Wellness and Prevention Act of 2007

H.R. 853, to promote preventive health care for Americans. S. 558, to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. S. 736, to provide for the regulation and oversight of laboratory tests. 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: 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. 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; jointly to Energy & Commerce; Ways & Means; Education & Labor; and Financial Services.

Client expense: $110,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR)

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

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

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

Education and support for population-based health programs, such as disease and care management in FFS Medicare and Medicare Advantage, including Special Needs Plans (specifically, the reauthorization of Chronic Care Special Needs Plans, or C-SNPs, the incorporation of reasonable process measures and standards for SNP evaluation, and recommendations for CMS' Chronic Conditions SNP Panel); Medicare pilots and demonstrations such as the Medicare Medical Home Demonstration, Senior Risk Reduction Dem- onstration, Medicare Physician Group Practice Demonstration, Medicare Electronic Health Records Demonstration, the Medicare Coordinated Care Demonstration (MCCD, as authorized under Section 4016 of the Balanced Budget Act of 1997), and Medicare Health Support (as authorized under Section 721 of the Medicare Prescription Drug, Improvement and Modernization Act (MMA), which created the "Voluntary Chronic Care Improvement Program" now called Medicare Health Support). Provision of suggestions and recommendations for consideration of the broader inclusion of coordinated chronic care and health service stakeholder expertise in the feasibility study of a Medicare Chronic Care Practice Research Network demonstration program and in outcomes reporting for comparative effectiveness research (authorized in the Medicare Improvements for Patients and Providers Act of 2008). Analysis and discussions regarding the expanded hospital re-admission reporting requirements included in Final IPPS & OPPS Rules and participation in the listening session for development of transition to a Medicare Value Based Purchasing Program for physician & other professional services. Analysis of Congressional Budget Office reports on health care reform key issues and budget options, and promotion of successful outcomes in population health improvement programs as a component of national reform of care delivery, financing and design, particularly in public sector programs. Encouragement of efforts to preserve HIPAA provisions permitting exchange of protected health information for care coordination and disease management, efforts to advance health information technology deployment, particularly as it would affect individuals with chronic conditions, including e-prescribing, and the creation of interoperability standards and priority use cases and best practices for technology deployment and promotion in care coordination. Education regarding effectiveness of chronic condition care and its benefits to Medicaid and other populations via the sharing of published quality improvement studies that reported cost or utilization outcomes from the intervention and which are target clinical conditions relevant for Medicaid programs. Advocacy for priorities of all stakeholders providing services along the care continuum toward the goal of population health improvement in proposed and realized legislation, including S. 3613 & H.R. 7114, the Independence at Home Act of 2008; S. 631 & H.R. 5765, the Remote Monitoring Access Act of 2007; S. 334, the Healthy Americans Act; S. 1340, the Geriatric Assessment and Chronic Care Coordination Act of 2007; S. 1753, the Healthy Workforce Act of 2007; H.R. 3800, the Wired for Healthcare Quality Act; H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology PRO(TECH)T Act of 2008; H.R. 6898, the Health-e Information Technology Act of 2008; H.R. 5442, TRUST in Health Information Act of 2008; S. 3101, Medicare Improvements for Patients and Providers Act of 2008; S. 3118, Preserving Access to Medicare Act of 2008; H.R. 853, Wellness and Prevention Act of 2007; H.R.6331, Medicare Improvements for Patients and Providers Act of 2008; initiatives pertaining to the treatment and prevention of obesity as a chronic disease generally and specifically as related to Medicare Part D coverage of pharmacotherapy as a component of population health improvement approaches to addressing the obesity epidemic. Advocacy and support for expansion of Medicare-covered clinical preventive services as recommended by the U.S. Preventive Services Task Force and provided for in the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA). Endorsement of the Office of the National Nurse initiative, efforts to rename the Chief Nurse Officer of the U.S. Public Health Services as the "National Nurse". General advocacy for population health improvement as a tool to improve the quality of health care and health care outcomes, and reduce preventable health care costs.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

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

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

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

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

S 2168, Identity Theft Enforcement and Restitution Act of 2007 H.R. 5938, To amend title 18, United States Code, to provide Secret Service protection to former Vice Presidents, and for other purposes H.R. 275, Global Online Freedom Act H.R. 5244, Credit Cardholders' Bill of Rights Act of 2008 H.R. 7323, FY09 Financial Services and General Government Appropriations H.R. 1776, Call Center Consumer's Right to Know Act H.R. 5793, Cell Tax Fairness Act of 2008 H.R. 853, Wellness and Prevention Act 2007 S. 242, Pharmaceutical Market Access and Drug Safety Act of 2007 H.R. 1666, Health Care Price Transparency Promotion Act of 2007 S. 1019, Universal Health Care Choice and Access Act S. 2831, the Federal Trade Commission Reauthorization Act of 2008, including provisions related to FTC authority and the common carrier exemption.

Client expense: $24,030,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), General Services Administration (GSA), 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), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), Postal Regulatory Commission, SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

S. 555, SIMPLE Cafeteria Plan Act of 2007 H.R. 6898, Health-e Information Technology Act of 2008 H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 H.R. 2497/S.1481, Fair and Reliable Medical Justice Act of 2007 S. 2499, Medicare, Medicaid, and SCHIP Extension Act of 2007 S. 1544, Medicare Quality Enhancement Act of 2007 H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007 H.R.1666, Health Care Price Transparency Promotion Act of 2007 H.R. 3717/S. 1753, Healthy Workforce Act of 2007 H.R. 853, Wellness and Prevention Act of 2007 H.R. 5719, Taxpayer Assistance and Simplification Act of 2008, healthcare provisions S. 3118, A bill to amend titles XVIII and XIX of the Social Security Act to preserve beneficiary access to care by preventing a reduction in the Medicare physician fee schedule, to improve the quality of care by advancing value based purchasing, electronic health records, and electronic prescribing, and to maintain and improve access to care in rural areas, and for other purposes. S.2041, To amend the False Claims Act H.R. 4854, False Claims Act Correction Act of 2007 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. 6049, Energy Improvement and Extension Act of 2008, healthcare provisions H.R. 2851, Michelle's Law, healthcare provisions H.R. 6983, Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 H.R. 6288, Retiree Health Account Act of 2008 H.R. 1494, Pediatric Medical Device Safety and Improvement Act of 2007 H. Con. Res. 405, Recognizing the first full week of April as `National Workplace Wellness Week' H.R. 6582, Small Business CHOICE Act of 2008 H.R. 5884/S.2449, Sunshine in Litigation Act of 2008 Issues related to the Medicare Modernization Act of 2003 including provisions dealing with Health Savings Accounts (no specific legislation introduced)

Client expense: $24,030,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), General Services Administration (GSA), 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), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), Postal Regulatory Commission, SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 853, to promote preventive health care for Americans. S. 558, to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. S. 736, to provide for the regulation and oversight of laboratory tests. 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: 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. 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; jointly to Energy & Commerce; Ways & Means; Education & Labor; and Financial Services.

Client expense: $110,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR)

Education and support for population-based health programs, such as disease and care management in FFS Medicare and Medicare Advantage, including Special Needs Plans (specifically, the reauthorization of Chronic Care Special Needs Plans, or C-SNPs, the incorporation of reasonable process measures and standards for SNP evaluation, and recommendations for CMS' Chronic Conditions SNP Panel); Medicare pilots and demonstrations such as the Medicare Medical Home Demonstration, Senior Risk Reduction Dem- onstration, Medicare Physician Group Practice Demonstration, Medicare Electronic Health Records Demonstration, the Medicare Coordinated Care Demonstration (MCCD, as authorized under Section 4016 of the Balanced Budget Act of 1997), and Medicare Health Support (as authorized under Section 721 of the Medicare Prescription Drug, Improvement and Modernization Act (MMA), which created the "Voluntary Chronic Care Improvement Program" now called Medicare Health Support). Provision of suggestions and recommendations for consideration of the broader inclusion of coordinated chronic care and health service stakeholder expertise in the feasibility study of a Medicare Chronic Care Practice Research Network demonstration program and in outcomes reporting for comparative effectiveness research (authorized in the Medicare Improvements for Patients and Providers Act of 2008). Provision of comments on the CMS-proposed rule for the Physician Fee Schedule for CY2009, specifically regarding expansion of the Physician Quality Reporting Initiative (PQRI). Encouragement of efforts to preserve HIPAA provisions permitting exchange of protected health information for care coordination and disease management, efforts to advance HIT deployment, particularly as it would effect individuals with chronic conditions, including e-prescribing, and the creation of interoperability standards and priority use cases and best practices for technologies that merge classical medical devices and telecommunications (American Health Information Community Chronic Care Workgroup initiatives). Education regarding effectiveness of chronic condition care and its benefits to Medicaid and other populations via the sharing of published quality improvement studies that reported cost or utilization outcomes from the intervention and which are target clinical conditions relevant for Medicaid programs. Advocacy for priorities of all stakeholders providing services along the care continuum toward the goal of population health improvement in proposed and realized legislation, including S. 3613 & H.R. 7114, the Independence at Home Act of 2008; S. 631 & H.R. 5765, the Remote Monitoring Access Act of 2007; S. 334, the Healthy Americans Act; S. 1340, the Geriatric Assessment and Chronic Care Coordination Act of 2007; S. 1753, the Healthy Workforce Act of 2007; H.R. 3800, the Wired for Healthcare Quality Act; H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology PRO(TECH)T Act of 2008; H.R. 6898, the Health-e Information Technology Act of 2008; H.R. 5442, TRUST in Health Information Act of 2008; S. 3101, Medicare Improvements for Patients and Providers Act of 2008; S. 3118, Preserving Access to Medicare Act of 2008; H.R. 853, Wellness and Prevention Act of 2007; H.R.6331, Medicare Improvements for Patients and Providers Act of 2008; initiatives pertaining to the treatment and prevention of obesity as a chronic disease generally and specifically as related to Medicare Part D coverage of pharmacotherapy as a component of population health improvement approaches to addressing the obesity epidemic. Education and coordination of briefings for congressional staff and agency representatives regarding the value for employers and employees of wellness programs and preventive health services as made available in the workplace. General advocacy for population health improvement as a tool to improve the quality of health care and health care outcomes, and reduce preventable health care costs.

Client expense: $95,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE

S. 2168/H.R. 5938, Identity Theft Enforcement and Restitution Act of 2007 H.R. 275, the Global Online Freedom Act H.R. 5244, Credit Cardholders' Bill of Rights Act of 2008 S. 2831, the Federal Trade Commission Reauthorization Act of 2008 FY09 House Financial Services and General Government Appropriations Bill H.R. 1776, the Call Center Consumer's Right to Know Act H.R. 5793, the Cell Tax Fairness Act of 2008 S. 242, Pharmaceutical Market Access and Drug Safety Act of 2007 H.R.1666, Health Care Price Transparency Promotion Act S.1019, Universal Health Care Choice and Access Act H.R. 853, Wellness and Prevention Act of 2007 S. 2663 / H.R. 4040, CPSC Reform Act H.R. 4175, Privacy and Cybercrime Enforcement Act of 2007 H.R. 4008, Credit and Debit Card Receipt Clarification Act of 2007 H.R. 4791, the Federal Agency Data Protection Act. S. 2661, the Anti-Phishing Consumer Protection Act of 2008 H.R. 5353, the Internet Freedom Preservation Act of 2008 HR 2290, the Cyber Security Enhancement Act of 2007 H.R. 3195, ADA Restoration Act of 2007, consumer issues S. 1881, ADA Restoration Act of 2007, consumer issues S. 358, Genetic Information Nondiscrimination Act of 2007 H.R. 2580, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 S.1481, Fair and Reliable Medical Justice Act S. 242, Pharmaceutical Market Access and Drug Safety Act of 2007 H.R.1666, Health Care Price Transparency Promotion Act S.1019, Universal Health Care Choice and Access Act S. 2978, Credit and Debit Card Receipt Clarification Act of 2007

Client expense: $20,600,000 · Firm income: Not reported

Government targets: Bureau of Land Management (BLM), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Minerals Management Service, Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 6331, Medicare Act of 2008 H.R. 1424, Mental Health and Addiction Equity Act of 2007 S. 558, Mental Health Parity Act of 2008 H.R. 6357, PRO(TECH)T Act of 2008 S. 1693, Wired for Health Care Quality Act S. 3101, Medicare Act of 2008, provisions on Electronic Prescribing, Medicare, Medicare Advantage and inclusion of care coordination projects, H.R. 5719, Taxpayer Assistance and Simplification Act of 2008 S. 2818, the Small Business Health Plans Act of 2008 H.R. 6288, Retiree Health Accounts Act H. Con. Res. 405, Workplace Wellness resolution H.R. 2851, Michelle's Law S. 555, SIMPLE Cafeteria Plan Act 2007 H Con Res 405, Recognizing the first full week of April as `National Workplace Wellness Week'. (Introduced in House) H.R. 5884/S.2449, Sunshine in Litigation Act of 2008 H.R. 4854/S.2041, To Amend the False Claims Act H.R. 3800, To amend the Public Health Service Act to promote the adoption of health information technology, and for other purposes H.R. 6049, Energy and Tax Extenders Act of 2008 H.R. 6983, Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 H.R. 6288, Retiree Health Account Act of 2008 H.R. 1494, Pediatric Medical Device Safety and Improvement Act of 2007 H.R. 493/S. 358, Genetic Information Nondiscrimination Act of 2007 H.R. 4296/S. 2480, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 H.R. 6898, Health-e Information Technology Act of 2008 H.R. 2639, Promoting Health for Future Generations Act of 2007 S. 3234, Promoting Health for Future Generations Act of 2007 H.R. 2497, Fair and Reliable Medical Justice Act S.1481, Fair and Reliable Medical Justice Act H.R. 2499, Medicaid, and SCHIP Extension Act of 2007 S. 1544, Medicare Quality Enhancement Act of 2007 H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007 S. 1951, Fair Medicaid Drug Payment Act of 2007 H.R. 3140, Saving Our Community Pharmacies Act of 2007 H.R.241, Small Business Health Fairness Act of 2007 H.R.1666, Health Care Price Transparency Promotion Act H.R. 3717, Healthy Workforce Act of 2007 H.R. 853, Wellness and Prevention Act of 2007 H.R. 6357, Health Information Technology Act H.R. 6852, Small Business Cooperatives for Healthcare Options to Improve Coverage for Employees Act of 2008 (CHOICE) S. 1753, Healthy Workforce Act of 2007 S. 2795, Small Business Health Options Program Act of 2008 H.R. 3947, To amend the Internal Revenue Code of 1986 to provide for a carryforward of unused benefits in health flexible spending arrangements H.R. 3580, Food and Drug Administration Amendments Act of 2007 S. 3118, A bill to amend title XVIII of the Social Security Act to improve access to health care under the Medicare program for beneficiaries residing in rural areas. Implementation of Medicare Modernization Act of 2003 (Health Savings Accounts provisions)

Client expense: $20,600,000 · Firm income: Not reported

Government targets: Bureau of Land Management (BLM), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Minerals Management Service, Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Generic Biologics (S. 623; S. 1695; H.R. 1038); Genetic Nondiscrimination (H.R. 493; S. 358); Health system / insurance / ERISA reform (H.R. 676; H.R. 506; H.R. 2034; H.R. 3163; S. 334; S. 1783; S. 1019; S. 2818; S. 1886; S. 2795; H.R. 6210); Health cost savings / comparative effectiveness / wellness promotion (H.R. 2184; H.R. 3162; S. 1342; S. 1753; S. 1754; H.R. 3717; H.R. 853; H.R. 2633); Health IT (S. 1693; H.R. 5442; H.R. 6357); High Risk Pools (S. 3230, Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing H.R. 3162; S. 3101; H.R. 6331; H.R. 4296; S. 2408); medical liability reform (S. 243; S. 2662; H.R. 2580; H.R. 5480); mental health parity (H.R. 1424; S. 558); insurance regulation (S. 40; H.R. 5611; H.R. 5840); Long Term Care (S. 2337; H.R. 3363); SCHIP reauthorization (H.R. 976); Health Insurance Tax Treatment (HSAs, FSAs, HRAs, Health Coverage Tax Credit H.R. 3920; H.R. 3943; H.R. 4341; S. 1739; S. 1848; H.R. 5719) Small business health reform (H.R. 6582); Health IT (H.R. 6898); Comparative effectiveness (S. 3408); H.R. 6210 (SHOP companion)

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), 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; 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

Generic Biologics (S. 623; S. 1695; H.R. 1038); Genetic Nondiscrimination (H.R. 493; S. 358); Health system / insurance / ERISA reform (H.R. 676; H.R. 506; H.R. 2034; H.R. 3163; S. 334; S. 1783; S. 1019; S. 2818; S. 1886; S. 2795; H.R. 6210; H.R. 6582); Health cost savings / comparative effectiveness / wellness promotion (H.R. 2184; H.R. 3162; S. 1342; S. 1753; S. 1754; H.R. 3717; H.R. 853; H.R. 2633; S. 3408); Health IT (S. 1693; H.R. 5442; H.R. 6357; H.R. 6898); High Risk Pools (S. 3230, Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing H.R. 3162; S. 3101; H.R. 6331; H.R. 4296; S. 2408); medical liability reform (S. 243; S. 2662; H.R. 2580; H.R. 5480); mental health parity (H.R. 1424; S. 558); insurance regulation (S. 40; H.R. 5611; H.R. 5840); Long Term Care (S. 2337; H.R. 3363); SCHIP reauthorization (H.R. 976); Health Insurance Tax Treatment (HSAs, FSAs, HRAs, Health Coverage Tax Credit H.R. 3920; H.R. 3943; H.R. 4341; S. 1739; S. 1848; H.R. 5719)

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

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

Generic Biologics (S. 623; S. 1695; H.R. 1038); Genetic Nondiscrimination (H.R. 493; S. 358); Health system / insurance / ERISA reform (H.R. 676; H.R. 506; H.R. 2034; H.R. 3163; S. 334; S. 1783; S. 1019; S. 2818; S. 1886; S. 2795; H.R. 6210; H.R. 6582); Health cost savings / comparative effectiveness / wellness promotion (H.R. 2184; H.R. 3162; S. 1342; S. 1753; S. 1754; H.R. 3717; H.R. 853; H.R. 2633; S. 3408); Health IT (S. 1693; H.R. 5442; H.R. 6357; HR 6898); High Risk Pools (S. 3230, Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing H.R. 3162; S. 3101; H.R. 6331; H.R. 4296; S. 2408); medical liability reform (S. 243; S. 2662; H.R. 2580; H.R. 5480); mental health parity (H.R. 1424; S. 558); insurance regulation (S. 40; H.R. 5611; H.R. 5840); Long Term Care (S. 2337; H.R. 3363); SCHIP reauthorization (H.R. 976); Health Insurance Tax Treatment (HSAs, FSAs, HRAs, Health Coverage Tax Credit H.R. 3920; H.R. 3943; H.R. 4341; S. 1739; S. 1848; H.R. 5719)

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

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

Generic Biologics (S. 623; S. 1695; H.R. 1038); Genetic Nondiscrimination (H.R. 493; S. 358); Health system / insurance / ERISA reform (H.R. 676; H.R. 506; H.R. 2034; H.R. 3163; S. 334; S. 1783; S. 1019; S. 2818; S. 1886; S. 2795; H.R. 6210); Health cost savings / comparative effectiveness / wellness promotion (H.R. 2184; H.R. 3162; S. 1342; S. 1753; S. 1754; H.R. 3717; H.R. 853; H.R. 2633); Health IT (S. 1693; H.R. 5442; H.R. 6357); High Risk Pools (S. 3230, Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing H.R. 3162; S. 3101; H.R. 6331; H.R. 4296; S. 2408); medical liability reform (S. 243; S. 2662; H.R. 2580; H.R. 5480); mental health parity (H.R. 1424; S. 558); insurance regulation (S. 40; H.R. 5611; H.R. 5840); Long Term Care (S. 2337; H.R. 3363); SCHIP reauthorization (H.R. 976); Health Insurance Tax Treatment (HSAs, FSAs, HRAs, Health Coverage Tax Credit H.R. 3920; H.R. 3943; H.R. 4341; S. 1739; S. 1848; H.R. 5719)

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

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

S. 555, SIMPLE Cafeteria Plan Act 2007 H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 Small Business Cooperative for Healthcare Options to Improve Act of 2008 (CHOICE) H.R. 493 / S. 358, Genetic Information Nondiscrimination Act of 2007 H.R. 4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 S. 2480, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 S. 1693/H.R. 3800, Wired for Health Care Quality Act H.R. 749, Health Care Choices for Seniors Act H.R. 2639, Promoting Health for Future Generations Act of 2007 S. 3234, Promoting Health for Future Generations Act of 2007 H.R. 2497, Fair and Reliable Medical Justice Act H.R.2580, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 S.1481, Fair and Reliable Medical Justice Act H.R. 2499, Medicaid and SCHIP Extension Act of 2007 S. 1544, Medicare Quality Enhancement Act of 2007 H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007 S. 558, Mental Health Parity Act of 2007 H.R. 4, Medicare Prescription Drug Price Negotiation Act of 2007 S. 1951, Fair Medicaid Drug Payment Act of 2007 H.R. 3140, Saving Our Community Pharmacies Act of 2007 H.R.241, Small Business Health Fairness Act of 2007 H.R.1666, Health Care Price Transparency Promotion Act S.1019, Universal Health Care Choice and Access Act H.R. 3717, Healthy Workforce Act of 2007 H.R. 853, Wellness and Prevention Act 2007 S. 1753, Healthy Workforce Act of 2007 S. 2818, Small Business Health Plans Act of 2008 S. 2795, Small Business Health Options Program Act of 2008 H.R. 3800, To amend the Public Health Service Act to promote the adoption of health information technology, and for other purposes H.R. 6381, Medical Device Safety Act Small Business Cooperatives for Healthcare Options to Improve Coverage for Employees Act of 2008 (CHOICE) (not yet introduced) H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 H.R. 5719, Taxpayer Assistance and Simplification Act of 2008: Supporting delay of government withholding; removal of cell-phone from listed property; repeal of private debt collection authority. H.R. 3947, To amend the Internal Revenue Code of 1986 to provide for a carryforward of unused benefits in health flexible spending arrangements H.R. 3580, Food and Drug Administration Amendments Act of 2007 Implementation of the Medicare Modernization Act of 2003 (Health Savings Accounts) S. 3118, A bill to amend title XVIII of the Social Security Act to improve access to health care under the Medicare program for beneficiaries residing in rural areas. S.3101, A bill to amend titles XVIII and XIX of the Social Security Act to extend expiring provisions under the Medicare program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes. S.2041, To Amend the False Claims Act H.R. 4854, False Claims Act Correction Act of 2007 H.R. 6331, Medicare Act of 2008 H.R. 1424, Mental Health and Addiction Equity Act of 2007 S. 3101, Medicare Act of 2008 H.R. 5719, Taxpayer Assistance Health Information Technology Health Savings Accounts - Substantiation of expenditures Electronic Prescribing Medicare - Cuts to Medicare Advantage and inclusion of care coordination projects Small Business Cooperatives for Healthcare Options to Improve Coverage for Employees Act of 2008 (CHOICE) S. 2818, Small Business Health Plans Act of 2008 - Closing the specialty hospital loophole

Client expense: $7,890,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Trade Commission (FTC), General Services Administration (GSA), 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), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Guard, Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

S 2168, Identity Theft Enforcement and Restitution Act of 2007 HR 4175, Privacy and Cybercrime Enforcement Act of 2007 HR 4791, Federal Agency Data Protection Act. HR 275, Global Online Freedom Act of 2007 S 2661, Anti-Phishing Consumer Protection Act of 2008 HR 5353, Internet Freedom Preservation Act of 2008 HR 5244, Credit Cardholders' Bill of Rights Act of 2008 S 2831, Federal Trade Commission Reauthorization Act of 2008 S 1625, Counter Spy Act HR 5633, Nondiscriminatory Use of Consumer Reports and Consumer Information Act of 2008 S. 3260, FY09 House Financial Services and General Government Appropriations Bill HR 2290, Cyber Security Enhancement Act of 2007 H.R. 4040 / S. 2663, Consumer Product Safety Modernization Act H.R. 853, Wellness and Prevention Act 2007 S. 242, Pharmaceutical Market Access and Drug Safety Act of 2007 H.R.1666, Health Care Price Transparency Promotion Act of 2007 S.1019, Universal Health Care Choice and Access Act S. 1481, Fair and Reliable Medical Justice Act HR 4008, Credit and Debit Card Receipt Clarification Act of 2007 HR 2290, the Cyber Security Enhancement Act of 2007 H.R. 3195, ADA Restoration Act of 2007 S. 1881, ADA Restoration Act of 2007 S. 2978, Credit and Debit Card Receipt Clarification Act of 2007

Client expense: $7,890,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Trade Commission (FTC), General Services Administration (GSA), 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), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Guard, Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 853, to promote preventive health care for Americans. S. 558, to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. S. 736, to provide for the regulation and oversight of laboratory tests. 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: 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. 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; jointly to Energy & Commerce; Ways & Means; Education & Labor; and Financial Services.

Client expense: $110,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, State, Dept of (DOS), Treasury, Dept of, 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): S. 2818 - The Small Business Health Plans Act of 2008 H.R. 1200 - American Health Security Act of 2007 S. 334 - Healthy Americans Act S. 685 - Reform Health Care Now Act S. 158 - Access to Affordable Health Care Act H.R. 853 - Wellness & Prevention Act of 2007 H.R. 676 - United States Health Insurance Act (or the Expanded & Improved Medical for All Act) H.R. 241 - Small Business Health Fairness Act of 2007 S. 733 - Promoting Health Care Purchasing Cooperatives Act

Client expense: $3,740,000 · Firm income: Not reported

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

S 2168, Identity Theft Enforcement and Restitution Act of 2007 HR 4175, Privacy and Cybercrime Enforcement Act of 2007 HR 4791, Federal Agency Data Protection Act. HR 275, Global Online Freedom Act of 2007 S 2661, Anti-Phishing Consumer Protection Act of 2008 HR 5353, Internet Freedom Preservation Act of 2008 HR 5244, Credit Cardholders' Bill of Rights Act of 2008 S 2831, Federal Trade Commission Reauthorization Act of 2008 S 1625, Counter Spy Act HR 5633, Nondiscriminatory Use of Consumer Reports and Consumer Information Act of 2008 S. 3260, FY09 House Financial Services and General Government Appropriations Bill HR 2290, Cyber Security Enhancement Act of 2007 H.R. 4040 / S. 2663, Consumer Product Safety Modernization Act H.R. 853, Wellness and Prevention Act 2007 S. 242, Pharmaceutical Market Access and Drug Safety Act of 2007 H.R.1666, Health Care Price Transparency Promotion Act of 2007 S.1019, Universal Health Care Choice and Access Act S. 1481, Fair and Reliable Medical Justice Act HR 4008, Credit and Debit Card Receipt Clarification Act of 2007 HR 2290, the Cyber Security Enhancement Act of 2007 H.R. 3195, ADA Restoration Act of 2007 S. 1881, ADA Restoration Act of 2007 S. 2978, Credit and Debit Card Receipt Clarification Act of 2007

Client expense: $7,890,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Trade Commission (FTC), General Services Administration (GSA), 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), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Guard, Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

S. 555, SIMPLE Cafeteria Plan Act 2007 H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 Small Business Cooperative for Healthcare Options to Improve Act of 2008 (CHOICE) H.R. 493 / S. 358, Genetic Information Nondiscrimination Act of 2007 H.R. 4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 S. 2480, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 S. 1693/H.R. 3800, Wired for Health Care Quality Act H.R. 749, Health Care Choices for Seniors Act H.R. 2639, Promoting Health for Future Generations Act of 2007 S. 3234, Promoting Health for Future Generations Act of 2007 H.R. 2497, Fair and Reliable Medical Justice Act H.R.2580, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 S.1481, Fair and Reliable Medical Justice Act H.R. 2499, Medicaid and SCHIP Extension Act of 2007 S. 1544, Medicare Quality Enhancement Act of 2007 H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007 S. 558, Mental Health Parity Act of 2007 H.R. 4, Medicare Prescription Drug Price Negotiation Act of 2007 S. 1951, Fair Medicaid Drug Payment Act of 2007 H.R. 3140, Saving Our Community Pharmacies Act of 2007 H.R.241, Small Business Health Fairness Act of 2007 H.R.1666, Health Care Price Transparency Promotion Act S.1019, Universal Health Care Choice and Access Act H.R. 3717, Healthy Workforce Act of 2007 H.R. 853, Wellness and Prevention Act 2007 S. 1753, Healthy Workforce Act of 2007 S. 2818, Small Business Health Plans Act of 2008 S. 2795, Small Business Health Options Program Act of 2008 H.R. 3800, To amend the Public Health Service Act to promote the adoption of health information technology, and for other purposes H.R. 6381, Medical Device Safety Act Small Business Cooperatives for Healthcare Options to Improve Coverage for Employees Act of 2008 (CHOICE) (not yet introduced) H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008 H.R. 5719, Taxpayer Assistance and Simplification Act of 2008: Supporting delay of government withholding; removal of cell-phone from listed property; repeal of private debt collection authority. H.R. 3947, To amend the Internal Revenue Code of 1986 to provide for a carryforward of unused benefits in health flexible spending arrangements H.R. 3580, Food and Drug Administration Amendments Act of 2007 Implementation of the Medicare Modernization Act of 2003 (Health Savings Accounts) S. 3118, A bill to amend title XVIII of the Social Security Act to improve access to health care under the Medicare program for beneficiaries residing in rural areas. S.3101, A bill to amend titles XVIII and XIX of the Social Security Act to extend expiring provisions under the Medicare program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes. S.2041, To Amend the False Claims Act H.R. 4854, False Claims Act Correction Act of 2007 H.R. 6331, Medicare Act of 2008 H.R. 1424, Mental Health and Addiction Equity Act of 2007 S. 3101, Medicare Act of 2008 H.R. 5719, Taxpayer Assistance Health Information Technology Health Savings Accounts - Substantiation of expenditures Electronic Prescribing Medicare - Cuts to Medicare Advantage and inclusion of care coordination projects Small Business Cooperatives for Healthcare Options to Improve Coverage for Employees Act of 2008 (CHOICE) S. 2818, Small Business Health Plans Act of 2008 - Closing the specialty hospital loophole

Client expense: $7,890,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Trade Commission (FTC), General Services Administration (GSA), 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), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Guard, Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

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 493/S 358 Genetic Information Nondiscrimination 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 3162 Children's Health and Medicare Protection 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

Client expense: $790,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Federal Railroad Administration, 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

Education and support for population-based health programs, including disease and care management in FFS Medicare and Medicare Advantage, including Special Needs Plans (specifically the reauthorization of Chronic Care Special Needs Plans, or C-SNPs and the incorporation of reasonable process measures and standards for SNP evaluation); Medicare pilots including Medicare Health Support (as authorized under Section 721 of the Medicare Prescription Drug, Improvement and Modernization Act (MMA), which created the "Voluntary Chronic Care Improvement Program," now called Medicare Health Support (MHS)); and Medicare demonstrations, including the Medicare Coordinated Care Demonstration (MCCD, as authorized under Section 4016 of the Balanced Budget Act of 1997), and the Senior Risk Reduction Demonstration (SRRD). Provision of comments on CMS proposed and developed evaluations of care and disease management programs in Medicare Advantage. Advocacy for population health improvement as a tool to improve the quality of health care and health care outcomes, and reduce preventable health care costs. Encouragement of efforts to preserve HIPAA provisions permitting exchange of protected health information for care coordination and disease management, efforts to advance HIT deployment, particularly as it would effect individuals with chronic conditions, including e-prescribing, and the creation of interoperability standards and priority use cases and best practices for technologies that merge classical medical devices and telecommunications (American Health Information Community Chronic Care Workgroup initiatives). Education regarding effectiveness of chronic condition care and its benefits to Medicaid and other populations via the sharing of published quality improvement studies that reported cost or utilization outcomes from the intervention and which are target clinical conditions relevant for Medicaid programs. Advocacy around the CMS Medical Home Demonstration; S. 631 & H.R. 5765, the Remote Monitoring Access Act of 2007; S. 334, the Healthy Americans Act; S. 1340, the Geriatric Assessment and Chronic Care Coordination Act of 2007; S. 1753, the Health Workforce Act of 2007; H.R. 3800, the Wired for Healthcare Quality Act and discussion drafts of HIT & privacy legislation; H.R. 5442, TRUST in Health Information Act of 2008; S. 3101, Medicare Improvements for Patients and Providers Act of 2008; S. 3118, Preserving Access to Medicare Act of 2008; H.R. 853, Wellness and Prevention Act of 2007; H.R.6331, Medicare Improvements for Patients and Providers Act of 2008 and the broader inclusion of coordinated care stakeholder expertise in studies and proposals around a Medicare chronic care practice research network; initiatives pertaining to the treatment and prevention of obesity as a chronic disease generally and specifically as related to Medicare Part D coverage of pharmacotherapy as a component of population health improvement approaches to addressing the obesity epidemic.

Client expense: $125,000 · Firm income: Not reported

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

H.R. 3717 / S. 1753, Healthy Workforce Act of 2007- tax credits for employers that participate in wellness programs. S. 558, Mental Health Parity Act of 2007- provisions on parity of mental health benefitsH.R. 1424- The Paul Wellstone Mental Health and Addiction Equity Act of 2007- parity for coverage of mental health benefits H.R. 3800 / S. 1693, Wired for Health Care Quality Act H.R. 853- Wellness and Prevention Act of 2007-tax credits for employers and employees that participate in comprehensive wellness programs S. 1481- Fair and Reliable Medical Justice Act- health care demonstration projects H.R. 2497- Fair and Reliable Medical Justice Act- health care demonstration projects S. 1544- Medicare Quality Enhancement Act of 2007- providing qualified organizations with access to Medicare claims data, enrollment, survey and assessment data for development of reports on the quality and cost of nation's health care system. H.R. 3580 Food and Drug Administration Amendments Act of 2007 H.R. 3947 To amend the Internal Revenue Code of 1986 to provide for a carry forward of unused benefits in health care flexible spending arrangements S.1019 Universal Health Care Choice and Access Act H.R. 3717 Healthy Workforce Act of 2007 S. 1753 Healthy Workforce Act of 2007 S. 555 SIMPLE Cafeteria Plan Act 2007 H.R. 2900/H.R. 3580/S. 1082 To amend the Federal Food, Drug, and Cosmetic Act to revise and extend the user-fee programs for prescription drugs and for medical devices, to enhance the post market authorities of the Food and Drug Administration with respect to the safety of drugs, and for other purposes H.R. 493 Genetic Information Nondiscrimination Act of 2007 S. 358 Genetic Information Nondiscrimination Act of 2007 H.R. 4296 Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 S. 2480 Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 H.R. 749 Health Care Choices for Seniors Act H.R. 2639 Promoting Health for Future Generations Act of 2007 S. 3234 Promoting Health for Future Generations Act of 2007 H.R.2580 Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 H.R. 2499 Medicaid, and SCHIP Extension Act of 2007 H.R. 118 To amend part D of title XVIII of the Social Security Act to authorize the Secretary of Health and Human Services to negotiate prices for part D covered drugs for Medicare beneficiaries H.R. 3161 Making appropriations for Agriculture, Rural Development, Food and Drug Administration, and Related Agencies programs for the fiscal year ending September 30, 2008, and for other purposes H.R. 4 Medicare Prescription Drug Price Negotiation Act of 2007 S. 1951 Fair Medicaid Drug Payment Act of 2007 S. 242 Pharmaceutical Market Access and Drug Safety Act of 2007 S. 3 Medicare Prescription Drug Price Negotiation Act of 2007 H.R. 324 Working Families Wage and Access to Health Care Act H.R.241 Small Business Health Fairness Act of 2007 H.R. 3963 Children's Health Insurance Program Reauthorization Act of 2007 H.R. 976 Children's Health Insurance Program Reauthorization Act of 2007 S. 2499 A bill to amend titles XVIII, XIX, and XXI of the Social Security Act to extend provisions under the Medicare, Medicaid, and SCHIP programs, and for other purposes H.R.1666 Health Care Price Transparency Promotion Act H.R. 2991, Independent Health Record Trust Act- credit union-like banks to hold electronic health record information Covered Official Positions Continued: Doug Loon; Staff Director - Senate Veterans Affairs Cmte, LC - Senator Arlen Specter, Leg. Monitor - Senator Arlen Specter

Client expense: $9,820,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Guard, Natl Labor Relations Board (NLRB), Natl Oceanic & Atmospheric Administration (NOAA), Natl Security Council (NSC), Office of Management & Budget (OMB), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Trade & Development Agency (USTDA), U.S. Trade Representative (USTR), Vice President of the U.S., White House Office

S. 2663, the "CPSC Reform Act," all provisions; amendment banning the use of Phthalates in any childrens toy or product H.R. 3610, "The Food and Drug Import Safety Act of 2007" Possible import safety-related legislationS. 2168, Identity Theft Enforcement and Restitution Act of 2007 H.R. 4175, Privacy and Cybercrime Enforcement Act of 2007 H.R. 4008, Credit and Debit Card Receipt Clarification Act of 2007 H.R. 4791, the Federal Agency Data Protection Act. H.R. 275, the Global Online Freedom Act of 2007 S. 2661, the Anti-Phishing Consumer Protection Act of 2008 H.R. 5353, the Internet Freedom Preservation Act of 2008 H.R. 5244, Credit Cardholders' Bill of Rights Act of 2008 H.R. 2290, the Cyber Security Enhancement Act of 2007 Consumer protection provisions in the following bills: H.R. 3195, ADA Restoration Act of 2007 S. 358, Genetic Information Nondiscrimination Act of 2007 H.R. 2580, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 S.1481, Fair and Reliable Medical Justice Act S. 242, Pharmaceutical Market Access and Drug Safety Act of 2007 H.R.1666, Health Care Price Transparency Promotion Act of 2007 S.1019, Universal Health Care Choice and Access Act H.R. 853, Wellness and Prevention Act of 2007

Client expense: $9,820,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Guard, Natl Labor Relations Board (NLRB), Natl Oceanic & Atmospheric Administration (NOAA), Natl Security Council (NSC), Office of Management & Budget (OMB), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Trade & Development Agency (USTDA), U.S. Trade Representative (USTR), Vice President of the U.S., White House Office

HR 1038 Access to Life Saving Medicine Act HR 1076 HIPAA Recreational Injury Technical Correction Act; HR 5442, TRUST in Health Information Act of 2008 HR 676 US National Health Insurance Act S 1490 Federal Employees Electronic Personal Health Records Act of 2007 S 1501 Affordable Biologics for Consumers Act S 1544 Medicare Quality Enhancement Act of 2007 S 1814, Health Information Privacy and Security Act S 1899 Universal Health Coverage Act of 2007 S 242 Pharmaceutical Market Access and Drug Safety Act of 2007 S 316 Preserve Access to Affordable Generics Act S 616 HIPAA Recreational Injury Technical Correction Act S 623 Access to Life Saving Medicine Act 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; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Uninsured: S1019 "Health Care Choice Act of 2007"; HR3163 "Healthy Americans Act" 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" 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; SCHIP, Small Group Market/Small Business Healthcare S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims Printed S. 1783: Ten Steps to Transform Health Care in America Act H.R. 853: Wellness and Prevention Act of 2007 H.R. 2147: Healthy Kids Act of 2007 S. 1364: Healthy Kids Act of 2007 S. 334: Healthy Americans Act H.R. 5348: American Health Benefits Program Act of 2008 (AHBP Act) H.R. 1328: The Indian Health Care Improvement Act H.R. 5544: The Patients and Public Health Partnership Act of 2008 H.R. 5545: Ensuring the Future Physician Workforce Act of 2008 S. 2729: Ensuring the Future Physician Workforce Act of 2008 S. 2708: Caring for an Aging America Act of 2008 H.R. 5496: Public Health Preparedness Workforce Development Act of 2008 H.R. 2991: Independent Health Record Trust Act H.R. 5442: TRUST in Health Information Act S. 2672: A bill to provide incentives to physicians to practice in rural and medically underserved communities H.R. 5174: Nursing and Allied Health Education Preservation Act of 2008 HR 380 Pharmaceutical Market Access and Drug Safety Act of 2007 HR 493 Genetic Information Nondiscrimination Act of 2007 HR 1368 Personalized Health Information Act of 2007 HR 1432 Preserve Access to Affordable Generics Act HR 1666 Health Care Price Transparency Promotion Act of 2007 HR 1902 Protecting Consumer Access to Generic Drugs Act of HR 1956 Patient Protection and Innovative Biologic Medicines Act of 2007 HR 3800 Promoting Health Information Technology Act H.R. 5629 Pathway for Biosimilars Act S 28 Generics First Act of 2007 S 251 Pharmaceutical Market Access Act of 2007 S 273 Prescription Drug and Health Improvement Act of 2007 S 316 Preserve Access to Affordable Generics Act S 358 Genetic Information Nondiscrimination Act of 2007 S 596 Safe Internet Pharmacy Act of 2007 S 628 Critical Access to Health Information Technology Act of 2007 S 976 Genomics and Personalized Medicine Act of 2007 S 1408 Health Information Technology Act of 2007 S 1455 National Health Information Technology and Privacy Advancement Act of 2007 S 1505 Affordable Biologics for Consumers Act S 1693 Wired for Health Care Quality Act S 1695 Biologics Price Competition and Innovation Act of 2007 S. 1814 Health Information Privacy and Security Act S 2408 Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 Health Information Technology Electronic Prescribing Genetic Nondiscrimination Inappropriate use of Human Growth Hormone Confidentiality of Health Information Generic Drugs Generic Biologics S. 1456 Federal Employees Electronic Personal Health Records Act S. 1693 Wired for Health Care Quality Act S 1338/HR 1293 Access to Medicare Imaging Act of 2007 S. 1042/HR 583 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007 HR 2708 Mammogram and MRI Availability Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 853, to promote preventive health care for Americans. S. 558, to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. S. 736, to provide for the regulation and oversight of laboratory tests. 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: 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. 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; jointly to Energy & Commerce; Ways & Means; Education & Labor; and Financial Services.

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

Government targets: Commerce, Dept of (DOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR)

Expansion of Small Business Health Insurance Coverage: S. 158 - Access to Affordable Health Care Act Expansion of Small Business Health Insurance Coverage (cont'd): H.R. 1200 - American Health Security Act of 2007 S. 334 - Healthy Americans Act S. 685 - Reform Health Care Now 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 S. 2795 - Small Business Health Options Program Act of 2008 S. 2818 - The Small Business Health Plans Act of 2008

Client expense: $3,140,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Environmental Protection Agency (EPA), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Office of Management & Budget (OMB), Office of Thrift Supervision (OTS), Office of the Comptroller of the Currency (OCC), SENATE, Treasury, Dept of, U.S. Agency for International Development (USAID), Veterans Affairs, Dept of (VA)

Health care reform proposals; ERISA preemption, health information technology; domestic partner health plans; health savings accounts; genetic nondiscrimination; Medicare; 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 and Globalization Adjustment Assistance Act; HR 493/S 358 Genetic Information Nondiscrimination 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 3162 Children's Health and Medicare Protection Act; HR 1424/S 558 Mental Health Parity; S 1753 Healthy Workforce Act; HR 3996 Temporary Tax Relief Act; HR 853 Wellness and Prevention Act

Client expense: $540,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Energy, Dept of, Environmental Protection Agency (EPA), Federal Railroad Administration, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE, State, Dept of (DOS), Surface Transportation Board (STB), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

S. 1783: Ten Steps to Transform Health Care in America Act H.R. 853: Wellness and Prevention Act of 2007 H.R. 2147: Healthy Kids Act of 2007 S. 1364: Healthy Kids Act of 2007 S. 334: Healthy Americans Act H.R. 5348: American Health Benefits Program Act of 2008 (AHBP Act) H.R. 1328: The Indian Health Care Improvement Act H.R. 5544: The Patients and Public Health Partnership Act of 2008 H.R. 5545: Ensuring the Future Physician Workforce Act of 2008 S. 2729: Ensuring the Future Physician Workforce Act of 2008 S. 2708: Caring for an Aging America Act of 2008 H.R. 5496: Public Health Preparedness Workforce Development Act of 2008 H.R. 2991: Independent Health Record Trust Act H.R. 5442: TRUST in Health Information Act S. 1693: Wired for Health Care Quality Act S. 1814: Health Information Privacy and Security Act S. 2672: A bill to provide incentives to physicians to practice in rural and medically underserved communities H.R. 5174: Nursing and Allied Health Education Preservation Act of 2008

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1783 Ten steps to Transform Health Care in America Act H.R. 853 Wellness and Preventions Act of 2007 H.R. 2147 Healthy Kids Act of 2007 S. 1364 Health Kids Act of 2007 S. 334: Healthy Americans Act H.R. 5613: Protecting the Medicaid Safety Net Act of 2008 H.R. 5348: American Health Benefits Program Act of 2008 (AHBP Act) H.R. 1328: The Indian Health Care Improvement Act H.R. 5544: The Patients and Public Health Partnership Act of 2008 H.R. 5545: Ensuring the Future Physician Workforce Act of 2008 S. 2729: Ensuring the Future Physician Workforce Act of 2008 S. 2708: Caring for an Aging America Act of 2008 H.R. 5496: Public Health Preparedness Workforce Development Act of 2008 S. 2672: Conrad State 30 Improvement Act H.R. 5174: Nursing and Allied Health Education Preservation Act of 2008 H.R. 5613: Protecting the Medicaid Safety Net Act of 2008 H. Con. Res. 312: S. Con. Res. 70: H.R. 493: Genetic Information Nondiscrimination Act H.R. 2991: Independent Health Record Trust Act H.R. 5442: TRUST in Health Information Act S. 1693: Wired for Health Care Quality Act S. 1814: Health Information Privacy and Security Act

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

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

S. 558- Mental Health Parity Act of 2007- opposed parity between coverage of mental health benefits and benefits for medical and surgical services H.R. 324 Working Families Wage and Access to Health Care Act S. 555 SIMPLE Cafeteria Plan Act 2007 H.R. 1424- The Paul Wellstone Mental Health and Addiction Equity Act of 2007- supported parity between coverage of mental health benefits for medical and surgical services Wired for Health Care Quality Act- supported widespread adoption of nationwide, interoperability health information technology infrastructure H.R. 853- Wellness and Prevention Act of 2007- supported tax credits for employers and employees that participate in comprehensive wellness programs S. 1481- Fair and Reliable Medical Justice Act- supported grant funding to produce health court demonstration projects H.R. 2497- Fair and Reliable Medical Justice Act- supported grant funding to produce health court demonstration projects S. 1544- Medicare Quality Enhancement Act of 2007- supported creation of pay for performance and transparency initiatives by providing qualified organizations with access to Medicare claims data, enrollment, survey and assessment data for development of reports on the quality and cost of nation's health care system. Healthy Workforce Act of 2007- supported tax credits for employers that participate in comprehensive wellness programs. Independent Health Record Trust Act- supported credit union-like banks to hold electronic health record information SCHIP(1): Children's Health Insurance Program Reauthorization Act of 2007, H.R. 976- Opposed expanded coverage for the State Children's Health Insurance Program (SCHIP(2): Children's Health Insurance Program Reauthorization Act of 2007, H.R. 3963; SCHIP(3, CHAMP): Children's Health and Medicare Protection Act of 2007, H.R. 3162) Medicare: Medicare, Medicaid, and SCHIP Extension Act of 2007 (Enrolled as Agreed to or Passed by Both House and Senate, S. 2499)- Focused on employer coverage of end stage renal disease from 30 to 42 months. Biologics Price Competition and Innovation Act of 2007- weighed in on creation of regulatory pathway for licensing of biosimilar biological products Non-numbered House FDA-related bills concerning: Prescription Drug User Fee Ace, Medical Device User Fee and Modernization Act, Drug Safety/Risk Evaluation and Mitigation Strategy; Clinical Trials; and Reagan-Udall Institute for Applied Biomedical Research S.1082; Food and Drug Administration Revitalization Act- Bill concerns Prescription Drug User Fee Act, Medical Device User Fee and Modernization Act, Drug Safety/Risk Evaluation and Mitigation Strategy; Clinical Trials; Reagan-Udall Institute for Applied Biomedical Research; and importation of drugs S. 3 Medicare Fair Prescription Drug Price Act of 2007- opposed legalizing importation of drugs H.R. 4 Medicare Prescription Drug Price Negotiation Act of 2007 H.R. 118 To amend part D of title XVIII of the Social Security Act to authorize the Secretary of Health and Human Services to negotiate prices for part D covered drugs for Medicare beneficiaries S. 250 Medicare Enhancements for Needed Drugs Act of 2007 S. 1951 Fair Medicaid Drug Payment Act of 2007 S. 976 Genomics and Personalized Medicine Act of 2007 H.R. 3947 To amend the Internal Revenue Code of 1986 to provide for a carry forward of unused benefits in health flexible spending arrangements S. 242 Pharmaceutical Market Access and Drug Safety Act of 2007 S. 358 Genetic Information Nondiscrimination Act of 2007 H.R. 493 Genetic Information Nondiscrimination Act of 2007 S.1019 Universal Health Care Choice and Access Act H.R. 1046 Medicare Quality Improvement Organization Modernization Act of 2007 H.R.2580 Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 H.R.1666 Health Care Price Transparency Promotion Act H.R.241 Small Business Health Fairness Act of 2007 H.R. 324 Working Families Wage and Access to Health Care Act H.R. 749 Health Care Choices for Seniors Act S. 555 SIMPLE Cafeteria Plan Act 2007 H.R. 1424 Paul Wellstone Mental Health and Addiction Equity Act of 2007 H.R. 3717 Healthy Workforce Act of 2007 S. 1753 Healthy Workforce Act of 2007 H.R. 2639/ S. 3234 Promoting Health for Future Generations Act of 2007 S. 1693/H.R. 3800 Wired for Health Care Quality Act S. 1544 Medicare Quality Enhancement Act of 2007 S. 1753 Healthy Workforce Act 2007

Client expense: $19,060,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Highway Administration (FHA), Federal Motor Carrier Safety Administration, Federal Trade Commission (FTC), Federal Transit Administration (FTA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Guard, Natl Labor Relations Board (NLRB), Natl Oceanic & Atmospheric Administration (NOAA), Natl Security Council (NSC), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), UNDETERMINED

H.R.241 Small Business Health Fairness Act of 2007 H.R. 324 Working Families Wage and Access to Health Care Act H.R. 749 Health Care Choices for Seniors Act S. 555 SIMPLE Cafeteria Plan Act 2007 H.R. 853 Wellness and Prevention Act 2007 H.R. 3717 Healthy Workforce Act of 2007 S. 1753 Healthy Workforce Act of 2007 H.R. 3947 To amend the Internal Revenue Code of 1986 to provide for a carry forward of unused benefits in health flexible spending arrangements

Client expense: $19,060,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Highway Administration (FHA), Federal Motor Carrier Safety Administration, Federal Trade Commission (FTC), Federal Transit Administration (FTA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Guard, Natl Labor Relations Board (NLRB), Natl Oceanic & Atmospheric Administration (NOAA), Natl Security Council (NSC), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), UNDETERMINED

H.R. 3610, "The Food and Drug Import Safety Act of 2007" and other possible import-safety related legislation stemming from a series of high profile product recalls. HR 1525 Internet Spyware (I-SPY) Prevention Act of 2007 HR 964 Spy Act HR 948 Social Security Number Protection Act of 2007 H.R. 5156 Counterfeit Drug Prevention Act of 2006 S 522 Intellectual Property Rights Enforcement Act S. 495 Personal Data Privacy and Security Act of 2007 S. 1178 Identity Theft Prevention Act S. 522 Intellectual Property Rights Enforcement Act H.R. 780 Counterfeit Drug Prevention Act of 2007 S. 1780 Protecting Children From Indecent Programming Act H.R. 4008 Credit and Debit Card Receipt Clarification Act of 2007 S. 2168 Identity Theft Enforcement and Restitution Act of 2007 H.R. 3541 Do-Not-Call Improvement Act of 2007 H.R. 3578 Intellectual Property Rights Enforcement Act S. 2317 Intellectual Property Enforcement Act of 2007 H.R. 4279 Prioritizing Resources and Organization for Intellectual Property Act of 2007 H.R. 4175 Privacy and Cybercrime Enforcement Act of 2007 S. 242 Pharmaceutical Market Access and Drug Safety Act of 2007 H.R. 853 Wellness and Prevention Act 2007 S. 358 / H.R. 493 Genetic Information Nondiscrimination Act of 2007 S. 1019 Universal Health Care Choice and Access Act H.R. 1046 Medicare Quality Improvement Organization Modernization Act of 2007 H.R. 2580 Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 H.R. 1666 Health Care price Transparency Promotion Act

Client expense: $19,060,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Highway Administration (FHA), Federal Motor Carrier Safety Administration, Federal Trade Commission (FTC), Federal Transit Administration (FTA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Guard, Natl Labor Relations Board (NLRB), Natl Oceanic & Atmospheric Administration (NOAA), Natl Security Council (NSC), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), UNDETERMINED

H.R.241 Small Business Health Fairness Act of 2007 H.R. 324 Working Families Wage and Access to Health Care Act H.R. 749 Health Care Choices for Seniors Act S. 555 SIMPLE Cafeteria Plan Act 2007 H.R. 853 Wellness and Prevention Act 2007 H.R. 3717 Healthy Workforce Act of 2007 S. 1753 Healthy Workforce Act of 2007 H.R. 3947 To amend the Internal Revenue Code of 1986 to provide for a carry forward of unused benefits in health flexible spending arrangements

Client expense: $19,060,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Highway Administration (FHA), Federal Motor Carrier Safety Administration, Federal Trade Commission (FTC), Federal Transit Administration (FTA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Guard, Natl Labor Relations Board (NLRB), Natl Oceanic & Atmospheric Administration (NOAA), Natl Security Council (NSC), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR)

S. 558- Mental Health Parity Act of 2007- opposed parity between coverage of mental health benefits and benefits for medical and surgical services H.R. 324 Working Families Wage and Access to Health Care Act S. 555 SIMPLE Cafeteria Plan Act 2007 H.R. 1424- The Paul Wellstone Mental Health and Addiction Equity Act of 2007- supported parity between coverage of mental health benefits for medical and surgical services Wired for Health Care Quality Act- supported widespread adoption of nationwide, interoperability health information technology infrastructure H.R. 853- Wellness and Prevention Act of 2007- supported tax credits for employers and employees that participate in comprehensive wellness programs S. 1481- Fair and Reliable Medical Justice Act- supported grant funding to produce health court demonstration projects H.R. 2497- Fair and Reliable Medical Justice Act- supported grant funding to produce health court demonstration projects S. 1544- Medicare Quality Enhancement Act of 2007- supported creation of pay for performance and transparency initiatives by providing qualified organizations with access to Medicare claims data, enrollment, survey and assessment data for development of reports on the quality and cost of nation's health care system. Healthy Workforce Act of 2007- supported tax credits for employers that participate in comprehensive wellness programs. Independent Health Record Trust Act- supported credit union-like banks to hold electronic health record information SCHIP(1): Children's Health Insurance Program Reauthorization Act of 2007, H.R. 976- Opposed expanded coverage for the State Children's Health Insurance Program (SCHIP(2): Children's Health Insurance Program Reauthorization Act of 2007, H.R. 3963; SCHIP(3, CHAMP): Children's Health and Medicare Protection Act of 2007, H.R. 3162) Medicare: Medicare, Medicaid, and SCHIP Extension Act of 2007 (Enrolled as Agreed to or Passed by Both House and Senate, S. 2499)- Focused on employer coverage of end stage renal disease from 30 to 42 months. Biologics Price Competition and Innovation Act of 2007- weighed in on creation of regulatory pathway for licensing of biosimilar biological products Non-numbered House FDA-related bills concerning: Prescription Drug User Fee Ace, Medical Device User Fee and Modernization Act, Drug Safety/Risk Evaluation and Mitigation Strategy; Clinical Trials; and Reagan-Udall Institute for Applied Biomedical Research S.1082; Food and Drug Administration Revitalization Act- Bill concerns Prescription Drug User Fee Act, Medical Device User Fee and Modernization Act, Drug Safety/Risk Evaluation and Mitigation Strategy; Clinical Trials; Reagan-Udall Institute for Applied Biomedical Research; and importation of drugs S. 3 Medicare Fair Prescription Drug Price Act of 2007- opposed legalizing importation of drugs H.R. 4 Medicare Prescription Drug Price Negotiation Act of 2007 H.R. 118 To amend part D of title XVIII of the Social Security Act to authorize the Secretary of Health and Human Services to negotiate prices for part D covered drugs for Medicare beneficiaries S. 250 Medicare Enhancements for Needed Drugs Act of 2007 S. 1951 Fair Medicaid Drug Payment Act of 2007 S. 976 Genomics and Personalized Medicine Act of 2007 H.R. 3947 To amend the Internal Revenue Code of 1986 to provide for a carry forward of unused benefits in health flexible spending arrangements S. 242 Pharmaceutical Market Access and Drug Safety Act of 2007 S. 358 Genetic Information Nondiscrimination Act of 2007 H.R. 493 Genetic Information Nondiscrimination Act of 2007 S.1019 Universal Health Care Choice and Access Act H.R. 1046 Medicare Quality Improvement Organization Modernization Act of 2007 H.R.2580 Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 H.R.1666 Health Care Price Transparency Promotion Act H.R.241 Small Business Health Fairness Act of 2007 H.R. 324 Working Families Wage and Access to Health Care Act H.R. 749 Health Care Choices for Seniors Act S. 555 SIMPLE Cafeteria Plan Act 2007 H.R. 1424 Paul Wellstone Mental Health and Addiction Equity Act of 2007 H.R. 3717 Healthy Workforce Act of 2007 S. 1753 Healthy Workforce Act of 2007 H.R. 2639/ S. 3234 Promoting Health for Future Generations Act of 2007 S. 1693/H.R. 3800 Wired for Health Care Quality Act S. 1544 Medicare Quality Enhancement Act of 2007 S. 1753 Healthy Workforce Act 2007

Client expense: $19,060,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Highway Administration (FHA), Federal Motor Carrier Safety Administration, Federal Trade Commission (FTC), Federal Transit Administration (FTA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Guard, Natl Labor Relations Board (NLRB), Natl Oceanic & Atmospheric Administration (NOAA), Natl Security Council (NSC), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR)

H.R. 3610, "The Food and Drug Import Safety Act of 2007" and other possible import-safety related legislation stemming from a series of high profile product recalls. HR 1525 Internet Spyware (I-SPY) Prevention Act of 2007 HR 964 Spy Act HR 948 Social Security Number Protection Act of 2007 H.R. 5156 Counterfeit Drug Prevention Act of 2006 S 522 Intellectual Property Rights Enforcement Act S. 495 Personal Data Privacy and Security Act of 2007 S. 1178 Identity Theft Prevention Act S. 522 Intellectual Property Rights Enforcement Act H.R. 780 Counterfeit Drug Prevention Act of 2007 S. 1780 Protecting Children From Indecent Programming Act H.R. 4008 Credit and Debit Card Receipt Clarification Act of 2007 S. 2168 Identity Theft Enforcement and Restitution Act of 2007 H.R. 3541 Do-Not-Call Improvement Act of 2007 H.R. 3578 Intellectual Property Rights Enforcement Act S. 2317 Intellectual Property Enforcement Act of 2007 H.R. 4279 Prioritizing Resources and Organization for Intellectual Property Act of 2007 H.R. 4175 Privacy and Cybercrime Enforcement Act of 2007 S. 242 Pharmaceutical Market Access and Drug Safety Act of 2007 H.R. 853 Wellness and Prevention Act 2007 S. 358 / H.R. 493 Genetic Information Nondiscrimination Act of 2007 S. 1019 Universal Health Care Choice and Access Act H.R. 1046 Medicare Quality Improvement Organization Modernization Act of 2007 H.R. 2580 Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 H.R. 1666 Health Care price Transparency Promotion Act

Client expense: $19,060,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Highway Administration (FHA), Federal Motor Carrier Safety Administration, Federal Trade Commission (FTC), Federal Transit Administration (FTA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Guard, Natl Labor Relations Board (NLRB), Natl Oceanic & Atmospheric Administration (NOAA), Natl Security Council (NSC), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR)

H.R. 853, to promote preventive health care for Americans. S. 558, to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. S. 736, to provide for the regulation and oversight of laboratory tests.

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

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, UNDETERMINED

Health care reform policies and issues - no bill; Health care transparency (S. 1544); Health information technology (S. 1455, H.R. 2377); Health care wellness program incentives (S. 1753, H.R. 853); Generic biologics legislation (S. 1695); Medicare/Medicaid/SCHIP issues (S.2499).

Client expense: $760,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Economic Council (NEC), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR)

Health care reform policies and issues - no bill; Health care transparency (S.1544); Health information technology (S.1455, H.R.2377); Health care wellness program incentives (S.1753, H.R. 853); Generic biologics legislation (S.1695).

Client expense: $760,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Economic Council (NEC), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR)

Mercury Export Ban Secretary's Advisory Committee on Genetics, Health and Society (SACGHS) H.R. 853 - Wellness and Prevention Act of 2007 Food Industry Marketing to Children Report Proposed Free Trade Negotiation with Malaysia Exclusion of Tobacco and Tobacco Products and Alcohol S. 60 - Amend Public Health Services Act to Provide for Continued Improvement in Emergency Medical Services for Children

Client expense: $10,332,000 · Firm income: Not reported

Government targets: 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), Natl Institutes of Health (NIH), SENATE

Health care reform proposals; prevention health information technology; domestic partner health plans; health savings accounts; genetic nondiscrimination Medicare retiree health; funding for quality research HR 493, HR 853, HR 1257, HR 1820, S 358, S 1342, S 3, S 1556

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

Government targets: Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Federal Railroad Administration, 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

HR 4 - Medicare Prescription Drug Price Negotiation Act of 2007 HR 853 - Preventive Health Care Legislation

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE