Medical Justice Act of 2009

Implementation of healthcare reform laws - Executive Branch actions re PL 111-148/PL 111-152. Repeal Patient Protection and Affordable Health Care Acts (PL 111-148/PL 111-152) - HR 4901, To repeal the Patient Protection and Affordable Care Act; HR 4903, To repeal the Patient Protection and Affordable Care Act; HR 4910, To repeal the Patient Protection and Affordable Care Act and enact the Empowering Patients First Act in order to provide incentives to encourage health insurance coverage; HR 4919, To repeal the Patient Protection and Affordable Care Act; HR 4972, To repeal the Patient Protection and Affordable Care Act; HR 5005, To repeal the Patient Protection and Affordable Care Act; HR 5073, To repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 and enact the OPTION Act of 2009; HR 5216, To repeal the Patient Protection and Affordable Care Act; HR 5421, To repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, repeal the 7.5 percent threshold on the deduction for medical expenses, provide for increased funding for high-risk pools, allow acquiring health insurance across State lines, and allow for the creation of association health plans; HR 5424, Reform Americans Can Afford Act of 2010 ; HR 5444, Private Option Health Care Act; HR 6355, STAT Act of 2010; S 3147, Patient Choice Restoration Act; S 3152, A bill to repeal the Patient Protection and Affordable Care Act. *Medical liability reform - HR 1468, To provide health care liability reform, and for other purposes; S 45, A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; HR 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010; S 1734, A bill to reduce the cost of health care and ensure patient access to doctors by ending excessive malpractice verdicts through common-sense lawsuit reform. *Antitrust exemption for physicians - HR 1493, To ensure and foster continued patient safety and quality of care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers. *Third-party billing by VA for service-connected disabilities - HR 1658, To amend title 38, United States Code, to prohibit the recovery by the United States of charges from a third party for hospital care or medical services furnished to a veteran for a service-connected disability. * COBRA subsidies for the unemployed - S 2730, COBRA Subsidy Extension and Enhancement Act of 2009. *COBRA extension - HR 5324, COBRA Health Benefits Extension Act of 2010; S 3393, COBRA Health Benefits Extension Act of 2010. *Transparency in healthcare pricing - HR 4700, Transparency in All Health Care Pricing Act of 2010. *Health benefits plan information, transparency in hospital price and quality information - HR 4803, To ensure health care consumer and provider access to certain health benefits plan information and to amend title XIX of the Social Security Act to provide transparency in hospital price and quality information. *Privacy protections for health information technology - HR 4061, To advance cybersecurity research, development, and technical standards, and for other purposes. *Fraud and abuse - S 458, A bill to amend the False Claims Act. *Cafeteria plans, flexible spending arrangements - S 988, A bill to amend the Internal Revenue Code of 1986 to allow small businesses to set up simple cafeteria plans to provide nontaxable employee benefits to their employees, to make changes in the requirements for cafeteria plans, flexible spending accounts, and benefits provided under such plans or accounts, and for other purposes. * Coverage expansion, quality improvements, delivery system reforms, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - HR 3590, Patient Protection and Affordable Care Act. *Amendments on employer reporting requirements - S 510, FDA Food Safety Modernization Act. *Employer reporting requirement - S 3946, Small Business Paperwork Relief Act. *Data security - HR 2221, To protect consumers by requiring reasonable security policies and procedures to protect computerized data containing personal information, and to provide for nationwide notice in the event of a security breach; S 139, A bill to require Federal agencies, and persons engaged in interstate commerce, in possession of data containing sensitive personally identifiable information, to disclose any breach of such information. *Price transparency - HR 2249, To amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs. *Association health plans - HR 2607, To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees. *Privacy, identity theft - S 1490, A bill to prevent and mitigate identity theft, to ensure privacy, to provide notice of security breaches, and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information. *Premium assistance for unemployed - S 3421, Protecting Against Indebting our Descendants through Fully Offset Relief (PAID FOR) Temporary Extension Act of 2010; S 3548, Extend COBRA Premium Assistance Program Act of 2010. *Continuing resolution with temporary funding for HHS programs and agencies - HR 3081, Continuing Appropriations Act, 2011; HR 3082, Continuing Appropriations and Surface Transportation Extensions Act, 2011; S 3686, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2011. *Data security, privacy - HR 5777, To foster transparency about the commercial use of personal information, provide consumers with meaningful choice about the collection, use, and disclosure of such information; S 3579, Data Security Act of of 2010; S 3742, Data Security and Breach Notification Act of 2010. *Privacy proposal, collection and disclosure of certain personal information - Proposed legislation re this issue.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.914, Physician Workforce Enhancement Act of 2009, Physician workforce related issues. H.R.1468, Medical Justice Act of 2009, Medical liability related issues. H.R.936/S.733, National Trauma Center Stabilization Act of 2009, Emergency readiness and trauma related issues. General monitoring on Not-for-profit hospitals charity care and community benefits. S.391, Healthy Americans Act, Health care reform. H.R.193, AmeriCare Health Insurance Act of 2009, Health care reform. H.R.2251/S.973, Resident Physician Shortage Reduction Act of 2009, Physician workforce related issues. Health care reform, Hospital related issues and initiatives. S.1640, Take Back Your Health Act of 2009, Hospital related issues and initiatives. Public Law 110-343, Patient Protection and Affordable Care Act, Hospital related issues and initiatives. Public Law 111-148, The Patient Protection and Affordable Care Act, Hospital related issues and initiatives. Public Law 111-152, Health Care and Education Reconciliation Act of 2010, Hospital related issues and initiatives. H.R.4213, American Jobs and Closing Tax Loopholes Act of 2010, Medicare payment related issues; and Build America Bonds program issues. H.R.6005, Ensuring Equality fo rearly EHR Adoption Act, Hospital Information Technology issues. S.3708/H.R.6072, Electronic Health Record Incentives for Multi Campus Hospitals Act, Hospital Information Technology issues.

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

H.R. 1708/S. 700, Ending the Medicare Disability Waiting Period Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 H.R. 1468, Medical Justice Act of 2009 S. 45, Medical Care Access Protection Act of 2009 or the MCAP Act S. 1136/H.R. 3065, Mental Illness Chronic Care Improvement Act H.R. 5025, HITECH Extension for Behavioral Health Services Act of 2010 S.3709, HITECH Extension for Behavioral Health Services Act of 2010 H.R. 5466, SAMHSA Modernization Act of 2010 H.R. 5636, Community Mental Health and Addiction Safety Net Equity Act of 2010 H.R. 5712, Veterans, Seniors, and Childrens Health Technical Corrections Act of 2010 H.R. 5295, Healthcare Truth and Transparency Act of 2010 H.R. 4985, Medicare Decisions Accountability Act of 2010 S. 3425, Embedded Mental Health Providers for Reserves Act of 2010 H.R. 5392, Council on Integration of Health Care Education Act of 2010 H.R. 6147, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. H.R.6143, Medicare Mental Health Inpatient Equity Act HR 847, James Zadroga 9/11 Health and Compensation Act of 2010 S 4043, Garrett Lee Smith Memorial Reauthorization Act S 4035, Community-Based Mental Health Infrastructure Improvements Act H.R.5712, The Physician Payment and Therapy Relief Act of 2010 CMS-1503-FC Medicare Program; Revisions to Payment Policies Under the Physician Payment Schedule and Other Revisions to Part B for CY 2011; Final Rule Medicare Program; Request for Information Regarding Accountable Care Organizations and the Medicare Shared Savings Program; 75 Fed. Reg. 70,165 (November 17, 2010); CMS-1345-NC. SSA20070101; Revised Medical Criteria for Evaluating Mental Disorders; Proposed Rule; RIN 0960AF69; 75 Federal Register 51336 (August 19, 2010).

H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 H.R. 1468, Medical Justice Act of 2009 S. 45, Medical Care Access Protection Act of 2009 or the MCAP Act S. 1099, Patients' Choice Act and Independent Health Record Trust Act of 2009 H.R. 5025, HITECH Extension for Behavioral Health Services Act of 2010 S.3709, HITECH Extension for Behavioral Health Services Act of 2010 H.R. 5712, Veterans, Seniors, and Childrens Health Technical Corrections Act of 2010 H.R. 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H.R. 4985, Medicare Decisions Accountability Act of 2010 H.R. 5290, More Doctors, More Choices Act of 2010 S. 3371, TRICARE Mental Health Care Access Act H.R. 6147, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. H.R.6143, Medicare Mental Health Inpatient Equity Act H.R.5712, The Physician Payment and Therapy Relief Act of 2010

Client expense: $118,190 · Firm income: Not reported

HR 525 & S 406 - Association Health Plans. NAIFA opposes exempting AHP's from state benefit, regulatory oversight and solvency laws. S. 1995 allows AHP's to offer only issued plans that are subject to state solvency standards. Some regulatory oversight and an "average" of state mandated coverages. S. 725, HR 1470 - would amend IRC of 1986 to allow self emloyed individuals to deduct health insurance costs in computing self-employment taxes. NAIFA supports. S 207 - Amend the IRC of 1986 to allow deduction for health insurance premiums. NAIFA supports. HR 176 & HR 1177 - would allow unused flexible spending arrangement funds to be carried over to the next year. NAIFA & AHIA favors this option. HR 27 - An "Above the line" deduction for "higher deductible" health plans coupled with HSA's. NAIFA supports. HR 37, S. 978, HR 1872, HR 2063, HR 3873 creates Health Savings Accounts. NAIFA supports. HR 3511, S. 1569. NAIFA supports allowing states to establish LTC partnerships. HR 6331 - Would cut funding for Medicare Advantage - NAIFA opposes. HR 2096 & S. 702 - The Long-Term Care Affordability and Security Act of 2009 expands the authority under IRC Sectioin 125 that allows individuals to pay for certain benefits offered through cafeteria plans and/or flexible spending arrangement s with pre-tax dollars. AHIA & NAIFA support. HR 897 - Allows for Long Term Care insurance to be offered through cafeteria plans and/or FSA's as well as creates an above the line deduction for LTC premiums and provides a tax credit for caregivers. NAIFA & AHIA support. S.82 - A bill to amend title XXI of the Social Security Act to reauthorize the State Children's Health Insurance Program, to limit income eligibility expansions under that program until the lowest income eligible individuals are enrolled, and for other purposes. NAIFA supports. HR 1468 - To provide health care liability reform, and for other purposes. NAIFA supports. HR 1413 - To amend the Internal Revenue Code of 1986 to allow certain public employees a deductioin for distributions from governmental plans for health and long-term care insurance,and for other purposes. NAIFA supports. HR 1279 - To amend the Internal Revenue Code of 1986 to increase the contribution limits to dependent care flexible spending accounts and to provide for a carryover of unused dependent care benefits. NAIFA supports. S. 1177 - Confidence in Long Term Care Insurance Act would instruct the Health and Human Services Department to ask the NAIC to collect data and also create a website called "LTC Insurance Compare" to help consumers research long term care insurance. NAIFA supports. HR 563 - To amend title XXI of the Social Security Act to require States to provide priority under the State Children's Health Insurance Program (SCHIP) to children in families with gross income below 200 percent of the Federal poverty level. NAIFA supports. HR 542 - To amend titles XIX and XXI of the Social Security Act to permit States to rely on findings from an express plan agency to conduct simplified eligibility determinations under Medicaid and the State Children's Health Insurance Program. NAIFA supports. HR 198 - To amend the Internal Revenue Code of 1986 to allow a deduction for amounts paid for health insurance and prescription drug costs of individuals. NAIFA supports. HR 194 - To amend the Social Security Act to guarantee comprehensive health care coverage for all children born after 2009, and for other purposes. NAIFA opposes. HR 2 - To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. NAIFA opposes. S 94 - A bill to amend the Internal Revenue Code of 1986 to provide for a nonrefundable tax credit for long-term care insurance premiums. NAIFA supports. HR 1891 - To amend the Internal Revenue Code of 1986 to allow an above-the-line deduction for half of an individual's long-term care insruance premiums. NAIFA supports. HR 897 - To amend the Internal Revenue Code of 1986 to allow individuals a deduction for qualified long-term care insurance premiums, use of such insurance under cafeteria plans and flexible spending arrangements, and a credit for individuals with long-term care needs. NAIFA supports. HR 3590, HR 4872 - Enacts the "Patient Protection and Affordable Care Act." NAIFA opposes certain provisions.

Health Insurance reform and Long Term Care issues HR 1, S. 1, S. 725, S. 703, S. 623, S. 207, S. 179, S. 82, S. 45, HR 1558, HR 1495, HR 1470, HR 1468, HR 1413, HR 1279, HR 1092, HR 676, HR 563, HR 542, HR 198, HR 194, HR 109, HR 15, HR 2, S. 702, S. 94, HR 1891, HR 897, HR 3200, HR 3590, HR 3501, HR 3502, HR 3962, HR 4872, H.R. 5853

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

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

H.Res. 1493 (Spratt) budget enforcement resolution; H.R. 1468, Medical Justice Act (Burgess) medical liability reform; H.R. 1493, Quality Health Care Coalition Act (Paul) antitrust exemption for physicians (cont.) H.R. 1658, Veterans Healthcare Commitment Act (Tiahrt) third party billing by VA for service-connected disabilities; H.R. 2221, Data Accountability and Trust Act (Rush) data security; H.R. 2249, Health Care Price Transparency Promotion Act (Burgess) price transparency; H.R. 2607: Small Business Health Coverage (Johnson) association health plans; H.R. 3081, Continuing Appropriations Act (Lowey) continuing resolution with temporary funding for HHS programs and agencies; H.R. 4061, Cybersecurity Enhancement Act (Lipinski) privacy protections for health information technology; H.R. 4213, Tax Extenders Act (Rangel/Baucus) premium assistance for unemployed, Roberts amendment addressing individual coverage requirement; H.R. 4700, Transparency in All Health Care Pricing Act (Kagen) transparency in health care pricing; H.R. 4803, Patients' Right to Know Act (Barton) health benefits plan information, transparency in hospital price and quality information; H.R. 5136, National Defense Authorization Act (Skelton) coverage for dependents under TRICARE; H.R. 5324, COBRA Health Benefits Extension Act (Davis) COBRA extension; H.R. 5690, MedMal Act (Gingrey) medical liability reform; H.R. 5777, Best PRACTICES Act (Rush) data security, privacy; DRAFT Boucher-Stearns privacy proposal collection and disclosure of certain personal information; S. 45, Medical Care Access Protection Act (Ensign) medical liability reform; S. 139, Data Breach Notification Act (Feinstein) data security; S. 458, False Claims Act Clarification Act (Grassley) fraud and abuse; S. 988, SIMPLE Cafeteria Plan Act (Snowe) cafeteria plans, flexible spending arrangements; S. 1490, Personal Data Privacy and Security Act (Leahy) privacy, identity theft; S. 1734, Medical Liability Reform (Kyl) medical liability reform; S. 2730, COBRA Subsidy Extension and Enhancement Act (Brown) premium assistance for unemployed; S. 3393, COBRA Health Benefits Extension Act (Brown) COBRA extension; S. 3421, Temporary Extension Act (Grassley) premium assistance for unemployed; S. 3548, Extend COBRA Premium Assistance Program Act (Casey) premium assistance for unemployed; S. 3579, Data Security Act (Carper) data security, privacy; S. 3686, Labor-HHS-Education Appropriations Act (Harkin) funding for HHS programs and agencies; S. 3742, Data Security and Breach Notification Act (Pryor) data security, privacy HCR (Regulatory Issues): HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets; HIPAA enforcement; FEHBP enrollment data clearinghouse initiative; issues relating to health insurance plan participation in FEHBP, including contract requirements related to interoperability of health information technology, community rating policies, and similarly sized subscriber group (SSSG) requirement; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; issues related to genetics and genetic nondiscrimination; issues relating to mental health parity; issues relating to data breach requirements; issues relating to "meaningful use" requirements for health information technology; issues relating to Form 5500 reporting requirements; medical loss ratios; review of rates for reasonableness; health insurance exchanges; pre-existing condition insurance plans; accountable care organizations; internal claims and appeals and external review processes; coverage of preventive services; pre-existing condition exclusions; lifetime and annual dollar limits on benefits rescissions; patient protections; grandfathered health plan provisions; health insurance web portal requirements; dependent coverage; and other issues relating to health care reform implementation.

HR 525 & S 406 - Association Health Plans. NAIFA opposes exempting AHP's from state benefit, regulatory oversight and solvency laws. S. 1995 allows AHP's to offer only issued plans that are subject to state solvency standards. Some regulatory oversight and an "average" of state mandated coverages. S. 725, HR 1470 - would amend IRC of 1986 to allow self emloyed individuals to deduct health insurance costs in computing self-employment taxes. NAIFA supports. S 207 - Amend the IRC of 1986 to allow deduction for health insurance premiums. NAIFA supports. HR 176 & HR 1177 - would allow unused flexible spending arrangement funds to be carried over to the next year. NAIFA & AHIA favors this option. HR 27 - An "Above the line" deduction for "higher deductible" health plans coupled with HSA's. NAIFA supports. HR 37, S. 978, HR 1872, HR 2063, HR 3873 creates Health Savings Accounts. NAIFA supports. HR 3511, S. 1569. NAIFA supports allowing states to establish LTC partnerships. HR 6331 - Would cut funding for Medicare Advantage - NAIFA opposes. HR 2096 & S. 702 - The Long-Term Care Affordability and Security Act of 2009 expands the authority under IRC Sectioin 125 that allows individuals to pay for certain benefits offered through cafeteria plans and/or flexible spending arrangement s with pre-tax dollars. AHIA & NAIFA support. HR 897 - Allows for Long Term Care insurance to be offered through cafeteria plans and/or FSA's as well as creates an above the line deduction for LTC premiums and provides a tax credit for caregivers. NAIFA & AHIA support. S.82 - A bill to amend title XXI of the Social Security Act to reauthorize the State Children's Health Insurance Program, to limit income eligibility expansions under that program until the lowest income eligible individuals are enrolled, and for other purposes. NAIFA supports. HR 1468 - To provide health care liability reform, and for other purposes. NAIFA supports. HR 1413 - To amend the Internal Revenue Code of 1986 to allow certain public employees a deductioin for distributions from governmental plans for health and long-term care insurance,and for other purposes. NAIFA supports. HR 1279 - To amend the Internal Revenue Code of 1986 to increase the contribution limits to dependent care flexible spending accounts and to provide for a carryover of unused dependent care benefits. NAIFA supports. S. 1177 - Confidence in Long Term Care Insurance Act would instruct the Health and Human Services Department to ask the NAIC to collect data and also create a website called "LTC Insurance Compare" to help consumers research long term care insurance. NAIFA supports. HR 563 - To amend title XXI of the Social Security Act to require States to provide priority under the State Children's Health Insurance Program (SCHIP) to children in families with gross income below 200 percent of the Federal poverty level. NAIFA supports. HR 542 - To amend titles XIX and XXI of the Social Security Act to permit States to rely on findings from an express plan agency to conduct simplified eligibility determinations under Medicaid and the State Children's Health Insurance Program. NAIFA supports. HR 198 - To amend the Internal Revenue Code of 1986 to allow a deduction for amounts paid for health insurance and prescription drug costs of individuals. NAIFA supports. HR 194 - To amend the Social Security Act to guarantee comprehensive health care coverage for all children born after 2009, and for other purposes. NAIFA opposes. HR 2 - To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. NAIFA opposes. S 94 - A bill to amend the Internal Revenue Code of 1986 to provide for a nonrefundable tax credit for long-term care insurance premiums. NAIFA supports. HR 1891 - To amend the Internal Revenue Code of 1986 to allow an above-the-line deduction for half of an individual's long-term care insruance premiums. NAIFA supports. HR 897 - To amend the Internal Revenue Code of 1986 to allow individuals a deduction for qualified long-term care insurance premiums, use of such insurance under cafeteria plans and flexible spending arrangements, and a credit for individuals with long-term care needs. NAIFA supports. HR 3590, HR 4872 - Enacts the "Patient Protection and Affordable Care Act." NAIFA opposes certain provisions.

Implementation of healthcare reform legislation, coverage expansions, quality improvements, delivery system reforms, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public heath and workforce issues, fraud and abuse - Executive Branch actions re PL 111-148/PL 111-152 *Data security - HR 2221, To protect consumers by requiring reasonable security policies and procedures to protect computerized data containing personal information, and to provide for nationwide notice in the event of a security breach; S 139, A bill to require Federal agencies, and persons engaged in interstate commerce, in possession of data containing sensitive personally identifiable information, to disclose any breach of such information. *Price transparency - HR 2249, To amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs. *Association health plans - HR 2607, To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees. *Privacy, identity theft - S 1490, A bill to prevent and mitigate identity theft, to ensure privacy, to provide notice of security breaches, and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information. *Coverage for dependents under TRICARE - HR 5136, National Defense Authorization Act for Fiscal Year 2011. *Budget enforcement resolution - H.Res 1493, Providing for budget enforcement for fiscal year 2011. *Premium assistance for unemployed - S 3421, Protecting Against Indebting our Descendants through Fully Offset Relief (PAID FOR) Temporary Extension Act of 2010; S 3548, Extend COBRA Premium Assistance Program Act of 2010. *Continuing resolution with temporary funding for HHS programs and agencies - HR 3081, Continuing Appropriations Act, 2011; S 3686, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2011. *Data security, privacy - HR 5777, To foster transparency about the commercial use of personal information, provide consumers with meaningful choice about the collection, use, and disclosure of such information; S 3579, Data Security Act of of 2010; S 3742, Data Security and Breach Notification Act of 2010. *Privacy proposal, collection and disclosure of certain personal information - Proposed legislation re this issue. *Medical liability reform - HR 1468, To provide health care liability reform, and for other purposes; S 45, A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; HR 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010; S 1734, A bill to reduce the cost of health care and ensure patient access to doctors by ending excessive malpractice verdicts through common-sense lawsuit reform. *Antitrust exemption for physicians - HR 1493, To ensure and foster continued patient safety and quality of care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers. *Third-party billing by VA for service-connected disabilities - HR 1658, To amend title 38, United States Code, to prohibit the recovery by the United States of charges from a third party for hospital care or medical services furnished to a veteran for a service-connected disability. *COBRA assistance - HR 4213, American Workers, State, and Business Relief Act of 2010. * COBRA subsidies for the unemployed - S 2730, COBRA Subsidy Extension and Enhancement Act of 2009. *COBRA extension - HR 5324, COBRA Health Benefits Extension Act of 2010; S 3393, COBRA Health Benefits Extension Act of 2010. *Transparency in healthcare pricing - HR 4700, Transparency in All Health Care Pricing Act of 2010. *Health benefits plan information, transparency in hospital price and quality information - HR 4803, To ensure health care consumer and provider access to certain health benefits plan information and to amend title XIX of the Social Security Act to provide transparency in hospital price and quality information. *Privacy protections for health information technology - HR 4061, To advance cybersecurity research, development, and technical standards, and for other purposes. *Fraud and abuse - S 458, A bill to amend the False Claims Act. *Cafeteria plans, flexible spending arrangements - S 988, A bill to amend the Internal Revenue Code of 1986 to allow small businesses to set up simple cafeteria plans to provide nontaxable employee benefits to their employees, to make changes in the requirements for cafeteria plans, flexible spending accounts, and benefits provided under such plans or accounts, and for other purposes.

H.R.914-Physician Workforce Enhancement Act of 2009 H.R.1086-Help, Efficient, Accessible, Low Cost, Timely Healthcare Act of 2009 H.R.1188-Access to Emergency Medical Services Act of 2009 H.R.1253-Health Insurance Restrictions and Limitations Clarification Act of 2009 H.R.1384-To amend part B of title XVIII of the Social Security Act to remove limiting charges under the Medicare Program for non-participating physicians with beneficiary notice and to preempt State laws that prohibit balance billing H.R.1386-Pay for all your Undocumented Procedures (PAY UP!) Act of 2009 H.R.1468-Medical Justice Act of 2009 H.R.1586/P.L.111-226, FAA Air Transportation Modernization and Safety Improvement Act (Title II) H.R.1639-Border Health Care Relief Act of 2009 H.R.1678-Mitigating the Impact of Uncompensated Service and Time Act of 2009 H.R.1796-Residential Carbon Monoxide Poisoning Prevention Act H.R.1998-Health Care Safety Net Enhancement Act of 2009 H.R.3199-Emergency Medic Transition (EMT) Act of 2009 H.R.3360/P.L.111-332-Cruise Vessel Security and Safety Act of 2010 H.R.3590/P.L.111-148-Patient Protection and Affordable Care Act H.R.3596-Health Insurance Industry Antitrust Enforcement Act of 2009 H.R.3962-Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R.4213-Tax Extenders Act of 2009 H.R.4626-Health Insurance Industry Fair Competition Act H.R.4851-To Provide a Temporary Extension of Certain Programs, and for other purposes H.R.5710-National All Schedules Prescription Electronic Reporting Reauthorization Act of 2010 H.R.5950-Improving Access to Medicare Coverage Act of 2010 H.R.6306-Critical Care Assessment and Improvement Act of 2010 S.468-Access to Emergency Medical Services Act of 2009 S.1216-Residential Carbon Monoxide Poisoning Prevention Act S.1681-Health Insurance Industry Antitrust Enforcement Act of 2009 S.3575-National All Schedules Prescription Electronic Reporting Reauthorization Act of 2010

H.R.914, Physician Workforce Enhancement Act of 2009, Physician workforce related issues. H.R.1468, Medical Justice Act of 2009, Medical liability related issues. H.R.936/S.733, National Trauma Center Stabilization Act of 2009, Emergency readiness and trauma related issues. General monitoring on Not-for-profit hospitals charity care and community benefits. S.391, Healthy Americans Act, Health care reform. H.R.193, AmeriCare Health Insurance Act of 2009, Health care reform. H.R.2251/S.973, Resident Physician Shortage Reduction Act of 2009, Physician workforce related issues. Health care reform, Hospital related issues and initiatives. S.1640, Take Back Your Health Act of 2009, Hospital related issues and initiatives. Public Law 110-343, Patient Protection and Affordable Care Act, Hospital related issues and initiatives. Public Law 111-148, The Patient Protection and Affordable Care Act, Hospital related issues and initiatives. Public Law 111-152, Health Care and Education Reconciliation Act of 2010, Hospital related issues and initiatives. H.R.4213, American Jobs and Closing Tax Loopholes Act of 2010, Medicare payment related issues; and Build America Bonds program issues. H.R.6005, Ensuring Equality fo rearly EHR Adoption Act, Hospital Information Technology issues. S.3708/H.R.6072, Electronic Health Record Incentives for Multi Campus Hospitals Act, Hospital Information Technology issues.

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

Monitoring issues related to healthcare; entire bills of the following: H.R. 1797, Compete Act of 2009 H.R. 1583, Insurance Industry Competition Act of 2009 Healthy Mothers and Healthy Babies Access to Care Act (formerly S. 244) H.R.2975, Medical Practice Protection Act of 2009 H.R. 568 / S. 246, Veterans Health Care Quality Improvement Act H.R. 3400, Empowering Patients First Act S. 45, MCAP Act S. 391 / H.R.1321, Healthy Americans Act H.R. 1495, Comprehensive HealthCARE Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 H.R. 1468, Medical Justice Act of 2009 H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act H.R.5243, To amend the Patient Protection and Affordable Care Act to clarify that the Act does not affect standards or procedures in medical malpractice actions. (House) S.1578, A bill to amend chapter 171 of title 28, United States Code, (commonly referred to as the Federal Torts Claim Act) to extend medical malpractice coverage to free clinics and the officers, governing board members, employees, and contractors of free clinics in the same manner and extent as certain Federal officers and employees. H.R.1745, Family Health Care Accessibility Act of 2010 H.R.5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 Monitoring implementation of electronic health records

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

H.R. 1708/S. 700, Ending the Medicare Disability Waiting Period 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) S. 1136/H.R. 3065, Mental Illness Chronic Care Improvement Act H.R. 667, the Heroes at Home Act H.R. 2505, the Reaching Rural Veterans Through Telehealth Act H.R. 5025, HITECH Extension for Behavioral Health Services Act of 2010 S.3709, HITECH Extension for Behavioral Health Services Act of 2010 H.R. 5466, SAMHSA Modernization Act of 2010 H.R. 5636, Community Mental Health and Addiction Safety Net Equity Act of 2010 H.R. 5712, Veterans, Seniors, and Childrens Health Technical Corrections Act of 2010 H.R. 5295, Healthcare Truth and Transparency Act of 2010 H.R. 4985, Medicare Decisions Accountability Act of 2010 (repeal IPAB) S. 3425, Embedded Mental Health Providers for Reserves Act of 2010 H.R. 5392, Council on Integration of Health Care Education Act of 2010 H.R. 6147, to treat psychologists as physicians under Medicare H.R.6143, Medicare Mental Health Inpatient Equity Act CMS-1504-P: Medicare Program: Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates (August 3, 2010). Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2011; Proposed Rule; CMS-1503-P; 75 Federal Register 40,040 (July 13, 2010).

Client expense: $102,791 · Firm income: Not reported

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) S. 1099, Patients' Choice Act and Independent Health Record Trust Act of 2009 H.R. 5025, HITECH Extension for Behavioral Health Services Act of 2010 S.3709, HITECH Extension for Behavioral Health Services Act of 2010 H.R. 5712, Veterans, Seniors, and Childrens Health Technical Corrections Act of 2010 H.R. 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H.R. 4985, Medicare Decisions Accountability Act of 2010 (repeal IPAB) H.R. 5290, More Doctors, More Choices Act of 2010 S. 3371, TRICARE Mental Health Care Access Act (MHCs in TRICARE/DOD) H.R. 6147, to treat psychologists as physicians under Medicare H.R.6143, Medicare Mental Health Inpatient Equity Act

Client expense: $102,791 · Firm income: Not reported

Health Insurance reform and Long Term Care issues HR 1, S. 1, S. 725, S. 703, S. 623, S. 207, S. 179, S. 82, S. 45, HR 1558, HR 1495, HR 1470, HR 1468, HR 1413, HR 1279, HR 1092, HR 676, HR 563, HR 542, HR 198, HR 194, HR 109, HR 15, HR 2, S. 702, S. 94, HR 1891, HR 897, HR 3200, HR 3590, HR 3501, HR 3502, HR 3962, HR 4872, H.R. 5853

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

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

H.Res. 1493 (Spratt) budget enforcement resolution; H.R. 1468, Medical Justice Act (Burgess) medical liability reform; (cont.) H.R. 1493, Quality Health Care Coalition Act (Paul) antitrust exemption for physicians; H.R. 1658, Veterans Healthcare Commitment Act (Tiahrt) third party billing by VA for service-connected disabilities; H.R. 2221, Data Accountability and Trust Act (Rush) data security; H.R. 2249, Health Care Price Transparency Promotion Act (Burgess) price transparency; H.R. 2607: Small Business Health Coverage (Johnson) association health plans; H.R. 3590, Patient Protection and Affordable Care Act (Reid) coverage expansions, quality improvements, delivery system reforms, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; H.R. 4061, Cybersecurity Enhancement Act (Lipinski) privacy protections for health information technology; H.R. 4213, Tax Extenders Act (Rangel/Baucus) premium assistance for unemployed, Roberts amendment addressing individual coverage requirement; H.R. 4691, Temporary Extension Act (Rangel) premium assistance for unemployed; H.R. 4700, Transparency in All Health Care Pricing Act (Kagen) transparency in health care pricing; H.R. 4803, Patients' Right to Know Act (Barton) health benefits plan information, transparency in hospital price and quality information; H.R. 4851, Continuing Extension Act (Levin) premium assistance for unemployed, electronic health records; H.R. 5136, National Defense Authorization Act (Skelton) coverage for dependents under TRICARE; H.R. 5324, COBRA Health Benefits Extension Act (Davis) COBRA extension; H.R. 5486, Small Business Jobs Tax Relief Act (Levin) Camp motion addressing individual coverage requirement; H.R. 5690, MedMal Act (Gingrey) medical liability reform; S.Con.Res. 60, FY 2011 Budget Resolution (Conrad) reserve funds for health priorities; S. 45, Medical Care Access Protection Act (Ensign) medical liability reform; S. 139, Data Breach Notification Act (Feinstein) data security; S. 458, False Claims Act Clarification Act (Grassley) fraud and abuse; S. 988, SIMPLE Cafeteria Plan Act (Snowe) cafeteria plans, flexible spending arrangements; S. 1490, Personal Data Privacy and Security Act (Leahy) privacy, identity theft; S. 1734, Medical Liability Reform (Kyl) medical liability reform; S. 2730, COBRA Subsidy Extension and Enhancement Act (Brown) premium assistance for unemployed; S. 3393, COBRA Health Benefits Extension Act (Brown) COBRA extension; S. 3421, Temporary Extension Act (Grassley) premium assistance for unemployed; S. 3548 (Casey) premium assistance for unemployed HCR (Regulatory Issues): HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets; HIPAA enforcement; FEHBP enrollment data clearinghouse initiative; issues relating to health insurance plan participation in FEHBP, including contract requirements related to interoperability of health information technology, community rating policies, and similarly sized subscriber group (SSSG) requirement; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; issues related to genetics and genetic nondiscrimination; issues relating to mental health parity; issues relating to data breach requirements; issues relating to "meaningful use" requirements for health information technology; issues relating to Form 5500 reporting requirements; and issues relating to health care reform implementation.

H.R.359-Health Insurance Industry Antitrust Enforcement Act of 2009 H.R.914-Physician Workforce Enhancement Act of 2009 H.R.1086-Help, Efficient, Accessible, Low Cost, Timely Healthcare Act of 2009 H.R.1188-Access to Emergency Medical Services Act of 2009 H.R.1253-Health Insurance Restrictions and Limitations Clarification Act of 2009 H.R.1384-To amend part B of title XVIII of the Social Security Act to remove limiting charges under the Medicare Program for non-participating physicians with beneficiary notice and to preempt State laws that prohibit balance billing H.R.1386-Pay for all your Undocumented Procedures (PAY UP!) Act of 2009 H.R.1468-Medical Justice Act of 2009 H.R.1639-Border Health Care Relief Act of 2009 H.R.1678-Mitigating the Impact of Uncompensated Service and Time Act of 2009 H.R.1796-Residential Carbon Monoxide Poisoning Prevention Act H.R.1998-Health Care Safety Net Enhancement Act of 2009 H.R.3590-Patient Protection and Affordable Care Act H.R.3962-Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R.4213-Tax Extenders Act of 2009 H.R.4626-Health Insurance Industry Fair Competition Act H.R.4851-To Provide a Temporary Extension of Certain Programs, and for other purposes P.L.111-148 - Patient Protection and Affordable Care Act S.468-Access to Emergency Medical Services Act of 2009 S.1216-Residential Carbon Monoxide Poisoning Prevention Act S.1681-Health Insurance Industry Antitrust Enforcement Act of 2009

Client expense: $695,160 · Firm income: Not reported

H.R.914, Physician Workforce Enhancement Act of 2009, Physician workforce related issues. H.R.1468, Medical Justice Act of 2009, Medical liability related issues. H.R.936/S.733, National Trauma Center Stabilization Act of 2009, Emergency readiness and trauma related issues. General monitoring on Not-for-profit hospitals charity care and community benefits. S.391, Healthy Americans Act, Health care reform. H.R.193, AmeriCare Health Insurance Act of 2009, Health care reform. H.R.2251/S.973, Resident Physician Shortage Reduction Act of 2009, Physician workforce related issues. Health care reform, Hospital related issues and initiatives. S.1640, Take Back Your Health Act of 2009, Hospital related issues and initiatives. Public Law 110-343, Patient Protection and Affordable Care Act, Hospital related issues and initiatives. Public Law 111-148, The Patient Protection and Affordable Care Act, Hospital related issues and initiatives. Public Law 111-152, Health Care and Education Reconciliation Act of 2010, Hospital related issues and initiatives. H.R.4213, American Jobs and Closing Tax Loopholes Act of 2010, Medicare payment related issues; and Build America Bonds program issues.

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

H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 H.R. 1468, Medical Justice Act of 2009 S. 45, Medical Care Access Protection Act of 2009 or the MCAP Act S. 1099, Patients' Choice Act and Independent Health Record Trust Act of 2009 H.R. 3962, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R. 5025, HITECH Extension for Behavioral Health Services Act of 2010 H.R. 5712, Veterans, Seniors, and Childrens Health Technical Corrections Act of 2010 H.R. 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H.R. 4985, Medicare Decisions Accountability Act of 2010 H.R. 5290, More Doctors, More Choices Act of 2010 S. 3371, TRICARE Mental Health Care Access Act H.R. 4851, Continuing Extension Act of 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)

Client expense: $110,890 · Firm income: Not reported

H.R. 1708/S. 700, Ending the Medicare Disability Waiting Period Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 H.R. 1468, Medical Justice Act of 2009 S. 45, Medical Care Access Protection Act of 2009 or the MCAP Act S. 1136/H.R. 3065, Mental Illness Chronic Care Improvement Act H.R. 3962, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 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. 5025, HITECH Extension for Behavioral Health Services Act of 2010 H.R. 5466, SAMHSA Modernization Act of 2010 H.R. 5636, Community Mental Health and Addiction Safety Net Equity Act of 2010 H.R. 5712, Veterans, Seniors, and Childrens Health Technical Corrections Act of 2010 H.R. 5295, Healthcare Truth and Transparency Act of 2010 H.R. 4985, Medicare Decisions Accountability Act of 2010 S. 3425, Embedded Mental Health Providers for Reserves Act of 2010 H.R. 5392, Council on Integration of Health Care Education Act of 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) HIPAA Privacy Rule Accounting of Disclosures Under the Health Information Technology for Economic and Clinical Health Act; Request for Information; 75 Federal Register 23214 (May 3, 2010)

Client expense: $110,890 · Firm income: Not reported

Implementation of healthcare reform legislation, PL 111-148 (coverage expansions, quality improvements, delivery system refors, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse) - Executive Branch actions re these issues. *Data security - HR 2221, To protect consumers by requiring reasonable security policies and procedures to protect computerized data containing personal information, and to provide for nationwide notice in the event of a security breach; S 139, A bill to require Federal agencies, and persons engaged in interstate commerce, in possession of data containing sensitive personally identifiable information, to disclose any breach of such information. *Price transparency - HR 2249, To amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs. *Association health plans - HR 2607, To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees. *Privacy, identity theft - S 1490, A bill to prevent and mitigate identity theft, to ensure privacy, to provide notice of security breaches, and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information. *Coverage for dependents under TRICARE - HR 5136, National Defense Authorization Act for Fiscal Year 2011. *Camp motion addressing individual coverage requirement - HR 5486, To amend the Internal Revenue Code of 1986 to provide tax incentives for small business job creation, and for other purposes. *Budget enforcement resolution - H.Res 1493, Providing for budget enforcement for fiscal year 2011. *Premium assistance for unemployed - S 3421, Protecting Against Indebting our Descendants through Fully Offset Relief (PAID FOR) Temporary Extension Act of 2010; S 3548, Extend COBRA Premium Assistance Program Act of 2010. *Reserve funds for health priorities - S Con Res 60, An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2011, revising the appropriate budgetary levels for fiscal year 2010, and setting forth the appropriate budgetary levels for fiscal years 2012 through 2015. *Medical liability reform - HR 1468, To provide health care liability reform, and for other purposes; S 45, A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; HR 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010; S 1734, A bill to reduce the cost of health care and ensure patient access to doctors by ending excessive malpractice verdicts through common-sense lawsuit reform. *Antitrust exemption for physicians - HR 1493, To ensure and foster continued patient safety and quality of care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers. *Third-party billing by VA for service-connected disabilities - HR 1658, To amend title 38, United States Code, to prohibit the recovery by the United States of charges from a third party for hospital care or medical services furnished to a veteran for a service-connected disability. *COBRA assistance - HR 4213, American Workers, State, and Business Relief Act of 2010 ; HR 4691, Temporary Extension Act of 2010 *COBRA assistance, electronic health records - HR 4851, Continuing Extension Act of 2010. * COBRA subsidies for the unemployed - S 2730, COBRA Subsidy Extension and Enhancement Act of 2009. *COBRA extension - HR 5324, COBRA Health Benefits Extension Act of 2010; S 3393, COBRA Health Benefits Extension Act of 2010. *Transparency in healthcare pricing - HR 4700, Transparency in All Health Care Pricing Act of 2010. *Health benefits plan information, transparency in hospital price and quality information - HR 4803, To ensure health care consumer and provider access to certain health benefits plan information and to amend title XIX of the Social Security Act to provide transparency in hospital price and quality information. *Privacy protections for health information technology - HR 4061, To advance cybersecurity research, development, and technical standards, and for other purposes. *Fraud and abuse - S 458, A bill to amend the False Claims Act. *Cafeteria plans, flexible spending arrangements - S 988, A bill to amend the Internal Revenue Code of 1986 to allow small businesses to set up simple cafeteria plans to provide nontaxable employee benefits to their employees, to make changes in the requirements for cafeteria plans, flexible spending accounts, and benefits provided under such plans or accounts, and for other purposes.

HR 525 & S 406 - Association Health Plans. NAIFA opposes exempting AHP's from state benefit, regulatory oversight and solvency laws. S. 1995 allows AHP's to offer only issued plans that are subject to state solvency standards. Some regulatory oversight and an "average" of state mandated coverages. S. 725, HR 1470 - would amend IRC of 1986 to allow self emloyed individuals to deduct health insurance costs in computing self-employment taxes. NAIFA supports. S 207 - Amend the IRC of 1986 to allow deduction for health insurance premiums. NAIFA supports. HR 176 & HR 1177 - would allow unused flexible spending arrangement funds to be carried over to the next year. NAIFA & AHIA favors this option. HR 27 - An "Above the line" deduction for "higher deductible" health plans coupled with HSA's. NAIFA supports. HR 37, S. 978, HR 1872, HR 2063, HR 3873 creates Health Savings Accounts. NAIFA supports. HR 3511, S. 1569. NAIFA supports allowing states to establish LTC partnerships. HR 6331 - Would cut funding for Medicare Advantage - NAIFA opposes. HR 2096 & S. 702 - The Long-Term Care Affordability and Security Act of 2009 expands the authority under IRC Sectioin 125 that allows individuals to pay for certain benefits offered through cafeteria plans and/or flexible spending arrangement s with pre-tax dollars. AHIA & NAIFA support. HR 897 - Allows for Long Term Care insurance to be offered through cafeteria plans and/or FSA's as well as creates an above the line deduction for LTC premiums and provides a tax credit for caregivers. NAIFA & AHIA support. S.82 - A bill to amend title XXI of the Social Security Act to reauthorize the State Children's Health Insurance Program, to limit income eligibility expansions under that program until the lowest income eligible individuals are enrolled, and for other purposes. NAIFA supports. HR 1468 - To provide health care liability reform, and for other purposes. NAIFA supports. HR 1413 - To amend the Internal Revenue Code of 1986 to allow certain public employees a deductioin for distributions from governmental plans for health and long-term care insurance,and for other purposes. NAIFA supports. HR 1279 - To amend the Internal Revenue Code of 1986 to increase the contribution limits to dependent care flexible spending accounts and to provide for a carryover of unused dependent care benefits. NAIFA supports. S. 1177 - Confidence in Long Term Care Insurance Act would instruct the Health and Human Services Department to ask the NAIC to collect data and also create a website called "LTC Insurance Compare" to help consumers research long term care insurance. NAIFA supports. HR 563 - To amend title XXI of the Social Security Act to require States to provide priority under the State Children's Health Insurance Program (SCHIP) to children in families with gross income below 200 percent of the Federal poverty level. NAIFA supports. HR 542 - To amend titles XIX and XXI of the Social Security Act to permit States to rely on findings from an express plan agency to conduct simplified eligibility determinations under Medicaid and the State Children's Health Insurance Program. NAIFA supports. HR 198 - To amend the Internal Revenue Code of 1986 to allow a deduction for amounts paid for health insurance and prescription drug costs of individuals. NAIFA supports. HR 194 - To amend the Social Security Act to guarantee comprehensive health care coverage for all children born after 2009, and for other purposes. NAIFA opposes. HR 2 - To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. NAIFA opposes. S 94 - A bill to amend the Internal Revenue Code of 1986 to provide for a nonrefundable tax credit for long-term care insurance premiums. NAIFA supports. HR 1891 - To amend the Internal Revenue Code of 1986 to allow an above-the-line deduction for half of an individual's long-term care insruance premiums. NAIFA supports. HR 897 - To amend the Internal Revenue Code of 1986 to allow individuals a deduction for qualified long-term care insurance premiums, use of such insurance under cafeteria plans and flexible spending arrangements, and a credit for individuals with long-term care needs. NAIFA supports. HR 3590, HR 4872 - To enact the "Patient Protection and Affordable Care Act." NAIFA opposes certain provisions.

Health Insurance reform and Long Term Care issues HR 1, S. 1, S. 725, S. 703, S. 623, S. 207, S. 179, S. 82, S. 45, HR 1558, HR 1495, HR 1470, HR 1468, HR 1413, HR 1279, HR 1092, HR 676, HR 563, HR 542, HR 198, HR 194, HR 109, HR 15, HR 2, S. 702, S. 94, HR 1891, HR 897, HR 3200, HR 3590, HR 3962, HR 4872

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

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

Monitoring issues related to healthcare; entire bills of the following: H.R. 1797, Compete Act of 2009 H.R. 1583, Insurance Industry Competition Act of 2009 Healthy Mothers and Healthy Babies Access to Care Act (formerly S. 244) H.R.2975, Medical Practice Protection Act of 2009 H.R. 568 / S. 246, Veterans Health Care Quality Improvement Act H.R. 3400, Empowering Patients First Act S. 45, MCAP Act S. 391 / H.R.1321, Healthy Americans Act H.R. 1495, Comprehensive HealthCARE Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 H.R. 1468, Medical Justice Act of 2009 H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act H.R.5243, To amend the Patient Protection and Affordable Care Act to clarify that the Act does not affect standards or procedures in medical malpractice actions. (House) Monitoring implementation of electronic health records

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitoring issues related to healthcare; entire bills of the following: H.R. 1797, Compete Act of 2009 H.R. 1583, Insurance Industry Competition Act of 2009 Healthy Mothers and Healthy Babies Access to Care Act (formerly S. 244) H.R.2975, Medical Practice Protection Act of 2009 H.R. 568 / S. 246, Veterans Health Care Quality Improvement Act H.R. 3400, Empowering Patients First Act S. 45, MCAP Act S. 391 / H.R.1321, Healthy Americans Act H.R. 1495, Comprehensive HealthCARE Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 H.R. 1468, Medical Justice Act of 2009 H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act H.R.3590, Patient Protection and Affordable Care Act (Related Bills: H.CON.RES.254, H.RES.1203, H.R.3780, H.R.4872, S.1728, S.1790) H.R.4872, Health Care and Education Reconciliation Act of 2010 (Related Bills: H.RES.1203, H.RES.1225, H.R.3590) H.R. 3962, Affordable Health Care for America Act, Indian Health Care Improvement Act Amendments of 2009 (With specific attention to: Sec. 2531, Sec. 261, Sec. 262)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 109, America's Affordable Health Care Act (Fortenberg) - essential benefits plan, high risk pools; H.R. 544, Flexible Health Savings Act (Royce) - FSA rollovers; H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare Act (Gingrey) - medical liability reform; (cont.) HCR (Legislative) H.R. 1468, Medical Justice Act (Burgess) medical liability reform; H.R. 1493, Quality Health Care Coalition Act (Paul) antitrust exemption for physicians; H.R. 1658, Veterans Healthcare Commitment Act (Tiahrt) third party billing by VA for service-connected disabilities; H.R. 2221, Data Accountability and Trust Act (Rush) data security; H.R. 2249, Health Care Price Transparency Promotion Act (Burgess) price transparency; H.R. 2502, Comparative Effectiveness Research Act (Schrader) comparative effectiveness research; H.R. 2520, Patients Choice Act (Ryan) comprehensive health reform; H.R. 2607: Small Business Health Coverage (Johnson) association health plans; H.R. 2668, Choice in Health Options Insures Care for Everyone Act (Murphy) government run health plan; H.R. 2847, Jobs for Main Street Act (Mollohan) extension of COBRA subsidies for the unemployed; H.R. 3002, PATIENTS Act (Boehner) comparative effectiveness research; H.R. 3200, Americas Affordable Health Choices Act (Dingell) coverage expansions, quality improvements, delivery system reforms, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; H.R. 3400, Empowering Patients First Act (Price) premium subsidies, national marketplace, medical liability reforms, wellness, transparency, quality; H.R. 3468, Prevention and Wellness Programs (Castle) incentives for prevention and wellness; H.R. 3472, Premium Discounts for Healthy Behavior (Dahlkemper) premium discounts for healthy behavior; H.R. 3590, Patient Protection and Affordable Care Act (Reid) coverage expansions, quality improvements, delivery system reforms, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; H.R. 3962, Americas Affordable Health Choices Act (Dingell) coverage expansions, quality improvements, delivery system reforms, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; H.R. 4061, Cybersecurity Enhancement Act (Lipinski) privacy protections for health information technology; H.R. 4213, Tax Extenders Act (Rangel) COBRA assistance; H.R. 4691, Temporary Extension Act (Rangel) COBRA assistance; H.R. 4700, Transparency in All Health Care Pricing Act (Kagen) transparency in health care pricing; H.R. 4803, Patients' Right to Know Act (Barton) health benefits plan information, transparency in hospital price and quality information; H.R. 4851, Continuing Extension Act (Levin) COBRA assistance, electronic health records; S. 45, Medical Care Access Protection Act (Ensign) medical liability reform; S. 139, Data Breach Notification Act (Feinstein) data security; S. 179, Health Information Technology Act (Stabenow) health information technology; S. 458, False Claims Act Clarification Act (Grassley) fraud and abuse; S. 698, State-Based Health Care Reform Act (Feingold) pilot projects for state-based health reforms; S. 913, Workforce Health Improvement Program Act (Cornyn) wellness incentives; S. 988, SIMPLE Cafeteria Plan Act (Snowe) cafeteria plans, flexible spending arrangements; S. 1099, Patients Choice Act (Coburn) comprehensive health reform; S. 1213, Patient-Centered Outcomes Research Act (Baucus) comparative effectiveness research; S. 1259, PATIENTS Act (Kyl) comparative effectiveness research; S. 1278, Consumers Health Care Act (Rockefeller) government run health plan; S. 1490, Personal Data Privacy and Security Act (Leahy) privacy, identity theft; S. 1679, Affordable Health Choices Act (Harkin) coverage expansions, quality improvements, delivery system reforms, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; S. 1734, Medical Liability Reform (Kyl) medical liability reform; S. 1796, Americas Healthy Future Act (Baucus) coverage expansions, quality improvements, delivery system reforms, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; S. 2730, COBRA Subsidy Extension and Enhancement Act (Brown) COBRA subsidies for the unemployed; S. 3153, Continuing Extension Act (Grassley) COBRA assistance, electronic health records HCR (Regulatory Issues): HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets; HIPAA enforcement; FEHBP enrollment data clearinghouse initiative; issues relating to health insurance plan participation in FEHBP, including contract requirements related to interoperability of health information technology, community rating policies, and similarly sized subscriber group (SSSG) requirement; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; issues related to genetics and genetic nondiscrimination; issues relating to mental health parity; issues relating to data breach requirements; issues relating to "meaningful use" requirements for health information technology; and issues relating to Form 5500 reporting requirements.

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. 193, AmeriCare Health Care Act of 2009 H.R. 676, Expanded and Improved Medicare for All Act S. 93, Small Business Empowerment Act H.R. 850/H.R. 859, Small Business Cooperative for Healthcare Options to Improve Coverage for Employees (CHOICE) Act of 2009 H.R. 15, National Health Insurance Act H.R. 194, MediKids Health Insurance 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 S. 1099, Patients Choice Act and Independent Health Record Trust Act of 2009 S. 391, Healthy Americans Act S. 1679, Affordable Health Choices Act 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. 4872, Health Care and Education Reconciliation Act of 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)

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

HR 525 & S 406 - Association Health Plans. NAIFA opposes exempting AHP's from state benefit, regulatory oversight and solvency laws. S. 1995 allows AHP's to offer only issued plans that are subject to state solvency standards. Some regulatory oversight and an "average" of state mandated coverages. S. 725, HR 1470 - would amend IRC of 1986 to allow self emloyed individuals to deduct health insurance costs in computing self-employment taxes. NAIFA supports. HR 3590 - Provides health care for most americans, controls costs and enhances health care system quality. NAIFA remains concerned that this proposal will increase costs to families and businesses. HR 1558, S. 623, HR 1092 - Amends title I of ERISA, title XXVII of the Public Service Act & IRC of 1986 to prohibit preexisting condition exclusions in group health plans and in health coverage in the group and individual markets. NAIFA opposes. S 207 - Amend the IRC of 1986 to allow deduction for health insurance premiums. NAIFA supports. HR 176 & HR 1177 - would allow unused flexible spending arrangement funds to be carried over to the next year. NAIFA & AHIA favors this option. HR 27 - An "Above the line" deduction for "higher deductible" health plans coupled with HSA's. NAIFA supports. S.4 the Health American Act. NAIFA supports many provisions but concerned over the bills support for AHPs. HR 37, S. 978, HR 1872, HR 2063, HR 3873 creates Health Savings Accounts. NAIFA supports. HR 3511, S. 1569. NAIFA supports allowing states to establish LTC partnerships. HR 6331 - Would cut funding for Medicare Advantage - NAIFA opposes. HR 2096 & S. 702 - The Long-Term Care Affordability and Security Act of 2009 expands the authority under IRC Sectioin 125 that allows individuals to pay for certain benefits offered through cafeteria plans and/or flexible spending arrangement s with pre-tax dollars. AHIA & NAIFA support. HR 897 - Allows for Long Term Care insurance to be offered through cafeteria plans and/or FSA's as well as creates an above the line deduction for LTC premiums and provides a tax credit for caregivers. NAIFA & AHIA support. S. 93 - A bill to provide quality affordable health insurance for small employers and individuals. S.82 - A bill to amend title XXI of the Social Security Act to reauthorize the State Children's Health Insurance Program, to limit income eligibility expansions under that program until the lowest income eligible individuals are enrolled, and for other purposes. NAIFA supports. S. 45 - A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system. NAIFA supports. HR 1468 - To provide health care liability reform, and for other purposes. NAIFA supports. HR 1413 - To amend the Internal Revenue Code of 1986 to allow certain public employees a deductioin for distributions from governmental plans for health and long-term care insurance,and for other purposes. NAIFA supports. HR 1279 - To amend the Internal Revenue Code of 1986 to increase the contribution limits to dependent care flexible spending accounts and to provide for a carryover of unused dependent care benefits. NAIFA supports. S. 1177 - Confidence in Long Term Care Insurance Act would instruct the Health and Human Services Department to ask the NAIC to collect data and also create a website called "LTC Insurance Compare" to help consumers research long term care insurance. NAIFA supports. HR 563 - To amend title XXI of the Social Security Act to require States to provide priority under the State Children's Health Insurance Program (SCHIP) to children in families with gross income below 200 percent of the Federal poverty level. NAIFA supports. HR 542 - To amend titles XIX and XXI of the Social Security Act to permit States to rely on findings from an express plan agency to conduct simplified eligibility determinations under Medicaid and the State Children's Health Insurance Program. NAIFA supports. HR 198 - To amend the Internal Revenue Code of 1986 to allow a deduction for amounts paid for health insurance and prescription drug costs of individuals. NAIFA supports. HR 194 - To amend the Social Security Act to guarantee comprehensive health care coverage for all children born after 2009, and for other purposes. NAIFA opposes. HR 109 - To provide for the offering of Health Benefit Plans to individuals, to increase funding for State high risk health insurance pools, and to promote best practice protocols for State high risk pools. NAIFA supports. HR 15 - To provide a program of national health insurance, and for other purposes. NAIFA opposes. HR 2 - To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. NAIFA opposes. S 94 - A bill to amend the Internal Revenue Code of 1986 to provide for a nonrefundable tax credit for long-term care insurance premiums. NAIFA supports. HR 1891 - To amend the Internal Revenue Code of 1986 to allow an above-the-line deduction for half of an individual's long-term care insruance premiums. NAIFA supports. HR 897 - To amend the Internal Revenue Code of 1986 to allow individuals a deduction for qualified long-term care insurance premiums, use of such insurance under cafeteria plans and flexible spending arrangements, and a credit for individuals with long-term care needs. NAIFA supports. HR 3590, HR 4872 - To enact the "Patient Protection and Affordable Care Act." NAIFA opposes certain provisions.

Health Insurance reform and Long Term Care issues HR 1, S. 1, S. 725, S. 703, S. 623, S. 207, S. 179, S. 82, S. 45, HR 1558, HR 1495, HR 1470, HR 1468, HR 1413, HR 1279, HR 1092, HR 676, HR 563, HR 542, HR 198, HR 194, HR 109, HR 15, HR 2, S. 702, S. 94, HR 1891, HR 897, HR 3200, HR 3590, HR 3962, HR 4872

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

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

Kennedy/MSDA/S.540/H.R 1346/ Medical Device Saftety Act of 2009; Maloney/HR847/James Zadroga 9/11 Health and compensation Act of 2009; HR1476/Carmelo Rodriguez Military Medical Accountability Act; HR1086/Health Act of 2009; HR 1468/Medical Justice Act 9f 2009; HR 1745/Family Health Care Accountablility Act of 2009; S45/Medical Care Access Protection Act of 2009; S391/Healthy Americans Act;HR 941/Robert T. Stafford Disaster Relief and Emergency Assistance Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Kennedy/MSDA/S 540/HR 1346/ Medical Device Saftety Act of 2009; Maloney/HR 847/James Zadroga 9/11 Health and compensation Act of 2009; HR 1476/Carmelo Rodriguez Military Medical Accountability Act; HR 1086/Health Act of 2009; HR 1468/Medical Justice Act 9f 2009; HR 1745/Family Health Care Accountablility Act of 2009; S45/Medical Care Access Protection Act of 2009; S 391/Healthy Americans Act;HR 941/Robert T. Stafford Disaster Relief and Emergency Assistance Act; HR 759/Food and Drug Administration Globilization act of 2009; HR 812/Common Sense Consumption Act of 2009; HR 440/Small Business Liablility Reform Act of 2009

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitoring issues related to healthcare; entire bills of the following: H.R. 1797, Compete Act of 2009 H.R. 1583, Insurance Industry Competition Act of 2009 Healthy Mothers and Healthy Babies Access to Care Act (formerly S. 244) H.R.2975, Medical Practice Protection Act of 2009 H.R. 568 / S. 246, Veterans Health Care Quality Improvement Act H.R. 3400, Empowering Patients First Act S. 45, MCAP Act S. 391 / H.R.1321, Healthy Americans Act H.R. 1495, Comprehensive HealthCARE Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 H.R. 1468, Medical Justice Act of 2009 H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act H.R.3590, Patient Protection and Affordable Care Act (Related Bills: H.CON.RES.254, H.RES.1203, H.R.3780, H.R.4872, S.1728, S.1790) H.R.4872, Health Care and Education Reconciliation Act of 2010 (Related Bills: H.RES.1203, H.RES.1225, H.R.3590) H.R. 3962, Affordable Health Care for America Act, Indian Health Care Improvement Act Amendments of 2009 (With specific attention to: Sec. 2531, Sec. 261, Sec. 262)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Coverage expansions, quality improvements, delivery system refors, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - HR 3962, To provide affordable, quality health care for all Americans and reduce the growth in healthcare spending, and for other purposes; HR 3590, Patient Protection and Affordable Care Act. Healthcare reform - HR 4872, Health Care and Education Reconciliation Act of 2010. *Coverage expansions, quality improvements, delivery system reforms, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - HR 3200, America's Affordable Health Choices Act. *Coverage expansions, quality improvements, delivery system reforms, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - 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; S 1796, An original bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. *Essential benefits plan, high-risk pools - HR 109, To provide for the offering of Health Benefit Plans to individuals, to increase funding for State high risk health insurance pools, and to promote best practice protocols for State high risk pools. *FSA rollovers - HR 544, To amend the Internal Revenue Code of 1986 to allow amounts in a health flexible spending arrangement that are unused during a plan year to be carried over to subsequent plan years or deposited into certain health or retirement plans. *Data security - HR 2221, To protect consumers by requiring reasonable security policies and procedures to protect computerized data containing personal information, and to provide for nationwide notice in the event of a security breach; S 139, A bill to require Federal agencies, and persons engaged in interstate commerce, in possession of data containing sensitive personally identifiable information, to disclose any breach of such information. *Price transparency - HR 2249, To amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs. *Association health plans - HR 2607, To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees. *Premium subsidies, national marketplace, medical liability reforms, wellness, transparency, quality - HR 3400, To provide for incentives to encourage health insurance coverage, and for other purposes. *Incentives for prevention and wellness - HR 3468, To amend the Internal Revenue Code of 1986, the Public Health Service Act, and the Employee Retirement Income Security Act of 1974 to promote the use of prevention and wellness programs. *Premium discounts for healthy behavior - HR 3472, To provide for health insurance coverage premium discounts for healthy behavior and improvements toward healthy behavior. *Privacy, identity theft - S 1490, A bill to prevent and mitigate identity theft, to ensure privacy, to provide notice of security breaches, and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information. *Medical liability reform - HR 1086, To improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; HR 1468, To provide health care liability reform, and for other purposes; S 45, A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; S 1734, A bill to reduce the cost of health care and ensure patient access to doctors by ending excessive malpractice verdicts through common-sense lawsuit reform. *Antitrust exemption for physicians - HR 1493, To ensure and foster continued patient safety and quality of care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers. *Third-party billing by VA for service-connected disabilities - HR 1658, To amend title 38, United States Code, to prohibit the recovery by the United States of charges from a third party for hospital care or medical services furnished to a veteran for a service-connected disability. 8Health information technology - S 179, A bill to improve quality in health care by providing incentives for adoption of modern information technology. *uninsured individuals through State health care coverage pilot projects that expand coverage and access and improve quality and efficiency in the health care system. *Comparative effectiveness research - HR 2502, To amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Comparative Effectiveness Research Trust Fund, and for other purposes; HR 3002, To protect all patients by prohibiting the use of data obtained from comparative effectiveness research to deny coverage of items or services under Federal health care programs and to ensure that comparative effectiveness research accounts for advancements in personalized medicine and differences in patient treatment response; S 1213, A bill to amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Patient-Centered Outcomes Research Trust Fund, and for other purposes; S 1259, A bill to protect all patients by prohibiting the use of data obtained from comparative effectiveness research to deny coverage of items or services under Federal health care programs and to ensure that comparative effectiveness research accounts for advancements in personalized medicine and differences in patient treatment response. *Extension of COBRA subsidies for the unemployed - HR 2847, Making appropriations for the Departments of Commerce and Justice, and Science, and Related Agencies for the fiscal year ending September 30, 2010, and for other purposes. *COBRA assistance - HR 4213, American Workers, State, and Business Relief Act of 2010 ; HR 4691, Temporary Extension Act of 2010 *COBRA assistance, electronic health records - HR 4851, Continuing Extension Act of 2010; S 3153, Continuing Extension Act of 2010. *Transparency in healthcare pricing - HR 4700, Transparency in All Health Care Pricing Act of 2010. *Health benefits plan information, transparency in hospital price and quality information - HR 4803, To ensure health care consumer and provider access to certain health benefits plan information and to amend title XIX of the Social Security Act to provide transparency in hospital price and quality information. *Privacy protections for health information technology - HR 4061, To advance cybersecurity research, development, and technical standards, and for other purposes. *Government-run health plan - HR 2668, To provide for the offering of an American Trust Health Plan to provide choice in health insurance options so as to ensure quality, affordable health coverage for all Americans; S 1278, A bill to establish the Consumers Choice Health Plan, a public health insurance plan that provides an affordable and accountable health insurance option for consumers. *Fraud and abuse - S 458, A bill to amend the False Claims Act. 8Wellness incentives - S 913, A bill to amend the Internal Revenue Code of 1986 to expand workplace health incentives by equalizing the tax consequences of employee athletic facility use. *Cafeteria plans, flexible spending arrangements - S 988, A bill to amend the Internal Revenue Code of 1986 to allow small businesses to set up simple cafeteria plans to provide nontaxable employee benefits to their employees, to make changes in the requirements for cafeteria plans, flexible spending accounts, and benefits provided under such plans or accounts, and for other purposes. *Comprehensive health reform - S 1099, A bill to provide comprehensive solutions for the health care system of the United States, and for other purposes; HR 2520, To provide comprehensive solutions for the health care system of the United States, and for other purposes.

Medical Care Access Protection Act (regarding medical liability reform), S. 45, entire bill; Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act (regarding medical liability reform), H.R. 1086, entire bill; Medical Justice Act of 2009 (regarding medical liability reform), H.R. 1468, entire bill; Medical Practice Protection Act, H.R. 2975 (regarding medical liability reform), entire bill; Medical Liability Procedural Reform Act of 2009 (regarding medical liability reform), H.R. 2787, entire bill; Comprehensive Medical Malpractice Reform Act of 2009 (regarding medical liability reform), H.R. 3459, entire bill; Medical Liability Reform Act of 2009 (regarding medical liability reform), S. 1734, entire bill; Fair Resolution of Medical Liability Disputes Act of 2009 (regarding medical liability reform), S. 2662, entire bill; Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2009 (regarding medical liability reform), H.R. 4039, entire bill; (Unintroduced) Medical Disaster Volunteer Liability Protection Act (regarding medical liability reform), entire bill; (Unintroduced) Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Plus Act (regarding medical liability reform), entire bill.

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

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

H.R.479-Wakefield Act [Emergency Medical Services for Children reauthorization] H.R.914-Physician Workforce Enhancement Act of 2009 H.R. 936-National Trauma Center Stabilization Act of 2009 H.R.1086-Help, Efficient, Accessible, Low Cost, Timely Healthcare Act of 2009 H.R.1188-Access to Emergency Medical Services Act of 2009 H.R.1253-Health Insurance Restrictions and Limitations Clarification Act of 2009 H.R.1321-Healthy Americans Act H.R.1377/P.L.111-137-To amend title 38, United States Code, to expand veteran eligibility for reimbursement by the Secretary of Veterans Affairs for emergency treatment furnished in a non-Department facility, and for other purposes. H.R.1384-To amend part B of title XVIII of the Social Security Act to remove limiting charges under the Medicare Program for non-participating physicians with beneficiary notice and to preempt State laws that prohibit balance billing H.R.1386-Pay for all your Undocumented Procedures (PAY UP!) Act of 2009 H.R.1415-Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 H.R.1468-Medical Justice Act of 2009 H.R.1639-Border Health Care Relief Act of 2009 H.R.1678-Mitigating the Impact of Uncompensated Service and Time Act of 2009 H.R.1796/S 1216, Residential Carbon Monoxide Poisoning Prevention Act H.R.1998-Health Care Safety Net Enhancement Act of 2009 H.R.3200-America's Affordable Health Choices Act H.R.3590/P.L.111-148-Patient Protection and Affordable Care Act H.R.3596-Health Insurance Industry Antitrust Enforcement Act of 2009 H.R.3950-Service Members Home Ownership Tax Act of 2009 H.R.3961-Medicare Physician Payment Reform Act of 2009 H.R.3962-Affordable Health Care for America Act H.R.4213-Tax Extenders Act of 2009 H.R.4626-Health Insurance Industry Fair Competition Act H.R.4691/P.L.111-144-Temporary Extension Act of 2010 H.R.4851-To Provide a Temporary Extension of Certain Programs, and for other purposes S.391-Healthy Americans Act S.408-Wakefield Act [Emergency Medical Services for Children Reauthorization] S.468-Access to Emergency Medical Services Act of 2009 S.733-National Trauma Center Stabilization Act of 2009 S.1130-Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 S.1216-Residential Carbon Monoxide Poisoning Prevention Act S.1679-Affordable Health Choices Act S.1681-Health Insurance Industry Antitrust Enforcement Act of 2009 S.1776-Medicare Physician Fairness Act of 2009 S.1796-America's Healthy Future Act S.1781-Reducing Emergency Department Utilization through Coordination and Empowerment (REDUCE) Act

H.R.914, Physician Workforce Enhancement Act of 2009, Physician workforce related issues. H.R.1468, Medical Justice Act of 2009, Medical liability related issues. H.R.936/S.733, National Trauma Center Stabilization Act of 2009, Emergency readiness and trauma related issues. General monitoring on Not-for-profit hospitals charity care and community benefits. S.391, Healthy Americans Act, Health care reform. H.R.193, AmeriCare Health Insurance Act of 2009, Health care reform. H.R.2251/S.973, Resident Physician Shortage Reduction Act of 2009, Physician workforce related issues. Health care reform, Hospital related issues and initiatives. H.R.3200, America's Affordable Health Choices Act of 2009, Hospital related issues and initiatives. S.1679, Affordable Health Choices Act, Hospital related issues and initiatives. S.1640, Take Back Your Health Act of 2009, Hospital related issues and initiatives. Public Law 110-343, Patient Protection and Affordable Care Act, Hospital related issues and initiatives. Public Law 111-148, The Patient Protection and Affordable Care Act, Hospital related issues and initiatives. H.R.4872, Health Care and Education Reconciliation Act of 2010, Hospital related issues and initiatives.

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

Coverage expansions, quality improvements, delivery system reforsm, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - HR 3200, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes; proposed legislation re these issue. Coverage expansions, quality improvements, delivery system reforms, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - HR 3962, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. Coverage expansions, quality improvements, delivery system reforms, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - 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; S 1796, An original bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. Single-payer health reform - HR 15, To provide a program of national health insurance, and for other purposes; HR 676, To provide for comprehensive health insurance coverage for all United States residents, improved health care delivery, and for other purposes; HR 1200, To provide for health care for every American and to control the cost and enhance the quality of the health care system; S 703, A bill to provide for health care for every American and to control the cost and enhance the quality of the health care system. Essential benefits plan, high-risk pools - HR 109, To provide for the offering of Health Benefit Plans to individuals, to increase funding for State high risk health insurance pools, and to promote best practice protocols for State high risk pools. New government health program - HR 193, To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. FSA rollovers - HR 544, To amend the Internal Revenue Code of 1986 to allow amounts in a health flexible spending arrangement that are unused during a plan year to be carried over to subsequent plan years or deposited into certain health or retirement plans. Data security - HR 2221, To protect consumers by requiring reasonable security policies and procedures to protect computerized data containing personal information, and to provide for nationwide notice in the event of a security breach; S 139, A bill to require Federal agencies, and persons engaged in interstate commerce, in possession of data containing sensitive personally identifiable information, to disclose any breach of such information. Price transparency - HR 2249, To amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs. Association health plans - HR 2607, To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees. High risk pool funding, comparative effectiveness research, HHS programs - HR 3292, To amend title 28, United States Code, to provide for a 6-month period for Federal judges to opt into the Judicial Survivors' Annuities System and begin contributing toward an annuity for their spouse and dependent children upon their death, and for other purposes; HR 3288, Making appropriations for the Departments of Transportation, and Housing and Urban Development, and related agencies for the fiscal year ending September 30, 2010, and for other purposes. Premium subsidies, national marketplace, medical liability reforms, wellness, transparency, quality - HR 3400, To provide for incentives to encourage health insurance coverage, and for other purposes. Incentives for prevention and wellness - HR 3468, To amend the Internal Revenue Code of 1986, the Public Health Service Act, and the Employee Retirement Income Security Act of 1974 to promote the use of prevention and wellness programs. Premium discounts for healthy behavior - HR 3472, To provide for health insurance coverage premium discounts for healthy behavior and improvements toward healthy behavior. Privacy, identity theft - S 1490, A bill to prevent and mitigate identity theft, to ensure privacy, to provide notice of security breaches, and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information. Medical liability reform - HR 1086, To improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; HR 1468, To provide health care liability reform, and for other purposes; S 45, A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; S 1734, A bill to reduce the cost of health care and ensure patient access to doctors by ending excessive malpractice verdicts through common-sense lawsuit reform. Antitrust exemption for physicians - HR 1493, To ensure and foster continued patient safety and quality of care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers. Third-party billing by VA for service-connected disabilities - HR 1658, To amend title 38, United States Code, to prohibit the recovery by the United States of charges from a third party for hospital care or medical services furnished to a veteran for a service-connected disability. Health information technology - S 179, A bill to improve quality in health care by providing incentives for adoption of modern information technology. Pilot projects for State-based health reforms - S 698, A bill to ensure the provision of high-quality health care coverage for uninsured individuals through State health care coverage pilot projects that expand coverage and access and improve quality and efficiency in the health care system. Comparative effectiveness research - HR 2502, To amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Comparative Effectiveness Research Trust Fund, and for other purposes; HR 3002, To protect all patients by prohibiting the use of data obtained from comparative effectiveness research to deny coverage of items or services under Federal health care programs and to ensure that comparative effectiveness research accounts for advancements in personalized medicine and differences in patient treatment response; S 1213, A bill to amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Patient-Centered Outcomes Research Trust Fund, and for other purposes; S 1259, A bill to protect all patients by prohibiting the use of data obtained from comparative effectiveness research to deny coverage of items or services under Federal health care programs and to ensure that comparative effectiveness research accounts for advancements in personalized medicine and differences in patient treatment response. Coverage expansions, quality improvements, delivery system reforms, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - HR 3590, An act entitled The Patient Protection and Affordable Care Act. Extension of COBRA subsidies for the unemployed - HR 2847, Making appropriations for the Departments of Commerce and Justice, and Science, and Related Agencies for the fiscal year ending September 30, 2010, and for other purposes; HR 3326, Making appropriations for the Department of Defense for the fiscal year ending September 30, 2010, and for other purposes. Privacy protections for health information technology - HR 4061, To advance cybersecurity research, development, and technical standards, and for other purposes. Government-run health plan - HR 2668, To provide for the offering of an American Trust Health Plan to provide choice in health insurance options so as to ensure quality, affordable health coverage for all Americans; S 1278, A bill to establish the Consumers Choice Health Plan, a public health insurance plan that provides an affordable and accountable health insurance option for consumers. Fraud and abuse - S 458, A bill to amend the False Claims Act. Wellness incentives - S 913, A bill to amend the Internal Revenue Code of 1986 to expand workplace health incentives by equalizing the tax consequences of employee athletic facility use. Cafeteria plans, flexible spending arrangements - S 988, A bill to amend the Internal Revenue Code of 1986 to allow small businesses to set up simple cafeteria plans to provide nontaxable employee benefits to their employees, to make changes in the requirements for cafeteria plans, flexible spending accounts, and benefits provided under such plans or accounts, and for other purposes. Comprehensive health reform - S 1099, A bill to provide comprehensive solutions for the health care system of the United States, and for other purposes; HR 2520, To provide comprehensive solutions for the health care system of the United States, and for other purposes.

H.R. 15, National Health Insurance Act (Dingell) single-payer health reform; H.R. 109, America's Affordable Health Care Act (Fortenberg) essential benefits plan, high risk pools; H.R. 193, AmeriCare Health Care Act (Stark) new government health program; H.R. 544, Flexible Health Savings Act (Royce) FSA rollovers; H.R. 676, United States National Health Care Act (Conyers) single payer health reform; H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare Act (Gingrey) medical liability reform; H.R. 1200, American Health Security Act (McDermott) single-payer health reform; H.R. 1468, Medical Justice Act (Burgess) medical liability reform; H.R. 1493, Quality Health Care Coalition Act (Paul) antitrust exemption for physicians; H.R. 1658, Veterans Healthcare Commitment Act (Tiahrt) third party billing by VA for service-connected disabilities; H.R. 2221, Data Accountability and Trust Act (Rush) data security; H.R. 2249, Health Care Price Transparency Promotion Act (Burgess) price transparency; H.R. 2502, Comparative Effectiveness Research Act (Schrader) comparative effectiveness research; H.R. 2520, Patients Choice Act (Ryan) comprehensive health reform; H.R. 2607: Small Business Health Coverage (Johnson) association health plans; H.R. 2668, Choice in Health Options Insures Care for Everyone Act (Murphy) government run health plan; H.R. 2847, Jobs for Main Street Act (Mollohan) extension of COBRA subsidies for the unemployed; H.R. 3002, PATIENTS Act (Boehner) comparative effectiveness research; H.R. 3200, Americas Affordable Health Choices Act (Dingell) coverage expansions, quality improvements, delivery system reforms, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; H.R. 3288, Consolidated Appropriations Act (Olver) high risk pool funding, comparative effectiveness research, HHS programs; H.R. 3293, Labor, HHS, Education Appropriations Act (Obey/Harkin) high risk pool funding, comparative effectiveness research, HHS programs; H.R. 3326, Defense Appropriations Act (Murtha) extension of COBRA subsidies for the unemployed; H.R. 3400, Empowering Patients First Act (Price) premium subsidies, national marketplace, medical liability reforms, wellness, transparency, quality; H.R. 3468, Prevention and Wellness Programs (Castle) incentives for prevention and wellness; H.R. 3472, Premium Discounts for Healthy Behavior (Dahlkemper) premium discounts for healthy behavior; H.R. 3590, Patient Protection and Affordable Care Act (Reid) coverage expansions, quality improvements, delivery system reforms, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; H.R. 3962, Americas Affordable Health Choices Act (Dingell) coverage expansions, quality improvements, delivery system reforms, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; H.R. 4061, Cybersecurity Enhancement Act (Lipinski) privacy protections for health information technology; S. 45, Medical Care Access Protection Act (Ensign) medical liability reform; S. 139, Data Breach Notification Act (Feinstein) data security; S. 179, Health Information Technology Act (Stabenow) health information technology; S. 458, False Claims Act Clarification Act (Grassley) fraud and abuse; S. 698, State-Based Health Care Reform Act (Feingold) pilot projects for state-based health reforms; S. 703, American Health Security Act (Sanders) single-payer health reform; S. 913, Workforce Health Improvement Program Act (Cornyn) wellness incentives; S. 988, SIMPLE Cafeteria Plan Act (Snowe) cafeteria plans, flexible spending arrangements; S. 1099, Patients Choice Act (Coburn) comprehensive health reform; S. 1213, Patient-Centered Outcomes Research Act (Baucus) comparative effectiveness research; S. 1259, PATIENTS Act (Kyl) comparative effectiveness research; S. 1278, Consumers Health Care Act (Rockefeller) government run health plan; S. 1490, Personal Data Privacy and Security Act (Leahy) privacy, identity theft; S. 1679, Affordable Health Choices Act (Harkin) coverage expansions, quality improvements, delivery system reforms, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; S. 1734, Medical Liability Reform (Kyl) medical liability reform; S. 1796, Americas Healthy Future Act (Baucus) coverage expansions, quality improvements, delivery system reforms, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; S. 2730, COBRA Subsidy Extension and Enhancement Act (Brown) COBRA subsidies for the unemployed HCR (Regulatory Issues): HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets; HIPAA enforcement; FEHBP enrollment data clearinghouse initiative; issues relating to health insurance plan participation in FEHBP, including contract requirements related to interoperability of health information technology, community rating policies, and similarly sized subscriber group (SSSG) requirement; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; issues related to genetics and genetic nondiscrimination; issues relating to mental health parity; issues relating to data breach requirements; issues relating to "meaningful use" requirements for health information technology; and issues relating to Form 5500 reporting requirements.

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. 193, AmeriCare Health Care Act of 2009 H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act S. 93, Small Business Empowerment Act H.R. 850/H.R. 859, Small Business Cooperative for Healthcare Options to Improve Coverage for Employees (CHOICE) Act of 2009 H.R. 15, National Health Insurance Act H.R. 194, MediKids Health Insurance 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. 3200, Americas Affordable Health Choices Act of 2009 S. 1099, Independent Health Record Trust Act of 2009 S. 391, Healthy Americans Act S. 1679, Affordable Health Choices Act 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

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

H.R.479-Wakefield Act [Emergency Medical Services for Children reauthorization] H.R.914-Physician Workforce Enhancement Act of 2009 H.R. 936-National Trauma Center Stabilization Act of 2009 H.R.1086-Help, Efficient, Accessible, Low Cost, Timely Healthcare Act of 2009 H.R.1188-Access to Emergency Medical Services Act of 2009 H.R.1253-Health Insurance Restrictions and Limitations Clarification Act of 2009 H.R.1321-Healthy Americans Act H.R.1377-To amend title 38, United States Code, to expand veteran eligibility for reimbursement by the Secretary of Veterans Affairs for emergency treatment furnished in a non-Department facility, and for other purposes. H.R.1384-To amend part B of title XVIII of the Social Security Act to remove limiting charges under the Medicare Program for non-participating physicians with beneficiary notice and to preempt State laws that prohibit balance billing H.R.1386-Pay for all your Undocumented Procedures (PAY UP!) Act of 2009 H.R.1415-Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 H.R.1468-Medical Justice Act of 2009 H.R.1639-Border Health Care Relief Act of 2009 H.R.1678-Mitigating the Impact of Uncompensated Service and Time Act of 2009 H.R.1796/S 1216, Residential Carbon Monoxide Poisoning Prevention Act H.R.1998-Health Care Safety Net Enhancement Act of 2009 H.R.3200-America's Affordable Health Choices Act H.R.3596-Health Insurance Industry Antitrust Enforcement Act of 2009 H.R.3950-Service Members Home Ownership Tax Act of 2009 H.R.3961-Medicare Physician Payment Reform Act of 2009 H.R.3962-Affordable Health Care for America Act S.391-Healthy Americans Act S.404-Veterans' Emergency Care Fairness Act S.408-Wakefield Act [Emergency Medical Services for Children Reauthorization] S.468-Access to Emergency Medical Services Act of 2009 S.733-National Trauma Center Stabilization Act of 2009 S.1130-Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 S.1216-Residential Carbon Monoxide Poisoning Prevention Act S.1679-Affordable Health Choices Act S.1681-Health Insurance Industry Antitrust Enforcement Act of 2009 S.1776-Medicare Physician Fairness Act of 2009 S.1796-America's Healthy Future Act S.1781-Reducing Emergency Department Utilization through Coordination and Empowerment (REDUCE) Act

Coverage expansions, quality improvements, delivery system reforsm, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - HR 3200, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes; proposed legislation re these issue. Coverage expansions, quality improvements, delivery system reforms, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - HR 3962, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. Coverage expansions, quality improvements, delivery system reforms, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - 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; S 1796, An original bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. Single-payer health reform - HR 15, To provide a program of national health insurance, and for other purposes; HR 676, To provide for comprehensive health insurance coverage for all United States residents, improved health care delivery, and for other purposes; HR 1200, To provide for health care for every American and to control the cost and enhance the quality of the health care system; S 703, A bill to provide for health care for every American and to control the cost and enhance the quality of the health care system. Essential benefits plan, high-risk pools - HR 109, To provide for the offering of Health Benefit Plans to individuals, to increase funding for State high risk health insurance pools, and to promote best practice protocols for State high risk pools. New government health program - HR 193, To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. FSA rollovers - HR 544, To amend the Internal Revenue Code of 1986 to allow amounts in a health flexible spending arrangement that are unused during a plan year to be carried over to subsequent plan years or deposited into certain health or retirement plans. Data security - HR 2221, To protect consumers by requiring reasonable security policies and procedures to protect computerized data containing personal information, and to provide for nationwide notice in the event of a security breach; S 139, A bill to require Federal agencies, and persons engaged in interstate commerce, in possession of data containing sensitive personally identifiable information, to disclose any breach of such information. Price transparency - HR 2249, To amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs. Association health plans - HR 2607, To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees. High risk pool funding, comparative effectiveness research, HHS programs - HR 3292, To amend title 28, United States Code, to provide for a 6-month period for Federal judges to opt into the Judicial Survivors' Annuities System and begin contributing toward an annuity for their spouse and dependent children upon their death, and for other purposes; HR 3288, Making appropriations for the Departments of Transportation, and Housing and Urban Development, and related agencies for the fiscal year ending September 30, 2010, and for other purposes. Premium subsidies, national marketplace, medical liability reforms, wellness, transparency, quality - HR 3400, To provide for incentives to encourage health insurance coverage, and for other purposes. Incentives for prevention and wellness - HR 3468, To amend the Internal Revenue Code of 1986, the Public Health Service Act, and the Employee Retirement Income Security Act of 1974 to promote the use of prevention and wellness programs. Premium discounts for healthy behavior - HR 3472, To provide for health insurance coverage premium discounts for healthy behavior and improvements toward healthy behavior. Privacy, identity theft - S 1490, A bill to prevent and mitigate identity theft, to ensure privacy, to provide notice of security breaches, and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information. Medical liability reform - HR 1086, To improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; HR 1468, To provide health care liability reform, and for other purposes; S 45, A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; S 1734, A bill to reduce the cost of health care and ensure patient access to doctors by ending excessive malpractice verdicts through common-sense lawsuit reform. Antitrust exemption for physicians - HR 1493, To ensure and foster continued patient safety and quality of care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers. Third-party billing by VA for service-connected disabilities - HR 1658, To amend title 38, United States Code, to prohibit the recovery by the United States of charges from a third party for hospital care or medical services furnished to a veteran for a service-connected disability. Health information technology - S 179, A bill to improve quality in health care by providing incentives for adoption of modern information technology. Pilot projects for State-based health reforms - S 698, A bill to ensure the provision of high-quality health care coverage for uninsured individuals through State health care coverage pilot projects that expand coverage and access and improve quality and efficiency in the health care system. Comparative effectiveness research - HR 2502, To amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Comparative Effectiveness Research Trust Fund, and for other purposes; HR 3002, To protect all patients by prohibiting the use of data obtained from comparative effectiveness research to deny coverage of items or services under Federal health care programs and to ensure that comparative effectiveness research accounts for advancements in personalized medicine and differences in patient treatment response; S 1213, A bill to amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Patient-Centered Outcomes Research Trust Fund, and for other purposes; S 1259, A bill to protect all patients by prohibiting the use of data obtained from comparative effectiveness research to deny coverage of items or services under Federal health care programs and to ensure that comparative effectiveness research accounts for advancements in personalized medicine and differences in patient treatment response. Coverage expansions, quality improvements, delivery system reforms, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - HR 3590, An act entitled The Patient Protection and Affordable Care Act. Extension of COBRA subsidies for the unemployed - HR 2847, Making appropriations for the Departments of Commerce and Justice, and Science, and Related Agencies for the fiscal year ending September 30, 2010, and for other purposes; HR 3326, Making appropriations for the Department of Defense for the fiscal year ending September 30, 2010, and for other purposes. Privacy protections for health information technology - HR 4061, To advance cybersecurity research, development, and technical standards, and for other purposes. Government-run health plan - HR 2668, To provide for the offering of an American Trust Health Plan to provide choice in health insurance options so as to ensure quality, affordable health coverage for all Americans; S 1278, A bill to establish the Consumers Choice Health Plan, a public health insurance plan that provides an affordable and accountable health insurance option for consumers. Fraud and abuse - S 458, A bill to amend the False Claims Act. Wellness incentives - S 913, A bill to amend the Internal Revenue Code of 1986 to expand workplace health incentives by equalizing the tax consequences of employee athletic facility use. Cafeteria plans, flexible spending arrangements - S 988, A bill to amend the Internal Revenue Code of 1986 to allow small businesses to set up simple cafeteria plans to provide nontaxable employee benefits to their employees, to make changes in the requirements for cafeteria plans, flexible spending accounts, and benefits provided under such plans or accounts, and for other purposes. Comprehensive health reform - S 1099, A bill to provide comprehensive solutions for the health care system of the United States, and for other purposes; HR 2520, To provide comprehensive solutions for the health care system of the United States, and for other purposes.

H.R.914, Physician Workforce Enhancement Act of 2009, Physician workforce related issues. H.R.1468, Medical Justice Act of 2009, Medical liability related issues. H.R.936/S.733, National Trauma Center Stabilization Act of 2009, Emergency readiness and trauma related issues. General monitoring on Not-for-profit hospitals charity care and community benefits. S.391, Healthy Americans Act, Health care reform. H.R.193, AmeriCare Health Insurance Act of 2009, Health care reform. H.R.2251/S.973, Resident Physician Shortage Reduction Act of 2009, Physician workforce related issues. Health care reform, Hospital related issues and initiatives. H.R.3200, America's Affordable Health Choices Act of 2009, Hospital related issues and initiatives. S.1679, Affordable Health Choices Act, Hospital related issues and initiatives. S.1640, Take Back Your Health Act of 2009, Hospital related issues and initiatives. H.R.3590, Patient Protection and Affordable Care Act, Hospital related issues and initiatives.

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

HR 525 & S 406 - Association Health Plans. NAIFA opposes exempting AHP's from state benefit, regulatory oversight and solvency laws. S. 1995 allows AHP's to offer only issued plans that are subject to state solvency standards. Some regulatory oversight and an "average" of state mandated coverages. S. 725, HR 1470 - would amend IRC of 1986 to allow self emloyed individuals to deduct health insurance costs in computing self-employment taxes. NAIFA supports. HR 3590 - Provides health care for most americans, controls costs and enhances health care system quality. NAIFA remains concerned that this proposal will increase costs to families and businesses. HR 1558, S. 623, HR 1092 - Amends title I of ERISA, title XXVII of the Public Service Act & IRC of 1986 to prohibit preexisting condition exclusions in group health plans and in health coverage in the group and individual markets. NAIFA opposes. S 207 - Amend the IRC of 1986 to allow deduction for health insurance premiums. NAIFA supports. HR 176 & HR 1177 - would allow unused flexible spending arrangement funds to be carried over to the next year. NAIFA & AHIA favors this option. HR 27 - An "Above the line" deduction for "higher deductible" health plans coupled with HSA's. NAIFA supports. S.4 the Health American Act. NAIFA supports many provisions but concerned over the bills support for AHPs. HR 37, S. 978, HR 1872, HR 2063, HR 3873 creates Health Savings Accounts. NAIFA supports. HR 3511, S. 1569. NAIFA supports allowing states to establish LTC partnerships. HR 6331 - Would cut funding for Medicare Advantage - NAIFA opposes. HR 2096 & S. 702 - The Long-Term Care Affordability and Security Act of 2009 expands the authority under IRC Sectioin 125 that allows individuals to pay for certain benefits offered through cafeteria plans and/or flexible spending arrangement s with pre-tax dollars. AHIA & NAIFA support. HR 897 - Allows for Long Term Care insurance to be offered through cafeteria plans and/or FSA's as well as creates an above the line deduction for LTC premiums and provides a tax credit for caregivers. NAIFA & AHIA support. S. 93 - A bill to provide quality affordable health insurance for small employers and individuals. S.82 - A bill to amend title XXI of the Social Security Act to reauthorize the State Children's Health Insurance Program, to limit income eligibility expansions under that program until the lowest income eligible individuals are enrolled, and for other purposes. NAIFA supports. S. 45 - A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system. NAIFA supports. HR 1468 - To provide health care liability reform, and for other purposes. NAIFA supports. HR 1413 - To amend the Internal Revenue Code of 1986 to allow certain public employees a deductioin for distributions from governmental plans for health and long-term care insurance,and for other purposes. NAIFA supports. HR 1279 - To amend the Internal Revenue Code of 1986 to increase the contribution limits to dependent care flexible spending accounts and to provide for a carryover of unused dependent care benefits. NAIFA supports. S. 1177 - Confidence in Long Term Care Insurance Act would instruct the Health and Human Services Department to ask the NAIC to collect data and also create a website called "LTC Insurance Compare" to help consumers research long term care insurance. NAIFA supports. HR 563 - To amend title XXI of the Social Security Act to require States to provide priority under the State Children's Health Insurance Program (SCHIP) to children in families with gross income below 200 percent of the Federal poverty level. NAIFA supports. HR 542 - To amend titles XIX and XXI of the Social Security Act to permit States to rely on findings from an express plan agency to conduct simplified eligibility determinations under Medicaid and the State Children's Health Insurance Program. NAIFA supports. HR 198 - To amend the Internal Revenue Code of 1986 to allow a deduction for amounts paid for health insurance and prescription drug costs of individuals. NAIFA supports. HR 194 - To amend the Social Security Act to guarantee comprehensive health care coverage for all children born after 2009, and for other purposes. NAIFA opposes. HR 109 - To provide for the offering of Health Benefit Plans to individuals, to increase funding for State high risk health insurance pools, and to promote best practice protocols for State high risk pools. NAIFA supports. HR 15 - To provide a program of national health insurance, and for other purposes. NAIFA opposes. HR 2 - To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. NAIFA opposes. S 94 - A bill to amend the Internal Revenue Code of 1986 to provide for a nonrefundable tax credit for long-term care insurance premiums. NAIFA supports. HR 1891 - To amend the Internal Revenue Code of 1986 to allow an above-the-line deduction for half of an individual's long-term care insruance premiums. NAIFA supports. HR 897 - To amend the Internal Revenue Code of 1986 to allow individuals a deduction for qualified long-term care insurance premiums, use of such insurance under cafeteria plans and flexible spending arrangements, and a credit for individuals with long-term care needs. NAIFA supports.

Monitoring issues related to healthcare; entire bills of the following: H.R. 1797, Compete Act of 2009 H.R. 1583, Insurance Industry Competition Act of 2009 Healthy Mothers and Healthy Babies Access to Care Act (formerly S. 244) H.R.2975, Medical Practice Protection Act of 2009 H.R. 568 / S. 246, Veterans Health Care Quality Improvement Act H.R. 3400, Empowering Patients First Act S. 45, MCAP Act S. 391 / H.R.1321, Healthy Americans Act H.R. 1495, Comprehensive HealthCARE Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 H.R. 1468, Medical Justice Act of 2009 H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act Monitoring issues related to healthcare; entire bills of the following: H.R. 3590, Service Members Home Ownership Tax Act of 2009 With specific attention to: Sec. 3512 Monitoring issues related to healthcare; entire bills of the following: H.R. 3962, Affordable Health Care for America Act, Indian Health Care Improvement Act Amendments of 2009 With specific attention to: Sec. 2531, Sec. 261, Sec. 262

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE