Healthcare Information Technology Enterprise Integration Act

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards; HIT Privacy; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act"; HR6357 "Pro(Tech)t Act of 2008" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured; Connectors/Virtual Connectors, SIMs; S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act"; S2795 "Small Business Health Options Program Act of 2008" Mental Health Parity: S3712 "A Bill to make a technical correction in the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008" TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" Comparative Effectiveness Funding: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only, HR2184 "Enhanced Health Care Value for All Act"; S3408 "Comparative Effectiveness Research Act of 2008" Health Savings Accounts/Medical Savings Accounts SCHIP; HR976 and HR3963 "SCHIP Extension Bill" HR2851 and S400 "Michelle's Law" Health Disparities; Wellness: Technical Corrections to S1753 Healthy Workforce Act of 2007

Client expense: $1,920,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

Veterans Healthcare issues Electronic Prescribing Comparative Effectiveness Research S. 2408, Medicare Electronic Medication and Safety Protection Act 2007 HR. 4296, Medicare Electronic Medication and Safety Protection Act 12/07 HR. 3800, Promoting Health Information Technology Act 10/07 HR. 2406, (no title) authorize the NIST to increase its efforts in support of the integration of the healthcare information enterprise in the United States 11/07 S. 1693, The Wired for Health Care Quality Act 10/07 S. 438, Fair Prescription Drug Competition Act 1/07 S. 1082, Food and Drug Administration Revitalization Act 5/07 HR. 806 2/07 S. 1432, Preserve Access to Affordable Generics Act 5/07 S. 316, Preserve Access to Affordable Generics Act 3/07 S. 2029 Physician Payments Sunshine Act HR 5605 Physician Payments Sunshine Act HR 962 Preservation of Antibioties for Medical Treatment Act S. 349 Preservation of Antibioties for Medical Treatment Act S. 2313 Strategies to Address Antimicrobial Resistance HR 3697 Strategies to Address Antimicrobial Resistance HR 1424. The Paul Wellstone Mental Health and Addiction Equity Act H.R. 6331 Medicare Improvements for Patients & Providers Act H.R. 6376 and H.R. 6378 - Strengthening FDA Integrity Act (6/08) S. 877 - Stop Abuse of Growth Hormone Act (3/07) H.R. 4911 - Human Growth Hormone Restriction Act (12/07) H.R. 6357 - Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or The Pro(TECH)T Act of 2008 H.R. 6898 - the Health-e Information Technology Act of 2008 S. 3396 - Independent Drug Education and Outreach Act of 2008

Client expense: $3,250,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, Veterans Affairs, Dept of (VA)

Protection of critical infrastructure and cyber security. Licensing, competition, and government procurement in the software industry. HHS IT e-health procurement. Private sector preparedness; cyber research and development. Standards and interoperability. H.R. 836, Cyber-Security Enhancement and Consumer Data Protection Act of 2007. S. 2213, Cyber-Crime Act of 2007. H.R. 2290, Cyber-Security Enhancement Act of 2007. H.R. 4175, Privacy and Cybercrime Enforcement Act of 2007. H.R. 3800, Promoting Health Information Technology Act. S. 1693, Wired for Health Care Quality Act. H.R. 2272 (P.L. 110-69), To invest in innovation through research and development, and to improve the competitiveness of the United States. China SED/JCCT. H.R. 5442, TRUST in Health Information Act of 2008. S. 334 (H.R. 3163), Healthy Americans Act. H.R. 2406, To authorize The National Institute of Standards and Technology to increase its efforts in support of the integration of the healthcare information enterprise in the United States. S. 1814, Health Information Privacy and Security Act. H.R. 4791, Federal Agency Data Protection Act. H.R. 5983, DHS CIO bill. H.R. 275, Global Online Freedom Act of 2007, and related Senate concerns regarding voluntary business principles. H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 (PRO-(TECH)T Act of 2008. Competition in the online advertising and software markets. Competitiveness and the high-tech sector. H.R. 6060, S. 2168, Identity Theft Enforcement and Restitution Act of 2008. H.R. 6179, Promoting Health Information Technology Act of 2008. Emergency Economic Stabilization Act of 2008, including issues related to Health IT. Free Trade Agrements: US-Korea, US-Colombia, US-Panama.

Client expense: $2,020,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Trade Commission (FTC), 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), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Copyright Office, U.S. Trade Representative (USTR)

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Information Technology Standards; HIT Privacy; Electronic Health Records; ICD-10 Implementation: HR 1368 "Personalized Health Information Act of 2007," S 1783 and S 1693 "Wired for Health Care Quality Act," HR 3800 "Promoting Health Information Technology Act;" HR 2406 "Healthcare Information Technology Enterprise Integration Act;" HR 6357 "Pro(Tech)t Act of 2008" Healthcare Reform; Insurance Market Reform; Employer-Based Healthcare System; Small Group Market/ Small Business Healthcare; Uninsured; Health Disparities; Connectors/Virtual Connectors; S 1019 "Health Care Choice Act of 2007," S334 and HR 3163 "Healthy Americans Act," S 2795 "Small Business Health Options Program Act of 2008" Mental Health Parity: S3712 "A Bill to make a technical correction in the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008" Comparative Effectiveness Funding: HR 3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only, HR 2184 "Enhanced Health Care Value for All Act," S3408 "Comparative Effectiveness Research Act of 2008" SCHIP; HR 976 and HR 3963 "SCHIP Extension Bill"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2260, Healthcare Truth and Transparency Act of 2007 S. 1814, the Health Information Privacy and Security Act S. 1693, the Wired for Health Care Quality Act H.R. 1368, the Personalized Health Information Act of 2007 H.R. 2991, Independent Health Record Trust Act of 2007 H.R. 2626, Comprehensive HealthCARE Act of 2007 (Price Healthcare Bill) S. 1814, Health Information Privacy and Security Act H.R. 2406, Healthcare Information Technology Enterprise Integration Act H.R. 5442, Technologies for Restoring Users' Security and Trust in Health Information Act (TRUST Act) S. 1693/ H.R. 3800, the Wired for Health Care Quality Act S. 358/H.R. 493, Genetic Information Nondiscrimination Act of 2007 H.R. 2260, Healthcare Truth and Transparency Act of 2007 H.R. 1368, the Personalized Health Information Act of 2007 H.R. 2991, Independent Health Record Trust Act of 2007 S. 2408/H.R. 4296, E-MEDS Act of 2007 H.R. 6357, PRO(TECH)T Act of 2008

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Justice, Dept of (DOJ), Natl Institute of Mental Health (NIMH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA), White House Office

H.R. 493, Genetic Information Nondiscrimination Act of 2007 S. 1693/ H.R. 3800, the Wired for Health Care Quality Act S. 358/H.R. 493, Genetic Information Nondiscrimination Act of 2007 H.R. 2260, Healthcare Truth and Transparency Act of 2007 H.R. 1368, the Personalized Health Information Act of 2007 H.R. 2991, Independent Health Record Trust Act of 2007 S. 2408/H.R. 4296, E-MEDS Act of 2007 S. 1814, Health Information Privacy and Security Act H.R. 2406, Healthcare Information Technology Enterprise Integration Act H.R. 5442, Technologies for Restoring Users' Security and Trust in Health Information Act (TRUST Act) H.R. 6357, PRO(TECH)T Act of 2008

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Justice, Dept of (DOJ), Natl Institute of Mental Health (NIMH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA), White House Office

H.R. 1571, Seniors Access to Mental Health Act of 2007 (Medicare parity) H.R. 1663, Medicare Mental Health Modernization Act of 2007 H.R. 2626, Comprehensive HealthCARE Act of 2007 (Price Healthcare Bill) H.R. 3162, Children's Health and Medicare Protection Act of 2007 H.R. 2585, Ensuring the Future Physician Workforce Act of 2007 (Burgess SGR Bill) H.R. 3025, Medicare Prescription Drug Savings for Our Seniors (Medicare Prescription Drug SOS) Act of 2007 H.R. 3061, Medicare Part D Drug Class Protection Act of 2007 (Six Classes Bill) H.R. 820, Seniors Mental Health Access Improvement Act of 2007 (MFTs/MHCs) H.R. 1588, Seniors Mental Health Access Improvement Act of 2007 (MFTs/MHCs) H.R. 1424, Paul Wellstone Mental Health Equitable Treatment Act of 2007 S. 558, Mental Health Parity Act of 2007 H.R. 2580, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 S. 382/H.R. 687, Keeping Families Together Act, S. 1572/H.R. 2073, Child Health Care Crisis Relief Act of 2007, S. 1893/HR 976, Childrens Health Insurance Program Reauthorization Act of 2007 S. 1337, Childrens Mental Health Parity Act S. 2086, SCHIP Extension Act of 2007 S. 2499, Medicare, Medicaid and SCHIP extension of 2007 S. 1814, Health Information Privacy and Security Act H.R. 2406, Healthcare Information Technology Enterprise Integration Act H.R. 5442, Technologies for Restoring Users' Security and Trust in Health Information Act (TRUST Act) H.R. 493, Genetic Information Nondiscrimination Act of 2007 S. 1693/ H.R. 3800, the Wired for Health Care Quality Act S. 358/H.R. 493, Genetic Information Nondiscrimination Act of 2007 H.R. 2260, Healthcare Truth and Transparency Act of 2007 H.R. 1368, the Personalized Health Information Act of 2007 H.R. 2991, Independent Health Record Trust Act of 2007 S. 2408/H.R. 4296, E-MEDS Act of 2007 H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 S. 3101, Medicare Improvements for Patients and Providers Act of 2008 H.R. 6357, PRO(TECH)T Act of 2008 H.R. 1424, Emergency Economic Stabilization Act (including mental health parity)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Justice, Dept of (DOJ), Natl Institute of Mental Health (NIMH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA), White House Office

Legislation to expand health care coverage and access including provisions contained bills in which would offer Medicare, Medicaid and/or SCHIP to more children, create parity in coverage of mental health benefits, foster reform at the state level, stabilize trauma care, prevent healthcare acquired infections, ensure hospital preparedness, expand the use of health information technology, provide funding for Ryan White programs, increase and stabilize the healthcare workforce. HR 2357; MediKids Health Insurance Act of 2007"; to create a new federal healthcare program to provide comprehensive health benefits to children S 1218 /HR 2034, Medicare for All Act; expanding the Medicare program to those under age 65. S 1169; State-Based Health Care Reform Act; to create a five-year pilot program in several states to develop coverage plans for the uninsured HR 1424; Paul Wellstone Mental Health and Addiction Equity Act require group health plans to provide comparable treatment limits and beneficiary cost sharing for medical and mental health benefits. HR 1663, Medicare Mental Health Modernization Act to provide mental health parity in private health insurance and Medicare, and improves coverage for cost-effective and community-based mental health treatment services for seniors and people with disabilities S 895/HR 1535; Children's Health First Act allow states to expand children's health coverage to families up to 400 percent of the Federal poverty level HR 1308S/764, Legal Immigrant Children's Health Improvement Act to permit states the option of coverage of legal immigrants under the Medicaid Program and the State Children's Health Insurance Program S 558, Mental Health Parity Act of 2007 would preserve state laws that are more comprehensive while creating parity in health plans offering mental health coverage by equating financial requirements and treatment limitations for mental health benefits with medical and surgical benefits. S 325/HR 506, Health Partnership Act would provide grants to individual states, groups of states, and portions of states to test various health reform strategies HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act S 2049, The Better Health for America's Children Act," to block a new policy to limit states' ability to enroll children in the State Children's Health Insurance Program S 2152, Kids First Actalternative SCHIP bill that would restrict coverage to individuals younger than age 19 in low-income families HR 3963; Children's Health Insurance Program Reauthorization Act revised bill to extend and expand the State Childrens Health Insurance Program (SCHIP) HR 2055 Improving Children's Access to Health Care Act, to improve children's access to health care coverage under the Medicaid Program and the State Children's Health Insurance Program (SCHIP). HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program HR 3221: Housing and Economic Recovery Act provision that would allow federal home loan banks to issue letters of credit for tax-exempt hospital bonds. HR 7110: Job Creation and Unemployment Relief Act: Title III, temporary increase in Medicaid matching rate Legislation to expand health care coverage and access including provisions which would stabilize medical emergency reimbursement, HR 882, Access to Emergency Services Act that would increase by 10 percent Medicare reimbursements to physicians who provide care in emergency departments (EDs) or post-stabilization care related to emergency medical conditions in other areas of hospitals S 657, A bill to amend the Public Health Service Act to add requirements regarding trauma care HR 6394: Border Health Care Relief Act of 2008 Amends the MPDIMA to extend Sec. 1011 through FY2012 for federal reimbursement of emergency health services furnished to undocumented aliens Legislation to expand health care coverage and access including provisions to ensure patient safety, H.J.RES. 20, Making further continuing appropriations for the fiscal year 2007 provision annual fit-testing of respirators for occupational exposure to tuberculosis. S 2278/HR 4214 Community and Healthcare-Associated Infections Reduction Act to improve the prevention, detection, and treatment of community and healthcare-associated infections Legislation to expand health care coverage and access including provisions to ensure emergency preparedness, HR 727, Trauma Care Systems Planning and Development Act of 2007 would authorize an additional $46 million between fiscal years 2008 and 2012 in spending for rural medical centers that treat patients during times of national crisis HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for hospital preparedness S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for hospital preparedness HR 3043; Labor, HHS Appropriations bill, provide funds for hospital preparedness Legislation to expand health care coverage and access including provisions to promote the use of health information technology: S 1418, Wired for Health Care Quality Act HR3043/S1710, Appropriations Labor, Health and Human Services (HHS), Education, and Related Agencies FY 08, funding for HIT programs HR 1467, 10,000 Trained by 2010 Act, award competitive grants for basic research on innovative approaches to improve health care information systems HR 2406, Healthcare Information Technology Enterprise Integration,guidelines and mechanisms to promote the integration of the healthcare information enterprise. S 1408, Health Information Technology Act, would provide tax incentives and resources to offset the costs of investing in new health information technology. HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for HIT S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for HIT HR 3043, Labor, HHS Appropriations bill, provide funds for HIT HR 2764; omnibus appropriations bill for FY2008 provide funds for HIT HR 6357 : Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH)T Act, Legislation to expand health care coverage and access including provisions funding HIV/AIDS programs: HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Ryan White programs S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for Ryan White programs HR3043/S1710, FY 2008 Labor HHS Appropriations Bill, funding for Ryan White programs HR 2764; omnibus appropriations bill for FY2008, funding for Ryan White programs Legislation to expand health care coverage and access including provisions to ensure sufficient workforce within in the healthcare sector S 1604, Nursing Education and Quality of Health Care Act, increases the nurse workforce in rural areas, expands nursing school faculty, and develops initiatives to integrate patient safety practices into nursing education HR 2122, Safe Nursing and Patient Care Act of 2007", limiting the number of mandatory overtime hours a nurse may be required to work S 1639, Comprehensive Immigration Reform, the point-based system for visas, to give nurses special consideration under the point system HR800/S1041, Employee Free Choice Act, require the NLRB to certify a bargaining representative if a majority of the bargaining unit employees have authorized designation of the representative (card-check) HR 2123, Nurse Staffing Standards for Patient Safety and Quality Care Act, to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals HR 378, Nurse and Patient Safety & Protection Act direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, direct-care registered nurses, and other health care providers by establishing a safe patient handling standard. HR 1644, Re-Empowerment of Skilled and Professional Employees and Construction Tradesworkers (RESPECT) Act, to amend the National Labor Relations Act to clarify the definition of "supervisor" S446, Nurse Education, Expansion, and Development (NEED) Act, grants based on the number of nursing students enrolled to hire and retain new nursing faculty S 718, The Patient-Focused Critical Care Enhancement Act, provision study the impact of differences in staffing, organization, size, and structure of intensive care units on access, quality, and efficiency of care HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Nursing Education programs, , national health service corp HR 677, Nursing School Capacity Act authorize IOM study to identify constraints encountered by schools of nursing in admitting and graduating sufficient number of nurses S1577, Patient Safety and Abuse Prevention Act screening of direct patient access employees HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp. S 588/HR 1093, Resident Physician Shortage Act, to expand the number of physician training positions in 24 states with shortages HR 5924, The Emergency Nurse Supply Relief Act, which would address the retrogression backlog of visas for internationally-educated nurses who have been hired by U.S. hospitals but are not able to come here because of the unavailability of an employment-based (EB) visa.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE, White House Office

S.458 Physician Pathology Continuity Act, S.558 The Mental Health Parity Act of 2007; S.630 Rural Health Services Preservation Act, S.860 Early Treatment for HIV Act; S.969 Oppose reversal of NLRB guidance on when charge nurses are classified as supervisors, S.1041 Employee Free Choice Act - Oppose Card Check process S.1604 Nursing Education and Quality of Health Care Act of 2007 S.1693 Health Information Exchange S.2041 The False Claims Act Correction Act of 2007 S.2460 Extend Moratorium on Medicaid Regulations affecting Intergovernmental Transfers S.2499 Medicare, Medicaid, and SCHIP Extension Act of 2007 S.2620 Temporary increase in federal medical assistance percentages under Medicaid program S.2819 Extend and Establish Moratorium on Medicaid Rules; increase FMAP H.R.800 Employee Free Choice Act Oppose Card Check process H.R.866 Secret Ballot Protection Act H.R.976 Childrens Health Insurance Reauthorization Act of 2007 H.R.1105 Physician Pathology Services Continuity Act H.R.1177 Sole Community Hospital Preservation Act H.R.1424 Paul Wellstone Mental Health & Addiction Equity Act of 2007 H.R.1644 Oppose reversal of NLRB guidance on when charge nurses are classified as supervisors H.R.1663 Medicare Mental Health Modernization Act of 2007 H.R.2159 rural Health Services Preservation Act H.R.2406 Establishes NIST Role in Standard Setting for Health IT H.R.3162 Children Health and Medicare Protection Act of 2007 H.R.3326 Early Treatment for HIV Act H.R.3533 Public and Teaching Hospital Preservation Act, H.R.4105 One-year Moratorium on the Recovery Audit Contractor (RAC) program H.R.4854 False Claims Act Correction Act of 2007 H.R.5268 Temporary increase in federal medical assistance percentages under Medicaid program H.R.5613 Extend and Establish Moratorium on Medicaid Rules FFY 2009 Budget and Budget Resolutions/Medicare and Medicaid Cuts FFY 2009 Labor, Health and Human Services, Education and Pension Appropriations bill FFY 2009 Medicare Inpatient Hospital PPS Rules CY 2009 Medicare Inpatient Psychiatric Facility PPS Rules FFY 2009 Medicare Inpatient Rehabilitation Facility PPS and 75% Rule, Rules CY 2009 Medicare Outpatient PPS Rules FFY 2009 Medicare Skilled Nursing Facility PPS Rules CY 2009 Medicare Home Health Agency PPS Rules CY 2009 Medicare Physician Fee Schedule Update CMS Proposed Rule to Limit Intergovernmental Transfers and Certified Public Expenditures CMS Proposed Value-Based Purchasing Program CMS Proposed Rule on Medicaid Graduate Medical Education Payments State Childrens Health Insurance Program funding IRS Form 990 Revision Stark and physician self-referral regulations Hospital pricing transparency Not-for-profit hospital tax-exempt status Medicaid regulations affecting public hospitals, GME, provider tax, outpatient coverage, targeted case management, rehabilitation and school based health Pay for Performance / value based purchasing Health information technology Hospital charity care/financial aid Coverage for undocumented immigrants Associated health plans Coverage for the uninsured Health savings accounts and high-deductible health plans Emergency preparedness Immigration Medicare wage index Community benefit reporting Mental health parity Limited service hospitals Department of Housing and Urban Developments Federal Housing Assistance mortgage program for hospitals Defined benefit pension plans National Institute of Health funding Health care workforce recruiting and training funding Hospital infection reporting Medical error reporting Hospital performance measure reporting Medicare Recovery Audit Contractor Demonstration Project/national expansion Competitive bidding for clinical laboratory services Expansion of the Medicaid 340B drug pricing program CMS August 17th directive to states establishing new requirements for increasing SCHIP coverage False claims act expansion Medicare funding warning/trigger Medicare GME residency slot distribution National Health Service Corp funding Public Health Service Act nursing and allied health professions program funding HRSAs health professions shortage areas and medically underserved areas H.R. 6357 Protecting Records, Optimizing Treatment and Easing Communications through Healthcare Technology Act of 2008 H.R. 2642 Supplemental Appropriations Act, 2008 H.R. 6357 Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 H.R. 2642 Supplemental Appropriations Act, 2008

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Information Technology Standards; HIT Privacy; Electronic Health Records; ICD 10 Implementation: HR1368 "Personalized Health Information Act of 2007;" S1783 and S1693 "Wired for Health Care Quality Act;" HR3800 "Promoting Health Information Technology Act;" HR2406 "Healthcare Information Technology Enterprise Integration Act;" HR6357 "Pro(Tech)t Act of 2008" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured; Health Disparities; Connectors/Virtual Connectors; S1019 "Health Care Choice Act of 2007;" S334 and HR3163 "Healthy Americans Act;" S2795 "Small Business Health Options Program Act of 2008" Comparative Effectiveness Funding: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act;" S3408 "Comparative Effectiveness Research Act of 2008" SCHIP; HR976 and HR3963 "SCHIP Extension Bill"

Client expense: $130,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

S.458 Physician Pathology Services Continuity Act, S. 558 The Mental Health Parity Act of 2007, S.630 Rural Health Services Preservation Act, S.860 Early Treatment for HIV Act, S.969 Oppose Reversal of NLRB guidance on when charge nurses are classifed as supervisors, S.1041 Employee Free Choice Act-Oppose Card Check process, S.1604 Nursing Education and Quality of Health Care Act of 2007, S.1693 Health Information Exchange, S.2041 The False Claims Act Correction Act of 2007, S.2460 Extend S.2460 Extend Moratorium on Medicaid Regulations affecting Intergovernmental Transfers, S.2499 Medicare, Medicaid, and SCHIP Extension Act of 2007, S.2620 Temporary increase in federal medical assistance percentages under Medicaid program S.2819 Extend and Establish Moratorium on Medicaid Rules; increase FMAP, S.3101 The Medicare Improvements for Patients and Providers Act S.3656 Preserving Access to Healthcare (PATH) Act of 2008 H.R.800 Employee Free Choice Act Oppose Card Check process H.R.866 Secret Ballot Protection Act H.R.976 Childrens Health Insurance Reauthorization Act of 2007 H.R.1105 Physician Pathology Services Continuity Act H.R.1177 Sole Community Hospital Preservation Act H.R.1424 Paul Wellstone Mental Health & Addiction Equity Act of 2007 H.R.1644 Oppose reversal of NLRB guidance on when charge nurses are classified as supervisors H.R.1663 Medicare Mental Health Modernization Act of 2007 H.R.2159 rural Health Services Preservation Act H.R.2406 Establishes NIST Role in Standard Setting for Health IT H.R.2638 Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009 continuing resolution 2009 H.R.2642, supplemental appropriations Act, 2008 H.R.3162 Children Health and Medicare Protection Act of 2007 H.R.3326 Early Treatment for HIV Act H.R.3533 Public and Teaching Hospital Preservation Act, H.R.4105 One-year Moratorium on the Recovery Audit Contractor (RAC) program H.R.4854 False Claims Act Correction Act of 2007 H.R.5268 Temporary increase in federal medical assistance percentages under Medicaid program H.R.5480 Medicare Funding Warning Response Act of 2008 H.R.5613 Extend and Establish Moratorium on Medicaid Rules H.R.5924 Emergency Nursing Supply Relief Act H.R.6331 Physician Medicare payment relief H.R.6357 Protecting records, optimizing treatment, and easing communication through healthcare technology H.R.6898 Health-e IT Act of 2008 H.R.7067 Quality FIRST Act of 2008 H.R.7110 Job Creation and Unemployment Relief Act of 2008-FMAP Provision H.R.7219 The Protecting Hospital Outpatient and Community Clinic Services Act of 2008 H.R.7241 Preserving Access to Healthcare (PATH) Act of 2008 H.Res.1368 Relating to the House procedures contained in Section 803 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 FFY 2009 Budget and Budget Resolutions/Medicare and Medicaid Cuts FFY 2009 Labor, Health and Human Services, Education and Pension Appropriations bill FFY 2009 Medicare Inpatient Hospital PPS Rules CY 2009 Medicare Inpatient Psychiatric Facility PPS Rules FFY 2009 Medicare Inpatient Rehabilitation Facility PPS and 75% Rule, Rules CY 2009 Medicare Outpatient PPS Rules FFY 2009 Medicare Skilled Nursing Facility PPS Rules CY 2009 Medicare Home Health Agency PPS Rules CY 2009 Medicare Physician Fee Schedule Update CMS Proposed Rule to Limit Intergovernmental Transfers and Certified Public Expenditures CMS Proposed Value-Based Purchasing Program CMS Proposed Rule on Medicaid Graduate Medical Education Payments State Childrens Health Insurance Program funding IRS Form 990 Revision Stark and physician self-referral regulations Hospital pricing transparency Not-for-profit hospital tax-exempt status Medicaid regulations affecting public hospitals, GME, provider tax, outpatient coverage, targeted case management, rehabilitation and school based health Pay for Performance / value based purchasing Health information technology Hospital charity care/financial aid Coverage for undocumented immigrants Associated health plans Coverage for the uninsured Health savings accounts and high-deductible health plans Emergency preparedness Immigration Medicare wage index Community benefit reporting Mental health parity Limited service hospitals Department of Housing and Urban Developments Federal Housing Assistance mortgage program for hospitals Defined benefit pension plans National Institute of Health funding Health care workforce recruiting and training funding Hospital infection reporting Medical error reporting Hospital performance measure reporting Medicare Recovery Audit Contractor Demonstration Project/national expansion Competitive bidding for clinical laboratory services Expansion of the Medicaid 340B drug pricing program CMS August 17th directive to states establishing new requirements for increasing SCHIP coverage False claims act expansion Medicare funding warning/trigger Medicare GME residency slot distribution National Health Service Corp funding Public Health Service Act nursing and allied health professions program funding HRSAs health professions shortage areas and medically underserved areas

Client expense: Not reported · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

S.458 Physician Pathology Services Continuity Act; S.558 The Mental Health Parity Act of 2007; S.630 Rural Health Services Preservation Act; S.860 Early Treatment for HIV Act; S.969 Oppose reversal of NLRB guidance on when charge nurses are classified as supervisors; S.1041 Employee Free Choice Act-Oppose Card Check process; S.1604 Nursing Education and Quality of Health Care Act of 2007; S.1693 Health Information Exchange; S.2041 The False Claims Act Correction Act of 2007; S.2460 Extend Moratorium on medicaid regulations affecting intergovernmental transfers; S.2499 Medicare, medicaid, and SCHIP extension act of 2007; S.2620 Temporary increase in federal medical assistance percentages under Medicaid program; S.2819 Extend and establish moratorium on Medicaid rules; increase FMAP; S.3101 the Medicare improvements for patients and providers act; S.3656 Preserving access to healthcare (PATH) act of 2008; H.R.800 Employee free choice act (oppose card check process); H.R.866 Secret ballot protection act; H.R.976 Children's health insurance reauthoriation act of 2007; H.R.1105 Physician pathology services continuity act; H.R.1177 Sole commuunity hospital preservation act; H.R.1424 Paul Wellstone mental health and addiction equity act of 2007; H.R.1644 Oppose reversal of NLRB quidance on when charge nurses are classified as supervisors; H.R.1663 Medicare mental health modernization act of 2007; H.R.2159 Rural health services preservation act; H.R.2406 establishes NIST role in standard setting for health IT; H.R.2638 Consolidated security, disaster assistance, and continuing appropriations act, 2009; Continuing resolution 2009; H.R.2642 Supplemental appropriations act, 2008; H.R.3162 Children health and Medicare protection act of 2007; H.R.3326 Early treatment for HIV act; H.R.3533 Public and teaching hospital preservation Act; H.R.4105 One-year moratorium on the Recovery Audit Contractor (RAC) program; H.R.4854 False Claims Act Correction Act of 2007; H.R.5268 Temporary increase in federal medical assistance percentages under Medicaid program; H.R.5480 Medicare funding warning response act of 2008; H.R.5613 Extend and establish moratorium on Medicaid rules; H.R.5924 Emergency nursing supply relief act; H.R.6331 Physician Medicare payment releif; H.R.6357 Protecting records, optimizing treatment, and easing communication through healthcare technology; H.R.6898 Health-E IT Act of 2008; H.R.7067 Quality FIRST Act of 2008; H.R.7110 Job Creation and Unemployment Relief Act of 2008-FMAP Provision; H.R.7219 the Protecting Hospital and outpatient and community clinic services act of 2008; H.R.7241 Preserving access to health care (PATH) Act of 2008; H.Res.1368 Relating to the House procedures contained in Section 803 of the Medicare prescription drug improvement and modernization act of 2003; FFY 2009 budget and budget resolutions/Medicare and Medicaid cuts; FFY 2009 Labor, health and human services, education and pension appropriations bill; FFY 2009 Medicare Inpatient hospital PPS rules; CY 2009 Medicare inpatient Psychiatric facility PPS rules; FFY 2009 Medicare inpatient rehabiltiation facility PPS and "75% rule," rules; CY 2009 Medicare otupatient PPS rules; FFY 2009 Medicare skilled nursing facility PPS rules; CY 2009 Medicare home health agency PPS rules; CY 2009 Medicare physician fee schedule update; CMS proposed rule to limit intergovernmental transfers and certified public expenditures; CMS proposed value-based purchasing program; CMS proposed rule on Medicad graduate medical education payments; State childrens health insurance program funding; IRS Form 990 revision; "Stark" and physician self-referral regulations; Hospital pricing transparency; Not-for-profit hospital tax-exempt status; Medicaid regulations affecting public hospitals, GME, provider tax, outpatient coverage, targeted case management, rehabilitation and school based health; pay for performance/value based purchasing; health information technology; hospital charity care/financial aid; Coverage for undocumented immigrants; Associated health plans; Coverage for the uninsured; Health savings accounts and high-deductibel health plans; Emergency preparedness; Immigration; Medicare wage index; Community benefit reporting; mental health parity; Limited service hospitals; Department of Housing and Urban Development's federal housing assistance mortage program for hospitals; Defiend benefit pension plans; National Institute of Health funding; Health care workforce recruting and training funding; Hospital infection reporting; Medical error reporting; Hospital performance measure reporting; Medicare Recovery Audit contractor Demonstration Project/national expansion; Competitive bidding for clinical laboratory services; Expansion of the Medicaid 340b drug pricing program; False claims act expansion; Medicare funding warning/"trigger"; Medicare GME residency slot distribution; National Health Service Corp. funding; CMS directive to states establishing new requirements for increasing SCHIP coverage; Public Health Service Act nursing and allied health professions program funding; HRSA's health professions shortage areas and medically underserved areas.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

Monitoring issues related to healthcare; entire bills of the following: S. 869 / H.R. 1508, Compete Act of 2007 S. 618 / H.R. 1081, Insurance Industry Competition Act of 2007 S. 244, Healthy Mothers and Healthy Babies Access to Care Act S. 1019, Universal Health Care Choice and Access Act S. 243, MCAP Act S. 334 / H.R.3163, Healthy Americans Act H.R. 2626, Comprehensive HealthCARE Act of 2007 H.R. 2580, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 H.R. 3509, Medical Justice Act of 2007 S. 1455, National Health Information Technology and Privacy Advancement Act of 2007 S. 1693 / H.R. 3800, Wired for Health Care Quality Act H.R. 2991, Independent Health Record Trust Act of 2007 H.R. 2377, Assisting Doctors to Obtain Proficient and Transmissible Health Information Technology (ADOPT HIT) Act of 2007 H.R. 2406, Healthcare Information Technology Enterprise Integration Act S. AMDT. 3500, To improve womens access to health care in rural areas

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

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

Tracked issues related to health IT; entire bills of the following: S. 1455, National Health Information Technology and Privacy Advancement Act of 2007 S. 1693 / H.R. 3800, Wired for Health Care Quality Act H.R. 2991, Independent Health Record Trust Act of 2007 H.R. 2377, Assisting Doctors to Obtain Proficient and Transmissible Health Information Technology (ADOPT HIT) Act of 2007 H.R. 2406, Healthcare Information Technology Enterprise Integration Act

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

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

Monitoring issues related to healthcare quality and IT; partial bills as follows: H.R. 2764, the Consolidated Appropriations Act of 2008-Title 8; Monitoring issues related to healthcare quality and IT; entire bills as follows: H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 S. 1455, National Health Information Technology and Privacy Advancement Act of 2007 S. 1693 / H.R. 3800, Wired for Health Care Quality Act H.R. 2991, Independent Health Record Trust Act of 2007 H.R. 2377, Assisting Doctors to Obtain Proficient and Transmissible Health Information Technology (ADOPT HIT) Act of 2007 H.R. 2406, Healthcare Information Technology Enterprise Integration Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitoring issues related to healthcare quality and IT; partial bills as follows: H.R. 2764, the Consolidated Appropriations Act of 2008-Title 8; Monitoring issues related to healthcare quality and IT; entire bills as follows: S. 1455, National Health Information Technology and Privacy Advancement Act of 2007 S. 1693 / H.R. 3800, Wired for Health Care Quality Act H.R. 2991, Independent Health Record Trust Act of 2007 H.R. 2377, Assisting Doctors to Obtain Proficient and Transmissible Health Information Technology (ADOPT HIT) Act of 2007 H.R. 2406, Healthcare Information Technology Enterprise Integration Act H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007" Health Information Technology Standards; HIT Privacy; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act"; HR6357 "Pro(Tech)t Act of 2008" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured; Health Disparities; Connectors/Virtual Connectors; S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act"; S2795 "Small Business Health Options Program Act of 2008" Mental Health Parity: S3712 "A Bill to make a technical correction in the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008" TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" Health Savings Accounts/Medical Savings Accounts SCHIP; HR976 and HR3963 "SCHIP Extension Bill" HR2851 and S400 "Michelle's Law"

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Information Technology Standards; HIT Privacy; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act"; HR6357 "Pro(Tech)t Act of 2008" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured; Health Disparities; Connectors/Virtual Connectors; S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act"; S2795 "Small Business Health Options Program Act of 2008" Mental Health Parity: S3712 "A Bill to make a technical correction in the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008" TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" Health Savings Accounts/Medical Savings Accounts SCHIP; HR976 and HR3963 "SCHIP Extension Bill" HR2851 and S400 "Michelle's Law"

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

President's eHealth Initiative Promote use of open IT and interoperability in ehealth S 1693 HR 2406, HR 3800, and HR 6898

Client expense: $95,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, Securities & Exchange Commission (SEC)

**see addendum page Mental Health Parity S. 558 - Mental Health Parity Act of 2007 H.R. 1424 - Emergency Economic Stabilization Act H.R. 6983 - Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 H.R. 6049 - Energy Improvement and Extension Act of 2008 Health Information Technology S. 1693 - Wired for Health Care Quality Act H.R. 1368 - Personalized Health Information Act of 2007 S. 1783 - Ten Steps to Transform Health Care in America Act H.R. 2406 - Healthcare Information Technology Enterprise Integration Act H.R. 3800 - Promoting Health Information Technology Act H.R. 6357 - Pro(Tech)t Act of 2008 Health Care Reform S. 1019 - Universal Health Care Choice and Access Act S. 334/H.R. 3163 - Healthy Americans Act S. 2795 - Small Business Health Options Act of 2008 H.R.758 - Breast Cancer Patient Protection Act of 2008 ***, no specific bill(s), Health Savings Accounts/Medical Savings Accounts, Transparency, Health Information Technology, Electronic Prescribing, Insurance Market Reform, Association Health Plans, Uninsured, Employer Based Health System, recision

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

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

**see addendum page Mental Health Parity S. 558 - Mental Health Parity Act of 2007 H.R. 1424 - Paul Wellstone Mental Health and Addiction Equity Act of 2007 H.R. 1424 - Emergency Economic Stabilization Act H.R. 6983 - Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 H.R. 6049 - Energy Improvement and Extension Act of 2008 Health Information Technology S. 1693 - Wired for Health Care Quality Act H.R. 1368 - Personalized Health Information Act of 2007 S. 1783 - Ten Steps to Transform Health Care in America Act H.R. 2406 - Healthcare Information Technology Enterprise Integration Act H.R. 3800 - Promoting Health Information Technology Act Health Care Reform S. 1019 - Universal Health Care Choice and Access Act S. 334/H.R. 3163 - Health Americans Act H.R. 758 - Breast Cancer Patient Protection Act of 2008 ***, no specific bill(s), Health Savings Account/Medical Savings Accounts, Transparency, Health Information Technology, Electronic Prescribing, Insurance Market Reform, Association Health Plans, Uninsured, Employer Based Health System, Recision

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

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

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

S.334/H.R.3163 "Healthy Americans Act"; Health Information Technology (S.1693 "Wired for Health Care Quality Act" - Electronic Health Records; H.R.2406 "Healthcare Information Technology Enterprise Integration Act" - Interoperability); Comparative Effectiveness; Transparency; E-Prescribing; ICD-10

Client expense: $970,000 · Firm income: Not reported

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

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards; HIT Privacy; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act"; HR6357 "Pro(Tech)t Act of 2008" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured; Health Disparities; Connectors/Virtual Connectors; S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act"; S2795 "Small Business Health Options Program Act of 2008" Mental Health Parity: S3712 "A Bill to make a technical correction in the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008" TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" Comparative Effectiveness Funding: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only, HR2184 "Enhanced Health Care Value for All Act"; S3408 "Comparative Effectiveness Research Act of 2008" Health Savings Accounts/Medical Savings Accounts SCHIP; HR976 and HR3963 "SCHIP Extension Bill" HR2851 and S400 "Michelle's Law"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Children's Health Insurance program (SChip) - Proposed legislation concerning this issue. Healthcare reform - Proposed legislation concerning this issue. Healthcare issues - HR 2184, Enhanced Health Care Value for All Act of 2007; HR 1368, Personalized Health Information Act of 2007; S 1490, Federal Employees Electronic Personal Health Records Act of 2007; S 1481, Fair and Reliable Medical Justice Act; HR 2497, Fair and Reliable Medical Justice Act; S 334, Healthy Americans Act; S 1198, Catastrophic Health Coverage Promotion Act; S 1693, Wired for Health Care Quality Act; HR 2580, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007; S 325, Health Partnership Act; HR 506, Health Partnership Through Creative Federalism Act; S 243, MCAP Act; S 244, Healthy Mothers and Healthy Babies Access to Care Act; HR 3341, Quality Health Care Coalition Act of 2007; HR 2406, Healthcare Information Technology Enterprise Integration Act; S 1456, Federal Employees Electronic Personal Health Records Act of 2007; HR 5348, American Health Benefits Program Act of 2008; HR 6357, PRO(TECH)T Act of 2008; S 2041, False Claims Act Correction Act of 2007; HR 2638, Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009; HR 6898, Health-e Information Technology Act of 2008; S 3408, Comparative Effectiveness Research Act of 2008; HR 6444, Healthy Americans Act; HR 7038, Health Care Services Commission Act; S 239, Notification of Risk to Personal Data Act of 2007; S 495, Personal Data Privacy and Security Act of 2007; S 1178, Identity Theft Prevention Act; S 1260, Data Security Act of 2007; S 1814, Health Information Privacy and Security Act; S 2168, Identity Theft Enforcement and Restitution Act of 200; HR 3014, Health Equity and Accountability Act of 2007.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007; H.R.1424, Mental Health and Addiction Equity Act of 2008; S.2499, Medicare, Medicaid, and SCHIP Extension Act of 2007; H.R.2406, Healthcare Information Technology Enterprise Integration Act. Issues related to e-prescribing. H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communications through Healthcare Technology Act of 2008. Issues related to health information technology.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 6381, Medical Device Safety Act of 2008 HR 2406, Healthcare Information Technology Enterprise Integration Act HR 3023, Drug and Medical Device Company Gift Disclosure Act HR 3610, Food and Drug Import Safety Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2406 - To authorize the National Institute of Standards and Technology to increase its efforts in support of the integration of the healthcare information enterprise in the United States. H.R. 6357 - To amend the Public Health Service Act to promote the adoption of health information technology, and for other purpos S.1408 - A bill to improve quality in health care by providing incentives for adoption of modern information technology. S. 1693 - A bill to enhance the adoption of a nationwide interoperable health information technology system and improve the quality and reduce the costs of health care in the United States.

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

Health Information Technology Standards; HIT Privacy; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act"; HR6357 "Pro(Tech) Act of 2008" Comparative Effectiveness Funding: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only, HR2184 "Enhanced Health Care Value for All Act"; S3408 "Comparative Effectiveness Research Act of 2008"

Client expense: $341,505 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2406, Healthcare Information Technology Enterprise Integration Act, as it relates to the establishment of a single standard for health information technology systems used by health providers S. 1693, Wired for Health Care Quality Act, as it pertains to the adoption of a nationwide health information system H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, as it pertains to health insurance regulations S. 558, Mental Health Parity Act of 2007, as it pertains to health insurance regulations H.R. 6357, to amend the Public Health Service Act to promote the adoption of health information technology, as it pertains to the adoption of a nationwide health information system S. 334, Healthy Americans Act, as it pertains to employer-administered health insurance H.R. 1424, Emergency Economic Stabilization Act of 2008, as it pertains to mental health parity H.R. 6049, Renewable Energy and Job Creation Act of 2008, as amended by the Senate on September 23rd, as it relates to mental health parity H.R. 7327, The Worker, Retiree, and Employer Recovery Act of 2008, as it relates to pension reform

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Funding for physical sciences research in agencies such as NSF, NIST, and DOE (H.R.1867/H.R.1868/H.R.362/H.R.363); U.S. Dept. of Energy; funding for supercomputing R&D; nanotechnology act (H.R.2436, S.1199); Bayh-Dole issues; bills funding America Competes Act for 2008 and 2009 (H.R.2642, H.R.2764, S.3182). Appropriations bill FY09 Commerce, Justice, Science & related agencies. All provisions related to information tech & services with NASA, NOAA, including but not limited to JASON; (H.R.275) Global Online Freedom Act of 2007, to promote freedom of expression on the Internet, to protect United States businesses from coercion to participate in repression by authoritarian foreign governments and for other purposes. Section 201, Protection of Personally Identifiable Information; Section 202, Integrity of Personally Identifiable Information. (H.R.2406) Authorize the National Institute of Standards and Technology to increase its efforts in support of the integration of the healthcare information enterprise in the United States. Sponsor: Rep Gordon, Bart [TN-6] introduced 5/21/2007 House Reports: 110-451 S.3182; S.Rept 110-397

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

See attached list. H.R. 1367/H.R. 1424 -- Paul Wellstone Mental Health and Addiction Equity Act of 2007, as it pertains to health insurance regulations. H.R. 2406 -- Healthcare Information Technology Enterprise Intergration Act, as it relates to the establishment of a single standard for health information technology systems used by health providers. H.R. 758 -- Breast Cancer Patient Protection Act S.1693 -- Wired for Health Care Quality Act S.1693 -- Wired for Health Care Quality Act, as it pertains to the adoption of a nationwide health information system. S.1224 -- SCHIP Reauthorization S.1408 -- Health Information Technology Act of 2007 S.1455 -- National Health Information Technology and Privacy Advancement Act of 2007 S.334/H.R. 3163/ H.R. 6444 -- Healthy Americans Act S.495 -- Personal Data Privacy and Security Act of 2007 S.628 -- Critical Access to Health Information Technology Act of 2007 H.R. 7129 -- Several Approaches to Reduce the Uninsured Act of 2008

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR2406, Healthcare Info. Tech. Enterprise Integration Act /S1693, Wired for Healthcare Quality Act, on Health IT, as it pertains to dentistry; HR4296 / S2408, Medicare Electronic Med. & Safety Act, on E-Prescribing, as it pertains to dentistry; HR2472, Essential Oral Health Care Act; HR3186/S1906, Meth Mouth Prvntn and Community Recovery Act; HR3109, Dental Health Promotion Act; HR3960, Native Am. Full Access to Dental Care Act; HR5549/S2723, Deamonte Driver Dental Care Access Imprvmnt. Act of 2008. H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Health Care Technology Act (PRO(TECH)T Act) as it pertains to dentistry.

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

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

HR2406, Healthcare Info. Tech. Enterprise Integration Act /S1693, Wired for Healthcare Quality Act, on Health IT, as it pertains to dentistry; HR4296 / S2408, Medicare Electronic Med. & Safety Act, on E-Prescribing, as it pertains to dentistry; HR2472, Essential Oral Health Care Act; HR3186/S1906, Meth Mouth Prvntn and Community Recovery Act; HR3109, Dental Health Promotion Act; HR3960, Native Am. Full Access to Dental Care Act; HR5549/S2723, Deamonte Driver Dental Care Access Imprvmnt. Act of 2008. H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Health Care Technology Act (PRO(TECH)T Act), as it pertains to dentistry; H.R. 1343 / S. 901, Health Care Safety Net Act, as it pertains to dental issues.

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

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

H.R. 2406, Healthcare Info. Tech. Enterprise Integration Act / S. 1693, Wired for Healthcare Quality Act, on Health IT, as it pertains to dentistry; H.R. 4296 / S. 2408, Medicare Electronic Med. & Safety Act, on E-Prescribing, as it pertains to dentistry; H.R. 6331, Medicare Improvement for Patients and Providers Act, as it relates to e-prescribing; S. 3118, Preserving Access to Medicare Act as it relates to e-prescribing; S. 3101, Medicare Improvement for Patients and Providers Act, as it relates to e-prescribing.

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

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

Antitrust and Health Insurance Reform: H.R. 971 and S.2161 "Community Pharmacy Fairness Act of 2007"; S.618 "Insurance Industry Competition Act of 2007". Health Information Technology Standards: Electronic Health Records; ICD-10 Implementation; H.R. 3168 "Personalized Health Information Act of 2007"; S.1783 and S.1693 "Wired for Health Care Quality Act"; H.R. 3800 "Promoting Health Information Technology Act"; H.R. 2406 "Healthcare Information Enterprise Integration Act"; H.R. 6357 Pro(Tech)t Act of 2008". Healthcare Reform: Insurance Market Reform: Employer Based Healthcare System; Small Group Market/Business Healthcare; Uninsured; S.1019 "Health Care Choice Act of 2007"; S.334 and H.R. 3163 "Healthy Americans Act"; S.2795 "Small Business Health Options Program Act of 2008". TAAL H.R. 3801 and S.1848 "TAA Health Coverage Improvement Act of 2007". Comparative Effectiveness Research: H.R. 3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; H.R. 2184 "Enhanced Health Care Value for All Act"; S.3408 "Comparative Effectiveness Research Act of 2008". S.2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims. H.R.2851 and S.400 "Michelle's Law".

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards; HIT Privacy; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act"; HR6357 "Pro(Tech)t Act of 2008" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured: S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act"; S2795 "Small Business Health Options Program Act of 2008" Genetic Non-discrimination: HR493 and S358 "Genetic Information Nondiscrimination Act of 2007" Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007"; HR1424 as passed: sections pertaining to the "Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008" Comparative Effectiveness Research: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Account/Medical Savings Accounts HR2851 and S400 "Michelle's Law" HR5550 "To amend title 5 USC to increase the maximum age to qualify for coverage as a 'child' under FEHBP" S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims HR758 "Breast Cancer Patient Protection Act of 2007"

Client expense: Not reported · Firm income: Not reported

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

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards; HIT Privacy; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act"; HR6357 "Pro(Tech)t Act of 2008" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured: S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act"; S2795 "Small Business Health Options Program Act of 2008" Genetic Non-discrimination: HR493 and S358 "Genetic Information Nondiscrimination Act of 2007 Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007"; HR1424 as passed: sections pertaining to the "Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008" TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" Comparative Effectiveness Reseaarch: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Accounts/Medical Savings Accounts HR2851 and S400 "Michelle's Law" HR5550 "To amend title 5 USC to increase the maximum age to qualify for coverage as a 'child' under FEHBP" S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims HR758 "Breast Cancer Patient Protection Act of 2007"

Client expense: $1,900,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act"; HR6357 "Pro(Tech)t Act of 2008" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured: S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act"; S2795 "Small Business Health Options Program Act of 2008" Genetic Non-discrimination: HR493 and S358 "Genetic Information Nondiscrimination Act of 2007 Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007" TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" Comparative Effectiveness Reseaarch: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Accounts/Medical Savings Accounts; SCHIP S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims HR5550 "To amend title 5 USC to increase the maximum age to qualify for coverage as a 'child' under FEHBP"

Client expense: $1,940,000 · Firm income: Not reported

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

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Uninsured: S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act" Genetic Non-discrimination: HR493 and S358 "Genetic Information Nondiscrimination Act of 2007 Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007" TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" Comparative Effectiveness Reseaarch: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Accounts/Medical Savings Accounts; SCHIP, Small Group Market/Small Business Healthcare S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims

Client expense: $1,720,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Uninsured: S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act" Genetic Non-discrimination: HR493 and S358 "Genetic Information Nondiscrimination Act of 2007 Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007" TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" Comparative Effectiveness Reseaarch: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Accounts/Medical Savings Accounts; SCHIP, Small Group Market/Small Business Healthcare S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims

Client expense: $1,720,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

Veterans Healthcare issues Electronic Prescribing Comparative Effectiveness Research Genetic Information Non-Discrimination S. 2408, Medicare Electronic Medication and Safety Protection Act 2007 HR. 4296, Medicare Electronic Medication and Safety Protection Act 12/07 HR. 3800, Promoting Health Information Technology Act 10/07 HR. 2406, (no title) authorize the NIST to increase its efforts in support of the integration of the healthcare information enterprise in the United States 11/07 S. 1693, The Wired for Health Care Quality Act 10/07 S. 438, Fair Prescription Drug Competition Act 1/07 S. 1082, Food and Drug Administration Revitalization Act 5/07 HR. 806 2/07 S. 358, Genetic Information Nondiscrimination Act 4/07 S. 1432, Preserve Access to Affordable Generics Act 5/07 S. 316, Preserve Access to Affordable Generics Act 3/07 S. 2029 Physician Payments Sunshine Act HR 5605 Physician Payments Sunshine Act HR 962 Preservation of Antibioties for Medical Treatment Act S. 349 Preservation of Antibioties for Medical Treatment Act S. 2313 Strategies to Address Antimicrobial Resistance HR 3697 Strategies to Address Antimicrobial Resistance HR 1424. The Paul Wellstone Mental Health and Addiction Equity Act S 2731, The Tom Lantos and Henry J. Hyde United States Global Leadership Against HIVAIDS, Tuberculosis, and Malaria Reauthorization Act (Also HR 5501) H.R. 6331 Medicare Improvements for Patients & Providers Act H.R. 6376 and H.R. 6378 - Strengthening FDA Integrity Act (6/08) S. 877 - Stop Abuse of Growth Hormone Act (3/07) H.R. 4911 - Human Growth Hormone Restriction Act (12/07) H.R. 6357 - Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or The Pro(TECH)T Act of 2008 H.R. 6898 - the Health-e Information Technology Act of 2008 S. 3396 - Independent Drug Education and Outreach Act of 2008

Client expense: $3,070,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, Veterans Affairs, Dept of (VA)

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

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007," S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards; HIT Privacy; Electronic Health Records; ICD 10 Implementation: HR1368 "Personalized Health Information Act of 2007;" S1783 and S1693 "Wired for Health Care Quality Act;" HR3800 "Promoting Health Information Technology Act;" HR 2406 "Healthcare Information Technology Enterprise Integration Act;" HR6357 "Pro(Tech)t Act of 2008" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured: S1019 "Health Care Choice Act of 2007;" S334 and HR3163 "Healthy Americans Act;" S2795 "Small Business Health Options Program Act of 2008" Genetic Non-discrimination: HR493 and S358 "Genetic Information Nondiscrimination Act of 2007" Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007;" HR1424 as passed; sections pertaining to the "Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008" TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" Comparative Effectiveness Research: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Accounts/Medical Savings Accounts HR2851 and S400 "Michelle's Law" HR5550 "To amend title 5 USC to increase the maximum age to qualify for coverage as a 'child' under FEHBP" S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims HR758 "Breast Cancer Patient Protection Act of 2007"

Client expense: $130,000 · Firm income: Not reported

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

**see addendum page Mental Health Parity S. 558 - Mental Health Parity Act of 2007 H.R. 1424 - Paul Wellstone Mental Health and Addiction Equity Act of 2007 H.R. 1424 - Emergency Economic Stabilization Act H.R. 6983 - Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 H.R. 6049 - Energy Improvement and Extension Act of 2008 Health Information Technology S. 1693 - Wired for Health Care Quality Act H.R. 1368 - Personalized Health Information Act of 2007 S. 1783 - Ten Steps to Transform Health Care in America Act H.R. 2406 - Healthcare Information Technology Enterprise Integration Act H.R. 3800 - Promoting Health Information Technology Act Health Care Reform S. 1019 - Universal Health Care Choice and Access Act S. 334/H.R. 3163 - Health Americans Act H.R. 758 - Breast Cancer Patient Protection Act of 2008 ***, no specific bill(s), Health Savings Account/Medical Savings Accounts, Transparency, Health Information Technology, Electronic Prescribing, Insurance Market Reform, Association Health Plans, Uninsured, Employer Based Health System, Recision

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

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