Elder Justice Act

Monitor changes in Health Care/Medicare/FMAP/TANF programs that may affect the Countys service delivery; Monitor Congressional action on H.R. 5613, the Protecting the Medicaid Safety Net Act of 2008; Monitor Congressional Action on H.R.2736, the HIV Emergency Local Partnership Act of 2007; Monitor Congressional action on H.R. 2464, the Reauthorization of the Wakefield Act; Monitor Congressional action on the Elder Justice Act, H.R. 1783, by Rahm Emanuel (D-IL) which directs the Secretary of Health and Human Services to make grants to eligible entities to develop expertise and provide services relating to elder abuse, neglect, and exploitation

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

Government targets: Army, Dept of (Corps of Engineers), Bureau of Justice Assistance, Environmental Protection Agency (EPA), Federal Emergency Management Agency (FEMA), Federal Highway Administration (FHA), Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Maritime Administration (MARAD), Natl Oceanic & Atmospheric Administration (NOAA), Office of Justice Program, Office of Management & Budget (OMB), SENATE, U.S. Fish & Wildlife Service (USFWS)

H.R. 1592 - Local Law Enforcement Hate Crimes Prevention Act of 2007 S. 1105 - Matthew Shepard Local Law Enforcement Enhancement Act of 2007 S. 1070/H.R. 1783 -Elder Justice Act Families Beyond Bars Act H.R. 1064/S. 435 Youth Promise Act H.R. 3411 - Juvenile Crime Reduction Act S. 3155 - Juvenile Justice and Delinquency Prevention Reauthorization Act of 2008

Client expense: $190,918 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Administration on Aging, Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Motor Carrier Safety Administration, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Indian Health Service, Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Highway Traffic Safety Administration (NHTSA), Natl Institute of Mental Health (NIMH), Natl Institute on Alcohol Abuse & Alcoholism (NIAA), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office on Violence Against Women, SENATE, Social Security Administration (SSA), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

Assistance for Individuals with Functional Impairments. H.R. 3001, S. 1758: provisions pertaining to assistance for individuals with functional impairments and for their families payments for services and supports. Health Insurance Parity. H.R. 1424, S. 558: provisions to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. Nationally-coordinated Elder Justice. H.R. 1783, S. 1070: provisions pertaining to the implementation of a nationally-coordinated elder justice strategy. Commodity Supplemental Food Program. S.1090: provision pertaining to the Commodity Supplemental Food Program for low-income seniors. Health Care Professional Training. S. 2708, S. 2708, H.R. 6337: provisions relating to the recruitment and retention of trained health care professionals and direct care workers to care for older Americans; and provisions authorizing funding to help health care practitioners gain geriatric or gerontological specialization.

Client expense: $250,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Assistance for Individuals with Functional Impairments. H.R. 3001, S. 1758: provisions pertaining to assistance for individuals with functional impairments and for their families payments for services and supports. Health Insurance Parity. H.R. 1424, S. 558: provisions to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. Nationally-coordinated Elder Justice. H.R. 1783, S. 1070: provisions pertaining to the implementation of a nationally-coordinated elder justice strategy. Commodity Supplemental Food Program. S.1090: provision pertaining to the Commodity Supplemental Food Program for low-income seniors. Health Care Professional Training. S. 2708, S. 2708, H.R. 6337: provisions relating to the recruitment and retention of trained health care professionals and direct care workers to care for older Americans; and provisions authorizing funding to help health care practitioners gain geriatric or gerontological specialization.

Client expense: $280,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Assistance for Individuals with Functional Impairments. H.R. 3001, S. 1758: provisions pertaining to assistance for individuals with functional impairments and for their families payments for services and supports. Health Insurance Parity. H.R. 1424, S. 558: provisions to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. Nationally-coordinated Elder Justice. H.R. 1783, S. 1070: provisions pertaining to the implementation of a nationally-coordinated elder justice strategy. Commodity Supplemental Food Program. S.1090: provision pertaining to the Commodity Supplemental Food Program for low-income seniors. Health Care Professional Training. S. 2708: provisions relating to the recruitment and retention of trained health care professionals and direct care workers to care for older Americans.

Client expense: $440,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Assistance for Individuals with Functional Impairments. H.R. 3001, S. 1758: provisions pertaining to assistance for individuals with functional impairments and for their families payments for services and supports. Health Insurance Parity. H.R. 1367, H.R. 1424, S. 558: provisions to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. Nationally-coordinated Elder Justice. H.R. 1783, S. 1070: provisions pertaining to the implementation of a nationally-coordinated elder justice strategy. Commodity Supplemental Food Program. S.1090: provision pertaining to the Commodity Supplemental Food Program for low-income seniors. Health Care Professional Training. S. 2708: provisions relating to the recruitment and retention of trained health care professionals and direct care workers to care for older Americans.

Client expense: $480,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

S. 1070, H.R. 1783, Elder Justice Act provisions to amend the Social Security Act to establish an elder justice program and to establish offices within the Department of Health and Human Services and the Department of Justice to provide a combined public health and law enforcement approach to address elder abuse.

Client expense: $300,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Federal Deposit Insurance Corporation (FDIC), Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Legal Services Corporation, Library of Congress (LOC), Natl Oceanic & Atmospheric Administration (NOAA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), State, Dept of (DOS), Treasury, Dept of, U.S. Copyright Office, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Monitor changes in Health Care/Medicare/FMAP/TANF programs that may affect the Countys service delivery; Monitor Congressional action on H.R. 5613, the Protecting the Medicaid Safety Net Act of 2008; Monitor Congressional Action on H.R.2736, the HIV Emergency Local Partnership Act of 2007; Monitor Congressional action on H.R. 2464, the Reauthorization of the Wakefield Act; Monitor Congressional action on the Elder Justice Act, H.R. 1783, by Rahm Emanuel (D-IL) which directs the Secretary of Health and Human Services to make grants to eligible entities to develop expertise and provide services relating to elder abuse, neglect, and exploitation

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

Government targets: Army, Dept of (Corps of Engineers), Bureau of Justice Assistance, Environmental Protection Agency (EPA), Federal Emergency Management Agency (FEMA), Federal Highway Administration (FHA), Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Maritime Administration (MARAD), Natl Oceanic & Atmospheric Administration (NOAA), Office of Justice Program, Office of Management & Budget (OMB), SENATE, U.S. Fish & Wildlife Service (USFWS)

Monitor Congressional action on H.R. 1593, the Second Chance Act of 2008; Monitor availability of federal funding under the Justice and Mental Health Collaboration Grant Program; Monitor Congressional Action on the Elder Justice Act (H.R. 1783/H.R. 5382/S.1070); Monitor Congressional action on anti-gang: H.R. 3132, a bill to amend the Safe and Drug-Free Schools and Communities Act; H.R. 367, the Gang Elimination Act; H.R. 1582, the Gang Abatement and Prevention Act; H.R. 3547, H.R.3922, and S.456 and introduced by Representatives Adam Schiff (D-CA), Vern Buchanan (R-FL), and Senator Dianne Feinstein (D-CA) enhance law enforcement resources committed to violent gangs; H.R. 1806, the Youth Crime Deterrence Act; H.R. 1082, the Safe Babies Act; and H.R. 2073, the Child Health Care Crisis Relief Act.

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

Government targets: Army, Dept of (Corps of Engineers), Bureau of Justice Assistance, Environmental Protection Agency (EPA), Federal Emergency Management Agency (FEMA), Federal Highway Administration (FHA), Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Maritime Administration (MARAD), Natl Oceanic & Atmospheric Administration (NOAA), Office of Justice Program, Office of Management & Budget (OMB), SENATE, U.S. Fish & Wildlife Service (USFWS)

S 2337/HR 3363 Long-Term Care Affordability and Security Act - Discussed consumer protections for LTC insurance. S 1070/HR 1783 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation, strategy for how they might both move forward next year. S 3327/HR 7212 - Empowered at Home Act - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid and other improvements to bill. Also lobbied in support of the bill. HR 7110/S 3604 Job Creation and Unemployment Relief Act - Lobbied for FMAP funding. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries, and promote e-prescriptions in medicare (no bill number). S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641 Nursing Home Transparency and Improvement Act and HR 7128 Nursing Home Transparency and Quality of Care Improvement Act - Discussed the bill and provided suggestions for changes to the bill, nursing home quality and proposed five star rating system cms; poor performing nursing homes, family caregiving initiative, nursing home compliance guidelines, Home Health CAHPS, LTC Partnership Program (under Medicaid data reporting requirements), LTC Quality Alliance. To build support and obtain sponsors for Medicaid Family Caregiver Assessment Demonstration proposal (no bill number). Discussion and input on legislation to improve the health/LTC workforce and support family caregivers (no bill number). Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives (no bill number). HR 7114/S3613 Independence at Home Act/Chronic Care Coordination - Lobbied on and support for legislation to provide chronic care coordination services to certain Medicare beneficiaries. S 3101/HR 6331 Medicare Improvements for Patients and Providers Act of 2008 - Discussed implementation to help improve Medicare. Lobbied for appeal notices for Medicare beneficiaries in Medicare Advantage plans (no bill number). S 1102 Part D Equity for Low-Income Services - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 Prescription Coverage Now Act - Lobbied for legislation to increase Medicare Part D LIS asset limits. HR 6033 - Discussed provisions of Home-Based Health Services Job Training and Caregiving Act and ways to improve bill.

Client expense: $6,870,000 · Firm income: Not reported

Government targets: Administration on Aging, Commerce, Dept of (DOC), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Reserve System, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

HR 1783/S 1070 - Support "Elder Justice Act" coordination of state and federal resources to combat elder abuse & exploitation. HR 5563 - Support "GIVE Act" expansion of volunteerism opportunities and civic engagement. Discuss minority services access & minority senior health disparities. HR 2188/ S 661- Support "Kinship Caregiver Support Act" services for relatives raising children when parents cannot. HR 6064/HR 5898 National Silver Alert Act/Silver Alert Grant Program Act of 2008 - Support for legislation to provide assistance to states that implement a Silver Alert System. HR 5352 The Elder Abuse Victims Act of 2008 - Lobbied for coordination of state and federal resources to combat elder abuse and exploitation. HR 6893 Fostering Connections to Success and Increasing Adoptions Act of 2008 - Support for services for relatives raising children when parents cannot. HR 6307 Fostering Connections to Success Act of 2008 - Support for services for relatives raising children when parents cannot. S 3038 Improved Adoption Incentives and Relative Guardianship Support Act of 2008 - Support for services for relatives raising children when parents cannot. S 3487 Serve America Act of 2008 - Support for civic engagement and volunteerism. Long Term Care - Provided copy of Healthy at Home Report on use of technology by older adults and their caregivers. (no bill) Older Americans Act - Feedback on proposed Project 2020 legislation to expand state single points of entry, evidence-based disease prevention health promotion programs, and enhanced nursing home diversion programs. (no bill) Lobbied in discussions to include additional temporary funding for WIA, SCSEP and other federal employment and training services (no bill).

Client expense: $6,870,000 · Firm income: Not reported

Government targets: Administration on Aging, Commerce, Dept of (DOC), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Reserve System, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

H.R. 1592 - Local Law Enforcement Hate Crimes Prevention Act of 2007 S. 1105 - Matthew Shepard Local Law Enforcement Enhancement Act of 2007 S. 1070/H.R. 1783 -Elder Justice Act H.R.5654 -Families Beyond Bars Act FY 09 Commerce/Science/Justice Appropriations Bills H.R. 3846 Youth Promise Act H.R. 3411 - Juvenile Crime Reduction Act S. 3155 - Juvenile Justice and Delinquency Prevention Reauthorization Act of 2008

Client expense: $186,837 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Administration on Aging, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Motor Carrier Safety Administration, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Indian Health Service, Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Institute of Mental Health (NIMH), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

H.R.7128 - To amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. H.R.7110 - Making supplemental appropriations for job creation and preservation, infrastructure investment, and economic and energy assistance for the fiscal year ending September 30, 2009, and for other purposes. H.R. 2807 - To intensify stem cell research showing evidence of substantial clinical benefit to patients, and for other purposes. H.R. 1783 - To amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, & for other purposes. H.R. 2521 - To provide loans and grants for fire sprinkler retrofitting in nursing facilities. H.R. 3025 - To amend title XVII of the Social Security Act to provide comprehensive improvements to the Medicare Prescription Drug Program, and for other purposes. H.R.1046 - To amend titles XI and XVIII of the Social Security Act to modernize the quality improvement organization (QIO) program. 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.4082 - To improve the quality of, and access to, long-term care. H.R.3784 - To amend title XVIII of the Social Security Act to improve the quality of care in skilled nursing facilities under the Medicare Program through requiring the reporting of expenditures for nursing. H.R.976 - An act to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.4854 - To amend the provisions of title 31, United States Code, relating to false claims to clarify and make technical amendments to those provisions, and for other purposes. H.R.3453 - To amend title XVIII of the Social Security Act to repeal the Medicare competitive bidding demonstration project for clinical laboratory services. H.R.3180 - To amend title 31, United States Code, to clarify who is an original source for purposes of bringing a qui tam action. H.R. 5480 - To repond to a Medicare funding warning. H.R.6337 - To amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R.5878 - To authorize programs to increase the number of nurses within the Armed Forces through assistance for service as nurse faculty or education as nurses, and for other purposes. H.R.2705 - To amend the Compact of Free Association Amendments Act of 2003, and for other purposes. H.R.6252 - To amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies. H.R. 5799 - To amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. H.Res.1203 - Expressing support for designation of the week beginning May 11, 2008, as "National Nursing Home Week". S.Res.543 - A resolutioni designating the week beginning May 11, 2008, as "National Nursing Home Week". S. 2641 - A bill to amend title XVII and XIX of the Social Security Act to improve the transparenct of information on skilled nursing facilities and nursing facilities and to clarift and improce the targeting of the enforcement of requitements with respect to such facilities. S. 1980 - A bill to improve the quality of, and access to, long-term care. S. 2662 - A bill to respond to a Medicare funding warning. S. 2041 - A bill to amend the False Claims Act. S. 1693 - A bill to enhance the adoption of a nationwide interoperable health information technology system and to improce the quality and reduce the costs of health care in the United States. S. 1947 - A bill to amend title XI of the Social Security Act to improve the quality improvement organization (QIO) program. S. 2099 - A bill to amend title XVII of teh Social Security Act to repeal the medicare competitive bidding project for clinical laboratory services. S. 1070 - A bill to amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, 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. 1814 - A bill to provide individuals with access to health information of which they are a subject, ensure personal privacy with respect to health related information, promote the use of non-identifiabel information for health research, impose criminal and civil penalties for unauthorized use of protected health information, to provide for the strong enforcement of these rights, and to protect States' rights. S. 1615 - A bill to provide loans and grants for fire sprinkler retrofitting in nursing facilities. S. 845 - A bill to direct the Secretary of Health and Human Services to expand and intensify programs with respect to research and related activities concerning elder falls. S. 334 - A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. 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. 1980 - A bill to improve the quality of, and access to, long-term care. S.2708 - A bill to amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. S. 3144 - A bill to amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies. S.2603 - A bill to amend title XI and XVIII of the Social Security Act to provide increased civil and criminal penalties for acts involving fraud and abuse under the Medicare program and to increase the amount of the surety bond required for suppliers of durable medical equipment. S.2641- A bill to amend title XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. H.R.1424 - A bill to provide authority for the Federal Government to purchase and insure certain types of troubled assets for the purposes of providing stability to and preventing disruption in the economy and financial system and protecting taxpayers, to amend the Internal Revenue Code of 1986 to provide incentives for energy production and conservation, to extend certain expiring provisions, to provide individual income tax relief, and for other purposes. H.R. 5268 H.R. 5613 H.R. 6331 S. 2820

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

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Assistance for Individuals with Functional Impairments. H.R. 3001, S. 1758: provisions pertaining to assistance for individuals with functional impairments and for their families payments for services and supports. Health Insurance Parity. H.R. 1424, S. 558: provisions to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. Nationally-coordinated Elder Justice. H.R. 1783, S. 1070: provisions pertaining to the implementation of a nationally-coordinated elder justice strategy. Commodity Supplemental Food Program. S.1090: provision pertaining to the Commodity Supplemental Food Program for low-income seniors. Health Care Professional Training. S. 2708, S. 2708, H.R. 6337: provisions relating to the recruitment and retention of trained health care professionals and direct care workers to care for older Americans; and provisions authorizing funding to help health care practitioners gain geriatric or gerontological specialization.

Client expense: $250,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1512/S. 2587, the SCAAP Reimbursement Protection Act - entire bill S. 2588, the Ensure Timely Reimbursement of SCAAP Act - entire bill S. 2394, the Good Government Contractor Act - repeal of tax withholding from vendors by government entities H.R. 3992/S. 2304, the Mentally Ill Offender Treatment & Crime Reduction Reauthorization and Improvement Act - entire bill S. 2071, the Combat Methamphetamine Enhancement Act - entire bill S.3101/HR 6331- Medicare Improvements for Patients and Providers Act - Increased funding for Federally Qualified Health Centers H.R. 1041/S. 573, the Heart Disease Education, Analysis Research, and Treatment (Heart) for Women Act - entire bill S. 456/HR 1582, the Gang Abatement and Prevention Act - entire bill S. 1518, the Community Partnership to End Homelessness Act - entire bill H.R. 1783/S. 1070, the Elder Justice Act - entire bill S. 1551/H.R. 1532 - Comprehensive Tuberculosis Elimination Act - entire bill H.R. 3058, Public Lands Communities Transition Act - Payments in Lieu of Taxes (PILT) H.R. 5450/s. 2668, Modernize Our Bookkeeping In the Law for Employee's Cell Phone Act - entire bill S. 211/H.R. 211, the Calling for 2-1-1 Act - entire bill FY 2009 Department of Homeland Security (DHS) Appropriations bill - funding for local government homeland security and disaster preparedness and response activities; FY 2009 Commerce, Justice, Science, and Related Agencies Appropriations bill - Public Safety funding, SCAAP, funding for Regional California Multi-Jurisdictional Methamphetamine (Cal-MMET), Sexual Assault Felony Enforcement (SAFE) Team Task Force, Crime Lab Microscope, and the Ventura County Family Justice Center, FY 2009 Agriculture Appropriations bill - farmland conservation, pest detection and control FY 2009 Transportation, HUD Appropriations bill - community development, low income housing, airport funding FY 2009 Interior & Environment Appropriations bill - Section 6 Cooperative Endangered Species Fund; PILT; clean air funding, funding for El Rio forebay project; FY 2009 Energy and Water Appropriations bill - funding for Matilija Dam, Santa Clara River Watershed Protection Plan, Santa Paula Creek Storm Damage Restoration Work,Small Watershed Programs and Emergency Watershed Protection Feasibility Study Projects, Mugu Lagoon and Calleguas Creek Watershed Flood Protection and Ecosystem Restoration Projects, and Channel Islands Harbor FY 2009 Labor/HHS Appropriations bill - Funding for local health care programs; SSBG; CSBG; bioterrorism and TB control funding; job training funding; funding for older Americans; funding for Juvenile Wellness Court; funding for law enforcement training related to the mentally ill; Maternal and Child Health Block Grant; Library Services and Technology Act funding Anti-obesity demonstration programs H.R. 2677 IMPACT Act - entire bill S. 3256, Federal Land Assistance and Management Enhancement Act - entire bill H.R. 1386/S. 803 - Child Support Protection Act - entire bill H.R. 7221 - Homeless Emergency Assistance and Rapid Transition to Housing Act - entire bill H.R. 5698, Restoring the Partnership for County Health Care Costs Act - entire bill S. 231 Byrne Grant Reauthorization - entire bill S. 3155 Juvenile Justice and Delinquency Prevention Reauthorization Act - entire bill H.R. 6049 Energy Improvement and Extension Act - mental health parity H.R. 6893, Fostering Connections to Success and Increasing Adoptions Act - entire bill Economic stimulus Medicaid FMAP and Disproportionate Share Hospital funding Moratorium on CMS Medicaid Outpatient Services regulation County Organized Health System (COHS) Implementation

Client expense: Not reported · Firm income: $50,000

Government targets: Agriculture, Dept of (USDA), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), SENATE

S. 2587, the SCAAP Reimbursement Protection Act - entire bill S. 2588, the Ensure Timely Reimbursement of SCAAP Act - entire bill S. 2394, the Good Government Contractor Act - repeal of tax withholding from vendors by government entities H.R. 3992/S. 2304, the Mentally Ill Offender Treatment & Crime Reduction Reauthorization and Improvement Act - entire bill S. 2071, the Combat Methamphetamine Enhancement Act - entire bill S.3101/HR 6331- Medicare Improvements for Patients and Providers Act - Increased funding for Federally Qualified Health Centers H.R. 1041/S. 573, the Heart Disease Education, Analysis Research, and Treatment (Heart) for Women Act - entire bill S. 456/HR 1582, the Gang Abatement and Prevention Act - entire bill S. 1518, the Community Partnership to End Homelessness Act - entire bill H.R. 1783/S. 1070, the Elder Justice Act - entire bill H.R. 3997, Heroes Earnings Assistance and Relief Tax Act - veterans' housing S. 1551/H.R. 1532 - Comprehensive Tuberculosis Elimination Act - entire bill H.R. 3058, Public Lands Communities Transition Act - Payments in Lieu of Taxes (PILT) H.R. 5450/s. 2668, Modernize Our Bookkeeping In the Law for Employee's Cell Phone Act - entire bill S. 211/H.R. 211, the Calling for 2-1-1 Act - entire bill H.R. 6331, the Medicare Improvements for Patients and Providers Act - Funding formula for Federally Qualified health Centers FY 2009 Department of Homeland Security (DHS) Appropriations bill - funding for local government disaster preparedness and response activities; FY 2009 Commerce, Justice, Science, and Related Agencies Appropriations bill - Public Safety funding, SCAAP, FY 2009 Agriculture Appropriations bill - farmland conservation, pest detection and control FY 2009 Transportation, HUD Appropriations bill - community development, low income housing, airport funding, Lompoc Veterans Building Rennovation andCuyama Recreation Center FY 2009 Interior & Environment Appropriations bill - PILT; clean air funding, FY 2009 Energy and Water Appropriations bill - funding for Funding for Santa Maria River Levee, Lower Mission Creek, Lake Cachuma Recreation Area, and Goleta Beach FY 2009 Labor/HHS Appropriations bill - Funding for local health care programs; SSBG; CSBG; bioterrorism and TB control funding; job training funding; funding for older Americans; funding for Juvenile Wellness Court; funding for law enforcement training related to the mentally ill; Maternal and Child Health Block Grant; Library Services and Technology Act funding H.R. 2638 Consolidated Security, Disaster Assistance, and Continuing Appropriations Act - Ryan White Part C Funding H.R. 7110/S. 3624 Job Creation and Unemployment Relief Act - infrastructure funding Forest Service Wildfire Response Anti-obesity demonstration programs Nieghborhood Stabalization Program H.R. 2677 IMPACT Act - entire bill S. 3256, Federal Land Assistance and Management Enhancement Act - entire bill H.R. 1386/S. 803 - Child Support Protection Act - entire bill H.R. 7221 - Homeless Emergency Assistance and Rapid Transition to Housing Act - entire bill H.R. 5698, Restoring the Partnership for County Health Care Costs Act - entire bill S. 231 Byrne Grant Reauthorization - entire bill S. 3155 Juvenile Justice and Delinquency Prevention Reauthorization Act - entire bill H.R. 6049 Energy Improvement and Extension Act - mental health parity H.R. 6532, Highway Trust Fund Restoration Act - entire bill H.R. 6893, Fostering Connections to Success and Increasing Adoptions Act - entire bill Economic Stimulus Increased Funding for Federally Qualified Health Centers Medicaid FMAP Emergency Broadcasting via public radio stations

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

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, SENATE, U.S. Forest Service

H.R. 1512/S. 2587, the SCAAP Reimbursement Protection Act - entire bill S. 2588, the Ensure Timely Reimbursement of SCAAP Act - entire bill S. 2394, the Good Government Contractor Act - repeal of tax withholding from vendors by government entities H.R. 3992/S. 2304, the Mentally Ill Offender Treatment & Crime Reduction Reauthorization and Improvement Act - entire bill S. 2071, the Combat Methamphetamine Enhancement Act - entire bill S. 211/H.R. 211, the Calling for 2-1-1 Act - entire bill 456/HR 1582, the Gang Abatement and Prevention Act - entire bill S. 1518, the Community Partnership to End Homelessness Act - entire bill H.R. 1783/S. 1070, the Elder Justice Act - entire bill S. 1551/H.R. 1532 - Comprehensive Tuberculosis Elimination Act - entire bill H.R. 2881, the FAA Reauthorization Act - Airport Improvement Program and Contract Tower Program S. 1300, the Aviation Investment and Modernization Act - Airport Improvement Program and Contract Tower Program H.R. 5450/s. 2668, Modernize Our Bookkeeping In the Law for Employee's Cell Phone Act - entire bill H.R. 2642, the FY 2008 Supplemental Appropriations Act - Medicaid moratoria H.R.1950, enrollment broker services - entire bill FY 2009 Department of Homeland Security (DHS) Appropriations bill - funding for local government homeland security and disaster preparedness and response activities; border security FY 2009 Commerce, Justice, Science, and Related Agencies Appropriations bill - Public Safety funding, SCAAP, funding for regional communications infrastructure, Virtual Public Defender project FY 2009 Agriculture Appropriations bill - farmland conservation, pest detection and control FY 2009 Transportation, Treasury, HUD Appropriations bill - community development, low income housing, airport funding; funding for South Santa Fe Widening, Camp Lockett cleanup, Rancho Santa Fe Roundabouts, Lonestar Road project FY 2009 Interior & Environment Appropriations bill - habitat conservation funding; Section 6 Cooperative Endangered Species Fund; PILT; clean air funding, Fire Safety and Fuels Reduction Program FY 2009 Energy and Water Appropriations bill - funding for San Diego County SAMP, Borrego Springs Flood Control project FY 2009 Labor/HHS Appropriations bill - Funding for local health care programs; SSBG; CSBG; bioterrorism and TB control funding; job training funding; funding for older Americans; San Pasqual Academy; Edgemoor Geriatric hospital; Maternal and Child Health Block Grant, Emergency Preparedness and Public Health Management System funding for removal of dead and dying trees and brush removal Stowe Trail Land Transfer Night firefighting flights on Federal landsCDC Strategic Alliance for Health grants SAFER grant proposal for Volunteer Reserve Firefighter Program Federal funding for sand replenishment Funding for domestic violence programs Anti-obesity demonstration programs Nieghborhood Stabalization Program S. 2736, Section 202 Supportive Housing for the Elderly Act - national senior housing clearing house H.R. 2677 IMPACT Act - entire bill S. 3256, Federal Land Assistance and Management Enhancement Act - entire bill H.R. 1386/S. 803 - Child Support Protection Act - entire bill H.R. 7221 - Homeless Emergency Assistance and Rapid Transition to Housing Act - entire bill H.R. 5698, Restoring the Partnership for County Health Care Costs Act - entire bill S. 231 - Byrne Grant Reauthorization - entire bill S. 3155 - Juvenile Justice and Delinquency Prevention Reauthorization Act - entire bill Economic stimulus Medicaid FMAP and Disproportionate Share Hospital funding Federal Emergency Declaration Procedures SAFETEA-LU Reauthorization, including highway projects, non-motorized transportation pilot program, and Lonestar Road project Emergency Mass Notification

Client expense: Not reported · Firm income: $70,000

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, SENATE, U.S. Forest Service, White House Office

H.R. 1512/S. 2587, the SCAAP Reimbursement Protection Act - entire bill S. 2588, the Ensure Timely Reimbursement of SCAAP Act - entire bill S. 2394, the Good Government Contractor Act - repeal of tax withholding from vendors by government entities H.R. 3992/S. 2304, the Mentally Ill Offender Treatment & Crime Reduction Reauthorization and Improvement Act - entire bill S. 2071, the Combat Methamphetamine Enhancement Act - entire bill S.3101/HR 6331- Medicare Improvements for Patients and Providers Act - Increased funding for Federally Qualified Health Centers H.R. 1041/S. 573, the Heart Disease Education, Analysis Research, and Treatment (Heart) for Women Act - entire bill S. 456/HR 1582, the Gang Abatement and Prevention Act - entire bill S. 1518, the Community Partnership to End Homelessness Act - entire bill H.R. 1783/S. 1070, the Elder Justice Act - entire bill S. 1551/H.R. 1532 - Comprehensive Tuberculosis Elimination Act H.R. 3058, Public Lands Communities Transition Act - Payments in Lieu of Taxes (PILT) H.R. 5450/s. 2668, Modernize Our Bookkeeping In the Law for Employee's Cell Phone Act - entire bill FY 2009 Department of Homeland Security (DHS) Appropriations bill - funding for local government homeland security and disaster preparedness and response activities FY 2009 Labor/HHS Appropriations bill - Funding for local health care programs; SSBG; CSBG; bioterrorism and TB control funding; job training funding; funding for older Americans; Riverside County Medical Center; Maternal and Child Health Block Grant; Library Services and Technology Act funding,funding for Construction of Nursing Education Building FY 2009 Commerce, Justice, Science, and Related Agencies Appropriations bill - Public Safety funding, SCAAP, funding for re-entry tracking of probationers, funding for regional fingerprint ID program, funding for Corrections video surveillance system FY 2009 Agriculture Appropriations bill - farmland conservation, pest detection and control FY 2009 Transportation, Treasury, HUD Appropriations bill - community development, low income housing, airport funding; FY 2009 Interior & Environment Appropriations bill - habitat conservation funding; Section 6 Cooperative Endangered Species Fund; PILT; clean air funding, habitat acquisition in Santa Rosa/San Jacinto Mountains FY 2009 Energy and Water Appropriations bill - funding for Riverside County SAMP Reauthorization of McKinney-Vento Homeless Act Anti-obesity demonstration programs Nieghborhood Stabalization Program H.R. 2677 IMPACT Act - entire bill H.R. 1386/S. 803 - Child Support Protection Act - entire bill H.R. 7221 - Homeless Emergency Assistance and Rapid Transition to Housing Act - entire bill H.R. 5698, Restoring the Partnership for County Health Care Costs Act - entire bill S. 231 - Byrne Grant Reauthorization - entire bill S. 3155 - Juvenile Justice and Delinquency Prevention Reauthorization Act - entire bill Economic stimulus Medicaid FMAP and Disproportionate Share Hospital funding Moratorium on CMS Medicaid Outpatient Services regulation Wildfire suppression funding

Client expense: Not reported · Firm income: $50,000

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), SENATE

S. 1070, H.R. 1783, Elder Justice Act - provisions to amend the Social Security Act to establish an elder justice program and to establish offices within the Department of Health and Human Services and the Department of Justice to provide a combined public health and law enforcement approach to address elder abuse.

Client expense: $180,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Legal Services Corporation, Library of Congress (LOC), Natl Oceanic & Atmospheric Administration (NOAA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), State, Dept of (DOS), Treasury, Dept of, U.S. Copyright Office, U.S. Trade Representative (USTR), White House Office

S 2819 - Economic Recovery in Health Care Act of 2008 HR 5268, S 2586 - State Fiscal Relief/increase in FMAP HR 7110 - Job Creation and Unemployment Relief Act of 2008, state fiscal relief, Medicaid, Child Support Enforcement HRes 1507 - rule for consideration of HR 7110 S 3604 - Emergency supplemental appropriations for economic recovery Medicaid Outpatient Hospital regulation HR 6331, S 3101 - Improving Medicare; improving stewardship of public funds over Medicaid Advantage plans S 1070, HR 1783 - Elder Justice Act HR 3078, S 1577 - Patient Safety and Abuse Prevention Act of 2007 HR 5613 - Protecting the Medicaid Safety Net, Medicaid Regulation Moratorium Reid/Byrd Economic Recovery Act of 2008, state fiscal relief, Medicaid, Child Support Enforcement Medicaid waiver transparency legislation

Client expense: $510,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 1070, HR 1783 - Elder Justice Act HR 3078, S 1577 - Patient Safety and Abuse Prevention Act of 2007 S 2123 - Public Safety Employer-Employee Cooperation Act S 1041, HR 800 - Employee Free Choice Act Central Park Conservancy Workers Proposed FLSA Regulations S 2544, HR 5749 - Emergency Unemployment Extension S 1871, HR 4934, HR 2233 - Emergency Unemployment Extension HR 6867, S 3507 - Unemployment Extension Workforce Investment Act - job training

Client expense: $510,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.7128 - To amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. H.R.7110 - Making supplemental appropriations for job creation and preservation, infrastructure investment, and economic and energy assistance for the fiscal year ending September 30, 2009, and for other purposes. H.R. 2807 - To intensify stem cell research showing evidence of substantial clinical benefit to patients, and for other purposes. H.R. 1783 - To amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, & for other purposes. H.R. 2521 - To provide loans and grants for fire sprinkler retrofitting in nursing facilities. H.R. 3025 - To amend title XVII of the Social Security Act to provide comprehensive improvements to the Medicare Prescription Drug Program, and for other purposes. H.R.1046 - To amend titles XI and XVIII of the Social Security Act to modernize the quality improvement organization (QIO) program. 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.4082 - To improve the quality of, and access to, long-term care. H.R.3784 - To amend title XVIII of the Social Security Act to improve the quality of care in skilled nursing facilities under the Medicare Program through requiring the reporting of expenditures for nursing. H.R.976 - An act to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.4854 - To amend the provisions of title 31, United States Code, relating to false claims to clarify and make technical amendments to those provisions, and for other purposes. H.R.3453 - To amend title XVIII of the Social Security Act to repeal the Medicare competitive bidding demonstration project for clinical laboratory services. H.R.3180 - To amend title 31, United States Code, to clarify who is an original source for purposes of bringing a qui tam action. H.R. 5480 - To repond to a Medicare funding warning. H.R.6337 - To amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R.5878 - To authorize programs to increase the number of nurses within the Armed Forces through assistance for service as nurse faculty or education as nurses, and for other purposes. H.R.2705 - To amend the Compact of Free Association Amendments Act of 2003, and for other purposes. H.R.6252 - To amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies. H.R. 5799 - To amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. H.Res.1203 - Expressing support for designation of the week beginning May 11, 2008, as "National Nursing Home Week". S.Res.543 - A resolutioni designating the week beginning May 11, 2008, as "National Nursing Home Week". S. 2641 - A bill to amend title XVII and XIX of the Social Security Act to improve the transparenct of information on skilled nursing facilities and nursing facilities and to clarift and improce the targeting of the enforcement of requitements with respect to such facilities. S. 1980 - A bill to improve the quality of, and access to, long-term care. S. 2662 - A bill to respond to a Medicare funding warning. S. 2041 - A bill to amend the False Claims Act. S. 1693 - A bill to enhance the adoption of a nationwide interoperable health information technology system and to improce the quality and reduce the costs of health care in the United States. S. 1947 - A bill to amend title XI of the Social Security Act to improve the quality improvement organization (QIO) program. S. 2099 - A bill to amend title XVII of teh Social Security Act to repeal the medicare competitive bidding project for clinical laboratory services. S. 1070 - A bill to amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, 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. 1814 - A bill to provide individuals with access to health information of which they are a subject, ensure personal privacy with respect to health related information, promote the use of non-identifiabel information for health research, impose criminal and civil penalties for unauthorized use of protected health information, to provide for the strong enforcement of these rights, and to protect States' rights. S. 1615 - A bill to provide loans and grants for fire sprinkler retrofitting in nursing facilities. S. 845 - A bill to direct the Secretary of Health and Human Services to expand and intensify programs with respect to research and related activities concerning elder falls. S. 334 - A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. 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. 1980 - A bill to improve the quality of, and access to, long-term care. S.2708 - A bill to amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. S. 3144 - A bill to amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies. S.2603 - A bill to amend title XI and XVIII of the Social Security Act to provide increased civil and criminal penalties for acts involving fraud and abuse under the Medicare program and to increase the amount of the surety bond required for suppliers of durable medical equipment. S.2641- A bill to amend title XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. H.R.1424 - A bill to provide authority for the Federal Government to purchase and insure certain types of troubled assets for the purposes of providing stability to and preventing disruption in the economy and financial system and protecting taxpayers, to amend the Internal Revenue Code of 1986 to provide incentives for energy production and conservation, to extend certain expiring provisions, to provide individual income tax relief, and for other purposes.

Client expense: $390,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S. 1070 and H.R. 1783, the "Elder Justice Act" and an amendment to reauthorize the Missing Alzheimer's Disease Patient Alert Program; H.R. 6503 to reauthorize the Missing Alzheimer's Disease Patient Alert Program; and H.R 6064 and H.R. 5898 "National Silver Alert Act" and "Silver Alert Grant Program Act of 2008."

Client expense: $22,500 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 1070/HR 1783 - Elder Justice Act - for S 2838/HR 6126, Fairness in Nursing Home Arbitration Act, to prohibit pre-dispute arbitration agreements in nursing homes - oppose S 1577, requiring criminal background checks of long-term care workers - for

Client expense: $100,140 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), SENATE

S 2337/HR 3363 - Discussion of and support for Long-Term Care Affordability and Security Act that would make private long-term care insurance available through employer-sponsored flexible spending accounts and cafeteria plans and update and add consumer protections. S 1070/HR 1783 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation, strategy for how they might both move forward this year, bill markup, background for score on S.1577. S 2708 Caring for an Aging America Act of 2008 - Provisions related to increasing the number of professionals trained in geriatrics or gerontology, etc., providing input on legislation and encouraging offices to cosponsor the bill. Discussed draft legislation to make changes to Medicaid HCBS, including the Medicaid state plan option, spousal impoverishment, Medicaid Transformation Grants, etc. S 3230 Empowered at Home Act - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid. HR 7110/S 3604 Job Creation and Unemployment Relief Act - Lobbied for FMAP funding. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. HR 6331 Medicare Improvements for Patients and Providers Act - Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries, and promote e-prescriptions in medicare. S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641 Nursing Home Transparency and Improvement Act - Lobbied in support of the bill and to increase co-sponsors; criminal background checks for LTC employees; nursing home quality and proposed five star rating system cms; poor performing nursing homes, family caregiving initiative, nursing home compliance guidelines, Home Health CAHPS, LTC Partnership Program (under Medicaid data reporting requirements), status of Nursing Home Value Based Purchasing Demonstration, Prepare to Care for use in innovative employer caregiving programs satellite broadcast, LTC Quality Alliance. HR 2642 - Lobbied for inclusion of Medicaid Regulation Moratoriam in Military Construction and Veterans Affairs Appropriations Act of 2008, and on supplemental appropriations bill. To build support and obtain sponsors for Medicaid Family Caregiver Assessment Demonstration proposal (no Bill). S 2838/HR 6126 - Lobbied to support the Fairness in Nursing Home Arbitration Act and oppose amendments to weaken the bill. Discussion and input on legislation to improve the health/LTC workforce and support family caregivers (no bill). Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives (no bill). S 1577- Support for Patient Safety and Abuse Prevention Act (S 1577) and marking up the bill; provided feedback and in testimony. HR 7114/S3613 Independence at Home Act/Chronic Care Coordination - Feedback on and support for legislation to provide chronic care coordination services to certain Medicare beneficiaries. S 1102 Part D Equity for Low-Income Seniors Act of 2007- Support for Medicare premium protection and modifications to Medicare Savings Programs/Part D Low-Income Subsidy. S. 3118 Preserving Access to Medicare Act - Lobbied in opposition to Grassley-McConnell bill - All provisions related to beneficiary access and Medicare improvements, including e-prescribing. S 3101- Urged support of the Medicare Improvements for Patients and Providers Act of 2008 to help improve Medicare. Green Houses and culture change in LTC facilities, person centered care and medical homes - testimony and input on draft bill - no bill number. Lobbied for appeal notices for Medicare beneficiaries in Medicare Advantage plans (no bill). S 1102 Part D Equity for Low-Income Services - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 Prescription Coverage Now Act - Lobbied for legislation to increase Medicare Part D LIS asset limits. HR 5702 End-of-Life Care Advance Directive Promotion Act - Discussed ideas for end-of-life care legislation and how to help ensure patient wishes are respected; Advance Directive Promotion Act. Provided feedback on draft legislation regarding physician orders for life sustaining treatment. S.334 - Discussed long-term care broadly and including it in health care reform, including the Healthy Americans Act. Discussed voting in LTC facilities, such as nursing homes, current status and law on the issue (no bill). S 3327 - Provided input and support for the Empowered at Home Act to make improvements in Medicaid HCBS; LTC insurance tax incentives and consumer protection improvements and a caregiver tax credit. Invitations and information about a solutions forum on balancing of state LTC systems. HR 3363/S 2337 - Discussed consumer protections for LTC insurance, premium increases and claims denials, support for family caregivers including assessment, consumer complaints and support for the LTC Affordability and Security Act. HR 6033 - Discussed provisions of Home-Based Health Services Job Training and Caregiving Act. H.Con.Res 133 - Provided input on and support for new LTC Awareness Week resolution. LTC - General discussion of LTC, home and community based services, family caregiving, chronic care, workforce, quality and financing options.(no bill) CMS - Lobbied on the Medicare Medical Home Demo implementation.

Client expense: $7,330,000 · Firm income: Not reported

Government targets: Administration on Aging, Commerce, Dept of (DOC), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Reserve System, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

HR 1783/S 1070 - Support "Elder Justice Act" coordination of state and federal resources to combat elder abuse & exploitation. HR 5563 - Support "GIVE Act" expansion of volunteerism opportunities and civic engagement. Discuss minority services access & minority senior health disparities. HR 2188/ S 661- Support "Kinship Caregiver Support Act" services for relatives raising children when parents cannot. HR 6064/HR 5898 National Silver Alert Act/Silver Alert Grant Program Act of 2008 - Provided proposed language for legislation to provide assistance to states that implement a Silver Alert System. Discussed African American Senior Supportive services - provisions related to services under the Older Americans Act for African American seniors (no Bill). HR 5352 The Elder Abuse Victims Act of 2008 - Lobbied for coordination of state and federal resources to combat elder abuse and exploitation. HR 6893 Fostering Connections to Success and Increasing Adoptions Act of 2008 - Support for services for relatives raising children when parents cannot. HR 6307 Fostering Connections to Success Act of 2008 - Support for services for relatives raising children when parents cannot. S 3038 Improved Adoption Incentives and Relative Guardianship Support Act of 2008 - Support for services for relatives raising children when parents cannot. S 3487 Serve America Act of 2008 - Included civic engagement and volunteerism. Long Term Care - Provided copy of Healthy at Home Report on use of technology by older adults and their caregivers. Older Americans Act - Feedback on proposed Project 2020 legislation to expand state single points of entry, evidence-based disease prevention health promotion programs, and enhanced nursing home diversion programs.

Client expense: $7,330,000 · Firm income: Not reported

Government targets: Administration on Aging, Commerce, Dept of (DOC), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Reserve System, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

H.R. 1592 - Local Law Enforcement Hate Crimes Prevention Act of 2007 S. 1105 - Matthew Shepard Local Law Enforcement Enhancement Act of 2007 S. 1070/H.R. 1783 -Elder Justice Act Families Beyond Bars Act FY 09 Commerce/Science/Justice Appropriations Bills H.R. 3846 Youth Promise Act Second Chance Act H.R. 3411 - Juvenile Crime Reduction Act S. 3155 - Juvenile Justice and Delinquency Prevention Reauthorization Act of 2008

Client expense: $162,195 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Administration on Aging, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Indian Health Service, Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Highway Traffic Safety Administration (NHTSA), Natl Institute of Justice, Natl Institute of Mental Health (NIMH), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

S. 2587, the SCAAP Reimbursement Protection Act - entire bill S. 2588, the Ensure Timely Reimbursement of SCAAP Act - entire bill S. 2394, the Good Government Contractor Act - repeal of tax withholding from vendors by government entities H.R. 3992/S. 2304, the Mentally Ill Offender Treatment & Crime Reduction Reauthorization and Improvement Act - entire bill S. 2071, the Combat Methamphetamine Enhancement Act - entire bill S.3101/HR 6331- Medicare Improvements for Patients and Providers Act - Increased funding for Federally Qualified Health Centers H.R. 1041/S. 573, the Heart Disease Education, Analysis Research, and Treatment (Heart) for Women Act - entire bill S. 456/HR 1582, the Gang Abatement and Prevention Act - entire bill S. 1518, the Community Partnership to End Homelessness Act - entire bill H.R. 1783/S. 1070, the Elder Justice Act - entire bill H.R. 3997, Heroes Earnings Assistance and Relief Tax Act - veterans' housing S. 1551/H.R. 1532 - Comprehensive Tuberculosis Elimination Act - entire bill H.R. 3058, Public Lands Communities Transition Act - Payments in Lieu of Taxes (PILT) H.R. 5450/s. 2668, Modernize Our Bookkeeping In the Law for Employee's Cell Phone Act - entire bill S. 211/H.R. 211, the Calling for 2-1-1 Act - entire bill H.R. 6331, the Medicare Improvements for Patients and Providers Act - Funding formula for Federally Qualified health Centers FY 2009 Department of Homeland Security (DHS) Appropriations bill - funding for local government disaster preparedness and response activities; FY 2009 Commerce, Justice, Science, and Related Agencies Appropriations bill - Public Safety funding, SCAAP, FY 2009 Agriculture Appropriations bill - farmland conservation, pest detection and control FY 2009 Transportation, HUD Appropriations bill - community development, low income housing, airport funding, Lompoc Veterans Building Rennovation andCuyama Recreation Center FY 2009 Interior & Environment Appropriations bill - PILT; clean air funding, FY 2009 Energy and Water Appropriations bill - funding for Funding for Santa Maria River Levee, Lower Mission Creek, Lake Cachuma Recreation Area, and Goleta Beach FY 2009 Labor/HHS Appropriations bill - Funding for local health care programs; SSBG; CSBG; bioterrorism and TB control funding; job training funding; funding for older Americans; funding for Juvenile Wellness Court; funding for law enforcement training related to the mentally ill; Maternal and Child Health Block Grant; Library Services and Technology Act funding H.R. 2638 Consolidated Security, Disaster Assistance, and Continuing Appropriations Act - Ryan White Part C Funding H.R. 7110/S. 3624 Job Creation and Unemployment Relief Act - infrastructure funding Forest Service Wildfire Response Anti-obesity demonstration programs Nieghborhood Stabalization Program H.R. 2677 IMPACT Act - entire bill S. 3256, Federal Land Assistance and Management Enhancement Act - entire bill H.R. 1386/S. 803 - Child Support Protection Act - entire bill H.R. 7221 - Homeless Emergency Assistance and Rapid Transition to Housing Act - entire bill H.R. 5698, Restoring the Partnership for County Health Care Costs Act - entire bill S. 231 Byrne Grant Reauthorization - entire bill S. 3155 Juvenile Justice and Delinquency Prevention Reauthorization Act - entire bill H.R. 6049 Energy Improvement and Extension Act - mental health parity H.R. 6532, Highway Trust Fund Restoration Act - entire bill H.R. 6893, Fostering Connections to Success and Increasing Adoptions Act - entire bill

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

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), HOUSE OF REPRESENTATIVES, SENATE

H.R. 1512/S. 2587, the SCAAP Reimbursement Protection Act - entire bill S. 2588, the Ensure Timely Reimbursement of SCAAP Act - entire bill S. 2394, the Good Government Contractor Act - repeal of tax withholding from vendors by government entities H.R. 3992/S. 2304, the Mentally Ill Offender Treatment & Crime Reduction Reauthorization and Improvement Act - entire bill S. 2071, the Combat Methamphetamine Enhancement Act - entire bill S.3101/HR 6331- Medicare Improvements for Patients and Providers Act - Increased funding for Federally Qualified Health Centers H.R. 1041/S. 573, the Heart Disease Education, Analysis Research, and Treatment (Heart) for Women Act - entire bill S. 456/HR 1582, the Gang Abatement and Prevention Act - entire bill S. 1518, the Community Partnership to End Homelessness Act - entire bill H.R. 1783/S. 1070, the Elder Justice Act - entire bill S. 1551/H.R. 1532 - Comprehensive Tuberculosis Elimination Act - entire bill H.R. 3058, Public Lands Communities Transition Act - Payments in Lieu of Taxes (PILT) H.R. 5450/s. 2668, Modernize Our Bookkeeping In the Law for Employee's Cell Phone Act - entire bill S. 211/H.R. 211, the Calling for 2-1-1 Act - entire bill FY 2009 Department of Homeland Security (DHS) Appropriations bill - funding for local government homeland security and disaster preparedness and response activities; FY 2009 Commerce, Justice, Science, and Related Agencies Appropriations bill - Public Safety funding, SCAAP, funding for Regional California Multi-Jurisdictional Methamphetamine (Cal-MMET), Sexual Assault Felony Enforcement (SAFE) Team Task Force, Crime Lab Microscope, and the Ventura County Family Justice Center, FY 2009 Agriculture Appropriations bill - farmland conservation, pest detection and control FY 2009 Transportation, HUD Appropriations bill - community development, low income housing, airport funding FY 2009 Interior & Environment Appropriations bill - Section 6 Cooperative Endangered Species Fund; PILT; clean air funding, funding for El Rio forebay project; FY 2009 Energy and Water Appropriations bill - funding for Matilija Dam, Santa Clara River Watershed Protection Plan, Santa Paula Creek Storm Damage Restoration Work,Small Watershed Programs and Emergency Watershed Protection Feasibility Study Projects, Mugu Lagoon and Calleguas Creek Watershed Flood Protection and Ecosystem Restoration Projects, and Channel Islands Harbor FY 2009 Labor/HHS Appropriations bill - Funding for local health care programs; SSBG; CSBG; bioterrorism and TB control funding; job training funding; funding for older Americans; funding for Juvenile Wellness Court; funding for law enforcement training related to the mentally ill; Maternal and Child Health Block Grant; Library Services and Technology Act funding Anti-obesity demonstration programs Nieghborhood Stabalization Program H.R. 2677 IMPACT Act - entire bill S. 3256, Federal Land Assistance and Management Enhancement Act - entire bill H.R. 1386/S. 803 - Child Support Protection Act - entire bill H.R. 7221 - Homeless Emergency Assistance and Rapid Transition to Housing Act - entire bill H.R. 5698, Restoring the Partnership for County Health Care Costs Act - entire bill S. 231 Byrne Grant Reauthorization - entire bill S. 3155 Juvenile Justice and Delinquency Prevention Reauthorization Act - entire bill H.R. 6049 Energy Improvement and Extension Act - mental health parity Flood insurance rate map revisions H.R. 6532, Highway Trust Fund Restoration Act - entire bill H.R. 6893, Fostering Connections to Success and Increasing Adoptions Act - entire bill

Client expense: Not reported · Firm income: $50,000

Government targets: Agriculture, Dept of (USDA), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), SENATE

H.R. 1512/S. 2587, the SCAAP Reimbursement Protection Act - entire bill S. 2588, the Ensure Timely Reimbursement of SCAAP Act - entire bill S. 2394, the Good Government Contractor Act - repeal of tax withholding from vendors by government entities H.R. 3992/S. 2304, the Mentally Ill Offender Treatment & Crime Reduction Reauthorization and Improvement Act - entire bill S. 2071, the Combat Methamphetamine Enhancement Act - entire bill S.3101/HR 6331- Medicare Improvements for Patients and Providers Act - Increased funding for Federally Qualified Health Centers H.R. 1041/S. 573, the Heart Disease Education, Analysis Research, and Treatment (Heart) for Women Act - entire bill S. 456/HR 1582, the Gang Abatement and Prevention Act - entire bill S. 1518, the Community Partnership to End Homelessness Act - entire bill H.R. 1783/S. 1070, the Elder Justice Act - entire bill S. 1551/H.R. 1532 - Comprehensive Tuberculosis Elimination Act H.R. 3058, Public Lands Communities Transition Act - Payments in Lieu of Taxes (PILT) H.R. 5450/s. 2668, Modernize Our Bookkeeping In the Law for Employee's Cell Phone Act - entire bill FY 2009 Department of Homeland Security (DHS) Appropriations bill - funding for local government homeland security and disaster preparedness and response activities FY 2009 Labor/HHS Appropriations bill - Funding for local health care programs; SSBG; CSBG; bioterrorism and TB control funding; job training funding; funding for older Americans; Riverside County Medical Center; Maternal and Child Health Block Grant; Library Services and Technology Act funding,funding for Construction of Nursing Education Building FY 2009 Commerce, Justice, Science, and Related Agencies Appropriations bill - Public Safety funding, SCAAP, funding for re-entry tracking of probationers, funding for regional fingerprint ID program, funding for Corrections video surveillance system FY 2009 Agriculture Appropriations bill - farmland conservation, pest detection and control FY 2009 Transportation, Treasury, HUD Appropriations bill - community development, low income housing, airport funding; FY 2009 Interior & Environment Appropriations bill - habitat conservation funding; Section 6 Cooperative Endangered Species Fund; PILT; clean air funding, habitat acquisition in Santa Rosa/San Jacinto Mountains FY 2009 Energy and Water Appropriations bill - funding for Riverside County SAMP Reauthorization of McKinney-Vento Homeless Act Anti-obesity demonstration programs Nieghborhood Stabalization Program H.R. 2677 IMPACT Act - entire bill H.R. 1386/S. 803 - Child Support Protection Act - entire bill H.R. 7221 - Homeless Emergency Assistance and Rapid Transition to Housing Act - entire bill H.R. 5698, Restoring the Partnership for County Health Care Costs Act - entire bill S. 231 - Byrne Grant Reauthorization - entire bill S. 3155 - Juvenile Justice and Delinquency Prevention Reauthorization Act - entire bill

Client expense: Not reported · Firm income: $50,000

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), SENATE

H.R. 1512/S. 2587, the SCAAP Reimbursement Protection Act - entire bill S. 2588, the Ensure Timely Reimbursement of SCAAP Act - entire bill S. 2394, the Good Government Contractor Act - repeal of tax withholding from vendors by government entities H.R. 3992/S. 2304, the Mentally Ill Offender Treatment & Crime Reduction Reauthorization and Improvement Act - entire bill S. 2071, the Combat Methamphetamine Enhancement Act - entire bill S. 211/H.R. 211, the Calling for 2-1-1 Act - entire bill 456/HR 1582, the Gang Abatement and Prevention Act - entire bill S. 1518, the Community Partnership to End Homelessness Act - entire bill H.R. 1783/S. 1070, the Elder Justice Act - entire bill S. 1551/H.R. 1532 - Comprehensive Tuberculosis Elimination Act - entire bill H.R. 2881, the FAA Reauthorization Act - Airport Improvement Program and Contract Tower Program S. 1300, the Aviation Investment and Modernization Act - Airport Improvement Program and Contract Tower Program H.R. 5450/s. 2668, Modernize Our Bookkeeping In the Law for Employee's Cell Phone Act - entire bill H.R. 2642, the FY 2008 Supplemental Appropriations Act - Medicaid moratoria H.R.1950, enrollment broker services - entire bill FY 2009 Department of Homeland Security (DHS) Appropriations bill - funding for local government homeland security and disaster preparedness and response activities; border security FY 2009 Commerce, Justice, Science, and Related Agencies Appropriations bill - Public Safety funding, SCAAP, funding for regional communications infrastructure, Virtual Public Defender project FY 2009 Agriculture Appropriations bill - farmland conservation, pest detection and control FY 2009 Transportation, Treasury, HUD Appropriations bill - community development, low income housing, airport funding; funding for South Santa Fe Widening, Camp Lockett cleanup, Rancho Santa Fe Roundabouts, Lonestar Road project FY 2009 Interior & Environment Appropriations bill - habitat conservation funding; Section 6 Cooperative Endangered Species Fund; PILT; clean air funding, Fire Safety and Fuels Reduction Program FY 2009 Energy and Water Appropriations bill - funding for San Diego County SAMP, Borrego Springs Flood Control project FY 2009 Labor/HHS Appropriations bill - Funding for local health care programs; SSBG; CSBG; bioterrorism and TB control funding; job training funding; funding for older Americans; San Pasqual Academy; Edgemoor Geriatric hospital; Maternal and Child Health Block Grant, Emergency Preparedness and Public Health Management System funding for removal of dead and dying trees and brush removal Stowe Trail Land Transfer Night firefighting flights on Federal landsCDC Strategic Alliance for Health grants SAFER grant proposal for Volunteer Reserve Firefighter Program Federal funding for sand replenishment Funding for domestic violence programs Anti-obesity demonstration programs Nieghborhood Stabalization Program S. 2736, Section 202 Supportive Housing for the Elderly Act - national senior housing clearing house H.R. 2677 IMPACT Act - entire bill S. 3256, Federal Ladn Assistance and Management Enhancement Act - entire bill H.R. 1386/S. 803 - Child Support Protection Act - entire bill H.R. 7221 - Homeless Emergency Assistance and Rapid Transition to Housing Act - entire bill H.R. 5698, Restoring the Partnership for County Health Care Costs Act - entire bill S. 231 - Byrne Grant Reauthroziation - entire bill S. 3155 - Juvenile Justice and Delinquency Prevention Reauthorization Act - entire bill

Client expense: Not reported · Firm income: $100,000

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Office on Violence Against Women, SENATE, U.S. Forest Service, U.S. Marines, White House Office

Monitor Congressional action on H.R. 1593, the Second Chance Act of 2008; Monitor availability of federal funding under the Justice and Mental Health Collaboration Grant Program; Monitor Congressional Action on the Elder Justice Act (H.R. 1783/H.R. 5382/S.1070); Seek Congressional support on behalf of Countys pending grant application under the Department of Justice Byrne Competitive Grant Program Monitor Congressional action on anti-gang: H.R. 3132, a bill to amend the Safe and Drug-Free Schools and Communities Act; H.R. 367, the Gang Elimination Act; H.R. 1582, the Gang Abatement and Prevention Act; H.R. 3547, H.R.3922, and S.456 and introduced by Representatives Adam Schiff (D-CA), Vern Buchanan (R-FL), and Senator Dianne Feinstein (D-CA) enhance law enforcement resources committed to violent gangs; H.R. 1806, the Youth Crime Deterrence Act; H.R. 1082, the Safe Babies Act; and H.R. 2073, the Child Health Care Crisis Relief Act.

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

Government targets: Army, Dept of (Corps of Engineers), Bureau of Justice Assistance, Environmental Protection Agency (EPA), Federal Emergency Management Agency (FEMA), Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Maritime Administration (MARAD), Natl Oceanic & Atmospheric Administration (NOAA), Office of Justice Program, Office of Management & Budget (OMB), SENATE, U.S. Fish & Wildlife Service (USFWS)

Assistance for Individuals with Functional Impairments. H.R. 3001, S. 1758: provisions pertaining to assistance for individuals with functional impairments and for their families payments for services and supports. Health Insurance Parity. H.R. 1424, S. 558: provisions to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. Nationally-coordinated Elder Justice. H.R. 1783, S. 1070: provisions pertaining to the implementation of a nationally-coordinated elder justice strategy. Commodity Supplemental Food Program. S.1090: provision pertaining to the Commodity Supplemental Food Program for low-income seniors. Health Care Professional Training. S. 2708, S. 2708, H.R. 6337: provisions relating to the recruitment and retention of trained health care professionals and direct care workers to care for older Americans; and provisions authorizing funding to help health care practitioners gain geriatric or gerontological specialization.

Client expense: $280,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1783/S 1070 - Support "Elder Justice Act" coordination of state and federal resources to combat elder abuse & exploitation. HR 5563 - Support "GIVE Act" expansion of volunteerism opportunities and civic engagement. Discuss minority services access & minority senior health disparities. HR 2188/ S 661- Support "Kinship Caregiver Support Act" services for relatives raising children when parents cannot. HR 6064/HR 5898 National Silver Alert Act/Silver Alert Grant Program Act of 2008 - Provided proposed language for legislation to provide assistance to states that implement a Silver Alert System. Discussed African American Senior Supportive services - provisions related to services under the Older Americans Act for African American seniors (no Bill).

Client expense: $6,480,000 · Firm income: Not reported

Government targets: Administration on Aging, Commerce, Dept of (DOC), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

S. 1070, H.R. 1783, Elder Justice Act provisions to amend the Social Security Act to establish an elder justice program and to establish offices within the Department of Health and Human Services and the Department of Justice to provide a combined public health and law enforcement approach to address elder abuse.

Client expense: $360,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Education, Dept of, Environmental Protection Agency (EPA), Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Legal Services Corporation, Library of Congress (LOC), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), State, Dept of (DOS), Treasury, Dept of, U.S. Agency for International Development (USAID), U.S. Commission on Civil Rights, U.S. Copyright Office, U.S. Immigration & Customs Enforcement (ICE), U.S. Trade Representative (USTR), White House Office

HR 5613 - Protecting the Medicaid Safety Net Act of 2008 S 2819 - Economic Recovery in Health Care Act of 2008 HR 5268 - State Fiscal Relief, increase in FMAP HR 6331, S 3101 - Improving Medicare; improving stewardship of public funds over Medicare Advantage plans Kohl/Domenici Amendment to S 3101, Background checks on long term care workers HR 2642 - Emergency Supplemental Bill; moratorium on Medicaid regulations; Fiscal Relief S 1070, HR 1783 - Elder Justice Act HR 3078, S 1577 - Patient Safety and Abuse Prevention Act of 2007 HR 2123 - Nurse Staffing Standards for Patient Safety and Quality Care Act of 2007

Client expense: $560,000 · Firm income: Not reported

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

HR 493 - Genetic Information Nondiscrimination Act of 2007 S 1070, HR 1783 - Elder Justice Act HR 3078, S 1577 - Patient Safety and Abuse Prevention Act of 2007 HR 5924 - Emergency Nursing Supply Relief Act S 3230 - Labor-HHS Appropriations, funding for pandemic preparedness/research for personal protective equipment Involving workers in pandemic preparedness planning HR 2123 - Nurse Staffing Standards for Patient Safety and Quality Care Act of 2007 Latino workers labor rights National Labor Relations Board nominations HR 3799, HR 5781, S 3140 - Federal Employees Paid Parental Leave S 2123 - Public Safety Employer-Employee Cooperation Act

Client expense: $560,000 · Firm income: Not reported

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

HR 2807 - To intensify stem cell research showing evidence of substantial clinical benefit to patients, and for other purposes. HR 1783 - To amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, & for other purposes. H.R.2521 - To provide loans and grants for fire sprinkler retrofitting in nursing facilities. H.R.3025 - To amend title XVIII of the Social Security Act to provide comprehensive improvements to the Medicare Prescription Drug Program, and for other purposes. H.R.1046 - To amend titles XI and XVIII of the Social Security Act to modernize the quality improvement organization (QIO) program. 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.4082 - To improve the quality of, and access to, long-term care. H.R.976 - An act to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.3784 - To amend title XVIII of the Social Security Act to improve the quality of care in skilled nursing facilities under the Medicare Program through requiring the reporting of expenditures for nursing. H.R.3453 - To amend title XVIII of the Social Security Act to repeal the Medicare competitive bidding demonstration project for clinical laboratory services. H.R.4854 - To amend the provisions of title 31, United States Code, relating to false claims to clarify and make technical amendments to those provisions, and for other purposes. H.R.3180 - To amend title 31, United States Code, to clarify who is an original source for purposes of bringing a qui tam action. H.R.5480 - To respond to a Medicare funding warning. S.1980 - A bill to improve the quality of, and access to, long-term care. S.2662 - A bill to respond to a medicare funding warning. S.2041 - A bill to amend the False Claims Act. 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.2641 - A bill to amend title XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. S.1947 - A bill to amend title XI of the Social Security Act to improve the quality improvement organization (QIO) program. S.2099 - A bill to amend title XVIII of the Social Security Act to repeal the Medicare competitive bidding project for clinical laboratory services. S.1070 - A bill to amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, 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.1814 - A bill to provide individuals with access to health information of which they are a subject, ensure personal privacy with respect to health related information, promote the use of non-identifiable information for health research, impose criminal and civil penalties for unauthorized use of protected health information, to provide for the strong enforcement of these rights, and to protect States' rights. S.1615 - A bill to provide loans and grants for fire sprinkler retrofitting in nursing facilities. S.845 - A bill to direct the Secretary of Health and Human Services to expand and intensify programs with respect to research and related activities concerning elder falls. S.334 - A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. 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.1980 - A bill to improve the quality of, and access to, long-term care. S.2708 - A bill to amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R.6337 - To amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R.5878 - To authorize programs to increase the number of nurses within the Armed Forces through assistance for service as nurse faculty or education as nurses, and for other purposes. H.R.2705 - To amend the Compact of Free Association Amendments Act of 2003, and for other purposes. H.R.6252 - To amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies. S.3144 - A bill to amend part B of title XVIII of the Social Security Act to delay and reform the Medicare competitive acquisition program for purchase of durable medical equipment, prosthetics, orthotics, and supplies. S.2603 - A bill to amend title XI and XVIII of the Social Security Act to provide increased civil and criminal penalties for acts involving fraud and abuse under the Medicare program and to increase the amount of the surety bond required for suppliers of durable medical equipment. S.2641 - A bill to amend title XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. H.R.5799 - To amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. S.RES.543 - A resolution designating the week beginning May 11, 2008, as "National Nursing Home Week". H.RES.1203 - Expressing support for designation of the week beginning May 11, 2008, as "National Nursing Home Week".

Client expense: $380,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Monitor Congressional action on H.R. 1593, the Second Chance Act of 2008; Monitor availability of federal funding under the Justice and Mental Health Collaboration Grant Program; Monitor Congressional Action on the Elder Justice Act (H.R. 1783/H.R. 5382/S.1070); Monitor Congressional action on anti-gang: H.R. 3132, a bill to amend the Safe and Drug-Free Schools and Communities Act; H.R. 367, the Gang Elimination Act; H.R. 1582, the Gang Abatement and Prevention Act; H.R. 3547, H.R.3922, and S.456 and introduced by Representatives Adam Schiff (D-CA), Vern Buchanan (R-FL), and Senator Dianne Feinstein (D-CA) enhance law enforcement resources committed to violent gangs; H.R. 1806, the Youth Crime Deterrence Act; H.R. 1082, the Safe Babies Act; and H.R. 2073, the Child Health Care Crisis Relief Act.

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

Government targets: Army, Dept of (Corps of Engineers), Bureau of Justice Assistance, Environmental Protection Agency (EPA), Federal Emergency Management Agency (FEMA), Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Natl Oceanic & Atmospheric Administration (NOAA), Office of Justice Program, Office of Management & Budget (OMB), SENATE

Passage of H.R.1783 - Small Business Fairness in Contract Act.

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1512/S. 2587, the SCAAP Reimbursement Protection Act - entire bill S. 2588, the Ensure Timely Reimbursement of SCAAP Act - entire bill S. 2394, the Good Government Contractor Act - repeal of tax withholding from vendors by government entities H.R. 2419, the Farm, Nutrition and Bioenergy Act - Food Stamp Act reauthorization, childhood obesity, conservation programs, pest detection and surveillance, specialty crops provisions H.R. 5613, the Protecting the Medicaid Safety Net Act - entire bill S. 2460, extension on moratoria on implementation of Medicaid rules - entire bill H.R. 3992/S. 2304, the Mentally Ill Offender Treatment & Crime Reduction Reauthorization and Improvement Act - entire bill S. 2071, the Combat Methamphetamine Enhancement Act - entire bill S.3101/HR 6331- Medicare Improvements for Patients and Providers Act - Increased funding for Federally Qualified Health Centers H.R. 1041/S. 573, the Heart Disease Education, Analysis Research, and Treatment (Heart) for Women Act - entire bill S. 456/HR 1582, the Gang Abatement and Prevention Act - entire bill S. 1518, the Community Partnership to End Homelessness Act - entire bill H.R. 1783/S. 1070, the Elder Justice Act - entire bill H.R. 3997, Heroes Earnings Assistance and Relief Tax Act - veterans' housing S. 1551/H.R. 1532 - Comprehensive Tuberculosis Elimination Act - entire bill H.R. 3058, Public Lands Communities Transition Act - Payments in Lieu of Taxes (PILT) H.R. 5450/s. 2668, Modernize Our Bookkeeping In the Law for Employee's Cell Phone Act - entire bill H.R. 2642, the FY 2008 Supplemental Appropriations Act - Medicaid moratoria H.R. 2918/S. 151 - California Ocean and Coastal Protection Act - entire bill S. 211/H.R. 211, the Calling for 2-1-1 Act - entire bill H.R. 6331, the Medicare Improvements for Patients and Providers Act - Authorization for Ventura County to operate a County Organized Health System FY 2009 Department of Homeland Security (DHS) Appropriations bill - funding for local government homeland security and disaster preparedness and response activities; FY 2009 Commerce, Justice, Science, and Related Agencies Appropriations bill - Public Safety funding, SCAAP, funding for Regional California Multi-Jurisdictional Methamphetamine (Cal-MMET), Sexual Assault Felony Enforcement (SAFE) Team Task Force, Crime Lab Microscope, and the Ventura County Family Justice Center, FY 2009 Agriculture Appropriations bill - farmland conservation, pest detection and control FY 2009 Transportation, HUD Appropriations bill - community development, low income housing, airport funding FY 2009 Interior & Environment Appropriations bill - Section 6 Cooperative Endangered Species Fund; PILT; clean air funding, Outer Continental Shelf moratorium; funding for El Rio forebay project; FY 2009 Energy and Water Appropriations bill - funding for Matilija Dam, Santa Clara River Watershed Protection Plan, Santa Paula Creek Storm Damage Restoration Work,Small Watershed Programs and Emergency Watershed Protection Feasibility Study Projects, Mugu Lagoon and Calleguas Creek Watershed Flood Protection and Ecosystem Restoration Projects, and Channel Islands Harbor FY 2009 Labor/HHS Appropriations bill - Funding for local health care programs; SSBG; CSBG; bioterrorism and TB control funding; job training funding; funding for older Americans; funding for Juvenile Wellness Court; funding for law enforcement training related to the mentally ill; Maternal and Child Health Block Grant; Library Services and Technology Act funding Reauthorization of McKinney-Vento Homeless Act

Client expense: Not reported · Firm income: $40,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2587, the SCAAP Reimbursement Protection Act - entire bill S. 2588, the Ensure Timely Reimbursement of SCAAP Act - entire bill S. 2394, the Good Government Contractor Act - repeal of tax withholding from vendors by government entities HH.R. 2419, the Farm, Nutrition and Bioenergy Act - Food Stamp Act reauthorization, childhood obesity, conservation programs, pest detection and surveillance, specialty crops provisions H.R. 5613, the Protecting the Medicaid Safety Net Act - entire bill S. 2460, extension on moratoria on implementation of Medicaid rules - entire bill H.R. 3992/S. 2304, the Mentally Ill Offender Treatment & Crime Reduction Reauthorization and Improvement Act - entire bill S. 2071, the Combat Methamphetamine Enhancement Act - entire bill S.3101/HR 6331- Medicare Improvements for Patients and Providers Act - Increased funding for Federally Qualified Health Centers H.R. 1041/S. 573, the Heart Disease Education, Analysis Research, and Treatment (Heart) for Women Act - entire bill S. 456/HR 1582, the Gang Abatement and Prevention Act - entire bill S. 1518, the Community Partnership to End Homelessness Act - entire bill H.R. 1783/S. 1070, the Elder Justice Act - entire bill H.R. 3997, Heroes Earnings Assistance and Relief Tax Act - veterans' housing S. 1551/H.R. 1532 - Comprehensive Tuberculosis Elimination Act - entire bill H.R. 3058, Public Lands Communities Transition Act - Payments in Lieu of Taxes (PILT) H.R. 5450/s. 2668, Modernize Our Bookkeeping In the Law for Employee's Cell Phone Act - entire bill H.R. 2642, the FY 2008 Supplemental Appropriations Act - Medicaid moratoria H.R. 2918/S. 151 - California Ocean and Coastal Protection Act - entire bill S. 211/H.R. 211, the Calling for 2-1-1 Act - entire bill S. 1881, the American with Disabilities Act Restoration Act - impacts on public sector employers H.R. 6331, the Medicare Improvements for Patients and Providers Act - Funding formula for Federally Qualified health Centers FY 2009 Department of Homeland Security (DHS) Appropriations bill - funding for local government disaster preparedness and response activities; FY 2009 Commerce, Justice, Science, and Related Agencies Appropriations bill - Public Safety funding, SCAAP, FY 2009 Agriculture Appropriations bill - farmland conservation, pest detection and control FY 2009 Transportation, HUD Appropriations bill - community development, low income housing, airport funding, Lompoc Veterans Building Rennovation andCuyama Recreation Center FY 2009 Interior & Environment Appropriations bill - PILT; clean air funding, Outer Continental Shelf moratorium; FY 2009 Energy and Water Appropriations bill - funding for Funding for Santa Maria River Levee, Lower Mission Creek, Lake Cachuma Recreation Area, and Goleta Beach FY 2009 Labor/HHS Appropriations bill - Funding for local health care programs; SSBG; CSBG; bioterrorism and TB control funding; job training funding; funding for older Americans; funding for Juvenile Wellness Court; funding for law enforcement training related to the mentally ill; Maternal and Child Health Block Grant; Library Services and Technology Act funding Reauthorization of McKinney-Vento Homeless Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1512/S. 2587, the SCAAP Reimbursement Protection Act - entire bill S. 2588, the Ensure Timely Reimbursement of SCAAP Act - entire bill S. 2394, the Good Government Contractor Act - repeal of tax withholding from vendors by government entities H.R. 2419, the Farm, Nutrition and Bioenergy Act - Food Stamp Act reauthorization, childhood obesity, conservation programs, pest detection and surveillance, specialty crops provisions H.R. 5613, the Protecting the Medicaid Safety Net Act - entire bill S. 2460, extension on moratoria on implementation of Medicaid rules - entire bill H.R. 3992/S. 2304, the Mentally Ill Offender Treatment & Crime Reduction Reauthorization and Improvement Act - entire bill S. 2071, the Combat Methamphetamine Enhancement Act - entire bill S. 211/H.R. 211, the Calling for 2-1-1 Act - entire bill 456/HR 1582, the Gang Abatement and Prevention Act - entire bill S. 1518, the Community Partnership to End Homelessness Act - entire bill H.R. 1783/S. 1070, the Elder Justice Act - entire bill S. 1551/H.R. 1532 - Comprehensive Tuberculosis Elimination Act - entire bill H.R. 3058, Public Lands Communities Transition Act - Payments in Lieu of Taxes (PILT) H.R. 2881, the FAA Reauthorization Act - Airport Improvement Program and Contract Tower Program S. 1300, the Aviation Investment and Modernization Act - Airport Improvement Program and Contract Tower Program H.R. 5450/s. 2668, Modernize Our Bookkeeping In the Law for Employee's Cell Phone Act - entire bill H.R. 3479 ADA Notification Act entire bill H.R. 2642, the FY 2008 Supplemental Appropriations Act - Medicaid moratoria H.R.1950, enrollment broker services - entire bill H.R. 2918/S. 151 - California Ocean and Coastal Protection Act - entire bill FY 2009 Department of Homeland Security (DHS) Appropriations bill - funding for local government homeland security and disaster preparedness and response activities; border security FY 2009 Commerce, Justice, Science, and Related Agencies Appropriations bill - Public Safety funding, SCAAP, funding for regional communications infrastructure, Virtual Public Defender project FY 2009 Agriculture Appropriations bill - farmland conservation, pest detection and control FY 2009 Transportation, Treasury, HUD Appropriations bill - community development, low income housing, airport funding; funding for South Santa Fe Widening, Camp Lockett cleanup, Rancho Santa Fe Roundabouts, Lonestar Road project FY 2009 Interior & Environment Appropriations bill - habitat conservation funding; Section 6 Cooperative Endangered Species Fund; PILT; clean air funding, Outer Continental Shelf moratorium; Fire Safety and Fuels Reduction Program FY 2009 Energy and Water Appropriations bill - funding for San Diego County SAMP, Borrego Springs Flood Control project FY 2009 Labor/HHS Appropriations bill - Funding for local health care programs; SSBG; CSBG; bioterrorism and TB control funding; job training funding; funding for older Americans; San Pasqual Academy; Edgemoor Geriatric hospital; Maternal and Child Health Block Grant, Emergency Preparedness and Public Health Management System Reauthorization of McKinney-Vento Homeless Act Reauthorization of Endangered Species Act Preservation of Rancho Guejito Funding for gang suppression projects funding for removal of dead and dying trees

Client expense: Not reported · Firm income: $110,000

Government targets: Bureau of Land Management (BLM), HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), SENATE, U.S. Forest Service, U.S. Marines, White House Office

H.R.3963, the Children's Health Insurance Program Reauhtorization Act - entire bill H.R. 1512/S. 2587, the SCAAP Reimbursement Protection Act - entire bill S. 2588, the Ensure Timely Reimbursement of SCAAP Act - entire bill S. 2394, the Good Government Contractor Act - repeal of tax withholding from vendors by government entities H.R. 2419, the Farm, Nutrition and Bioenergy Act - Food Stamp Act reauthorization, childhood obesity, conservation programs, pest detection and surveillance, specialty crops provisions H.R. 5613, the Protecting the Medicaid Safety Net Act - entire bill S. 2460, extension on moratoria on implementation of Medicaid rules - entire bill H.R. 3992/S. 2304, the Mentally Ill Offender Treatment & Crime Reduction Reauthorization and Improvement Act - entire bill S. 2071, the Combat Methamphetamine Enhancement Act - entire bill S.3101/HR 6331- Medicare Improvements for Patients and Providers Act - Increased funding for Federally Qualified Health Centers H.R. 1041/S. 573, the Heart Disease Education, Analysis Research, and Treatment (Heart) for Women Act - entire bill S. 456/HR 1582, the Gang Abatement and Prevention Act - entire bill S. 1518, the Community Partnership to End Homelessness Act - entire bill H.R. 1783/S. 1070, the Elder Justice Act - entire bill H.R. 3997, Heroes Earnings Assistance and Relief Tax Act - veterans' housing S. 1551/H.R. 1532 - Comprehensive Tuberculosis Elimination Act H.R. 3058, Public Lands Communities Transition Act - Payments in Lieu of Taxes (PILT) H.R. 5450/s. 2668, Modernize Our Bookkeeping In the Law for Employee's Cell Phone Act - entire bill H.R. 2642, the FY 2008 Supplemental Appropriations Act - Medicaid moratoria FY 2009 Department of Homeland Security (DHS) Appropriations bill - funding for local government homeland security and disaster preparedness and response activities FY 2009 Labor/HHS Appropriations bill - Funding for local health care programs; SSBG; CSBG; bioterrorism and TB control funding; job training funding; funding for older Americans; Riverside County Medical Center; Maternal and Child Health Block Grant; Library Services and Technology Act funding,funding for Construction of Nursing Education Building FY 2009 Commerce, Justice, Science, and Related Agencies Appropriations bill - Public Safety funding, SCAAP, funding for re-entry tracking of probationers, funding for regional fingerprint ID program, funding for Corrections video surveillance system FY 2009 Agriculture Appropriations bill - farmland conservation, pest detection and control FY 2009 Transportation, Treasury, HUD Appropriations bill - community development, low income housing, airport funding; FY 2009 Interior & Environment Appropriations bill - habitat conservation funding; Section 6 Cooperative Endangered Species Fund; PILT; clean air funding, habitat acquisition in Santa Rosa/San Jacinto Mountains FY 2009 Energy and Water Appropriations bill - funding for Riverside County SAMP Reauthorization of McKinney-Vento Homeless Act Reauthorization of Endangered Species Act

Client expense: Not reported · Firm income: $50,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1070 and H.R. 1783, the "Elder Justice Act" and an amendment to reauthorize the Missing Alzheimer's Disease Patient Alert Program

Client expense: $22,500 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), SENATE