Small Business Health Options Program Act of 2008

Monitor and lobby on healthcare quality, cost, and access and related health care reform efforts, including related provisions in S. 2795 and HR 5918, Small Business Health options Program Act, S. 2818 Small Business Health Plans Act. Health Information Technology and related provisions in HR 6357, Protecting Records, Optimizing Treatment, and Easing Communications through Health Care Technology Act and HR 6898, The Health Care Information Technology Act. Medicaid registration moratorium legislation, including provisions in HR 5613 Protecting the Medicaid Safety Net, and S. 2819 Economic Recovery in Health Care Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 334/H.R. 6444, Healthy Americans Act (provisions related to Medicaid coverage and low-income access issues) S. 2795/H.R. 5918, SHOP Act, Small Business Health Options Program Act of 2008

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

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: $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

Small Business Health Plans S 2795/HR 5918/HR 6210 The Small Business Health Act Options Program Act of 2008

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

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

HR 46 (Small Business Tax Flexibility), S 270 (Small Business Tax Flexibility), S 2818 (Small Business Health Plans), S. 2795 (Small Business Health Purchasing Pool), H.R. 5918 (Small Business Health Options)

Client expense: $1,105,858 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), SENATE

S 2795/HR 5918 Small business Health Options Program Act of 2008 (SHOP); Small Business Health Insurance reform; HR 6444 Healthy Americans Act; S.400 and HR 2851 - Michelle's Law; HR 6357 PRO(TECH)T Act of 2008: Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008; HR 6898, Health-e Information Technology Act of 2008; HR 1424 Emergency Economic Stabilization Act of 2008.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2795/HR 5918 Small Business Health Options Program Act of 2008 (SHOP); Small Business Health Insurance reform.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 2795/HR 5918 Small Business Health Options Program Act of 2008 (SHOP); Small Business Health Insurance reform.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 2795/HR 5918 Small Business Health Options Program Act of 2008 (SHOP); Small Business Health Insurance Reform.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 91 - Homeowners Insurance Protection Act of 2007 - Instructs the Secretary of the Treasury to establish the National Commission on Catastrophe Preparation and Protection to advise the Secretary regarding estimated loss costs associated with contracts for reinsurance coverage. H.R. 3121 - Flood Insurance Reform and Modernization Act of 2007 - (Sec. 3) Directs the Comptroller General to study and report to Congress on: (1) the flood insurance coverage status of pre-FIRM properties; and (2) assess the impact, effectiveness, and feasibility of amending the Flood Disaster Protection Act of 1973 regarding properties subject to the mandatory flood insurance purchase requirement for a natural 100-year floodplain, and possible extension of such requirement to properties securing nonfederally related loans. H.R. 3959 - Amends the National Flood Insurance Act of 1968 (Act) to provide for phased-in actuarial premium rates for recently purchased pre-FIRM single family properties used as a principal residence and purchased for at least $600,000. C.A.R. opposes H.R. 3959. H.R. 5918 - SHOP Act - Amends the Public Health Service Act to require the Secretary of Health and Human Services to designate an office within the Department of Health and Human Services (HHS) to administer a health insurance program for small businesses and self-employed individuals to purchase health insurance coverage meeting certain requirements. S 2284 - Flood Insurance Reform and Modernization Act of 2007 - (Sec. 4) Amends the National Flood Insurance Act of 1968 (Act) to extend the national flood insurance program (Program) though FY2013. S. 2795 - SHOP Act - Amends the Public Health Service Act to require the Secretary of Health and Human Services to designate an office within the Department of Health and Human Services (HHS) to administer a health insurance program for small businesses and self-employed individuals to purchase health insurance coverage meeting certain requirements.

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

Government targets: Federal Communications Commission (FCC), Federal Housing Finance Agency (FHFA), Federal Reserve System, HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), SENATE, Treasury, Dept of

S.2795/H.R.5918, Small Business Health Options Program Act of 2008. Issues related to small business plan for comprehensive insurance coverage reform.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

See next page for H.R. 2210/S. 2893; H.R. 1544/S. 907; H.R. 2241/S.1343; S.755; H.R. 3257/S. 2173; H.R. 1363/S. 771; H.R. 5918/S. 2795; H.R. 3544/S. 2479; H.R. 5615/S. 3517 H.R. 2210/S. 2893, The Diabetes Prevention Access and Care Act of 2007/2008 Support entire bill: Would expand resources at NIH and CDC to promote research, treatment, and education regarding diabetes in minority populations. (Lobbyists used: Abby Bownas, Meghan Riley) H.R. 1544/S. 907, The Gestational Diabetes Act (GeDi Act) - Support entire bill; Legislation expands screening, diagnosis, data collection and treatment of gestation diabetes and the children born from women with gestational diabetes. (Lobbyists used: Abby Bownas, Kathryn Murray) H.R. 2241/S. 1343, The Diabetes Treatment and Prevention Act of 2007 Support entire bill; Amends the Public Health Service Act to require the Director of the Centers for Disease Control and Prevention (CDC) to establish the Division of Diabetes Translation to eliminate diabetes, allocates funding for the Division of Diabetes Translation, and provides for pilot programs for diabetes. (Lobbyists used: Abby Bownas, Meghan Riley) S. 755, The Diabetes Screening and Medicaid Savings Act of 2007 Support the entire bill; Amends title XIX (Medicaid) of the Social Security Act to require states to provide diabetes screening tests under the Medicaid program for adult enrollees with diabetes risk factors and provides a comprehensive package for individuals with diabetes. (Lobbyist used: Abby Bownas, Kathryn Murray) H.R. 3257/S. 2173, The Fitness Integrated with Teaching Kids Act of 2007 Support entire bill; Amends the Elementary and Secondary Education Act of 1965 to improve standards for physical education. (Lobbyists used: Abby Bownas, Meghan Riley) H.R.1363/S. 771, the Child Nutrition Promotion and School Lunch Protection Act of 2007'. Support entire bill; To amend the Child Nutrition Act of 1966 to improve the nutrition and health of schoolchildren by updating the definition of `food of minimal nutritional value' to conform to current nutrition science and to protect the Federal investment in the national school lunch and breakfast programs. (Lobbyists used: Abby Bownas, Meghan Riley) H.R. 5918/S. 2795, the Small Business Health Options Program Act of 2008 (SHOP Act). Neutral but continue conversations about possible changes; To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. (Lobbyist used: Kathryn Murray, Abby Bownas, Ken Van Pool, Jim Schlicht) H.R. 3544/S. 2479, the Catalyst to Better Diabetes Care Act of 2007 Support the entire bill; to catalyze change in the care and treatment of diabetes in the United States. (Lobbyists used: Abby Bownas) H.R. 5615/S. 3517, the Group Health Plans Prosthetic Parity Act of 2007 Support the entire bill; to ensure equal treatment for patients who have suffered limb loss. (Lobbyist used: Abby Bownas, Meghan Riley) Issues worked on the Hill not yet reflected in legislation: Small Business Health Insurance Reform; ADA is interested in following the creation of small business health insurance reform legislation and has spoken with offices about legislation not yet introduced. Lobbyist used: Abby Bownas, Kathryn Murray, Ken Van Pool. Health Care Reform; ADA is interested in any reform of the health care system and has spoken with offices about legislation not yet introduced. Lobbyist used: Jim Schlicht, Abby Bownas, Kathryn Murray, Meghan Riley, Ken Van Pool, Jane Loewenson, Lisa Foster. Transportation Reauthorization; ADA is interested in the drafting of the successor to SAFETEA-LU transportation reauthorization legislation. Support developing performance based outcomes related to public health for the next transportation bill, including physical activity and Safe Routes to School.

Client expense: $158,000 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Motor Carrier Safety Administration, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, Natl Institutes of Health (NIH), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA), White House Office

Health Care for Small Businesses S. 2795 H.R. 5918 H.R. 6210 Small Business Health Care

Client expense: $48,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Labor, Dept of (DOL), SENATE

Health Care for Small Businesses S. 2795 H.R. 5918 H.R. 6210 Small Business Health Care

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Wired for Health Care Quality Act, S. 1693, Health Information Technology; S. 1019, Universal Health Care Choice and Access Act, Health tax reform; S. 1886, Every American Insured Health Act, Health tax reform; S. 334, Healthy Americans Act, all provisions; S. 1544, Medicare Quality Enhancement Act, all provisions; H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, mental health parity; S. 558, Mental Health Parity Act of 2007, mental health parity; H.R. 3162, Children's Health and Medicare Protection Act of 2007, State Children's Health Insurance Program; H.R. 976/S. 1893, Children's Health Insurance Program Reauthorization Act of 2007, State Children's Health Insurance Program; S. 1753, Healthy Workforce Act of 2007, wellness and prevention provisions; S. 1754, To amend the Public Health Service Act to provide for a workplace wellness education campaign and an evaluation of employer-based wellness programs, and for other purposes, wellness and prevention provisions; H.R. 3370, Medicare Quality Enhancement Act of 2007, wellness and prevention provisions; ERISA Waivers; Health care reform; Health Savings Accounts; Medicare Advantage Plans; S. 2795/H.R. 5918, Small Business Health Options Program Act of 2008, all provisions; H.R. 7187/S. 3575, Labeling Education and Nutrition Act of 2008, all provisions

Client expense: $620,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Employment Standards Administration, Environmental Protection Agency (EPA), Federal Bureau of Investigation (FBI), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Credit Union Administration (NCUA), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Thrift Supervision (OTS), Office of the Comptroller of the Currency (OCC), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Secret Service, U.S. Trade Representative (USTR), White House Office

HR 46 (Small Business Tax Flexibility), S 270 (Small Business Tax Flexibility), S 2818 (Small Business Health Plans), S. 2795 (Small Business Health Purchasing Pool), H.R. 5918 (Small Business Health Options)

Client expense: $1,288,791 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), SENATE

H.R. 91 - Homeowners Insurance Protection Act of 2007 - Instructs the Secretary of the Treasury to establish the National Commission on Catastrophe Preparation and Protection to advise the Secretary regarding estimated loss costs associated with contracts for reinsurance coverage. H.R. 3121 - Flood Insurance Reform and Modernization Act of 2007 - (Sec. 3) Directs the Comptroller General to study and report to Congress on: (1) the flood insurance coverage status of pre-FIRM properties; and (2) assess the impact, effectiveness, and feasibility of amending the Flood Disaster Protection Act of 1973 regarding properties subject to the mandatory flood insurance purchase requirement for a natural 100-year floodplain, and possible extension of such requirement to properties securing nonfederally related loans. H.R. 3959 - Amends the National Flood Insurance Act of 1968 (Act) to provide for phased-in actuarial premium rates for recently purchased pre-FIRM single family properties used as a principal residence and purchased for at least $600,000. C.A.R. opposes H.R. 3959. H.R. 5918 - SHOP Act - Amends the Public Health Service Act to require the Secretary of Health and Human Services to designate an office within the Department of Health and Human Services (HHS) to administer a health insurance program for small businesses and self-employed individuals to purchase health insurance coverage meeting certain requirements. S 2284 - Flood Insurance Reform and Modernization Act of 2007 - (Sec. 4) Amends the National Flood Insurance Act of 1968 (Act) to extend the national flood insurance program (Program) though FY2013. S. 2795 - SHOP Act - Amends the Public Health Service Act to require the Secretary of Health and Human Services to designate an office within the Department of Health and Human Services (HHS) to administer a health insurance program for small businesses and self-employed individuals to purchase health insurance coverage meeting certain requirements.

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

Government targets: Federal Communications Commission (FCC), Federal Reserve System, HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), SENATE, Treasury, Dept of

See Next Page for H.R. 2210/S. 2893, H.R. 1544/S. 907, H.R. 2241/S. 1343, S. 755, H.R. 3257/S. 2173, H.R.1363/S. 771, S. 2795/H.R. 5918, and H.R. 3544/S. 2479. H.R. 2210/S. 2893, The Diabetes Prevention Access and Care Act of 2007/2008 Support entire bill: Would expand resources at NIH and CDC to promote research, treatment, and education regarding diabetes in minority populations. (Lobbyists used: Abby Bownas, Meghan Riley) H.R. 1544/S. 907, The Gestational Diabetes Act (GeDi Act) - Support entire bill; Legislation expands screening, diagnosis, data collection and treatment of gestation diabetes and the children born from women with gestational diabetes. (Lobbyists used: Abby Bownas, Meghan Riley, Kathryn Murray) H.R. 2241/S. 1343, The Diabetes Treatment and Prevention Act of 2007 Support entire bill; Amends the Public Health Service Act to require the Director of the Centers for Disease Control and Prevention (CDC) to establish the Division of Diabetes Translation to eliminate diabetes, allocates funding for the Division of Diabetes Translation, and provides for pilot programs for diabetes. (Lobbyists used: Abby Bownas, Candice Ngo, Meghan Riley) S. 755, The Diabetes Screening and Medicaid Savings Act of 2007 Support the entire bill; Amends title XIX (Medicaid) of the Social Security Act to require states to provide diabetes screening tests under the Medicaid program for adult enrollees with diabetes risk factors and provides a comprehensive package for individuals with diabetes. (Lobbyist used: Abby Bownas, Kathryn Murray) H.R. 3257/S. 2173, The Fitness Integrated with Teaching Kids Act of 2007 Support entire bill; Amends the Elementary and Secondary Education Act of 1965 to improve standards for physical education. (Lobbyists used: Abby Bownas, Meghan Riley) H.R.1363/S. 771, the Child Nutrition Promotion and School Lunch Protection Act of 2007'. Support entire bill; To amend the Child Nutrition Act of 1966 to improve the nutrition and health of schoolchildren by updating the definition of `food of minimal nutritional value' to conform to current nutrition science and to protect the Federal investment in the national school lunch and breakfast programs. (Lobbyists used: Abby Bownas, Meghan Riley) S. 2795/H.R. 5918, the Small Business Health Options Program Act of 2008 (SHOP Act). Neutral but continue conversations about possible changes; To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. (Lobbyist used: Kathryn Murray, Abby Bownas, Ken Van Pool) H.R. 3544/S. 2479, The Catalyst to Better Diabetes Care Act of 2007 Support the entire bill; To catalyze change in the care and treatment of diabetes in the United States. (Lobbyists used: Abby Bownas, Candice Ngo) Issues worked on the Hill not yet reflected in legislation: Small Business Health Insurance Reform; ADA is interested in following the creation of small business health insurance reform legislation and has spoken with offices about legislation not yet introduced. (Lobbyist used: Abby Bownas, Kathryn Murray, Ken Van Pool.) Health Care Reform; ADA is interested in any reform of the health care system and has spoken with offices about legislation not yet introduced. ( Lobbyist used: Abby Bownas, Kathryn Murray, Ken Van Pool, Jane Loewenson (NVG), Lisa Foster (NVG). ) Commercial Drivers Licenses for people with diabetes: ADA is interested in the result of regulations currently being processed by the Department of Transportation regarding commercial drivers incenses for people with diabetes. No legislation has been introduced at this time. ( Lobbyist used: Abby Bownas, Candice Ngo.) *Staff lobbyists: James P. Schlicht Executive VP, Government Affairs and Advocacy Abby Bownas- Director, Federal Government Affairs Candice Ngo Manager, Federal Government Affairs (until 9/22/08) Kathryn Murray Manager, Federal Government Affairs Meghan Riley Manager, Federal Government Affairs For Policy Guidance: Kendall Van Pool-Associate Director, Policy and Strategic Alliances

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

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA), White House Office

Small Business Health Plans S 2795/HR 5918/HR 6210 The Small Business Health Act Options Program Act of 2008

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), SENATE

H.R. 1424 Paul Wellstone Mental Health and Addiction Equity Act H.R. 5501 Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act H.R. 5918 Small Business Health Options Program Act H.R. 6210 Small Business Health Options Program Act H.R. 6357 Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act H.R. 7016 Susan B. Anthony Prenatal Nondiscrimination Act H.R. 7067 Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act S. 558 Mental Health Parity Act S. 1693 Wired for Health Care Quality Act S. 2731 Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act S. 2795 Small Business Health Options Program Act S. 3408 Comparative Effectiveness Research Act H. Con. Res. 342 Expressing the sense of Congress that the Food and Drug Administration's (FDA) new policy restricting women's access to medications containing estriol does not serve the public interest. S. Con. Res. 88 Expressing the sense of Congress that the Food and Drug Administration's (FDA) new policy restricting women's access to medications containing estriol does not serve the public interest. Docket No. DEA 218 Electronic Prescriptions for Controlled Substances, CFR Parts 1300, 1304, 1306, 1311 RIN 0991-AB48 Provider Conscience Regulations Request for language in the standards governing ICE detention practices that prohibits the use of shackles or restraints on pregnant women in ICE custody

Client expense: $25,000 · Firm income: Not reported

Government targets: Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, U.S. Immigration & Customs Enforcement (ICE)

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

Monitor and lobby on healthcare quality, cost, and access and related health care reform efforts, including related provisions in S. 2795 and HR 5918, Small Business Health options Program Act, S. 2818 Small Business Health Plans Act. Health Information Technology and related provisions in HR 6357, Protecting Records, Optimizing Treatment, and Easing Communications through Health Care Technology Act and HR 6898, The Health Care Information Technology Act. Medicaid registration moratorium legislation, including provisions in HR 5613 Protecting the Medicaid Safety Net, and S. 2819 Economic Recovery in Health Care Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.2795/H.R.5918, Small Business Health Options Program Act of 2008. Issues related to small business plan for comprehensive insurance coverage reform.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 2795/HR 5918 Small business Health Options Program Act of 2008 (SHOP); Small Business Health Insurance reform; S. 558 Mental Health Parity Act of 2007; HR 1424 Paul Wellstone Mental Health & Addiction Equity Act of 2007; Mental Health Parity; S. 358/HR 493 Genetic Nondiscrimination Act of 2007; GINA; HR 6444 Healthy Americans Act; S.400 and HR 2851 - Michelle's Law; HR 6357 PRO(TECH)T Act of 2008: Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008; HR 6898, Health-e Information Technology Act of 2008; HR 1424 EMERGENCY ECONOMIC STABILIZATION ACT OF 2008

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2795/HR 5918 Small Business Health Options Program Act of 2008 (SHOP); Small Business Health Insurance reform; S. 558 Mental Health Parity Act of 2007; HR 1424 Paul Wellstone Mental Health & Addiction Equity Act of 2007; Mental Health Parity; S. 358/HR 493 Genetic Nondiscrimination Act of 2007; GINA.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 2795/HR 5918 Small Business Health Options Program Act of 2008 (SHOP); Small Business Health Insurance reform; S. 558 Mental Health Parity Act of 2007; HR 1424 Paul Wellstone Mental Health & Addiction Equity Act of 2007; Mental Health Parity; S. 358/HR 493 Genetic Nondiscrimination Act of 2007; GINA.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 2795/HR 5918 Small Business Health Options Program Act of 2008 (SHOP); Small Business Health Insurance Reform; S. 558 Mental Health Parity Act of 2007; HR 1424 Paul Wellstone Mental Health & Addiction Equity Act of 2007; Mental Health Parity; S. 358/HR 493 Genetic Nondiscrimination Act of 2007; GINA

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2132, HR 1012, HR 324, HR 241, S 2808, HR 2737, S 2795, HR 5918, HR 6210 - ensuring parity and access for podiatric physicians in small business health plan reform

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

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

Wired for Health Care Quality Act, S. 1693, Health Information Technology; S. 1019, Universal Health Care Choice and Access Act, Health tax reform; S. 1886, Every American Insured Health Act, Health tax reform; S. 334, Healthy Americans Act, all provisions; S. 1544, Medicare Quality Enhancement Act, all provisions; H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, mental health parity; S. 558, Mental Health Parity Act of 2007, mental health parity; H.R. 3162, Children's Health and Medicare Protection Act of 2007, State Children's Health Insurance Program; H.R. 976/S. 1893, Children's Health Insurance Program Reauthorization Act of 2007, State Children's Health Insurance Program; S. 1753, Healthy Workforce Act of 2007, wellness and prevention provisions; S. 1754, To amend the Public Health Service Act to provide for a workplace wellness education campaign and an evaluation of employer-based wellness programs, and for other purposes, wellness and prevention provisions; H.R. 3370, Medicare Quality Enhancement Act of 2007, wellness and prevention provisions; ERISA Waivers; Health care reform; Health Savings Accounts; Medicare Advantage Plans; S. 2795/H.R. 5918, Small Business Health Options Program Act of 2008, all provisions

Client expense: $500,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Employment Standards Administration, Environmental Protection Agency (EPA), Federal Bureau of Investigation (FBI), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Credit Union Administration (NCUA), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Thrift Supervision (OTS), Office of the Comptroller of the Currency (OCC), Postal Rate Commission, Postal Regulatory Commission, SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Secret Service, U.S. Trade Representative (USTR), White House Office

MMM (Legislative Issues): H.R. 4: Medicare Prescription Drug Price Negotiation Act (Dingell); H.R. 976: Childrens Health Insurance Program Reauthorization Act (Rangel); H.R. 1535: Children's Health First Act (Dingell); H.R. 1663: Medicare Mental Health Modernization Act (Stark) (continued) H.R. 1990: Medicare Cost Contract Extension and Refinement Act (Pomeroy); H.R. 2147: Healthy Kids Act (Emanuel); H.R. 2945: Medicare Advantage Truth in Advertising Act (Stark); H.R. 2642: Supplemental Appropriations Act (provisions relating to moratoria on Medicaid regulations); H.R. 2842: Childrens Health Protection Act (Schwartz); 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. 3195: ADA Amendments Act (Hoyer); 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. 5550: Coverage for Young Adult Dependents of Federal Employees (Davis); 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. 5781: Federal Employees Paid Parental Leave Act (Maloney); H.R. 5840: Insurance Information Act (Kanjorski); H.R. 5918: Small Business Health Options Program Act (Barrow); H.R. 5923: Patients Health Care Reform Act (Shadegg); H.R. 5955: Making Health Care More Affordable Act (Walberg); H.R. 5998: Protecting Children's Health Coverage Act (Pallone); H.R. 6071: Health Care Consumer Protection Act (provisions relating to reinstatement of health insurance following nonpayment of premiums) (Forbes); H.R. 6081: Heroes Earning Assistance and Relief Tax Act (mental health parity and FSA provisions); H.R. 6142: Lawsuits Against Employer-Sponsored Disability Benefit Plans (Andrews); H.R. 6210: Small Business Health Options Program Act (Kind-English); 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); S. 3: Medicare Prescription Drug Price Negotiation Act (Reid); S. 130: Medicare Cost Contract Extension and Refinement Act (Allard); S. 401: Keep Children Covered Act (Rockefeller); S. 706: Medicare Advantage Stabilization Fund (Feingold); S. 799: Community Choice Act (Harkin); S. 895: Children's Health First Act (Clinton); 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. 1224: Children's Health Insurance Program Reauthorization Act (Rockefeller); S. 1507: Access to Medicare Data Act (Grassley); S. 1544: Medicare Quality Enhancement Act (Gregg); 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. 2948: Small Business Empowerment Act (Brown); S. 2818: Small Business Health Plans Act (Enzi); S. 2999: Access to Cancer Clinical Trials Act (Brown); S. 3068: Equity in Prescription Insurance and Contraceptive Coverage Act (Snowe); 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. 3115: Childrens Health Protection Act (Lautenberg); S. 3118: Preserving Access to Medicare Act (provisions relating to Medicare Advantage, Medicare Part D, Medicaid, and electronic prescribing)(Grassley). 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 encounter data issues) bidding and payment issues (including MA coding intensity, Part D reinsurance, low income subsidies, application process, and audits), application process, and audits, benefit design rules, SSA and CMS premium withhold processing issues, systems issues affecting enrollment and disenrollment processing, enrollment rules, marketing materials review and approval, marketing activities, including conduct of brokers and agents and plan sponsor marketing staff and issues raised by CMS about Private Fee-for-Service (PFFS) plan marketing, measurement and oversight of plan performance including Special Needs Plans (SNPs); grievance and appeals processes, compliance/fraud and abuse training, and Medicare/Medicaid integration issues for Special Needs Plans (SNPs); Federal premption of State authorization 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, systems issues affecting enrollment and disenrollment processing, 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) and federal matching funds for graduate medical education; 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: $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

Small Business Health Plans S 2795/HR 5918/HR 6210 The Small Business Health Act Options Program Act of 2008

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), SENATE

HR 46 (Small Business Tax Flexibility), S 270 (Small Business Tax Flexibility), S 2818 (Small Business Health Plans), S. 2795 (Small Business Health Purchasing Pool), H.R. 5918 (Small Business Health Options)

Client expense: $1,085,550 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), 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): 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: $3,740,000 · 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), Financial Crimes Enforcement Network (FinCEN), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Office of Management & Budget (OMB), Office of Thrift Supervision (OTS), Office of the Comptroller of the Currency (OCC), SENATE, Treasury, Dept of, U.S. Agency for International Development (USAID), Veterans Affairs, Dept of (VA)

Wired for Health Care Quality Act, S. 1693, Health Information Technology; S. 1019, Universal Health Care Choice and Access Act, Health tax reform; S. 1886, Every American Insured Health Act, Health tax reform; S. 334, Healthy Americans Act, all provisions; S. 1544, Medicare Quality Enhancement Act, all provisions; H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, mental health parity; S. 558, Mental Health Parity Act of 2007, mental health parity; H.R. 3162, Children's Health and Medicare Protection Act of 2007, State Children's Health Insurance Program; H.R. 976/S. 1893, Children's Health Insurance Program Reauthorization Act of 2007, State Children's Health Insurance Program; S. 1753, Healthy Workforce Act of 2007, wellness and prevention provisions; S. 1754, To amend the Public Health Service Act to provide for a workplace wellness education campaign and an evaluation of employer-based wellness programs, and for other purposes, wellness and prevention provisions; H.R. 3370, Medicare Quality Enhancement Act of 2007, wellness and prevention provisions; ERISA Waivers; Health care reform; Health Savings Accounts; Medicare Advantage Plans; S. 2795/H.R. 5918, Small Business Health Options Program Act of 2008, all provisions

Client expense: $700,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Employment Standards Administration, Environmental Protection Agency (EPA), Federal Bureau of Investigation (FBI), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Credit Union Administration (NCUA), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Thrift Supervision (OTS), Office of the Comptroller of the Currency (OCC), Postal Rate Commission, Postal Regulatory Commission, SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Secret Service, U.S. Trade Representative (USTR), White House Office

S 2795/HR 5918 Small Business Health Options Program Act of 2008 - Discussed concerns on small business health insurance coverage. Discussed proposal for health insurance reinsurance. S 334 Healthy Americans Act - Discussed Senator Wyden's health care reform bill. Stakeholder meeting on health care quality. HR 3701/S 845 Keeping Seniors Safe from Falls Act of 2007- Lobbied for all provisions to direct the Secretary of HHS to conduct public and professional education, research, and demonstration grants to prevent falls among the elderly. SCR 70 - Lobbied in favor of Medicare premium protection language in the budget and for reserve funds for health. Divided We Fail, an initiative to give voice to millions of Americans who are tired of letting Washington gridlock stand in the way of affordable, quality health care and long-term financial security - the most pressing domestic issues facing our nation. Lobbied for spending levels for Rx comparative effectiveness, nursing education, NIH research, Falls Prevention and other similar accounts. Discussed the need for bipartisan action on health care reform legislation, and how AARP could be helpful in vetting such proposals with its members. Expressed concern about proposed regulation regarding reduction of annual reassignment of LIS population in Medicare Part D. HR 3800/S 1693 - Wired for Health Act/Promotion of Health Information Technology Act - Strongly promoted enactment of this legislation to promote adoption of health information technology. S 2408/HR 4296 Medicare Electronic Medication and Safety Protection (E-Meds) Act of 2007- Supported this legislation to require 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. Lobbied for legislation to promote Health IT. Lobbied on structure of Health IT standard-setting body.

Client expense: $6,480,000 · Firm income: Not reported

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

S. 2795 The Small Business Health Options Program (SHOP) Act-small business health insurance pooling S. 2902 The Independent Office of Advocacy and Small Business Regulatory Reform Act- ensure complete analysis of potential impacts on small entities of rules, and for other purposes. H.R. 3221 The American Housing Rescue and Foreclosure Prevention Act- Senate version concerns with the merchant card reporting proposal S. 2978, the Credit and Debit Card Receipt Clarification Act of 2008 support the correcting of printing of an expiration date on certain credit and debit card receipts S. 2896 The Diesel Tax Parity Act- which would help relieve small businesses from the high price of diesel fuel S. 3063 S Corporation Modernization Act-supportive of bill S. 2668, the MOBILE Cell Phone Act of 2008-allow for deducting of cell phones for small business owners S. 1693 The Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology (PRO(TECH)T) Act of 2008 - promotes the adoption of health information technology. H.R. 847 The Healthcare Disclosure Act-to require that amounts paid for employer-provided coverage under accident or health plans be included on W-2 Forms. H.R. 2642 The Iraq/Afghanistan Supplemental Appropriation bill-concerns over the 5% surtax as a payfor H.R. 2463 the Interior Appropriation bill-support increased offshore oil and natural gas exploration H.R. 3021 The 21st Century High-Performing Public Schools Facilities Act-concerns over expanding Davis Bacon H.R. 3221 The American Housing Rescue and Foreclosure Prevention Act- concerns with the merchant card reporting proposal H.R.3548 The Plain Language in Government Communication Act H.R. 4008 The Credit and Debt Card Receipt Clarification Act supports protecting small businesses from frivolous lawsuits H.R. The Taxpayer Assistance and Simplification Act-supporting the mobile phone, repeal of 3% withholding requirement and new changes to the tax code. H.R. 5515 The New Employee Verification Act of 2008 supporting the e-verify system H.R. 5522 The Combustible Dust Explosion and Fire Prevention Act-opposed expansion of OSHA requirements H.R. 5719 the Taxpayer Assistance Simplification Act of 2008-support cell phone expensing, delay on 3% withholding on goverment payments H.R. 5781 The Federal Employees Paid Parental Leave Act-opposed the expansion of Family Medical Leave Act H.R. 5918 The Small Business Health Options Program (SHOP) Act-support small business insurance pooling H.R. 6025 The Family Time Flexibility Act removes obstacles in federal law that prohibit private sector employers from providing increased flexibility to their employees by offering the choice of taking time-and-a-half compensatory time as payment for overtime. H.R. 6117 The Small Business Regulatory Equity Act-support the requirement of the Government Accountability Office (GAO) to conduct an analysis of the impact of Federal regulations on small businesses H.R. 6210 The Small Business Health Options Program (SHOP) Act-support small business insurance pooling H.R. 6275, the Alternative Minimum Tax Relief Act- concerned pay for imposes new taxes on small businesses. H.R. 6357 The The Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology (PRO(TECH)T) Act of 2008- promotes the adoption of health information technology.

Client expense: $1,018,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Energy, Dept of, Executive Office of the President (EOP), Federal Communications Commission (FCC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Postal Service (USPS)

Monitor and lobby on healthcare quality, cost, and access and related health care reform efforts, including related provisions in S. 2795 and HR 5918, Small Business Health options Program Act, S. 2818 Small Business Health Plans Act. Health Information Technology and related provisions in HR 6357, Protecting Records, Optimizing Treatment, and Easing Communications through Health Care Technology Act. Medicaid registration moratorium legislation, including provisions in HR 5613 Protecting the Medicaid Safety Net, and S. 2819 Economic Recovery in Health Care Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2132, HR 1012, HR 324, HR 241, S 2808, HR 2737, S 2795, HR 5918, HR 6210 - ensuring parity and access for podiatric physicians in small business health plan reform

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

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

H.R. 91 - Homeowners Insurance Protection Act of 2007 - Instructs the Secretary of the Treasury to establish the National Commission on Catastrophe Preparation and Protection to advise the Secretary regarding estimated loss costs associated with contracts for reinsurance coverage. H.R. 3121 - Flood Insurance Reform and Modernization Act of 2007 - (Sec. 3) Directs the Comptroller General to study and report to Congress on: (1) the flood insurance coverage status of pre-FIRM properties; and (2) assess the impact, effectiveness, and feasibility of amending the Flood Disaster Protection Act of 1973 regarding properties subject to the mandatory flood insurance purchase requirement for a natural 100-year floodplain, and possible extension of such requirement to properties securing nonfederally related loans. H.R. 3959 - Amends the National Flood Insurance Act of 1968 (Act) to provide for phased-in actuarial premium rates for recently purchased pre-FIRM single family properties used as a principal residence and purchased for at least $600,000. C.A.R. opposes H.R. 3959. H.R. 5918 - SHOP Act - Amends the Public Health Service Act to require the Secretary of Health and Human Services to designate an office within the Department of Health and Human Services (HHS) to administer a health insurance program for small businesses and self-employed individuals to purchase health insurance coverage meeting certain requirements. S 2284 - Flood Insurance Reform and Modernization Act of 2007 - (Sec. 4) Amends the National Flood Insurance Act of 1968 (Act) to extend the national flood insurance program (Program) though FY2013. S. 2795 - SHOP Act - Amends the Public Health Service Act to require the Secretary of Health and Human Services to designate an office within the Department of Health and Human Services (HHS) to administer a health insurance program for small businesses and self-employed individuals to purchase health insurance coverage meeting certain requirements.

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

Government targets: Federal Communications Commission (FCC), Federal Reserve System, HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), SENATE, Treasury, Dept of

See next page for H.R. 1544/S. 907, H.R. 2241/S. 1343, S. 755, H.R. 3544/S. 2479, H.R. 3257/S. 2173, H.R. 1363/S. 771, H.R. 2419, S. 2795/H.R. 5918, S. Res. 549, H.R. 2210/S. 2893 H.R. 1544/S. 907, The Gestational Diabetes Act (GeDi Act) Support entire bill; Legislation expands screening, diagnosis, data collection and treatment of gestational diabetes and the children born from women with gestational diabetes. H.R. 2241/S. 1343, The Diabetes Treatment and Prevention Act of 2007 Support entire bill; Amends the Public Health Service Act to require the Director of the Centers for Disease Control and Preventions (CDC) to establish the division of Diabetes Translation, and provides for pilot programs for diabetes. S. 755, The Diabetes Screening and Medicaid Savings Act of 2007 Support entire bill; Amends title XIX (Medicaid) of the Social Security Act to require states to provide diabetes screening tests under the Medicaid program for adult enrollees with diabetes risk factors and provides a comprehensive package for individuals with diabetes. H.R. 3544/S. 2479, The Catalyst to Better Diabetes Care act of 2007 Support entire bill; To catalyze change in the care and treatment of diabetes in the United States. H.R. 3257/S. 2173, The Fitness Integrated with Teaching Kids Act of 2007 Support entire bill; Amends the Elementary and Secondary Education Act of 1965 to improve standards for physical education. H.R. 1363/S. 771, The Child Nutrition Promotion and School Lunch Protection Act of 2007 Support entire bill; To amend the Child Nutrition Act of 1966 to improve the nutrition and health of schoolchildren by updating the definition of 'food of minimal nutritional value' to conform to current nutrition science and to protect the Federal investment in the national school lunch and breakfast programs. H.R. 2149, to provide for the continuation of agricultural programs throughout fiscal year 2012, and for other purposes. Support only the Fresh Fruit and Vegetable provisions included in the Senate bill which expands the program to $225 million per year through 2012. S. 2795/H.R. 5918, the Small Business Health Options Program of 2008 (SHOP Act) Nuetral but weighed in with recommendations; To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and self employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. S. Res. 546, Designating May 2008 as 'National Physical Fitness and Sports Month' and the week of May 1 through May 7, 2008 as 'National Physcial Education and Sports Week' Supported resolution designating National Physical Fitness and Sports Month. H.R. 2210/S. 2893, The Diabetes Prevention Access and Care Act of 2007/2008- Support entire bill: Would expand resources at NIH and CDC to promote research, treatment, and education regarding diabetes in minority populations. Issues worked on the Hill not yet reflected in legislation: -Small Business Health Insurance Reform; ADA is interested in following the creation of small business health insurance reform legislation and has spoken with offices about legislation not yet introduced. -Health Care Reform; ADA is interested in any reform of the health care system and has spoken with offices about legislation not yet introduced

Client expense: $335,500 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, Justice, Dept of (DOJ), Natl Institutes of Health (NIH), SENATE, White House Office

S. 2795 H.R. 5918 H.R. 6210 Small Business Health Care

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

S.2795/H.R.5918, Small Business Health Options Program Act of 2008. Issues related to small business plan for comprehensive insurance coverage reform.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 2795/HR 5918 Small business Health Options Program Act of 2008 (SHOP); Small Business Health Insurance reform; S. 558 Mental Health Parity Act of 2007; HR 1424 Paul Wellstone Mental Health & Addiction Equity Act of 2007; Mental Health Parity; S. 358/HR 493 Genetic Nondiscrimination Act of 2007; GINA.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE