Healthy Americans Act

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

Issues pertaining to coverage and other health issues; H.R. 1424 Paul Wellstone Mental Health and Addiction Equity Act of 2007, Sec. 2, 3, 5 and 6 and all provisions relating to physician-owned hospitals as well as mental health parity; S. 558 Mental Health Parity Act of 2007, all provisions related to mental health parity; H.R. 1666 Health Care Price Transparency Promotion Act of 2007, all provisions to amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs; S. 866 Health Promotion First Act, all provisions pertaining to health promotion reearch and dissemination; S. 1893 Children's Health Insurance Program Reauthorization Act of 2007, all provisions related to this bill; H.R. 2851 and S. 400 Michelle's Law, all provisions to amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to ensure that dependent students who take a medically necessary leave of absence do not lose health insurance coverage, and for other purposes; H.R. 5544 Patients and Public Health Partnership Act of 2008, all provisions to amend the Public Health Service Act to authorize a demonstration project for integrated health systems to expand access to primary and preventive care for the medically underserved, and for other purposes; H.R. 2606 340B Program Improvement and Integrity Act of 2007, all provisions to amend section 340B of the Public Health Service Act to revise and expand the drug discount program under that section to improve the provision of discounts on drug purchases for certain safety net providers; S. 334 Healthy Americans Act, all provisions to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away; H.R. 5885 Health Information Technology Promotion Act of 2008, to promote a better health information system; H.R. 5739 Physician Availability Act of 2008, to assure that the services of a non-emergency department physician are available to hospital patients 24 hours a day, seven days a week in all non-Federal hospitals with at least 100 licensed beds; H.R. 1174 Healthy Hospitals Act of 2007, to amend title XVIII of the Social Security Act to require public reporting of health care-associated infections data by hospitals and ambulatory surgical centers and to permit the Secretary of Health and Human Services to establish a pilot program to provide incentives to hospitals and ambulatory surgical centers to eliminate the rate of occurrence of such infections; H.R. 5942 National Trauma Center Stabilization Act of 2008, to ensure the continued and future availability of lifesaving trauma health care in the United States and to prevent further trauma center closures and downgrades by assisting trauma centers with uncompensated care costs, core mission services, emergency needs, and information technology; H.R. 3014 Health Equity and Accountability Act of 2007, to improve the health of minority individuals, and for other purposes; H.R. 6444 Healthy Americans Act, to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away H.R. 6049 Energy and Tax Extenders Act of 2008, Section 255 Parity in the application of certain limits to mental health benefits; S.1693 Wired for Health Care Quality Act, to enhance the adoption of a nationwide interoperable health information technology system and to improve the quality and reduce the costs of health care in the United States; issue seeking withdrawal of proposed rule and re-issuance of revised rule related to Tri-Care outpatient prospective payment system; issues pertaining to physician self-referral and physician ownership; Emergency Economic Stabilization Act of 2008, support passage of this bill which includes a provision requiring group health plans to offer the same financial and treatment limits for mental health and substance-related disorder benefits as they do for medical and surgical benefits; strongly supported implementation of the ICD-10 coding system.

Client expense: $4,910,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA)

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

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

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

H.R.15: To provide a program of national health insurance, and for other purposes. H.R.113: To amend the Internal Revenue Code of 1986 to require group health plans to provide coverage for reconstructive surgery following mastectomy, consistent with the Women's Health and Cancer Rights Act of 1998. H.R.119: To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. H.R.282: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for second opinions. H.R.283: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans permit enrollees direct access to services of obstetrical and gynecological physician services directly and without a referral. H.R.506: To provide for innovation in health care through State initiatives that expand coverage and access. H.R.676: To provide for comprehensive health insurance coverage for all United States residents, and for other purposes. H.R.758: To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. H.R.914: To amend the Internal Revenue Code of 1986 to allow individuals a refundable credit against income tax for the purchase of private health insurance, and for other purposes. H.R.979: To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to protect consumers in managed care plans and other health coverage. H.R.1076: To promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. H.R.1367: To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans. H.R.1368: To establish a program to provide financial incentives to encourage the adoption and use of interactive personal health records. H.R.1424: To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans. H.R.1802: To amend the Internal Revenue Code of 1986 to provide a refundable tax credit to small businesses for the costs of qualified health insurance. H.R.1820: To amend the Internal Revenue Code of 1986 to extend the exclusion from gross income for employer-provided health coverage for employees' spouses and dependent children to coverage provided to other eligible designated beneficiaries of employees. H.R.1841: To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. H.R. 2034: to provide quality, affordable health care for all Americans. H.R. 2132: to amend the Public Health Service Act to establish a small business health benefits program. H.R. 2302: to amend the Internal Revenue Code of 1986 to allow a deduction for premiums for high deductible health plans required with respect to health savings accounts. H.R. 2633: to improve the health of Americans and reduce health care costs by reorienting the nation's health care system toward prevention, wellness, and self care. H.R. 2737: to amend the Internal Revenue Code of 1986 to allow previously uninsured individuals a refundable credit for health insurance costs and to provide tax incentives to encourage small business health plans.H.R.1111: To amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. H.R.2851: To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to ensure that dependent students who take a medically necessary leave of absence do not lose health insurance coverage, and for other purposes. H.R.3195: To restore the intent and protections of the Americans with Disabilities Act of 1990. H.R. 3234: To amend the Internal Revenue Code of 1986 to improve access to health care through expanded health savings accounts. H.R. 3306: To amend the Internal Revenue Code of 1986 to allow amounts in a health flexible spending arrangement that are unused during a plan year to be carried over to subsequent plan years or deposited into certain health or retirement plans. H.R. 3584: To amend title XXI of the Social Security Act to extend funding for 18 months for the State Children's Health Insurance Program (SCHIP), and for other purposes. H.R. 3800: to advance the adoption of nationwide interoperable health information technology and to improve health care quality and reduce health care costs in the United States. H.R. 4222: to amend title I of the Employee Retirement Income Security Act of 1974, the Internal Revenue Code of 1986, and title XXII of the Public Health Service Act to extend COBRA benefits for certain TAA-eligible individuals and PBGC recipients. H.R. 4232: to improve mental and substance use health care. H.R. 4848: to extend for one year parity in the application of certain limits to mental health benefits, and for other purposes. H.R.5442: To provide individuals with access to health information of which they are a subject, to ensure personal privacy, security, and confidentiality with respect to health related information in promoting the development of a nationwide interoperable health information infrastructure, to impose criminal and civil penalties for unauthorized use of personal health information, to provide for the strong enforcement of these rights, to protect States' rights, and for other purposes. H.R.5449: To amend the Employee Retirement Income Security Act of 1974, Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit discrimination in group health coverage and individual health insurance coverage. H.R.6357:to amend the Public Health Service Act to promote the adoption of health information technology, and for other purposes. H.R. 6444: to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. H.R.6357: To amend the Public Health Service Act to promote the adoption of health information technology, and for other purposes. H.R. 6699: to amend title XVIII of the Social Security Act to reform Medicare payments to physicians and certain other providers and improve Medicare benefits, to encourage the offering of health coverage by small businesses, to provide tax incentives for the purchase of health insurance by individuals, to increase access to health care for veterans, to address the nursing shortage. H.Res 1228: Ensuring access to affordable and quality health care without exacerbating the Federal budget or contributing to market inflation while providing greater choices for consumers. S.95: A bill to amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. S.99: A bill to amend the Internal Revenue Code of 1986 to provide a refundable credit for small business employee health insurance expenses. S.243: A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system. S.244: A bill to improve women's access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the delivery of obstetrical and gynecological services. S.325: A bill to provide for innovation in health care through State initiatives that expand coverage and access and improve quality and efficiency in the health care system. S.400: A bill to amend the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code of 1986 to ensure that dependent students who take a medically necessary leave of absence do not lose health insurance coverage, and for other purposes. S.459: A bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. S.558: A bill to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. S.616: A bill to promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. S.733: A bill to promote the development of health care cooperatives that will help businesses to pool the health care purchasing power of employers, and for other purposes. S.1019: A bill to provide comprehensive reform of the health care system of the United States, and for other purposes. S.1198: to determine successful methods to provide protection from catastrophic health expenses for individuals who have exceeded health insurance lifetime limits, to provide catastrophic health insurance coverage for uninsured individuals, and for other purposes. S.1298: to amend the Social Security Act to establish a federal reinsurance program for catastrophic health care costs. S.1342: A bill to improve the health of Americans and reduce health care costs by reorienting the Nation's health care system toward prevention, wellness, and self care. S.1693: A bill to enhance the adoption of a nationwide interoperable health information technology system and to improve the quality and reduce the costs of health care in the United States. S.1753: to amend the Internal Revenue Code of 1986 to provide a tax credit to employers for the costs of implementing wellness programs, and for other purposes. S.1754: A bill to amend the Public Health Service Act to provide for a workplace wellness education campaign and an evaluation of employer-based wellness programs, and for other purposes. S.1881: to amend the Americans with Disabilities Act of 1990 to restore the intent and protections of that law, and for other purposes. S. 2236: to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to provide additional limitations on preexisting condition exclusions in group health plans and health insurance coverage in the group and individual markets. S. 2499: to amend titles XVIII, XIX, and XXI of the Social Security Act to extend provisions under the Medicare, Medicaid, and State Children's Health Insurance programs S. 2706: to impose a limitation on lifetime aggregate limits imposed by health plans S. 2748: to direct the secretary of health and human services to publish physical activity guidelines for the general public, and for other purposes S. 3321: to amend the Public Health Service Act to provide coordinated leadership in federal efforts to prevent and reduce overweight and obesity and to promote sound health and nutrition among Americans S. 3402: to provide information and education to consumers concerning health care services and health insurance coverage. S. 3406: to restore the intent and protections of the Americans with Disabilities Act of 1990. S.3712: A bill to make a technical correction in the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008.

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

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

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

*Providing Information about COBRA alternatives. *Providing Information about Health Savings Accounts. *Discussing Healthy Americans Act (HR 6444). Sections 101-123, Sec. 601, 611, 612, 621, 632, 641, 662. 664, 665, 666 and 671.

Client expense: $108,902 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Small Business Administration (SBA)

Children's Health Insurance program (SChip) - Proposed legislation concerning this issue. Healthcare reform - Proposed legislation concerning this issue. Healthcare issues - HR 2184, Enhanced Health Care Value for All Act of 2007; HR 1368, Personalized Health Information Act of 2007; S 1490, Federal Employees Electronic Personal Health Records Act of 2007; S 1481, Fair and Reliable Medical Justice Act; HR 2497, Fair and Reliable Medical Justice Act; S 334, Healthy Americans Act; S 1198, Catastrophic Health Coverage Promotion Act; S 1693, Wired for Health Care Quality Act; HR 2580, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007; S 325, Health Partnership Act; HR 506, Health Partnership Through Creative Federalism Act; S 243, MCAP Act; S 244, Healthy Mothers and Healthy Babies Access to Care Act; HR 3341, Quality Health Care Coalition Act of 2007; HR 2406, Healthcare Information Technology Enterprise Integration Act; S 1456, Federal Employees Electronic Personal Health Records Act of 2007; HR 5348, American Health Benefits Program Act of 2008; HR 6357, PRO(TECH)T Act of 2008; S 2041, False Claims Act Correction Act of 2007; HR 2638, Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009; HR 6898, Health-e Information Technology Act of 2008; S 3408, Comparative Effectiveness Research Act of 2008; HR 6444, Healthy Americans Act; HR 7038, Health Care Services Commission Act; S 239, Notification of Risk to Personal Data Act of 2007; S 495, Personal Data Privacy and Security Act of 2007; S 1178, Identity Theft Prevention Act; S 1260, Data Security Act of 2007; S 1814, Health Information Privacy and Security Act; S 2168, Identity Theft Enforcement and Restitution Act of 200; HR 3014, Health Equity and Accountability Act of 2007.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 2795/HR 5918 Small business Health Options Program Act of 2008 (SHOP); Small Business Health Insurance reform; 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. 334 Healthy Americans Act; Universal Health Reform; S.1693 Wired for Health Care Quality Act; HR 3800 Promoting Health Information Technology Act; HR 5442 Technologies for Restoring Users Security and Trust in Health Information Act of 2008; Health Information Technology (HIT); comprehensive (or universal) health 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; Healthcare issues related to economic recovery/stimulus package (HR 1424 Emergency Economic Stabilization Act of 2008) including Children's Health Insurance Program (CHIP), Federal Medicaid Assistance Percentages (FMAP), HIT, privacy, Comparative Effectiveness Research (CER).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 334 Healthy Americans Act; Universal Health Reform; S.1693 Wired for Health Care Quality Act; HR 3800 Promoting Health Information Technology Act; HR 5442 Technologies for Restoring Users Security and Trust in Health Information Act of 2008; Health Information Technology (HIT); comprehensive (or universal) health 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; Healthcare issues related to economic recovery/stimulus package (HR 1424 Emergency Economic Stabilization Act of 2008) including Children's Health Insurance Program (CHIP), Federal Medicaid Assistance Percentages (FMAP), HIT, privacy, Comparative Effectiveness Research (CER).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2748, Physical Activity Guidelines for Americans Act of 2008 & H.R. 3257 / S. 2173, FIT Kids Act & H.R. 3036, No Child Left Inside Act, as they relate to wellness and child obesity. S. 1038 / H.R. 1748, Workforce Health Improvement Program Act of 2007 as they relate to employee wellness; S. 334 / H.R. 6444, The Healthy Americans Act as they relate to wellness and the patient navigator program; S. 1693, Health Information Technology & H.R. 6898, The Health-e Information Technology Act of 2008 & S. 1418, The Wired for Health Care Quality Act, as they relate to the adoption of interoperable health information and standards. Issue development and education concerning Deep Brain Stimulation treatment for traumatic brain injury, Parkinson's, OCD and depression. S. 2029, The Physicians Sunshine Act and issues concerning reporting of payments to physicians. H.R. 5924, Emergency Nursing Supply Relief Act; H.R. 5882, to recapture employment-based immigrant visas lost to bureaucratic delays and to prevent losses of family and employment-based immigrant visas in the future.

Client expense: Not reported · Firm income: $63,000

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

S. 334 Healthy Americans Act; Universal Health Reform; S.1693 Wired for Health Care Quality Act; HR 3800 Promoting Health Information Technology Act; HR 5442 Technologies for Restoring Users Security and Trust in Health Information Act of 2008; Health Information Technology (HIT); comprehensive (or universal) health 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; Healthcare issues related to economic recovery/stimulus package (HR 1424 Emergency Economic Stabilization Act of 2008) including Children's Health Insurance Program (CHIP), Federal Medicaid Assistance Percentages (FMAP), HIT, privacy, Comparative Effectiveness Research (CER).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health care reform proposals; ERISA preemption, health information technology; domestic partner health plans; health savings accounts; genetic nondiscrimination; Medicare Advantage plans, retiree health; funding for quality research; ESRD Medicare payments; mental health parity; HR 1820/S 1556 Tax Equity for Health Plan Beneficiaries Act, HR 5442, Trust Act (HIT) S 1693, Wired for Health Care Quality Act HR 3800, Promoting Health Information Technology HR 1424/S 558, Mental Health Parity S 1753, Healthy Workforce Act HR 853, Wellness and Prevention Act HR 4296, E-Meds Act HR 6143, retiree health S. Res. 673/H Con Res 405, Workplace Wellness Resolution HR 3163/S 334/HR 6444, Healthy Americans Act

Client expense: $1,370,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Surface Transportation Board (STB), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 6444 and S. 334, Healthy Americans Act H.R. 3333, S. 1576, Minority Health Improvment and Health Disparity Elimination Act H.R. 2606, S. 1376, the 340B Program Improvement & Integrity Act of 2007 Economic Relief Package in the House and Senate

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

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

H.R. 6444 and S. 334, Healthy Americans Act; H.R. 3333, S. 1576, Minority Health Improvement and Health Disparity Elimination

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

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

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

See attached list. H.R. 1367/H.R. 1424 -- Paul Wellstone Mental Health and Addiction Equity Act of 2007, as it pertains to health insurance regulations. H.R. 2406 -- Healthcare Information Technology Enterprise Intergration Act, as it relates to the establishment of a single standard for health information technology systems used by health providers. H.R. 758 -- Breast Cancer Patient Protection Act S.1693 -- Wired for Health Care Quality Act S.1693 -- Wired for Health Care Quality Act, as it pertains to the adoption of a nationwide health information system. S.1224 -- SCHIP Reauthorization S.1408 -- Health Information Technology Act of 2007 S.1455 -- National Health Information Technology and Privacy Advancement Act of 2007 S.334/H.R. 3163/ H.R. 6444 -- Healthy Americans Act S.495 -- Personal Data Privacy and Security Act of 2007 S.628 -- Critical Access to Health Information Technology Act of 2007 H.R. 7129 -- Several Approaches to Reduce the Uninsured Act of 2008

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

- Healthy Americans Act (H.R. 6444) - Priorities for Health Information Technologies Process - American Health Information Community Successor

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

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

S.1041/H.R.800, Employee Free Choice Act S.334/H.R.6444, Healthy Americans Act H.R.5515, New Employee Verification Act of 2008

Client expense: Not reported · Firm income: Not reported

S.1041/H.R.800, Employee Free Choice Act S.334/H.R.6444, Healthy Americans Act H.R.5515, New Employee Verification Act of 2008

Client expense: Not reported · Firm income: Not reported

S.1041/H.R.800, Employee Free Choice Act S.334/H.R.6444, Healthy Americans Act H.R.5515, New Employee Verification Act of 2008

Client expense: Not reported · Firm income: Not reported

S.1041/H.R.800, Employee Free Choice Act S.334/H.R.6444, Healthy Americans Act H.R.5515, New Employee Verification Act of 2008

Client expense: Not reported · Firm income: Not reported

S.1041/H.R.800, Employee Free Choice Act S.334/H.R.6444, Healthy Americans Act H.R.5515, New Employee Verification Act of 2008

Client expense: Not reported · Firm income: Not reported

S.1041/H.R.800, Employee Free Choice Act S.334/H.R.6444, Healthy Americans Act H.R.5515, New Employee Verification Act of 2008

Client expense: Not reported · Firm income: Not reported

S.1041/H.R.800, Employee Free Choice Act S.334/H.R.6444, Healthy Americans Act H.R.5515, New Employee Verification Act of 2008

Client expense: Not reported · Firm income: Not reported

S.1041/H.R.800, Employee Free Choice Act S.334/H.R.6444, Healthy Americans Act H.R.5515, New Employee Verification Act of 2008

Client expense: Not reported · Firm income: Not reported

S.1041/H.R.800, Employee Free Choice Act S.334/H.R.6444, Healthy Americans Act H.R.5515, New Employee Verification Act of 2008

Client expense: Not reported · Firm income: Not reported

Healthy Families Act, H.R. 1542 James Zadroga 9/11 Health and Compensation Act, H.R. 3543 Healthy Families Act, S. 910 Healthy Americans Act, S. 334 Ban Asbestos in America Act, S. 742 Issues related to Universal Health Care Reform Emergency Nursing Supply Relief Act, H.R. 5924 Comparative Effectiveness Research Healthy Children and Families Act of 2007, S. 1052 Healthy Americans Act, H.R. 6444 James Zadroga 9/11 Health and Compensation Act, H.R. 6594 Health-e Information Technology Act of 2008, H.R. 6898 James Zadroga 9/11 Health and Compensation Act of 2008, H.R. 7174 Health Care Quality Initiatives Hospital and Physician Quality Management Discussions about Medical Homes Health Care Reform-- Discussions re income exclusion

Client expense: $420,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), SENATE, U.S. Trade Representative (USTR)

Issues pertaining to coverage and other health issues; H.R. 1424 Paul Wellstone Mental Health and Addiction Equity Act of 2007, Sec. 2, 3, 5 and 6 and all provisions relating to physician-owned hospitals as well as mental health parity; S. 558 Mental Health Parity Act of 2007, all provisions related to mental health parity; H.R. 1666 Health Care Price Transparency Promotion Act of 2007, all provisions to amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs; S. 866 Health Promotion First Act, all provisions pertaining to health promotion reearch and dissemination; S. 1893 Children's Health Insurance Program Reauthorization Act of 2007, all provisions related to this bill; H.R. 2851 and S. 400 Michelle's Law, all provisions to amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to ensure that dependent students who take a medically necessary leave of absence do not lose health insurance coverage, and for other purposes; H.R. 5544 Patients and Public Health Partnership Act of 2008, all provisions to amend the Public Health Service Act to authorize a demonstration project for integrated health systems to expand access to primary and preventive care for the medically underserved, and for other purposes; H.R. 2606 340B Program Improvement and Integrity Act of 2007, all provisions to amend section 340B of the Public Health Service Act to revise and expand the drug discount program under that section to improve the provision of discounts on drug purchases for certain safety net providers; S. 334 Healthy Americans Act, all provisions to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away; H.R. 5885 Health Information Technology Promotion Act of 2008, to promote a better health information system; H.R. 5739 Physician Availability Act of 2008, to assure that the services of a non-emergency department physician are available to hospital patients 24 hours a day, seven days a week in all non-Federal hospitals with at least 100 licensed beds; H.R. 1174 Healthy Hospitals Act of 2007, to amend title XVIII of the Social Security Act to require public reporting of health care-associated infections data by hospitals and ambulatory surgical centers and to permit the Secretary of Health and Human Services to establish a pilot program to provide incentives to hospitals and ambulatory surgical centers to eliminate the rate of occurrence of such infections; H.R. 5942 National Trauma Center Stabilization Act of 2008, to ensure the continued and future availability of lifesaving trauma health care in the United States and to prevent further trauma center closures and downgrades by assisting trauma centers with uncompensated care costs, core mission services, emergency needs, and information technology; H.R. 3014 Health Equity and Accountability Act of 2007, to improve the health of minority individuals, and for other purposes; H.R. 6444 Healthy Americans Act, to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away H.R. 6049 Energy and Tax Extenders Act of 2008, Section 255 Parity in the application of certain limits to mental health benefits; issue seeking withdrawal of proposed rule and re-issuance of revised rule related to Tri-Care outpatient prospective payment system; issues pertaining to physician self-referral and physician ownership.

Client expense: $3,950,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA)

H.R. 5721, Strengthening the Safety Net Act of 2008; H.R. 7219, Protecting Hospital Outpatient and Community Clinic Services Act of 2008; H.R. 1781 and S. 739, Children's Dental Health Improvement Act of 2007; H.R. 7110 and S. 3604, A bill making emergency supplemental appropriations for economic recovery for the fiscal year ending September 30, 2008, and for other purposes; H.R. 7067, the Quality FIRST Act; H.R. 6394, Border Health Care Relief Act of 2008; H.R. 2638, Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009; H.R. 7241 and S. 3656, Preserving Access to Healthcare (PATH) Act of 2008; H.R. 5268; H.R. 6444, Enhanced Health Care Value for All Act of 2007; H.R. 676, United States National Health Insurance Act; H.R. 6898, Health-e Information Technology Act of 2008

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6444 and S. 334, Healthy Americans Act; S. 3586, Green Hospitals, Healthy Hospitals Act of 2008; S. 3587, Greening the Healthcare Workforce Act of 2008; S. 3588, Healthy Food for Healthy Lives Act of 2008; H.R. 3333 and S. 1576, Minority Health Improvement and Health Disparity Elimination; H.R. 3014, Health Equity and Accountability Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Care Reform HR 6594, HR 3543, HR 7174 - Health care and compensation for 9/11 workers and residents HR 6444, S 334 - Healthy Americans Act S 2819 - Economic Recovery in Health Care Act, state fiscal relief

Client expense: $510,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Children's Health Insurance Program (SChip) - Proposed legislation re this issue. Breast cancer research - HR 1157, Breast Cancer and Environmental Research Act of 2008; S 579, Breast Cancer and Environmental Research Act of 2007. Healthcare issues - HR 2184, Enhanced Health Care Value for All Act of 2007; HR 1368, Personalized Health Information Act of 2007; S 1490, Federal Employees Electronic Personal Health Records Act of 2007; S 1481, Fair and Reliable Medical Justice Act; HR 2497, Fair and Reliable Medical Justice Act; S 334, Healthy Americans Act; S 1198, Catastrophic Health Coverage Promotion Act; S 1693, Wired for Health Care Quality Act; HR 2580, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007; S 325, Health Partnership Act; HR 506, Health Partnership Through Creative Federalism Act; S 243, MCAP Act; S 244, Healthy Mothers and Healthy Babies Access to Care Act; HR 3341, Quality Health Care Coalition Act of 2007; HR 2406, Healthcare Information Technology Enterprise Integration Act; S 1456, Federal Employees Electronic Personal Health Records Act of 2007; HR 5348, American Health Benefits Program Act of 2008; HR 6357, PRO(TECH)T Act of 2008; S 2041, False Claims Act Correction Act of 2007; S 3230, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2009; HR 2638, Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009; HR 6898, Health-e Information Technology Act of 2008; S 3408, Comparative Effectiveness Research Act of 2008; HR 6444, Healthy Americans Act.

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

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

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

Client expense: $2,700,000 · Firm income: Not reported

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

HCR (LEGISLATIVE ISSUES): H.R. 506: Health Partnership Through Creative Federalism Act (Baldwin) (continued) H.R. 1368: Personalized Health Information Act (Kennedy); H.R. 2184: Enhanced Health Care Value for All Act (provisions relating to comparative effectiveness research) (Allen); H.R. 2406: Healthcare Information Technology Enterprise Integration Act (Gordon); H.R. 2497: Fair and Reliable Medical Justice Act (Cooper); H.R. 2580: Help Efficient, Accessible, Low-cost, Timely Healthcare Act (Gingrey); H.R. 2638: Consolidated Security, Disaster Assistance, and Continuing Appropriations Act (provisions relating to high risk pool funding, comparative effectiveness research funding); H.R. 3014: Health Equity and Accountability Act (provisions relating to health care disparaties) (Solis); H.R. 3341: Quality Health Care Coalition Act (Paul) (provisions relating to physician collective bargaining); H.R. 5348: American Health Benefits Program Act (Langevin-Shays); H.R. 6357: Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act (Dingell-Barton); H.R. 6444: Healthy Americans Act (Wasserman Schultz) (provisions relating to insurance reforms and subsidies); H.R. 6898 Health-e Information Technology Act (Stark) (provisions relating to standards and incentives for health information technology; privacy and security protections); S. 243: Medical Care Access Protection Act (Ensign); S. 244: Healthy Mothers and Healthy Babies Access to Care Act (Gregg); S. 325: Health Partnership Act (Bingaman); S. 334: Healthy Americans Act (Wyden); S. 1198: Catastrophic Health Coverage Promotion Act (Smith); S. 1456: Federal Employees Electronic Personal Health Records Act (Carper); S. 1481: Fair and Reliable Medical Justice Act (Baucus); S. 1490: Federal Employees Electronic Personal Health Records Act (Carper); S. 1693: Wired for Health Care Quality Act (Kennedy); S. 2041: False Claims Act Amendments (Grassley); S. 3230: Labor-HHS-Education Appropriations Act (provisions relating to high risk pool funding, comparative effectiveness research funding); and S. 3408: Comparative Effectiveness Research. Act (Baucus) and HCR (Regulatory Issues): HIPAA administrative simplification issues, including privacy, security, electronic transactions, code sets, and identifiers; FEHBP enrollment data clearinghouse initiative; issues relating to health insurance plan participation in FEHBP, including contract requirements related to interoperability of health information technology, community rating policies, and similarly sized subscriber group (SSSG) requirement; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues related to provider conscience requirements; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting, and issues relating to service provider disclosure.

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

Health care reform proposals; ERISA preemption, health information technology; domestic partner health plans; health savings accounts; genetic nondiscrimination; Medicare Advantage plans, retiree health; funding for quality research; ESRD Medicare payments; mental health parity; HR 1820/S 1556 Tax Equity for Health Plan Beneficiaries Act; S 1848 Trade & Globalization Adjustment Assistance Act; HR 5442, Trust Act (HIT) S 1693, Wired for Health Care Quality Act HR 3800, Promoting Health Information Technology S 2662/HR 5480, Medicare Funding Act HR 1424/S 558, Mental Health Parity S 1753 Healthy Workforce Act HR 853, Wellness and Prevention Act HR 4296, E-Meds Act HR 6143, retiree health S 3335, Jobs, Energy, Families, and Disaster Relief Act S. Res. 673/H Con Res 405, Workplace Wellness Resolution HR 3163/S 334/HR 6444, Healthy Americans Act

Client expense: $1,980,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Surface Transportation Board (STB), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

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

H.R.15: To provide a program of national health insurance, and for other purposes. H.R.113: To amend the Internal Revenue Code of 1986 to require group health plans to provide coverage for reconstructive surgery following mastectomy, consistent with the Women's Health and Cancer Rights Act of 1998. H.R.119: To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. H.R.282: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for second opinions. H.R.283: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans permit enrollees direct access to services of obstetrical and gynecological physician services directly and without a referral. H.R.506: To provide for innovation in health care through State initiatives that expand coverage and access. H.R.676: To provide for comprehensive health insurance coverage for all United States residents, and for other purposes. H.R.758: To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. H.R.914: To amend the Internal Revenue Code of 1986 to allow individuals a refundable credit against income tax for the purchase of private health insurance, and for other purposes. H.R.979: To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to protect consumers in managed care plans and other health coverage. H.R.1076: To promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. H.R.1367: To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans. H.R.1368: To establish a program to provide financial incentives to encourage the adoption and use of interactive personal health records. H.R.1424: To amend section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans. H.R.1802: To amend the Internal Revenue Code of 1986 to provide a refundable tax credit to small businesses for the costs of qualified health insurance. H.R.1820: To amend the Internal Revenue Code of 1986 to extend the exclusion from gross income for employer-provided health coverage for employees' spouses and dependent children to coverage provided to other eligible designated beneficiaries of employees. H.R.1841: To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. H.R. 2034: to provide quality, affordable health care for all Americans. H.R. 2132: to amend the Public Health Service Act to establish a small business health benefits program. H.R. 2302: to amend the Internal Revenue Code of 1986 to allow a deduction for premiums for high deductible health plans required with respect to health savings accounts. H.R. 2633: to improve the health of Americans and reduce health care costs by reorienting the nation's health care system toward prevention, wellness, and self care. H.R. 2737: to amend the Internal Revenue Code of 1986 to allow previously uninsured individuals a refundable credit for health insurance costs and to provide tax incentives to encourage small business health plans.H.R.1111: To amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. H.R.2851: To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to ensure that dependent students who take a medically necessary leave of absence do not lose health insurance coverage, and for other purposes. H.R.3195: To restore the intent and protections of the Americans with Disabilities Act of 1990. H.R. 3234: To amend the Internal Revenue Code of 1986 to improve access to health care through expanded health savings accounts. H.R. 3306: To amend the Internal Revenue Code of 1986 to allow amounts in a health flexible spending arrangement that are unused during a plan year to be carried over to subsequent plan years or deposited into certain health or retirement plans. H.R. 3584: To amend title XXI of the Social Security Act to extend funding for 18 months for the State Children's Health Insurance Program (SCHIP), and for other purposes. H.R. 3800: to advance the adoption of nationwide interoperable health information technology and to improve health care quality and reduce health care costs in the United States. H.R. 4222: to amend title I of the Employee Retirement Income Security Act of 1974, the Internal Revenue Code of 1986, and title XXII of the Public Health Service Act to extend COBRA benefits for certain TAA-eligible individuals and PBGC recipients. H.R. 4232: to improve mental and substance use health care. H.R. 4848: to extend for one year parity in the application of certain limits to mental health benefits, and for other purposes. H.R.5442: To provide individuals with access to health information of which they are a subject, to ensure personal privacy, security, and confidentiality with respect to health related information in promoting the development of a nationwide interoperable health information infrastructure, to impose criminal and civil penalties for unauthorized use of personal health information, to provide for the strong enforcement of these rights, to protect States' rights, and for other purposes. H.R.5449: To amend the Employee Retirement Income Security Act of 1974, Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit discrimination in group health coverage and individual health insurance coverage. H.R.6357:to amend the Public Health Service Act to promote the adoption of health information technology, and for other purposes. H.R. 6444: to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. H.R.6357: To amend the Public Health Service Act to promote the adoption of health information technology, and for other purposes. H.R. 6699: to amend title XVIII of the Social Security Act to reform Medicare payments to physicians and certain other providers and improve Medicare benefits, to encourage the offering of health coverage by small businesses, to provide tax incentives for the purchase of health insurance by individuals, to increase access to health care for veterans, to address the nursing shortage. H.Res 1228: Ensuring access to affordable and quality health care without exacerbating the Federal budget or contributing to market inflation while providing greater choices for consumers. S.95: A bill to amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. S.99: A bill to amend the Internal Revenue Code of 1986 to provide a refundable credit for small business employee health insurance expenses. S.243: A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system. S.244: A bill to improve women's access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the delivery of obstetrical and gynecological services. S.325: A bill to provide for innovation in health care through State initiatives that expand coverage and access and improve quality and efficiency in the health care system. S.400: A bill to amend the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code of 1986 to ensure that dependent students who take a medically necessary leave of absence do not lose health insurance coverage, and for other purposes. S.459: A bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. S.558: A bill to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. S.616: A bill to promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. S.733: A bill to promote the development of health care cooperatives that will help businesses to pool the health care purchasing power of employers, and for other purposes. S.1019: A bill to provide comprehensive reform of the health care system of the United States, and for other purposes. S.1198: to determine successful methods to provide protection from catastrophic health expenses for individuals who have exceeded health insurance lifetime limits, to provide catastrophic health insurance coverage for uninsured individuals, and for other purposes. S.1298: to amend the Social Security Act to establish a federal reinsurance program for catastrophic health care costs. S.1342: A bill to improve the health of Americans and reduce health care costs by reorienting the Nation's health care system toward prevention, wellness, and self care. S.1693: A bill to enhance the adoption of a nationwide interoperable health information technology system and to improve the quality and reduce the costs of health care in the United States. S.1753: to amend the Internal Revenue Code of 1986 to provide a tax credit to employers for the costs of implementing wellness programs, and for other purposes. S.1754: A bill to amend the Public Health Service Act to provide for a workplace wellness education campaign and an evaluation of employer-based wellness programs, and for other purposes. S.1881: to amend the Americans with Disabilities Act of 1990 to restore the intent and protections of that law, and for other purposes. S. 2236: to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to provide additional limitations on preexisting condition exclusions in group health plans and health insurance coverage in the group and individual markets. S. 2499: to amend titles XVIII, XIX, and XXI of the Social Security Act to extend provisions under the Medicare, Medicaid, and State Children's Health Insurance programs S. 2706: to impose a limitation on lifetime aggregate limits imposed by health plans S. 2748: to direct the secretary of health and human services to publish physical activity guidelines for the general public, and for other purposes S. 3321: to amend the Public Health Service Act to provide coordinated leadership in federal efforts to prevent and reduce overweight and obesity and to promote sound health and nutrition among Americans S. 3402: to provide information and education to consumers concerning health care services and health insurance coverage. S. 3406: to restore the intent and protections of the Americans with Disabilities Act of 1990.

Client expense: $470,000 · Firm income: Not reported

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

HR.6444 The Healthy Americans Act S.334 The Healthy Americans Act HR.1322 Emergency Retiree Health Benefits Act

Client expense: $380,000 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

S.2819, Economic Recovery in Health Care Act of 2008 (regarding Medicaid regulations, state fiscal relief and the August 17th SCHIP directive) H.R.5268, To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program, and for other purposes. S.3101/ H.R.6331, Medicare Improvements for Patients and Providers Act of 2008 (provisions related to private-fee-for-service, low-income Medicare improvements, and extension of TMA) H.R.6444/S.334: Healthy Americans Act S.2620, A bill to provide for a temporary increase of the Federal medical assistance percentage under the Medicaid program, and for other purposes S.3611, Medicaid Services Restoration Act of 2008

Client expense: $70,988 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 7110 and S. 3604, A bill making emergency supplemental appropriations for economic recovery for the fiscal year ending September 30, 2008, and for other purposes H.R. 7067, the Quality FIRST Act H.R. 6394, Border Health Care Relief Act of 2008 H.R. 2638, Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009 H.R. 5721, Strengthening the Safety Net Act of 2008 H.R. 7219, Protecting Hospital Outpatient and Community Clinic Services Act of 2008 S. 739, HR 1781 Children's Dental Health Improvement Act of 2007 S. 3656, Protecting Access to Healthcare (PATH) Act of 2008 H.R. 7241, Preserving Access to Healthcare (PATH) Act of 2008 H.R. 5268, no bill title- would increase FMAP H.R. 6444, Enhanced Health Care Value for All Act of 2007 H.R. 676, United States National Health Insurance Act H.R. 6898, Health-e Information Technology Act of 2008

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6444 and S. 334, Healthy Americans Act S. 3586, Green Hospitals, Healthy Hospitals Act of 2008 S. 3587, Greening the Healthcare Workforce Act of 2008 S. 3588, Healthy Food for Healthy Lives Act of 2008 H.R. 3333 and S. 1576, Minority Health Improvement and Health Disparity Elimination Act H.R 3014, Health Equity and Accountability Act of 2007

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

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. 334 Healthy Americans Act; Universal Health Reform; S.1693 Wired for Health Care Quality Act; HR 3800 Promoting Health Information Technology Act; HR 5442 Technologies for Restoring Users Security and Trust in Health Information Act of 2008; Health Information Technology (HIT); comprehensive (or universal) health 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: $50,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE