Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007

HCR (LEGISLATIVE ISSUES): H.R. 506: Health Partnership Through Creative Federalism Act (Baldwin) (continued) H.R. 1368: Personalized Health Information Act (Kennedy); H.R. 2184: Enhanced Health Care Value for All Act (provisions relating to comparative effectiveness research) (Allen); H.R. 2406: Healthcare Information Technology Enterprise Integration Act (Gordon); H.R. 2497: Fair and Reliable Medical Justice Act (Cooper); H.R. 2580: Help Efficient, Accessible, Low-cost, Timely Healthcare Act (Gingrey); H.R. 2638: Consolidated Security, Disaster Assistance, and Continuing Appropriations Act (provisions relating to high risk pool funding, comparative effectiveness research funding); H.R. 3014: Health Equity and Accountability Act (provisions relating to health care disparaties) (Solis); H.R. 3341: Quality Health Care Coalition Act (Paul) (provisions relating to physician collective bargaining); H.R. 5348: American Health Benefits Program Act (Langevin-Shays); H.R. 5442: TRUST in Health Information Act of 2008 (Markey); H.R. 6357: Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act (Dingell-Barton); H.R. 6444: Healthy Americans Act (Wasserman Schultz) (provisions relating to insurance reforms and subsidies); H.R. 6898 Health-e Information Technology Act (Stark) (provisions relating to standards and incentives for health information technology; privacy and security protections); H.R. 7038: Health Care Services Commission Act (Ryan) (provisions relating to comparative effectiveness research); S. 243: Medical Care Access Protection Act (Ensign); S. 244: Healthy Mothers and Healthy Babies Access to Care Act (Gregg); S. 325: Health Partnership Act (Bingaman); S. 334: Healthy Americans Act (Wyden); S. 1198: Catastrophic Health Coverage Promotion Act (Smith); S. 1456: Federal Employees Electronic Personal Health Records Act (Carper); S. 1481: Fair and Reliable Medical Justice Act (Baucus); S. 1490: Federal Employees Electronic Personal Health Records Act (Carper); S. 1693: Wired for Health Care Quality Act (Kennedy); S. 2041: False Claims Act Amendments (Grassley); S. 3230: Labor-HHS-Education Appropriations Act (provisions relating to high risk pool funding, comparative effectiveness research funding); and S. 3408: Comparative Effectiveness Research. Act (Baucus) and HCR (Regulatory Issues): HIPAA administrative simplification issues, including privacy, security, electronic transactions, code sets, and identifiers; FEHBP enrollment data clearinghouse initiative; issues relating to health insurance plan participation in FEHBP, including contract requirements related to interoperability of health information technology, community rating policies, and similarly sized subscriber group (SSSG) requirement; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues related to provider conscience requirements; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; issues related to genetics and genetic nondiscrimination; and issues relating to service provider disclosure.

Client expense: $2,240,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

Generic Biologics (S. 623; S. 1695; H.R. 1038); Health system / insurance / ERISA reform (H.R. 676; H.R. 506; H.R. 2034; H.R. 3163; S. 334; S. 1783; S. 1019; S. 2818; S. 1886; S. 2795; H.R. 6210); Health cost savings / comparative effectiveness / wellness promotion (H.R. 2184; H.R. 3162; S. 1342; S. 1753; S. 1754; H.R. 3717; H.R. 853; H.R. 2633); Health IT (S. 1693; H.R. 5442; H.R. 6357; H.R. 6898); High Risk Pools (S. 3230, Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing of Medicare-related private insurance products H.R. 3162; S. 3101; H.R. 6331; H.R. 4296; S. 2408); medical liability reform (S. 243; S. 2662; H.R. 2580; H.R. 5480); insurance regulation (S. 40; H.R. 5611; H.R. 5840); Long Term Care (S. 2337; H.R. 3363); SCHIP reauthorization (H.R. 976); Health Insurance Tax Treatment (HSAs, FSAs, HRAs, Health Coverage Tax Credit H.R. 3920; H.R. 3943; H.R. 4341; S. 1739; S. 1848; H.R. 5719); Small business / national pooling of insurance health reform (S. 2795; H.R. 6210; H.R. 6582); Comparative effectiveness (S. 3408); SCHIP reauthorization (H.R. 976; H.R. 3963)

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

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

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 H.R. 2626, Comprehensive HealthCARE Act of 2007 (Price Healthcare Bill) H.R. 2132, Small Business Health Plans Act of 2007 (AHPs) H.R. 493, Genetic Information Nondiscrimination Act of 2007 H.R. 4848, To extend for one year parity in the application of certain limits to mental health benefits, and for other purposes. H.R. 1424 Emergency Economic Stabilization 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

H.R. 297, the NICS Improvement Act of 2007 H.R. 2580, the Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 H.R. 2220, the Mental Health Security for Americas Families in Education Act of 2007 H.R. 3992/S. 2304, the Mentally Ill Criminal Offender Treatment and Crime Reduction Act H.R. 1593/S. 1060, the Second Chance Act Congressional Hearings on the Use of Torture Intelligence Authorization for 2009 Intelligence Authorization for 2008 H.R. 6358, Stop Child Abuse at Residential Programs for Teens Act S. 3155 Juvenile Justice and Delinquency Prevention Act S. 2304 Mentally Ill Offender Treatment and Crime reduction Reauthorization and Improvement Act of 2007

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

H.R. 2580, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 H.R. 2764, the Department of State, Foreign Operations and Related programs Appropriations Act as it relates to importation issues. H.R. 2638, the Department of Homeland Security Appropriations Act of 2008 as it relates to importation issues. H.R. 3161, the Agriculture Rural Development, Food and Drug Administration and Related Agencies Appropriations Act of 2008. H.R. 3043, the Department of Labor, Health and Human Services and Education and Related Agencies Appropriations Act, as it relates to importation issues.

Client expense: $620,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR)

Bills to amend the tort system as it applies to health care liability: HR 2580, Help, Efficient, Accessible, Low-cost, Timely Healthcare Act, cap non-economic damages at $250,000, limit a partys liability to their share, and empower courts to limit damage awards S 1481/HR 2497, The Fair and Reliable Medical Justice Act of 2007, fund ten pilot programs for states proposing new methods of resolving medical malpractice claims and reducing medical errors if the plan provides prompt and fair dispute resolution, encourages early disclosure of medical errors, enhances patient safety, and improves the affordability of malpractice insurance for providers HR 3509, Medical Justice Act, medical liability reform legislation that would cap non-economic damages against any single health care provider at $250,000 and wrongful death total damages at $1.4 million

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

340B Program, S.1376 and H.R.2606; Hospital Outpatient Pharmacy Departments (HOPDs); Legislation increasing ASC Payments - H.R.1823 and S.225; S.1693 the Wired for Health Care Quality Act; S.334 the Healthy Americans Act; H.R. 2580 medical liability reform legislation; Mental Health Parity legislation - H.R.1424 (provision limiting physician self referral; and health related provisions in the Iraq War Supplemental - H.R.2206 - dealing with limiting physician self referral.

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

Government targets: HOUSE OF REPRESENTATIVES, 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

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.2580, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 S. 2499, Medicare, Medicaid, and SCHIP Extension Act of 2007 H.R.1666, Health Care Price Transparency Promotion Act of 2007 H.R.3963/H.R.976, To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R. 5719, Taxpayer Assistance and Simplification Act of 2008 H.R. 6898, Health-e Information Technology act of 2008 H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 Issues related to the Medicare Modernization Act of 2003, including provisions dealing with Health Savings Accounts (no specific legislation introduced)

Client expense: $24,030,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), Postal Regulatory Commission, SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 2580 To improve patient access to health care servies and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system. H.R. 3010 - To amend chapter 1 of title 9 of the United States Code with respect to arbitration. H.R.4854 - To amend the provisions of title 31, United States Code, relating to false claims to clarify and make technical amendments to those provisions, and for other purposes. H.R. 6126 - To amend chapter 1 of title 9 of United States Code with respect to arbitration. HR. 3043 - Making appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2008, and for other purposes. H.R. 2497 - To restore fairness and reliability to the medical justice system and promote patient safety by fostering alternatives to current medical tort litigation, and for other purposes. S. 243 - A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system. S. 1481 - A bill to restore fairness and reliability to the medical justice system and promote patient safety by fostering alternatives to current medical tort litigation, and for other purposes. S. 2838 - To amend chapter 1 of title 9 of United States Code with respect to arbitration.

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

HR 2580- Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2007, all provisions. HR 2497- Fair and Reliable Medical Justice Act, all provisions.

Client expense: $98,648 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Personnel Management (OPM), 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: $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

Advantage, electronic prescribing and sales and marketing-HR 3162; S 3101; HR 6331; HR 4296; S 2408); medical liability reform (S 243; S 2662; HR 2580; HR 5480); mental health parity (HR 1424; S 558); insurance regulation (S 40; HR 5611; HR 5840); Long Term Care (S 2337; HR 3363); SCHIP reauthorization (HR 976); Health Insurance Tax Treatment (HSAs, FSAs, HRAs, Health Care Tax Credit-HR 3920; HR 3943; HR 4341; S. 1739; S 1848; HR 5719

Client expense: $250,000 · 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, Transportation, Dept of (DOT), Treasury, Dept of

HR 2580- Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2007, all provisions. HR 2497- Fair and Reliable Medical Justice Act, all provisions.

Client expense: $90,262 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Personnel Management (OPM), SENATE

H.R.1368 Personalized Health Information Act; H.R. 2580: Help Efficient, Accessible, Low-Cost Timely Healthcare Act; H.R.2497 Fair and Reliable Medical Justice Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2580, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 H.R. 2764, the Department of State, Foreign Operations and Related programs Appropriations Act as it relates to importation issues. H.R. 2638, the Department of Homeland Security Appropriations Act of 2008 as it relates to importation issues. H.R. 3161, the Agriculture Rural Development, Food and Drug Administration and Related Agencies Appropriations Act of 2008. H.R. 3043, the Department of Labor, Health and Human Services and Education and Related Agencies Appropriations Act, as it relates to importation issues.

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

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR)

H.R.1368 Personalized Health Information Act; H.R. 2580: Help Efficient, Accessible, Low-Cost Timely Healthcare Act; H.R.2497 Fair and Reliable Medical Justice Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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 H.R. 2626, Comprehensive HealthCARE Act of 2007 (Price Healthcare Bill) H.R. 2132, Small Business Health Plans Act of 2007 (AHPs) H.R. 493, Genetic Information Nondiscrimination Act of 2007 H.R. 4848, To extend for one year parity in the application of certain limits to mental health benefits, and for other purposes. H.R. 1424 Emergency Economic Stabilization Act of 2008 H.R. 1424, Emergency Economic Stabilization Act (including mental health parity)

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

Government targets: Bureau of Prisons (BOP), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Federal Aviation Administration (FAA), Federal Trade Commission (FTC), 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), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

H.R. 297, the NICS Improvement Act of 2007 H.R. 2580, the Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 H.R. 2220, the Mental Health Security for Americas Families in Education Act of 2007 H.R. 3992/S. 2304, the Mentally Ill Criminal Offender Treatment and Crime Reduction Act H.R. 1593/S. 1060, the Second Chance Act Congressional Hearings on the Use of Torture Intelligence Authorization for 2009 Intelligence Authorization for 2008 H.R. 6358, Stop Child Abuse at Residential Programs for Teens Act S. 3155 Juvenile Justice and Delinquency Prevention Act S. 2304 Mentally Ill Offender Treatment and Crime reduction Reauthorization and Improvement Act of 2007 Notice of Proposed Rulemaking: Psychiatric Evaluation and Treatment

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

Government targets: Bureau of Prisons (BOP), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Federal Aviation Administration (FAA), Federal Trade Commission (FTC), 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), Substance Abuse & Mental Health Services Administration (SAMHSA), 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: Bureau of Prisons (BOP), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Federal Aviation Administration (FAA), Federal Trade Commission (FTC), 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), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

H.R. 2580 To improve patient access to health care servies and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system. H.R. 3010 - To amend chapter 1 of title 9 of the United States Code with respect to arbitration. H.R.4854 - To amend the provisions of title 31, United States Code, relating to false claims to clarify and make technical amendments to those provisions, and for other purposes. H.R. 6126 - To amend chapter 1 of title 9 of United States Code with respect to arbitration. HR. 3043 - Making appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2008, and for other purposes. H.R. 2497 - To restore fairness and reliability to the medical justice system and promote patient safety by fostering alternatives to current medical tort litigation, and for other purposes. S. 243 - A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system. S. 1481 - A bill to restore fairness and reliability to the medical justice system and promote patient safety by fostering alternatives to current medical tort litigation, and for other purposes. S. 2838 - To amend chapter 1 of title 9 of United States Code with respect to arbitration.

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

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

S. 2168/H.R. 5938, Identity Theft Enforcement and Restitution Act of 2007 H.R. 275, the Global Online Freedom Act H.R. 5244, Credit Cardholders' Bill of Rights Act of 2008 S. 2831, the Federal Trade Commission Reauthorization Act of 2008 FY09 House Financial Services and General Government Appropriations Bill H.R. 1776, the Call Center Consumer's Right to Know Act H.R. 5793, the Cell Tax Fairness Act of 2008 S. 242, Pharmaceutical Market Access and Drug Safety Act of 2007 H.R.1666, Health Care Price Transparency Promotion Act S.1019, Universal Health Care Choice and Access Act H.R. 853, Wellness and Prevention Act of 2007 S. 2663 / H.R. 4040, CPSC Reform Act H.R. 4175, Privacy and Cybercrime Enforcement Act of 2007 H.R. 4008, Credit and Debit Card Receipt Clarification Act of 2007 H.R. 4791, the Federal Agency Data Protection Act. S. 2661, the Anti-Phishing Consumer Protection Act of 2008 H.R. 5353, the Internet Freedom Preservation Act of 2008 HR 2290, the Cyber Security Enhancement Act of 2007 H.R. 3195, ADA Restoration Act of 2007, consumer issues S. 1881, ADA Restoration Act of 2007, consumer issues S. 358, Genetic Information Nondiscrimination Act of 2007 H.R. 2580, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 S.1481, Fair and Reliable Medical Justice Act S. 242, Pharmaceutical Market Access and Drug Safety Act of 2007 H.R.1666, Health Care Price Transparency Promotion Act S.1019, Universal Health Care Choice and Access Act S. 2978, Credit and Debit Card Receipt Clarification Act of 2007

Client expense: $20,600,000 · Firm income: Not reported

Government targets: Bureau of Land Management (BLM), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), 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), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Minerals Management Service, Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 4296/S. 2480, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 H.R. 2639/S. 3234, Promoting Health for Future Generations Act of 2007 H.R. 2580, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 S. 1544, Medicare Quality Enhancement Act of 2007 S. 1951, Fair Medicaid Drug Payment Act of 2007 S. 2499, A bill to amend titles XVIII, XIX, and XXI of the Social Security Act to extend provisions under the Medicare, Medicaid, and SCHIP programs, and for other purposes H.R.1666, Health Care Price Transparency Promotion Act H.R.3963/H.R.976, To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes Implementation of Medicare Modernization Act of 2003 (Health Savings Accounts) H.R. 5719, Taxpayer Assistance and Simplification Act of 2008 H.R. 6898, Health-e Information Technology act of 2008 H.R. 6357, PRO(TECH) Act of 2008

Client expense: $20,600,000 · Firm income: Not reported

Government targets: Bureau of Land Management (BLM), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), 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), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Minerals Management Service, Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Children's Health Insurance Program (SChip) - Proposed legislation re this issue. Breast cancer research - HR 1157, Breast Cancer and Environmental Research Act of 2008; S 579, Breast Cancer and Environmental Research Act of 2007. 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; S 3230, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2009; 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.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

Generic Biologics (S. 623; S. 1695; H.R. 1038); Genetic Nondiscrimination (H.R. 493; S. 358); Health system / insurance / ERISA reform (H.R. 676; H.R. 506; H.R. 2034; H.R. 3163; S. 334; S. 1783; S. 1019; S. 2818; S. 1886; S. 2795; H.R. 6210); Health cost savings / comparative effectiveness / wellness promotion (H.R. 2184; H.R. 3162; S. 1342; S. 1753; S. 1754; H.R. 3717; H.R. 853; H.R. 2633); Health IT (S. 1693; H.R. 5442; H.R. 6357); High Risk Pools (S. 3230, Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing H.R. 3162; S. 3101; H.R. 6331; H.R. 4296; S. 2408); medical liability reform (S. 243; S. 2662; H.R. 2580; H.R. 5480); mental health parity (H.R. 1424; S. 558); insurance regulation (S. 40; H.R. 5611; H.R. 5840); Long Term Care (S. 2337; H.R. 3363); SCHIP reauthorization (H.R. 976); Health Insurance Tax Treatment (HSAs, FSAs, HRAs, Health Coverage Tax Credit H.R. 3920; H.R. 3943; H.R. 4341; S. 1739; S. 1848; H.R. 5719) Small business health reform (H.R. 6582); Health IT (H.R. 6898); Comparative effectiveness (S. 3408); H.R. 6210 (SHOP companion)

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Health care liability legislation: Bills to amend the tort system as it applies to health care liability: HR 2580, Help, Efficient, Accessible, Low-cost, Timely Healthcare Act, cap non-economic damages at $250,000, limit a partys liability to their share, and empower courts to limit damage awards S 1481/HR 2497, The Fair and Reliable Medical Justice Act of 2007, fund ten pilot programs for states proposing new methods of resolving medical malpractice claims and reducing medical errors if the plan provides prompt and fair dispute resolution, encourages early disclosure of medical errors, enhances patient safety, and improves the affordability of malpractice insurance for providers HR 3509, Medical Justice Act, medical liability reform legislation that would cap non-economic damages against any single health care provider at $250,000 and wrongful death total damages at $1.4 million

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

HCR (LEGISLATIVE ISSUES): H.R. 506: Health Partnership Through Creative Federalism Act (Baldwin) (continued) H.R. 1368: Personalized Health Information Act (Kennedy); H.R. 2184: Enhanced Health Care Value for All Act (provisions relating to comparative effectiveness research) (Allen); H.R. 2406: Healthcare Information Technology Enterprise Integration Act (Gordon); H.R. 2497: Fair and Reliable Medical Justice Act (Cooper); H.R. 2580: Help Efficient, Accessible, Low-cost, Timely Healthcare Act (Gingrey); H.R. 2638: Consolidated Security, Disaster Assistance, and Continuing Appropriations Act (provisions relating to high risk pool funding, comparative effectiveness research funding); H.R. 3014: Health Equity and Accountability Act (provisions relating to health care disparaties) (Solis); H.R. 3341: Quality Health Care Coalition Act (Paul) (provisions relating to physician collective bargaining); H.R. 5348: American Health Benefits Program Act (Langevin-Shays); H.R. 6357: Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act (Dingell-Barton); H.R. 6444: Healthy Americans Act (Wasserman Schultz) (provisions relating to insurance reforms and subsidies); H.R. 6898 Health-e Information Technology Act (Stark) (provisions relating to standards and incentives for health information technology; privacy and security protections); S. 243: Medical Care Access Protection Act (Ensign); S. 244: Healthy Mothers and Healthy Babies Access to Care Act (Gregg); S. 325: Health Partnership Act (Bingaman); S. 334: Healthy Americans Act (Wyden); S. 1198: Catastrophic Health Coverage Promotion Act (Smith); S. 1456: Federal Employees Electronic Personal Health Records Act (Carper); S. 1481: Fair and Reliable Medical Justice Act (Baucus); S. 1490: Federal Employees Electronic Personal Health Records Act (Carper); S. 1693: Wired for Health Care Quality Act (Kennedy); S. 2041: False Claims Act Amendments (Grassley); S. 3230: Labor-HHS-Education Appropriations Act (provisions relating to high risk pool funding, comparative effectiveness research funding); and S. 3408: Comparative Effectiveness Research. Act (Baucus) and HCR (Regulatory Issues): HIPAA administrative simplification issues, including privacy, security, electronic transactions, code sets, and identifiers; FEHBP enrollment data clearinghouse initiative; issues relating to health insurance plan participation in FEHBP, including contract requirements related to interoperability of health information technology, community rating policies, and similarly sized subscriber group (SSSG) requirement; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues related to provider conscience requirements; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting, and issues relating to service provider disclosure.

Client expense: $1,630,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

Generic Biologics (S. 623; S. 1695; H.R. 1038); Genetic Nondiscrimination (H.R. 493; S. 358); Health system / insurance / ERISA reform (H.R. 676; H.R. 506; H.R. 2034; H.R. 3163; S. 334; S. 1783; S. 1019; S. 2818; S. 1886; S. 2795; H.R. 6210; H.R. 6582); Health cost savings / comparative effectiveness / wellness promotion (H.R. 2184; H.R. 3162; S. 1342; S. 1753; S. 1754; H.R. 3717; H.R. 853; H.R. 2633; S. 3408); Health IT (S. 1693; H.R. 5442; H.R. 6357; H.R. 6898); High Risk Pools (S. 3230, Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing H.R. 3162; S. 3101; H.R. 6331; H.R. 4296; S. 2408); medical liability reform (S. 243; S. 2662; H.R. 2580; H.R. 5480); mental health parity (H.R. 1424; S. 558); insurance regulation (S. 40; H.R. 5611; H.R. 5840); Long Term Care (S. 2337; H.R. 3363); SCHIP reauthorization (H.R. 976); Health Insurance Tax Treatment (HSAs, FSAs, HRAs, Health Coverage Tax Credit H.R. 3920; H.R. 3943; H.R. 4341; S. 1739; S. 1848; H.R. 5719)

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

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

Generic Biologics (S. 623; S. 1695; H.R. 1038); Genetic Nondiscrimination (H.R. 493; S. 358); Health system / insurance / ERISA reform (H.R. 676; H.R. 506; H.R. 2034; H.R. 3163; S. 334; S. 1783; S. 1019; S. 2818; S. 1886; S. 2795; H.R. 6210; H.R. 6582); Health cost savings / comparative effectiveness / wellness promotion (H.R. 2184; H.R. 3162; S. 1342; S. 1753; S. 1754; H.R. 3717; H.R. 853; H.R. 2633; S. 3408); Health IT (S. 1693; H.R. 5442; H.R. 6357; HR 6898); High Risk Pools (S. 3230, Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing H.R. 3162; S. 3101; H.R. 6331; H.R. 4296; S. 2408); medical liability reform (S. 243; S. 2662; H.R. 2580; H.R. 5480); mental health parity (H.R. 1424; S. 558); insurance regulation (S. 40; H.R. 5611; H.R. 5840); Long Term Care (S. 2337; H.R. 3363); SCHIP reauthorization (H.R. 976); Health Insurance Tax Treatment (HSAs, FSAs, HRAs, Health Coverage Tax Credit H.R. 3920; H.R. 3943; H.R. 4341; S. 1739; S. 1848; H.R. 5719)

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

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

Generic Biologics (S. 623; S. 1695; H.R. 1038); Genetic Nondiscrimination (H.R. 493; S. 358); Health system / insurance / ERISA reform (H.R. 676; H.R. 506; H.R. 2034; H.R. 3163; S. 334; S. 1783; S. 1019; S. 2818; S. 1886; S. 2795; H.R. 6210); Health cost savings / comparative effectiveness / wellness promotion (H.R. 2184; H.R. 3162; S. 1342; S. 1753; S. 1754; H.R. 3717; H.R. 853; H.R. 2633); Health IT (S. 1693; H.R. 5442; H.R. 6357); High Risk Pools (S. 3230, Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing H.R. 3162; S. 3101; H.R. 6331; H.R. 4296; S. 2408); medical liability reform (S. 243; S. 2662; H.R. 2580; H.R. 5480); mental health parity (H.R. 1424; S. 558); insurance regulation (S. 40; H.R. 5611; H.R. 5840); Long Term Care (S. 2337; H.R. 3363); SCHIP reauthorization (H.R. 976); Health Insurance Tax Treatment (HSAs, FSAs, HRAs, Health Coverage Tax Credit H.R. 3920; H.R. 3943; H.R. 4341; S. 1739; S. 1848; H.R. 5719)

Client expense: $250,000 · 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, Treasury, Dept of

340B Program - S.1376 and H.R.2606; Hospital Outpatient Pharmacy Departments (HOPDs); legislation increasing ASC Payments - H.R.1823 and S.225; S.1693 the WIred for Health Care Quality Act; S.334 the Healthy Americans Act; H.R.2580 medical liability reform legislation; Mental Health Parity legislation H.R.1424 (provision limiting physician Self Referral; and, health related provisions in the Iraq War Supplemental - H.R.2206 and H.R.2206 - specifically dealing with limiting physician self referral.

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

Government targets: HOUSE OF REPRESENTATIVES, 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

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

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

electronic prescribing -- H.R. 3162; S. 3101; H.R. 6331; H.R. 4296; S. 2408); medical liability reform (S. 243; S. 2662; H.R. 2580; H.R. 5480); mental health parity (H.R. 1424; S. 558); insurance regulation (S. 40; H.R. 5611; H.R. 5840); Long Term Care (s. 2337; H.R. 3363); SCHIP reauthorization (H.R. 976); Health Insurance Tax Treatment (HSAs, FSAs, HRAs, Health Coverage Tax Credit -- H.R. 3920; H.R. 3943; H.R. 4341; S. 1739; S. 1848; H.R. 5719)

Client expense: $250,000 · 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, Treasury, Dept of

H.R. 3162; S. 3101; H.R. 6331; H.R. 4296; S. 2408); medical liability reform (S. 243; S. 2662; H.R. 2580; H.R. 5480) mental health parity (H.R. 1424; S. 558) insurance regulation (S. 40; H.R. 5611; H.R. 5840); long term care (S. 2337; H.R. 3363); SCHIP reauthorization (H.R. 976); health insurance tax treatment (HSAs, FSAs, HRAs, Health Coverage Tax Credit - H.R.3920; H.R. 3943; H.R. 4341; S 1739; S. 1848; H.R. 5719)

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

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S. 1408 - Health Information Technology Acct of 2007 S. 1455 - To provide for the establishment of a health information technology and privacy system S. 1693 - Wired for Healthcare Quality Act H.R. 2580 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 H.R. 3162 - Children's Health and Medicare Protection Acvt H.R. 3176 - SCHIP Reauthorization and Reform Act H.R. 3584 - Extending Funding for SCHIP H.R. 6357 - Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH)T Act of 2008

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 555, SIMPLE Cafeteria Plan Act 2007 H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 Small Business Cooperative for Healthcare Options to Improve Act of 2008 (CHOICE) H.R. 493 / S. 358, Genetic Information Nondiscrimination Act of 2007 H.R. 4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 S. 2480, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 S. 1693/H.R. 3800, Wired for Health Care Quality Act H.R. 749, Health Care Choices for Seniors Act H.R. 2639, Promoting Health for Future Generations Act of 2007 S. 3234, Promoting Health for Future Generations Act of 2007 H.R. 2497, Fair and Reliable Medical Justice Act H.R.2580, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 S.1481, Fair and Reliable Medical Justice Act H.R. 2499, Medicaid and SCHIP Extension Act of 2007 S. 1544, Medicare Quality Enhancement Act of 2007 H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007 S. 558, Mental Health Parity Act of 2007 H.R. 4, Medicare Prescription Drug Price Negotiation Act of 2007 S. 1951, Fair Medicaid Drug Payment Act of 2007 H.R. 3140, Saving Our Community Pharmacies Act of 2007 H.R.241, Small Business Health Fairness Act of 2007 H.R.1666, Health Care Price Transparency Promotion Act S.1019, Universal Health Care Choice and Access Act H.R. 3717, Healthy Workforce Act of 2007 H.R. 853, Wellness and Prevention Act 2007 S. 1753, Healthy Workforce Act of 2007 S. 2818, Small Business Health Plans Act of 2008 S. 2795, Small Business Health Options Program Act of 2008 H.R. 3800, To amend the Public Health Service Act to promote the adoption of health information technology, and for other purposes H.R. 6381, Medical Device Safety Act Small Business Cooperatives for Healthcare Options to Improve Coverage for Employees Act of 2008 (CHOICE) (not yet introduced) H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 H.R. 5719, Taxpayer Assistance and Simplification Act of 2008: Supporting delay of government withholding; removal of cell-phone from listed property; repeal of private debt collection authority. H.R. 3947, To amend the Internal Revenue Code of 1986 to provide for a carryforward of unused benefits in health flexible spending arrangements H.R. 3580, Food and Drug Administration Amendments Act of 2007 Implementation of the Medicare Modernization Act of 2003 (Health Savings Accounts) S. 3118, A bill to amend title XVIII of the Social Security Act to improve access to health care under the Medicare program for beneficiaries residing in rural areas. S.3101, A bill to amend titles XVIII and XIX of the Social Security Act to extend expiring provisions under the Medicare program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes. S.2041, To Amend the False Claims Act H.R. 4854, False Claims Act Correction Act of 2007 H.R. 6331, Medicare Act of 2008 H.R. 1424, Mental Health and Addiction Equity Act of 2007 S. 3101, Medicare Act of 2008 H.R. 5719, Taxpayer Assistance Health Information Technology Health Savings Accounts - Substantiation of expenditures Electronic Prescribing Medicare - Cuts to Medicare Advantage and inclusion of care coordination projects Small Business Cooperatives for Healthcare Options to Improve Coverage for Employees Act of 2008 (CHOICE) S. 2818, Small Business Health Plans Act of 2008 - Closing the specialty hospital loophole

Client expense: $7,890,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Guard, Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 S. 1693/H.R. 3800, Wired for Health Care Quality Act S. 2480, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 H.R. 2639, Promoting Health for Future Generations Act of 2007 S. 3234, Promoting Health for Future Generations Act of 2007 H.R.2580, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 S. 1544, Medicare Quality Enhancement Act of 2007 S. 1951, Fair Medicaid Drug Payment Act of 2007 S. 2499, A bill to amend titles XVIII, XIX, and XXI of the Social Security Act to extend provisions under the Medicare, Medicaid, and SCHIP programs, and for other purposes H.R.1666, Health Care Price Transparency Promotion Act S.1019, Universal Health Care Choice and Access Act H.R.3963/H.R.976, To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes Medicare Modernization Act of 2003, implementation of Health Savings Accounts H.R. 5719, Taxpayer Assistance and Simplification Act of 2008

Client expense: $7,890,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Guard, Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

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 H.R. 2626, Comprehensive HealthCARE Act of 2007 (Price Healthcare Bill) H.R. 2132, Small Business Health Plans Act of 2007 (AHPs) H.R. 493, Genetic Information Nondiscrimination Act of 2007 H.R. 4848, To extend for one year parity in the application of certain limits to mental health benefits, and for other purposes.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Federal Aviation Administration (FAA), Federal Trade Commission (FTC), 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), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

H.R. 297, the NICS Improvement Act of 2007 H.R. 2580, the Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 H.R. 2220, the Mental Health Security for Americas Families in Education Act of 2007 H.R. 3992/S. 2304, the Mentally Ill Criminal Offender Treatment and Crime Reduction Act H.R. 1593/S. 1060, the Second Chance Act Congressional Hearings on the Use of Torture Intelligence Authorization for 2009 Intelligence Authorization for 2008 H.R. 6358, Stop Child Abuse at Residential Programs for Teens Act S. 3155 Juvenile Justice and Delinquency Prevention Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Federal Aviation Administration (FAA), Federal Trade Commission (FTC), 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), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office