Health Care Choice Act of 2007

HR 493 - Genetic Information Nondiscrimination Act; HR 758 - Breast Cancer Patient Protection Act; HR 1424 - Paul Wellstone Mental Health and Addiction Equity Act; HR 2851 - Michelle's Law; HR 3997 - Tax Relief Act with MHP Extension; HR 4460 - Health Care Choice Act; HR 6908 - Health Insurance Source of Injury Clarification Act; S 46 - Affordability in the Individual Market Act; S 358 - Genetic Information Nondiscrimination Act; S 459 - Breast Cancer Patient Protection Act; S 558 - Mental Health Parity Act; S 2447 - Health Care Choice Act; HR 7110 - Job Creation and Unemployment Relief Act; S 3604 - Fiscal 2008 Second Supplemental Appropriations

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

HR 3963 Children's Health Insurance Program Reauthorization Act of 2007 S 2499 Medicare, Medicaid and SCHIP Extension Act of 2007 S 558 Mental Health Parity Act of 2007 S 1693 Wired for Health Care Quality Act S 1695 Biologics Price Competition and Innovation Act of 2007 HR 4460 Health Care Choice Act S 1883 Accountability and Transparency in Medicare Marketing Act of 2007 HR 976 Children's Health Insurance Program Reauthorization Act of 2007 HR 5629 Pathway for Biosimilars Act HR 1424 Paul Wellstone Mental Health and Addiction Equity Act HR 3162 Children's Health and Medicare Protection Act of 2007 HR 493 Genetic Information Non-Discrimination Act of 2008 HR 6357 Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 HR 4460 Health Care Choice Act of 2007 HR 6331 Medicare Improvements for Patients and Providers Act of 2008 - provisions relating to Medicare Advantage and Part D HR 6444 Healthy Americans Act HR 1424 Emergency Economic Stabilization Act of 2008 S 3101 Medicare Improvements for Patients and Providers Act of 2008 - provisions relating to Medicare Advantage and Part D S 3118 Preserving Access to Medicare Act of 2008 - provisions relating to Medicare Advantage and Part D S 334 Healthy Americans Act

Client expense: $505,001 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE, White House Office

HR 1328/ S 1200, "Indian Health Care Improvement Act Reauthorization Bill," regarding sections 403 and 407 of the House version and section 415 of the Senate version; HR 4460/ S 2477, "Health Care Choice Act," monitoring activity regarding all provisions; HR 506, "The Health Partnership Through Creative Federalism Act," monitoring activity regarding all provisions; S 1758, "Community Living Assistance Services and Supports Act," regarding all provisions; S 1693, "The Wired for Health Care Quality Act," regarding all provisions; S 504 "Long-Term Care Trust Account Act of 2007", regarding all provisions; HR 2582, "Qualified Long-Term Care Fairness Act of 2007", regarding all provisions; S 1758, "Community Living Assistance Services and Supports Act", regarding all provisions; HR 5559 "Long-Term Care Retirement and Security Act of 2008", regarding all provisions; HR 493, "Genetic Nondiscrimination Act of 2007", regarding all provisions; S 334 "Healthy Americans Act", regarding all provisions; HR 6210/ S2795, "SHOP Act", regarding all provisions; HR 6357, "PRO(TECH)T Act of 2008", regarding all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

INS (Legislative): H.R. 241: Association Health Plans (Johnson); H.R. 758: Breast Cancer Patient Protection Act (DeLauro) (continued) INS (Legislative) (cont.) H.R. 1081: Insurance Industry Competition Act (DeFazio); H.R. 1282: Medigap Access Improvement Act (English); H.R. 1424: Paul Wellstone Mental Health and Addiction Equity Act (Kennedy); H.R. 2412: Equity in Prescription Insurance and Contraceptive Coverage Act (Lowey); H.R. 2676: Access to Cancer Clinical Trials Act (Pryce); H.R. 2842: Childrens Health Protection Act (Schwartz); H.R. 2851: Michelles Law (Hodes) (provisions relating to continuity of coverage for college students on medical leave); H.R. 3001: Community Living Assistance Services and Supports Act (Pallone); H.R. 3195: ADA Amendments Act (Hoyer); H.R. 3200: National Insurance Act (provisions relating to regulatory reform) (Bean); H.R. 3425: Cancer Screening Coverage Act (Maloney); H.R. 4460: Health Care Choice Act (provisions relating to health insurance reforms in individual market) (Shadegg); H.R. 5550: Coverage for Young Adult Dependents of Federal Employees (Davis); H.R. 5781: Federal Employees Paid Parental Leave Act (Maloney) (provisions relating to disability study); H.R. 5840: Insurance Information Act (Kanjorski) (provisions relating to federal Office of Insurance Information); H.R. 5938: Identity Theft Enforcement and Restitution Act (Conyers); H.R. 6049: Energy Improvement and Extension Act (provisions relating to mental health parity); H.R. 6071: Health Care Consumer Protection Act (Forbes) (provisions relating to reinstatement of health insurance following nonpayment of premiums); H.R. 6142: Lawsuits Against Employer-Sponsored Disability Benefit Plans (Andrews); H.R. 6210: Small Business Health Options Program Act (Kind-English); H.R. 6528: Health Insurance Coverage Protection Act (Eshoo) (provisions relating to limitations on lifetime limits); H.R. 6582: Small Business CHOICE Act (Velazquez) (provisions relating to health insurance); H.R. 6908: Health Insurance Restrictions and Limitations Clarifications Act (Burgess) (provisions relating to disclosure rules for coverage exclusions); H.R. 6983: Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (Kennedy) (provisions relating to mental health parity); H.R. 7129: Several Approaches to Reduce the Uninsured Act (Andrews) (relating to state regulation of employer-sponsored health benefits); S. 40: National Insurance Act (provisions relating to regulatory reform) (Sununu); S. 46: Affordability in the Individual Market Act (provisions relating to HSAs) (Ensign); S. 239: Notification of Risk to Personal Data Act (Feinstein); S. 400: Michelle's Law (provisions relating to continuity of coverage for college students on medical leave) (Sununu); S. 459: Breast Cancer Patient Protection Act (Snowe); S. 495: Personal Data Privacy and Security Act (Leahy); S. 558: Mental Health Parity Act (Domenici); S. 616: HIPAA Recreational Injury Technical Correction Act (Collins); S. 618: Insurance Industry Competition Act (Leahy); S. 1076: HIPAA Recreational Injury Technical Correction Act (Burgess); S. 1178: Identity Theft Protection Act (Inouye); S. 1260: Data Security Act (Carper); S. 1298: Healthy Businesses, Healthy Workers Reinsurance Act (Kerry); S. 1588: Children's Access to Reconstructive Evaluation and Surgery Act (Landrieu); S. 1758: Community Living Assistance Services and Supports Act (Kennedy); S. 1814: Health Information Privacy and Security Act (Leahy); S. 2168: Identify Theft Enforcement and Restitution Act (Leahy); S. 2236: Preexisting Condition Exclusion Patient Protection Act (Rockefeller); S. 2268: Long Term Care Insurance Integrity Act (Klobuchar); S. 2477: Health Care Choice Act (DeMint); S. 2706: Health Insurance Coverage Protection Act (Dorgan); S. 2795: Small Business Health Options Program Act (Durbin-Snowe); S. 2818: Small Business Health Plans Act (Enzi); S. 2948: Small Business Empowerment Act (Brown) (provisions relating to health coverage for small employers); S. 2999: Access to Cancer Clinical Trials Act (Brown); S. 3068: Equity in Prescription Insurance and Contraceptive Coverage Act (Snowe); S. 3115: Childrens Health Protection Act (Lautenberg); S. 3335: Jobs, Energy, Families, and Disaster Relief Act (provisions relating to mental health parity); S. 3554: Affordable Coverage for Small Employers Act (Smith) (provisions relating to insurance reforms, tax credits); S. 3559: Continuing Coverage Act (Coleman) (relating to third party review for rescission decisions); S. 3712: Mental Health Parity (Kennedy) (relating to a technical correction); DRAFT Senate Bill (Grassley) relating to disclosure of employee health insurance costs; Draft Senate Health Care Reform Proposal (Baucus) (relating to access, quality, and affordability issues). INS (Regulatory) Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; issues relating to the coordination of benefits between private health insurance plans and Medicaid; crossover fees for Medigap claims; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials; and implementation of the Mental Health Parity Act requirements.

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

S 1693, Wired for Health Care Quality Act, all provisions relating to health information technology, health information, health care quality measurement, and payments to health care organizations; HR 1368, Personalized Health Information Act of 2007, all provisions relating to health information technology, health information, health care quality measurement, and payments to health care organizations; HR 4460, Health Care Choice Act of 2007, all provisions relating to the individual health insurance S 2477, Health Care Choice Act of 2007, all provisions relating to the individual health insurance market; HR 4848, To extend for one year parity in the application of certain limits to mental health benefits, and for other purposes; all provisions regarding mental health benefits; HR 3997, Heroes Earnings Assistance and Relief Tax Act of 2007; all provisions regarding mental health benefits; S. 558, Mental Health Parity Act of 2007, all provisions regarding mental health benefits; HR 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, all provisions regarding mental health benefits; HR 1663, Medicare Mental Health Modernization Act of 2007, all provisions regarding mental health benefits; HR 2795, Small Business Health Act Options Program Act of 2008, all provisions relating to the small business health insurance market; S 2064, Nurse Training and Retention Act, all provisions relating to training and retention of health care workers and workforce shortage issues; small business health insurance market reform; mental health parity; nursing and physician workforce issues; health information technology; health system reform ongoing conversations about health system reform proposals; individual health insurance market reform; HR 1424 "An act to amend section 712 of theEmployee Retirement Income Security Ave of 1974" all provisions related to mental health parity; HR6898 Health-e information Technology Act of 2008, all provisions relating to health information technology; S334 Healthy American Act, all provisions related to health insurance coverage, tax treatment, and payment systems; HR1424 Emergency Economic Stabilization Act of 2008, all provisions relating to Mental Health Parity.

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

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

Expansion of Small Business Health Insurance Coverage: H.R. 6210 - Small Business Health Options Program Act of 2008 H.R. 5918 / S.2795 - Small Business Health Options Program Act of 2008 Expansion of Small Business Health Insurance Coverage (cont'd): H.R. 6582 - Small Business CHOICE Act of 2008 H.R. 6444 - Healthy Americans Act H.R. 2132 - Small Business Health Plans Act of 2007 H.R. 4460 - Health Care Choice Act of 2007 S. 2477 - Health Care Choice Act of 2007 S. 2818 - The Small Business Health Plans Act of 2008 H.R. 1200 - American Health Security Act of 2007 S. 334 - Healthy Americans Act S. 685 - Reform Health Care Now Act S. 158 - Access to Affordable Health Care Act H.R. 853 - Wellness & Prevention Act of 2007 H.R. 676 - United States Health Insurance Act (or the Expanded & Improved Medical for All Act) H.R. 241 - Small Business Health Fairness Act of 2007 S. 733 - Promoting Health Care Purchasing Cooperatives Act

Client expense: $6,520,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Land Management (BLM), Environmental Protection Agency (EPA), Farm Credit Administration, Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Housing Finance Agency (FHFA), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Treasury, Dept of, U.S. Agency for International Development (USAID), Veterans Affairs, Dept of (VA), White House Office

HR 493 - Genetic Information Nondiscrimination Act; HR 758 - Breast Cancer Patient Protection Act; HR 1424 - Paul Wellstone Mental Health and Addiction Equity Act; HR 2851 - Michelle's Law; HR 3997 - Tax Relief Act with MHP Extension; HR 4460 - Health Care Choice Act; HR 6908 - Health Insurance Source of Injury Clarification Act; S 46 - Affordability in the Individual Market Act; S 358 - Genetic Information Nondiscrimination Act; S 459 - Breast Cancer Patient Protection Act; S 558 - Mental Health Parity Act; S 2447 - Health Care Choice Act; HR 7110 - Job Creation and Unemployment Relief Act; S 3604 - Fiscal 2008 Second Supplemental Appropriations

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

Long term care insurance - Potential legislation concerning this issue. Insurance issues - S 618, Insurance Industry Competition Act of 2007; HR 1081, Insurance Industry Competition Act of 2007; HR 241, To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees; S 46, Affordability in the Individual Market Act; HR 1282, Medigap Access Improvement Act of 2007; HR 758, Breast Cancer Patient Protection Act of 2007; S 459, Breast Cancer Patient Protection Act of 2007; HR 2412, Equity in Prescription Insurance and Contraceptive Coverage Act of 2007; S 616, HIPAA Recreational Injury Technical Correction Act; HR 1076, HIPAA Recreational Injury Technical Correction Act; S 40, National Insurance Act of 2007; HR 3200, National Insurance Act of 2007; S 1298, Healthy Businesses, Healthy Workers Reinsurance Act of 2007; S 400, Michelle's Law; HR 2851, Michelle's Law; S 1588, CARES Act; HR 2676, Access to Cancer Clinical Trials Act of 2007; HR 3425, Cancer Screening Coverage Act of 2007; S 2236, Preexisting Condition Exclusion Patient Protection Act of 2007; S 2268, Long Term Care Insurance Integrity Act of 2007; HR 4460, Health Care Choice Act of 2007; S 2477, Health Care Choice Act of 2007; S 1758, CLASS Act; HR 3001, CLASS Act; S 2795, SHOP Act; HR 6210, SHOP Act; S 3115, Children's Health Protection Act of 2008; HR 2842, Children's Health Protection Act of 2008; HR 5840, Insurance Information Act of 2008; HR 6142, To amend title I of the Employee Retirement Income Security Act of 1974 to provide, in the case of an employee welfare benefit plan providing benefits in the event of disability, an exemption from preemption under such title for State tort actions to recover damages arising from the failure of the plan to timely provide such benefits; HR 5550, To amend title 5, United States Code, to increase the maximum age to qualify for coverage as a `child' under the health benefits program for Federal employees; S 2948, Small Business Empowerment Act; S 2818, Small Business Health Plans Act of 2008; S 2999, Access to Cancer Clinical Trials Act of 2008; HR 6071, Health Care Consumer Protection Act of 2008; S 3068, Equity in Prescription Insurance and Contraceptive Coverage Act of 2007; S 3559, Continuing Coverage Act of 2008; S 3554, Affordable Coverage for Small Employers Act of 2008; HR 6908, Health Insurance Source of Injury Clarification Act of 2008; HR 6582, Small Business CHOICE Act of 2008; HR 6528, Health Insurance Coverage Protection Act; S 2706, Health Insurance Coverage Protection Act; HR 5840, Insurance Information Act of 2008; HR 7129, Several Approaches to Reduce the Uninsured Act of 2008; proposed legislation concerning these issues. Mental health parity - HR 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007; HR 6983, Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008; S 3712, To make a technical correction in the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.46, the Affordability in the Individual Market (AIM) Act of 2007 H.R. 914, the Tax Equity and Affordability (TEA) ACT of 2007 S.397, the Tax Equity and Affordability (TEA) Act of 2007 S.1019, the Universal Health Care Choice and Access Act of 2007 H.R. 2302, the Health Insurance Affordability Act of 2007 S.334, the Healthy Americans Act of 2007 S.1298, the Healthy Businesses, Healthy Workers Reinsurance Act of 2007 S.1809, the Long-Term Care Act of 2007 H.R. 3088, the Long-Term Care Act of 2007 S.1758, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3001, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3234, the HSA Improvement & Expansion Act of 2007 H.R. 3360, the Equity for Our Nations Self-Employed Act of 2007 S.2239, the Equity for Our Nations Self-Employed Act of 2007 S.1038, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 1748, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 245, the Personal Health Investment Today (PHIT) Act of 2007 H.R. 4460, the Health Care Choice Act of 2007 S.2477, the Health Care Choice Act of 2007 FY2009, Labor Health & Human Services, Education & Related Agencies Appropriations, State High Risk Pool Grants Program H.R. 5719, the Taxpayer Assistance and Simplification Act, Sec. 17 S.2795, the Small Business Health Options Program (SHOP) Act H.R. 6210, the Small Business Health Options Program (SHOP) Act S.2818, the Small Business Health Plans Act H.R. 6331, the Medicare Improvements for Patients and Providers Act, Sec. 103 H.R. 6110, the Roadmap for Americas Future Act, Titles I, II (except Part 5) and III H.R. 758, the Breast Cancer Patient Protection Act, Sec. 7 S. 3365, the Long-Term Care Family Accessibility Act H.R. 6582, the Small Business CHOICE Act H.R. 6015, the Hospital and ASC Price Disclosure and Litigation Act of 2008 S. 3327, the Empowerment at Home Act of 2008 Comments on draft legislation requiring W-2 Form reporting of employer-provided health care cost

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

S.46, the Affordability in the Individual Market (AIM) Act of 2007 H.R. 914, the Tax Equity and Affordability (TEA) Act of 2007 S.397, the Tax Equity and Affordability (TEA) Act of 2007 S.1019, the Universal Health Care Choice and Access Act of 2007 H.R. 2302, the Health Insurance Affordability Act of 2007 S.334, the Healthy Americans Act of 2007 S.1298, the Healthy Businesses, Healthy Workers Reinsurance Act of 2007 S.1809, the Long-Term Care Act of 2007 H.R. 3088, the Long-Term Care Act of 2007 S.1758, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3001, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3234, the HSA Improvement & Expansion Act of 2007 H.R. 3360, the Equity for Our Nations Self-Employed Act of 2007 S.2239, the Equity for Our Nations Self-Employed Act of 2007 S.1038, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 1748, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 245, the Personal Health Investment Today (PHIT) Act of 2007 H.R. 4460, the Health Care Choice Act of 2007 S.2477, the Health Care Choice Act of 2007 FY2009, Labor Health & Human Services, Education & Related Agencies Appropriations, State High Risk Pool Grants Program H.R. 5719, the Taxpayer Assistance and Simplification Act, Sec. 17 S.2795, the Small Business Health Options Program (SHOP) Act H.R. 6210, the Small Business Health Options Program (SHOP) Act S.2818, the Small Business Health Plans Act H.R. 6331, the Medicare Improvements for Patients and Providers Act, Sec. 103 H.R. 6110, the Roadmap for Americas Future Act, Titles I, II (except Part 5) and III H.R. 758, the Breast Cancer Patient Protection Act, Sec. 7 H.R. 6582, the Small Business CHOICE Act H.R. 6015, the Hospital and ASC Price Disclosure and Litigation Act of 2008 S. 3327, the Empowerment at Home Act of 2008 Comments on draft legislation requiring W-2 Form reporting of employer-provided health care cost

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

S.46, the Affordability in the Individual Market (AIM) Act of 2007 H.R. 914, the Tax Equity and Affordability (TEA) Act of 2007 S.397, the Tax Equity and Affordability (TEA) Act of 2007 S.1019, the Universal Health Care Choice and Access Act of 2007 H.R. 2302, the Health Insurance Affordability Act of 2007 S.334, the Healthy Americans Act of 2007 S.1298, the Healthy Businesses, Healthy Workers Reinsurance Act of 2007 S.1809, the Long-Term Care Act of 2007 H.R. 3088, the Long-Term Care Act of 2007 S.1758, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3001, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3234, the HSA Improvement & Expansion Act of 2007 H.R. 3360, the Equity for Our Nations Self-Employed Act of 2007 S.2239, the Equity for Our Nations Self-Employed Act of 2007 S.1038, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 1748, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 245, the Personal Health Investment Today (PHIT) Act of 2007 H.R. 4460, the Health Care Choice Act of 2007 S.2477, the Health Care Choice Act of 2007 FY2009, Labor Health & Human Services, Education & Related Agencies Appropriations, State High Risk Pool Grants Program H.R. 5719, the Taxpayer Assistance and Simplification Act, Sec. 17 S.2795, the Small Business Health Options Program (SHOP) Act H.R. 6210, the Small Business Health Options Program (SHOP) Act S.2818, the Small Business Health Plans Act H.R. 6331, the Medicare Improvements for Patients and Providers Act, Sec. 103 H.R. 6110, the Roadmap for Americas Future Act, Titles I, II (except Part 5) and III H.R. 758, the Breast Cancer Patient Protection Act, Sec. 7 H.R. 6582, the Small Business CHOICE Act H.R. 6015, the Hospital and ASC Price Disclosure and Litigation Act of 2008

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

S.46, the Affordability in the Individual Market (AIM) Act of 2007 H.R. 914, the Tax Equity and Affordability (TEA) ACT of 2007 S.397, the Tax Equity and Affordability (TEA) Act of 2007 S.1019, the Universal Health Care Choice and Access Act of 2007 H.R. 2302, the Health Insurance Affordability Act of 2007 S.334, the Healthy Americans Act of 2007 S.1298, the Healthy Businesses, Healthy Workers Reinsurance Act of 2007 S.1809, the Long-Term Care Act of 2007 H.R. 3088, the Long-Term Care Act of 2007 S.1758, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3001, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3234, the HSA Improvement & Expansion Act of 2007 H.R. 3360, the Equity for Our Nations Self-Employed Act of 2007 S.2239, the Equity for Our Nations Self-Employed Act of 2007 S.1038, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 1748, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 245, the Personal Health Investment Today (PHIT) Act of 2007 H.R. 4460, the Health Care Choice Act of 2007 S.2477, the Health Care Choice Act of 2007 FY2009, Labor Health & Human Services, Education & Related Agencies Appropriations, State High Risk Pool Grants Program H.R. 5719, the Taxpayer Assistance and Simplification Act, Sec. 17 S.2795, the Small Business Health Options Program (SHOP) Act H.R. 6210, the Small Business Health Options Program (SHOP) Act S.2818, the Small Business Health Plans Act H.R. 6331, the Medicare Improvements for Patients and Providers Act, Sec. 103 H.R. 6110, the Roadmap for Americas Future Act, Titles I, II (except Part 5) and III H.R. 758, the Breast Cancer Patient Protection Act, Sec. 7 S. 3365, the Long-Term Care Family Accessibility Act H.R. 6582, the Small Business CHOICE Act H.R. 6015, the Hospital and ASC Price Disclosure and Litigation Act of 2008

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

See attached list H.R. 758 -- Genetic Information Nondiscrimination Act. H.R. 1424 -- Paul Wellstone Mental Health adn Addicition Equity Act, as it pertains to health insurance regulations. H.R. 2761 -- Terrorism Risk Insurance Revision and Extension Act. H.R. 4460 -- Health Care Choice Act. S. 40 -- National Insurance Act. S. 558 -- Mental Health Parity Act. S. 2477 -- Health Care Choice Act. H.R. 7129 -- Several Approaches to Reduce Uninsured Act H.R. 506 -- To provide for innovation in healthcare through State initiatives that expand coverage and access. S.334/H.R. 3163/H.R. 6444 -- Healthy Americans Act

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

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

Affordable Health Insurance: Draft legislation to encourage greater access to affordable health insurance H.R.4460, The Health Care Choice Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 493/S 358, Genetic Information Nondiscrimination Act of 2007; H 2761, Terrorism Risk Insurance Revision and Extension Act of 2007 (Include life insurance provision); S1588, Children's Access to Reconstructive Evaluation and Surgery Act (Mandated coverage for congenital disease/deformity); H836, Cyber-Security Enhancement and Consumer Data Protection Act of 2007 (Privacy and data security provisions); HR 948, Social Security Number Protection Act of 2007; S 495, Personal Data Privacy and Security Act of 2007; S 1408, Health Information Technology Act of 2007 (Provision on using technology for quality); HR 3425, Cancer Screening Coverage Act of 2007 (Mandated cancer screening); HR 3341, Quality Health Care Coalition Act of 2007 (Provision exempting physicians from antitrust laws); S 459/HR 758, Breast Cancer Patient Protection Act of 2007 (Minimum hospital stay for breast cancer); S 40, National Insurance Act of 2007 (Optional federal charter for insurance); S 400/HR 2851, Michelle's Law (Mandatory coverage for students when on medical leave); HR 4460/S 2477, Health Care Choice Act of 2007 (Cross-state selling of insurance); HR 4986, National Defense Authorization Act for Fiscal Year 2008 (Provision that extends Family Medical Leave Act to service members); S 1881/HR 3195, ADA Restoration Act of 2007; HR 6142, (ERISA and disability benefit damages); HR 5840, Insurance Information Act of 2008; S 3406, ADA Amendments Act.

Client expense: $517,594 · Firm income: Not reported

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

See addendum HR 1065 Nonadmitted and ReInsurance Reform Act of 2007, HR 1081 Insurance Industry Competition Act of 2007, HR 1424 Paul Wellstone Mental Health and Addiction Equity Act, HR 1682 Flood Insurance Reform and Modernization Act of 2007, HR 1820 Tax Equity for Health Plan Beneficiaries Act of 2007, HR 2132 Small Business Health Plans Act of 2007, HR 2671 TRIA, HR 3200 National Insurance Act of 2007, HR 4460 Health Care Choice Act of 2007, HR 493 Genetic Information Nondiscrimination Act, HR 506 Health Partnership Through Creative Federalism Act, S 40 National Insurance Act of 2007, S 1198 Catastrophic Health Coverage Promotion Act, S 1556 Tax Equity for Domestic Partner and Health Plan Beneficiaries Act, S 2477 Health Care Choice Act of 2007, S 358 Genetic Information Nondiscrimination Act, S 558 Mental Health Parity Act of 2007, S 618 Insurance Industry Competition Act of 2007, S 618 Insurance Industry Competition Act of 2007, S 929 Nonadmitted and Reinsurance Reform Act of 2007

Client expense: $516,000 · Firm income: Not reported

Government targets: Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

H.R. 4460 and S. 2477, Health Care Choice Act

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

Government targets: HOUSE OF REPRESENTATIVES, Occupational Safety & Health Administration (OSHA), SENATE

Health care reform(H.R. 6210/S.2795,H.R. 4460/S.2477,Small business choice Act-draft bill),health care tax credits(S.99,S.397/H.R.914,H.R.5784),health savings accounts H.R. 2639,H.R.3234).

Client expense: $190,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Small Business Administration (SBA), Treasury, Dept of

S 1693, Wired for Health Care Quality Act, all provisions relating to health information technology, health information, health care quality measurement, and payments to health care organizations; HR 1368, Personalized Health Information Act of 2007, all provisions relating to health information technology, health information, health care quality measurement, and payments to health care organizations; HR 4460, Health Care Choice Act of 2007, all provisions relating to the individual health insurance market; S 2477, Health Care Choice Act of 2007, all provisions relating to the individual health insurance market; HR 4848, To extend for one year parity in the application of certain limits to mental health benefits, and for other purposes; all provisions regarding mental health benefits; HR 3997, Heroes Earnings Assistance and Relief Tax Act of 2007; all provisions regarding mental health benefits; S. 558, Mental Health Parity Act of 2007, all provisions regarding mental health benefits; HR 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, all provisions regarding mental health benefits; HR 1663, Medicare Mental Health Modernization Act of 2007, all provisions regarding mental health benefits; HR 2795, Small Business Health Act Options Program Act of 2008, all provisions relating to the small business health insurance market; S 2064, Nurse Training and Retention Act, all provisions relating to training and retention of health care workers and workforce shortage issues; small business health insurance market reform; mental health parity; nursing and physician workforce issues; health information technology; health system reform ongoing conversations about health system reform proposals; individual health insurance market reform; HR 1424 "An act to amend section 712 of theEmployee Retirement Income Security Ave of 1974" all provisions related to mental health parity.

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

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

H.R.493: Genetic Information Nondiscrimination Act; H.R.4460: Health Care Choice Act; S.358:Genetic Information Nondiscriminiation Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1328/ S 1200, "Indian Health Care Improvement Act Reauthorization Bill," regarding sections 403 and 407 of the House version and section 415 of the Senate version; HR 4460/ S 2477, "Health Care Choice Act," monitoring activity regarding all provisions; HR 506, "The Health Partnership Through Creative Federalism Act," monitoring activity regarding all provisions; S 1758, "Community Living Assistance Services and Supports Act," regarding all provisions; S 1693, "The Wired for Health Care Quality Act," regarding all provisions; S 504 "Long-Term Care Trust Account Act of 2007", regarding all provisions; HR 2582, "Qualified Long-Term Care Fairness Act of 2007", regarding all provisions; S 1758, "Community Living Assistance Services and Supports Act", regarding all provisions; HR 5559 "Long-Term Care Retirement and Security Act of 2008", regarding all provisions; HR 493, "Genetic Nondiscrimination Act of 2007", regarding all provisions; S 334 "Healthy Americans Act", regarding all provisions; HR 6210/ S2795, "SHOP Act", regarding all provisions; HR 6357, "PRO(TECH)T Act of 2008", regarding all provisions.

Client expense: $910,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

H.R.493: Genetic Information Nondiscrimination Act; H.R.4460: Health Care Choice Act; S.358:Genetic Information Nondiscriminiation Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Mental health parity - S 558, Mental Health Parity Act of 2007; HR 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007 AND To provide authority for the Federal Government to purchase and insure certain types of troubled assets for the purposes of providing stability to and preventing disruption in the economy; HR 4848, To extend for one year parity in the application of certain limits to mental health benefits; HR 6049, Energy Improvement and Extension Act of 2008; HR 6983, Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008; S 3335, Jobs, Energy, Families, and Disaster Relief Act of 2008. Long-term care - Proposed legislation re this issue. Insurance issues - S 618, Insurance Industry Competition Act of 2007; HR 1081, Insurance Industry Competition Act of 2007; HR 241, To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees; S 46, Affordability in the Individual Market Act; HR 1282, Medigap Access Improvement Act of 2007; HR 758, Breast Cancer Patient Protection Act of 2007; S 459, Breast Cancer Patient Protection Act of 2007; HR 2412, Equity in Prescription Insurance and Contraceptive Coverage Act of 2007; S 616, HIPAA Recreational Injury Technical Correction Act; HR 1076, HIPAA Recreational Injury Technical Correction Act; S 40, National Insurance Act of 2007; HR 3200, National Insurance Act of 2007; S 1298, Healthy Businesses, Healthy Workers Reinsurance Act of 2007; S 400, Michelle's Law; HR 2851, Michelle's Law; S 1588, CARES Act; HR 2676, Access to Cancer Clinical Trials Act of 2007; HR 3425, Cancer Screening Coverage Act of 2007; S 2236, Preexisting Condition Exclusion Patient Protection Act of 2007; S 2268, Long Term Care Insurance Integrity Act of 2007; HR 4460, Health Care Choice Act of 2007; S 2477, Health Care Choice Act of 2007; S 1758, CLASS Act; HR 3001, CLASS Act; HR 5781, Federal Employees Paid Parental Leave Act of 2008; HR 3195, ADA Restoration Act of 2007; S 2795, SHOP Act; HR 6210, SHOP Act; S 3115, Children's Health Protection Act of 2008; HR 2842, Children's Health Protection Act of 2008; HR 5840, Insurance Information Act of 2008; HR 6142, To amend title I of the Employee Retirement Income Security Act of 1974 to provide, in the case of an employee welfare benefit plan providing benefits in the event of disability, an exemption from preemption under such title for State tort actions to recover damages arising from the failure of the plan to timely provide such benefits; HR 5550, To amend title 5, United States Code, to increase the maximum age to qualify for coverage as a `child' under the health benefits program for Federal employees; S 2948, Small Business Empowerment Act; S 2818, Small Business Health Plans Act of 2008; S 2999, Access to Cancer Clinical Trials Act of 2008; HR 6071, Health Care Consumer Protection Act of 2008; S 3068, Equity in Prescription Insurance and Contraceptive Coverage Act of 2007; S 3559, Continuing Coverage Act of 2008; S 3554, Affordable Coverage for Small Employers Act of 2008; HR 6908, Health Insurance Source of Injury Clarification Act of 2008; HR 6582, Small Business CHOICE Act of 2008; HR 6528, Health Insurance Coverage Protection Act; S 2706, Health Insurance Coverage Protection Act.

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

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

HR 493 - Genetic Information Nondiscrimination Act; HR 758 - Breast Cancer Patient Protection Act; HR 1424 - Paul Wellstone Mental Health and Addiction Equity Act; HR 2851 - Michelle's Law; HR 3997 - Tax Relief Act with MHP Extension; HR 4460 - Health Care Choice Act; HR 6908 - Health Insurance Source of Injury Clarification Act; S 46 - Affordability in the Individual Market Act; S 358 - Genetic Information Nondiscrimination Act; S 459 - Breast Cancer Patient Protection Act; S 558 - Mental Health Parity Act; S 2447 - Health Care Choice Act; HR 7110 - Job Creation and Unemployment Relief Act; S 3604 - Fiscal 2008 Second Supplemental Appropriations

Client expense: $970,000 · 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

INS (Legislative): H.R. 241: Association Health Plans (Johnson); H.R. 758: Breast Cancer Patient Protection Act (DeLauro) (continued) INS (Legislative) (cont.) H.R. 1081: Insurance Industry Competition Act (DeFazio); H.R. 1282: Medigap Access Improvement Act (English); H.R. 1424: Paul Wellstone Mental Health and Addiction Equity Act (Kennedy); H.R. 2412: Equity in Prescription Insurance and Contraceptive Coverage Act (Lowey); H.R. 2676: Access to Cancer Clinical Trials Act (Pryce); H.R. 2842: Childrens Health Protection Act (Schwartz); H.R. 2851: Michelles Law (Hodes) (provisions relating to continuity of coverage for college students on medical leave); H.R. 3001: Community Living Assistance Services and Supports Act (Pallone); H.R. 3195: ADA Amendments Act (Hoyer); H.R. 3200: National Insurance Act (provisions relating to regulatory reform) (Bean); H.R. 3425: Cancer Screening Coverage Act (Maloney); H.R. 4460: Health Care Choice Act (provisions relating to health insurance reforms in individual market) (Shadegg); H.R. 5550: Coverage for Young Adult Dependents of Federal Employees (Davis); H.R. 5781: Federal Employees Paid Parental Leave Act (Maloney) (provisions relating to disability study); H.R. 5840: Insurance Information Act (Kanjorski) (provisions relating to federal Office of Insurance Information); H.R. 5938: Identity Theft Enforcement and Restitution Act (Conyers); H.R. 6049: Energy Improvement and Extension Act (provisions relating to mental health parity); H.R. 6071: Health Care Consumer Protection Act (Forbes) (provisions relating to reinstatement of health insurance following nonpayment of premiums); H.R. 6142: Lawsuits Against Employer-Sponsored Disability Benefit Plans (Andrews); H.R. 6210: Small Business Health Options Program Act (Kind-English); H.R. 6528: Health Insurance Coverage Protection Act (Eshoo) (provisions relating to limitations on lifetime limits); H.R. 6582: Small Business CHOICE Act (Velazquez) (provisions relating to health insurance); H.R. 6908: Health Insurance Restrictions and Limitations Clarifications Act (Burgess) (provisions relating to disclosure rules for coverage exclusions); H.R. 6983: Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (Kennedy) (provisions relating to mental health parity); S. 40: National Insurance Act (provisions relating to regulatory reform) (Sununu); S. 46: Affordability in the Individual Market Act (provisions relating to HSAs) (Ensign); S. 239: Notification of Risk to Personal Data Act (Feinstein); S. 400: Michelle's Law (provisions relating to continuity of coverage for college students on medical leave) (Sununu); S. 459: Breast Cancer Patient Protection Act (Snowe); S. 495: Personal Data Privacy and Security Act (Leahy); S. 558: Mental Health Parity Act (Domenici); S. 616: HIPAA Recreational Injury Technical Correction Act (Collins); S. 618: Insurance Industry Competition Act (Leahy); S. 1076: HIPAA Recreational Injury Technical Correction Act (Burgess); S. 1178: Identity Theft Protection Act (Inouye); S. 1260: Data Security Act (Carper); S. 1298: Healthy Businesses, Healthy Workers Reinsurance Act (Kerry); S. 1588: Children's Access to Reconstructive Evaluation and Surgery Act (Landrieu); S. 1758: Community Living Assistance Services and Supports Act (Kennedy); S. 1814: Health Information Privacy and Security Act (Leahy); S. 2168: Identify Theft Enforcement and Restitution Act (Leahy); S. 2236: Preexisting Condition Exclusion Patient Protection Act (Rockefeller); S. 2268: Long Term Care Insurance Integrity Act (Klobuchar); S. 2477: Health Care Choice Act (DeMint); S. 2706: Health Insurance Coverage Protection Act (Dorgan); S. 2795: Small Business Health Options Program Act (Durbin-Snowe); S. 2818: Small Business Health Plans Act (Enzi); S. 2948: Small Business Empowerment Act (Brown) (provisions relating to health coverage for small employers); S. 2999: Access to Cancer Clinical Trials Act (Brown); S. 3068: Equity in Prescription Insurance and Contraceptive Coverage Act (Snowe); S. 3115: Childrens Health Protection Act (Lautenberg); S. 3335: Jobs, Energy, Families, and Disaster Relief Act (provisions relating to mental health parity); S. 3554: Affordable Coverage for Small Employers Act (Smith) (provisions relating to insurance reforms, tax credits); S. 3559: Continuing Coverage Act (Coleman) (relating to third party review for rescission decisions). INS (Regulatory) Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; issues relating to the coordination of benefits between private health insurance plans and Medicaid; crossover fees for Medigap claims; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials.

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

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

Affordable Health Insurance: Draft legislation to encourage greater access to affordable health insurance H.R.4460, The Health Care Choice Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Expansion of Small Business Health Insurance Coverage: H.R. 6210 - Small Business Health Options Program Act of 2008 H.R. 5918 / S.2795 - Small Business Health Options Program Act of 2008 Expansion of Small Business Health Insurance Coverage (cont'd): H.R. 6582 - Small Business CHOICE Act of 2008 H.R. 6444 - Healthy Americans Act H.R. 2132 - Small Business Health Plans Act of 2007 H.R. 4460 - Health Care Choice Act of 2007 S. 2477 - Health Care Choice Act of 2007 S. 2818 - The Small Business Health Plans Act of 2008 H.R. 1200 - American Health Security Act of 2007 S. 334 - Healthy Americans Act S. 685 - Reform Health Care Now Act S. 158 - Access to Affordable Health Care Act H.R. 853 - Wellness & Prevention Act of 2007 H.R. 676 - United States Health Insurance Act (or the Expanded & Improved Medical for All Act) H.R. 241 - Small Business Health Fairness Act of 2007 S. 733 - Promoting Health Care Purchasing Cooperatives Act

Client expense: $3,820,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Land Management (BLM), Environmental Protection Agency (EPA), Farm Credit Administration, Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Natl Park Service (NPS), Office of Management & Budget (OMB), Office of Thrift Supervision (OTS), Office of the Comptroller of the Currency (OCC), SENATE, Small Business Administration (SBA), Treasury, Dept of, U.S. Agency for International Development (USAID), Veterans Affairs, Dept of (VA), White House Office

HR 3963 Children's Health Insurance Program Reauthorization Act of 2007 S 2499 Medicare, Medicaid and SCHIP Extension Act of 2007 S 558 Mental Health Parity Act of 2007 S 1693 Wired for Health Care Quality Act S 1695 Biologics Price Competition and Innovation Act of 2007 HR 4460 Health Care Choice Act S 1883 Accountability and Transparency in Medicare Marketing Act of 2007 HR 976 Children's Health Insurance Program Reauthorization Act of 2007 HR 5629 Pathway for Biosimilars Act HR 1424 Paul Wellstone Mental Health and Addiction Equity Act HR 3162 Children's Health and Medicare Protection Act of 2007 HR 493 Genetic Information Non-Discrimination Act of 2008 HR 6357 Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 HR 4460 Health Care Choice Act of 2007 HR 6331 Medicare Improvements for Patients and Providers Act of 2008 - provisions relating to Medicare Advantage and Part D HR 6444 Healthy Americans Act S 3101 Medicare Improvements for Patients and Providers Act of 2008 - provisions relating to Medicare Advantage and Part D S 3118 Preserving Access to Medicare Act of 2008 - provisions relating to Medicare Advantage and Part D S 334 Healthy Americans Act

Client expense: $280,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE, White House Office

HR 493/S 358, Genetic Information Nondiscrimination Act of 2007; H 2761, Terrorism Risk Insurance Revision and Extension Act of 2007 (Include life insurance provision); S1588, Children's Access to Reconstructive Evaluation and Surgery Act (Mandated coverage for congenital disease/deformity); H836, Cyber-Security Enhancement and Consumer Data Protection Act of 2007 (Privacy and data security provisions); HR 948, Social Security Number Protection Act of 2007; S 495, Personal Data Privacy and Security Act of 2007; S 1408, Health Information Technology Act of 2007 (Provision on using technology for quality); HR 3425, Cancer Screening Coverage Act of 2007 (Mandated cancer screening); HR 3341, Quality Health Care Coalition Act of 2007 (Provision exempting physicians from antitrust laws); S 459/HR 758, Breast Cancer Patient Protection Act of 2007 (Minimum hospital stay for breast cancer); S 40, National Insurance Act of 2007 (Optional federal charter for insurance); S 400/HR 2851, Michelle's Law (Mandatory coverage for students when on medical leave); HR 4460/S 2477, Health Care Choice Act of 2007 (Cross-state selling of insurance); HR 4986, National Defense Authorization Act for Fiscal Year 2008 (Provision that extends Family Medical Leave Act to service members); S 1881/HR 3195, ADA Restoration Act of 2007; HR 6142, (ERISA and disability benefit damages); HR 5840, Insurance Information Act of 2008; S 3406, ADA Amendments Act.

Client expense: $452,449 · Firm income: Not reported

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

See attached list. H.R. 758--Genetic Information Nondiscrimination Act. H.R. 1424--Paul Wellstone Mental Health and Addiction Equity Act, as it pertains to health insurance regulations. H.R. 2761--Terrorism Risk Insurance Revision and Extension Act. H.R. 4460--Health Care Choise Act. S. 40--National Insurance Act. S. 558--Mental Health Parity Act. S. 2477--Health Care Choice Act.

Client expense: $341,436 · Firm income: Not reported

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

S.46, the Affordability in the Individual Market (AIM) Act of 2007 S.397, the Tax Equity and Affordability (TEA) Act of 2007 S.1019, the Universal Health Care Choice and Access Act of 2007 H.R. 2302, the Health Insurance Affordability Act of 2007 S.334, the Healthy Americans Act of 2007 S.1298, the Healthy Businesses, Healthy Workers Reinsurance Act of 2007 S.1809, the Long-Term Care Act of 2007 H.R. 3088, the Long-Term Care Act of 2007 S.1758, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3001, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3234, the HSA Improvement & Expansion Act of 2007 H.R. 3360, the Equity for Our Nations Self-Employed Act of 2007 S.2239, the Equity for Our Nations Self-Employed Act of 2007 S.1038, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 1748, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 245, the Personal Health Investment Today (PHIT) Act of 2007 H.R. 4460, the Health Care Choice Act of 2007 S.2477, the Health Care Choice Act of 2007 FY2009, Labor Health & Human Services, Education & Related Agencies Appropriations, State High Risk Pool Grants Program H.R. 5719, the Taxpayer Assistance and Simplification Act, Sec. 17 S.2795, the Small Business Health Options Program (SHOP) Act H.R. 6210, the Small Business Health Options Program (SHOP) Act S.2818, the Small Business Health Plans Act H.R. 6331, the Medicare Improvements for Patients and Providers Act, Sec. 103 H.R. 6110, the Roadmap for Americas Future Act, Titles I, II (except Part 5) and III H.R. 758, the Breast Cancer Patient Protection Act, Sec. 7 H.R. 6582, the Small Business CHOICE Act H.R. 6015, the Hospital and ASC Price Disclosure and Litigation Act of 2008 H.R. 914, the Tax Equity and Affordability (TEA) Act of 2007 S.3365, the Long-Term Care Family Accessibility Act

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

S.46, the Affordability in the Individual Market (AIM) Act of 2007 S.397, the Tax Equity and Affordability (TEA) Act of 2007 S.1019, the Universal Health Care Choice and Access Act of 2007 H.R. 2302, the Health Insurance Affordability Act of 2007 S.334, the Healthy Americans Act of 2007 S.1298, the Healthy Businesses, Healthy Workers Reinsurance Act of 2007 S.1809, the Long-Term Care Act of 2007 H.R. 3088, the Long-Term Care Act of 2007 S.1758, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3001, the Community Living Assistance Services and Supports (CLASS) Act of 2007 H.R. 3234, the HSA Improvement & Expansion Act of 2007 H.R. 3360, the Equity for Our Nations Self-Employed Act of 2007 S.2239, the Equity for Our Nations Self-Employed Act of 2007 S.1038, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 1748, the Workforce Health Improvement Program (WHIP) Act of 2007 H.R. 245, the Personal Health Investment Today (PHIT) Act of 2007 H.R. 4460, the Health Care Choice Act of 2007 S.2477, the Health Care Choice Act of 2007 FY2009, Labor Health & Human Services, Education & Related Agencies Appropriations, State High Risk Pool Grants Program H.R. 5719, the Taxpayer Assistance and Simplification Act, Sec. 17 S.2795, the Small Business Health Options Program (SHOP) Act H.R. 6210, the Small Business Health Options Program (SHOP) Act S.2818, the Small Business Health Plans Act H.R. 6331, the Medicare Improvements for Patients and Providers Act, Sec. 103 H.R. 6110, the Roadmap for Americas Future Act, Titles I, II (except Part 5) and III H.R. 758, the Breast Cancer Patient Protection Act, Sec. 7 S. 3365, the Long-Term Care Family Accessibility Act H.R. 6582, the Small Business CHOICE Act H.R. 6015, the Hospital and ASC Price Disclosure and Litigation Act of 2008 H.R. 914, the Tax Equity and Affordability (TEA) Act of 2007

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

H.R. 4460, S. 2477, High Risk Pool funding for sick people, tax credits for the uninsured, small business health insurance, Health Savings Accounts, H.R. 6015

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

See attached list. H.R. 241, Association Health Plans (Johnson) H.R. 758, Genetic Information Nondiscrimination Act (Slaughter) H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act (Kennedy), as it pertains to health insurance regulations. H.R. 2761, Terrorism Risk Insurance Revision and Extension Act (Capuano) H.R. 4460, Health Care Choise Act (Shadegg) S. 40, National Insurance Act (Sununu) S. 558, Mental Health Parity Act (Domenici) S.2477, Health Care Choice Act (DeMint)

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

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

HR 493 Genetic Information Nondiscrimination Act; HR 758 Breast Cancer Patient Protection Act; HR 1424 Paul Wellstone Mental Health and Addiction Equity Act; HR 3997 Tax Relief Act with MHP Extension; HR 4460 Health Care Choice Act; S 46 Affordability in the Individual Market Act; S 358 Genetic Information Nondiscrimination Act; S 459 Breast Cancer Patient Protection Act; S 558 Mental Health Parity Act; S 2477 Health Care Choice Act

Client expense: $1,250,000 · Firm income: Not reported

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

INS (Legislative): H.R. 241: Association Health Plans (Johnson); H.R. 493: Genetic Information Nondiscrimination Act (Slaughter); H.R. 758: Breast Cancer Patient Protection Act (DeLauro) (continued) INS (Legislative) (cont.) H.R. 836: Cyber-Security Enhancement and Consumer Data Protection Act (Smith); H.R. 948: Social Security Number Protection Act (Markey); H.R. 958: Data Accountability and Trust Act (Rush); H.R. 1081: Insurance Industry Competition Act (DeFazio); H.R. 1282: Medigap Access Improvement Act (English); H.R. 1424: Paul Wellstone Mental Health and Addiction Equity Act (Kennedy); H.R. 2412: Equity in Prescription Insurance and Contraceptive Coverage Act (Lowey); H.R. 2676: Access to Cancer Clinical Trials Act (Pryce); H.R. 2851: Michelles Law (Hodes) (provisions relating to continuity of coverage for college students on medical leave); H.R. 2948: Increased Access to Health Insurance Act (provisions relating to health coverage for small employers) (Walberg); H.R. 3001: Community Living Assistance Services and Supports Act (Pallone); H.R. 3200: National Insurance Act (provisions relating to regulatory reform) (Bean); H.R. 3425: Cancer Screening Coverage Act (Maloney); H.R. 3799: Federal Employees Paid Parental Leave Act (Maloney); H.R. 3997: Tax Relief Act with MHP Extension (Rangel); H.R. 4460: Health Care Choice Act (provisions relating to health insurance reforms in individual market) (Shadegg); H.R. 4848: Mental Health Parity Extension (Pallone); H.R. 4986: Defense Authorization Act with FMLA provision; H.R. 6357: Protecting Records, Optimizing Treatment and Easing Communication Through Healthcare Technology (Dingell); S. 40: National Insurance Act (provisions relating to regulatory reform) (Sununu); S. 46: Affordability in the Individual Market Act (provisions relating to HSAs) (Ensign); S. 239: Notification of Risk to Personal Data Act (Feinstein); S. 358: Genetic Information Nondiscrimination Act (Snowe); S. 400: Michelle's Law (provisions relating to continuity of coverage for college students on medical leave) (Sununu); S. 459: Breast Cancer Patient Protection Act (Snowe); S. 495: Personal Data Privacy and Security Act (Leahy); S. 558: Mental Health Parity Act (Domenici); S. 616: HIPAA Recreational Injury Technical Correction Act (Collins); S. 618: Insurance Industry Competition Act (Leahy); S. 1076: HIPAA Recreational Injury Technical Correction Act (Burgess); S. 1178: Identity Theft Protection Act (Inouye); S. 1260: Data Security Act (Carper); S. 1298: Healthy Businesses, Healthy Workers Reinsurance Act (Kerry); S. 1588: Children's Access to Reconstructive Evaluation and Surgery Act (Landrieu); S. 1758: Community Living Assistance Services and Supports Act (Kennedy); S. 1814: Health Information Privacy and Security Act (Leahy); S. 2168: Identify Theft Enforcement and Restitution Act (Leahy); S. 2236: Preexisting Condition Exclusion Patient Protection Act (Rockefeller); S. 2268: Long Term Care Insurance Integrity Act (Klobuchar); S. 2477: Health Care Choice Act (DeMint); S. 2706: Health Insurance Coverage Protection Act (Dorgan). INS (Regulatory) Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; issues relating to the coordination of benefits between private health insurance plans and Medicaid; crossover fees for Medigap claims; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials.

Client expense: $1,850,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), 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

HR 3963 Children's Health Insurance Program Reauthorization Act of 2007 - provisions relating to Medicare Advantage and Part D S 2499 Medicare, Medicaid and SCHIP Extension Act of 2007- provisions relating to Medicare Advantage and Part D S 558 Mental Health Parity Act of 2007 S 1693 Wired for Health Care Quality Act S 1695 Biologics Price Competition and Innovation Act of 2007 HR 4460 Health Care Choice Act S 1883 Accountability and Transparency in Medicare Marketing Act of 2007 HR 976 Children's Health Insurance Program Reauthorization Act of 2007 HR 5629 Pathway for Biosimilars Act HR 1424 Paul Wellstone Mental Health and Addiction Equity Act HR 3162 Children's Health and Medicare Protection Act of 2007 HR 493 Genetic Information Non-Discrimination Act of 2008 HR 6357 Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 HR 4460 Health Care Choice Act of 2007 HR 6331 Medicare Improvements for Patients and Providers Act of 2008 - provisions relating to Medicare Advantage and Part D S 3101 Medicare Improvements for Patients and Providers Act of 2008 - provisions relating to Medicare Advantage and Part D S 3118 Preserving Access to Medicare Act of 2008 - provisions relating to Medicare Advantage and Part D S 334 Healthy Americans Act

Client expense: $675,871 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE, White House Office

Health Care Choice Act, H.R.4460 and S.2477

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

Government targets: HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Occupational Safety & Health Administration (OSHA), SENATE

Issue - Affordable Health Insurance: Draft legislation to encourage greater access to affordable health insurance; H.R. 4460, The Health Care Choice Act of 2007;

Client expense: $568,500 · Firm income: Not reported

Government targets: Federal Trade Commission (FTC), Financial Crimes Enforcement Network (FinCEN), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

Health care reform (H.R. 6210/S. 2795, H.R. 4460/S. 2477, Small Business CHOICE Act-draft bill), health care tax credits (S. 99, S. 397/H.R. 914, H.R. 5784), health savings accounts (H.R. 2639, H.R.3234).

Client expense: $200,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Small Business Administration (SBA), Treasury, Dept of

HR 493 Genetic Information Nondiscrimination Act; HR 758 Breast Cancer Patient Protection Act; HR 1424 Paul Wellstone Mental Health and Addiction Equity Act; HR 3997 Tax Relief Act with MHP Extension; HR 4460 Health Care Choice Act; S 46 Affordability in the Individual Market Act; S 358 Genetic Information Nondiscrimination Act; S 459 Breast Cancer Patient Protection Act; S 558 Mental Health Parity Act; S 2477 Health Care Choice Act

Client expense: $1,250,000 · Firm income: Not reported

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

S 1693, Wired for Health Care Quality Act, all provisions relating to health information technology, health information, health care quality measurement, and payments to health care organizations; HR 1368, Personalized Health Information Act of 2007, all provisions relating to health information technology, health information, health care quality measurement, and payments to health care organizations; HR 4460, Health Care Choice Act of 2007, all provisions relating to the individual health insurance market; S 2477, Health Care Choice Act of 2007, all provisions relating to the individual health insurance market; HR 4848, To extend for one year parity in the application of certain limits to mental health benefits, and for other purposes; all provisions regarding mental health benefits; HR 3997, Heroes Earnings Assistance and Relief Tax Act of 2007; all provisions regarding mental health benefits; S. 558, Mental Health Parity Act of 2007, all provisions regarding mental health benefits; HR 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, all provisions regarding mental health benefits; HR 1663, Medicare Mental Health Modernization Act of 2007, all provisions regarding mental health benefits; HR 2795, Small Business Health Act Options Program Act of 2008, all provisions relating to the small business health insurance market; S 2064, Nurse Training and Retention Act, all provisions relating to training and retention of health care workers and workforce shortage issues; small business health insurance market reform; mental health parity; nursing and physician workforce issues; health information technology; health system reform ongoing conversations about health system reform proposals; individual health insurance market reform

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

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

H.R. 493:Genetic Information Nondiscrimination Act; H.R.4460: Health Care Choice Act; S.358: Genetic Information Nondiscrimination Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Mental health parity - S 558, Mental Health Parity Act of 2007; HR 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007; HR 4848, To extend for one year parity in the application of certain limits to mental health benefits. Genetic non-discrimination - HR 493, Genetic Information Nondiscrimination Act of 2007; S 358, Genetic Information Nondiscrimination Act of 2007. Insurance issues - S 618, Insurance Industry Competition Act of 2007; HR 1081, Insurance Industry Competition Act of 2007; HR 241, To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees; S 46, Affordability in the Individual Market Act; HR 1282, Medigap Access Improvement Act of 2007; HR 758, Breast Cancer Patient Protection Act of 2007; S 459, Breast Cancer Patient Protection Act of 2007; HR 2412, Equity in Prescription Insurance and Contraceptive Coverage Act of 2007; S 616, HIPAA Recreational Injury Technical Correction Act; HR 1076, HIPAA Recreational Injury Technical Correction Act; S 40, National Insurance Act of 2007; HR 3200, National Insurance Act of 2007; S 1298, Healthy Businesses, Healthy Workers Reinsurance Act of 2007; S 400, Michelle's Law; HR 2851, Michelle's Law; S 1588, CARES Act; HR 2676, Access to Cancer Clinical Trials Act of 2007; HR 2948, Increased Access to Health Insurance Act of 2007; HR 3425, Cancer Screening Coverage Act of 2007; HR 3997, Heroes Earnings Assistance and Relief Tax Act of 2007; S 2236, Preexisting Condition Exclusion Patient Protection Act of 2007; S 2268, Long Term Care Insurance Integrity Act of 2007; HR 4460, Health Care Choice Act of 2007; S 2477, Health Care Choice Act of 2007; S 1758, CLASS Act; HR 3001, CLASS Act; S 2706, Health Insurance Coverage Protection Act; HR 3799, Federal Employees Paid Parental Leave Act of 2007; HR 4986, National Defense Authorization Act for Fiscal Year 2008; HR 5781, Federal Employees Paid Parental Leave Act of 2008; HR 3195, ADA Restoration Act of 2007; S 2795, SHOP Act; HR 6210, SHOP Act; HR 5918, SHOP Act; S 3115, Children's Health Protection Act of 2008; HR 2842, Children's Health Protection Act of 2008; HR 5840, Insurance Information Act of 2008; HR 6081, Heroes Earnings Assistance and Relief Tax Act of 2008; HR 6142, To amend title I of the Employee Retirement Income Security Act of 1974 to provide, in the case of an employee welfare benefit plan providing benefits in the event of disability, an exemption from preemption under such title for State tort actions to recover damages arising from the failure of the plan to timely provide such benefits; HR 5550, To amend title 5, United States Code, to increase the maximum age to qualify for coverage as a `child' under the health benefits program for Federal employees; S 2948, Small Business Empowerment Act; HR 5955, Making Health Care More Affordable Act of 2008; HR 5923, Patients' Health Care Reform Act; S 2818, Small Business Health Plans Act of 2008; S 2999, Access to Cancer Clinical Trials Act of 2008; HR 6071, Health Care Consumer Protection Act of 2008; S 3068, Equity in Prescription Insurance and Contraceptive Coverage Act of 2007.

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

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

HR 1328/ S 1200, "Indian Health Care Improvement Act Reauthorization Bill," regarding sections 403 and 407 of the House version and section 415 of the Senate version; HR 4460/ S 2477, "Health Care Choice Act," monitoring activity regarding all provisions; HR 506, "The Health Partmership Through Creative Federalism Act," monitoring activity regarding all provisions; S 1758, "Community Living Assistance Services and Supports Act," regarding all provisions; S 1693, "The Wired for Health Care Quality Act," regarding all provisions; S 504 "Long-Term Care Trust Account Act of 2007", regarding all provisions; HR 2582, "Qualified Long-Term Care Fairness Act of 2007", regarding all provisions; S 1758, "Community Living Assistance Services and Supports Act", regarding all provisions; HR 5559 "Long-Term Care Retirement and Security Act of 2008", regarding all provisions; HR 493, "Genetic Nondiscrimination Act of 2007", regarding all provisions; S 334 "Healthy Americans Act", regarding all provisions; HR 6210/ S2795, "SHOP Act", regarding all provisions; HR 6357, "PRO(TECH)T Act of 2008", regarding all provisions.

Client expense: $880,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)