National Health Information Incentive Act of 2007

S. 1456, Electronic Personal Health Records (PHRS) for Members of the Federal Employee Health Benefit Plans Demonstration projects for personal health records H.R. 493/S. 358, Genetic Information Nondiscrimination Act of 2007 Genetic Information non-discrimination H.R. 3800, Promoting Health Information Technology Act H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007 H.R. 1952, National Health Information Incentive Act of 2007 Health Information Technology and Privacy Legislation (Discussion Draft, May 22, 2008) S. 558, Mental Health Parity Act of 2007 Mental Health Parity S. 1693, Wired for Healthcare Quality Act nationwide healthcare system, national standards, interoperability, and privacy S. 2532, Medicare, Medicaid and SCHIP Indian Health Care Improvement Act of 2007 medicare physician payments Patient Centered Primary Care Collaborative H.R. 6357, Protect Act S. 3800, Wired for Health Quality Act sought passage of bill to create uniform health care standards H.R. 1/S. 1, The American Recovery and Reinvestment Act (ARRA) Health IT

Client expense: $2,030,000 · Firm income: Not reported

Government targets: Bureau of Economic Analysis, Bureau of Industry and Security (BIS), Bureau of the Census, Centers For Disease Control & Prevention (CDC), Central Intelligence Agency (CIA), Commerce, Dept of (DOC), Council of Economic Advisers (CEA), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Energy Regulatory Commission (FERC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Institute of Standards & Technology (NIST), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Natl Security Agency (NSA), Natl Security Council (NSC), Natl Telecommunications & Information Administration (NTIA), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Mental Health Parity, S. 558, Benefit Mandates Association Health Plans/Small Business Health Plans Tax Credits, Health Savings Accounts, Flexible Spending Accounts HSA Improvement/Expansion Act- H.R. 3234 National Health Information Incentive Act- H.R. 1952 Uniform application of ERISA mandates Workforce Training SHOP Act- S. 2795, H.R. 6210 CHOICE Act- H.R. 6582 Health Care Reform

Client expense: $1,120,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Treasury, Dept of, White House Office

S 334, The Healthy Americans Act; HR 676, Expanded and Improved Medicare for All Act; S 1019, Universal Health Care Choice and Access Act; HR 1688 and S 1564, All Healthy Children Act of 2007; S 799, Community Choice Act of 2007; HR 1368, CONTINUED ON NEXT PAGE Personalized Health Information Act of 2007; HR 2014, Health Equity and Accountability Act of 2007; HR 1952, National Health Information Incentive Act of 2007; S 1455, National Health Information Technology and Privacy Advancement Act of 2007; S 716, Consortium on the Impact of Technology in Aging Health Services Act of 2007, issues impacting employer costs.

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

Government targets: HOUSE OF REPRESENTATIVES, Postal Regulatory Commission, SENATE, U.S. Postal Service (USPS)

S 334, The Healthy Americans Act; HR 676, Expanded and Improved Medicare for All Act; S 1019, Universal Health Care Choice and Access Act; HR 1688 and S 1564, All Healthy Children Act of 2007; S 799, Community Choice Act of 2007; HR 1368, CONTINUED ON NEXT PAGE Personalized Health Information Act of 2007; HR 2014, Health Equity and Accountability Act of 2007; HR 1952, National Health Information Incentive Act of 2007; S 1455, National Health Information Technology and Privacy Advancement Act of 2007; S 716, Consortium on the Impact of Technology in Aging Health Services Act of 2007, issues impacting employer costs.

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

Government targets: HOUSE OF REPRESENTATIVES, Postal Regulatory Commission, SENATE, U.S. Postal Service (USPS)

Health Information Technology, S. 1693/H.R. 3800, Wired for Health Care Quality Act, H.R. 1952, National Health Information Incentive Act, HR 5442, TRUST in Health Information Act, Regulation of Tobacco, HR 1108, Family Smoking Prevention and Tobacco Control Act, Physician Workforce Shortages, Disparities in Health Care, HR 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008, S. 2029, Physician Payments Sunshine Act, HR 6898, the Health-e Information Technology Act of 2008

Client expense: $750,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S 1343, HR 2241, S 2479, HR 3373, HR 3544, S 755 - supporting diabetes treatment and prevention; HR 1952, HR 2377, HR 3800, S 1693, HR 6357, S 1408, S 1814 - supporting development of HIT and infrastructure; HR 2580, HR 5480, S 2662 - seeking professional liability reform; HR 5559, HR 5543, HR 6110, S 158, S 2050 - ensuring parity for podiatric physicians in statutory definitions of physician and services; HR 3163, S 334 - supporting national health care reform

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 334, The Healthy Americans Act; HR 676, Expanded and Improved Medicare for All Act; S 1019, Universal Health Care Choice and Access Act; HR 1688 and S 1564, All Healthy Children Act of 2007; S 799, Community Choice Act of 2007; HR 1368, CONTINUED ON NEXT PAGE Personalized Health Information Act of 2007; HR 2014, Health Equity and Accountability Act of 2007; HR 1952, National Health Information Incentive Act of 2007; S 1455, National Health Information Technology and Privacy Advancement Act of 2007; S 716, Consortium on the Impact of Technology in Aging Health Services Act of 200: issues impacting employer costs.

Client expense: Not reported · Firm income: $220,000

Government targets: HOUSE OF REPRESENTATIVES, Postal Regulatory Commission, SENATE, U.S. Postal Service (USPS)

H.R. 3176, State & Children Health Insurance Program - 2007 reauthorization (SCHIP) Demonstration projects for personal health records S. 1456, Electronic Personal Health Records (PHRS) for Members of the Federal Employee Health Benefit Plans Demonstration projects for personal health records H.R. 493/S. 358, Genetic Information Nondiscrimination Act of 2007 Genetic Information non-discrimination H.R. 3800, Promoting Health Information Technology Act H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007 H.R. 1952, National Health Information Incentive Act of 2007 Health Information Technology and Privacy Legislation (Discussion Draft, May 22, 2008) S. 558, Mental Health Parity Act of 2007 Mental Health Parity S. 1693, Wired for Healthcare Quality Act nationwide healthcare system, national standards, interoperability, and privacy S. 2532, Medicare, Medicaid and SCHIP Indian Health Care Improvement Act of 2007 medicare physician payments Patient Centered Primary Care Collaborative H.R. 6357, Protect Act S. 3800, Wired for Health Quality Act sought passage of bill to create uniform health care standards

Client expense: $1,080,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Bureau of Economic Analysis, Bureau of Industry and Security (BIS), Bureau of the Census, Centers For Disease Control & Prevention (CDC), Central Intelligence Agency (CIA), Commerce, Dept of (DOC), Council of Economic Advisers (CEA), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Energy Regulatory Commission (FERC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Institute of Standards & Technology (NIST), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Natl Security Agency (NSA), Natl Security Council (NSC), Natl Telecommunications & Information Administration (NTIA), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Mental Health Parity, S. 558, Benefit Mandates Association Health Plans/Small Business Health Plans Tax Credits, Health Savings Accounts, Flexible Spending Accounts HSA Improvement/Expansion Act- H.R. 3234 National Health Information Incentive Act- H.R. 1952 Uniform application of ERISA mandates Workforce Training SHOP Act- S. 2795, H.R. 6210 CHOICE Act- H.R. 6582 Health Care Reform

Client expense: $1,120,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Treasury, Dept of, White House Office

Health Information Technology, S. 1693/H.R. 3800, Wired for Health Care Quality Act, H.R. 1952, National Health Information Incentive Act, HR 5442, TRUST in Health Information Act, Regulation of Tobacco, HR 1108, Family Smoking Prevention and Tobacco Control Act, Physician Workforce Shortages, Disparities in Health Care, HR 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008, S. 2029, Physician Payments Sunshine Act, HR 6898, the Health-e Information Technology Act of 2008

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 1467 - 10,000 Trained by 2010 Act - in it's entirety, especially the workforce provisions HR 2406 - Healthcare Information Technology Enterprise Integration Act - health IT aspects with emphasis on terminology & classification HR 4105 - the Medicare Recovery Audit Contractor Program Moratorium Act of 2007 - Interested in the entire bill HR 3800 - the Promoting Health Information Technology Act - Interest in the entire legislation and its focus on health information technology S 1814 - Health Information Privacy and Security Act - Interest in the entire legislation and its focus on health information technology and privacy S 1693 - WIRED for Health Care Quality Act - Interest in the entire legislation and its focus on health information technology HR 5442 - the TRUST Health Information Act of 2008 - Interest in the entire legislation and its focus on health information technology and privacy S 628 - The Critical Access to Health Information Technology Act - Interested in the legislation's provisions on ICD-10, HIPAA and standards S 605 - Allied Health Reinvestment Act - interested in the legilation's focus on growing the allied health workforce with includes health information management professionals HR 6357 - the The PROTECHT Act - Interest in the entire legislation and its focus on health information technology and privacy HR 6345 - the Patient-Controlled Health IT Act - interested in the legislation's provisions on health informaiton technology, personal health records and incentives HR 6179 - Interested in the legilation's provisions on health information technology and ICS-10. HR 2991 - the Independent Health Record Trust Act - Interested in the legislation's provisions on health record trusts (banks), personal health records and health information technology HR 2043 - the Medicaid Access Project through Health IT Act - interested in the bill's incentive programs for health IT through Medicaid HR 1952 - the National Health Information Infrastructure Incentive Act - Interested in the bill's HIT provisions and incentive provisions HR 1368 - the Personalized Health Information Act - Interested in the bill's entirety HR 6898 - the Health-e Information Technology Act of 2008 - Interested in the bill's entirety

Client expense: Not reported · Firm income: Not reported

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

Wired for Healthcare Quality Act (S.1693, H.R.3800) provisions relating to encouraging the use of IT in healthcare and promoting an interoperable system of electronic health records; the Pro(TECH)+ Act of 2008 (H.R.6357). The Wired for Health Care Quallity Act (S.1693); 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 U.S.; Health Information Technology Act (S.1408); The 10,000 Trained by 1020 Act (H.R.1467); TRUST in Health Information Act (H.R.5442); National Health Information Incentive Act (H.R.1952), to amend Title XI of SSA to achieve a national health information infrastructure; Promoting Health Information Technology (H.R.3800) - to advance the adoption of nationwide interoperable health information technology and to improve health care quality and reduce health care costs in the U.S.; Protecting Records, Optimizing Treatment and Easing communication through Healthcare Technology Act of 2008 (H.R.6357).

Client expense: $1,350,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Telecommunications & Information Administration (NTIA), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Health Information Technology (HIT); providing incentives for the successful adoption of HIT: S.1693, the Wired for Healthcare Quality Act; H.R. 3800, Promoting Health Information Technology Act; H.R. 1952, the National Health Information Incentive Act of 2007; H.R. 6357, the Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH)T Act of 2008. Expanding health insurance coverage to ensure that more Americans will have access to affordable health insurance: H.R. 506/S.325, Health Partnership through Creative Federalism Act; Health insurance reform, Medicaid, Association Health Plans, Medical Savings Accounts, Tax credits and purchasing pools; S. 1169, the State-Based Health Care Reform Act; H.R. 2351, the Health Care Act of 2007. Reforming the medical liability system in this country to ease existing financial burdens on practicing physicians and to ensure greater patient access to care: S. 243, the Medical Care Access Protection Act of 2007 (MCAP Act); H.R. 2580, the Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2007. Medical liability demonstration projects. Reforming the Medicare physician reimbursement formula to provide for greater predictability and stability in payments: S. 40, the Geriatric and Chronic Care Management Act, Reform the Sustainable Growth Rate - S. 2785, Save Medicare Act of 2008, H. R. 5445; H.R. 5545 and S. 2729, the Ensuring the Future Physician Workforce Act of 2008, Pay-for-Performance, Patient Centered Medical Home H.R. 3162, the CHAMP Act, care coordination, primary care shortage, CMS proposed changes to work relative value units (RVUs), Medically Unbelievable Edits program, CMS Request for Information (RFI) for Cycle 1 of the Medicare Administrative Contractor (MAC), CMS Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates, Health Care Price Transparency. H.R. 6331/S.3101, the Medicare Improvements for Patients and Providers Act. Ensure adequate funding for federal health programs in the FY08 and FY09 appropriations: Labor/HHS/Education Appropriations bill (including Title VII health professions and student loans) and VA healthcare and research). Address inadequacies in public health programs and funding: Healthcare disparities, anti-smoking (S.625/H.R. 1108, the Family Smoking Prevention and Tobacco Control Act), vaccines (e.g. smallpox, influenza), CMS - Payment for the recently approved Herpes Zoster (Shingles) vaccine and its administration, DEA how e-prescribing systems can meet the Drug Enforcement Administrations (DEAs) prescription requirements under the Controlled Substances Act. Provide loan debt relief for medical students through enhancements to existing programs and the creation of new programs: H.R. 1093, Resident Physician Shortage Reduction Act of 2007; S. 588, Resident Physician Shortage Reduction Act of 2007; S. 1066, Medical Education Affordability Act; Reauthorization of the Higher Education Act, including the restoration of the 20/220 pathway; S. 2303/H.R. 4344, a bill to amend section 435 of the Higher Education Act of 1965 regarding the definition of economic hardship. Preserving the safety net function of federally-funded health care programs, such as SCHIP: H.R. 5268, providing for a temporary increase of the Federal medical assistance percentage under the Medicaid Program; Include expansion of the medical home as well as transformation grants for the medical home in SCHIP re-authorizing legislation Preserving access to primary care services: the impending shortage of primary care physicians, designation of primary care as a shortage profession, scholarships and loan forgiveness in exchange for primary care service commitments to practice in critical shortage areas, grants for medical school mentorship programs and primary care training in community health centers, increased Title VII funding for primary care health programs, Medicare payment reforms to support the Patient Centered Medical Home, regulatory relief, studies on primary care; S. 1340/H.R. 2244, the Geriatric Assessment and Chronic Care Coordination Act of 2007. Economic Stimulus Package: Increase the federal matching rate under the Medicaid program, re-authorize the SCHIP program with additional funding to assure adequate coverage of all eligible children, targeted increases in Medicare payments for primary care physicians, targeted incentives directed toward primary care physicians in smaller practices to acquire health information technology (HIT) applications to support care coordination through the medical home.

Client expense: $269,132 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), President of the U.S., SENATE

Health Information Technology (HIT); providing incentives for the successful adoption of HIT: S.1693, the Wired for Healthcare Quality Act; H.R. 3800, Promoting Health Information Technology Act; H.R. 1952, the National Health Information Incentive Act of 2007; H.R. 6357, the Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH)T Act of 2008. Expanding health insurance coverage to ensure that more Americans will have access to affordable health insurance: H.R. 506/S.325, Health Partnership through Creative Federalism Act; Health insurance reform, Medicaid, Association Health Plans, Medical Savings Accounts, Tax credits and purchasing pools; S. 1169, the State-Based Health Care Reform Act; H.R. 2351, the Health Care Act of 2007. Reforming the medical liability system in this country to ease existing financial burdens on practicing physicians and to ensure greater patient access to care: S. 243, the Medical Care Access Protection Act of 2007 (MCAP Act); H.R. 2580, the Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2007. Medical liability demonstration projects. Reforming the Medicare physician reimbursement formula to provide for greater predictability and stability in payments: S. 40, the Geriatric and Chronic Care Management Act, Reform the Sustainable Growth Rate - S. 2785, Save Medicare Act of 2008, H. R. 5445; H.R. 5545 and S. 2729, the Ensuring the Future Physician Workforce Act of 2008, Pay-for-Performance, Patient Centered Medical Home H.R. 3162, the CHAMP Act, care coordination, primary care shortage, CMS proposed changes to work relative value units (RVUs), Medically Unbelievable Edits program, CMS Request for Information (RFI) for Cycle 1 of the Medicare Administrative Contractor (MAC), CMS Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates, Health Care Price Transparency. H.R. 6331/S.3101, the Medicare Improvements for Patients and Providers Act. Ensure adequate funding for federal health programs in the FY08 and FY09 appropriations: Labor/HHS/Education Appropriations bill (including Title VII health professions and student loans) and VA healthcare and research). Address inadequacies in public health programs and funding: Healthcare disparities, anti-smoking (S.625/H.R. 1108, the Family Smoking Prevention and Tobacco Control Act), vaccines (e.g. smallpox, influenza), CMS - Payment for the recently approved Herpes Zoster (Shingles) vaccine and its administration, DEA how e-prescribing systems can meet the Drug Enforcement Administrations (DEAs) prescription requirements under the Controlled Substances Act. Provide loan debt relief for medical students through enhancements to existing programs and the creation of new programs: H.R. 1093, Resident Physician Shortage Reduction Act of 2007; S. 588, Resident Physician Shortage Reduction Act of 2007; S. 1066, Medical Education Affordability Act; Reauthorization of the Higher Education Act, including the restoration of the 20/220 pathway; S. 2303/H.R. 4344, a bill to amend section 435 of the Higher Education Act of 1965 regarding the definition of economic hardship. Preserving the safety net function of federally-funded health care programs, such as SCHIP: H.R. 5268, providing for a temporary increase of the Federal medical assistance percentage under the Medicaid Program; Include expansion of the medical home as well as transformation grants for the medical home in SCHIP re-authorizing legislation. Preserving access to primary care services: the impending shortage of primary care physicians, designation of primary care as a shortage profession, scholarships and loan forgiveness in exchange for primary care service commitments to practice in critical shortage areas, grants for medical school mentorship programs and primary care training in community health centers, increased Title VII funding for primary care health programs, Medicare payment reforms to support the Patient Centered Medical Home, regulatory relief, studies on primary care; S. 1340/H.R. 2244, the Geriatric Assessment and Chronic Care Coordination Act of 2007. Economic Stimulus Package: Increase the federal matching rate under the Medicaid program, re-authorize the SCHIP program with additional funding to assure adequate coverage of all eligible children, targeted increases in Medicare payments for primary care physicians, targeted incentives directed toward primary care physicians in smaller practices to acquire health information technology (HIT) applications to support care coordination through the medical home.

Client expense: $142,652 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), President of the U.S., SENATE

HR 1467 - 10,000 Trained by 2010 Act - in it's entirety, especially the workforce provisions HR 2406 - Healthcare Information Technology Enterprise Integration Act - health IT aspects with emphasis on terminology & classification HR 4105 - the Medicare Recovery Audit Contractor Program Moratorium Act of 2007 - Interested in the entire bill HR 3800 - the Promoting Health Information Technology Act - Interest in the entire legislation and its focus on health information technology S 1814 - Health Information Privacy and Security Act - Interest in the entire legislation and its focus on health information technology and privacy S 1693 - WIRED for Health Care Quality Act - Interest in the entire legislation and its focus on health information technology HR 5442 - the TRUST Health Information Act of 2008 - Interest in the entire legislation and its focus on health information technology and privacy S 628 - The Critical Access to Health Information Technology Act - Interested in the legislation's provisions on ICD-10, HIPAA and standards S 605 - Allied Health Reinvestment Act - interested in the legilation's focus on growing the allied health workforce with includes health information management professionals HR 6357 - the The PROTECHT Act - Interest in the entire legislation and its focus on health information technology and privacy HR 6345 - the Patient-Controlled Health IT Act - interested in the legislation's provisions on health informaiton technology, personal health records and incentives HR 6179 - Interested in the legilation's provisions on health information technology and ICS-10. HR 2991 - the Independent Health Record Trust Act - Interested in the legislation's provisions on health record trusts (banks), personal health records and health information technology HR 2043 - the Medicaid Access Project through Health IT Act - interested in the bill's incentive programs for health IT through Medicaid HR 1952 - the National Health Information Infrastructure Incentive Act - Interested in the bill's HIT provisions and incentive provisions HR 1368 - the Personalized Health Information Act - Interested in the bill's entirety HR 6898 - the Health-e Information Technology Act of 2008 - Interested in the bill's entirety

Client expense: Not reported · Firm income: Not reported

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

Mental Health Parity, S. 558, Benefit Mandates Association Health Plans/Small Business Health Plans Tax Credits, Health Savings Accounts, Flexible Spending Accounts HSA Improvement/Expansion Act- H.R. 3234 National Health Information Incentive Act- H.R. 1952 Uniform application of ERISA mandates Workforce Training SHOP Act- S. 2795, H.R. 6210 CHOICE Act- H.R. 6582

Client expense: $850,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Treasury, Dept of, White House Office

H.R. 3176, State & Children Health Insurance Program - 2007 reauthorization (SCHIP) Demonstration projects for personal health records S. 1456, Electronic Personal Health Records (PHRS) for Members of the Federal Employee Health Benefit Plans Demonstration projects for personal health records H.R. 493/S. 358, Genetic Information Nondiscrimination Act of 2007 Genetic Information non-discrimination H.R. 3800, Promoting Health Information Technology Act H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007 H.R. 1952, National Health Information Incentive Act of 2007 Health Information Technology and Privacy Legislation (Discussion Draft, May 22, 2008) S. 558, Mental Health Parity Act of 2007 Mental Health Parity S. 1693, Wired for Healthcare Quality Act nationwide healthcare system, national standards, interoperability, and privacy S. 2532, Medicare, Medicaid and SCHIP Indian Health Care Improvement Act of 2007 medicare physician payments Patient Centered Primary Care Collaborative H.R. 6357, Protect Act S. 3800, Wired for Health Quality Act sought passage of bill to create uniform health care standards

Client expense: $1,240,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Bureau of Economic Analysis, Bureau of Industry and Security (BIS), Bureau of the Census, Centers For Disease Control & Prevention (CDC), Central Intelligence Agency (CIA), Commerce, Dept of (DOC), Council of Economic Advisers (CEA), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Energy Regulatory Commission (FERC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Institute of Standards & Technology (NIST), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Natl Security Agency (NSA), Natl Security Council (NSC), Natl Telecommunications & Information Administration (NTIA), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

H.R.1093/S.588, Resident Physician Shortage Reduction Act of 2007, Workforce shortage issues. H.R.1952, National Health Information Incentive Act of 2007, Health IT issues. General monitoring of Medicare/Medicaid Reimbursement 340 B Program; and patient quality and safety. H.R.3533, Public and Teaching Hospital Preservation Act, GME related issues. H.R.4105, Medicare Recovery Audit Contractor Program Moratorium Act of 2007, RAC related issues. H.R.2606/S.1376, 340B Program Improvement and Integrity Act of 2007, Reimbursement related issues. H.R.4231, Rural Veterans Health Care Access Act of 2007, Veterans healthcare related issues. H.R.1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, Mental health and addiction parity.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

S 334, The Healthy Americans Act; HR 676, Expanded and Improved Medicare for All Act; S 1019, Universal Health Care Choice and Access Act; HR 1688 and S 1564, All Healthy Children Act of 2007; S 799, Community Choice Act of 2007; HR 1368, CONTINUED ON NEXT PAGE Personalized Health Information Act of 2007; HR 2014, Health Equity and Accountability Act of 2007; HR 1952, National Health Information Incentive Act of 2007; S 1455, National Health Information Technology and Privacy Advancement Act of 2007; S 716, Consortium on the Impact of Technology in Aging Health Services Act of 200: issues impacting employer costs.

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

Government targets: HOUSE OF REPRESENTATIVES, Postal Regulatory Commission, SENATE, U.S. Postal Service (USPS)

Wired for Healthcare Quality Act (S.1693, H.R.3800) provisions relating to encouraging the use of IT in healthcare and promoting an interoperable system of electronic health records; the Pro(TECH)+ Act of 2008 (H.R.6357). The Wired for Health Care Quallity Act (S.1693); 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 U.S.; Health Information Technology Act (S.1408); The 10,000 Trained by 1020 Act (H.R.1467); TRUST in Health Information Act (H.R.5442); National Health Information Incentive Act (H.R.1952), to amend Title XI of SSA to achieve a national health information infrastructure; Promoting Health Information Technology (H.R.3800) - to advance the adoption of nationwide interoperable health information technology and to improve health care quality and reduce health care costs in the U.S.; Protecting Records, Optimizing Treatment and Easing communication through Healthcare Technology Act of 2008 (H.R.6357).

Client expense: $760,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Health Information Technology (HIT); providing incentives for the successful adoption of HIT: S.1693, the Wired for Healthcare Quality Act; H.R. 3800, Promoting Health Information Technology Act; H.R. 1952, the National Health Information Incentive Act of 2007; H.R. 6357, the Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH)T Act of 2008. Expanding health insurance coverage to ensure that more Americans will have access to affordable health insurance: H.R. 506/S.325, Health Partnership through Creative Federalism Act; Health insurance reform, Medicaid, Association Health Plans, Medical Savings Accounts, Tax credits and purchasing pools; S. 1169, the State-Based Health Care Reform Act; H.R. 2351, the Health Care Act of 2007. Reforming the medical liability system in this country to ease existing financial burdens on practicing physicians and to ensure greater patient access to care: S. 243, the Medical Care Access Protection Act of 2007 (MCAP Act); H.R. 2580, the Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2007. Medical liability demonstration projects. Reforming the Medicare physician reimbursement formula to provide for greater predictability and stability in payments: S. 40, the Geriatric and Chronic Care Management Act, Reform the Sustainable Growth Rate - S. 2785, Save Medicare Act of 2008, H. R. 5445; H.R. 5545 and S. 2729, the Ensuring the Future Physician Workforce Act of 2008, Pay-for-Performance, Patient Centered Medical Home H.R. 3162, the CHAMP Act, care coordination, primary care shortage, CMS proposed changes to work relative value units (RVUs), Medically Unbelievable Edits program, CMS Request for Information (RFI) for Cycle 1 of the Medicare Administrative Contractor (MAC), CMS Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates, Health Care Price Transparency. H.R. 6331/S.3101, the Medicare Improvements for Patients and Providers Act. Ensure adequate funding for federal health programs in the FY08 and FY09 appropriations: Labor/HHS/Education Appropriations bill (including Title VII health professions and student loans) and VA healthcare and research). Address inadequacies in public health programs and funding: Healthcare disparities, anti-smoking (S.625/H.R. 1108, the Family Smoking Prevention and Tobacco Control Act), vaccines (e.g. smallpox, influenza), CMS - Payment for the recently approved Herpes Zoster (Shingles) vaccine and its administration, DEA how e-prescribing systems can meet the Drug Enforcement Administrations (DEAs) prescription requirements under the Controlled Substances Act. Provide loan debt relief for medical students through enhancements to existing programs and the creation of new programs: H.R. 1093, Resident Physician Shortage Reduction Act of 2007; S. 588, Resident Physician Shortage Reduction Act of 2007; S. 1066, Medical Education Affordability Act; Reauthorization of the Higher Education Act, including the restoration of the 20/220 pathway; S. 2303/H.R. 4344, a bill to amend section 435 of the Higher Education Act of 1965 regarding the definition of economic hardship. Preserving the safety net function of federally-funded health care programs, such as SCHIP: H.R. 5268, providing for a temporary increase of the Federal medical assistance percentage under the Medicaid Program. Preserving access to primary care services: the impending shortage of primary care physicians, designation of primary care as a shortage profession, scholarships and loan forgiveness in exchange for primary care service commitments to practice in critical shortage areas, grants for medical school mentorship programs and primary care training in community health centers, increased Title VII funding for primary care health programs, Medicare payment reforms to support the Patient Centered Medical Home, regulatory relief, studies on primary care; S. 1340/H.R. 2244, the Geriatric Assessment and Chronic Care Coordination Act of 2007.

Client expense: $276,799 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), President of the U.S., SENATE

Health Information Technology (HIT); providing incentives for the successful adoption of HIT: S.1693, the Wired for Healthcare Quality Act; H.R. 3800, Promoting Health Information Technology Act; H.R. 1952, the National Health Information Incentive Act of 2007; H.R. 6357, the Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH)T Act of 2008. Expanding health insurance coverage to ensure that more Americans will have access to affordable health insurance: H.R. 506/S.325, Health Partnership through Creative Federalism Act; Health insurance reform, Medicaid, Association Health Plans, Medical Savings Accounts, Tax credits and purchasing pools; S. 1169, the State-Based Health Care Reform Act; H.R. 2351, the Health Care Act of 2007. Reforming the medical liability system in this country to ease existing financial burdens on practicing physicians and to ensure greater patient access to care: S. 243, the Medical Care Access Protection Act of 2007 (MCAP Act); H.R. 2580, the Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2007. Medical liability demonstration projects. Reforming the Medicare physician reimbursement formula to provide for greater predictability and stability in payments: S. 40, the Geriatric and Chronic Care Management Act, Reform the Sustainable Growth Rate - S. 2785, Save Medicare Act of 2008, H. R. 5445; H.R. 5545 and S. 2729, the Ensuring the Future Physician Workforce Act of 2008, Pay-for-Performance, Patient Centered Medical Home H.R. 3162, the CHAMP Act, care coordination, primary care shortage, CMS proposed changes to work relative value units (RVUs), Medically Unbelievable Edits program, CMS Request for Information (RFI) for Cycle 1 of the Medicare Administrative Contractor (MAC), CMS Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates, Health Care Price Transparency. H.R. 6331/S.3101, the Medicare Improvements for Patients and Providers Act. Ensure adequate funding for federal health programs in the FY08 and FY09 appropriations: Labor/HHS/Education Appropriations bill (including Title VII health professions and student loans) and VA healthcare and research). Address inadequacies in public health programs and funding: Healthcare disparities, anti-smoking (S.625/H.R. 1108, the Family Smoking Prevention and Tobacco Control Act), vaccines (e.g. smallpox, influenza), CMS - Payment for the recently approved Herpes Zoster (Shingles) vaccine and its administration, DEA how e-prescribing systems can meet the Drug Enforcement Administrations (DEAs) prescription requirements under the Controlled Substances Act. Provide loan debt relief for medical students through enhancements to existing programs and the creation of new programs: H.R. 1093, Resident Physician Shortage Reduction Act of 2007; S. 588, Resident Physician Shortage Reduction Act of 2007; S. 1066, Medical Education Affordability Act; Reauthorization of the Higher Education Act, including the restoration of the 20/220 pathway; S. 2303/H.R. 4344, a bill to amend section 435 of the Higher Education Act of 1965 regarding the definition of economic hardship. Preserving the safety net function of federally-funded health care programs, such as SCHIP: H.R. 5268, providing for a temporary increase of the Federal medical assistance percentage under the Medicaid Program. Preserving access to primary care services: the impending shortage of primary care physicians, designation of primary care as a shortage profession, scholarships and loan forgiveness in exchange for primary care service commitments to practice in critical shortage areas, grants for medical school mentorship programs and primary care training in community health centers, increased Title VII funding for primary care health programs, Medicare payment reforms to support the Patient Centered Medical Home, regulatory relief, studies on primary care; S. 1340/H.R. 2244, the Geriatric Assessment and Chronic Care Coordination Act of 2007.

Client expense: $167,205 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), President of the U.S., SENATE

The Wired for Health Care Quallity Act (S.1693); bill to enhancethe adoption of a nationwide interoperable health information technoloyg system and to imporve the quality and reduce the costs of health care in ght US; Heatlh Information Technology Act S. 1408; The 10,000 Trained by 1020 Act H.R. 1467; TRUST in Health Information Act H.R. 5442; National health Information Incentive Act H.R. 1952 to amend Title XI of SSA to achieve a national health information infrastructure; Promoting Health Information Technology H.R. 3800 - to advance the adoption of nationwide interoperable health information technology and to improve health care quality and reduce health care costs in the US; Protecting Records, Optimizing Treatment and Easing communication through Healthcare Technology Act of 2008, H.R. 6357

Client expense: $653,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Energy, Dept of, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), SENATE, State, Dept of (DOS), Treasury, Dept of, Veterans Affairs, Dept of (VA)

S 1343, HR 2241, S 2479, HR 3373, HR 3544, S 755 - supporting diabetes treatment and prevention; HR 1952, HR 2377, HR 3800, S 1693, HR 6357, S 1408, S 1814 - supporting development of HIT and infrastructure; HR 2580, HR 5480, S 2662 - seeking professional liability reform; HR 5559, HR 5543, HR 6110, S 158, S 2050 - ensuring parity for podiatric physicians in statutory definitions of physician and services; HR 3163, S 334 - supporting national health care reform

Client expense: $60,000 · Firm income: Not reported

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

Health Information Technology, S. 1693/H.R. 3800, Wired for Health Care Quality Act, H.R. 1952, National Health Information Incentive Act, HR 5442, TRUST in Health Information Act, Regulation of Tobacco, HR 1108, Family Smoking Prevention and Tobacco Control Act, Physician Workforce Shortages, Disparities in Health Care, HR 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008, S. 2029, Physician Payments Sunshine Act

Client expense: $490,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Mental Health Parity, S. 558, Benefit Mandates Association Health Plans/Small Business Health Plans Tax Credits, Health Savings Accounts, Flexible Spending Accounts HSA Improvement/Expansion Act- H.R. 3234 National Health Information Incentive Act- H.R. 1952 Uniform application of ERISA mandates Workforce Training

Client expense: $700,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, State, Dept of (DOS)

HR 1467 - 10,000 Trained by 2010 Act - in it's entirety, especially the workforce provisions HR 2406 - Healthcare Information Technology Enterprise Integration Act - health IT aspects with emphasis on terminology & classification HR 4105 - the Medicare Recovery Audit Contractor Program Moratorium Act of 2007 - Interested in the entire bill HR 3800 - the Promoting Health Information Technology Act - Interest in the entire legislation and its focus on health information technology S 1814 - Health Information Privacy and Security Act - Interest in the entire legislation and its focus on health information technology and privacy S 1693 - WIRED for Health Care Quality Act - Interest in the entire legislation and its focus on health information technology HR 493/S 358 - Genetic Information Nondiscrimination Act of 2007 - Interest in the entire legislation and its focus on privacy, nondiscrimination and health information HR 5442 - the TRUST Health Information Act of 2008 - Interest in the entire legislation and its focus on health information technology and privacy S 628 - The Critical Access to Health Information Technology Act - Interested in the legislation's provisions on ICD-10, HIPAA and standards S 695 - Allied Health Reinvestment Act - interested in the legilation's focus on growing the allied health workforce with includes health information management professionals HR 6357 - the The PROTECHT Act - Interest in the entire legislation and its focus on health information technology and privacy HR 6345 - the Patient-Controlled Health IT Act - interested in the legislation's provisions on health informaiton technology, personal health records and incentives HR 6179 - Interested in the legilation's provisions on health information technology and ICS-10. HR 2991 - the Independent Health Record Trust Act - Interested in the legislation's provisions on health record trusts (banks), personal health records and health information technology HR 2043 - the Medicaid Access Project through Health IT Act - interested in the bill's incentive programs for health IT through Medicaid HR 1952 - the National Health Information Infrastructure Incentive Act - Interested in the bill's HIT provisions and incentive provisions HR 1368 - the Personalized Health Information Act - Interested in the bill's entirety

Client expense: $30,000 · Firm income: Not reported

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

H.R. 3176, State & Children Health Insurance Program - 2007 reauthorization (SCHIP) Demonstration projects for personal health records S. 1456, Electronic Personal Health Records (PHRS) for Members of the Federal Employee Health Benefit Plans Demonstration projects for personal health records H.R. 493/S. 358, Genetic Information Nondiscrimination Act of 2007 Genetic Information non-discrimination H.R. 3800, Promoting Health Information Technology Act H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007 H.R. 1952, National Health Information Incentive Act of 2007 Health Information Technology and Privacy Legislation (Discussion Draft, May 22, 2008) S. 558, Mental Health Parity Act of 2007 Mental Health Parity S. 1693, Wired for Healthcare Quality Act nationwide healthcare system, national standards, interoperability, and privacy S. 2532, Medicare, Medicaid and SCHIP Indian Health Care Improvement Act of 2007 medicare physician payments Patient Centered Primary Care Collaborative

Client expense: $2,030,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Bureau of Economic Analysis, Bureau of the Census, Centers For Disease Control & Prevention (CDC), Central Intelligence Agency (CIA), Commerce, Dept of (DOC), Council of Economic Advisers (CEA), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Energy Regulatory Commission (FERC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Institute of Standards & Technology (NIST), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Natl Security Agency (NSA), Natl Security Council (NSC), Natl Telecommunications & Information Administration (NTIA), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), Vice President of the U.S., White House Office

Health Information Technology, S. 1693/H.R. 3800, Wired for Health Care Quality Act, H.R. 1952, National Health Information Incentive Act, HR 5442, TRUST in Health Information Act, Regulation of Tobacco, HR 1108, Family Smoking Prevention and Tobacco Control Act, Physician Workforce Shortages, Disparities in Health Care, HR 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008, S. 2029, Physician Payments Sunshine Act

Client expense: $490,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S 334, The Healthy Americans Act; HR 676, Expanded and Improved Medicare for All Act; S 1019, Universal Health Care Choice and Access Act; HR 1688 and S 1564, All Healthy Children Act of 2007; S 799, Community Choice Act of 2007; HR 1368, CONTINUED ON NEXT PAGE Personalized Health Information Act of 2007; HR 2014, Health Equity and Accountability Act of 2007; HR 1952, National Health Information Incentive Act of 2007; S 1455, National Health Information Technology and Privacy Advancement Act of 2007; S 716, Consortium on the Impact of Technology in Aging Health Services Act of 200: issues impacting employer costs.

Client expense: Not reported · Firm income: $210,000

Government targets: HOUSE OF REPRESENTATIVES, Postal Regulatory Commission, SENATE, U.S. Postal Service (USPS)

S 1343, HR 2241, S 2479, HR 3373, HR 3544, S 755 - supporting diabetes treatment and prevention; HR 1952, HR 2377, HR 3800, S 1693, HR 6357, S 1408, S 1814 - supporting development of HIT and infrastructure; HR 2580, HR 5480, S 2662 - seeking professional liability reform; HR 5559, HR 5543, HR 6110, S 158, S 2050 - ensuring parity for podiatric physicians in statutory definitions of physician and services; HR 3163, S 334 - supporting national health care reform

Client expense: $80,000 · Firm income: Not reported

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

Mental Health Parity, S. 558, Benefit Mandates Association Health Plans/Small Business Health Plans Tax Credits, Health Savings Accounts, Flexible Spending Accounts HSA Improvement/Expansion Act- H.R. 3234 National Health Information Incentive Act- H.R. 1952 Uniform application of ERISA mandates Workforce Training

Client expense: $704,600 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, State, Dept of (DOS)

H.R.1093/S.588, Resident Physician Shortage Reduction Act of 2007, Workforce shortage issues. H.R.1952, National Health Information Incentive Act of 2007, Health IT issues. General monitoring of Medicare/Medicaid Reimbursement 340 B Program; and patient quality and safety. H.R.3533, Public and Teaching Hospital Preservation Act, GME related issues. H.R.4105, Medicare Recovery Audit Contractor Program Moratorium Act of 2007, RAC related issues. H.R.2606/S.1376, 340B Program Improvement and Integrity Act of 2007, Reimbursement related issues. H.R.4231, Rural Veterans Health Care Access Act of 2007, Veterans healthcare related issues. H.R.1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, Mental health and addiction parity.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

Health Information Technology (HIT); providing incentives for the successful adoption of HIT: S.1693, the Wired for Healthcare Quality Act; H.R. 3800, Promoting Health Information Technology Act; H.R. 1952, the National Health Information Incentive Act of 2007. Expanding health insurance coverage to ensure that more Americans will have access to affordable health insurance: H.R. 506 /S.325, Health Partnership through Creative Federalism Act; Health insurance reform, Medicaid, Association Health Plans, Medical Savings Accounts, Tax credits and purchasing pools; S. 1169, the State-Based Health Care Reform Act; H.R. 2351, the Health Care Act of 2007. Reforming the medical liability system in this country to ease existing financial burdens on practicing physicians and to ensure greater patient access to care: S. 243, the Medical Care Access Protection Act of 2007 (MCAP Act); H.R. 2580, the Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2007. Medical liability demonstration projects. Reforming the Medicare physician reimbursement formula to provide for greater predictability and stability in payments: S. 40, the Geriatric and Chronic Care Management Act, Reform the Sustainable Growth Rate - S. 2785, Save Medicare Act of 2008, H. R. 5445; H.R. 5545 and S. 2729, the Ensuring the Future Physician Workforce Act of 2008, Pay-for-Performance, Patient Centered Medical Home H.R. 3162, the CHAMP Act, care coordination, primary care shortage, CMS proposed changes to work relative value units (RVUs), Medically Unbelievable Edits program, CMS Request for Information (RFI) for Cycle 1 of the Medicare Administrative Contractor (MAC), CMS Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates, Health Care Price Transparency. H.R. 6331/S.3101, the Medicare Improvements for Patients and Providers Act. Ensure adequate funding for federal health programs in the FY08 and FY09 appropriations: Labor/HHS/Education Appropriations bill (including Title VII health professions and student loans) and VA healthcare and research). Address inadequacies in public health programs and funding: Healthcare disparities, anti-smoking, vaccines (e.g. smallpox, influenza), CMS - Payment for the recently approved Herpes Zoster (Shingles) vaccine and its administration, DEA how e-prescribing systems can meet the Drug Enforcement Administrations (DEAs) prescription requirements under the Controlled Substances Act. Provide loan debt relief for medical students through enhancements to existing programs and the creation of new programs: H.R. 1093, Resident Physician Shortage Reduction Act of 2007; S. 588, Resident Physician Shortage Reduction Act of 2007; S. 1066, Medical Education Affordability Act; Reauthorization of the Higher Education Act, including the restoration of the 20/220 pathway; S. 2303/H.R. 4344, a bill to amend section 435 of the Higher Education Act of 1965 regarding the definition of economic hardship. Preserving the safety net function of federally-funded health care programs, such as SCHIP: H.R. 5268, providing for a temporary increase of the Federal medical assistance percentage under the Medicaid Program. Preserving access to primary care services: the impending shortage of primary care physicians, designation of primary care as a shortage profession, scholarships and loan forgiveness in exchange for primary care service commitments to practice in critical shortage areas, grants for medical school mentorship programs and primary care training in community health centers, increased Title VII funding for primary care health programs, Medicare payment reforms to support the Patient Centered Medical Home, regulatory relief, studies on primary care; S. 1340/H.R. 2244, the Geriatric Assessment and Chronic Care Coordination Act of 2007.

Client expense: $334,690 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), President of the U.S., SENATE

Health Information Technology (HIT); providing incentives for the successful adoption of HIT: S.1693, the Wired for Healthcare Quality Act; H.R. 3800, Promoting Health Information Technology Act; H.R. 1952, the National Health Information Incentive Act of 2007. Expanding health insurance coverage to ensure that more Americans will have access to affordable health insurance: H.R. 506 Health Partnership through Creative Federalism Act; Health insurance reform, Medicaid, Association Health Plans, Medical Savings Accounts, Tax credits and purchasing pools; H.R. 2351, the Healthcare Act of 2007; S. 1169, the State-Based Health Care Reform Act. Reforming the medical liability system in this country to ease existing financial burdens on practicing physicians and to ensure greater patient access to care: S. 243, the Medical Care Access Protection Act of 2007 (MCAP Act); H.R. 2580, the Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2007. Medical liability demonstration projects. Reforming the Medicare physician reimbursement formula to provide for greater predictability and stability in payments: S. 40, the Geriatric and Chronic Care Management Act, Reform the Sustainable Growth Rate - S. 2785, Save Medicare Act of 2008, H. R. 5445; H.R. 5545 and S. 2729, the Ensuring the Future Physician Workforce Act of 2008, Pay-for-Performance, Patient Centered Medical Home H.R. 3162, the CHAMP Act, care coordination, primary care shortage, CMS proposed changes to work relative value units (RVUs), Medically Unbelievable Edits program, CMS Request for Information (RFI) for Cycle 1 of the Medicare Administrative Contractor (MAC), CMS Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates, Health Care Price Transparency. H.R. 6331/S.3101, the Medicare Improvements for Patients and Providers Act. Ensure adequate funding for federal health programs in the FY08 and FY09 appropriations: Labor/HHS/Education Appropriations bill (including Title VII health professions and student loans) and VA healthcare and research). Address inadequacies in public health programs and funding: Healthcare disparities, anti-smoking, vaccines (e.g. smallpox, influenza), CMS - Payment for the recently approved Herpes Zoster (Shingles) vaccine and its administration, DEA how e-prescribing systems can meet the Drug Enforcement Administrations (DEAs) prescription requirements under the Controlled Substances Act. Provide loan debt relief for medical students through enhancements to existing programs and the creation of new programs: H.R. 1093, Resident Physician Shortage Reduction Act of 2007; S. 588, Resident Physician Shortage Reduction Act of 2007; S. 1066, Medical Education Affordability Act; Reauthorization of the Higher Education Act, including the restoration of the 20/220 pathway; S. 2303/H.R.. 4344, a bill to amend section 435 of the Higher Education Act of 1965 regarding the definition of economic hardship. Preserving the safety net function of federally-funded health care programs, such as SCHIP: H.R. 5268, providing for a temporary increase of the Federal medical assistance percentage under the Medicaid Program. Preserving access to primary care services: the impending shortage of primary care physicians, designation of primary care as a shortage profession, scholarships and loan forgiveness in exchange for primary care service commitments to practice in critical shortage areas, grants for medical school mentorship programs and primary care training in community health centers, increased Title VII funding for primary care health programs, Medicare payment reforms to support the Patient Centered Medical Home, regulatory relief, studies on primary care; S. 1340/H.R. 2244, the Geriatric Assessment and Chronic Care Coordination Act of 2007.

Client expense: $334,690 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), President of the U.S., SENATE

Health Information Technology (HIT); providing incentives for the successful adoption of HIT: S.1693, the Wired for Healthcare Quality Act; H.R. 3800, Promoting Health Information Technology Act; H.R. 1952, the National Health Information Incentive Act of 2007. Expanding health insurance coverage to ensure that more Americans will have access to affordable health insurance: H.R. 506 Health Partnership through Creative Federalism Act; Health insurance reform, Medicaid, Association Health Plans, Medical Savings Accounts, Tax credits and purchasing pools; H.R. 2351, the Healthcare Act of 2007; S. 1169, the State-Based Health Care Reform Act. Reforming the medical liability system in this country to ease existing financial burdens on practicing physicians and to ensure greater patient access to care: S. 243, the Medical Care Access Protection Act of 2007 (MCAP Act); H.R. 2580, the Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2007. Medical liability demonstration projects. Reforming the Medicare physician reimbursement formula to provide for greater predictability and stability in payments: S. 40, the Geriatric and Chronic Care Management Act, Reform the Sustainable Growth Rate - S. 2785, Save Medicare Act of 2008, H. R. 5445; H.R. 5545 and S. 2729, the Ensuring the Future Physician Workforce Act of 2008, Pay-for-Performance, Patient Centered Medical Home H.R. 3162, the CHAMP Act, care coordination, primary care shortage, CMS proposed changes to work relative value units (RVUs), Medically Unbelievable Edits program, CMS Request for Information (RFI) for Cycle 1 of the Medicare Administrative Contractor (MAC), CMS Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates, Health Care Price Transparency. H.R. 6331/S.3101, the Medicare Improvements for Patients and Providers Act. Ensure adequate funding for federal health programs in the FY08 and FY09 appropriations: Labor/HHS/Education Appropriations bill (including Title VII health professions and student loans) and VA healthcare and research). Address inadequacies in public health programs and funding: Healthcare disparities, anti-smoking, vaccines (e.g. smallpox, influenza), CMS - Payment for the recently approved Herpes Zoster (Shingles) vaccine and its administration, DEA how e-prescribing systems can meet the Drug Enforcement Administrations (DEAs) prescription requirements under the Controlled Substances Act. Provide loan debt relief for medical students through enhancements to existing programs and the creation of new programs: H.R. 1093, Resident Physician Shortage Reduction Act of 2007; S. 588, Resident Physician Shortage Reduction Act of 2007; S. 1066, Medical Education Affordability Act; Reauthorization of the Higher Education Act, including the restoration of the 20/220 pathway; S. 2303/H.R. 4344, a bill to amend section 435 of the Higher Education Act of 1965 regarding the definition of economic hardship. Preserving the safety net function of federally-funded health care programs, such as SCHIP: H.R. 5268, providing for a temporary increase of the Federal medical assistance percentage under the Medicaid Program. Preserving access to primary care services: the impending shortage of primary care physicians, designation of primary care as a shortage profession, scholarships and loan forgiveness in exchange for primary care service commitments to practice in critical shortage areas, grants for medical school mentorship programs and primary care training in community health centers, increased Title VII funding for primary care health programs, Medicare payment reforms to support the Patient Centered Medical Home, regulatory relief, studies on primary care; S. 1340/H.R. 2244, the Geriatric Assessment and Chronic Care Coordination Act of 2007.

Client expense: $173,509 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), President of the U.S., SENATE

The Wired for Health Care Quallity Act (S.1693); bill to enhancethe adoption of a nationwide interoperable health information technoloyg system and to imporve the quality and reduce the costs of health care in ght US; Heatlh Information Technology Act S. 1408; The 10,000 Trained by 1020 Act H.R. 1467; TRUST in Health Information Act H.R. 5442; National health Information Incentive Act H.R. 1952 to amend Title XI of SSA to achieve a national health information infrastructure; Promoting Health Information Technology H.R. 3800 - to advance the adoption of nationwide interoperable health information technology and to improve health care quality and reduce health care costs in the US; Protecting Records, Optimizing Treatment and Easing communication through Healthcare Technology Act of 2008, H.R. 6357

Client expense: $855,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

Health Information Technology: S. 1693, H.R. 1952, H.R. 3800, H.R. 5442, H.R. 6345, H.R. 6357

Client expense: Not reported · Firm income: Not reported

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

Health Information Technology: HR.1368, HR.1952, HR.2406, HR.5442, S.1693, S.1408, S.1455, HR.2043

Client expense: Not reported · Firm income: Not reported

Mental Health Parity, S. 558, Benefit Mandates Association Health Plans/Small Business Health Plans Tax Credits, Health Savings Accounts, Flexible Spending Accounts HSA Improvement/Expansion Act- H.R. 3234 National Health Information Incentive Act- H.R. 1952 Uniform application of ERISA mandates Workforce Training

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

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, State, Dept of (DOS)

Health Information Technology, S. 1693/H.R. 3800, Wired for Health Care Quality Act, H.R. 1952, National Health Information Incentive Act, HR 5442, TRUST in Health Information Act, Regulation of Tobacco, HR 1108, Family Smoking Prevention and Tobacco Control Act, Physician Workforce Shortages, Disparities in Health Care

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 3176 State & Children Health Insurance Program - 2007 reauthorization (SCHIP) Demonstration projects for personal health records S. 1456 Electronic Personal Health Records (PHRS) for Member of the Federal Employee Health Benefit Plans Demonstration prujects for personal health records H.R. 493/S. 358 Genetic Information Nondiscrimination Act of 2007 Genetic Information non-discrimination S. 558 Mental Health Parity Act of 2007 Mental Health Parity S. 1693 Wired for Healthcare Quality Act nationwide healthcare system, national standards, interoperability, and privacy H.R. 3800 Promoting Health Information Technology Act H.R. 1424 Paul Wellstone Mental Health and Addiction Equity Act of 2007 H.R. 1952 National Health Information Incentive Act of 2007

Client expense: $1,870,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Bureau of Economic Analysis, Bureau of the Census, Centers For Disease Control & Prevention (CDC), Commerce, Dept of (DOC), Council of Economic Advisers (CEA), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Energy Regulatory Commission (FERC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Institute of Standards & Technology (NIST), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Natl Security Council (NSC), Natl Telecommunications & Information Administration (NTIA), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR)

H.R.1093/S.588, Resident Physician Shortage Reduction Act of 2007, Workforce shortage issues. H.R.1952, National Health Information Incentive Act of 2007, Health IT issues. General monitoring of Medicare/Medicaid Reimbursement 340 B Program; and patient quality and safety. H.R.3533, Public and Teaching Hospital Preservation Act, GME related issues. H.R.4105, Medicare Recovery Audit Contractor Program Moratorium Act of 2007, RAC related issues. H.R.2606/S.1376, 340B Program Improvement and Integrity Act of 2007, Reimbursement related issues. H.R.4231, Rural Veterans Health Care Access Act of 2007, Veterans healthcare related issues. H.R.1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, Mental health and addiction parity.

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

S 334, The Healthy Americans Act; HR 676, Expanded and Improved Medicare for All Act; S 1019, Universal Health Care Choice and Access Act; HR 1688 and S 1564, All Healthy Children Act of 2007; S 799, Community Choice Act of 2007; HR 1368, CONTINUED ON NEXT PAGE Personalized Health Information Act of 2007; HR 2014, Health Equity and Accountability Act of 2007; HR 1952, National Health Information Incentive Act of 2007; S 1455, National Health Information Technology and Privacy Advancement Act of 2007; S 716, Consortium on the Impact of Technology in Aging Health Services Act of 2007, issues impacting employer costs.

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

Government targets: HOUSE OF REPRESENTATIVES, Postal Regulatory Commission, SENATE, U.S. Postal Service (USPS)

Health Information Technology (HIT); providing incentives for the successful adoption of HIT: S.1693, the Wired for Healthcare Quality Act; H.R. 3800, Promoting Health Information Technology Act; H.R. 1952, the National Health Information Incentive Act of 2007; Expanding health insurance coverage to ensure that more Americans will have access to affordable health insurance: H.R. 506, Health Partnership through Creative Federalism Act; Health insurance reform, Medicaid, Association Health Plans, Medical Savings Accounts, Tax credits and purchasing pools. Reforming the medical liability system in this country to ease existing financial burdens on practicing physicians and to ensure greater patient access to care: S. 243, the Medical Care Access Protection Act of 2007 (MCAP Act); H.R. 2580, the Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2007. Medical liability demonstration projects. Reforming the Medicare physician reimbursement formula to provide for greater predictability and stability in payments: S. 40, the Geriatric and Chronic Care Management Act, Reform the Sustainable Growth Rate - S. 2785, Save Medicare Act of 2008, H. R. 5445; H.R. 5545 and S. 2729, the Ensuring the Future Physician Workforce Act of 2008, Pay-for-Performance, Patient Centered Medical Home H.R. 3162, the CHAMP Act, care coordination, primary care shortage, CMS proposed changes to work relative value units (RVUs), Medically Unbelievable Edits program, CMS Request for Information (RFI) for Cycle 1 of the Medicare Administrative Contractor (MAC), CMS Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates, Health Care Price Transparency. Ensure adequate funding for federal health programs in the FY08 and FY09 appropriations: Labor/HHS/Education Appropriations bill (including Title VII health professions and student loans) and VA healthcare and research). Address inadequacies in public health programs and funding: Healthcare disparities, anti-smoking, vaccines (e.g. smallpox, influenza), CMS - Payment for the recently approved Herpes Zoster (Shingles) vaccine and its administration, DEA how e-prescribing systems can meet the Drug Enforcement Administrations (DEAs) prescription requirements under the Controlled Substances Act. Provide loan debt relief for medical students through enhancements to existing programs and the creation of new programs: H.R. 1093, Resident Physician Shortage Reduction Act of 2007; S. 588, Resident Physician Shortage Reduction Act of 2007; S. 1066, Medical Education Affordability Act; Reauthorization of the Higher Education Act, including the restoration of the 20/220 pathway. Preserving the safety net function of federally-funded health care programs, such as SCHIP: H.R. 5268, providing for a temporary increase of the Federal medical assistance percentage under the Medicaid Program. Preserving access to primary care services: the impending shortage of primary care physicians, designation of primary care as a shortage profession, scholarships and loan forgiveness in exchange for primary care service commitments to practice in critical shortage areas, grants for medical school mentorship programs and primary care training in community health centers, increased Title VII funding for primary care health programs, Medicare payment reforms to support the Patient Centered Medical Home, regulatory relief, studies on primary care.

Client expense: $225,704 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), President of the U.S., SENATE