Geriatrics Loan Forgiveness Act of 2009

H.R. 3590: the Patient Protection and Affordable Care Act H.R. 4872: the Health Care and Education Reconciliation Act of 2010 S. 534: A bill to amend title XVIII of the Social Security Act to reduce cost-sharing under part D of such title for certain non-institutional full-benefit dual eligible individuals. S. 647: A bill to amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the trageting of the enforcement of requirements with respect to such facilities. S.1110: A bill to amend title XVIII of the Social Security Act to create a sensible infrastructure ofr delivery system reform by renaming the Medicare Payment Advisory Commission, making the Commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy. S. 683: A bill to amend title XIX of the Social Security Act to provide individuals with disabilities and older American with equal access to community-based attendant services and supports, and for other purposes. S. 46: A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S. 750: A bill to amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R. 2006: To amend the Social Security Act to enhance the social security of the Nation by ensuing adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute edler abuse, neglect and exploitation, and for other purposes. H.R. 43: To amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. H.R. 448: Elder Abuse Victims Act of 2009. H.R. 3200: America's Affordable Health Choices Act of 2009. To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 1407: To amend title XVIII of the Social Security Act to reduce cost-sharing under Part D of such title of certain non-instutional full-benefit dual eligible individuals. S. 702: A bill to amend the Internal Revenue Code of 1986 to allow long-term care insurance to be offered under Cafeteria plans and flexible spending arrangements and to provide additional consumer protections for long-term care insurance. H.R. 1255: To protect the interests of each resident of intermediate care facilities for the mentally retarded in class action lawsuits on behalf of such resident. H.R. 1457: To amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, and for other purposes. H.R. 3962: To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. S. 1679: An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce. H.R. 2223: To provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers. S. 1131: A bill to amend title XVIII of the Social Security Act to provide certain high cost Medicare beneficiaries suffering from multiple chronic conditions with access to coordinated, primary care medical services in lower cost treatment settings, such as their residences, under a plan of care developed by a team of qualified and experiences health care professionals. S.1004: A bill to amend title XVIII of the Social Security Act to provide Medicare beneficiaries with access to geriatric assessments and chronic care management and coordination services, and for other purposes. H.R. 2: To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S. 795: A bill to amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, and for other purposes. S.631: A bill to provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers. S. 458: A bill to amend the False Claims Act. H.R. 2043: To amend the Public Health Service Act to authorize capitation grants to increase the number of nursing faculty and students, and for other purposes. H.R. 1642: To provide loans and grants for fire sprinkler retrofitting in nursing facilities. H.R. 1494: To ensure that a private for-profit nursing home affected by a major disaster receives the same rreimbursement as a public nursing home affected by a major disaster. H.R. 448: To protect seniors in the United States from elder abuse by establishing specialized elder abuse prosecution and research programs and activities to aid victims of elder abuse, to provide training to prosecutors and other law enforcement related to elder abuse prevention and protection, to establish programs that provide for emergency crisis response teams to combat elder abuse, and for other purposes. H.R. 3191: To amend the Public Health Service Act to provide for integration of mental health services and mental health treatment outreach teams, and for other purposes. S. 386: A bill to improve enforcement of mortgage fraud, securities fraud, financial institutional fraud, and other frauds related to federal assistance and relief programs, for the recovery of funds lost to these frauds, and for other purposes. H.R. 5457: Nursing Home Patient and Medicaid Assistance Act of 2010.

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

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), SENATE

1. S. 750, the "Caring for an Aging America Act of 2009," a bill to provide for the establishment of a new geriatric and gerontology loan repayment program. Support all provisions. 2. S. 245/H.R. 468, the "Retooling the Health Care Workforce for an Aging American Act of 2009". This bill addresses the current and future shortage of health care personnel who are trained to care for older adults. Support all provisions. 3. S. 682, the "Mental Health on Campus Improvement Act," to amend the Public Health Service Act to improve mental and behavioral services on college campuses. Support all provisions. 4. S. 697, the "Community Living Assistance Supports and Services Act (CLASS Act)," to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment. Support all provisions. Support inclusion of provisions of this bill in healht care reform legislation (H.R. 3590). 5. H.R. 1457, the "Geriatrics Loan Forgiveness Act of 2009," to amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professional Shortage Area. Support all provisions. 6. Discussed with House and Senate staff the need to include older adults in clinical trials. 7. Support comparative effectiveness research focused specifically on treatments for older adults and mental illness. 8. Support programs to reverse the declining numbers of geriatric specialists. 9. Support legislation to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. 10. Support H.R. 1932/S. 999, the "Child Health Care Crisis Relief Act," to address the national shortage of children's mental health professionals, including school-based professionals, by encouraging more individuals to enter these critical fields. 11. S. 678, "Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009". Support all provisions, but especially those that strengthen protections for those in the criminal and juvenile justices systems with needs related to mental health and substance abuse. 12. Support H.R. 2901, "Healthy Transitions Act," to provide access to knowledge, skills, and supports that are necessary for a successful transition to adulthood for young adults with mental health disorders. The bill would provide technical and monetary assistance to states as they implement plans to develop a coordinated service delivery system in order to maximize continuity of care and access to services. The bill would also establish planning and implementation grants to assist peer support programs and programs promoting independent living, life skills, employment, and education. 13. Support H.R. 1193, the "Federal Response to Eliminate Easting Disorders Act" (H.R. 1193/S. 3260), to create Centers of Excellence dedicated to research collaboration, create a Center of Epidemiology to study the prevalence, economic impact and related morbidity and mortality rates of eating disorders, provide for evidence-based standards of care, establish education and prevention grant programs for training of health professionals and schools at all levels, provide public service announcements, and enhance access to care for those who suffer from eating disorders. 14. Support H.R. 2531, the "Mental Health in Schools Act of 2009," to authorize competitive grants to local school districts to assist them in early mental health interventions and referrals for treatment, to provide supports for students and their families, and to allow for staff training to be culturally and linguistically appropriate. 15. H. R. 3191, the "Positive Aging Act," to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. Support all provisions. 16. Support S. 1857 and H. R. 4204, to establish national centers of excellence for the treatment of depression and bipolar disorders. 17. Support S. 2928, to include direct care workers as a priority for the National Health Care Workforce Commission. 18. Support efforts to strengthen existing Title VII geriatric health professions education programs. 19. Support H.R. 5466, the "SAMHSA Modernization Act of 2010," to reauthorize programs administered by the Substance Abuse and Mental Health Services Administration. Support provisions to improve the accessibility and quality of mental heatlh services for the elderly. 20. Support H.R. 5040, the "Health Information Technology Extension for Behavioral Health Sciences Act of 2010," to extend the meaningful use incentives established through the American Recovery and Reinvestment Act to mental health and substance abuse providers and facilities, including psychiatric hospitals, community mental health centers, mental health treatment facilities, clinical psychologists and social workers.

H.R. 20/S. 324, Melanie Blocker Stokes Mom's Opportunity to Access Health, Education, Research, and Support for Postpartum Depression Act H.R. 193, AmeriCare Health Care Act of 2009 H.R. 468/S. 245, Retooling the Health Care Workforce for an Aging America Act of 2009 H.R. 619, to repeal the exclusion from medical assistance under the Medicaid program of items and services for patients in an institution for mental diseases H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act H.R.1011, Community Mental Health Services Improvement Act H.R. 1708/S. 700, Ending the Medicare Disability Waiting Period Act of 2009 H.R. 194, MediKids Health Insurance Act of 2009 H.R. 211/S. 211, Calling for 2-1-1 Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 (medical malpractice reform) H.R. 1468, Medical Justice Act of 2009 (medical malpractice reform) S. 45, Medical Care Access Protection Act of 2009 or the MCAP Act (medical malpractice reform) H.R. 1092, No Discrimination in Health Insurance Act of 2009 H.R. 1558, Preexisting Condition Patient Protection Act of 2009 H.R. 914, Physician Workforce Enhancement Act of 2009 H.R. 1457, Geriatrics Loan Forgiveness Act of 2009 H.R. 1932/S. 999 Child Health Care Crisis Relief Act of 2009 H.R. 2537, Mental Health in Schools Act of 2009 H.R. 3090, Health Equality and Accountability Act of 2009 S. 1136/H.R. 3065, Mental Illness Chronic Care Improvement Act S. 391, Healthy Americans Act S. 1110/H.R. 2718, Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009 S. 1679, Affordable Health Choices Act H.R. 3191, Positive Aging Act of 2009 H.R. 3962, Affordable Health Care for America Act H.R. 3590, Patient Protection and Affordable Care Act H.R. 3961, Physician Payment Reform Act of 2009 H.R. 1721/S. 697, Community Living Assistance Services and Supports (CLASS) Act H.R. 4204/S. 1857, Establishing a Network of Health-Advancing National Centers of Excellence for Depression (ENHANCED) Act of 2009 H.R. 667, the Heroes at Home Act H.R. 2505, the Reaching Rural Veterans Through Telehealth Act S. 1776, Medicare Physician Fairness Act of 2009 H.R. 4872, Health Care and Education Reconciliation Act of 2010 Medicare and Medicaid Programs; Electronic Health Record Incentive Program; Proposed Rule; 75 Federal Register 1844 (January 13, 2010) Interim Final Rules under the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008; Docket No. CMS-2009-0040-0048; 75 Federal Register 5410 (February 2, 2010)

H.R. 1011, Community Mental Health Services Improvement Act of 2009 H.R. 1457, Geriatrics Loan Forgiveness Act of 2009 H.R. 1932/S. 999 Child Health Care Crisis Relief Act of 2009 S. 391, Healthy Americans Act S. 1110/H.R. 2718, Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009 S. 1679, Affordable Health Choices Act H.R. 3962, Affordable Health Care for America Act H.R. 3590, Patient Protection and Affordable Care Act S. 1776, Medicare Physician Fairness Act of 2009 H.R. 3961, Medicare Physician Payment Reform Act of 2009 H.R. 4872, Health Care and Education Reconciliation Act of 2010

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

P.L. 107-110 - Elementary and Secondary Education Act Reauthorization H.R. 2792 - Family & Medical Leave Inclusion Act SAVE Act S. 245/H.R. 468 -Retooling the Health Care Workforce for an Aging America Act of 2009 S. 2708/H.R. 7302 - (110th Congress) Health Professions & Primary Care Reinvestment Act H.R. 1457 -Geriatrics Loan Forgiveness Act of 2009 S. 750/H.R. 468 Caring for an Aging America Act P.L. 108-355 - Garrett Lee Smith Memorial Act H.R. 4223 -The Academic, Social, and Emotional Learning Act of 2009 H.R. 2597 - The Positive Behavior for Safe and Effective Schools Act School climate Zero tolerance H.R. 4925 - Healthy Media for Youth Act FY11 America COMPETES legislation FY11 National Science Foundation appropriations bills

Client expense: $133,400 · Firm income: Not reported

H.R. 3590: the Patient Protection and Affordable Care Act H.R. 4872: the Health Care and Education Reconciliation Act of 2010 S. 534: A bill to amend title XVIII of the Social Security Act to reduce cost-sharing under part D of such title for certain non-institutional full-benefit dual eligible individuals. S. 647: A bill to amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the trageting of the enforcement of requirements with respect to such facilities. S.1110: A bill to amend title XVIII of the Social Security Act to create a sensible infrastructure ofr delivery system reform by renaming the Medicare Payment Advisory Commission, making the Commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy. S. 683: A bill to amend title XIX of the Social Security Act to provide individuals with disabilities and older American with equal access to community-based attendant services and supports, and for other purposes. S. 46: A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S. 750: A bill to amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R. 2006: To amend the Social Security Act to enhance the social security of the Nation by ensuing adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute edler abuse, neglect and exploitation, and for other purposes. H.R. 43: To amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. H.R. 448: Elder Abuse Victims Act of 2009. H.R. 3200: America's Affordable Health Choices Act of 2009. To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 1407: To amend title XVIII of the Social Security Act to reduce cost-sharing under Part D of such title of certain non-instutional full-benefit dual eligible individuals. S. 702: A bill to amend the Internal Revenue Code of 1986 to allow long-term care insurance to be offered under Cafeteria plans and flexible spending arrangements and to provide additional consumer protections for long-term care insurance. H.R. 1255: To protect the interests of each resident of intermediate care facilities for the mentally retarded in class action lawsuits on behalf of such resident. H.R. 1457: To amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, and for other purposes. H.R. 3962: To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. S. 1679: An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce. H.R. 2223: To provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers. S. 1131: A bill to amend title XVIII of the Social Security Act to provide certain high cost Medicare beneficiaries suffering from multiple chronic conditions with access to coordinated, primary care medical services in lower cost treatment settings, such as their residences, under a plan of care developed by a team of qualified and experiences health care professionals. S.1004: A bill to amend title XVIII of the Social Security Act to provide Medicare beneficiaries with access to geriatric assessments and chronic care management and coordination services, and for other purposes. H.R. 2: To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S. 795: A bill to amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, and for other purposes. S.631: A bill to provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers. S. 458: A bill to amend the False Claims Act. H.R. 2043: To amend the Public Health Service Act to authorize capitation grants to increase the number of nursing faculty and students, and for other purposes. H.R. 1642: To provide loans and grants for fire sprinkler retrofitting in nursing facilities. H.R. 1494: To ensure that a private for-profit nursing home affected by a major disaster receives the same rreimbursement as a public nursing home affected by a major disaster. H.R. 448: To protect seniors in the United States from elder abuse by establishing specialized elder abuse prosecution and research programs and activities to aid victims of elder abuse, to provide training to prosecutors and other law enforcement related to elder abuse prevention and protection, to establish programs that provide for emergency crisis response teams to combat elder abuse, and for other purposes. H.R. 3191: To amend the Public Health Service Act to provide for integration of mental health services and mental health treatment outreach teams, and for other purposes. S. 386: A bill to improve enforcement of mortgage fraud, securities fraud, financial institutional fraud, and other frauds related to federal assistance and relief programs, for the recovery of funds lost to these frauds, and for other purposes.

1. S. 750, the "Caring for an Aging America Act of 2009," a bill to provide for the establishment of a new geriatric and gerontology loan repayment program. Support all provisions. 2. S. 245/H.R. 468, the "Retooling the Health Care Workforce for an Aging American Act of 2009". This bill addresses the current and future shortage of health care personnel who are trained to care for older adults. Support all provisions. 3. S. 682, the "Mental Health on Campus Improvement Act," to amend the Public Health Service Act to improve mental and behavioral services on college campuses. Support all provisions. 4. S. 697, the "Community Living Assistance Supports and Services Act (CLASS Act)," to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment. Support all provisions. Support inclusion of provisions of this bill in healht care reform legislation (H.R. 3590). 5. H.R. 1457, the "Geriatrics Loan Forgiveness Act of 2009," to amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professional Shortage Area. Support all provisions. 6 Discussed with House and Senate staff the need to include older adults in clinical trials. 7. Support comparative effectiveness research focused specifically on treatments for older adults and mental illness. 8 Support programs to reverse the declining numbers of geriatric specialists. 9. Support adoption of a 2:1 cap on age rating in health insurance systems in health care reform legislation (H.R. 3590). 10. Support legislation to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. 11. H.R. 1932/S. 999, the "Child Health Care Crisis Relief Act," to address the national shortage of children's mental health professionals, including school-based professionals, by encouraging more individuals to enter these critical fields. 12. S. 678, "Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009". Support all provisions, but especially those that strengthen protections for those in the criminal and juvenile justices systems with needs related to mental health and substance abuse. 13. H.R. 2901, "Healthy Transitions Act," to provide access to knowledge, skills, and supports that are necessary for a successful transition to adulthood for young adults with mental health disorders. The bill would provide technical and monetary assistance to states as they implement plans to develop a coordinated service delivery system in order to maximize continuity of care and access to services. The bill would also establish planning and implementation grants to assist peer support programs and programs promoting independent living, life skills, employment, and education. 14. H.R. 1193, the "Federal Response to Eliminate Easting Disorders Act," to create Centers of Excellence dedicated to research collaboration, create a Center of Epidemiology to study the prevalence, economic impact and related morbidity and mortality rates of eating disorders, provide for evidence-based standards of care, establish education and prevention grant programs for training of health professionals and schools at all levels, provide public service announcements, and enhance access to care for those who suffer from eating disorders. 15. H.R. 2531, the "Mental Health in Schools Act of 2009," to authorize competitive grants to local school districts to assist them in early mental health interventions and referrals for treatment, to provide supports for students and their families, and to allow for staff training to be culturally and linguistically appropriate. 16. H. R. 3191, the "Positive Aging Act," to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. Support all provisions. 17. Support language in the health care reform bills (H.R. 3590) to ensure coverage of critical services and supplies in a federal benefit standard and to require a fully open, transparent, and inclusive process for development of the standard that ensures full engagement of consumers, patients, workers and providers. 18. Support S. 1857 and H. R. 4204, to establish national centers of excellence for the treatment of depression and bipolar disorders. Support inclusion of that language in the health care reform bill (H.R. 3590). 19. Support H. R. 3590, the health care overhaul bill (the "Patient Protection and Affordable Care Act") and H. R. 4872, the reconciliation bill (the "Health Care and Education Reconciliation Act of 2010") to modify the healht care overhaul bill. 20. Support S. 2928, to include direct care workers as a priority for the National Health Care Workforce Commission and support inclusion of that language in the health care reform bill (H. R. 3590). 25. Support provisions in H.R. 3590, the "Patient Protection and Affordable Care Act," to strengthen existing Title VII geriatric health professions education programs. 26. Support reauthorization of the Substance Abuse and Mental Health Services Administration.

H.R. 20/S. 324, Melanie Blocker Stokes Mom's Opportunity to Access Health, Education, Research, and Support for Postpartum Depression Act H.R. 193, AmeriCare Health Care Act of 2009 H.R. 468/S. 245, Retooling the Health Care Workforce for an Aging America Act of 2009 H.R. 619, to repeal the exclusion from medical assistance under the Medicaid program of items and services for patients in an institution for mental diseases H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act H.R.1011, Community Mental Health Services Improvement Act H.R. 1708/S. 700, Ending the Medicare Disability Waiting Period Act of 2009 H.R. 15, National Health Insurance Act H.R. 194, MediKids Health Insurance Act of 2009 H.R. 211/S. 211, Calling for 2-1-1 Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 (medical malpractice reform) H.R. 1468, Medical Justice Act of 2009 (medical malpractice reform) S. 45, Medical Care Access Protection Act of 2009 or the MCAP Act (medical malpractice reform) H.R. 1092, No Discrimination in Health Insurance Act of 2009 H.R. 1558, Preexisting Condition Patient Protection Act of 2009 H.R. 914, Physician Workforce Enhancement Act of 2009 H.R. 1457, Geriatrics Loan Forgiveness Act of 2009 H.R. 1932, S. 999 Child Health Care Crisis Relief Act of 2009 H.R. 3200, Americas Affordable Health Choices Act of 2009 H.R. 3014 Small Business Health Information Technology Financing Act of 2009 H.R. 2537, Mental Health in Schools Act of 2009 H.R. 3090, Health Equality and Accountability Act of 2009 S. 1136, Mental Illness Chronic Care Improvement Act S. 391, Healthy Americans Act S. 1110, H.R. 2718, Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009 S. 1136, Mental Illness Chronic Care Improvement Act of 2009 S. 1679, Affordable Health Choices Act H.R. 3191, Positive Aging Act of 2009 H.R. 3962, Affordable Health Care for America Act H.R. 3590, Patient Protection and Affordable Care Act H.R. 3961, Physician Payment Reform Act of 2009 H.R. 1721/S. 697, Community Living Assistance Services and Supports (CLASS) Act H.R. 4204/S. 1857, Establishing a Network of Health-Advancing National Centers of Excellence for Depression (ENHANCED) Act of 2009 S. 1857, H.R. 4204, Enhanced Act of 2009 H.R. 667, the Heroes at Home Act H.R. 2505, the Reaching Rural Veterans Through Telehealth Act S. 1776, Medicare Physician Fairness Act of 2009

H.R. 1011, Community Mental Health Services Improvement Act of 2009 H.R. 1457, Geriatrics Loan Forgiveness Act of 2009 H.R. 1932, S. 999 Child Health Care Crisis Relief Act of 2009 S. 391, Healthy Americans Act S. 1110, H.R. 2718, Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009 S. 1679, Affordable Health Choices Act H.R. 3200, Americas Affordable Health Choices Act of 2009 H.R. 3962, Affordable Health Care for America Act H.R. 3590, Patient Protection and Affordable Care Act S. 1776, Medicare Physician Fairness Act of 2009

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

FY10 Labor-HHS-Education Appropriations S. 3364/H.R. 6654 - Increased Student Achievement Through Increased Student Support Act H.R. 2792 - Family & Medical Leave Inclusion Act SAVE Act S. 245/HR 468 - Retooling the Health Care Workforce for an Aging America Act of 2009 S. 3708/H.R. 7302 (110th Congress) Health Professions & Primary Care Reinvestment Act HR. 1457 Geriatrics Loan Forgiveness Act of 2009 H.R. 2847 FY10 Commerce, Justice, Science appropriations bill P.L. 108-355 Garrett Lee Smith Memorial Act Sexualization of Girls HR 4223 - The Academic, Social, and Emotional Learning Act of 2009

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

S 1679, Affordable Health Choices Act, provisions pertaining to social work and workforce enhancement programs. HR 3200, America's Affordable Health Choices Act of 2009, provisions pertaining to social work and health professions workforce. HR 3090, Health Equity and Accountability Act of 2009, provisions pertaining to health professions workforce, education, research, and training. S. 1796, America's Healthy Future Act of 2009, provisions pertaining to social work and workforce enhancement programs. HR 2708, Indian Health Care Improvement Act, provisions relating to health professions.. S 252, Veterans Health Care Authorization Act, issues regarding scholarship programs and VA social work workforce needs. HR 1457, Geriatrics Loan Forgiveness Act, issues pertaining to health professions. HR 1928, Home Healthcare Nurse Promotion Act, provisions pertaining to loan forgiveness. HR 3191, Positive Aging Act of 2009, all provisions relating to mental health services. HR 468/S 245, Retooling the Health Care Workforce for an Aging America Act, provisions pertaining to social work, education and training programs. HR 1932/S 999, Child Health Care Crisis Relief Act, all provisions pertaining to education and training. HR 3098/S 750, Caring for an Aging America Act, all provisions pertaining to education and training. S 697/HR 1721, Community Living Assistance Services and Supports Act, all provisions. HR 3962, Affordable Health Care for America Act, provisions pertaining to health professions workforce, education, and training programs. HR 3590/S 1728, Patient Protection and Affordable Care Act, provisions pertaining to the CLASS Act.

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

S.478: A bill to amend the National Labor Relations Act, to ensure the right of employees to a secret-ballot election conducted by the National Labor Relations Board. S. 245 A bill to expand, train, and support all sectors of the health care workforce to care for the growing population of older individuals in the United States. S. 560: A bill to amend the National Labor Relations Act to establish an efficient system to enable employees to form, join, or assist labor organizations, to provide for mandatory injunctions for unfair labor practices during the organizing efforts, and for other purposes. S. 245: Retooling the Health Care Workforce for an Aging Science Act of 2009. S. 750: A bill to amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R. 468: Retooling the Health Care Workforce for an Aging Science Act of 2009. H.R. 1409: To amend the National Labor Relations Act to establish an efficient system to enable employees to form, join, or assist labor organizations, to provide for mandatory injunctions for unfair labor practices during organizing efforts, and for other purposes. H.R. 1176: To amend the National Labor Relations Act to ensure the right of employees to a secret-ballot election conducted by the National Labor Relations Board. H.R. 2536: A bill to provide relief for the shortage of nurses in the United States. H.R. 2223: To provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers. S. 1022: A bill to amend the Public Health Service Act to establish a graduate degree loan repayment program for nurses who become nursing school faculty members. H.R. 2381: To direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, direct-care registered nurses, and all other health care workers by establishing a safe patient handling and injury prevention standard, and for other purposes. S. 478: A bill to amend the National Labor Relations Act to ensure the right of employees to a secret-ballot election conducted by the National Labor Relations Board. H.R.3191: To amend the Public Health Service Act to provide for integration of mental health services and mental health treatment outreach teams, and for other purposes. H.R. 1946:To amend the Public Health Service Act to address health workforce shortages. H.R. 1460: To amend the Public Health Service Act to establish a graduate degree for loan repayment program for nurses who become nursing school faculty members. H.R. 1457: To amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, and for other purposes.

H.R. 1407: To amend title XVIII of the Social Security Act to reduce cost-sharing under Part D of such title for certain non-institutional full-benefit dual eligible individuals. S. 534: A bill to amend title XVIII of the Social Security Act to reduce cost-sharing under part D of such title for certain non-institutional full-benefit dual eligible individuals. S. 647: A bill to amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. S. 1110: A bill to amend title XVIII of the Social Security Act to create a sensible infrastructure for delivery system reform by renaming the Medicare Payment Advisory Commission, making the Commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy. S. 683: A bill to amend title XIX of the Social Security Act to provide individuals with disabilities and older Americans with equal access to community-based attendant services and supports, and for other purposes. S. 46: A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S. 750: A bill to amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R. 1: Making supplemental appropriations for job preservation and creation, infrastructure investment, energy efficiency and science, assistance to the unemployed, and State and local fiscal stabilization, for fiscal year ending September 30, 2009, and for other purposes. H.R. 2: The Children's Health Insurance Program Reauthorization Act of 2009, establishing a Medicaid and CHIP Payment and Access Commission (MACPAC). This new Commission will provide Congress with a new, credible forum to discuss specific ways to strengthen the nation's Medicaid payment system, and ensure the growing needs of America's most vulnerable, frail, elderly and the disabled beneficiaries are met and in the years ahead. H.R. 2006: To amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect and exploitation, and for other purposes. H.R. 43: To amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. H.R. 1255: A bill which protects the interests of each resident of intermediate care facilities for the mentally retarded or developmentally disabled (ICFs/MRDD) in related class action lawsuits. H.R. 448: Elder Abuse Victims Act of 2009. H.R. 3200: America's Affordable Health Choices Act of 2009. To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. S. 1796: America's Healthy Future Act of 2009. To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 632: To encourage, enhance, and integrate Silver Alert plans throughout the United States, to authorize grants for the assistance of organizations to find missing adults, and for other purpose. S. 1131: A bill to amend title XVIII of the Social Security Act to provide certain high cost Medicare beneficiaries suffering from multiple chronic conditions with access to coordinated, primary care medical services in lower cost treatment settings, such as their residences, under a plan of care developed by a team of qualified and experienced health care professionals. S. 1004: A bill to amend title XVIII of the Social Security Act to provide Medicare beneficiaries with access to geriatric assessments and chronic care management and coordination services, and for other purposes. S. 702: A bill to amend the Internal Revenue Code of 1986 to allow long-term care insurance to be offered under Cafeteria plans and flexible spending arrangements and to provide additional consumer protections for long-term care insurance. H.R. 1255: To protect the interests of each resident of intermediate care facilities for the mentally retarded in class action lawsuits on behalf of such resident. H.R. 632: To encourage, enhance, and integrate Silver Alert plans throughout the United States, to authorize grants for the assistance of organizations to find missing adults, and for other purposes. H.R. 1457: To amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, and for other purposes. H.R. 3191: To amend the Public Health Service Act to provide for integration of mental health services and mental health treatment outreach teams, and for other purposes. H.R. 3962: To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 3590: The Patient Protection and Affordable Care Act. S. 1679 An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce. H.R. 2223: To provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers.

1. Discussed with House staff the need for additonal health care professionals trained in geriatrics and the need for a study on the mental health care workforce that will be needed to treat older adults with mental disorders over the next three decades. S. S. 750, the "Caring for an Aging America Act of 2009," a bill to provide for the establishment of a new geriatric and gerontology loan repayment program. Support all provisions. 3. S. 245/H.R. 468, the "Retooling the Health Care Workforce for an Aging America Act of 2009". This bill addresses the current and future shortage of health care personnel who are trained to care for older adults. Support all provisions. 4. S. 682, the "Mental Health on Campus Improvement Act," to amend the Public Health Service Act to improve mental and behavioral services on college campuses. Support all provisions. 5. S. 697, the "Community Living Assistance Supports and Services Act (CLASS Act)," to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment. Support all provisions. Support inclusion of provisions of this bill in healht care reform legislation (H.R. 3590). 6. H.R. 1457, the "Geriatrics Loan Forgiveness Act of 2009," to amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professional Shortage Area. Support all provisions. 7. Discussed with House and Senate staff the need to include older adults in clinical trials. 8. Support involvement of geriatric specialists in development of medical homes. 9. Support patient privacy protections for health information systems. 10. Support comparative effectiveness research focused specifically on treatments for older adults and mental illness. 11. Support programs to reverse the declining numbers of geriatric specialists. 12. Oppose permitting age discrimination in insurance ratings in private or public health insurance systems. 13. Support legislation to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. 14. Request Senate hearing to discuss opportunities within health reform to ameliorate and eliminate disparities in health status and health services. 15. H.R. 1932/S. 999, the "Child Health Care Crisis Relief Act," to address the national shortage of children's mental health professionals, including school-based professionals, by encouraging more individuals to enter these critical fields. 16. S. 678, "Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009". Support all provisions, but especially those that strengthen protections for those in the criminal and juvenile justices systems with needs related to mental health and substance abuse. 17. H.R. 2901, "Health Transitions Act," to provide access to knowledge, skills, and supports that are necessary for a successful transition to adulthood for young adults with mental health disorders. The bill would provide technical and monetary assistance to states as they implement plans to develop a coordinated service delivery system in order to maximize continuity of care and access to services. The bill would also establish planning and implementation grants to assist peer support programs and programs promoting independent living, life skills, employment, and education. 18. H.R. 1193, the "Federal Response to Eliminate Easting Disorders Act," to create Centers of Excellence dedicated to research collaboration, create a Center of Epidemiology to study the prevalence, economic impact and related morbidity and mortality rates of eating disorders, provide for evidence-based standards of care, establish education and prevention grant programs for training of health professionals and schools at all levels, provide public service announcements, and enhance access to care for those who suffer from easting disorders. 19. H.R. 2531, the "Mental Health in Schools Act of 2009," to authorize competitive grants to local school districts to assist them in early mental health interventions and referrals for treatment, to provide supports for students and their families, and to allow for staff training to be culturally and linguistically appropriate. 20. H.R. 3191, the "Positive Aging Act", to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. Support all provisions. 21. Support language in House and Senate health care reform bills (H.R. 3962/H.R. 3590) to ensure coverage of critical services and supplies in a federal benefit standard and to require a fully open, transparent, and inclusive process for development of the standard that ensures full engagement of consumers, patients, workers and providers. 22. Support S. 1857 and H. R. 4204, to establish national centers of excellence for the treatment of depression and bipolar disorders. Support inclusion of that language in Senate health care reform bill (H.R. 3590). 23. Support H. R. 3962, the "Affordable Health Care for American Act," health care reform bill approved by the House of Representatives. 24. Support S. 2928, to include direct care workers as a priority for the National health Care Workforce Commission and support inclusion of that language in the Senate health care reform bill (h.R. 3590). 25. Support provisions in H.R. 3590, the "Patient Protection and Affordable Care Act," to strengthen existing Title VII geriatric health professions education programs.

H.R. 20/S. 324, Melanie Blocker Stokes Mom's Opportunity to Access Health, Education, Research, and Support for Postpartum Depression Act H.R. 193, AmeriCare Health Care Act of 2009 H.R. 468/S. 245, Retooling the Health Care Workforce for an Aging America Act of 2009 H.R. 619, to repeal the exclusion from medical assistance under the Medicaid program of items and services for patients in an institution for mental diseases H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act H.R.1011, Community Mental Health Services Improvement Act H.R. 1708/S. 700, Ending the Medicare Disability Waiting Period Act of 2009 H.R. 15, National Health Insurance Act H.R. 194, MediKids Health Insurance Act of 2009 H.R. 211/S. 211, Calling for 2-1-1 Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 (medical malpractice reform) H.R. 1468, Medical Justice Act of 2009 (medical malpractice reform) S. 45, Medical Care Access Protection Act of 2009 or the MCAP Act (medical malpractice reform) H.R. 1092, No Discrimination in Health Insurance Act of 2009 H.R. 1558, Preexisting Condition Patient Protection Act of 2009 H.R. 914, Physician Workforce Enhancement Act of 2009 H.R. 1457, Geriatrics Loan Forgiveness Act of 2009 H.R. 1932, S. 999 Child Health Care Crisis Relief Act of 2009 S. 264, E-Centives Act of 2009 H.R. 3200, Americas Affordable Health Choices Act of 2009 H.R. 3014 Small Business Health Information Technology Financing Act of 2009 H.R. 2537, Mental Health in Schools Act of 2009 H.R. 3090, Health Equality and Accountability Act of 2009 S. 1136, Mental Illness Chronic Care Improvement Act S. 1099, Independent Health Record Trust Act of 2009 S. 391, Healthy Americans Act S. 1110, H.R. 2718, Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009 S. 1136, Mental Illness Chronic Care Improvement Act of 2009 S. 1679, Affordable Health Choices Act H.R. 3191, Positive Aging Act of 2009

H.R. 1011, Community Mental Health Services Improvement Act of 2009 H.R. 1457, Geriatrics Loan Forgiveness Act of 2009 H.R. 1932, S. 999 Child Health Care Crisis Relief Act of 2009 S. 1099, Independent Health Record Trust Act of 2009 S. 391, Healthy Americans Act S. 1110, H.R. 2718, Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009 S. 1679, Affordable Health Choices Act H.R. 3200, Americas Affordable Health Choices Act of 2009

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

S 1679, Affordable Health Choices Act, Title II and IV, provisions pertaining to social work and workforce enhancement programs. HR 3200, America's Affordable Health Choices Act of 2009, Division C, provisions pertaining to social work and health professions workforce. HR 3090, Health Equity and Accountability Act of 2009, provisions pertaining to health professions workforce, education, research, and training. America's Healthy Future Act of 2009, provisions pertaining to social work and workforce enhancement programs. HR 2708, Indian Health Care Improvement Act, provisions relating to social work. S 252, Veterans Health Care Authorization Act, issues regarding scholarship programs and VA social work workforce needs. HR 1457, Geriatrics Loan Forgiveness Act, issues pertaining to social work, education and training. HR 1928, Home Healthcare Nurse Promotion Act, provisions pertaining to loan forgiveness. HR 3191, Positive Aging Act of 2009, all provisions relating to mental health services. HR 468/S245, Retooling the Health Care Workforce for an Aging America Act, Title I, Subtitle A, provisions pertaining to social work, education and training programs. HR 1932/S999, Child Health Care Crisis Relief Act, all provisions pertaining to education and training. HR 3098/S 750, Caring for an Aging America Act, all provisions pertaining to education and training. S 697/HR 1721, Community Living Assistance Services and Supports Act, all provisions.

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

1. Discussed with House staff the need for additonal health care professionals trained in geriatrics and the need for a study on the mental health care workforce that will be needed to treat older adults with mental disorders over the next three decades. S. S. 750, the "Caring for an Aging America Act of 2009," a bill to provide for the establishment of a new geriatric and gerontology loan repayment program. Support all provisions. 3. S. 245/H.R. 468, the "Retooling the Health Care Workforce for an Aging America Act of 2009". This bill addresses the current and future shortage of health care personnel who are trained to care for older adults. Support all provisions. 4. S. 682, the "Mental Health on Campus Improvement Act," to amend the Public Health Service Act to improve mental and behavioral services on college campuses. Support all provisions. 5. S. 697, the "Community Living Assistance Supports and Services Act (CLASS Act)," to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment. Support all provisions. 6. H.R. 1457, the "Geriatrics Loan Forgiveness Act of 2009," to amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professional Shortage Area. Support all provisions. 7. Discussed with House and Senate staff the need to include older adults in clinical trials. 8. Support involvement of geriatric specialists in development of medical homes. 9. Support patient privacy protections for health information systems. 10. Support comparative effectiveness research focused specifically on treatments for older adults and mental illness. 11. Support programs to reverse the declining numbers of geriatric specialists. 12. Oppose permitting age discrimination in insurance ratings in private or public health insurance systems. 13. Support legislation to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. 14. Request Senate hearing to discuss opportunities within health reform to ameliorate and eliminate disparities in health status and health services. 15. H.R. 1932/S. 999, the "Child Health Care Crisis Relief Act," to address the national shortage of children's mental health professionals, including school-based professionals, by encouraging more individuals to enter these critical fields. 16. S. 678, "Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009". Support all provisions, but especially those that strengthen protections for those in the criminal and juvenile justices systems with needs related to mental health and substance abuse. 17. H.R. 2901, "Health Transitions Act," to provide access to knowledge, skills, and supports that are necessary for a successful transition to adulthood for young adults with mental health disorders. The bill would provide technical and monetary assistance to states as they implement plans to develop a coordinated service delivery system in order to maximize continuity of care and access to services. The bill would also establish planning and implementation grants to assist peer support programs and programs promoting independent living, life skills, employment, and education. 18. H.R. 1193, the "Federal Response to Eliminate Easting Disorders Act," to create Centers of Excellence dedicated to research collaboration, create a Center of Epidemiology to study the prevalence, economic impact and related morbidity and mortality rates of eating disorders, provide for evidence-based standards of care, establish education and prevention grant programs for training of health professionals and schools at all levels, provide public service announcements, and enhance access to care for those who suffer from easting disorders. 19. H.R. 2531, the "Mental Health in Schools Act of 2009," to authorize competitive grants to local school districts to assist them in early mental health interventions and referrals for treatment, to provide supports for students and their families, and to allow for staff training to be culturally and linguistically appropriate. 20. H.R. 3191, the "Positive Aging Act", to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. Support all provisions. 21. Support language in House and Senate health care reform bills (H.R. 3200/S. 1679/draft Senate bill) to ensure coverage of critical services and supplies in a federal benefit standard and to require a fully open, transparent, and inclusive process for development of the standard that ensures full engagement of consumers, patients, workers and providers.

FY10 Labor-HHS-Education Appropriations P.L. 107-110 - No Child Left Behind Act Reauthorization H.R. 1589 -The Bullying & Gang Reduction for Improved Education Act S. 3364/H.R. 6654 - Increased Student Achievement Through Increased Student Support Act H.R. 2792 Family & Medical Leave Inclusion Act SAVE Act S. 245 Caring for an Aging America Act of 2009 S. 3708/H.R. 7302 (110th Congress) Health Professions & Primary Care Reinvestment Act HR. 1457 Geriatrics Loan Forgiveness Act of 2009 H.R. 2847 FY10 Commerce, Justice, Science appropriations bill Child Health Care Crisis Relief Act P.L. 108-355 Garrett Lee Smith Memorial Act Sexualization of Girls

Client expense: $154,056 · Firm income: Not reported

H.R. 20/S. 324, Melanie Blocker Stokes Mom's Opportunity to Access Health, Education, Research, and Support for Postpartum Depression Act H.R. 193, AmeriCare Health Care Act of 2009 H.R. 468/S. 245, Retooling the Health Care Workforce for an Aging America Act of 2009 H.R. 619, to repeal the exclusion from medical assistance under the Medicaid program of items and services for patients in an institution for mental diseases H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act H.R.1011, Community Mental Health Services Improvement Act H.R. 1708/S. 700, Ending the Medicare Disability Waiting Period Act of 2009 H.R. 15, National Health Insurance Act H.R. 194, MediKids Health Insurance Act of 2009 H.R. 211/S. 211, Calling for 2-1-1 Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 (medical malpractice reform) H.R. 1468, Medical Justice Act of 2009 (medical malpractice reform) S. 45, Medical Care Access Protection Act of 2009 or the MCAP Act (medical malpractice reform) H.R. 1092, No Discrimination in Health Insurance Act of 2009 H.R. 1558, Preexisting Condition Patient Protection Act of 2009 H.R. 914, Physician Workforce Enhancement Act of 2009 H.R. 1457, Geriatrics Loan Forgiveness Act of 2009 H.R. 1932, S. 999 Child Health Care Crisis Relief Act of 2009 S. 264, E-Centives Act of 2009 H.R. 3200, Americas Affordable Health Choices Act of 2009 H.R. 3014 Small Business Health Information Technology Financing Act of 2009 H.R. 2537, Mental Health in Schools Act of 2009 H.R. 3090, Health Equality and Accountability Act of 2009 S. 1136, Mental Illness Chronic Care Improvement Act S. 1099, Independent Health Record Trust Act of 2009 S. 391, Healthy Americans Act S. 1110, H.R. 2718, Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009 S. 1136, Mental Illness Chronic Care Improvement Act of 2009 S. ___, Affordable Health Choices Act H.R. 3191, Positive Aging Act of 2009 Guidance Specifying the Technologies and Methodologies That Render Protected Health Information Unusable, Unreadable, or Indecipherable to Unauthorized Individuals for Purposes of the Breach Notification Requirements Under Section 13402 of Title XIII (Health Information Technology for Economic and Clinical Health Act) of the American Recovery and Reinvestment Act of 2009; Request for Information

H.R. 1011, Community Mental Health Services Improvement Act of 2009 H.R. 1457, Geriatrics Loan Forgiveness Act of 2009 H.R. 1932, S. 999 Child Health Care Crisis Relief Act of 2009 S. 1099, Independent Health Record Trust Act of 2009 S. 391, Healthy Americans Act S. 1110, H.R. 2718, Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009 S. ___, Affordable Health Choices Act H.R. 3200, Americas Affordable Health Choices Act of 2009

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

1. Discussed with House staff the need for additonal health care professionals trained in geriatrics and the need for a study on the mental health care workforce that will be needed to treat older adults with mental disorders over the next three decades. S. S. 750, the "Caring for an Aging America Act of 2009," a bill to provide for the establishment of a new geriatric and gerontology loan repayment program. Support all provisions. 3. S. 245/H.R. 468, the "Retooling the Health Care Workforce for an Aging America Act of 2009". This bill addresses the current and future shortage of health care personnel who are trained to care for older adults. Support all provisions. 4. S. 682, the "Mental Health on Campus Improvement Act," to amend the Public Health Service Act to improve mental and behavioral services on college campuses. Support all provisions. 5. S. 697, the "Community Living Assistance Supports and Services Act (CLASS Act)," to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment. Support all provisions. 6. H.R. 1457, the "Geriatrics Loan Forgiveness Act of 2009," to amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professional Shortage Area. Support all provisions. 7. Discussed with House and Senate staff the need to include older adults in clinical trials. 8. Support involvement of geriatric specialists in development of medical homes. 9. Support patient privacy protections for health information systems. 10. Support comparative effectiveness research focused specifically on treatments for older adults and mental illness. 11. Support programs to reverse the declining numbers of geriatric specialists. 12. Oppose permitting age discrimination in insurance ratings in private or public health insurance systems. 13. Support legislation to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. 14. Request Senate hearing to discuss opportunities within health reform to ameliorate and eliminate disparities in health status and health services. 15. H.R. 1932/S. 999, the "Child Health Care Crisis Relief Act," to address the national shortage of children's mental health professionals, including school-based professionals, by encouraging more individuals to enter these critical fields. 16. S. 678, "Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009". Support all provisions, but especially those that strengthen protections for those in the criminal and juvenile justices systems with needs related to mental health and substance abuse. 17. H.R. 2901, "Health Transitions Act," to provide access to knowledge, skills, and supports that are necessary for a successful transition to adulthood for young adults with mental health disorders. The bill would provide technical and monetary assistance to states as they implement plans to develop a coordinated service delivery system in order to maximize continuity of care and access to services. The bill would also establish planning and implementation grants to assist peer support programs and programs promoting independent living, life skills, employment, and education. 18. H.R. 1193, the "Federal Response to Eliminate Easting Disorders Act," to create Centers of Excellence dedicated to research collaboration, create a Center of Epidemiology to study the prevalence, economic impact and related morbidity and mortality rates of eating disorders, provide for evidence-based standards of care, establish education and prevention grant programs for training of health professionals and schools at all levels, provide public service announcements, and enhance access to care for those who suffer from easting disorders. 19. H.R. 2531, the "Mental Health in Schools Act of 2009," to authorize competitive grants to local school districts to assist them in early mental health interventions and referrals for treatment, to provide supports for students and their families, and to allow for staff training to be culturally and linguistically appropriate. 20. Support provisions in House and Senate draft health care reform bills to ensure coverage of critical services and supplies in a federal benefit standard and to require a fully open, transparent, and inclusive process for development of the standard that ensures full engagement of consumers, patients, workers and providers. 21. Support legislation to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services.

Improving Education Results for Children with Disabilities/IDEA reauthorization implementation FY10 Labor-HHS-Education Appropriations FY10 Science/Justice/Commerce Appropriations Bills (including NSF) HR 1932 / S 999 - Child Health Care Crisis Relief Act P.L. 108-355 Garrett Lee Smith Memorial Act P.L. 107-110 No Child Left Behind Act Reauthorization H.R. 1589 The Bullying & Gang Reduction for Improved Education Act Threat Assessment S. 750 Caring for an Aging America Act of 2008 S. 3708/H.R. 7302 Health Professions & Primary Care Reinvestment Act S.245/HR. 468 Retooling the Health Care Workforce for an Aging America Act of 2009 HR. 1457 Geriatrics Loan Forgiveness Act of 2009 Sexualization of Girls S. 3364/H.R. 6654 - Increased Student Achievement Through Increased Student Support Act ESEA Title III NPRI H.R. 2792 Family & Medical Leave Inclusion Act H.R. 2597 - Positive Behavior for Safe and Effective Schools Act of 2009 Accessible Audio Description and Captioning under DoE IDEA Fairness Act

Client expense: $200,751 · Firm income: Not reported

HR 1490, Social Worker Safety Act, issues relating to social work education. Issues relating to authorization of scholarship programs for health professionals at the Veterans Administration. Issues relating to child and family health/welfare programs as they relate to social work education. Issues relating to higher education, accountability and transparency. HR 2708, Indian Health Care Improvement Act, provisions relating to social work. S 252, Veterans Health Care Authorization Act, issues regarding scholarship programs and VA social work workforce needs. HR 1457, Geriatrics Loan Forgiveness Act, issues pertaining to social work, education and training. HR 1928, Home Healthcare Nurse Promotion Act, provisions pertaining to loan forgiveness. Positive Aging Act of 2009, all provisions relating to mental health services. HR 2410, Paul Simon Study Abroad Foundation Act, issues pertaining to study abroad opportunities for students. HR 1777, Higher Education Technical Amendments, issues pertaining to student aid. HR 795/S688, Drothy I. Height and Whitney M. Young, Jr. Social Work Reinvestment Act, all provisions. HR 468/S245, Retooling the Health Care Workforce for an Aging America Act, Title I, Subtitle A, provisions pertaining to social work, education and training programs. HR 1361/S538, Increased Student Achievement through Licensed Student Support Act, all provisions. HR 1932/S999, Child Health Care Crisis Relief Act, all provisions pertaining to education and training. S 750, Caring for an Aging America Act, all provisions pertaining to education and training. HR 7302/S 3708 (110th Congress), Health Professions and Primary Care Reinvestment Act, Section 9, provisions pertaining to education and training.

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

H.R. 1, the American Recovery and Reinvestment Act of 2009 S. 444, National Health Information Technology and Privacy Advancement Act of 2009 S. 264, E-Centives Act of 2009 S. 179, Health Information Technology Act of 2009 H.R. 1031, the Health Information Technology Promotion Act of 2009 H.R. 1011, Community Mental Health Services Improvement Act of 2009 H.R. 1039, Promoting Health Information Technology Act of 2009 H.R. 1457, Geriatrics Loan Forgiveness Act of 2009 H.R. 1932, Child Health Care Crisis Relief Act of 2009

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

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

H.R. 1, the American Recovery and Reinvestment Act of 2009 H.R. 2/S. 275, Children's Health Insurance Program Reauthorization Act of 2009 H.R. 20/S. 324, Melanie Blocker Stokes Mom's Opportunity to Access Health, Education, Research, and Support for Postpartum Depression Act H.R. 193, AmeriCare Health Care Act of 2009 H.R. 468/S. 245, Retooling the Health Care Workforce for an Aging America Act of 2009 H.R. 619, to repeal the exclusion from medical assistance under the Medicaid program of items and services for patients in an institution for mental diseases H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act H.R.1011, Community Mental Health Services Improvement Act H.R. 1708/S. 700, Ending the Medicare Disability Waiting Period Act of 2009 H.R. 15, National Health Insurance Act H.R. 194, MediKids Health Insurance Act of 2009 H.R. 211/S. 211, Calling for 2-1-1 Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 (medical malpractice reform) H.R. 1468, Medical Justice Act of 2009 (medical malpractice reform) S. 45, Medical Care Access Protection Act of 2009 or the MCAP Act (medical malpractice reform) H.R. 1092, No Discrimination in Health Insurance Act of 2009 H.R. 1558, Preexisting Condition Patient Protection Act of 2009 H.R. 914, Physician Workforce Enhancement Act of 2009 H.R. 1457, Geriatrics Loan Forgiveness Act of 2009 H.R. 1932, Child Health Care Crisis Relief Act of 2009 S. 444, National Health Information Technology and Privacy Advancement Act of 2009 S. 264, E-Centives Act of 2009 S. 179, Health Information Technology Act of 2009 H.R. 1031, the Health Information Technology Promotion Act of 2009 H.R. 1039, Promoting Health Information Technology Act of 2009

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

1. Discussed with House staff the need for additonal health care professionals trained in geriatrics and the need for a study on the mental health care workforce that will be needed to treat older adults with mental disorders over the next three decades. S. S. 750, the "Caring for an Aging America Act of 2009," a bill to provide for the establishment of a new geriatric and gerontology loan repayment program. Support all provisions. 3. S. 245/H.R. 468, the "Retooling the Health care workforce for an Aging America Act of 2009". This bill addresses the current and future shortage of health care personnel who are trained to care for older adults. Support all provisions. 4. S. 682, the "Mental Health on Campus Improvement Act," to amend the Public Health Service Act to improve mental and behavioral services on college campuses. Support all provisions. 5. S. 697, the "Community Living Assistance Supports and Services Act (CLASS Act)," to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment. Support all provisions. 6. H.R. 1457, the "Geriatrics Loan Forgiveness Act of 2009," to amend the Public Health Service Act to deem certain geriatric health training to be obligaged service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professional Shortage Area. Support all provisions. 7. H.R. 1, the "American Recovery and Reinvestment Act of 2009". Support inclusion of language to: expand Titles VII and VIII of the Public Health Service Act pertaining to geriatric health professions education programs; provide loan forgiveness programs for geriatric health professions training; provide funding for young scientists to pursue careers in late life mental health research and for geriatric mental health research at NIH and at AHRQ; request an Institute of Medicine (IOM) report on the mental health workforce needed to meet the needs of an aging population; and request a GAO study to examine NIH spending on conditions and illnesses that disproportionately impact the health of older adults. 8. Discussed with House and Senate staff the need to include older adults in clinical trials.

Improving Education Results for Children with Disabilities/IDEA reauthorization implementation; H.R. 3043/S. 1710 - FY08 Labor-HHS-Education Appropriations; FY10 Science/Justice/Commerce Appropriations Bills (including NSF); Higher Education Act Reauthorization; Child Health Care Crisis Relief Act; P.L. 108-355 Garrett Lee Smith Memorial Act; Mental Health in Schools Act; P.L. 107-110 No Child Left Behind Act Reauthorization; H.R. 3438 The Bullying & Gang Reduction for Improved Education Act H.Res. 762 Supporting the Goals of National Bullying Prevention Awareness Week Threat Assessment S. 2708 Caring for an Aging America Act of 2008 S. 3708/H.R. 7302 Health Professions & Primary Care Reinvestment Act S.245/HR. 468 Retooling the Health Care Workforce for an Aging America Act of 2009 HR. 1457 Geriatrics Loan Forgiveness Act of 2009 Cyberbullying legislation Sexualization of Girls S. 3364/H.R. 6654 - Increased Student Achievement Through Increased Student Support Act ESEA Title III NPRI Elementary & Secondary Education Act H.R. 2792 Family & Medical Leave Inclusion Act S. Res. 710 National Teen Dating Violence Awareness & Prevention Week Resolution S 682/HR 1704 Mental Health on Campus Improvement Act

Client expense: $190,918 · Firm income: Not reported