Breast Cancer Patient Protection Act of 2008

Healthcare reform issues. H.R. 1424, Paul Wellstone Mental Health Addiction Equity Act; H.R. 2851, Michelle's Law; H.R. 758, Breast Cancer Patient Protection Act; Health Information Technology Issues.

Client expense: $405,000 · Firm income: Not reported

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

Supported less restrictive coverage and plan design reference Mental Health Parity Legislation - HR1924, S.558 Implemented universal standards for Health Care Information Technology (IT) Infrastructure - HR 1693 HR 5442, S114 Opposed the Healthy American Act Opposed the Breast Cancer Protection Act - HR 758 (Mandatory Hospital Stay)

Client expense: Not reported · Firm income: $75,000

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Export-Import Bank of the United States (EXIM Bank), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, State, Dept of (DOS), Treasury, Dept of, White House Office

H.R. 758, Workforce

Client expense: $241,276 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Natl Aeronautics & Space Administration (NASA), SENATE, State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), U.S. Trade Representative (USTR), White House Office

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

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

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

Health Care Reform Issues. H.R. 1424, Paul Wellstone Mental Health Addiction Equity Act; H.R. 2851, Michelle's Law; H.R. 758, Breast Cancer Patient Protection Act; Health Information Technology Issues.

Client expense: $395,000 · Firm income: Not reported

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

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

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

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

H.R.241, Association Health Plans H.R.493, Genetic Information Nondiscrimination Act H.R.758, Breast Cancer Patient Protection Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 6331 Medicare Improvements for Patients and Providers Act of 2008, implementation of the Medicare Part D Program; HR 3162 Children's Health and Medicare Protection Act of 2007; S 3101 Medicare Improvements or Patients and Providers Act of 2008; Part D, Electronic Prescribing, Medicaid Pharmacy Reimbursement. S 3118, Preserving Access to Medicare Act of 2008. HR 4, Medicare Prescription Drug Price Negotiation Act of 2007: Part D issues; HR 758, Price Disclosure Regarding Treatment of Breast Cancer: transparency; HR 5605, Physician Payments Sunshine Act of 2008: transparency issues; HR 6884, Medicare Prescription Drug Cost Equalization Act: Part D issues; S 3, Medicare Prescription Drug Price Negotiation Act of 2007: Part D issues; S 2029, Physician Payments Sunshine Act of 2007: transparency issues; S 2041, False Claims Act Correction Act of 2007: liability issues; S 3118, Preserving Access to Medicare Act of 2008: electronic prescribing, Part D data disclosure, and other issues; S 3396, The Independent Drug Education and Outreach ACt of 2008: direct to physician marketing; S 3408, Comparative Effectiveness Research Act of 2008: comparative effectiveness

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

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

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

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

H.R. 4, Medicare Prescription Drug Price Negotiation Act of 2007: Part D issues H.R. 758, Price Disclosure Regarding Treatment of Breast Cancer: transparency H.R. 2184, Enhanced Health Care Value for All Act of 2007: comparative effectiveness H.R. 3162, Children's Health and Medicare Protection Act of 2007: Medicaid rebate H.R. 4854, False Claims Act Correction Act of 2007: liability issues H.R. 5605, Physician Payments Sunshine Act of 2008: transparency issues H.R. 6684, Medicare Prescription Drug Cost Equalization Act: Part D issues H.R. 6752, The Independent Drug Education and Outreach Act of 2008: direct to physician marketing S. 3, Medicare Prescription Drug Price Negotiation Act of 2007: Part D issues S. 2029, Physician Payments Sunshine Act of 2007: transparency issues S. 2041, False Claims Act Correction Act of 2007: liability issues S. 3118, Preserving Access to Medicare Act of 2008: electronic prescribing, Part D data disclosure, and other issues S. 3396, The Independent Drug Education and Outreach Act of 2008: direct to physician marketing S. 3408, Comparative Effectiveness Research Act of 2008: comparative effectiveness

Client expense: $6,170,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Natl Economic Council (NEC), Natl Security Council (NSC), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR)

**see addendum page Mental Health Parity S. 558 - Mental Health Parity Act of 2007 H.R. 1424 - Emergency Economic Stabilization Act H.R. 6983 - Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 H.R. 6049 - Energy Improvement and Extension Act of 2008 Health Information Technology S. 1693 - Wired for Health Care Quality Act H.R. 1368 - Personalized Health Information Act of 2007 S. 1783 - Ten Steps to Transform Health Care in America Act H.R. 2406 - Healthcare Information Technology Enterprise Integration Act H.R. 3800 - Promoting Health Information Technology Act H.R. 6357 - Pro(Tech)t Act of 2008 Health Care Reform S. 1019 - Universal Health Care Choice and Access Act S. 334/H.R. 3163 - Healthy Americans Act S. 2795 - Small Business Health Options Act of 2008 H.R.758 - Breast Cancer Patient Protection Act of 2008 ***, no specific bill(s), Health Savings Accounts/Medical Savings Accounts, Transparency, Health Information Technology, Electronic Prescribing, Insurance Market Reform, Association Health Plans, Uninsured, Employer Based Health System, recision

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

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

**see addendum page Mental Health Parity S. 558 - Mental Health Parity Act of 2007 H.R. 1424 - Paul Wellstone Mental Health and Addiction Equity Act of 2007 H.R. 1424 - Emergency Economic Stabilization Act H.R. 6983 - Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 H.R. 6049 - Energy Improvement and Extension Act of 2008 Health Information Technology S. 1693 - Wired for Health Care Quality Act H.R. 1368 - Personalized Health Information Act of 2007 S. 1783 - Ten Steps to Transform Health Care in America Act H.R. 2406 - Healthcare Information Technology Enterprise Integration Act H.R. 3800 - Promoting Health Information Technology Act Health Care Reform S. 1019 - Universal Health Care Choice and Access Act S. 334/H.R. 3163 - Health Americans Act H.R. 758 - Breast Cancer Patient Protection Act of 2008 ***, no specific bill(s), Health Savings Account/Medical Savings Accounts, Transparency, Health Information Technology, Electronic Prescribing, Insurance Market Reform, Association Health Plans, Uninsured, Employer Based Health System, Recision

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

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

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

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

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

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

Client expense: Not reported · Firm income: Not reported

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

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

Client expense: Not reported · Firm income: Not reported

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

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

Client expense: Not reported · Firm income: Not reported

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

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

Client expense: Not reported · Firm income: Not reported

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

H.R. 1038/S. 623: Access to Life-Saving Medicine Act H.R. 1368: Personalized Health Information Act S. 558: Mental Health Parity Act H.R. 758/S. 459: Breast Cancer Patient Protection Act H.R. 1076:S.616: HIPAA Recreational Injury Technical Correction Act S. 1408: Health Information Technology Act H.R. 2015: Employment Non-Discrimination Act S. 1693: Wired for Health Care Quality Act H.R. 1542/S. 910: Healthy Families Act H.R. 369: Family Leave Insurance Act H.R. 2693: Popcorn Workers Lung Disease Prevention Act H.R. 493/S. 358: Genetic Information Nondiscrimination Act H.R. 976/S. 1893: Children's Health Insurance Reauthorization Act H.R. 3234: HSAs Improvement and Expansion Act H.R. 3195/S. 1881: ADA Restoration Act H.R. 2769: Miner Health Enhancement Act of 2007: NIOSH related provisions S. 897: Alzheimer's Family Assistance Act H.R. 1327: Protective Equipment for America's Workforce Act S. 1881: Americans with Disabilities Act Restoration Act S. 910: Healthy Families Act H.R. 3717/S. 1753: Healthy Workforce Act of 2007

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

Government targets: Agriculture, Dept of (USDA), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, SENATE

S. 465- Advance Directives Improvement and Education Act of 2007 ; S. 459/H.R. 758 - Breast Cancer Patient Protection Act of 2007 ; S. 358/H.R. 493 - Genetic Information Nondiscrimination Act of 2007; S. 446/H.R. 772 - Nurse Education, Expansion, and Development Act of 2007 ; S. 1604 - Nursing Education and Quality of Health Care Act of 2007 ; H.R. 2384 - Nurse Faculty Higher Education Act; H.R. 2621 - Teacher and Nurse Support Act of 2007; S. 646 - Rural Nursing Promotion Act; (Continued Next Page) S. 1056 - National Cancer Act of 2007; S. 624/H.R. 1132 - National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007; S. 73/H.R. 4138 - Registered Nurse Safe Staffing Act of 2007; S. 2999/H.R. 2676 - Access to Cancer Clinical Trials Act of 2008; S. 2140 - To award a Congressional Gold Medal to Francis Collins, in recognition of his outstanding contributions and leadership in the fields of medicine and genetics; H.R. 6791- National Cancer Fund Act of 2008; H.R. 2994 - To amend the Public Health Service Act with respect to pain care; Comprehensive Cancer Omnibus Legislation; Health Care Reform.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

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

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

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

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

Support of increased funding for cancer research, specifically the National Breast and Cervical Cancer Early Detection Program, within the Labor, HHS, Education, and related agencies appropriations legislation Support Sen. Kennedy's efforts to draft a comprehensive cancer reform bill Support S. 2883, the Mother's Day Centennial Commemorative Coin Act; H.R. 1157/S. 579, Breast Cancer and Environmental Research Act of 2007; H.R. 758/S. 459, Breast Cancer Patient Protection Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1424, Paul Wellstone Mental Health Addiction Equity Act; H.R. 2851, Michelle's Law, H.R. 758, Breast Cancer Patient Protection Act.

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

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

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards; HIT Privacy; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act"; HR6357 "Pro(Tech)t Act of 2008" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured: S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act"; S2795 "Small Business Health Options Program Act of 2008" Genetic Non-discrimination: HR493 and S358 "Genetic Information Nondiscrimination Act of 2007" Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007"; HR1424 as passed: sections pertaining to the "Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008" Comparative Effectiveness Research: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Account/Medical Savings Accounts HR2851 and S400 "Michelle's Law" HR5550 "To amend title 5 USC to increase the maximum age to qualify for coverage as a 'child' under FEHBP" S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims HR758 "Breast Cancer Patient Protection Act of 2007"

Client expense: Not reported · Firm income: Not reported

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

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards: HIT Privacy; Electionic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007", S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Enterprise Integration Act"; HR6357 "Pro(Tech)t Act of 2008" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured: S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act"; S2795 "Small Business Health Options Program Act of 2008" Genetic Non-discrimination: HR493 and S358 "Genetic Information Nondiscrimination Act of 2007" Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007"; HR1424 as passed: secions pertaining to the "Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008" Comparative Effectiveness Research: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Account/Medical Savings Accounts HR2851 and S400 "Michelle's Law" HR5550 "To amend title 5 USC to increase the maximum age to qualify for coverage as a 'child' under FEHBP" S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims HR758 "Breast Cancer Patient Protection Act of 2007"

Client expense: Not reported · Firm income: Not reported

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

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards: HIT Privacy; Electionic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007", S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Enterprise Integration Act" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured: S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act" Genetic Non-discrimination: S358 "Genetic Information Nondiscrimination Act of 2007" Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007"; HR1424 as passed: sections pertaining to the "Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008" Comparative Effectiveness Research: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Account/Medical Savings Accounts HR2851 and S400 "Michelle's Law" HR5550 "To amend title 5 USC to increase the maximum age to qualify for coverage as a 'child' under FEHBP" S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims HR758 "Breast Cancer Patient Protection Act of 2007"

Client expense: Not reported · Firm income: Not reported

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

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

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

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

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards; HIT Privacy; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act"; HR6357 "Pro(Tech)t Act of 2008" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured: S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act"; S2795 "Small Business Health Options Program Act of 2008" Genetic Non-discrimination: HR493 and S358 "Genetic Information Nondiscrimination Act of 2007 Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007"; HR1424 as passed: sections pertaining to the "Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008" TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" Comparative Effectiveness Reseaarch: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Accounts/Medical Savings Accounts HR2851 and S400 "Michelle's Law" HR5550 "To amend title 5 USC to increase the maximum age to qualify for coverage as a 'child' under FEHBP" S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims HR758 "Breast Cancer Patient Protection Act of 2007"

Client expense: $1,900,000 · Firm income: Not reported

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

Breast Cancer Patient Protection Act (HR758) - Requiring insurance companies to cover a minimum hospital stay; Shingles Prevention Act (HR5877) - to provide coverage under Medicare for the Shingles vaccine

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Violence Against Women Act; Fair Pay Restoration Act (S.1843)- Making discrimination in compensation unlawful; Breast Cancer Patient Protection Act (HR758) - Requireing insurance companies to cover a minimum hospital stay; Shingles Prevention Act (HR5877) - to provide coverage under Medicare for the Shingles vaccine

Client expense: Not reported · Firm income: Not reported

Violence Against Women Act; Fair Pay Restoration Act (S.1843)- Making discrimination in compensation unlawful; Breast Cancer Patient Protection Act (HR758) - Requireing insurance companies to cover a minimum hospital stay; Shingles Prevention Act (HR5877) - to provide coverage under Medicare for the Shingles vaccine

Client expense: Not reported · Firm income: Not reported

Violence Against Women Act; Fair Pay Restoration Act (S.1843)- Making discrimination in compensation unlawful; Breast Cancer Patient Protection Act (HR758) - Requireing insurance companies to cover a minimum hospital stay; Shingles Prevention Act (HR5877) - to provide coverage under Medicare for the Shingles vaccine

Client expense: Not reported · Firm income: Not reported

Violence Against Women Act; Fair Pay Restoration Act (S.1843)- Making discrimination in compensation unlawful; Breast Cancer Patient Protection Act (HR758) - Requireing insurance companies to cover a minimum hospital stay; Shingles Prevention Act (HR5877) - to provide coverage under Medicare for the Shingles vaccine

Client expense: Not reported · Firm income: Not reported

See attached addendum for General Lobbying Issue Area: HCR - Healthcare Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007," S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards; HIT Privacy; Electronic Health Records; ICD 10 Implementation: HR1368 "Personalized Health Information Act of 2007;" S1783 and S1693 "Wired for Health Care Quality Act;" HR3800 "Promoting Health Information Technology Act;" HR 2406 "Healthcare Information Technology Enterprise Integration Act;" HR6357 "Pro(Tech)t Act of 2008" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured: S1019 "Health Care Choice Act of 2007;" S334 and HR3163 "Healthy Americans Act;" S2795 "Small Business Health Options Program Act of 2008" Genetic Non-discrimination: HR493 and S358 "Genetic Information Nondiscrimination Act of 2007" Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007;" HR1424 as passed; sections pertaining to the "Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008" TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" Comparative Effectiveness Research: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Accounts/Medical Savings Accounts HR2851 and S400 "Michelle's Law" HR5550 "To amend title 5 USC to increase the maximum age to qualify for coverage as a 'child' under FEHBP" S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims HR758 "Breast Cancer Patient Protection Act of 2007"

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

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

**see addendum page Mental Health Parity S. 558 - Mental Health Parity Act of 2007 H.R. 1424 - Paul Wellstone Mental Health and Addiction Equity Act of 2007 H.R. 1424 - Emergency Economic Stabilization Act H.R. 6983 - Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 H.R. 6049 - Energy Improvement and Extension Act of 2008 Health Information Technology S. 1693 - Wired for Health Care Quality Act H.R. 1368 - Personalized Health Information Act of 2007 S. 1783 - Ten Steps to Transform Health Care in America Act H.R. 2406 - Healthcare Information Technology Enterprise Integration Act H.R. 3800 - Promoting Health Information Technology Act Health Care Reform S. 1019 - Universal Health Care Choice and Access Act S. 334/H.R. 3163 - Health Americans Act H.R. 758 - Breast Cancer Patient Protection Act of 2008 ***, no specific bill(s), Health Savings Account/Medical Savings Accounts, Transparency, Health Information Technology, Electronic Prescribing, Insurance Market Reform, Association Health Plans, Uninsured, Employer Based Health System, Recision

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

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

**see addendum page Mental Health Parity S. 558 - Mental Health Parity Act of 2007 H.R. 1424 - Emergency Economic Stabilization Act H.R. 6983 - Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 H.R. 6049 - Energy Improvement and Extension Act of 2008 Health Information Technology S. 1693 - Wired for Health Care Quality Act H.R. 1368 - Personalized Health Information Act of 2007 S. 1783 - Ten Steps to Transform Health Care in America Act H.R. 2406 - Healthcare Information Technology Enterprise Integration Act H.R. 3800 - Promoting Health Information Technology Act H.R. 6357 - Pro(Tech)t Act of 2008 Health Care Reform S. 1019 - Universal Health Care Choice and Access Act S. 334/H.R. 3163 - Healthy Americans Act S. 2795 - Small Business Health Optins Act of 2008 H.R. 758 Breast Cancer Patient Protection Act of 2008 ***, no specific bill(s), Health Savings Accounts/Medical Savings Accounts, Transparency, Health Information Technology, Electronic Prescribing, Comparative Effectiveness Research, Insurance Market Reform, Association Health Plans, Uninsured, Employer Based Health System, recision

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

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

Health IT Bill (H.R.1753); Breast Cancer Patient Protection Act (H.R. 758); The Mental Health Parity Act (H.R. 1424; S. 558); The Genetic Information Nondiscrimination Act (H.R. 493; S. 358)

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

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

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1424 Paul Wellstone Mental Health Addiction Equity Act (policy issues related to healthcare coverage); HR 2851 Michelle's Law (policy issues related to healthcare coverage); HR 758 Breast Cancer Patient Protection Act (policy issues related to healthcare coverage); HR 6898 Health e-Information Technology Act of 2008 (policy issues related to healthcare coverage); S 1693 Wired for Healthcare Act (policy issues related to healthcare covergage); HR 6457 PRO(TECH)T Act of 2008 (policy issues related to healthcare coverage).

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

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

S. 465- Advance Directives Improvement and Education Act of 2007 ; S. 459/H.R. 758 - Breast Cancer Patient Protection Act of 2007 ; S. 358/H.R. 493 - Genetic Information Nondiscrimination Act of 2007; S. 446/H.R. 772 - Nurse Education, Expansion, and Development Act of 2007 ; S. 1604 - Nursing Education and Quality of Health Care Act of 2007 ; H.R. 2384 - Nurse Faculty Higher Education Act; H.R. 2621 - Teacher and Nurse Support Act of 2007; S. 646 - Rural Nursing Promotion Act; (Continued Next Page) S. 1056 - National Cancer Act of 2007; S. 624/H.R. 1132 - National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007; S. 73/H.R. 4138 - Registered Nurse Safe Staffing Act of 2007; S. 2999/H.R. 2676 - Access to Cancer Clinical Trials Act of 2008; S. J. Res. 22/H.J. Res. 54 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services within the Department of Health and Human Services relating to Medicare coverage for the use of erythropoiesis stimulating agents in cancer and related neoplastic conditions; S. 2140 - To award a Congressional Gold Medal to Francis Collins, in recognition of his outstanding contributions and leadership in the fields of medicine and genetics; H.R. 6791- National Cancer Fund Act of 2008

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 1424, Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (as included in the Emergency Economic Stabilization Act of 2008), provisions on mental health parity and physician-owned hospitals H.R. 6983, Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, all provisions S. 558 Mental Health Parity Act of 2007, all provisions S. 3335, Jobs, Energy, Families, and Disaster Relief Act of 2008, provisions on mental health parity H.R. 6049, Energy and Tax Extenders Act of 2008, provisions on mental health parity H.R. 6357, PRO(TECH)T Act of 2008, all provisions H.R. 6898, Health-e Information Technology Act of 2008, all provisions S. 1693, Wired for Health Care Quality Act, provisions relating to data collection, quality, and performance reporting H.R. 6179, Promoting Health Information Technology Act of 2008, all provisions S. 3300, Rural Hospital Assistance Act of 2008, provisions on physician-owned hospitals and self-referral S. 334, Healthy Americans Act, all provisions H.R. 6569, Public Health Emergency Response Act of 2008, all provisions H.R. 1841, AmeriCare Health Care Act of 2007, all provisions H.R. 2357, MediKids Health Insurance Act of 2007, all provisions H.R. 5873, Family Leave Insurance Act of 2008, all provisions H.R. 5639, Physical Activity Guidelines for Americans Act of 2008, all provisions H.R. 3257, Fitness Integrated with Teaching Kids Act, all provisions S. 3575, Labeling Education and Nutrition Act of 2008 (LEAN Act of 2008), all provisions H.R. 2833, Preexisting Condition Exclusion Patient Protection Act of 2007, all provisions H.R. 2842, Children's Health Protection Act of 2007, all provisions H.R. 6845, Fair Copyright in Research Works Act, all provisions H.R. 3544, Catalyst to Better Diabetes Care Act of 2007, all provisions H.R. 1532, Comprehensive Tuberculosis Elimination Act of 2007, all provisions H.R. 2994, National Pain Care Policy Act of 2007, all provisions H.R. 1283, Arthritis Prevention, Control, and Cure Act of 2007, all provisions S. 2731, to improve the oversight and regulation of tissue banks and the tissue donation process, and for other purposes, all provisions S. 3040 and H.R. 6100, Kid-Safe Chemicals Act of 2008, all provisions H.R. 2464, to amend the Public Health Service Act to provide a means for continued improvement in emergency medical services for children, all provisions H.R. 7192, Preserving Patient Access to Primary Care Act, all provisions H.R. 758, Breast Cancer Patient Protection Act of 2008, all provisions S. 3354, Volunteer Healthcare Program Act of 2008, all provisions S. 3408, Comparative Effectiveness Research Act of 2008, all provisions H.R. 6752 and S. 3396, Independent Drug Education and Outreach Act of 2008, all provisions S. 1695, Biologics Price Competition and Innovation Act of 2007, all provisions H.R. 5620, Fresh Produce Safety Act, all provisions H.R. 1038 and S. 623, to amend the Public Health Service Act to provide for the licensing of comparable and interchangeable biological products, and for other purposes, all provisions H.R. 1956, Patient Protection and Innovative Biologic Medicines Act of 2007, all provisions S. 1505, Affordable Biologics for Consumers Act, all provisions H.R. 6498 and S. 976, Genomics and Personalized Medicine Act of 2008, all provisions H.R. 2823, Fair Balance Prescription Drug Advertisement Act of 2007, all provisions Health Disparities Inclusion of Minorities in Clinical Trials Health Savings Accounts Medical devices - standardization of expiration dates Disability Nondiscrimination (Americans with Disabilities Act/hearing interpreters) The Uninsured, AMA's Plan Childhood Obesity Social Security Administration Disability Claims Processing Blood and Blood Components Safety Pregnancy and Lactation Prescription Drug and Biological Products Labeling Children's Health Insurance Program Directive Post-marketing Surveillance of Prescription Drugs DEA - E-Prescribing Constraints E-Prescribing Incentive Program Provider Conscience Clause Home Stockpiling of Antivirals National Ambient Air Quality for Lead

Client expense: $4,260,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), SENATE, Social Security Administration (SSA)

Flexible Spending Accounts Growth and Opportunities Act of 2007 - H.R. 298 The Breast Cancer Patient Protection Act of 2008 H.R. 758 Emergency Retiree Health Benefits Protection Act of 2007 - H.R. 1322 Paul Wellstone Mental Health and Addiction Equity Act 0f 2007 - H.R. 1424 Tax Equity for Health Plan Beneficiaries Act - H.R. 1820 Patient Protection and Innovative Biologic Medicines Act of 2007 - H.R. 1956 Promoting Health for Future Generations Act - H.R. 2639 Michelles Law H.R. 2851 Childrens Health and Medicare Act of 2007 - H.R. 3162 Healthy Americans Act - H.R. 3163 HSA Improvement and Expansion Act - H.R. 3234 Flexible Health Savings Act - H.R. 3306 Long-Term Care Affordability and Security Act of 2007 - H.R. 3363 Employment Non-Discrimination Act - H.R. 3685 Promoting Health Information Technology Act H.R. 3800 Defenders of Freedom Tax Relief Act of 2007/Heroes Earnings Assistance and Tax Relief Act of 2007-title as passed - H.R. 3997 Medicare Electronic Medication and Safety Protection (E-Meds) H.R. 4848 Mental Health Parity Extension Legislation - H.R. 4848 Technologies for Restoring Users Security and Trust in (TRUST) in Health Information Act of 2008 - H.R. 5442 Taxpayer Assistance and Simplification Act H.R. 5719 Promoting Health Information Technology Act of 2008 H.R. 6179 Retiree Health Account Act of 2008 H.R. 6288 Pension Protection Act ERISA Amendments H.R. 6143 ERISA Amendments HR 6142 Medicare Improvements for Patients and Providers Act of 2008 H.R. 6331 Patient-Controlled Health IT Act H.R. 6345 Protecting Records, Optimizing Treatment, and Easing Communication Through Healthcare Technology Act of 2008 The Pro (TECH) T Act of 2008 - H.R. 6357 Health Insurance Source of Injury Clarification Act of 2008 H.R. 6908 Health-e Information Technology Act of 2008 H.R. 6898 Senate Health Partnership Act - S. 325 Healthy Americans Act - S. 334 Genetic Information Nondiscrimination Act - 358 Mental Health Parity Act of 2007 - S. 558 Access to Life-Saving Medicine Act - S. 623 Universal Health Care Choice and Access Act - S. 1019 State-based Health Care Reform Act - S. 1169 Medicare Quality Enhancement Act - S. 1544 Tax Equity for Domestic Partner and Health Beneficiaries Act - S. 1556 Wired for Health Care Quality Act - S. 1693 Biologics Price Competition and Innovation Act - S. 1695 Healthy Workforce Act - S. 1753 Community Living Assistance Services and Supports Act (the CLASS Act) - S. 1758 Childrens Health Insurance Reauthorization Act - S. 1893 Long-Term Care Affordability and Security Act of 2007 - S. 2337 Medicare, Medicaid and SCHIP Extension Act of 2007 - S. 2499 Medicare Funding Warning Response Act of 2008 - S. 2662 Disability Savings Act - S. 2741 Medicare Improvements for Patients and Providers Act of 2008 - S. 3101 Preserving Access to Medicare Act of 2008 S. 3118 Comparative Effectiveness Research Act S. 3408

Client expense: $246,723 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of