National Pain Care Policy Act of 2008

S. 465, Advance Directive Improvement and Education Act (Sen. Nelson (FL)), to improve access to information about individuals' health care options and legal rights for care near the end of life, to promote advance care planning and decision making so that individuals' wishes are known should they become unable to speak for themselves, continued on next page... Continued: S. 465, to engage health care providers in disseminating information about and assisting in the preparation of advance directives, which include living wills and durable powers of attorney for health care, and for other purposes. H.R. 2994, National Pain Care Policy Act (Rep. Capps), to amend the Public Health Service Act with respect to pain care. H.R.1898, Life Sustaining Treatment Preferences Act of 2009, to amend title XVIII of the Social Security Act to provide for coverage under the Medicare Program for consultations regarding orders for life sustaining treatment and to provide grants for the development and expansion of programs for such orders. S. 1150/H.R. 2911Advance Planning and Compassionate Care Act of 2009, A bill to improve end-of-life care. House Tri-Committee health care reform legislation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 465, Advance Directive Improvement and Education Act (Sen. Nelson (FL)), to improve access to information about individuals' health care options and legal rights for care near the end of life, to promote advance care planning and decision making so that individuals' wishes are known should they become unable to speak for themselves, continued on next page... Continued: S. 465, to engage health care providers in disseminating information about and assisting in the preparation of advance directives, which include living wills and durable powers of attorney for health care, and for other purposes. H.R. 2994, National Pain Care Policy Act (Rep. Capps), to amend the Public Health Service Act with respect to pain care. H.R. 7181, Life Sustaining Treatment Preferences Act of 2008 (Rep. Blumenauer). To amend title XVIII of the Social Security Act to provide for coverage under the Medicare Program for consultations regarding orders for life sustaining treatment and to provide grants for the development and expansion of programs for such orders. H.R.1898, Life Sustaining Treatment Preferences Act of 2009, to amend title XVIII of the Social Security Act to provide for coverage under the Medicare Program for consultations regarding orders for life sustaining treatment and to provide grants for the development and expansion of programs for such orders. S. 1150/H.R. 2911Advance Planning and Compassionate Care Act of 2009, A bill to improve end-of-life care.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 465, Advance Directive Improvement and Education Act (Sen. Nelson (FL)), to improve access to information about individuals' health care options and legal rights for care near the end of life, to promote advance care planning and decision making so that individuals' wishes are known should they become unable to speak for themselves, continued on next page... Continued: S. 465, to engage health care providers in disseminating information about and assisting in the preparation of advance directives, which include living wills and durable powers of attorney for health care, and for other purposes. H.R. 2994, National Pain Care Policy Act (Rep. Capps), to amend the Public Health Service Act with respect to pain care. H.R. 7181, Life Sustaining Treatment Preferences Act of 2008 (Rep. Blumenauer). To amend title XVIII of the Social Security Act to provide for coverage under the Medicare Program for consultations regarding orders for life sustaining treatment and to provide grants for the development and expansion of programs for such orders. H.R.1898, Life Sustaining Treatment Preferences Act of 2009, to amend title XVIII of the Social Security Act to provide for coverage under the Medicare Program for consultations regarding orders for life sustaining treatment and to provide grants for the development and expansion of programs for such orders.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 465, Advance Directive Improvement and Education Act (Sen. Nelson (FL)), to improve access to information about individuals' health care options and legal rights for care near the end of life, to promote advance care planning and decision making so that individuals' wishes are known should they become unable to speak for themselves, to engage health care providers in disseminating information about and assisting in the preparation of advance directives, which include living wills and durable powers of attorney for health care, and for other purposes. H.R. 2994, National Pain Care Policy Act (Rep. Capps), to amend the Public Health Service Act with respect to pain care. H.R. 7181, Life Sustaining Treatment Preferences Act of 2008 (Rep. Blumenauer). To amend title XVIII of the Social Security Act to provide for coverage under the Medicare Program for consultations regarding orders for life sustaining treatment and to provide grants for the development and expansion of programs for such orders.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 465, Advance Directive Improvement and Education Act (Sen. Nelson (FL)), to improve access to information about individuals' health care options and legal rights for care near the end of life, to promote advance care planning and decision making so that individuals' wishes are known should they become unable to speak for themselves, to engage health care providers in disseminating information about and assisting in the preparation of advance directives, which include living wills and durable powers of attorney for health care, and for other purposes. H.R. 2994, National Pain Care Policy Act (Rep. Capps), to amend the Public Health Service Act with respect to pain care. H.R. 7181, Life Sustaining Treatment Preferences Act of 2008 (Rep. Blumenauer). To amend title XVIII of the Social Security Act to provide for coverage under the Medicare Program for consultations regarding orders for life sustaining treatment and to provide grants for the development and expansion of programs for such orders.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3014-Health Disparities, provisions relating to the treatment of heart disease patients in minority populations with a focus on SCA; S 1576-Health Disparities, provisions relating to the treatment of heart disease patients in minority populations with a focus on SCA; H.R. 2994-National Pain Care Policy Act of 2008, provisions related to pain care management and treatment;H.R. 6381- Medical Device Safety Act - provision related to preserving statutory federal preemption; S. 3398 - Medical Device Safety Act - provision related to preserving statutory federal preemption; S. 3387 - National Pain Care Policy Act of 2008 - provisions related to pain care management and treatment S. 3408 - Comparative Effectiveness Research Act of 2008 - provisions related to the establishment of a new entity to conduct comparative effectiveness research. S. 3409 - Drug and Device Accountability Act of 2008 - provisions related to device and drug import safety H.R. 4926 - Josh Miller Hearts Act - provisions related to establishing a grant program to ensure every elementary and secondary school in the country can obtain AEDs. H.R. 5839 - Safeguarding America's Pharmaceuticals Act of 2008 - provisions that might affect combination products H.R. 1028 - To create a Rural Policing Institute as part of the Federal Law Enforcement Training Center- provisions that might affect combination products H.R. 1956 - Patient Protection and Innovative Biologic Medicines Act of 2007 - provisions that might affect combination products S. 1695 - Follow-on Biologics - provisions that might affect combination products S. 1693 - Health Information Technology - provisions related to enhancing the adoption of nationwide interoperable health information technology system, improving health care quality and reducing health care costs in the United States. H.R. 3800 - Promoting Health Information Technology Act - provisions related to advancing the adoption of nationwide interoperable health information technology system, improving health care quality and reducing health care costs in the United States. H.R. 2184 - Enhanced Healthcare Value for All Act of 2007- provisions to expand comparative effectiveness research S.2221 - Transparency in Medical Device Pricing Act - provisions related to pricing for medical devices S.2029 - Physician Payments Sunshine Act of 2007- provisions related to providing transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies H.R. 3023 - Drug and Medical Device Company Gift Disclosure Act - provisions requiring manufacturers, packers and distributors of prescription drugs and medical devices to disclose certain gifts provided in connection with detailing, promotional, or other marketing activities, and for other purposes H.R. 5839 - Safeguarding America's Pharmaceuticals Act. Provisions that require tagging of pharmaceuticals with standardized numerical identifiers to track drug in all parts of supply chain. S. 3568 - To amend the Controlled Substances Act relative to the use of intrathecal pumps.

Client expense: $1,130,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Ryan Haight Online Pharmacy Consumer Protection Act of 2008 (H.R. 6353) Ryan Haight Online Pharmacy Consumer Protection Act of 2008 (S.980) Military Pain Care Policy Act of 2008 (H.R. 5465) National Pain Care Policy Act of 2007 (H.R. 2994) Physician Payments Sunshine Act of 2007 (S.2029) Safeguarding American's Pharmaceuticals Act (H.R. 5839) Veterans Pain Care Act (S. 2160) Hearings related to prescription drug abuse and prevention

Client expense: $170,000 · Firm income: Not reported

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

Ryan Haight Online Pharmacy Consumer Protection Act of 2008 (H.R. 6353) Ryan Haight Online Pharmacy Consumer Protection Act of 2008 (S.980) Military Pain Care Policy Act of 2008 (H.R. 5465) National Pain Care Policy Act of 2007 (H.R. 2994) Physician Payments Sunshine Act of 2007 (S.2029) Safeguarding American's Pharmaceuticals Act (H.R. 5839) Veterans Pain Care Act (S. 2160) Hearings related to prescription drug abuse and prevention

Client expense: $170,000 · Firm income: Not reported

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

S 999 - Stroke Treatment and Ongoing Prevention (STOP) Act HR 477 - Stroke Treatment and Ongoing Prevention (STOP) Act Chronic obstructive pulmonary disease (`COPD') research funding HR 3701 - Keeping Seniors Safe from Falls Act/ Safety of Senior Act S 845 - Keeping Seniors Safe from Falls HR 4188 - IDEA Fairness Restoration Act S 626 - A bill to amend the Public Health Service Act to provide for arthritis research and public health, and for other purposes HR 1283 - To amend the Public Health Service Act to provide for arthritis research and public health, and for other purposes Enhancing funding for Rehabilitation Research HR 3195 - ADA Amendments Act of 2008 HHS Physical Activity Guidelines HR 6748 - Access to America's Orthopedic Services Act HR 2994 - National Pain Care Policy Act of 2008 HR 1014/ S 573 - HEART for Women Act

Client expense: $378,766 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

Issues related to health disparities, federal health care programs, and cancer, including H.R. 2994, National Pain Care Policy Act; and H.R. 1738, Colorectal Cancer Prevention, Early Detection & Treatment Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support National Pain Care Policy Act of 2007 (HR 2994) and Military Pain Care Act of 2008 (HR 5465); lobbying on scope of Physician Payments Sunshine Act of 2007 (S.2029); general Medicare and Medicade reform issues (no specific legislation); Safeguarding America's Pharmaceuticals Act of 2008 (HR 5839); electronic prescribing issues (no specific legislation); pedigree drug legislation (Safeguarding Americas Pharmaceuticals Act, H.R. 5839)

Client expense: $310,000 · Firm income: Not reported

Government targets: Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, SENATE

Issues related to health disparities, federal health care programs, genetic information, cancer, nutrition, wellness, including the following legislation: H.R. 2419, Farm Nutritious & Bioenergy Act of 2007; H.R. 3014, Mental Health Equity & Accountability Act; H.R. 2994, National Pain Care Policy Act; H.R. 1738, Colorectal Cancer Prevention, Early Detection & Treatment Act; proposed Senate national cancer program authorizing legislation; S. 2290 Comprehensive Cancer Improvement Act; S. 2999 & H.R. 2676 Access to Cancer Clinical Trial Act; S. 1415 & H.R. 2353 Cancer Screening Treatment & Survivorship Act; S. 1056 National Cancer Act; S. 400 & H.R. 2851 Michelle's Law Act; and H.R. 2729 Prostate Cancer Research & Prevention Act. Issues related to access to care, including healthcare reform and non-specific legislative advocacy.

Client expense: $1,040,000 · Firm income: Not reported

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

H.R. 6680 - The Community and AIDS and Hepatitis Act H.R. 2994/ S. 3387 - National Pain Care Policy Act of 2007 S. 2176 Methamphetaime Production Act (Public Law 110-415) Under Line 17: We would like to include the Agency for Healthcare Research and Quality (AHRQ) (Docket Number: HHS-OS-2008-0011) HHS Proposed Rule on Ensuring that Department of Health and Human Services Funds Do Not Support Coercive or Discriminatory Policies or Practices In Violation of Federal Law (Docket Number: AHRQ_FRDOC_0001-0054) Implementing the Patient Safety and Quality Improvement Act of 2005 Including How to Become a Patient Safety Organization: Interim Guidance Availability (Docket Number: RIN 0919AA01) Patient Safety and Quality Improvement (Final Rule) (Docket Number: RIN 1545BE30) Employer Comparable Contributions to Health Savings Accounts Under Section 4980G (Public Law 109-41) Patient Safety & Quality Improvement Act of 2005

Client expense: $220,970 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

Issues related to health disparities, federal health care programs, genetic information, cancer, nutrition, wellness, including the following legislation: H.R. 3014, Mental Health Equity & Accountability Act; H.R. 2994, National Pain Care Policy Act; H.R. 1738, Colorectal Cancer Prevention, Early Detection & Treatment Act; S. 400, H.R. 2851, Michelle's Law Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 6381, Medical Device Safety Act of 2008 HR 2994, National Pain Care Policy Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

- HR 6331 Medicare Improvements for Patients and Providers Act of 2008, possible inclusion of remote monitoring provisions. - HR 5765 Medicare Remote Monitoring Access Act, a bill to provide Medicare reimbursement for doctors who remotely monitor chronically ill patients. - HR 2994 National Pain Care Policy Act, a bill to promote greater access to chronic pain therapies. - S. 3387 National Pain Care Policy Act, a bill to promote greater access to chronic pain therapies. - S. 631 Remote Monitoring Access Act of 2007a bill to provide Medicare reimbursement for doctors who remotely monitor chronically ill patients. - S. 2029 Physican Payments Sunshine Act, a bill that would require disclosure of the relationships between physicians and the manufacturers of drugs and devices. - HR 5605 Physican Payments Sunshine Act, a bill that would require disclosure of the relationships between physicians and the manufacturers of drugs and devices. - Medicare Coverage of Intracranial Angioplasty and Stenting. - Medicare Payment of Inpatient Hospital Services. - Medicare Coverage of Renal Stenting. - Medicare Coverage of Carotid Stenting. - Regulatory and Reimbursement Issues for Medical Devices in Medicare. - S. 3408 Comparative Effectiveness Research Act to compare cinical effectiveness of medical treatments, services and items.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Intl Trade Administration (ITA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

H.R. 2994, National Pain Care Policy Act of 2008 & S. 3408, Comparative Effectiveness Research Act of 2008, issues pertaining to comparative effectiveness; H.R. 6381 / S. 3398, Medical Device Safety Act; S. 2029 Sunshine Act of 2007, all provisions pertaining to medical devices.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 465- Advance Directives Improvement and Education Act of 2007 ; S. 459/H.R. 758 - Breast Cancer Patient Protection Act of 2007 ; S. 358/H.R. 493 - Genetic Information Nondiscrimination Act of 2007; S. 446/H.R. 772 - Nurse Education, Expansion, and Development Act of 2007 ; S. 1604 - Nursing Education and Quality of Health Care Act of 2007 ; H.R. 2384 - Nurse Faculty Higher Education Act; H.R. 2621 - Teacher and Nurse Support Act of 2007; S. 646 - Rural Nursing Promotion Act; (Continued Next Page) S. 1056 - National Cancer Act of 2007; S. 624/H.R. 1132 - National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007; S. 73/H.R. 4138 - Registered Nurse Safe Staffing Act of 2007; S. 2999/H.R. 2676 - Access to Cancer Clinical Trials Act of 2008; S. 2140 - To award a Congressional Gold Medal to Francis Collins, in recognition of his outstanding contributions and leadership in the fields of medicine and genetics; H.R. 6791- National Cancer Fund Act of 2008; H.R. 2994 - To amend the Public Health Service Act with respect to pain care; Comprehensive Cancer Omnibus Legislation; Health Care Reform.

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

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 Management & Budget (OMB), SENATE, White House Office

HR 1424 (PL 110-343) The Paul Wellstone Mental Health and Addiction Equity Act of 2007 - Supported improved coverage and advocated for an expanded role for occupational therapy. S. 558, Mental Health Parity Act of 2007 - Supported improved coverage and advocated for an expanded role for occupational therapy. S. 845 (PL 110-202), Safety of Seniors Act of 2007 - Supported passage and highlighted role of occupational therapy in preventing senior falls. HR 2260, Health Care Truth and Transparency Act of 2007 - Opposed legislation as it is an undue burden on non-physician health care providers and does not improve quality or patient safety. HR 2994, National Pain Care Policy Act of 2007 - Advocated for passage and role of occupational therapy. S. 626 and HR 1283, Arthritis Prevention, Control, and Cure Act of 2007 - Advocated for passage and role of occupational therapy. S. 999 and H.R. 477 - Stroke Treatment and Ongoing Prevention Act of 2007 - Advocated for passage and role of occupational therapy. No bill number: Advocated for and educated about the role of occupational therapy in mental health. No bill number: Advocated for and educated about the role of occupational therapy in Veteran's health care. S. 2162 and H.R. 4053 (PL 110-387) - Veterans' Mental Health and Other Care Improvements Act of 2008 - Advocated for inclusion of occupational therapy. S. 3584 - Obesity Prevention, Treatment and Research Act of 2008 - advocated for role and inclusion of occupational therapy. HRES 1381 - Expressing the sense of the House that theree should be an increased federal commitment prioritizing prevention and public health for all people in the U.S. - Advocated for role of occupational therapy in prevention and wellness, especially falls prevention. H.R. 5352 - Elder Abuse Victims Act of 2008 - Advocated for the role of occupational therapy. H.R. 6983 - Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 - Advocated for passage and role of occupational therapy. HRES 1478 - Supporting the goals of "National Falls Prevention Awareness Day" to raise awareness and encourage the prevention of falls amoung older adults - Advocated role of occupational therapy in fall prevention and for passage.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 999 and HR 477 - Stroke Treatment and Ongoing Prevention Act of 2007 - advocated for passage and role of occupational therapy. S. 626 and HR 1283, Arthritis Prevention, Control, and Cure Act of 2007 - Advocated for passage and role of occupational therapy. HR 2994, National Pain Care Policy Act of 2007 - Advocated for passage and role of occupational therapy. S. 999 and H.R. 477, Stroke Treatment and Ongoing Prevention Act of 2007 - advocated for passage (reserach for stroke protocols/best practices). HConRes 195, Designating a National Dysphagia Awareness Month - advocated for passage. S. 3584 - Obesity Prevention, Treatment and Research Act of 2008 - advocated for role and inclusion of occupational therapy.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2994, National Pain Care Policy Act of 2008.

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

**see addendum page H.R. 5465 - the Military Pain Act of 2008, pain management H.R. 2994/S. 3387 - National Pain Care Policy Act, pain management H.R. 6381- Medical Safety Act of 2008, preemption S. 3398 - Medical Device Safety Act of 2008, preemption

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

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

H.R. 2260, Healthcare Truth and Transparency Act of 2007 H.R. 5449, To amend the Employee Retirement Income Security Act of 1974, Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit discrimination in group health coverage and individual health insurance coverage. H.R. 2994, National Pain Care Policy Act H.R. 5465, Military Pain Care Act S. 3163, Healthy Americans Act Patient Safety Organizations FDA Fospropofol FDA Ethicon Endo-Surgery SEDASYS System FDA Droperidol FDA CAPS DEA-E-Prescribing DEA Fospropofol FTC Red Flag Rules

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

Government targets: 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), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), SENATE

Assist client in monitoring legislation and regulation in Medicare and Medicaid, Including Physician Payments Sunshine Act of 2007 (S 2029), Medicare Improvements for Patients and Providers Act of 2008 (S 3101). Medicare Improvements for Patients and Providers Act of 2008 (HR 6331). National Pain Care Policy Act of 2007 (HR 2994). Advise client on legislation being developed to address federal preemption for medical device and pharmaceutical manufactures.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Assist client in monitoring legislation and regulation in Medicare and Medicaid, Including Physician Payments Sunshine Act of 2007 (S 2029), Medicare Improvements for Patients and Providers Act of 2008 (S3101). Medicare Improvements for Patients and Providers Act of 2008 (HR 6331). National Pain Care Policy Act of 2007 (HR 2994). Advise client on legislation being developed to address federal preemption for medical device and pharmaceutical manufactures.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 3014-Health Disparities, provisions relating to the treatment of heart disease patients in minority populations with a focus on SCA; S 1576-Health Disparities, provisions relating to the treatment of heart disease patients in minority populations with a focus on SCA; H.R. 2994-National Pain Care Policy Act of 2008, provisions related to pain care management and treatment;H.R. 6381- Medical Device Safety Act - provision related to preserving statutory federal preemption; S. 3398 - Medical Device Safety Act - provision related to preserving statutory federal preemption; S. 3387 - National Pain Care Policy Act of 2008 - provisions related to pain care management and treatment S. 3408 - Comparative Effectiveness Research Act of 2008 - provisions related to the establishment of a new entity to conduct comparative effectiveness research. S. 3409 - Drug and Device Accountability Act of 2008 - provisions related to device and drug import safety H.R. 4926 - Josh Miller Hearts Act - provisions related to establishing a grant program to ensure every elementary and secondary school in the country can obtain AEDs. H.R. 5839 - Safeguarding America's Pharmaceuticals Act of 2008 - provisions that migt affect combination products H.R. 1028 - To create a Rural Policing Institute as part of the Federal Law Enforcement Training Center- provisions that might affect combination products H.R. 1956 - Patient Protection and Innovative Biologic Medicines Act of 2007 - provisions that might affect combination products S. 1695 - Follow-on Biologics - provisions that might affect combination products S. 1693 - Health Information Technology - provisions related to enhancing the adoption of nationwide interoperable health information technology system, improving health care quality and reducing health care costs in the United States. H.R. 3800 - Promoting Health Information Technology Act - provisions related to advancing the adoption of nationwide interoperable health information technology system, improving health care quality and reducing health care costs in the United States. H.R. 2184 - Enhanced Healthcare Value for All Act of 2007- provisions to expand comparative effectiveness research S.2221 - Transparency in Medical Device Pricing Act - provisions related to pricing for medical devices S.2029 - Physician Payments Sunshine Act of 2007- provisions related to providing transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies H.R. 3023 - Drug and Medical Device Company Gift Disclosure Act - provisions requiring manufacturers, packers and distributors of prescription drugs and medical devices to disclose certain gifts provided in connection with detailing, promotional, or other marketing activities, and for other purposes

Client expense: $1,270,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Ryan Haight Online Pharmacy Consumer Protection Act of 2008 (H.R. 6353) Ryan Haight Online Pharmacy Consumer Protection Act of 2008 (S.980) Military Pain Care Policy Act of 2008 (H.R. 5465) National Pain Care Policy Act of 2007 (H.R. 2994) Physician Payments Sunshine Act of 2007 (S.2029) Safeguarding American's Pharmaceuticals Act (H.R. 5839) Veterans Pain Care Act (S. 2160) Hearings related to prescription drug abuse and prevention

Client expense: $155,000 · Firm income: Not reported

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

Ryan Haight Online Pharmacy Consumer Protection Act of 2008 (H.R. 6353) Ryan Haight Online Pharmacy Consumer Protection Act of 2008 (S.980) Military Pain Care Policy Act of 2008 (H.R. 5465) National Pain Care Policy Act of 2007 (H.R. 2994) Physician Payments Sunshine Act of 2007 (S.2029) Safeguarding American's Pharmaceuticals Act (H.R. 5839) Veterans Pain Care Act (S. 2160) Hearings related to prescription drug abuse and prevention

Client expense: $155,000 · Firm income: Not reported

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

HR 6381/S. 3398 - to amend the Federal Food, Drug, and Cosmetic Act with respect to liability under State and local requirements respecting devices. [Julie Cohen, Brett Loper, Elizabeth Pika Sharp, Elizabeth Kegler] HR 1014/S. 573 - To amend the Federal Food, Drug, and Cosmetic Act and the Public Health Service Act to improve the prevention, diagnosis, and treatment of heart disease, stroke, and other cardiovascular diseases in women. [Brett Loper] HR 2994 - To amend the Public Health Service Act with respect to pain care. [Brett Loper] * Direct to Consumer advertising of medical devices - No specific bill - [Julie Cohen, Leah Kegler] * Import Safety - S. 3409/(No Specific House bill) - A bill to amend the Federal Food, Drug, and Cosmetic Act to ensure the safety and quality of medical products and enhance the authorities of the Food and Drug Administration.[Brett Loper, Elizabeth Pika Sharp]

Client expense: $484,537 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA)

S. 845 (PL 110-202) Safety of Seniors Act of 2007 - Supported passage and highlighted the role of occupational therapy in preventing senior falls. S. 999 and HR 477 - Stroke Treatment and Ongoing Prevention Act of 2007 - advocated for passage and role of occupational therapy. S. 626 and HR 1283, Arthritis Prevention, Control, and Cure Act of 2007 - Advocated for passage and role of occupational therapy. HR 2994, National Pain Care Policy Act of 2007 - Advocated for passage and role of occupational therapy. S. 999 and H.R. 477, Stroke Treatment and Ongoing Prevention Act of 2007 - advocated for passage (reserach for stroke protocols/best practices). HConRes 195, Designating a National Dysphagia Awareness Month - advocated for passage. S. 3584 - Obesity Prevention, Treatment and Research Act of 2008 - advocated for role and inclusion of occupational therapy.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

HR 1424, The Paul Wellstone Mental Health and Addiction Equity Act of 2007 - Supported improved coverage and advocated for an expanded role for occupational therapy. S. 558, Mental Health Parity Act of 2007 - Supported improved coverage and advocated for an expanded role for occupational therapy. S. 845 (PL 110-202), Safety of Seniors Act of 2007 - Supported passage and highlighted role of occupational therapy in preventing senior falls. HR 2260, Health Care Truth and Transparency Act of 2007 - Opposed legislation as it is an undue burden on non-physician health care providers and does not improve quality or patient safety. S. 358 and HR 493 (PL 110-233), Genetic Information Nondiscrimination Act of 2007 - Support passage to help prevent discrimination in regard to insurance for heatlh care coverage. HR 2994, National Pain Care Policy Act of 2007 - Advocated for passage and role of occupational therapy. S. 626 and HR 1283, Arthritis Prevention, Control, and Cure Act of 2007 - Advocated for passage and role of occupational therapy. S. 999 and H.R. 477 - Stroke Treatment and Ongoing Prevention Act of 2007 - Advocated for passage and role of occupational therapy. No bill number: Advocated for and educated about the role of occupational therapy in mental health. No bill number: Advocated for and educated about the role of occupational therapy in Veteran's health care. S. 2162 and H.R. 4053 - Veterans' Mental Health and Other Care Improvements Act of 2008 - Advocated for inclusion of occupational therapy. S. 3584 - Obesity Prevention, Treatment and Research Act of 2008 - advocated for role and inclusion of occupational therapy. HRES 1381 - Expressing the sense of the House that theree should be an increased federal commitment prioritizing prevention and public health for all people in the U.S. - Advocated for role of occupational therapy in prevention and wellness, especially falls prevention. H.R. 5352 - Elder Abuse Victims Act of 2008 - Advocated for the role of occupational therapy. H.R. 6983 - Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 - Advocated for passage and role of occupational therapy. HRES 1478 - Supportin gthe goals of "National Falls Prevention Awareness Day" to raise awareness and encourage the prevention of falls amoung older adults - Advocated role of occupational therapy in fall prevention and for passage. S. 3406 and H.R. 3195 (PL 110-325) - ADA Amendments Act of 2008 - advocated for passage and role of occupational therapy. H.R. 2608 and S. 821 (PL 110-328) - SSI Extension for Elderly and Disabled Refugees Act - advocated for passage.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

S. 465, Advance Directive Improvement and Education Act (Sen. Nelson (FL)), to improve access to information about individuals' health care options and legal rights for care near the end of life, to promote advance care planning and decision making so that individuals' wishes are known should they become unable to speak for themselves, to engage health care providers in disseminating information about and assisting in the preparation of advance directives, which include living wills and durable powers of attorney for health care, and for other purposes. H.R. 2994, National Pain Care Policy Act (Rep. Capps), to amend the Public Health Service Act with respect to pain care. HR 940, Suzanne Gonzales Suicide Prevention Act of 2007 (Rep. Herger) - Amends the federal criminal code to prohibit the use of any facility of interstate or foreign commerce to teach a person how to commit suicide, or to provide such person with material support or resources in committing suicide. H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 (Rep. Rangel), SEC. 101. Improvements to Coverage of Preventative Services. Supported inclusion of end-of-life care planning.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 465, Advance Directive Improvement and Education Act (Sen. Nelson (FL)), to improve access to information about individuals' health care options and legal rights for care near the end of life, to promote advance care planning and decision making so that individuals' wishes are known should they become unable to speak for themselves, to engage health care providers in disseminating information about and assisting in the preparation of advance directives, which include living wills and durable powers of attorney for health care, and for other purposes. H.R. 2994, National Pain Care Policy Act (Rep. Capps), to amend the Public Health Service Act with respect to pain care. HR 940, Suzanne Gonzales Suicide Prevention Act of 2007 (Rep. Herger) - Amends the federal criminal code to prohibit the use of any facility of interstate or foreign commerce to teach a person how to commit suicide, or to provide such person with material support or resources in committing suicide. H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 (Rep. Rangel), SEC. 101. Improvements to Coverage of Preventative Services. Supported inclusion of end-of-life care planning.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1424, Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (as included in the Emergency Economic Stabilization Act of 2008), provisions on mental health parity and physician-owned hospitals H.R. 6983, Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, all provisions S. 558 Mental Health Parity Act of 2007, all provisions S. 3335, Jobs, Energy, Families, and Disaster Relief Act of 2008, provisions on mental health parity H.R. 6049, Energy and Tax Extenders Act of 2008, provisions on mental health parity H.R. 6357, PRO(TECH)T Act of 2008, all provisions H.R. 6898, Health-e Information Technology Act of 2008, all provisions S. 1693, Wired for Health Care Quality Act, provisions relating to data collection, quality, and performance reporting H.R. 6179, Promoting Health Information Technology Act of 2008, all provisions S. 3300, Rural Hospital Assistance Act of 2008, provisions on physician-owned hospitals and self-referral S. 334, Healthy Americans Act, all provisions H.R. 6569, Public Health Emergency Response Act of 2008, all provisions H.R. 1841, AmeriCare Health Care Act of 2007, all provisions H.R. 2357, MediKids Health Insurance Act of 2007, all provisions H.R. 5873, Family Leave Insurance Act of 2008, all provisions H.R. 5639, Physical Activity Guidelines for Americans Act of 2008, all provisions H.R. 3257, Fitness Integrated with Teaching Kids Act, all provisions S. 3575, Labeling Education and Nutrition Act of 2008 (LEAN Act of 2008), all provisions H.R. 2833, Preexisting Condition Exclusion Patient Protection Act of 2007, all provisions H.R. 2842, Children's Health Protection Act of 2007, all provisions H.R. 6845, Fair Copyright in Research Works Act, all provisions H.R. 3544, Catalyst to Better Diabetes Care Act of 2007, all provisions H.R. 1532, Comprehensive Tuberculosis Elimination Act of 2007, all provisions H.R. 2994, National Pain Care Policy Act of 2007, all provisions H.R. 1283, Arthritis Prevention, Control, and Cure Act of 2007, all provisions S. 2731, to improve the oversight and regulation of tissue banks and the tissue donation process, and for other purposes, all provisions S. 3040 and H.R. 6100, Kid-Safe Chemicals Act of 2008, all provisions H.R. 2464, to amend the Public Health Service Act to provide a means for continued improvement in emergency medical services for children, all provisions H.R. 7192, Preserving Patient Access to Primary Care Act, all provisions H.R. 758, Breast Cancer Patient Protection Act of 2008, all provisions S. 3354, Volunteer Healthcare Program Act of 2008, all provisions S. 3408, Comparative Effectiveness Research Act of 2008, all provisions H.R. 6752 and S. 3396, Independent Drug Education and Outreach Act of 2008, all provisions S. 1695, Biologics Price Competition and Innovation Act of 2007, all provisions H.R. 5620, Fresh Produce Safety Act, all provisions H.R. 1038 and S. 623, to amend the Public Health Service Act to provide for the licensing of comparable and interchangeable biological products, and for other purposes, all provisions H.R. 1956, Patient Protection and Innovative Biologic Medicines Act of 2007, all provisions S. 1505, Affordable Biologics for Consumers Act, all provisions H.R. 6498 and S. 976, Genomics and Personalized Medicine Act of 2008, all provisions H.R. 2823, Fair Balance Prescription Drug Advertisement Act of 2007, all provisions Health Disparities Inclusion of Minorities in Clinical Trials Health Savings Accounts Medical devices - standardization of expiration dates Disability Nondiscrimination (Americans with Disabilities Act/hearing interpreters) The Uninsured, AMA's Plan Childhood Obesity Social Security Administration Disability Claims Processing Blood and Blood Components Safety Pregnancy and Lactation Prescription Drug and Biological Products Labeling Children's Health Insurance Program Directive Post-marketing Surveillance of Prescription Drugs DEA - E-Prescribing Constraints E-Prescribing Incentive Program Provider Conscience Clause Home Stockpiling of Antivirals National Ambient Air Quality for Lead

Client expense: $4,260,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), SENATE, Social Security Administration (SSA)

S 999 - Stroke Treatment and Ongoing Prevention (STOP) Act HR 477 - Stroke Treatment and Ongoing Prevention (STOP) Act Chronic obstructive pulmonary disease (`COPD') research funding HR 3701 - Keeping Seniors Safe from Falls Act/ Safety of Senior Act S 845 - Keeping Seniors Safe from Falls HR 4188 - IDEA Fairness Restoration Act S 626 - A bill to amend the Public Health Service Act to provide for arthritis research and public health, and for other purposes HR 1283 - To amend the Public Health Service Act to provide for arthritis research and public health, and for other purposes Enhancing funding for Rehabilitation Research HR 3195 - ADA Amendments Act of 2008 HHS Physical Activity Guidelines HR 6748 - Access to America's Orthopedic Services Act HR 2994 - National Pain Care Policy Act of 2008 HR 1014/ S 573 - HEART for Women Act

Client expense: $355,739 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

HR 1738 Colorectal Cancer Early Detection, Prevention and Treatment Act HR 2994 national pain Care policy Act of 2007 S 400 and HR 2851 Michelle's Law Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5348 - American Health Benefits Program (AHBP) Act H.R. 6680 - The Community and AIDS and Hepatitis Act H.R. 2994/ S. 3387 - National Pain Care Policy Act of 2007 H.R. 5348 - American Health Benefits Program (AHBP) Act S. 1693 - Wired for Health Care Quality Act H.R. 4991 - Vaccine Shortage Preparedness Act of 2008 H.R. 4992 - Medicare Improvement Act of 2007 H.R. 4993 - Vaccines for the Uninsured Adult Act of 2008 S. 2476 - Improved Vaccine Supply Act H.R. 1108/ S. 625 - The Family Smoking Prevention and Tobacco Control Act (Docket Number: HHS-OS-2008-0011) HHS Proposed Rule on Ensuring that Department of Health and Human Services Funds Do Not Support Coercive or Discriminatory Policies or Practices In Violation of Federal Law (Docket Number: RIN-0906-AA44) HHS Proposed Rule on Designation of Medically Underserved Populations and Health Professional Shortage Areas

Client expense: $196,642 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

S. 2160, Veteran Pain Care Act of 2007 H.R. 2994, The National Pain Care Policy Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to health disparities, federal health care programs, genetic information, cancer, nutrition, wellness, including the following legislation: H.R. 2419, Farm Nutritious & Bioenergy Act of 2007; H.R. 3014, Mental Health Equity & Accountability Act; H.R. 2994, National Pain Care Policy Act; H.R. 1738, Colorectal Cancer Prevention, Early Detection & Treatment Act; proposed Senate national cancer program authorizing legislation; S. 2290 Comprehensive Cancer Improvement Act; S. 2999 & H.R. 2676 Access to Cancer Clinical Trial Act; S. 1415 & H.R. 2353 Cancer Screening Treatment & Survivorship Act; S. 1056 National Cancer Act; S. 400 & H.R. 2851 Michelle's Law Act; and H.R. 2729 Prostate Cancer Research & Prevention Act. Issues related to access to care, including healthcare reform and non-specific legislative advocacy.

Client expense: $1,310,000 · Firm income: Not reported

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

HR 6381, Medical Device Safety Act of 2008 HR 2994, National Pain Care Policy Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2994, National Pain Care Policy Act of 2008.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE, White House Office

**add addendum page H.R. 5465 - the Military Pain Act of 2008, pain management H.R. 2994/S. 3387 - National Pain Care Policy Act, pain management H.R. 6381 - Medical Safety Act of 2008, preemption S. 3398 - Medical Device Safety Act of 2008, preemption

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

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

FY 09 Labor HHS Education Appropriations; Military Quality of Life and Veterans Affairs Appropriations; FY 09 Defense Approps; HR 2053/S 2056 Medicare Anesthesiology Teaching Funding Restoration Act; HR 1932, Medicare Academic Anesthesiology and CRNA Payment Improvement Act of 2007; Title VIII of Public Health Service Act - Reauthorization of Title VIII of the Public Health Service Act (42 USC 296 et seq); S 2969/HR 6153 Veterans' Medical Personnel Recruitment and Retention Act of 2008; HR 6357 PRO(TECH)T Act of 2008; HR 2994 National Pain Care Policy Act; HR 6898 Health-e Information Technology Act of 2008; S 1693 Wired for Health Care Quality Act; HR 2638 Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009

Client expense: $260,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA)

H.R. 2994, National Pain Care Policy Act of 2008.

Client expense: Not reported · Firm income: $45,000

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

- HR 6331 Medicare Improvements for Patients and Providers Act of 2008, possible inclusion of remote monitoring provisions. - HR 5765 Medicare Remote Monitoring Access Act, a bill to provide Medicare reimbursement for doctors who remotely monitor chronically ill patients. - HR 2994 National Pain Care Policy Act, a bill to promote greater access to chronic pain therapies. - S. 3387 National Pain Care Policy Act, a bill to promote greater access to chronic pain therapies. - S. 631 Remote Monitoring Access Act of 2007a bill to provide Medicare reimbursement for doctors who remotely monitor chronically ill patients. - S. 2029 Physican Payments Sunshine Act, a bill that would require disclosure of the relationships between physicians and the manufacturers of drugs and devices. - HR 5605 Physican Payments Sunshine Act, a bill that would require disclosure of the relationships between physicians and the manufacturers of drugs and devices. - Medicare Coverage of Intracranial Angioplasty and Stenting. - Medicare Payment of Inpatient Hospital Services. - Medicare Coverage of Renal Stenting. - Medicare Coverage of Carotid Stenting. - Regulatory and Reimbursement Issues for Medical Devices in Medicare. - S. 3408 Comparative Effectiveness Research Act to compare cinical effectiveness of medical treatments, services and items.

Client expense: $410,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Intl Trade Administration (ITA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)