurricane and Tornado Mitigation Investment Act of 2007; HR 920-Multiple Peril Insurance Act of 2007; S 928-Homeowners Protection Act of 2007; S 926-Policyholder Disaster Protection Act of 2007; HR 1682; HR 3121-Flood Insurance Reform and Modernization Act of 2007; HR 920-Multiple Peril Insurance Act of 2007; HR 921-Flood Insurance Community Outreach Grant Program Act of 2007; HR 922-National Flood Insurance Program Participation Evaluation Act of 2007; S 40; HR 3200-National Insurance Act of 2007; HR 1049-Amend Misinterpreted Excessive Regulation in Corporate America Act; HR 1065-Nonadmitted and Reinsurance Reform Act of 2007; HR 1081; S 618-Insurance Industry Competition Act of 2007; HR 1685-Data Security Act of 2007; HR 220-Identity Theft Prevention Act of 2007; HR 336-Identity Theft Prevention and Timely Reporting Act of 2007; HR 958-Data Accountability and Trust Act; S 1178-Identity Theft Prevention Act of 2007; S 1202-Personal Data Protection Act of 2007; S 239-Notification of Risk to Personal Data Act of 2007; S 495-Personal Data Privacy and Security Act of 2007; S 806-Consumer ID Protection and Security Act; S 1260-Data Security Act of 2007; HR 3185-Pension Reform Covering Hybrid Plans; HR 22; S 662-Postal Reform and Insurance Regulation Reform; HR 1368 -Personalized Health Information Act” – HCR; HR 1424 -Paul Wellstone Mental Health and Addiction Equity Act” –INS; S 1893 -Children’s Health Insurance Program Reauthorization Act- MMM; S 1224 -Children’s Health Insurance Program Reauthorization Act- MMM; HR 4460 -Health Care Choice Act- INS; S 397 -Tax Equity and Affordability Act- TAX; HR 3306 -Flexible Health Savings Act- TAX; S 1710 -Labor-HHS-Education Appropriations Act- HCR; HR 3043 -Labor-HHS-Education Appropriations Act- HCR; HR 2764 -Omnibus Appropriations Act- HCR; S 1693 -Wired for Health Care Quality Act- HCR and Insurance Regulation Reform Legislation and regulations affecting insurance products including flood, terrorism, health insurance and HSA expansion, as well as tax issues. Other Lobbying activity includes: HR 15-National Health Care Coverage, HR 676-Single Payer, HR 1368-Health IT (continued on next page)

Client expense: $500,000 · Firm income: Not reported

Government targets: Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

Health care, employee benefit and LTC insurance reform issues. HR 241, HR 324, HR 1012, S. 555, HR 2047, S. 334, HR 3163, s 1019, s 783, HR 3343, HR 506, HR 749, HR 991, HR 2302, HR 2948, HR 3234, S. 1899, S. 558, HR 2132, S. 158, S 504, HR 46, HR 2582, S. 1809, HR 3088, HR 3363, S 2337S 95, HR 1111, S 397, HR 2626, HR 2737, S. 1875, S 99, S 158, HR 1802, S 1753, HR 227, HR 636, S. 1356, HR 1820, HR 298, HR 3306, HR 15, HR 676, HR 1200, HR 2034, S 1218, HR 2357, S 1758

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.RES.13: Encouraging increased public awareness of eating disorders and expanded research for treatment and cures. H.R.15: To provide a program of national health insurance, and for other purposes.

Client expense: $987,588 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Federal Election Commission (FEC), Federal Trade Commission (FTC), Financial Crimes Enforcement Network (FinCEN), Financial Management Service (FMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Thrift Supervision (OTS), SENATE, Treasury, Dept of, U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE), UNDETERMINED

H.R. 1424: Paul Wellstone Mental Health and Addiction Equity Act S. 558: Mental Health Parity Act S. 400: Michelle's Law H.R. 2851: Michelle’s Law H.R. 2761 Terrorism Risk Insurance Extension Act Federal Terrorism Risk Insurance H.R. 15 National Health Insurance Act S. 1224 Children’s Health Insurance Program (CHIP) Reauthorization Act of 2007 H.R. 676 United States National Health Insurance Act S. 1690 Small Business Health Insurance Options Act of 2007 H.R. 1329 Guaranteed Access for SCHIP’s Target Population Act of 2007 H.R. 758 Breast Cancer Patient Protection Act H.R. 493: Genetic Information Nondiscrimination Act S. 358: Genetic Information Nondiscrimination Act S. 46: Affordability in the Individual Market Act

Client expense: Not reported · Firm income: $120,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 558, Mental Health Parity Act of 2007 S. 667, Education Begins at Home Act S. 1088, Lower PRICED Drugs Act S. 1169, State-Based Health Care Reform ACt S. 1408, Health Information Technology Act of 2007 H.R. 15, National Health Insurance Act H.R. 1367 and 1424, Paul Wellstone Mental Health and Addiction Equity Act H.R. 1368, Personalized Health Information Act of 2007 H.R. 1841, AmeriCare Health Care Act of 2007 H.R. 2351, HealthCARE Act of 2007 H.R. 3014, Health Equity and Accountability Act of 2007 Supported all provisions unless otherwise indicated S. 586, H.R. 1968, Community Health Workers Act of 2007 S. 1218, H.R. 2034, Medicare for All Act S. 334, Healthy Americans Act

Client expense: $20,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.RES.13: Encouraging increased public awareness of eating disorders and expanded research for treatment and cures. H.R.15: To provide a program of national health insurance, and for other purposes. H.R.20: To provide for research on, and services for individuals with, postpartum depression and psychosis. H.R.63: To provide that the approved application under the Federal Food, Drug, and Cosmetic Act for the drug commonly known as RU-486 is deemed to have been withdrawn, to provide for the review by the Comptroller General of the United States of the process by which the Food and Drug Administration approved such drug, and for other purposes. H.R.113: To amend the Internal Revenue Code of 1986 to require group health plans to provide coverage for reconstructive surgery following mastectomy, consistent with the Women's Health and Cancer Rights Act of 1998. H.R.119: To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. H.R.152: To amend title XXVII of the Public Health Service Act and title I of the Employee Retirement Income Security Act of 1974 to require that group and individual health insurance coverage and group health plans provide comprehensive coverage for childhood immunization. H.R.282: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for second opinions. H.R.283: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans permit enrollees direct access to services of obstetrical and gynecological physician services directly and without a referral. H.R.324: To increase the minimum wage, to provide access to health care coverage to employees of small businesses, and to preserve American jobs. H.R.506: To provide for innovation in health care through State initiatives that expand coverage and access. H.R.636: To amend the Internal Revenue Code of 1986 to improve health care choice by providing for the tax deductibility of medical expenses by individuals. H.R.676: To provide for comprehensive health insurance coverage for all United States residents, and for other purposes. H.R.914: To amend the Internal Revenue Code of 1986 to allow individuals a refundable credit against income tax for the purchase of private health insurance, and for other purposes. H.R.971: To ensure and foster continued patient safety and quality of care by making the antitrust laws apply to negotiations between groups of independent pharmacies and health plans and health insurance issuers (including health plans under parts C and D of the Medicare Program) in the same manner as such laws apply to protected activities under the National Labor Relations Act. H.R.979: To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to protect consumers in managed care plans and other health coverage. H.R.1076: To promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. H.R.1368: To establish a program to provide financial incentives to encourage the adoption and use of interactive personal health records. H.R.1424: To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans. H.R.1535: To amend titles XIX and XXI of the Social Security Act to ensure that every child in the United States has access to affordable, quality health insurance coverage, and for other purposes. H.R.1666: To amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs. H.R.1669: To amend the Public Health Service Act to provide for integration of mental health services and mental health treatment outreach teams, and for other purposes. H.R.1802: To amend the Internal Revenue Code of 1986 to provide a refundable tax credit to small businesses for the costs of qualified health insurance. H.R.1820: To amend the Internal Revenue Code of 1986 to extend the exclusion from gross income for employer-provided health coverage for employees' spouses and dependent children to coverage provided to other eligible designated beneficiaries of employees. H.R.1841: To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. H.R. 2034, to provide quality, affordable health care for all Americans. H.R. 2132: to amend the Public Health Service Act to establish a small business health benefits program. H.R. 2302: to amend the Internal Revenue Code of 1986 to allow a deduction for premiums for high deductible health plans required with respect to health savings accounts. H.R. 2633: to improve the health of Americans and reduce health care costs by reorienting the nation's health care system toward prevention, wellness, and self care. H.R. 2626: to provide for incentives to encourage health insurance coverage, and for other purposes. H.R. 2737: to amend the Internal Revenue Code of 1986 to allow previously uninsured individuals a refundable credit for health insurance costs and to provide tax incentives to encourage small business health plans. H.R. 2842: To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions for children in group health plans and health insurance coverage in the group and individual markets. H.R. 2892: to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, chapter 89 of title 5, U.S. Code, and title 10, U.S. Code, to require coverage for the treatment of infertility. H.R.1111: To amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. H.R.1367: To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans. S.46: A bill to amend the Internal Revenue Code of 1986 to expand the permissible use of health savings accounts to include premiums for non-group high deductible health plan coverage. S.95: A bill to amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. S.99: A bill to amend the Internal Revenue Code of 1986 to provide a refundable credit for small business employee health insurance expenses. S.158: A bill to expand access to affordable health care and to strengthen the health care safety net and make health care services more available in rural and underserved areas. S.244: A bill to improve women's access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the delivery of obstetrical and gynecological services. S.325: A bill to provide for innovation in health care through State initiatives that expand coverage and access and improve quality and efficiency in the health care system. S.334: A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. S.397: A bill to amend the Internal Revenue Code of 1986 to allow individuals a refundable credit against income tax for the purchase of private health insurance, and for other purposes. S.400: A bill to amend the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code of 1986 to ensure that dependent students who take a medically necessary leave of absence do not lose health insurance coverage, and for other purposes. S.459: A bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. S.558: A bill to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. S.616: A bill to promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. S.651: A bill to help promote the national recommendation of physical activity to kids, families, and communities across the United States. S.655: A bill to amend the Congressional Charter of The American National Red Cross to modernize its governance structure, to enhance the ability of the board of governors of The American National Red Cross to support the critical mission of The American Red Cross in the 21st century, and for other purposes. S.733: A bill to promote the development of health care cooperatives that will help businesses to pool the health care purchasing power of employers, and for other purposes. S.895: A bill to amend titles XIX and XXI of the Social Security Act to ensure that every child in the United States has access to affordable, quality health insurance coverage, and for other purposes. S.982: A bill to amend the Public Health Service Act to provide for integration of mental health services and mental health treatment outreach teams, and for other purposes. S.1019: A bill to provide comprehensive reform of the health care system of the United States, and for other purposes. S.1050: A bill to amend the Rehabilitation Act of 1973 and the Public Health Service Act to set standards for medical diagnostic equipment and to establish a program for promoting good health, disease prevention, and wellness and for the prevention of secondary conditions for individuals with disabilities, and for other purposes. S. 1198: to determine successful methods to provide protection from catastrophic health expenses for individuals who have exceeded health insurance lifetime limits, to provide catastrophic health insurance coverage for uninsured individuals, and for other purposes. S. 1218: to provide quality, affordable health care for all Americans. S. 1298: to amend the Social Security Act to establish a federal reinsurance program for catastrophic health care costs. S.1342: A bill to improve the health of Americans and reduce health care costs by reorienting the Nation's health care system toward prevention, wellness, and self care. S.1693: A bill to enhance the adoption of a nationwide interoperable health information technology system and to improve the quality and reduce the costs of health care in the United States.

Client expense: $895,459 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE

HR 245 -Legislation for treating certain amounts paid for exercise equipment and physical fitness programs as amounts paid for medical treatment, for tax purposes. S 999/ HR 477 -Stroke Treatment and Ongoing Prevention (STOP) Act. HR 1283-Arthritis Prevention, Control, and Cure Act. HR 1418 - Expansion and improvement of traumatic brain injury programs. HR 2762-Amend the Public Health Service Act to reauthorize the special diabetes programs for Type I diabetes and Indians under that Act. S 646 - Rural Nursing Promotion Act, includes provision to report on the source of newly licensed PTs in the US. HR 1368 - Provide financial incentives to adoption and use of interactive personal health records. HR 1952 - Financial incentives for purchase of Health IT by small health care providers and entities. S 638 - Grants for rural health IT development activities. S 1183 / HR 1727 - Christopher and Dana Reeve Paralysis Act. HR 15 - National Health Insurance Program. HR 241 - Small business health fairness Act association health plans. S 325 / HR 506- Program to foster innovation in health care through state initiatives. HR 636 - Tax deductibility of medical expenses. HR 676 - Comprehensive health coverage for all US residents. HR 1200- American Health Security Act. HR 1841 - AmeriCare universal health care program. S 46 - Expand HSA use. S 334 - Provide affordable guaranteed private health coverage for all Americans. S 733 - Provide grants to self insured businesses to form health care cooperatives. S 1019 - Universal Health Care Choice and Access Act. S 1198 - Determine successful methods to protect against catastrophic health care costs exceeding insurance. S 793 - Expansion and improvement of traumatic brain injury programs. S 845- Keeping Seniors Safe from Falls Act of 2007. S 0866 - Health Promotion Funding Integrated Research, Synthesis, and Training Act (Health Promotion FIRST Act). S 1050 - Establish a program for wellness and prevention of secondary conditions for individuals with disabilities. HR 979 - Patient bill of rights. HR 1134- NHSC Student Loan Repayment - Legislation to include physical therapists in the National Health Service Corps for the purpose of student loan repayment. HR 446 - Legislation to further research into paralysis and improve rehabilitation for sufferers. HCR 91- Resolution for further research into paralysis and improving quality of life for sufferers.

Client expense: $857,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA)

S. 334: Healthy Americans Act - Entire bill S. 397: Tax Equity and Affordability Act of 2007 - Entire bill S. 498: Rural Medicare Equity Act of 2007 - Entire bill S. 1342: HeLP America Act - Entire bill S. 1605: Craig Thomas Rural Hospital and Provider Equity Act of 2007- Entire bill S. 1710: Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2008 - Entire bill H.R.4: Medicare Prescription Drug Price Negotiation Act of 2007 - Entire bill H.R.15: National Health Insurance Act - Entire bill H.R.118: To amend part D of title XVIII of the Social Security Act to authorize the Secretary of Health and Human Services to negotiate prices for part D covered drugs for Medicare beneficiaries. - Entire bill H.R.205: Medicare Prescription Drug Enrollment Extension Act of 2007 - Entire bill H.R.298: Flexible Spending Accounts Growth and Opportunities Act of 2007 - Entire bill HR 914: Tax Equity and Affordability Act of 2007 - Entire bill H.R. 1651: Rural Health Quality Advisory Commission Act of 2007 - Entire bill HR 2056: Medicare Part D Improvement Act of 2007 - Entire bill HR 2633: HeLP America Act (Introduced in House) - Entire bill HR 2860: Health Care Access and Rural Equity (H-CARE) Act of 2007 - Entire bill HR 3014: Health Equity and Accountability Act of 2007 - Entire bill H.R. 3043: Department of Health and Human Services Appropriations Act, 2008 - Entire bill HR 3163: Healthy Americans Act - Entire bill S. 3 - Medicare Prescription Drug Price Negotiation Act of 2007. - Entire bill S. 158 - Access to Affordable Health Care Act. - Entire bill S. 273 - Prescription Drug and Health Improvement Act of 2007. - Entire bill S. 290 - Rural Physicians Relief Act of 2007. - Entire bill

Client expense: $1,950,959 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Council on Environmental Quality (CEQ), Energy, Dept of, Environmental Protection Agency (EPA), Federal Energy Regulatory Commission (FERC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Management & Budget (OMB), Pension & Welfare Benefits Administration, Pension Benefit Guaranty Corporation (PBGC), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, White House Office

HR 298-FSA Rollover, HR 2132-Small Business Health Plans, S 46-Individual Premiums paid via HSA Account, HR 3234-HSA Expansion, S 334, HR 1200-Universal Health Coverage, HR 2761-TRIA, HR 1198-Reinsurance, S 400-Insurance Protections for College Students “Michelle’s Law”, S 558-Mental Health Parity, HR 46-Tax Breaks for Small Businesses, HR 227-Tax Breaks for Individual Coverage, S 1753-Employer Tax Credits for Wellness, HR 1820, S 1556-Health Plan Tax Equity, S 1848-TAA Health Coverage Improvement, HR 506-Small Group Health Care Reform, HR 976, HR 3162-SCHIP, HR 493, S 358-Genetic Nondiscrimination, S 927-Catastrophe Savings Accounts Act of 2007, S 930-Hurricane and Tornado Mitigation Investment Act of 2007, HR 920-Multiple Peril Insurance Act of 2007, S 928-Homeowners Protection Act of 2007, S 926-Policyholder Disaster Protection Act of 2007, HR 1682, HR 3121-Flood Insurance Reform and Modernization Act of 2007, HR 920-Multiple Peril Insurance Act of 2007, HR 921-Flood Insurance Community Outreach Grant Program Act of 2007, HR 922-National Flood Insurance Program Participation Evaluation Act of 2007, S 40, HR 3200-National Insurance Act of 2007, HR 1049-Amend Misinterpreted Excessive Regulation in Corporate America Act, HR 1065-Nonadmitted and Reinsurance Reform Act of 2007, HR 1081, S 618-Insurance Industry Competition Act of 2007, HR 1685-Data Security Act of 2007, HR 220-Identity Theft Prevention Act of 2007, HR 336-Identity Theft Prevention and Timely Reporting Act of 2007, HR 958-Data Accountability and Trust Act, S 1178-Identity Theft Prevention Act of 2007, S 1202-Personal Data Protection Act of 2007, S 239-Notification of Risk to Personal Data Act of 2007, S 495-Personal Data Privacy and Security Act of 2007, S 806-Consumer ID Protection and Security Act, S 1260-Data Security Act of 2007, HR 3185-Pension Reform Covering Hybrid Plans, HR 22, S 662-Postal Reform, and Insurance Regulation Reform Legislation and regulations affecting insurance products including flood, terrorism, health insurance and HSA expansion, as well as tax issues. Other Lobbying activity includes: HR 15-National Health Care Coverage, HR 676-Single Payer, HR 1368-Health IT (continued on next page)

Client expense: $1,000,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

HR 298-FSA Rollover, HR 2132-Small Business Health Plans, S 46-Individual Premiums paid via HSA Account, HR 3234-HSA Expansion, S 334, HR 1200-Universal Health Coverage, HR 2761-TRIA, HR 1198-Reinsurance, S 400-Insurance Protections for College Students “Michelle’s Law”, S 558-Mental Health Parity, HR 46-Tax Breaks for Small Businesses, HR 227-Tax Breaks for Individual Coverage, S 1753-Employer Tax Credits for Wellness, HR 1820, S 1556-Health Plan Tax Equity, S 1848-TAA Health Coverage Improvement, HR 506-Small Group Health Care Reform, HR 976, HR 3162-SCHIP, HR 493, S 358-Genetic Nondiscrimination, S 927-Catastrophe Savings Accounts Act of 2007, S 930-Hurricane and Tornado Mitigation Investment Act of 2007, HR 920-Multiple Peril Insurance Act of 2007, S 928-Homeowners Protection Act of 2007, S 926-Policyholder Disaster Protection Act of 2007, HR 1682, HR 3121-Flood Insurance Reform and Modernization Act of 2007, HR 920-Multiple Peril Insurance Act of 2007, HR 921-Flood Insurance Community Outreach Grant Program Act of 2007, HR 922-National Flood Insurance Program Participation Evaluation Act of 2007, S 40, HR 3200-National Insurance Act of 2007, HR 1049-Amend Misinterpreted Excessive Regulation in Corporate America Act, HR 1065-Nonadmitted and Reinsurance Reform Act of 2007, HR 1081, S 618-Insurance Industry Competition Act of 2007, HR 1685-Data Security Act of 2007, HR 220-Identity Theft Prevention Act of 2007, HR 336-Identity Theft Prevention and Timely Reporting Act of 2007, HR 958-Data Accountability and Trust Act, S 1178-Identity Theft Prevention Act of 2007, S 1202-Personal Data Protection Act of 2007, S 239-Notification of Risk to Personal Data Act of 2007, S 495-Personal Data Privacy and Security Act of 2007, S 806-Consumer ID Protection and Security Act, S 1260-Data Security Act of 2007, HR 3185-Pension Reform Covering Hybrid Plans, HR 22, S 662-Postal Reform, and Insurance Regulation Reform Legislation and regulations affecting insurance products including flood, terrorism, health insurance and HSA expansion, as well as tax issues. Other Lobbying activity includes: HR 15-National Health Care Coverage, HR 676-Single Payer, HR 1368-Health IT (continued on next page)

Client expense: $1,000,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

HR 298-FSA Rollover, HR 2132-Small Business Health Plans, S 46-Individual Premiums paid via HSA Account, HR 3234-HSA Expansion, S 334, HR 1200-Universal Health Coverage, HR 2761-TRIA, HR 1198-Reinsurance, S 400-Insurance Protections for College Students “Michelle’s Law”, S 558-Mental Health Parity, HR 46-Tax Breaks for Small Businesses, HR 227-Tax Breaks for Individual Coverage, S 1753-Employer Tax Credits for Wellness, HR 1820, S 1556-Health Plan Tax Equity, S 1848-TAA Health Coverage Improvement, HR 506-Small Group Health Care Reform, HR 976, HR 3162-SCHIP, HR 493, S 358-Genetic Nondiscrimination, S 927-Catastrophe Savings Accounts Act of 2007, S 930-Hurricane and Tornado Mitigation Investment Act of 2007, HR 920-Multiple Peril Insurance Act of 2007, S 928-Homeowners Protection Act of 2007, S 926-Policyholder Disaster Protection Act of 2007, HR 1682, HR 3121-Flood Insurance Reform and Modernization Act of 2007, HR 920-Multiple Peril Insurance Act of 2007, HR 921-Flood Insurance Community Outreach Grant Program Act of 2007, HR 922-National Flood Insurance Program Participation Evaluation Act of 2007, S 40, HR 3200-National Insurance Act of 2007, HR 1049-Amend Misinterpreted Excessive Regulation in Corporate America Act, HR 1065-Nonadmitted and Reinsurance Reform Act of 2007, HR 1081, S 618-Insurance Industry Competition Act of 2007, HR 1685-Data Security Act of 2007, HR 220-Identity Theft Prevention Act of 2007, HR 336-Identity Theft Prevention and Timely Reporting Act of 2007, HR 958-Data Accountability and Trust Act, S 1178-Identity Theft Prevention Act of 2007, S 1202-Personal Data Protection Act of 2007, S 239-Notification of Risk to Personal Data Act of 2007, S 495-Personal Data Privacy and Security Act of 2007, S 806-Consumer ID Protection and Security Act, S 1260-Data Security Act of 2007, HR 3185-Pension Reform Covering Hybrid Plans, HR 22, S 662-Postal Reform, and Insurance Regulation Reform Legislation and regulations affecting insurance products including flood, terrorism, health insurance and HSA expansion, as well as tax issues. Other Lobbying activity includes: HR 15-National Health Care Coverage, HR 676-Single Payer, HR 1368-Health IT (continued on next page)

Client expense: $1,000,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

HR 298-FSA Rollover, HR 2132-Small Business Health Plans, S 46-Individual Premiums paid via HSA Account, HR 3234-HSA Expansion, S 334, HR 1200-Universal Health Coverage, HR 2761-TRIA, HR 1198-Reinsurance, S 400-Insurance Protections for College Students “Michelle’s Law”, S 558-Mental Health Parity, HR 46-Tax Breaks for Small Businesses, HR 227-Tax Breaks for Individual Coverage, S 1753-Employer Tax Credits for Wellness, HR 1820, S 1556-Health Plan Tax Equity, S 1848-TAA Health Coverage Improvement, HR 506-Small Group Health Care Reform, HR 976, HR 3162-SCHIP, HR 493, S 358-Genetic Nondiscrimination, S 927-Catastrophe Savings Accounts Act of 2007, S 930-Hurricane and Tornado Mitigation Investment Act of 2007, HR 920-Multiple Peril Insurance Act of 2007, S 928-Homeowners Protection Act of 2007, S 926-Policyholder Disaster Protection Act of 2007, HR 1682, HR 3121-Flood Insurance Reform and Modernization Act of 2007, HR 920-Multiple Peril Insurance Act of 2007, HR 921-Flood Insurance Community Outreach Grant Program Act of 2007, HR 922-National Flood Insurance Program Participation Evaluation Act of 2007, S 40, HR 3200-National Insurance Act of 2007, HR 1049-Amend Misinterpreted Excessive Regulation in Corporate America Act, HR 1065-Nonadmitted and Reinsurance Reform Act of 2007, HR 1081, S 618-Insurance Industry Competition Act of 2007, HR 1685-Data Security Act of 2007, HR 220-Identity Theft Prevention Act of 2007, HR 336-Identity Theft Prevention and Timely Reporting Act of 2007, HR 958-Data Accountability and Trust Act, S 1178-Identity Theft Prevention Act of 2007, S 1202-Personal Data Protection Act of 2007, S 239-Notification of Risk to Personal Data Act of 2007, S 495-Personal Data Privacy and Security Act of 2007, S 806-Consumer ID Protection and Security Act, S 1260-Data Security Act of 2007, HR 3185-Pension Reform Covering Hybrid Plans, HR 22, S 662-Postal Reform, and Insurance Regulation Reform Legislation and regulations affecting insurance products including flood, terrorism, health insurance and HSA expansion, as well as tax issues. Other Lobbying activity include: HR 15-National Health Care Coverage, HR 676-Single Payer, HR 1368-Health IT, (continued on next page)

Client expense: $1,000,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

HR 298-FSA Rollover, HR 2132-Small Business Health Plans, S 46-Individual Premiums paid via HSA Account, HR 3234-HSA Expansion, S 334, HR 1200-Universal Health Coverage, HR 2761-TRIA, HR 1198-Reinsurance, S 400-Insurance Protections for College Students “Michelle’s Law”, S 558-Mental Health Parity, HR 46-Tax Breaks for Small Businesses, HR 227-Tax Breaks for Individual Coverage, S 1753-Employer Tax Credits for Wellness, HR 1820, S 1556-Health Plan Tax Equity, S 1848-TAA Health Coverage Improvement, HR 506-Small Group Health Care Reform, HR 976, HR 3162-SCHIP, HR 493, S 358-Genetic Nondiscrimination, S 927-Catastrophe Savings Accounts Act of 2007, S 930-Hurricane and Tornado Mitigation Investment Act of 2007, HR 920-Multiple Peril Insurance Act of 2007, S 928-Homeowners Protection Act of 2007, S 926-Policyholder Disaster Protection Act of 2007, HR 1682, HR 3121-Flood Insurance Reform and Modernization Act of 2007, HR 920-Multiple Peril Insurance Act of 2007, HR 921-Flood Insurance Community Outreach Grant Program Act of 2007, HR 922-National Flood Insurance Program Participation Evaluation Act of 2007, S 40, HR 3200-National Insurance Act of 2007, HR 1049-Amend Misinterpreted Excessive Regulation in Corporate America Act, HR 1065-Nonadmitted and Reinsurance Reform Act of 2007, HR 1081, S 618-Insurance Industry Competition Act of 2007, HR 1685-Data Security Act of 2007, HR 220-Identity Theft Prevention Act of 2007, HR 336-Identity Theft Prevention and Timely Reporting Act of 2007, HR 958-Data Accountability and Trust Act, S 1178-Identity Theft Prevention Act of 2007, S 1202-Personal Data Protection Act of 2007, S 239-Notification of Risk to Personal Data Act of 2007, S 495-Personal Data Privacy and Security Act of 2007, S 806-Consumer ID Protection and Security Act, S 1260-Data Security Act of 2007, HR 3185-Pension Reform Covering Hybrid Plans, HR 22, S 662-Postal Reform, and Insurance Regulation Reform Legislation and regulations affecting insurance products including flood, terrorism, health insurance and HSA expansion, as well as tax issues. Other Lobbying activity includes: HR 15-National Health Care Coverage, HR 676-Single Payer, HR 1368-Health IT (continued on next page)

Client expense: $1,000,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

H.R. 1688 All Healthy Children Act of 2007 S. 325 Health Partnership Act H.R. 15 National Health Insurance Act S. 1169 State Based Health Reform Act S. 1564 All Healthy Children Act of 2007 H.R. 1329 Guaranteed Access for SCHIP’s Target Population Act of 2007 S. 1221 Countdown to Coverage Act of 2007 H.R. 2639 Promoting Health for Future Generations Act of 2007 S. 273 Prescription Drug and Health Improvement Act of 2007 H.R. 2971 Health Care Accountability Act S. 1102 Part D Equity for Low Income Seniors Act of 2007 S. 1753 Health Workforce Act of 2007 S. 1455 National Health Information Technology and Privacy Advancement Act of 2007 S. 1218 Medicare for All Act H.R. 2034 Medicare for All Act S. 895 Children’s Health First Act H.R. 2995 Small Business Liability Reform Act of 2007 H.R. 1012 Small Business Growth Act of 2007 H.R. 1542 Healthy Families Act H.R. 1626 Family Health Care Accessibility Act of 2007 S. 733 Promoting Health Care Purchasing Cooperatives Act H.R. 2351 HealthCARE Act 2007 S. 40 National Insurance Act of 2007 H.R. 493 Genetic Information Nondiscrimination Act of 2007 S. 359 Genetic Information Nondiscrimination Act of 2007 H.R. 677 The Nursing School Capacity Act of 2007 S. 446 Nurse Education, Expansion, and Development Act 0f 2007 H.R. 772 Nurse Education, Expansion, and Development Act 0f 2007 S. 605 Allied Health Reinvestment Act S. 620 Community – Based Health Care Retraining Act H.R. 1279 Direct Support Professionals Fairness and Security Act of 2007 H.R. 1134 Physical Therapist Student Loan Repayment Eligibility Act of 2007 S. 718 Patient – Focused Critical Care Enhancement Act H.R. 1884 National Health Service Corps Improvement Act of 2007 Act H.R. 410 United States Physician Shortage Elimination Act S.224 Standards to Provide Educational Achievement for All Kids H.R. 325 Standards to Provide Educational Achievement for All Kids H.R. 2497 Fair and Reliable Medical Justice Act S. 1481 Fair and Reliable Medical Justice Act H.R. 1174 Healthy Hospitals Act of 2007 H.R. 378 Nurse and Patient Safety and Protection Act of 2007 H.R. 2123 Nurse Staff and Standards for Patient Safety and Quality Care Act of 2007 S. 628 Critical Access to Health Information Technology Act of 2007 S. 1408 Health Information Technology Act of 2007 S. 1577 Patient Safety and Abuse Prevention Act of 2007 S. 1693 Wired for Health Care Quality Act H.R. 2723 Children’s Healthcare Quality Act S. 1226 Children’s Healthcare Quality Act H.R. 1952 National Health Information Incentive Act of 2007 H. R. 2580 Help Efficient, Accessible, Low cost, Timely Healthcare (HEALTH) Act of 2007 S. 1364 Healthy Kids Act of 2007 S. 484 Enhancing Drug Safety and Innovation Act of 2007 H.R. 1561 Enhancing Drug Safety and Innovation Act of 2007 S. 1082 Prescription Drug User Fee Amendments of 2007 H.R. 3014 Health Equity and Accountability Act of 2007 H.R. 1165 SAFE Drug Act S. 1023 “To amend Title XXI of the Social Security Act […]” S. 554 Act for our Kids H.R. 1200 American Health Security Act of 2007 H.R. 15 National Health Insurance Act S. 1224 Children’s Health Insurance Program (CHIP) Reauthorization Act of 2007 H.R. 1368 Personalized Health Information Act of 2007 H.R. 676 United States National Health Insurance Act H.R. 1459 “To improve Medicare beneficiary access […]” H.R. 2737 Health Care Relief Act of 2007 S. 1714 Small Business Children’s Health Education Act of 2007 S. 1198 HealthCARE Act of 2007 H.R. 1802 Keeping Small Business Healthy Act of 2007 H.R. 2626 Comprehensive HealthCARE Act of 2007 H.R. 2842 Children’s Health Protection Act of 2007 S. 95 Kids Come First Act of 2007 H.R. 1111 Kids Come First Act of 2007 H.R. 493 Genetic Information Non-Discrimination Act of 2007 H.R. 2948 Increased Access to Health Insurance Act of 2007 S. 158 Access to Affordable Health Care Act S. 358 Genetic Information Non-Discrimination Act of 2007 H.R. 1012 Small Business Growth Act of 2007 H.R. 2147 Health Kids Act of 2007 S. 1298 Healthy Businesses, Healthy Workers Reinsurance Act of 2007 S. 21 Prevention First Act H.R. 819 Prevention First Act H.R. 593 Children’s Health Insurance Promotion Act of 2007 H.R. 1666 Health Care Price Transparency Promotion Act of 2007 H.R. 2302 Health Insurance Affordability Act of 2007 H.R. 2359 SBA Entrepreneurial Development Programs Act of 2007 H.R. 2357 MediKids Health Insurance Act of 2007 S. 401 Keep Children Covered Act of 2007 S. 2512 Reducing Coverage Gaps for Kids Act of 2007 H.R. 2055 Improving Children’s Access to Health Care Act of 2007 S. 1213 Children’s Express Lane to Heath Coverage Act of 2007 S. 334 Healthy Americans Act S. 1019 Universal Healthcare Choice and Access Act H.R. 1535 Children's Health First Act S. 895 Children's Health First Act

Client expense: $460,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 358 Genetic Information Nondiscrimination Act of 2007 S. 558 Mental Health Parity Act of 2007 S. 1019 Universal Health Care Choice and Access Act S. 1544 Medicare Quality Enhancement Act of 2007 S. 1556 Tax Equity for Domestic Partners and Health Plan Beneficiaries Act S. 1693 Wired for Health Care Quality Act S. 1695 Biologics Price Competition and Innovation Act of 2007 S. 1814 Health Information Privacy and Security Act of 2007 S. 1875 Healthy Tax Reform Act S. 1893 Children’s Health Insurance Reauthorization Act of 2007 S. 1899 Universal Health Coverage Act HR 4 Medicare Prescription Drug Price Negotiation Act of 2007 HR 15 National Health Insurance Act HR 493 Genetic Information Nondiscrimination Act of 2007 HR 506 Health Partnership Through Creative Federalism Act HR 1038 Access to Life-Saving Medicine Act HR 1368 Personalized Health Information Records Act of 2007 HR 1424 Paul Wellstone Mental Health and Addiction Equity Act of 2007 HR 1820 Tax Equity for Health Plan Beneficiaries Act of 2007 HR 2639 Promoting Health for Future Generations Act of 2007 HR 3162 Children’s Health and Medicare Protection Act HR 3163 Healthy Americans Act HR 3234 HSA Improvement and Expansion Act of 2007 HR 3306 Flexible Health Savings Act of 2007 HR 3370 Medicare Quality Enhancement Act of 2007 Regulatory: • Equal Employment Opportunity Commission on Clarification of the Applicability of the Age Discrimination in Employment Act (ADEA) to Employer-Sponsored Health Care Benefits for Retirees • Internal Revenue Service Proposed Rule on Employee Benefits Cafeteria Plans [REG-142695-05] issued August 3, 2007 • Health and Human Services Department Proposed Rule on Chartered Value Exchanges, issued May 8, 2007 S. 334 Health Americans Act S. 1753 Health Workforce Act

Client expense: $240,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

S. 1690 Small Business Health Insurance Options Act of 2007 H.R. 493 Genetic Information Nondiscrimination Act of 2007 S. 358 Genetic Information Nondiscrimination Act of 2007 H.R. 1329 Guaranteed Access for SCHIP’s Target Population Act of 2007 H.R. 15 National Health Insurance Act S. 1224 Children’s Health Insurance Program (CHIP) Reauthorization Act of 2007 H.R. 676 United States National Health Insurance Act

Client expense: Not reported · Firm income: $90,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE