Promoting Health Information Technology Act

S.1693 The Wired for Health Care Quality Act H.R.3800 The Promoting Health Information Technology Act Act of 2007 Information Technology Procurement at Federal Agencies

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

S.1693 The Wired for Health Care Quality Act H.R.3800 The Promoting Health Information Technology Act Act of 2007 Information Technology Procurement at Federal Agencies

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

S.1693 The Wired for Health Care Quality Act H.R.3800 The Promoting Health Information Technology Act Act of 2007 Information Technology Procurement at Federal Agencies

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

S.1693 The Wired for Health Care Quality Act H.R.3800 The Promoting Health Information Technology Act of 2007 Assistance with marketing to Federal Agencies

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

Government targets: Government Printing Office (GPO), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

S. 1693, Improving The Interoperability of Health Information Technology, Employee Health Care Issues. S. 1544, Medicare Quality Enhancement Act of 2007, Employee Health Care Issues. H.R. 3800, Promoting Health Information Technology Act, Employee Health Care Issues. Deferred Compensation issues related to pension plans. S. 334, Healthy American Act, Employee Health Care Issues. Employee Labor Issues. H1-B Visas, Immigration. Corporate governance issues.

Client expense: $4,130,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 20 Melanie Blocker-Stokes Postpartum Depression Research and Care Act H.R. 819 Prevention First Act H.R. 1032 Alzheimer's Treatment and Caregiver SupportAct H.R. 2596 Access to Birth Control Act H.R. 3014 Health Equity and Accountability Act H.R. 3267 Healthy Start Reauthorization Act H.R. 3333 Minority Health Improvement and Health Disparity Elimination Act H.R. 3800 Promoting Health Information Technology Act S. 21 Prevention First Act S. 1375 MOTHERS Act S. 1555 Access to Birth Control Act S. 1576 Minority Health Improvement and Health Disparity Elimination Act S. 1693 Wired for Health Care Quality Act S. 1760 Healthy Start Reauthorization Act S. 2731 Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act S. 2793 Stop Deceptive Advertising for Women's Services Act FY 2009 Function 550/Discretionary Budget (re: increased funding for public health programs and activities) FY 2009 Labor, HHS, Education, and Related Agencies Appropriations Act (re: additional funding for the Title X family planning program and reduction or elimination of funding for abstinence-only education) Pending legislation on prevention of sexually transimitted disease

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

P.L. 110-24, Federal programs to screen for heritable disorders in newborn children, Public awareness, training to offer quality care for infants. S. 2408, Health Information Technology, To subsidize HIT for small and medium sized physician practices. S. 3101, Medicare physician payment reform to prevent 10.6 percent cut from taking effect on July 1, 2008, Repeal sustainable growth rate and provide positive update for Medicare physician payments and prevent 10.6 percent cut to Medicare physician payments. S. 3708, Public Health Service Act Title VII health professions education reauthorization, Promote Title VII Health Professions Grants for Primary Care Training Programs. H.R. 2583, Medicare and Medicaid Graduate Medical Education reform for primary care health professions workforce education, Protect GME payments needed to train primary care physicians. H.R. 3800, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 4296, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 5442, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 6331, Medicare physician payment reform to prevent 10.6 percent cut from taking effect on July 1, 2008, Repeal sustainable growth rate and provide positive update for Medicare physician payments and prevent 10.6 percent cut to Medicare physician payments. H.R. 6357, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 7192, Patient-Centered Medical Home, To introduce federal government to this model of primary care. H.R. 7302, Public Health Service Act Title VII health professions education reauthorization, Promote Title VII Health Professions Grants for Primary Care Training Programs. No Bill, Health Care reforms to improve access to health care, To introduce AAFP views on health reform to Senate HELP Committee. No Bill, Increase appropriations for Rural Health programs in FY 2009, Adequate funding for HHS Rural Health and programs. No Bill, Increase appropriations for Title VII health professions grants in FY 2009, Adequate funding for HRSA's Title VII grants. No Bill, Increased funding for the Agency for Healthcare Research and Quality in Fiscal Year 2009, Adequate funding for NHSC to relieve student debt. No Bill, National Coalition on Health Care, Universal Coverage. No Bill, Physician quality reporting initiative; value-based purchasing, To continue this bonus payment for reporting program as a voluntary program. No Bill, Prevents cuts to the National Health Services Corps in FY 2009. No Bill, Racial and Ethnic Disparities, To reduce disparities in health care. No Bill, Title VII health professions grants funding and reauthorzation, Promote Title VII Health Professions Primary Care Training grant programs. No Bill, Truth in Health Advertising, Ensure patients know who is a medical doctor.

Client expense: $755,699 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE

S. 2408, Health Information Technology, To subsidize HIT for small and medium sized physician practices. S. 3101, Medicare physician payment reform to prevent 10.6 percent cut from taking effect on July 1, 2008, Repeal sustainable growth rate and provide positive update for Medicare physician payments and prevent 10.6 percent cut to Medicare physician payments. H.R. 2583, Medicare and Medicaid Graduate Medical Education reform for primary care health professions workforce education, Protect GME payments needed to train primary care physicians. H.R. 3800, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 4296, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 5442, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 6331, Medicare physician payment reform to prevent 10.6 percent cut from taking effect on July 1, 2008, Repeal sustainable growth rate and provide positive update for Medicare physician payments and prevent 10.6 percent cut to Medicare physician payments. H.R. 6357, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 7192, Patient-Centered Medical Home, To introduce federal government to this model of primary care. No Bill, Health Care reforms to improve access to health care, To introduce AAFP views on health reform to Senate HELP Committee. No Bill, Health Professions Shortage Areas, To ensure fairness in the designation process. No Bill, Increase appropriations for Rural Health programs in FY 2009, Adequate funding for HHS Rural Health and programs. No Bill, Increase appropriations for Title VII health professions grants in FY 2009, Adequate funding for HRSA's Title VII grants. No Bill, National Coalition on Health Care, Universal Coverage. No Bill, Physician quality reporting initiative; value-based purchasing, To continue this bonus payment for reporting program as a voluntary program. No Bill, Prevents cuts to the National Health Services Corps in FY 2009. No Bill, Racial and Ethnic Disparities, To reduce disparities in health care. No Bill, Truth in Health Advertising, Ensure patients know who is a medical doctor.

Client expense: $755,699 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE

P.L. 110-329 (H.R. 2638), Increased funding for Agency for Healthcare Research and Quality (AHRQ) FY 2009 Appropriations, Adequate funding for Health Information Technology and Comparable Effectiveness Research. P.L. 110-329 (H.R. 2638), Increased funding for Rural Health Programs in FY 2009 Appropriations, Adequate funding for HHS Rural Health Programs. P.L. 110-329 (H.R. 2638), Increased funding for Title VII Health Professions Grants for Primary Care Medicine Training FY 2009 Appropriations, Adequate funding for HRSA's Title VII grants. P.L. 110-329 (H.R. 2638), Prevent cuts in funding to National Health Service Corps in FY 2009 Appropriations, Adequate funding for NHSC. S. 2029, Physician Payments Sunshine Act, To discourage requiring pharmaceutical companies from having to report unrestricted grants for CME. S. 2408, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 3800, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 4296, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 5442, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 5605, Physician Payments Sunshine Act, To discourage requiring pharmaceutical companies from having to report unrestricted grants for CME. H.R. 6357, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 6983, Mental Health Parity, To require health plans to cover mental health services on a par with how they cover physical health. No Bill, Health care reforms to improve access to health care, To introduce AAFP views on health reform to Senate HELP Committee. No Bill, Health Professions Shortage Areas, To ensure fairness in the designation process. No Bill, Promoting the US health delivery system reform to a Patient Centered Medical Home model of care, Promoting health care reform base on the PCMH model of care. No Bill, Racial and Ethnic Disparities, To reduce and eventually eliminate disparities in health care.

Client expense: $755,146 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE

P.L. 110-275 (H.R. 6331, S. 3101), Medicare physician Payment reform to prevent 10.6 percent cut from taking effect on July 1, 2008, Prevent 10.6 percent cut to Medicare physician payments. P.L. 110-329 (H.R. 2638), Increased funding for Rural Health Programs in FY 2009 Appropriations, Adequate funding for HHS Rural Health Programs. P.L. 110-329 (H.R. 2638), Increased funding for Title VII Health Professions Grants for Primary Care Medicine Training FY 2009 Appropriations, Adequate funding for HRSA's Title VII grants. P.L. 110-329 (H.R. 2638), Prevent cuts in funding to National Health Service Corps in FY 2009 Appropriations, Adequate funding for NHSC. S. 2408, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 2583, Medicare and Medicaid Graduate Medial Education reform for primary care health professions workforce education, Protect GME payments needed to train primary care physicians. H.R. 3800, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 4296, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 5442, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 6357, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 7192, Patient-Centered Medical Home, To introduce federal government to this model of primary care. No Bill, CMS Meetings regarding Medicare payment, PCMH Pilot, GME. No Bill, Health Professions Shortage Areas, To ensure fairness in the designation process. No Bill, Healthcare reforms to improve access to health care, To introduce AAFP views on health reform to Senate HELP Committee. No Bill, Medicare Advantage, To make sure Congress understands how these costly plans (esp PFFS) lead to beneficiary confusion and provider underpayment. No Bill, Racial and Ethnic Disparities, To reduce and eventually eliminate disparities in health care. No Bill, Rural and underserved health issues, geographic practice cost indices, physician scarcity bonus, To ask Congress to extend these incentives for physicians to locate and practice in rural and underserved areas.

Client expense: $755,146 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE

P.L. 110-275 (H.R. 6331, S. 3101), Medicare physician Payment reform to prevent 10.6 percent cut from taking effect on July 1, 2008, Prevent 10.6 percent cut to Medicare physician payments. P.L. 110-329 (H.R. 2638), Increased funding for Agency for Healthcare Research and Quality (AHRQ) FY 2009 Appropriations, Adequate funding for Health Information Technology and Comparable Effectiveness Research. P.L. 110-329 (H.R. 2638), Increased funding for Rural Health Programs in FY 2009 Appropriations, Adequate funding for HHS Rural Health Programs. P.L. 110-329 (H.R. 2638), Increased funding for Title VII Health Professions Grants for Primary Care Medicine Training FY 2009 Appropriations, Adequate funding for HRSA's Title VII grants. P.L. 110-329 (H.R. 2638), Prevent cuts in funding to National Health Service Corps in FY 2009 Appropriations, Adequate funding for NHSC. S. 2408, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 2583, Medicare and Medicaid Graduate Medial Education reform for primary care health professions workforce education, Protect GME payments needed to train primary care physicians. H.R. 3800, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 4296, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 5442, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 6357, Health Information Technology, To subsidize HIT for small and medium sized physician practices. H.R. 7192, Patient-Centered Medical Home, To introduce federal government to this model of primary care. No Bill, Antitrust issues related to health care plan consolidation and physician collective bargaining, Oppose anticompetitive insurance consolidation. Allow physicians to bargain collectively; remove antitrust barriers on physicians; reform Federal Trade Commission regulation. No Bill, Collective Negotiation by Physicians with Health Plans, To allow physicians to bargain collectively with health plans. No Bill, Healthcare reforms to improve access to health care, To introduce AAFP views on health reform to Senate HELP Committee. No Bill, Medicare Advantage, To make sure Congress understands how these costly plans (esp PFFS) lead to beneficiary confusion and provider underpayment. No Bill, Physician Quality Reporting Initiative; Value-based purchasing, To continue this bonus payment for reporting program as a voluntary program. No Bill, Promoting the US health delivery system reform to a Patient Centered Medical Home model of care, Promoting health care reform based on the PCMH model of care. No Bill, Racial and Ethnic Disparities, To reduce and eventually eliminate disparities in health care. No Bill, Rural and underserved health issues, geographic practice cost indices, physician scarcity bonus, To ask Congress to extend these incentives for physicians to locate and practice in rural and underserved areas. No Bill, Title VII Health Professions Grants for Primary Care Medicine Training Reauthorization, Promote Title VII Health Professions Grants for Primary Care Training programs.

Client expense: $755,146 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE

S.Con.Res. 70, Increase Discretionary Health Spending under F. 550 of the House and Senate Budget Resolutions, Adequate funding for HHS agencies: HRSA, AHRQ, Rural Health, NIH. S. 2408, Health Information Technology, To include provisions that will make the adoption of HIT less onerous and expensive. S, 3101, Medicare physician payment reform to prevent 10.6 percent cut from taking effect on July 1, 2008, Prevent 10.6 percent cut to Medicare physician payments and repeal medicare sustainable growth rate formula, provide positive update for medicare physician payments. Extend payment rate for physicians to 18 months. S. 4296, Health Information Technology, To include provisions that will make the adoption of HIT less onerous and expensive. H.R. Con. Res. 312, Increase Discretionary Health Spending under F. 550 of the House and Senate Budget Resolutions, Adequate funding for HHS agencies: HRSA, AHRQ, Rural Health, NIH. H.R. 3800, Health Information Technology, To include provisions that will make the adoption of HIT less onerous and expensive. H.R. 5442, Health Information Technology, To include provisions that will make the adoption of HIT less onerous and expensive. H.R. 6331, Medicare physician payment reform to prevent 10.6 percent cut from taking effect on July 1, 2008, Prevent 10.6 percent cut to Medicare physician payments and repeal medicare sustainable growth rate formula, provide positive update for medicare physician payments. Extend payment rate for physicians to 18 months. H.R. 6357, Health Information Technology, To include provisions that will make the adoption of HIT less onerous and expensive. No Bill, Attended FTC Health Care Clinical Integration Workshop, Allow physicians to bargain collectively; remove antitrust barriers on physicians; reform Federal Trade Commission regulation. No Bill, Health care reforms to improve access to health care, To introduce AAFP views on health reform to Senate HELP Committees and to promote additional support. No Bill, Health Information Technology; Electronic Health Records; Electronic Prescribing, To educate Congress on the value, cost and obstacles associated with health information technology in family practices. No Bill, Increased funding for Agency for Healthcare Research and Quality (AHRQ) FY 2009 Appropriations, Adequate funding for Health Information Technology and Comparable Effectiveness Research. No Bill, Increased funding for Rural Health Programs in FY 2009 Appropriations, Adequate funding for HHS Rural Health programs. No Bill, Increased funding for Title VII Health Professions Grants for Primary Care Medicine Training FY 2009 Appropriations, Adequate funding for HRSA's Title VII grants. No Bill, Medicare Advantage, To make sure Congress understands how these costly plans (esp PFFS) lead to beneficiary confusion and provider underpayment. No Bill, Medicare and Medicaid Graduate Medical Education reform for primary care health professions workforce education, Protect GME payments needed to train primary care physicians. No Bill, Out of pocket costs for health care, To make sure out-of-pocket costs for health care (especially drugs) does not prevent patients' access to health care. No Bill, Patient-Centered Medical Home, To introduce federal government to this model of primary care. No Bill, Physician Quality Reporting Initiative; Value-base purchasing, To continue this bonus payment for reporting program as a voluntary program. No Bill, Prevent cuts in funding to National Health Service Corps in FY 2009 Appropriations, Adequate funding for NHSC. No Bill, Racial and Ethnic Disparities, To reduce and eventually eliminate disparities in health care.

Client expense: $934,646 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE

S. 1693 Wired For Health Care Quality Act - Provisions on the deployment of electronic health records H.R. 3800 Promoting Health Information Technology Act - Provisions on the deployment of electronic health records H.R. 1467 10,000 Trained by 2010 - Provisions on the increase in the number of qualified Health IT workers by 2010

Client expense: $256,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Director of National Intelligence (ODNI), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Natl Security Agency (NSA), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Treasury, Dept of, U.S. Customs & Border Protection, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office

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

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

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

Medicare physician payment; Health Information Technology; Health Care Quality: S. 1693, Wired for Health Care Quality Act; H.R. 3800, Promoting Health Information Technology Act; H.R. 3162, Children's Health and Medicare Protection Act of 2007; S. 3101, Medicare Improvements for Patients and Providers Act of 2008; S. 3188, Preserving Access to Medicare Act of 2008; H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008

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

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

Health information technology: S358, S1693, HR3800, S1408, S1814, HR2991, HR2406, S471, S1455, S1451; small business healthcare; health insurance reform

Client expense: $15,796 · Firm income: Not reported

Government targets: Energy, Dept of, HOUSE OF REPRESENTATIVES, SENATE, White House Office

S. 1693 Wired For Health Care Quality Act - Provisions on the deployment of electronic health records H.R. 3800 Promoting Health Information Technology Act - Provisions on the deployment of electronic health records H.R. 1467 10,000 Trained by 2010 - Provisions on the increase in the number of qualified Health IT workers by 2010

Client expense: $256,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Director of National Intelligence (ODNI), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Natl Security Agency (NSA), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Treasury, Dept of, U.S. Customs & Border Protection, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office

H.R. 3800 and S. 1693, the Wired for Health Care Quality Act, health information technology issues. S. 334, Healthy Americans Act, issues related to expanding health insurance coverage. Implementation of the Patient Safety and Quality Improvement Act of 2005. AMA health care policy agenda. H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, mental health parity and specialty hospital issues. S. 558, Mental Health Parity Act of 2007, mental health parity issues. Public Law 110-343, the Emergency Economic Stabilization Act of 2008, mental health parity and specialty hospital issues. S. 2029 and H.R. 5605, the Physician Payment Sunshine Act AMA Plan for Health System Reform Comparative Effectiveness Research

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

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

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

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

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health reform, health information technology, Wired for Health Care Quality Act (S.1693) , (H.R.3800). Pro (Tech) T Act (HR 6357).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2626: The Comprehensive HealthCARE Act of 2007 - Ensure access to quality healthcare by providing tax credit for individuals who purchase health insurance. H.R. 6179: The Promoting Health Information Technology Act of 2008 - Electronic Health Records - Ensure legislation would not adversely impact pathologists and advance the implementation of health IT to modernize health records and improve the delivery of health care. H.R. 3800 / S. 1693: The Wired for Health Care Quality Act - Electronic Health Records - Ensure legislation would not adversely impact pathologists and advance the implementation of health IT to modernize health records and improve the delivery of health care.

Client expense: $193,188 · Firm income: Not reported

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

Promoting Health Information Technology Act (H.R. 3800) Personalized Health Information Act (H.R. 1368) Health Information Technology Act (S. 1408) PRO(TECH)T Act of 2008 (H.R. 6357) Michelle's Law (S. 400) PLAY Every Day Act (S. 651/H.R. 2045) Stroke Treatment and Ongoing Prevention Act (STOP Stroke Act) (S. 999/H.R. 477) National Childhood Stroke Awareness Day (S.RES. 184) Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S. 573/H.R. 1014) Indian Health Care Improvement Act (S. 1200/H.R. 1328) Minority Health Improvement and Health Disparity Elimination Act (S. 1576/H.R. 3333) Health Equity and Accountability Act (H.R. 3014) Wired for Health Care Quality Act (S. 1693) National CPR-AED Awareness Week (S.CON.RES. 54/H.CON.RES. 215) Josh Miller HEARTS Act (H.R. 4926) Resolution for American Heart Month (H.CON.RES. 972) Workplace Wellness Resolution (S.RES. 673/H.CON.RES. 405) Sudden Cardiac Arrest Awareness Resolution (S.CON.RES 93/H.CON.RES. 393) Advancing America's Priorities Act (S. 3297)

Client expense: $269,618 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), 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

H.R. 3800, Promoting Health Information Technology Act S. 1456, Federal Employees Electronic Personal Health Records Act of 2007 S. 631, Remote Monitoring Access Act of 2007 S. 2408, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 H.R. 4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 S. 628, Critical Access to Health Information Technology Act of 2007 S. 1814, Health Information Privacy and Security Act S. 1915, Electronic Prescription Drug Act of 2007 S. 2029, Physician Payments Sunshine Act of 2007 H.R. 2991, Independent Health Record Trust Act of 2007 S. 1695, Biologics Price Competition and Innovation Act of 2007 S. 1693, Wired for Health Care Quality Act H.R. 1368, Personalized Health Care Quality Act S. 1783, Ten Steps to Transform Health Care in America Act S. 321, Fostering Independence Through Technology Act of 2007 H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication Through Healthcare Technology Act H.R. 6179, Promoting Health Information Technology Act H.R. 6898, Health-e Information Technology Act of 2008 S. 1456, The Federal Employees Electronic Personal Health Records Act of 2007

Client expense: $180,000 · Firm income: Not reported

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

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

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

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

Mental Health Parity, Health Savings Accounts/Medical Savings Accounts, Small Group Health Care Reform Health Information Technology Standards; HIT Privacy; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Act"; Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured; Health Disparities; Connectors/Virtual Connectors; S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act"; S2795 "Small Business Health Options Program Act of 2008" Mental Health Parity: S3712 "A Bill to make a technical correction in the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008" S3408 "Comparative Effectiveness Research Act of 2008" Health Savings Accounts/Medical Savings Accounts SCHIP; HR976 and HR3963 "SCHIP Extension Bill"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Mental Health Parity, Health Savings Accounts/Medical Savings Accounts, Small Group Health Care Reform Health Information Technology Standards; HIT Privacy; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Act"; Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured; Health Disparities; Connectors/Virtual Connectors; S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act"; S2795 "Small Business Health Options Program Act of 2008" Mental Health Parity: S3712 "A Bill to make a technical correction in the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008" S3408 "Comparative Effectiveness Research Act of 2008" Health Savings Accounts/Medical Savings Accounts SCHIP; HR976 and HR3963 "SCHIP Extension Bill"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.3800, Promoting Health Information Technology Act (all provisions) H.R.6331, Medicare Improvements for Patients and Providers Act of 2008 (all provisions) H.R.6357, Protecting Records, Optimizing Treatment and Easing Communication through Health Care Technology (PRO(TECH)T) Act of 2008 (all provisions)

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

S. 1693 Wired for Health Care Quality Act, entire bill. H.R. 5442 TRUST in Health Information Act, entire bill. H.R. 3800 Promoting Health Care Quality Act, entire bill. H.R. 5357 Pro (TECH)T Act, general issues.

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

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Director of National Intelligence (ODNI), 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), Natl Institutes of Health (NIH), Natl Security Agency (NSA), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR)

H.R. 1424 - Paul Wellstone Mental Health & Addiction Equity Act of 2007; provisions relating to employer health benefit requirements H.R. 1693 Wired for Health Care Quality Act; provisions relating to employer health benefit plans and health information H.R. 1753 Healthy Workforce Act; tax provisions relating to business wellness pgms H.R. 1820 - Tax Equity for Health Plan Beneficiaries Act; entire bill H.R. 3363 - Long-Term Care Affordability and Security Act; entire bill H.R. 3800 - Promoting Health Information Technology Act; provisions relating to employee health benefit plans H.R. 4848 - A bill to extend the current application of mental health parity law for one year through 2008; entire bill H.R. 6357 - Protecting Records, Optimizing Treatment, and Easing Communication Through Healthcare Technology Act of 2008 The PRO (TECH)T Act of 2008; provisions relating to use of health information S. 358 - Genetic Information Nondiscrimination Act of 2007; provisions relating to employers benefit plans S. 558 Mental Health Parity Act; entire bill S. 1556 - Tax Equity for Domestic Partner and Health Plan Beneficiaries Act; entire bill S. 1693 - Wired for Health Care Quality Act; provisions relating to HIPAA and employer health benefit plans S. 2337 - Long-Term Care Affordability and Security Act; entire bill

Client expense: $160,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1693, Improving The Interoperability of Health Information Technology, Employee Health Care Issues. S. 1544, Medicare Quality Enhancement Act of 2007, Employee Health Care Issues. H.R. 3800, Promoting Health Information Technology Act, Employee Health Care Issues. H.R. 7327, Worker, Retiree, and Employer Recovery Act of 2008, Pensions. S. 334, Healthy American Act, Employee Health Care Issues. Employee Labor Issues. H1-B Visas, Immigration. Corporate governance issues. Deferred Compensation issues related to pension plans. Pension Plans.

Client expense: $4,830,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

S. 588/HR. 1424 "Wellstone Mental Health and Addiction Parity Act," Issue: Mental Health Insurance Coverage; support bills to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services; S. 1693 (Kennedy) "Wired for Health Care Quality Act," Issues: Mental Health and Health Privacy; modify a bill to enhance the adoption of a nationwide interoperable health information technology system and to improve the quality and reduce the costs of health care in the United States; HR 5442 (Markey) "TRUST in Health Information Act," Issues: Mental Health and Health Privacy. To modify a bill providing individuals with access to health information, to ensure personal privacy, security, and confidentiality with respect to health related information in promoting the development of a nationwide interoperable health information infrastructure, to impose criminal and civil penalties for unauthorized use of personal health information, to provide for the enforcement of tese rights, to protect States' rights, and for other purposes; HR 6357 (Dingell) "PRO(TECH)T Act," Issues: Mental Health and Health Privacy; Seek modifications in a bill amending the Public Health Service Act to promote the adoption of health information technology, providing limited privacy protections and for other purposes; HR 3800 (Eshoo) "Improving the Interoperability of Health Information Technology," Issues: Mental Health and Health Privacy; seek modifications in a bill amending the Public Health Service Act to promote the adoption of health information technology, and for other purposes; HR 5447 (Towns) "Dorothy I. Height and Whitney m. Young, Jr. Social Work Reinvestment Act," Issue: Health/Social Work Workforce; support a bill to establish the Social Work Reinvestment commission to provide independent counsel to Congress on policy issues associated with the recruitment, retention, research, and reinvestment in the profession of social work; S 2858 (Mikulski) "Dorothy I. Height and Whitney M. Young, Jr. Social Work Reinvestment Act," Issue: Health/Social Work Workforce, support a bill to establish the social Work Reinvestment Commission to provide independent counsel to Congress on policy issues associated with the recruitment, retention, research, and reinvestment in the profession of social work; Dorothy I. Height and Whitney M. Young, Jr. Social Work Reinvestment Act S. 2858 and HR 5447 Dorothy I. Height and Whitney M. Young, Jr. Social Work Reinvestment Act Support establishing a Social Work Reinvestment Commission to address recruitment, retention, research, and reinvestment in the social work profession; HCR: Health Issues, S 3484 and HR 6873, Medicare Hospice Protection Act, support the passage of bill to provide for a delay in the phase out of the hospice budget neurality adjustment factor during fiscal year 2009; S 2708 and HR 6337, Caring for an Aging American Act of 2008, support the need to address the emerging care gap between the increasing numbers of older Americans and the lack of providers who are trained in caring for the medical, health and social needs of the aging population; HR 2165, Teri Zenner Social Worker Safety Act, support establishing a grant program to assist in the provision of safety measures to protect social workers and other professionals who work with at-risk populations; S. 106, National Center for Social Work Research Act, support establishing the National Center for Socail Work Research as an agency of the National Institutes of health (NIH) to conduct, support, and disseminate targeted research on social work methods and outcomes related to problems of significant social concern; HR 5447, S2858, The Dorothy I. Height and Whitney M. Young, Jr., Social Work Reinvestment Act: the initiative attempts to address maters of recruitment/retention as it pertains to the social work profession, in addition to the establishment of a social work commission to study significant problems associated with the profession.

Client expense: $185,826 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

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

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

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Copyright Office, U.S. Trade Representative (USTR)

Education and support for population-based health programs, such as disease and care management in FFS Medicare and Medicare Advantage, including Special Needs Plans (specifically, the reauthorization of Chronic Care Special Needs Plans, or C-SNPs, the incorporation of reasonable process measures and standards for SNP evaluation, and recommendations for CMS' Chronic Conditions SNP Panel); Medicare pilots and demonstrations such as the Medicare Medical Home Demonstration, Senior Risk Reduction Dem- onstration, Medicare Physician Group Practice Demonstration, Medicare Electronic Health Records Demonstration, the Medicare Coordinated Care Demonstration (MCCD, as authorized under Section 4016 of the Balanced Budget Act of 1997), and Medicare Health Support (as authorized under Section 721 of the Medicare Prescription Drug, Improvement and Modernization Act (MMA), which created the "Voluntary Chronic Care Improvement Program" now called Medicare Health Support). Provision of suggestions and recommendations for consideration of the broader inclusion of coordinated chronic care and health service stakeholder expertise in the feasibility study of a Medicare Chronic Care Practice Research Network demonstration program and in outcomes reporting for comparative effectiveness research (authorized in the Medicare Improvements for Patients and Providers Act of 2008). Analysis and discussions regarding the expanded hospital re-admission reporting requirements included in Final IPPS & OPPS Rules and participation in the listening session for development of transition to a Medicare Value Based Purchasing Program for physician & other professional services. Analysis of Congressional Budget Office reports on health care reform key issues and budget options, and promotion of successful outcomes in population health improvement programs as a component of national reform of care delivery, financing and design, particularly in public sector programs. Encouragement of efforts to preserve HIPAA provisions permitting exchange of protected health information for care coordination and disease management, efforts to advance health information technology deployment, particularly as it would affect individuals with chronic conditions, including e-prescribing, and the creation of interoperability standards and priority use cases and best practices for technology deployment and promotion in care coordination. Education regarding effectiveness of chronic condition care and its benefits to Medicaid and other populations via the sharing of published quality improvement studies that reported cost or utilization outcomes from the intervention and which are target clinical conditions relevant for Medicaid programs. Advocacy for priorities of all stakeholders providing services along the care continuum toward the goal of population health improvement in proposed and realized legislation, including S. 3613 & H.R. 7114, the Independence at Home Act of 2008; S. 631 & H.R. 5765, the Remote Monitoring Access Act of 2007; S. 334, the Healthy Americans Act; S. 1340, the Geriatric Assessment and Chronic Care Coordination Act of 2007; S. 1753, the Healthy Workforce Act of 2007; H.R. 3800, the Wired for Healthcare Quality Act; H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology PRO(TECH)T Act of 2008; H.R. 6898, the Health-e Information Technology Act of 2008; H.R. 5442, TRUST in Health Information Act of 2008; S. 3101, Medicare Improvements for Patients and Providers Act of 2008; S. 3118, Preserving Access to Medicare Act of 2008; H.R. 853, Wellness and Prevention Act of 2007; H.R.6331, Medicare Improvements for Patients and Providers Act of 2008; initiatives pertaining to the treatment and prevention of obesity as a chronic disease generally and specifically as related to Medicare Part D coverage of pharmacotherapy as a component of population health improvement approaches to addressing the obesity epidemic. Advocacy and support for expansion of Medicare-covered clinical preventive services as recommended by the U.S. Preventive Services Task Force and provided for in the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA). Endorsement of the Office of the National Nurse initiative, efforts to rename the Chief Nurse Officer of the U.S. Public Health Services as the "National Nurse". General advocacy for population health improvement as a tool to improve the quality of health care and health care outcomes, and reduce preventable health care costs.

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

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

H.R.15: To provide a program of national health insurance, and for other purposes. H.R.113: To amend the Internal Revenue Code of 1986 to require group health plans to provide coverage for reconstructive surgery following mastectomy, consistent with the Women's Health and Cancer Rights Act of 1998. H.R.119: To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. H.R.282: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for second opinions. H.R.283: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans permit enrollees direct access to services of obstetrical and gynecological physician services directly and without a referral. H.R.506: To provide for innovation in health care through State initiatives that expand coverage and access. H.R.676: To provide for comprehensive health insurance coverage for all United States residents, and for other purposes. H.R.758: To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. H.R.914: To amend the Internal Revenue Code of 1986 to allow individuals a refundable credit against income tax for the purchase of private health insurance, and for other purposes. H.R.979: 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 protect consumers in managed care plans and other health coverage. H.R.1076: To promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. H.R.1367: To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans. H.R.1368: To establish a program to provide financial incentives to encourage the adoption and use of interactive personal health records. H.R.1424: To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans. H.R.1802: To amend the Internal Revenue Code of 1986 to provide a refundable tax credit to small businesses for the costs of qualified health insurance. H.R.1820: To amend the Internal Revenue Code of 1986 to extend the exclusion from gross income for employer-provided health coverage for employees' spouses and dependent children to coverage provided to other eligible designated beneficiaries of employees. H.R.1841: To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. H.R. 2034: to provide quality, affordable health care for all Americans. H.R. 2132: to amend the Public Health Service Act to establish a small business health benefits program. H.R. 2302: to amend the Internal Revenue Code of 1986 to allow a deduction for premiums for high deductible health plans required with respect to health savings accounts. H.R. 2633: to improve the health of Americans and reduce health care costs by reorienting the nation's health care system toward prevention, wellness, and self care. H.R. 2737: to amend the Internal Revenue Code of 1986 to allow previously uninsured individuals a refundable credit for health insurance costs and to provide tax incentives to encourage small business health plans.H.R.1111: To amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. H.R.2851: To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to ensure that dependent students who take a medically necessary leave of absence do not lose health insurance coverage, and for other purposes. H.R.3195: To restore the intent and protections of the Americans with Disabilities Act of 1990. H.R. 3234: To amend the Internal Revenue Code of 1986 to improve access to health care through expanded health savings accounts. H.R. 3306: To amend the Internal Revenue Code of 1986 to allow amounts in a health flexible spending arrangement that are unused during a plan year to be carried over to subsequent plan years or deposited into certain health or retirement plans. H.R. 3584: To amend title XXI of the Social Security Act to extend funding for 18 months for the State Children's Health Insurance Program (SCHIP), and for other purposes. H.R. 3800: to advance the adoption of nationwide interoperable health information technology and to improve health care quality and reduce health care costs in the United States. H.R. 4222: to amend title I of the Employee Retirement Income Security Act of 1974, the Internal Revenue Code of 1986, and title XXII of the Public Health Service Act to extend COBRA benefits for certain TAA-eligible individuals and PBGC recipients. H.R. 4232: to improve mental and substance use health care. 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.5442: To provide individuals with access to health information of which they are a subject, to ensure personal privacy, security, and confidentiality with respect to health related information in promoting the development of a nationwide interoperable health information infrastructure, to impose criminal and civil penalties for unauthorized use of personal health information, to provide for the strong enforcement of these rights, to protect States' rights, and for other purposes. 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.6357:to amend the Public Health Service Act to promote the adoption of health information technology, and for other purposes. H.R. 6444: to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. H.R.6357: To amend the Public Health Service Act to promote the adoption of health information technology, and for other purposes. H.R. 6699: to amend title XVIII of the Social Security Act to reform Medicare payments to physicians and certain other providers and improve Medicare benefits, to encourage the offering of health coverage by small businesses, to provide tax incentives for the purchase of health insurance by individuals, to increase access to health care for veterans, to address the nursing shortage. H.Res 1228: Ensuring access to affordable and quality health care without exacerbating the Federal budget or contributing to market inflation while providing greater choices for consumers. S.95: A bill to amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. S.99: A bill to amend the Internal Revenue Code of 1986 to provide a refundable credit for small business employee health insurance expenses. 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.244: A bill to improve women's access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the delivery of obstetrical and gynecological services. S.325: A bill to provide for innovation in health care through State initiatives that expand coverage and access and improve quality and efficiency in the health care system. S.400: A bill to amend the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code of 1986 to ensure that dependent students who take a medically necessary leave of absence do not lose health insurance coverage, and for other purposes. S.459: A bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. S.558: A bill to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. S.616: A bill to promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. S.733: A bill to promote the development of health care cooperatives that will help businesses to pool the health care purchasing power of employers, and for other purposes. S.1019: A bill to provide comprehensive reform of the health care system of the United States, and for other purposes. S.1198: to determine successful methods to provide protection from catastrophic health expenses for individuals who have exceeded health insurance lifetime limits, to provide catastrophic health insurance coverage for uninsured individuals, and for other purposes. S.1298: to amend the Social Security Act to establish a federal reinsurance program for catastrophic health care costs. S.1342: A bill to improve the health of Americans and reduce health care costs by reorienting the Nation's health care system toward prevention, wellness, and self care. S.1693: A bill to enhance the adoption of a nationwide interoperable health information technology system and to improve the quality and reduce the costs of health care in the United States. S.1753: 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.1754: A bill to amend the Public Health Service Act to provide for a workplace wellness education campaign and an evaluation of employer-based wellness programs, and for other purposes. S.1881: to amend the Americans with Disabilities Act of 1990 to restore the intent and protections of that law, and for other purposes. S. 2236: 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 provide additional limitations on preexisting condition exclusions in group health plans and health insurance coverage in the group and individual markets. S. 2499: to amend titles XVIII, XIX, and XXI of the Social Security Act to extend provisions under the Medicare, Medicaid, and State Children's Health Insurance programs S. 2706: to impose a limitation on lifetime aggregate limits imposed by health plans S. 2748: to direct the secretary of health and human services to publish physical activity guidelines for the general public, and for other purposes S. 3321: to amend the Public Health Service Act to provide coordinated leadership in federal efforts to prevent and reduce overweight and obesity and to promote sound health and nutrition among Americans S. 3402: to provide information and education to consumers concerning health care services and health insurance coverage. S. 3406: to restore the intent and protections of the Americans with Disabilities Act of 1990. S.3712: A bill to make a technical correction in the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008.

Client expense: $515,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade & Development Agency (USTDA), U.S. Trade Representative (USTR)

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

H.R. 3800 The Promoting Health Information Technology Act, All Titles; S 1692-The Wired for Health Care Quality Act- All titles.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Mental health parity [Mental Health Parity Act (S. 558) -- all provisions; Paul Wellstone Mental Health and Addiction Equity Act (H.R. 1424) -- all provisions; Emergency Economic Stabilization Act (H.R. 1424) -- provisions pertaining to mental health parity, Sec. 512] Comparative effectiveness research authorization issues [Enhanced Health Care Value for All Act (H.R. 2184) -- all provisions; Children's Health and Medicare Protection Act (H.R. 3162) -- Sec. 904] Expanding access to coverage for uninsured [Healthy Americans Act (S. 334, H.R. 3163) -- all provisions; American Health Benefits Program Act (H.R. 5348) -- all provisions] Health information technology issues [Wired for Health Care Quality Act (S. 1693) -- all provisions; Promoting Health Information Technology Act (H.R. 3800) -- all provisions; Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act (H.R. 6357) -- all provisions; Health-e Information Technology Act (H.R. 6898) -- all provisions; proposed HHS regulation pertaining to transition to ICD-10 billing codes; issues pertaining to the security and protection of personal health information] Issues pertaining to insurance coverage regulations [Breast Cancer Patient Protection Act (H.R. 758) -- provision regarding coverage rescissions (Sec. 7)]

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

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

Federal funding in the Health IT bills HR6357, HR3800 and S.1693

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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