American Middle Class Tax (AMT) Relief Act of 2007

No Bill#, Labor-HHS-Education Appropriations Bill, FY 2011, appropriations bill of interest to university researchers H.R. 3200, America's Affordable Health Choices Act of 2009, health care reform No bill #, America's Healthy Future Act S. 1679, Affordable Health Choices Act H.R. 3962, Affordable Health Care for America Act H.R. 3590, Patient Protection and Affordable Care Act H.R. 4872, Health Care and Education Affordability Reconciliation Act of 2010

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

Government targets: Agriculture, Dept of (USDA), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Interior, Dept of (DOI), SENATE

HR 3590, Patient Protection and Affordable Care Act, compartive effectiveness research, health information HR 4872, Health Care and Education Affordability Reconciliation Act of 2010, comparative effectiveness research, health information

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, SENATE

H.R. 3590 - The Patient Protection and Affordable Care Act H.R. 3962 - Affordable Health Care for America Act H.R. 4872 - The Health Care and Education Reconciliation Act of 2010

Client expense: $216,000 · Firm income: Not reported

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

H.R. 4154, FY10 Budget Resolution S. Con. Res. 13, An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2010, revising the appropriate budgetary levels for fiscal year 2009, and setting forth the appropriate budgetary levels for fiscal years 2011 through 2014. S.A. 873, To create a deficit-neutral reserve fund for estate tax relief. H.R. 1935, To amend the Internal Revenue Code of 1986 to provide for the treatment of partnership interests held by partners providing services. H.R. 4213, Tax Extenders Act of 2009 H.R.3440, To amend the Internal Revenue Code of 1986 to allow dealers in real estate to use the installment sales method. H.R.4109, To amend the Internal Revenue Code of 1986 to allow the low income housing credit to be carried back 5 years, and for other purposes. H.R.3590, To amend the Internal Revenue Code of 1986 to modify the first-time homebuyers credit in the case of members of the Armed Forces and certain other Federal employees, and for other purposes. H.R.3640, To amend the Internal Revenue Code of 1986 to extend and expand the first-time homebuyers credit and to provide a loss deduction on the sale of a principal residence. H.R.3659, Amend the Internal Revenue Code of 1986 to allow a credit against income tax for amounts paid for energy efficient property placed in service in commercial buildings pursuant to an approved energy efficiency plan. H.R.3660 , To amend the Internal Revenue Code of 1986 to promote tax parity between the residential and business fuel cell tax credits. H.R.3670, To amend the Internal Revenue Code of 1986 to expand the incentives for the rehabilitation of older buildings, including owner-occupied residences. H.R.3761, To amend the Internal Revenue Code of 1986 to extend the first-time homebuyer tax credit, and for other purposes. H.R.3773, To amend the Internal Revenue Code of 1986 to extend the first-time homebuyer tax credit, and for other purposes. H.R.3812, To amend the Internal Revenue Code of 1986 to encourage businesses to purchase commercial and residential property in distressed communities by providing an exclusion from tax on certain gains. H.R.3901, To amend the Internal Revenue Code of 1986 to enhance the administration of, and reduce fraud related to, the first-time homebuyer tax credit, and for other purposes. H.R.3919, To amend the Internal Revenue Code of 1986 to provide for the designation of Clean Energy Business Zones and for tax incentives for the construction of, and employment at, energy-efficient buildings and clean energy facilities, and for other purposes. H.R.3921, To amend the Internal Revenue Code of 1986 to extend for 90 days the first-time homebuyer credit for taxpayers who have entered into a binding contract before the termination of such credit. H.R.3929, To provide an extension of the low-income housing credit placed-in-service date requirement for certain disaster areas. H.R. 4256, Sustainable Property Grants Act of 2009 H.R. 4226, Expanding Building Efficiency Incentives Act of 2009 S. 2899, Renewable Energy Incentive Act S. 1637, Expanding Building Efficiency Incentives Act of 2009 H.R. 4256, Sustainable Property Grants Act of 2009 H.R. 4213, American Jobs and Closing Tax Loopholes Act of 2010 -- Sections 412 and 413 H.R. 5297, Small Business Lending Fund Act of 2010 -- Section 2101

Client expense: $550,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Consumer Product Safety Commission (CPSC), Energy, Dept of, Environmental Protection Agency (EPA), Federal Housing Finance Agency (FHFA), Federal Reserve System, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Office of the Comptroller of the Currency (OCC), SENATE, Small Business Administration (SBA), Treasury, Dept of, White House Office

Health Issues; Health Care Reform - H.R. 3590, 3962, 4872

Client expense: $704,495 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.3590 Patient Protection and Affordable Care Act - All Sections related to care coordination, transitional care, long term care services and supports access to affordable insurance, provisions related to individuals with Alzheimer's disease and caregivers and provisions related to research including the Cures Acceleration Network. S.3674/H.R. 5926 Health Outcomes, Planning and Education for Alzheimer's Act, All sections. S.1004/H.R. 2307 Reaching Elders with Assessment and Chronic Care Coordination Act. All provisions relating to Medicare Part B Coverage of geriatric assessment and chronic care management services for eligible beneficiaries and process measures and outcomes for Medicare Beneficiaries with multiple chronic illnesses, including dementia. H.R. 4872 Health Care and Education Reconciliation Act of 2010

Client expense: $110,000 · 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. 3200 America's Affordable Health Choices Act S.245/H.R.468 - Retooling for an Aging America, Building the Healthcare workforce. All provisions relating to expanding education and training opportunities in geriatric and long-term care for licensed health professionals, direct care workers, and family caregivers. H.R.3590 Patient Protection and Affordable Care Act - All Sections related to care coordination, transitional care, long term care services and supports access to affordable insurance, provisions related to individuals with Alzheimer's disease and caregivers and provisions related to research including the Cures Acceleration Network. H.R. 4872 Health Care and Education Reconciliation Act of 2010 S.697/H.R.1721, The Community Living Assistance Services and Supports Act, all provisions relating to establishing a national, voluntary disability insurance program S.1004, Realigning Care Act, All Sections S.2809/H.R.4123 Alzheimers Treatment & Caregiver Support Act, All Sections S.3036/H.R.4689 National Alzheimers Project Act, All Sections H.R.908, Missing Alzheimer's Disease Patient Alert Program Reauthorization of 2009

Client expense: $110,000 · 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. 3200 - America's Affordable Health Choices Act of 2009 H.R. 3590 - Patient Protection and Affordable Care Act

Client expense: $3,870,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Energy, Dept of, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Natl Economic Council (NEC), Natl Telecommunications & Information Administration (NTIA), Office of Science & Technology Policy (OSTP), SENATE, Treasury, Dept of, White House Office

H.R. 3200 - America's Affordable Health Choices Act of 2009 H.R. 3590 - Patient Protection and Affordable Care Act

Client expense: $4,480,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), SENATE, Treasury, Dept of, White House Office

H.R. 1 - American Recovery and Reinvestment Act of 2009 (broadband technology opportunities; extension of bonus depreciation)H.R. 3590 - Hiring Incentives to Restore Employment Act Restoring American Financial Stability Act (draft)

Client expense: $4,740,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Education, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), SENATE, State, Dept of (DOS), Treasury, Dept of, White House Office

H.R. 3200 - America's Affordable Health Choices Act of 2009 H.R. 3590 - Patient Protection and Affordable Care Act H.R. 3962 - Affordable Health Care for America Act H.R. 4872 - Health Care and Education Reconciliation Act (Medicare Part D subsidy; taxes on dividends)

Client expense: $4,740,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Education, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), SENATE, State, Dept of (DOS), Treasury, Dept of, White House Office

Medicare physician payment; Health Care Quality; Medical Imaging; Medicare reimbursement (practice expense); comparative effectiveness; radiation safety; Resource Use reports; Unapproved drugs initiative (nitroglycerin); Health Information Technology; HR 4371, a bill to revise practice expenses; S. 1796, America's Healthy Future Act of 2009; HR 3200, America's Affordable Health Choices Act; HR 3962, Affordable Health Care for America Act; HR 3590, Patient Protection and Affordable Care Act; HR 4872, the Health Care and Education Affordability and Reconcilation Act.

Client expense: $520,000 · Firm income: Not reported

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

- HR 3590, "Patient Protection and Affordable Care Act", provisions regarding health care reform. - HR 4872, "The Health Care and Education Affordability Reconciliation Act of 2010", regarding health care reform; reasonable effective dates for compliance with insurance reforms; affordable premiums; federal health insurance rate authority; national insurance exchange; grandfathering. Health Care Reform; Pathway to Covering America; Employer Based Health Care System; Uninsured/Expanding Coverage; Health Care Reform Modeling; Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; Medical Loss Ratios; MEWAs; Government-run health insurance Plan; Government Plan Trigger; negotiated rates; state opt-out; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field; Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; premium caps; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Sherlock Report; Health Care Delivery System Reforms; malpractice reform; Oliver Wyman actuarial analysis "Impact of the Patient Protection and Affordable Care Act on the Costs in the Individual and Small-Employer Health Insurance Markets"; CBO premium impact analysis; New federal regulatory functions; existing state regulatory functions; Federal Exchanges; Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs); Pooling; Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; evidence based care; Health Care Delivery System Reforms; Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; Antitrust and Health Insurance Reform; McCarran-Ferguson antitrust exemption repeal legislation: HR 4626, "Health Insurance Industry Fair Competition Act"; Scope of FEHBP preemption.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

- HR 3590, "Patient Protection and Affordable Care Act", provisions regarding health care reform. - HR 4872, "The Health Care and Education Affordability Reconciliation Act of 2010", regarding health care reform; reasonable effective dates for compliance with insurance reforms; affordable premiums; federal health insurance rate authority; national insurance exchange; grandfathering. Health Care Reform; Pathway to Covering America; Employer Based Health Care System; Uninsured/Expanding Coverage; Health Care Reform Modeling; Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; Medical Loss Ratios; MEWAs; Government-run health insurance Plan; Government Plan Trigger; negotiated rates; state opt-out; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field; Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; premium caps; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Sherlock Report; Health Care Delivery System Reforms; malpractice reform; Oliver Wyman actuarial analysis "Impact of the Patient Protection and Affordable Care Act on the Costs in the Individual and Small-Employer Health Insurance Markets"; CBO premium impact analysis; New federal regulatory functions; existing state regulatory functions; Federal Exchanges; Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs); Pooling; Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; evidence based care; Health Care Delivery System Reforms; Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; Antitrust and Health Insurance Reform; McCarran-Ferguson antitrust exemption repeal legislation: HR 4626, "Health Insurance Industry Fair Competition Act"; Scope of FEHBP preemption.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3590, S 1790, HR 4872 (as enacted into PL 111-148 and PL 111-152) - issues related to healthcare reform legislation and implementation, including the newly-created Independent Payment Advisory Board, evidence-based medicine, and health information technology HR 6331 - issues related to antibiotic development legislation Monitoring and discussing issues under discussion by the President's Deficit Commission, including recommendations regarding the Independent Payment Advisory Board and Medicare Part D rebates (unassigned) Monitoring implementation of existing legislative and regulatory proposals and possible future legislative developments regarding Health Information Technology and Personal Health Records (unassigned) Participate in executive branch discussions regarding pharmaceutical pricing and reimbursement regimes in foreign countries

Client expense: $660,000 · Firm income: Not reported

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

HR 3590, S 1790, HR 4872 (as enacted into PL 111-148 and PL 111-152) - issues related to Medicare and Medicaid reform, including issues related to pharmaceutical price calculation and reporting HR 3590, S 1790, HR 4872 (as enacted into PL 111-148 and PL 111-152) - issues related to Medicare and Medicaid reform, including issues related to Medicare Part D Coverage Gap Program

Client expense: $660,000 · Firm income: Not reported

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

S. 1796, to provide affordable, quality health care for all Americans and reduce the growth in health care spending HR 1558 To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and health insurance coverage in the group and individual markets H.R. 2520 to provide comprehensive solutions for the health care system of the United States, and for other purposes HR 3200 America's Affordable Health Choices Act of 2009 H.R.3590: An act entitled The Patient Protection and Affordable Care Act. H.R.3962: To provide affordable, quality health care for all Americans and reduce the growth in health care spending. HR 4757 to provide for the establishment of a health insurance rate authority to establish limits on premium rating HR 4872 The bill makes a number of health-related financing and revenue changes to the Patient Protection and Affordable Care Act enacted by H.R.3590 and modifies higher education assistance provisions S 623 To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and in health insurance coverage in the group and individual markets S 803 A bill to amend the Internal Revenue Code of 1986 to provide a tax credit to employers for the costs of implementing wellness programs, and for other purposes. S. 1099 to provide comprehensive solutions for the health care system of the United States, and for other purposes S. 1679 the Affordable Health Choices Act -- An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce. S. 1796, to provide affordable, quality health care for all Americans and reduce the growth in health care spending S. 3078 to provide for the establishment of a health insurance rate authority to establish limits on premium rating

Client expense: $425,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

H.R. 1944, Amend the Internal Revenue Code of 1986 to permanently extend the Subpart F exemption of active financing income. S. 722, Bill to amend the Internal Revenue Code to provide for permanent alternative minimum tax relief, middle class tax relief, and estate tax relief, and to permanently extend certain expiring provision and for other purposes, provisions relating to extending expiring provisions. H.R. 1083, Bill to regulate state taxation of interstate commerce, provisions to impose a uniform physical presence standard for purposes of imposing state income taxation H.R. 1897, Healthy Workforce Act of 2009, legislation to provide a deduction for company sponsored wellness programs S. 803, Healthy Workforce Act of 2009, legislation to provide a deduction for company sponsored wellness programs Potential legislation to limit the authority of States and localities to tax certain income of employees for employment duties performed in other States and localities Credit Card Reporting implementation, Tax Code section 6050W H.R. 2098 legislation to extend the look through treatment of payments between related controlled foreign corporations Proposed House and Senate legislation to enact the international tax provisions in the Administration's FY 2010 Budget H.R. 3200 legislation to fund health care reform, issues affecting large employers H.R. 3962 Health Care For America Act, health care reform issues affecting large employers H.R. 3590 Patient Protection and Affordable Care Act, health care reform issues affecting large employers H.R. 4213, American Workers, State, and Business Relief Act, provision relating to the extension of the active financing and look through exceptions Administration's FY 2011 proposal and proposed House and Senate legislation to impose a financial crisis responsibility fee on large financial services companies H.R. 1586, legislation to impose an excise tax on bonuses paid by TARP recipients H.RES. 1212, providing for House consideration of Senate Amendments to H.R. 1586, legislation to impose an additional tax on bonuses paid by TARP recipients. S.651: legislation to impose an excise tax on excessive bonuses paid by companies receiving Federal emergency economic assistance S.2994 legislation to impose an excise tax on excessive 2009 bonuses paid by companies receiving Federal emergency economic assistance S.AMDT. 3342, legislation to impose an excise tax on excessive 2009 bonuses paid by companies receiving Federal emergency economic assistance S.AMDT. 3486 to H.R. 1586, legislation to impose an additional tax on bonuses received from certain TARP recipients. S.3007, legislation to impose a 50% tax on bonuses paid by TARP recipients S.3149, legislation to limit certain executive compensation paid by systemically significnt financial institutions

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

Government targets: Executive Office of the President (EOP), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Office of Thrift Supervision (OTS), SENATE, Treasury, Dept of, U.S. Postal Service (USPS), White House Office

H.R. 3590, The Patient Protection and Affordable Care Act, all matters pertaining to the railroad.

Client expense: $1,430,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commodity Futures Trading Commission (CFTC), Federal Railroad Administration, HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), Office of the Vice President of the United States, SENATE, Surface Transportation Board (STB), Transportation, Dept of (DOT)

H.R. 3590, Patient Protection and Affordable Care Act, provisions affecting employers; proposed changes to ERISA regulations.

Client expense: $230,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Education, Dept of, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, State, Dept of (DOS)

H.R. 3590. "Patient Protection and Affordable Care Act." (PL 111-148). Monitored implementation of law. H.R. 4872. " Health Care and Education Reconciliation Act of 2010." (PL 111-152). Monitored implementation of law.

Client expense: $1,730,000 · Firm income: Not reported

Government targets: Federal Railroad Administration, HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

H.R. 3962. "America's Affordable Health Choice Act." Monitored the health reform bills. H.R. 3590. "Patient Protection and Affordable Care Act." Opposed section 9001,tax on high cost insurance plans, & urged maximum employer flexibility in determining benefits and for the retention of ERISA. H.R. 4872. " Health Care and Education Reconciliation Act of 2010. Same as above.

Client expense: $1,770,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Impact on IBM and its employees: H.R. 3590, Patient Protection and Affortdable Care Act; H.R. 3962, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010; H.R. 4872, Health Care and Education Reconciliation Act of 2010

Client expense: $980,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense Advanced Research Projects Agency (DARPA), Energy, Dept of, Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institute of Standards & Technology (NIST), Natl Security Agency (NSA), Natl Security Council (NSC), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Impact on IBM and its employees: H.R. 3590, Patient Protection and Affortdable Care Act; H.R. 3962, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010; H.R. 4872, Health Care and Education Reconciliation Act of 2010

Client expense: $980,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense Advanced Research Projects Agency (DARPA), Energy, Dept of, Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institute of Standards & Technology (NIST), Natl Security Agency (NSA), Natl Security Council (NSC), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 3590, Patent Protection and Affordable Care Act, impact on IBM and its employees H.R. 3962, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, impact on IBM & its employees H.R. 4872, Health Care and Education Reconciliation Act of 2010 - impact on IBM and its employees

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

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Natl Security Agency (NSA), Office of Science & Technology Policy (OSTP), Office of Special Counsel, Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR)

Federal policies and legislations regarding utilization of diagnostic products and medical equipment, hospital acquired infections; Patient Protection and Affordable Care Act (H.R. 3590); Health Care and Education Affordability Reconciliation Act (H.R. 4872)

Client expense: Not reported · Firm income: $18,000

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

Matters affecting research, diagnosis, treatment and prevention of breast cancer, including 21st Century Cancer Alert Act Patient Protection and Affordable Care Act (H.R. 3590); Health Care and Education Affordability Reconciliation Act (H.R. 4872)

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

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

Patient Protection and Affordable Care Act (H.R. 3590); Health Care and Education Affordability Reconciliation Act (H.R. 4872)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 1796, S 1679, HR 3962, HR 3590 (Health Care Reform). HR 1204 (Antitrust exemption for pharmacists) HR 1493 (Antitrust exemption for physicians) HR 1 (COBRA coverage subsidy; comparative effectiveness, wellness, HIT). HR 1427/S 726/ HR 1548 (FDA PAthway to approve generic Biopharmaceutical medicines). S. 369/HR 1706 (Generic/brand settlements). S. 93 (establish FEHBP for small employers) S. 391/H.R. 1321 (National health) H.R. 676/S. 703 (single payer); PL 111-148; PL 111-152.

Client expense: $1,641,400 · Firm income: Not reported

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

HR3590: Patient Protection and Affordable Care Act: Specific provisions include Section 3136 (Revisions of payment for power-driven wheelchairs; Power mobility device documentation standards that are regulated by the Centers for Medicare and Medicaid Services (CMS); Increased fraud and abuse standards for Durable Medical Equipment providers un the Medicare program;

Client expense: $71,000 · 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. 3590: Patient Protection and Affordable Care Act: Specific provisions include Section 3136 (Revisions of payment for power-driven wheelchairs); Power mobility device documentation standards that are regulated by the Centers for Medicare & Medicaid Services (CMS)

Client expense: $123,000 · 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. 3590: Patient Protection and Affordable Care Act: Specific provisions include Section 3136 (Revisions of payment for power-driven wheelchairs); Power mobility device documentation standards that are regulated by the Centers for Medicare and Medicaid Services

Client expense: $145,500 · Firm income: Not reported

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

HR 436 Certain Estate Tax Relief Act of 2009 / S 722 Taxpayer Certainty and Relief Act of 2009-- reform of the estate tax legislation; S 401 Defined Contribution Fee Disclosure Act of 2009 / HR 2989 401(k) Fair Disclosure and Pension Security Act of 2009-- 401(k) fee disclosure and investment advice legislation; S 515 Patent Reform Act of 2009 / HR 1260 Patent Reform Act of 2009-- patent reform legislation; HR 1880 National Insurance Consumer Protection Act -- federal insurance regulation legislation; HR 2609 Insurance Information Act of 2009--a bill to establish an office of insurance information; HR 2748 Retirement Security Needs Lifetime Pay Act / S 1297 Retirement Security for Life Act--tax exclusion legislation for lifetime annuity payments; HR 3126 The Consumer Financial Protection Agency Act--a bill to establish a new federal agency to protect consumers; S 1679 / HR 3200 America's Affordable Health Choices Act--a bill to reform health insurance; HR 4872 The Reconciliation Act of 2010; HR 3590 The Patient Protection and Affordable Care Act; HR 4173 Wall Street Reform and Consumer Protection Act--financial services regulatory reform legislation; HR 4126 The Retirement Fairness Act of 2009--defined contribution reform legislation; S 2832 Lifetime Income Disclosure Act--annuity disclsoure requirement for pension plans.

Client expense: $450,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

H.R. 3590, Patient Protection and Affordable Care Act; H.R.3962, Affordable Health Care for America Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.3200 Americas Affordable Health Choice Act of 2009; Senate Finance Committee Health Care Bill; Americas Healthy Future Act of 2009; H.R.3590 The Patient Protection and Affordable Care Act.

Client expense: $3,920,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR)

H.R. 3962. "America's Affordable Health Choice Act." Monitored the health reform bills. H.R. 3590. "Patient Protection and Affordable Care Act." Opposed section 9001,tax on high cost insurance plans, & urged maximum employer flexibility in determining benefits and for the retention of ERISA. H.R. 4872. " Health Care and Education Reconciliation Act of 2010. Same as above.

Client expense: $1,710,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

See page 3 for a complete list of lobbying issues. HR 855/ S. 616 - Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies HR 2112/ S. 332 - Lung Cancer Mortality Reduction Act of 2009 HR 3590 - Patient Protection and Affordable Care Act HR 3961 - Medicare Physician Payment Reform Act of 2009 HR 4872 - Health Care and Education Reconciliation Act of 2010 HR 4213 - American Jobs and Closing Tax Loopholes Act of 2010 HR 4691 - Temporary Extension Act of 2010 HR 4851 - Continuing Extension Act of 2010 HR 4985 - Medicare Decisions Accountability Act of 2010 HR 5253 - Federal Research Public Access Act of 2010 HR 5295 - Healthcare Truth and Transparency Act of 2010 H. Con. Res. 202 - Celebrating the Goals and Ideals of the 20th Anniversary of The Society of Thoracic Surgeons National Database Health care reform, health care quality improvement; physician workforce; comparative effectiveness research; health information technology, National Healthcare Workforce Commission, Patient-Centered Outcomes Research Institute Board of Governors, HIT Meaningful Use, Independent Payment Advisory Board.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE

See page 3 for a complete list of lobbying issues. HR 855/ S. 616 - Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies HR 2112/ S. 332 - Lung Cancer Mortality Reduction Act of 2009 HR 3590 - Patient Protection and Affordable Care Act HR 3961 - Medicare Physician Payment Reform Act of 2009 HR 4872 - Health Care and Education Reconciliation Act of 2010 HR 4213 - American Jobs and Closing Tax Loopholes Act of 2010 HR 4691 - Temporary Extension Act of 2010 HR 4851 - Continuing Extension Act of 2010 HR 4985 - Medicare Decisions Accountability Act of 2010 HR 5253 - Federal Research Public Access Act of 2010 HR 5295 - Healthcare Truth and Transparency Act of 2010 H. Con. Res. 202 - Celebrating the Goals and Ideals of the 20th Anniversary of The Society of Thoracic Surgeons National Database Health care reform, health care quality improvement; physician workforce; comparative effectiveness research; health information technology, National Healthcare Workforce Commission, Patient-Centered Outcomes Research Institute Board of Governors, HIT Meaningful Use, Independent Payment Advisory Board.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE

White House initiative against childhood obesity; H.R. 4872, Health Care and Education Reconciliation Act of 2010; H.R. 3590, Patient Protection and Affordable Care Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor and track, advising client on health care reform issues, as they relate to pharmacy benefit managers (PBMs). In particular, advise on effects of Affordable Health Care for America Act (H.R.3962), Patient Protection and Affordable Care Act (H.R.3590), America's Affordable Health Choices Act of 2009 (H.R.3200), Affordable Health Choices Act (S.1679), America's Healthy Future Act of 2009 (S.1796). Monitor and advise regarding H.R.4872 (Reconciliation Bill).

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

Government targets: HOUSE OF REPRESENTATIVES

Monitor and track H.R. 904-the Drug Rebate Equalization Act of 2009. Affordable Health Care for America Act (H.R.3962), Patient Protection and Affordable Care Act (H.R.3590), America's Affordable Health Choices Act of 2009 (H.R.3200), Affordable Health Choices Act (S.1679), America's Healthy Future Act of 2009 (S.1796). Monitor and advise regarding H.R.4872 (Reconciliation Bill).

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

Government targets: HOUSE OF REPRESENTATIVES

Monitor and track, advising client on health care reform issues, as they relate to pharmacy benefit managers (PBMs). In particular, advise on effects of Affordable Health Care for America Act (H.R.3962), Patient Protection and Affordable Care Act (H.R.3590), America's Affordable Health Choices Act of 2009 (H.R.3200), Affordable Health Choices Act (S.1679), America's Healthy Future Act of 2009 (S.1796). Monitor and Advise regarding HR 4872 (Reconciliation Bill).

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

Government targets: HOUSE OF REPRESENTATIVES

Monitor and track H.R. 904-the Drug Rebate Equalization Act of 2009. Affordable Health Care for America Act (H.R.3962), Patient Protection and Affordable Care Act (H.R.3590), America's Affordable Health Choices Act of 2009 (H.R.3200), Affordable Health Choices Act (S.1679), America's Healthy Future Act of 2009 (S.1796). Monitor and Advise regarding HR 4872 (Reconciliation Bill).

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

Government targets: HOUSE OF REPRESENTATIVES

Monitor and track, advising client on health care reform issues, as they relate to pharmacy benefit managers (PBMs). In particular, advise on effects of Affordable Health Care for America Act (H.R.3962), Patient Protection and Affordable Care Act (H.R.3590), America's Affordable Health Choices Act of 2009 (H.R.3200), Affordable Health Choices Act (S.1679), America's Healthy Future Act of 2009 (S.1796).

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

Government targets: HOUSE OF REPRESENTATIVES