Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007

HR 507, To establish a grant program to provide vision care to children, and for other purposes, sections as it relates to optometry and health care. HR1343 , To amend the Public Health Service Act to provide additional authorizations of appropriations for the health centers program under section 330 of such Act, and for other purposes, sections as it relates to optometry and health care. HR 1931, The Currency for All Act, sections as it relates to optometry and health care. HR 1884 , To amend the Public Health Service Act to provide for the participation of optometrists in the National Health Service Corps scholarship and loan repayment programs, and for other purposes, sections as it relates to optometry and health care. HR 2012, Contact Lens Consumer Health Protection Act, sections as it relates to optometry and health care. HR 2260, The Health Care Truth and Transparency Act of 2007, sections as it relates to optometry and health care. HR 2915, To amend the Public Health Service Act to reauthorize the National Health Service Corps Scholarship and Loan Repayment Programs, sections as it relates to optometry and health care. S 1117, A bill to establish a grant program to provide vision care to children, and for other purposes, sections as it relates to optometry and health care. S 1693, Wired for Health Care Quality Act, sections as it relates to optometry and health care. S 2408/HR 4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act, sections as it relates to optometry and health care. S 2708, A bill to amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans, sections as it relates to optometry and health care. S 2795, Small Business Health Options Program (SHOP) Act, sections as it relates to optometry and health care.

Client expense: $608,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2376 Medical Homes Act; S. 1683 Wired for Health Care Quality Act; S334 Health Americans Act; HR 6331 Medicare Improvements for Patients and Providers Act of 2008; HR 2407 Health Insurance Portability Act; HR 1322 Emergency Retiree Health Benefits Act; HR 1424 Paul Wellstone Mental Health and Addiction Equity Act of 2008; S.2408/H.R. 4296 Medicare Electronic Medication and Safety Protection Act; S/H.R. 493 Genetic Information Nondiscrimination Act; General Issues: Medical Home, ERISA, HSAs, Health Reform, Medicare, Generic Biologic Drugs, Health IT.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Treasury, Dept of

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

E-Prescribing, S. 2408/HR 4296 Medicare Electronic Medication and Safety Protection Act, Physician Disclosure, HR 5605/ S 2029 - Physician Payments Sunshine Act, Physician Reimbursement/Medicare Physician Fee Schedule, HR 3162, Children's Health and Medicare Protection Act, S. 2785, Save Medicare Act, HR 5545/S.2729 Ensuring the Future Physician Workforce, HR 5445 - to increase Medicare payments for physicians' services, Imaging, HR 1293/S1338, Access to Medicare Imaging Act, Health Information Technology S 1042/HR 583 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act Appropriateness Criteria and Accreditation National Coverage Decision on CTA (CMS) National Coverage Decision on Percutaneous Transluminal Angioplasty concurrent w/Stenting (CMS) Quality Improvement (PQRI) Specialty Hospitals Comparative Effectiveness HR 6331, Medicare Improvements for Patients and Providers Act of 2008 S. 3101, the Medicare Improvements for Patients and Providers Act of 2008 S. 3118, Preserving Access to Medicare Act of 2008 Cardiac Magnetic Resonance Services Coverage for Carotid Stenting IDTF and Anti-markip rules in Physician Fee Schedule

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

S. 3101, the Medicare Improvements for Patients and Providers Act of 2008, Medicare reimbursement for physicians. H.R. 6331, the Medicare Improvement for Patients and Providers Act of 2008, Medicare reimbursement for physicians. S. 2785, Save Medicare Act of 2008, physician reimbursement issues. H.R. 5545 and S. 2729, Ensuring the Future Physician Workforce Act of 2008, physician reimbursement issues. H.R. 5445, to amend Part B of Title XVIII of the Social Security Act to increase Medicare payments for physician services through December 31, 2009, physician reimbursement issues. S. 2408 and H.R. 4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007, issues related to electronic prescribing of medications. Private Fee for Service Plans in the Medicare Advantage Program, payment rates. Preservation of the whole-hospital exception to the Stark laws. H.R. 5613, Protecting the Medicaid Safety Net Act of 2008, concerning Medicaid regulations. Technical corrections for the Medicare Improvements for Patients and Providers Act of 2008, Medicare reimbursement for physicians. Medicaid Tamper Resistant Pads. Medicare Program - Physician Quality Reporting Initiative Medicare Program - Medicare Electronic Health Record Demonstration project Medicare Program - Proposed Standards for E-prescribing under Medicare Part D. Medicare Program - Medicare Advantage Medicare Program - Physican Enrollment

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

Generic Biologics (S. 623; S. 1695; H.R. 1038); Health system / insurance / ERISA reform (H.R. 676; H.R. 506; H.R. 2034; H.R. 3163; S. 334; S. 1783; S. 1019; S. 2818; S. 1886; S. 2795; H.R. 6210); Health cost savings / comparative effectiveness / wellness promotion (H.R. 2184; H.R. 3162; S. 1342; S. 1753; S. 1754; H.R. 3717; H.R. 853; H.R. 2633; S. 3408); Health IT (S. 1693; H.R. 5442; H.R. 6357; H.R. 6898); High Risk Pools (S. 3230, Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing of Medicare private insurance products (H.R. 3162, S 3101, HR 6331, HR 4296, S. 2408); medcal liability reform (S. 243, S 2662, HR 2580, HR 5480, insurance regulation (S 40, HR 5611, HR 5840), long term care (S 1758, S 2337, HR 3363); SCHIP reauthorization (HR 976, HR 3963); Health insurance tax treatment (HRAs, HSAs, FSAs, Health Care Tax Credit--HR 3920, HR 3943, HR 4341, S 1739, S 1848, HR 5719); Small business / national pooling of insurance health reform (S. 2795; H.R. 6210; H.R. 6582)

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

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

HR 2945 - Medicare Advantage Truth in Advertising Act; HR 2642 - Supplemental Appropriations for FY 2008; HR 4296 - Medicare Electronic Medication and Safety Protection Act; HR 5613 - Protecting the Medicaid Safety Net Act; HR 6331 - Medicare Improvements for Patients and Providers Act of 2008; HR 6365 - Medicare Special Needs Plans Extension and Amendments Act of 2008; S 1507 - Access to Medicare Data Act; S 1544 - Medicare Quality Enhancement Act; S 1954 - Pharmacy Access Improvement Act; S 2408 - Medicare Electronic Medication and Safety Protection Act; S 3101 - Medicare Improvements for Patients and Providers Act of 2008; S 3560 - QI Program Supplemental Funding Act of 2008; HR 2638 - Consolidated Security, Disaster Assistance and Continuing Appropriations Act; S 3236 - The Medicare and Medicaid Extensions Act of 2008; HR 2 - Children's Health Insurance Program Reauthorization Act of 2008

Client expense: $840,000 · Firm income: Not reported

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

Generic Biologics (s. 623; S. 1695; H.R. 1038); Health system/Insurance/ ERISA reform (H.R. 676; H.R. 506; H.R. 2034; H.R. 3163; S. 334; S. 1783; S. 1019; S. 2818; S. 1886; S. 2795; H.R. 6210); Health cost savings/comparative effectiveness/wellness promotion (H.R. 2184; H.R. 3162; S. 1342; S. 1753; S. 1754; S. 3408; H.R. 3717; H.R. 853; H.R. 2633); Health IT (S. 1693; H.R. 5442; H.R. 6357; H.R. 6898); High risk pools (S. 3230, Labor HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing of Mediare-related private insurance products - H.R. 3162; S. 3101; H.R. 6331; H.R. 4296; s. 2408); medical liability reform (S. 243; S. 2662; H.R. 2580; H.R. 5480); insurance regulation (S. 40; H.R. 5611; H.R. 5840); Long term care (S. 2337, S. 1758; H.R. 3363); SCHIP reauthorization (H.R. 976); Health Insurance Tax Treatment (HSAs, FSAs, HRAs, Health Coverage Tax Credit - H.R. 3920; H.R. 3943; H.R. 4341; S. 1739; S. 1848; H.R. 5719); small business/national pooling of insurance health reform (s. 2795; H.R. 6210; H.R. 6582)

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

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

Generic Biologics (S. 623; S. 1695; H.R. 1038); Health system / insurance / ERISA reform (H.R. 676; H.R. 506; H.R. 2034; H.R. 3163; S. 334; S. 1783; S. 1019; S. 2818; S. 1886; S. 2795; H.R. 6210); Health cost savings / comparative effectiveness / wellness promotion (H.R. 2184; H.R. 3162; S. 1342; S. 1753; S. 1754; H.R. 3717; H.R. 853; H.R. 2633; S. 3408); Health IT (S. 1693; H.R. 5442; H.R. 6357; H.R. 6898); High Risk Pools (S. 3230, Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing of Medicare-related private insurance products H.R. 3162; S. 3101; H.R. 6331; H.R. 4296; S. 2408); medical liability reform (S. 243; S. 2662; H.R. 2580; H.R. 5480); insurance regulation (S. 40; H.R. 5611; H.R. 5840); Long Term Care (S. 1758; S. 2337; H.R. 3363); SCHIP reauthorization (H.R. 976; H.R. 3963); Health Insurance Tax Treatment (HSAs, FSAs, HRAs, Health Coverage Tax Credit H.R. 3920; H.R. 3943; H.R. 4341; S. 1739; S. 1848; H.R. 5719); Small business / national pooling of insurance health reform (S. 2795; H.R. 6210; H.R. 6582)

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

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

Advocate for cost containment policies, including generic access and the removal of barriers to greater competition in the pharmaceutical marketplace (including but not limited to H.R. 1038, S. 623, H.R. 5629, H.R. 1956, S. 1505, S. 1695). Food and Drug Administration Amendents Act of 2007 (H.R. 3580) Counterfeit Drugs/Import safety/Pedigree Electronic prescribing (including H.R. 6331, S. 2408, and H.R. 4296) Prescription drug importation/re-importation Average Manufacturers Price/AMP

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

Government targets: Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, SENATE

Advocate for cost containment policies, including generic access and the removal of barriers to greater competition in the pharmaceutical marketplace (including but not limited to H.R. 1038, S. 623, H.R. 5629, H.R. 1956, S. 1505, S. 1695). Food and Drug Administration Amendents Act of 2007 (H.R. 3580) Counterfeit Drugs/Import safety/Pedigree Electronic prescribing (including H.R. 6331, S. 2408, and H.R. 4296) Prescription drug importation/re-importation Average Manufacturers Price/AMP

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

Government targets: Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, SENATE

Advocate for the creation of a regulatory pathway for generic biologic medications and policies that promote competition in the pharmaceutical marketplace, including but not limited to H.R. 1038, S. 623, H.R. 5629, H.R. 1956, S. 1505, S. 1695; advocate for cost containment policies related to electronic prescriptions including but not limited H.R. 6631, S. 2408, H.R. 4296.

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

Government targets: Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, SENATE

Advocate for cost containment policies related to electronic prescriptions (including H.R. 6331, S. 2408, and H.R. 4296).

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

Government targets: Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, SENATE

Advocate for the creation of a regulatory pathway for generic biologic medications and policies that promote competition in the pharmaceutical marketplace, including but not limited to H.R. 1038, S. 623, H.R. 5629, H.R. 1956, S. 1505, S. 1695; advocate for cost containment policies related to electronic prescriptions including but not limited H.R. 6631, S. 2408, H.R. 4296.

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

Government targets: Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, SENATE

Advocate for cost containment policies related to electronic prescriptions, comparative effectiveness, and advocate for policies on broader health care reform initiatives (including but not limited to H.R. 6631, S. 2408, H.R. 4296, S. 334). Advocate for cost containment policies related to the creation of a regulatory pathway for generic biologic medications (including but not limited to H.R. 1038, S. 623, H.R. 5629, H.R. 1956, S. 1505, S. 1695).

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

Government targets: Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, SENATE

-Advocate for cost containment policies related to electronic prescriptions (H.R. 6331, H.R. 4296 and S. 2408) -Advocate for policies related to broader health care reform initiatives (S. 334).

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

Government targets: Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, SENATE

Advocate for initiatives designed to improve safety, enhance quality and constrain costs through generic utilization and the use of electronic prescribing (including but not limited to H.R. 1038, S. 623, H.R. 5629, H.R. 1956, S. 1505, S. 1695, H.R. 6631, S. 2408, and H.R. 4296)

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

Government targets: Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, SENATE

Advocate for initiatives designed to improve safety, enhance quality and constrain costs through generic utilization and the use of electronic prescribing (including but not limited to H.R. 1038, S. 623, H.R. 5629, H.R. 1956, S. 1505, S. 1695, H.R. 6631, S. 2408, and H.R. 4296)

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

Government targets: Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, SENATE

Advocate for initiatives designed to improve safety, enhance quality and constrain costs through generic utilization and the use of electronic prescribing (including but not limited to H.R. 1038, S. 623, H.R. 5629, H.R. 1956, S. 1505, S. 1695, H.R. 6631, S. 2408, and H.R. 4296)

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

Government targets: Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, SENATE

HR 1322 Emergency Retiree Health Benefits Protection Act of 2007 - oppose provisions that would not allow companies to reduce retiree health benefits under ERISA covered group health plans. HR 1322 Emergency Retiree Health Benefits Protection Act of 2007 - oppose provisions that would not allow companies to reduce retiree health benefits under ERISA covered group health plans. HR 2900 Food and Drug Administration Amendments Act of 2007 - Support FDA authority to approve biogeneric drugs. HR 4296 Medicare Electronic Medication and Safety Protection Act of 2007 - Support the bill because it would reduce costly prescription medication errors. HR 6143 Pension Protection Act ERISA Amendments Act of 2008 - Concerning section 105, which prohibits changes, reductions or termination of retiree health benefits once an employee has retired. HR 6331 Medicare Impremovements for Patients and Providers Act of 2008 - Concerning Section 231 as it relates to "e-prescribing," which would reduce costly medical errors. HR 6357 The PRO(TECH) Act of 2008 - Support health information technology because it creates a more transparent consumer friendly health marketplace. S 334 Health Americans Act - Concerning core provisions of the bill that would harm ERISA health plans by proposing a state-by-state approach to comprehensive health care reform. S 1455 National Health Information Technology and Privacy Advancement Act of 2007- Concerning establishment of a health information technology and privacy system. S 1544 Medicare Quality Enhancement Act of 2007 - Support provisions to assist employees in obtaining information on health care services and providers. S 1693 Wired for Health Care Quality Act - Support the benefits of electronic records in reducing errors. S 1695 Biologics Price Competition and Innovation Act of 2007 - To support FDA authority to approve biotech drug products and their "generic follow-on versions." S 2408 Medicare Electronic Medication and Safety Protection Act of 2007 - To support efforts to reduce costly prescription medication errors and improve quality for patients/employees.

Client expense: $3,378,638 · Firm income: Not reported

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

Medicare Part D Pricing S.2408 & H.R. 4296, Medicare Electronic Medication and Safety Protection Act of 2007 H.R.6331, Medicare Improvements for Patients and Providers Act of 2008

Client expense: $670,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, 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

MMM (Legislative Issues): H.R. 4: Medicare Prescription Drug Price Negotiation Act (Dingell); H.R. 976: Childrens Health Insurance Program Reauthorization Act (Rangel) (continued) H.R. 1990: Medicare Cost Contract Extension and Refinement Act (Pomeroy); H.R. 2945: Medicare Advantage Truth in Advertising Act (Stark); H.R. 3025: Medicare Prescription Drug Savings for Our Seniors Act (Doggett); H.R. 3061: Medicare Part D Drug Class Protection Act (Doggett); H.R. 3162: Childrens Health and Medicare Protection Act (Dingell); H.R. 3932: Medicare Prescription Drug Savings and Choice Act (Berry); H.R. 3963: Childrens Health Insurance Program Reauthorization Act (Dingell); H.R. 4296: Medicare Electronic Medication and Safety Protection Act (Schwartz); H.R. 5268: Medicaid FMAP (Pallone); H.R. 5480: Medicare Funding Warning Response Act (Hoyer-Boehner); H.R. 5613: Protecting the Medicaid Safety Net Act (Dingell); H.R. 5683: GAO Act (provisions relating to access to Medicare part C/part D data) (Davis); H.R. 5998: Protecting Children's Health Coverage Act (Pallone); H.R. 6331: Medicare Improvements for Patients and Providers Act (provisions relating to Medicare Advantage, Medicare Part D, Medigap, Medicaid, health care disparities, and electronic prescribing) (Rangel-Dingell); H.R. 6388: GAO Improvement Act (provisions relating to access to Medicare part C/part D data) (Waxman); H.R. 6359: Medicare Beneficiary Protection Act (Biggert); H.R. 6365: Medicare Special Needs Plans Extension and Amendments Act (Kind); H.R. 7077: QI Program Supplemental Funding Act (Dingell) (provisions relating to cost sharing assistance for low-income Medicare beneficiaries); H.R. 7197: Medicare Advantage Funding (Gonzalez) (provisions relating to limiting increases in Medicare Advantage payment rates); H.Res. 1368 (provisions relating to Medicare Funding Warning); S. 3: Medicare Prescription Drug Price Negotiation Act (Reid); S. 130: Medicare Cost Contract Extension and Refinement Act (Allard); S. 706: Medicare Advantage Stabilization Fund (Feingold); S. 799: Community Choice Act (Harkin); S. 1102: Part D Equity for Low-Income Seniors Act (Bingaman); S. 1103: Helping Fill the Medicare Rx Gap Act (Bingaman); S. 1107: Home and Community Services Copayment Equity Act (Smith); S. 1108: Medicare Part D Outreach and Enrollment Enhancement Act (Smith); S. 1200: Indian Health Care Improvement Act (includes Medicaid/MA provisions); S. 1507: Access to Medicare Data Act (Grassley); S. 1544: Medicare Quality Enhancement Act (Gregg); S. 1589: Drug Rebate Equalization Act (Bingaman) (provisions relating to Medicaid drug rebates); S. 1827: Pharmacist Access and Recognition in Medicare Act (Cochran); S. 1893: Childrens Health Insurance Program Reauthorization Act (Baucus); S. 1954: Pharmacy Access Improvement Act (Baucus); S. 2219: Medicare Prescription Drug Savings and Choice Act (Durbin); S. 2408: Medicare Electronic Medication and Safety Protection Act (Kerry); S. 2620: Medicaid FMAP (Rockefeller); S. 2662: Medicare Funding Warning Response Act (Baucus-Gregg); S. 2795: Small Business Health Options Program Act (Durbin-Snowe); S. 2819: Economic Recovery in Health Care Act (provisions relating to Medicaid funding) (Rockefeller); S. 3101: Medicare Improvements for Patients and Providers Act (provisions relating to Medicare Advantage, Medicare Part D, Medigap, Medicaid, health care disparities, electronic prescribing) (Baucus); S. 3560: QI Program Supplemental Funding Act (Baucus) (provisions relating to cost sharing assistance for low-income Medicare beneficiaries); S. 3604: Emergency Supplemental Appropriations Act (provisions relating to Medicaid FMAP); S. 3656: Preserving Access to Healthcare Act (Schumer) (provisions relating to Medicare and Medicaid regulation); S. 3869: Economic Stimulus (Reid) (provisions relating to Medicaid FMAP and Medicaidd MCO provider taxes); S. 3710: Medicare Early Access Act (Rockefeller) (provisions relating to Medicare "buy-in" option); and S.J.Res. 44 (provisions relating to blocking implementation of SCHIP requirements). MMM (Regulatory Issues) Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology and data issues, (including audit and encounter data issues), bidding and payment issues (including MA coding intensity, Part D reinsurance, low income subsidies, application process, and audits), application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, SSA and CMS premium withhold processing issues, enrollment rules, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff, measurement and oversight of plan performance including Special Needs Plans (SNPs); quality meaasures, grievance and appeals processes, compliance/fraud and abuse training, and Medicare/Medicaid integration issues for Special Needs Plans (SNPs); Federal premption of State authority over MA and Part D plans, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, and other operational issues; Medicare creditable drug coverage reporting requirements; implementation issues for the Medicare Retiree Drug Subsidy program; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education program; ongoing implementation issues for the Medicare cost plan program including enrollment, marketing materials review and approval and other operational issues, MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting inititiative; issues relating to Medicare coverage policy and national coverage decisions; Medicare clinical trials; Medicaid managed care regulations and policies, including the Medicaid managed care actuarial soundness standard, quality oversight, grievance and appeals processes, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost/rebate issues affecting Medicaid health plans; health plan-related State Childrens Health Insurance Program (SCHIP) issues, including eligibility and outreach issues; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including documentation of citizenship requirements, state benefit flexibility options, and Medicaid managed care organization provider tax issues; standards for electronic prescribing; and health information technology standards and policies.

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

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

Comparative Effectiveness Research (H.R.2184, H.R.3162, S.3408) Genetic Information Nondiscrimination Act (S.358, H.R.493, H.R.1424) Mental Health Parity (S.558, H.R.1424) Health Care Reform (S.334, H.R.6444) Medicare Quality Enhancement Act (S.1544, S.1693, H.R.3370) Health Information Technology (S 1693, H.R.6357; H.R.6898) Biogenerics Legislation (S.1695, S.623, H.R.1038, H.R.1956, H.R.5629) Electronic Prescribing (S.2408, H.R.4296) ERISA Preemption Issues

Client expense: $3,320,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Council of Economic Advisers (CEA), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Highway Administration (FHA), Federal Reserve System, Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Natl Economic Council (NEC), Natl Highway Traffic Safety Administration (NHTSA), Natl Security Council (NSC), Natl Transportation Safety Board (NTSB), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office of Thrift Supervision (OTS), SENATE, State, Dept of (DOS), Surface Transportation Board (STB), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR)

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)

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

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

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

E-Prescribing, S. 2408/HR 4296 Medicare Electronic Medication and Safety Protection Act, Physician Disclosure, HR 5605/ S 2029 - Physician Payments Sunshine Act, Physician Reimbursement/Medicare Physician Fee Schedule, HR 3162, Children's Health and Medicare Protection Act, S. 2785, Save Medicare Act, HR 5545/S.2729 Ensuring the Future Physician Workforce, HR 5445 - to increase Medicare payments for physicians' services, Imaging, HR 1293/S1338, Access to Medicare Imaging Act, Health Information Technology S 1042/HR 583 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act Appropriateness Criteria and Accreditation National Coverage Decision on CTA (CMS) National Coverage Decision on Percutaneous Transluminal Angioplasty concurrent w/Stenting (CMS) Quality Improvement (PQRI) Specialty Hospitals Comparative Effectiveness HR 6331, Medicare Improvements for Patients and Providers Act of 2008 S. 3101, the Medicare Improvements for Patients and Providers Act of 2008 S. 3118, Preserving Access to Medicare Act of 2008 Cardiac Magnetic Resonance Services Coverage for Carotid Stenting IDTF and Anti-markip rules in Physician Fee Schedule Value-based Purchasing

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. 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

S. 45/H.R. 896, to lift the patient limitation on prescribing drug addiction treatments by medical practitioners in group practices, S. 1082, Prescription Drug User Fee Amendments of 2007 H.R. 2900, The FDA Amendments Act Promoting Quality and Efficient Health Care in Federal Government Administered or Sponsored, Executive Order; 2006 S. 2408/H.R. 4296, E-MEDS Act of 2007

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

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

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

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

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

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

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

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

Issues pertaining to implementation of the Medicare Prescription drug benefit HR.1474, Fair and Speedy Treatment (FAST) of Medicare Prescription Drug Claims Act of 2007 S.1827, Pharmacist Access and Recognition in Medicare (PhARM) Act of 2007 S.1954, Pharmacy Access Improvement (PhAIm) Act of 2007 S.1951, Fair Medicaid Drug Payment Act of 2007 HR.3700, Fair Medicaid Drug Payment Act of 2007 HR.3140, Saving Our Community Pharmacies Act of 2007 S.3101, Medicare Improvements for Patients and Providers Act of 2008 S.3118, Preserving Access to Medicare Act of 2008 HR.6331, Medicare Improvements for Patients and Providers Act of 2008 S.2408, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 HR.4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

NIH public access issue. H.R. 4296, Incentive Payments for Physician Use of E-Prescribing Health IT issues

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), 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: $3,119,054 · 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. 110-24, 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: $3,119,054 · 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

H.R. 2066, S. 59: Medicaid Advanced Practice Nurse and Physician Assistant Access Act of 2007. S. 1842, H.R. 2122: The Safe Nursing and Patient Care Act of 2007. S. 73, H.R. 4138: The Registered Nurse Safe Staffing Act of 2007. S. 1678, H.R. 6826: Home Health Care Planning Improvement Act. H.R. 5174: The Nursing and Allied Health Education Preservation Act of 2008. H.R. 4296, S. 2408: Medicare Electronic Medication and Safety Protection Act of 2007. H.R. 6898: Health-e Information Technology Act of 2008. All provisions related to grants to health care providers to support the adoption of electronic health records. S. 3613: Independence at Home Act of 2008.

Client expense: $328,742 · Firm income: Not reported

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

H.R. 6331/ S. 3101 - Medicare Improvements for Patients and Providers Act of 2008 (P.L. 110-275) Sections on Medicaid AMP, Medicare Part D prompt payment, DME Competitive Bidding and Accredition, Prescription Drug Pricing, Long-Term Care pharmacies, and e-prescribing H.R. 4296/ S. 2408 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 H.R. 3700/ S. 1951 - Fair Medicaid Drug Payment Act of 2007 H.R. 3140 - Saving Our Community Pharmacies Act of 2007 S. 1827 - Pharmacist Access and Recognition in Medicare (PhARM) of 2007 H.R. 3025 - Medicare Prescription Drug Savings for Our Seniors Act of 2007 (Docket Number: CMS 4138- IFC) Medicare Program; Revisions to the Medicare Advantage and Prescription Drug Benefit Programs Sections on Prompt Payment of Clean Claims, Prescription Drug Pricing, Long-Term Care Pharmacies, Special Needs Plans, and Medication Therapy Management (Docket Number: CMS-1404-FC) Medicare Program: Changes to the Hospital Outpatient Prospective Payment System and CY 2009 Payment Rates. Final Rule with Comment Period (Docket Number: CMS-4121-F) CMS Final Rule on Prohibiting Midyear Changes to Medicare Advantage Plans (Docket Number: CMS-1403-P) CMS Amendment on Medicare Program; Revisions to Amendment of the E-Prescribing Exemption for Computer-Generated Facsimiles (Docket Number: CMS-7011-N) CMS Notice on Medicare Program: Request for Cosponsors for E-prescribing Educational Conference (Docket Number: CMS-2238-F) Medicaid Program; Multiple Source Drug Definition (Public Law 110-28 and Public Law 110-90) Medicaid's Tamper-Resistance Prescription Pad Requirement (Public Law 109-171) Deficit Reduction Act of 2005 Section on Average Manufacturers Price (AMP) (Public Law 108-173) Medicare Modernization Act (MMA) Section on Medicare Advantage and Medicare Part D Fraud, Waste, and Abuse Training Concept (No Bill Language): Medicare Part B "Provider Status" for Pharmacists Concept (No Bill Language): Changes to Medicare Part D Medication Therapy Management Benefit

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

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

HR 2945 - Medicare Advantage Truth in Advertising Act; HR 2642 - Supplemental Appropriations for FY 2008; HR 4296 - Medicare Electronic Medication and Safety Protection Act; HR 5613 - Protecting the Medicaid Safety Net Act; HR 6331 - Medicare Improvements for Patients and Providers Act of 2008; HR 6365 - Medicare Special Needs Plans Extension and Amendments Act of 2008; S 1507 - Access to Medicare Data Act; S 1544 - Medicare Quality Enhancement Act; S 1954 - Pharmacy Access Improvement Act; S 2408 - Medicare Electronic Medication and Safety Protection Act; S 3101 - Medicare Improvements for Patients and Providers Act of 2008; S 3560 - QI Program Supplemental Funding Act of 2008; HR 2638 - Consolidated Security, Disaster Assistance and Continuing Appropriations Act; S 3236 - The Medicare and Medicaid Extensions Act of 2008; HR 2 - Children's Health Insurance Program Reauthorization Act of 2008

Client expense: $800,000 · Firm income: Not reported

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

S 2337/HR 3363 Long-Term Care Affordability and Security Act - Discussed consumer protections for LTC insurance. S 1070/HR 1783 Elder Justice Act/S 1577 Patient Safety and Abuse Prevention Act of 2007 - Support for both pieces of legislation, strategy for how they might both move forward next year. S 3327/HR 7212 - Empowered at Home Act - Lobbied to adjust budget neutrality requirement in waivers to include costs in both Medicare and Medicaid and other improvements to bill. Also lobbied in support of the bill. HR 7110/S 3604 Job Creation and Unemployment Relief Act - Lobbied for FMAP funding. HR 5613 Protecting the Medicaid Safety Net Act of 2008 - Supported this legislation, particularly provisions related to placing a moratorium on seven harmful Medicaid regulations. Discussed need to strengthen low-income programs by raising asset limits and streamlining rules, and to keep premiums affordable for all beneficiaries, and promote e-prescriptions in medicare (no bill number). S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported provisions related to requiring e-prescribing in Medicare Part D, at first by providing incentive payments to providers who do and after 2011 lower payments to providers who do not. S 2641 Nursing Home Transparency and Improvement Act and HR 7128 Nursing Home Transparency and Quality of Care Improvement Act - Discussed the bill and provided suggestions for changes to the bill, nursing home quality and proposed five star rating system cms; poor performing nursing homes, family caregiving initiative, nursing home compliance guidelines, Home Health CAHPS, LTC Partnership Program (under Medicaid data reporting requirements), LTC Quality Alliance. To build support and obtain sponsors for Medicaid Family Caregiver Assessment Demonstration proposal (no bill number). Discussion and input on legislation to improve the health/LTC workforce and support family caregivers (no bill number). Advance directives and end-of-life care, education of the public about these issues, portability, and other issues relating to advance directives (no bill number). HR 7114/S3613 Independence at Home Act/Chronic Care Coordination - Lobbied on and support for legislation to provide chronic care coordination services to certain Medicare beneficiaries. S 3101/HR 6331 Medicare Improvements for Patients and Providers Act of 2008 - Discussed implementation to help improve Medicare. Lobbied for appeal notices for Medicare beneficiaries in Medicare Advantage plans (no bill number). S 1102 Part D Equity for Low-Income Services - Lobbied for legislation to increase Medicare Part D LIS. HR 1536 Prescription Coverage Now Act - Lobbied for legislation to increase Medicare Part D LIS asset limits. HR 6033 - Discussed provisions of Home-Based Health Services Job Training and Caregiving Act and ways to improve bill.

Client expense: $6,870,000 · Firm income: Not reported

Government targets: Administration on Aging, Commerce, Dept of (DOC), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Reserve System, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

Medicare Advantage program - Proposed legislation concerning this issue. Medicare/Medicaid issues - HR 4, Medicare Prescription Drug Price Negotiation Act of 2007; S 3, Medicare Prescription Drug Price Negotiation Act of 2007; S 1102, Part D Equity for Low-Income Seniors Act of 2007; S 1103, Helping Fill the Medicare Rx Gap Act of 2007; S 1107, Home and Community Services Copayment Equity Act of 2007; S 1108, Medicare Part D Outreach and Enrollment Enhancement Act of 2007; HR 2945, Medicare Advantage Truth in Advertising Act of 2007; S 799, Community Choice Act of 2007; S 1544, Medicare Quality Enhancement Act of 2007; S 1507, Access to Medicare Data Act of 2007; S 1827, Pharmacist Access and Recognition in Medicare (PhARM) Act of 2007; HR 3025, Medicare Prescription Drug Savings for Our Seniors (Medicare Prescription Drug SOS) Act of 2007; HR 3061, Medicare Part D Drug Class Protection Act of 2007; HR 3162, Children's Health and Medicare Protection Act of 2007; HR 976, Children's Health Insurance Program Reauthorization Act of 2007; S 1893, Children's Health Insurance Program Reauthorization Act of 2007; S 1954, Pharmacy Access Improvement (PhAIm) Act of 2007; HR 3963, Children's Health Insurance Program Reauthorization Act of 2007; S 2219, Medicare Prescription Drug Savings and Choice Act of 2007; HR 3932, Medicare Prescription Drug Savings and Choice Act of 2007; S 2408, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007; HR 4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007; S 1200, Indian Health Care Improvement Act Amendments of 2008; HR 5480, Medicare Funding Warning Response Act of 2008; S 2662, Medicare Funding Warning Response Act of 2008; HR 5268, To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program; HR 6388, Government Accountability Office Improvement Act of 2008; HR 5998, Fair and Justifiable Credit Card Interest Rate Act of 2008; S 2819, Economic Recovery in Health Care Act of 2008; HR 6359, Medicare Beneficiary Protection Act of 2008; HR 6365, Medicare Special Needs Plans Extension and Amendments Act of 2008; HR 5613, Protecting the Medicaid Safety Net Act of 2008; S 2620, To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid program; HR 5683, Government Accountability Office Act of 2008; HR 7110, Job Creation and Unemployment Relief Act of 2008; S 3560, QI Program Supplemental Funding Act of 2008; HR 7077, QI Program Supplemental Funding Act of 2008; S 3604, Emergency Supplemental; HR 7197, To amend part C of title XVIII of the Social Security Act to limit increases in Medicare Advantage payment rates; S 3656, Preserving Access to Healthcare (PATH) Act of 2008; S 3689, Economic Stimulus; S 3710, Medicare Early Access Act of 2008; S 3101, Medicare Improvements for Patients and Providers Act of 2008.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE