Quality Health Care Coalition Act of 2009

H.R. 1493 - Quality Health Care Coalition Act of 2009: Ensure patient access to quality health care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers.

Client expense: $383,614 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE

H.R. 1493 - Quality Health Care Coalition Act of 2009: Ensure patient access to quality health care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers.

Client expense: $507,846 · Firm income: Not reported

H.R. 1493- Quality Health Care Coalition Act of 2009: Ensure patient access to quality health care by exempting health care professionals form the Federal antitrust laws in their negotiations with health plans and health insurance issuers

Client expense: $286,383 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

H.R. 1493 - Quality Health Care Coalition Act of 2009: Ensure patient access to quality health care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers.

Client expense: $428,017 · Firm income: Not reported

H.R. 1493 - Quality Health Care Coalition Act of 2009: Ensure patient access to quality health care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers.

Client expense: $286,383 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

H.R. 1493 - Quality Health Care Coalition Act of 2009: Ensure patient access to quality health care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers.

Client expense: $331,937 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

H.R. 1493 - Quality Health Care Coalition Act of 2009: Ensure patient access to quality health care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers.

Client expense: $352,625 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

FY11 appropriations for Agriculture (S3606, SR 111-221); Commerce, Justice, Science (S3636, SR 111-229); Defense (S3800, SR 111-295); EPA, Education, Health, Human Services (S3686, SR 111-293), NASA, SBA (S3677, SR 111-238), Energy; Homeland Security (S3607, SR 111-222); Budget Resolution (HR1493, SConRes 60); S Amendment to H3081 1st Continuing Resolution, HJRes101 2nd Continuing Resolution, HJRes105 3rd Continuing Resolution, H3082 4th Continuing Appropriations Act, 2011.

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

Government targets: Agriculture, Dept of (USDA), Federal Railroad Administration, HOUSE OF REPRESENTATIVES, SENATE

FY11 appropriations for Agriculture (S3606, SR 111-221); Commerce, Justice, Science (S3636, SR 111-229); Defense (S3800, SR 111-295); EPA, Education, Health, Human Services (S3686, SR 111-293), NASA, SBA (S3677, SR 111-238), Energy; Homeland Security (S3607, SR 111-222); Budget Resolution (HR1493, SConRes 60).

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

Government targets: Agriculture, Dept of (USDA), Federal Railroad Administration, HOUSE OF REPRESENTATIVES, SENATE

S 1796, S 1679, HR 3962, HR 3590 (Health Care Reform). HR 1204 (Antitrust exemption for pharmacists) HR 1493 (Antitrust exemption for physicians) HR 1 (COBRA coverage subsidy; comparative effectiveness, wellness, HIT). HR 1427/S 726/ HR 1548 (FDA PAthway to approve generic Biopharmaceutical medicines). S. 369/HR 1706 (Generic/brand settlements). S. 93 (establish FEHBP for small employers) S. 391/H.R. 1321 (National health) H.R. 676/S. 703 (single payer); PL 111-148; PL 111-152.

Client expense: $1,641,400 · Firm income: Not reported

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

H.R. 1493 - Quality Health Care Coalition Act of 2009: Ensure patient access to quality health care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers.

Client expense: $674,373 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE

H.R. 1493 - Quality Health Care Coalition Act of 2009: Ensure patient access to quality health care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers.

Client expense: $674,373 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE

HR 1409 and S 560 Employee Free Choice Act , all provisions to amend the National Labor Relations Act to establish an efficient system to enable employees to form, join, or assist labor organizations, to provide for mandatory injunctions for unfair labor practices during organizing efforts, and for other purposes; RESPECT Act, all provisions to amend the National Labor Relations Act to clarify the definition of `supervisor' for purposes of such Act; HR 1355 National Labor Relations Modernization Act, provisions related to interest arbitration for first contracts; enhanced employer penalties for certain NLRA violations or alleged violations; and a provision designed to give unions greater access to employees at the employers property; HR 1493 Quality Health Care Coalition Act of 2009, a bill 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; HR 1176 and S 478 The Secret Ballot Protection Act, to amend the National Labor Relations Act to ensure the right of employees to a secret-ballot election conducted by the National Labor Relations Board; S 1681 and HR 3596 Health Insurance Industry Antitrust Enforcement Act of 2009, a bill to ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers; S. 1788 and HR 2381 Nurse and Health Care Worker Protection Act of 2009, the bill requires the Secretary of Labor to propose a standard on safe patient handling and injury prevention to prevent musculoskeletal disorders for direct-care registered nurses and all other health care workers that requires the use of engineering controls to lift patients and the elimination of manual lifting of patients through the use of mechanical devices, except where patient care may be compromised; HR 5687 Underserved Area Nursing Relief Restoration Act of 2010, to extend changes to requirements for admission of nonimmigrant nurses in health professional shortage areas made by the Nursing Relief for Disadvantaged Areas Act of 1999.

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. 3082, Continuing Appropriations and Surface Transportation Extensions Act (Edwards) continuing resolution with temporary funding for HHS programs and agencies; 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. 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. 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. 510, FDA Food Safety Modernization Act (Durbin) amendments on employer reporting requirements; 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; and S. 3742, Data Security and Breach Notification Act (Pryor) data security, privacy; and S. 3946, Small Business Paperwork Relief Act (Baucus) employer reporting requirement. HCR (Regulatory Issues): HIPAA administrative simplification issues, including standards for privacy, security, electronic transactions and code sets, identifiers, and enforcement; 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, electronic health records, personal health records, and similar technologies; 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 regarding application of service provider contract rules; medical loss ratios; review of rates for reasonableness; health insurance exchanges; preexisting 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.

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.

H. Con. Res. 85: Setting forth the congressional budget for the United States Government for fiscal year 2010 and including the appropriate budgetary levels for fiscal years 2009 and 2011 through 2014. H.R. 1: American Recovery and Reinvestment Act of 2009 H.R. 1105: Omnibus Appropriations Act, 2009 S. Con. Res. 13: An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2010, revising the appropriate budgetary levels for fiscal year 2009, and setting forth the appropriate budgetary levels for fiscal years 2011 through 2014. S. 1: American Recovery and Reinvestment Act of 2009 H.R. 2997: Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2010 S. 1406: Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2010 H.R. 2847: Commerce, Justice, Science, and Related Agencies Appropriations Act, 2010 H.R. 2996: Department of the Interior, Environment, and Related Agencies Appropriations Act, 2010 H.R. 3081: Making appropriations for the Department of State, foreign operations, and related programs for the fiscal year ending September 30, 2010, and for other purposes. S. 1434: Appropriations for State, Foreign & related agencies for 2010 H.R. 3326: Appropriations for Department of Defense 2010 H.R. 3082: Military Construction and Veterans Affairs and Related Agencies Appropriations Act 2010 S. 1407: Military Construction and Veterans Affairs and Related Agencies Appropriations Act 2010 H.R. 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. H.R. 2892: Department of Homeland Security Appropriations Act, 2010 S. 1298: Department of Homeland Security Appropriations Act, 2010 H.R.1586: Education jobs and Medicaid funding bill (identified by CRS) S.A 4575: FY2010 Supplemental Education, Jobs and Medicaid Assistance H.R. 4899: FY2010 Supplemental Disaster Relief and Summer Jobs S. Amend. To H.R. 3081: Continuing Resolution through 12/3/10 S. 3606: Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2011 S. 3676: State/Foreign Operations Appropriations Act, 2011 H.R. 5850: Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2011 S. 3644: Transportation/HUD Appropriations Act, 2011 S. 3607: Homeland Security Appropriations Act, 2011 S.3635 Energy and Water Development and Related Agencies Appropriations Act, 2011 H.R. 1493: Quality Health Care Coalition Act of 2009 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. S. 3686: Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2011 H.R.3081: Continuing Appropriations Act, 2011 H.R. 3082: Continuing Appropriations and Surface Transportation Extensions Act, 2011 H.J. Res. 101: Making further continuing appropriations for fiscal year 2011, and for other purposes. H.J. Res. 105: Making further continuing appropriations for fiscal year 2011, and for other purposes.

HR 1204 (Antitrust exception for Pharmacists). HR 1493 (Antitrust exemption for physicians). HR 1 (COBRA coverage subsidy; comparative effectiveness, wellness, HIT finding and privacy). HR 1427/S. 726/ HR 1548 (FDA pathwqy to approve generic Biopharmaceutical medicines). S. 369/HR 1706 (generic/brand "settlements"). S. 93 (establish FEHBP for small employers. S. 391/ HR 1321 (National health insurance). HR 676/S. 703 (single-payer health plan) HR 193 (Medicare "for all"). A. 1796, S. 1679 (Health Care Reform); HR 676/S. 703 (Single payer): PL 111-148; PL 111-152.

Client expense: $998,150 · Firm income: Not reported

FY11 appropriations for Agriculture (S3606, SR 111-221); Commerce, Justice, Science (S3636, SR 111-229); Defense (S3800, SR 111-295); EPA, Education, Health, Human Services (S3686, SR 111-293), NASA, SBA (S3677, SR 111-238), Energy; Homeland Security (S3607, SR 111-222); Budget Resolution (HR1493, SConRes 60); S Amendment to H3081 1st Continuing Resolution, HJRes101 2nd Continuing Resolution, HJRes105 3rd Continuing Resolution, H3082 4th Continuing Appropriations Act, 2011.

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

Government targets: Agriculture, Dept of (USDA), Federal Railroad Administration, HOUSE OF REPRESENTATIVES, SENATE

H.R. 1493 - Quality Health Care Coalition Act of 2009: Ensure patient access to quality health care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers.

Client expense: $573,687 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

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.

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.

HR 1409 and S 560 Employee Free Choice Act , all provisions to amend the National Labor Relations Act to establish an efficient system to enable employees to form, join, or assist labor organizations, to provide for mandatory injunctions for unfair labor practices during organizing efforts, and for other purposes; RESPECT Act, all provisions to amend the National Labor Relations Act to clarify the definition of `supervisor' for purposes of such Act; HR 1355 National Labor Relations Modernization Act, provisions related to interest arbitration for first contracts; enhanced employer penalties for certain NLRA violations or alleged violations; and a provision designed to give unions greater access to employees at the employers property; HR 1493 Quality Health Care Coalition Act of 2009, a bill 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; HR 1176 and S 478 The Secret Ballot Protection Act, to amend the National Labor Relations Act to ensure the right of employees to a secret-ballot election conducted by the National Labor Relations Board; Discussion with DOJ about AHA white paper on Clinical Integration and antitrust barriers to clinical integration; Discussions with DOJ about the implications for hospitals of insurance industry mergers; S 1681 and HR 3596 Health Insurance Industry Antitrust Enforcement Act of 2009, a bill to ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers; S. 1788 and HR 2381 Nurse and Health Care Worker Protection Act of 2009, the bill requires the Secretary of Labor to propose a standard on safe patient handling and injury prevention to prevent musculoskeletal disorders for direct-care registered nurses and all other health care workers that requires the use of engineering controls to lift patients and the elimination of manual lifting of patients through the use of mechanical devices, except where patient care may be compromised; HR 5687Underserved Area Nursing Relief Restoration Act of 2010, to extend changes to requirements for admission of nonimmigrant nurses in health professional shortage areas made by the Nursing Relief for Disadvantaged Areas Act of 1999.

H. Con. Res. 85: Setting forth the congressional budget for the United States Government for fiscal year 2010 and including the appropriate budgetary levels for fiscal years 2009 and 2011 through 2014. H.R. 1: American Recovery and Reinvestment Act of 2009 H.R. 1105: Omnibus Appropriations Act, 2009 S. Con. Res. 13: An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2010, revising the appropriate budgetary levels for fiscal year 2009, and setting forth the appropriate budgetary levels for fiscal years 2011 through 2014. S. 1: American Recovery and Reinvestment Act of 2009 H.R. 2997: Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2010 S. 1406: Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2010 H.R. 2847: Commerce, Justice, Science, and Related Agencies Appropriations Act, 2010 H.R. 2996: Department of the Interior, Environment, and Related Agencies Appropriations Act, 2010 H.R. 3081: Making appropriations for the Department of State, foreign operations, and related programs for the fiscal year ending September 30, 2010, and for other purposes. S. 1434: Appropriations for State, Foreign & related agencies for 2010 H.R. 3326: Appropriations for Department of Defense 2010 H.R. 3082: Military Construction and Veterans Affairs and Related Agencies Appropriations Act 2010 S. 1407: Military Construction and Veterans Affairs and Related Agencies Appropriations Act 2010 H.R. 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. H.R. 2892: Department of Homeland Security Appropriations Act, 2010 S. 1298: Department of Homeland Security Appropriations Act, 2010 H.R.1586: Education jobs and Medicaid funding bill (identified by CRS) S.A 4575: FY2010 Supplemental Education, Jobs and Medicaid Assistance H.R. 4899: FY2010 Supplemental Disaster Relief and Summer Jobs S. Amend. To H.R. 3081: Continuing Resolution through 12/3/10 S. 3606: Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2011 S. 3676: State/Foreign Operations Appropriations Act, 2011 H.R. 5850: Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2011 S. 3644: Transportation/HUD Appropriations Act, 2011 S. 3607: Homeland Security Appropriations Act, 2011 S.3635 Energy and Water Development and Related Agencies Appropriations Act, 2011 H.R. 1493: Quality Health Care Coalition Act of 2009 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. S. 3686: Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2011

HR 1204 (Antitrust exception for Pharmacists). HR 1493 (Antitrust exemption for physicians). HR 1 (COBRA coverage subsidy; comparative effectiveness, wellness, HIT finding and privacy). HR 1427/S. 726/ HR 1548 (FDA pathwqy to approve generic Biopharmaceutical medicines). S. 369/HR 1706 (generic/brand "settlements"). S. 93 (establish FEHBP for small employers. S. 391/ HR 1321 (National health insurance). HR 676/S. 703 (single-payer health plan) HR 193 (Medicare "for all"). A. 1796, S. 1679 (Health Care Reform); HR 676/S. 703 (Single payer): PL 111-148; PL 111-152.

Client expense: $638,299 · Firm income: Not reported

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

FY11 appropriations for Agriculture (S3606, SR 111-221); Commerce, Justice, Science (S3636, SR 111-229); Defense (S3800, SR 111-295); EPA, Education, Health, Human Services (S3686, SR 111-293), NASA, SBA (S3677, SR 111-238), Energy; Homeland Security (S3607, SR 111-222); Budget Resolution (HR1493, SConRes 60).

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

Government targets: Agriculture, Dept of (USDA), Federal Railroad Administration, HOUSE OF REPRESENTATIVES, SENATE

HR 462Children's Dental Health Insurance Act Vaccines Patient Protection Act Health Care Reform H.R. 1508/S.537Medical Records Privacy S. Con. Res 25 Children's Access to Health Insurance HR 2607/S. 1240 Association Health Plans S. 93 Small Business Health Plans H.R. 1493, H.R. 2708 Indian Health Improvement Act Children's Health Insurance Accountability Act HR. 194/ S. 958 Medikids Health Coverage, Affordability, Responsibility Equity (CARE) Act HR. 2607 Small Business Health Fairness Act Children's Access to Vision Care Act Health Savings Account (HSAs) H.R. 1321/S. 391Healthy Americans Act H.R. 193Americare Act H.R. 2413/S.819 Autism Treatment Acceleration Act of 2009 HR 1339/S. 1235 Children's Access to Reconstructive Evaluation and Surgery (CARES) Act HR 3590 The Patient Protection and Affordable Care Act HR 3962 To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes

Client expense: $56,833 · Firm income: Not reported

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. 1493 - Quality Health Care Coalition Act of 2009: Ensure patient access to quality health care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers.

Client expense: $439,000 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

HR 1409 and S 560 Employee Free Choice Act , all provisions to amend the National Labor Relations Act to establish an efficient system to enable employees to form, join, or assist labor organizations, to provide for mandatory injunctions for unfair labor practices during organizing efforts, and for other purposes; RESPECT Act, all provisions to amend the National Labor Relations Act to clarify the definition of `supervisor' for purposes of such Act; HR 1355 National Labor Relations Modernization Act, provisions related to interest arbitration for first contracts; enhanced employer penalties for certain NLRA violations or alleged violations; and a provision designed to give unions greater access to employees at the employers property; HR 1493 Quality Health Care Coalition Act of 2009, a bill 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; HR 1176 and S 478 The Secret Ballot Protection Act, to amend the National Labor Relations Act to ensure the right of employees to a secret-ballot election conducted by the National Labor Relations Board; Discussion with DOJ about AHA white paper on Clinical Integration and antitrust barriers to clinical integration; Discussions with DOJ about the implications for hospitals of insurance industry mergers; S 1681 and HR 3596 Health Insurance Industry Antitrust Enforcement Act of 2009, a bill to ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers; S. 1788 and HR 2381 Nurse and Health Care Worker Protection Act of 2009, the bill requires the Secretary of Labor to propose a standard on safe patient handling and injury prevention to prevent musculoskeletal disorders for direct-care registered nurses and all other health care workers that requires the use of engineering controls to lift patients and the elimination of manual lifting of patients through the use of mechanical devices, except where patient care may be compromised.

HR 1204 (Antitrust exception for Pharmacists). HR 1493 (Antitrust exemption for physicians). HR 1 (COBRA coverage subsidy; comparative effectiveness, wellness, HIT finding and privacy). HR 1427/S. 726/ HR 1548 (FDA pathwqy to approve generic Biopharmaceutical medicines). S. 369/HR 1706 (generic/brand "settlements"). S. 93 (establish FEHBP for small employers. S. 391/ HR 1321 (National health insurance). HR 676/S. 703 (single-payer health plan) HR 193 (Medicare "for all"). A. 1796, S. 1679 (Health Care Reform); HR 676/S. 703 (Single payer): PL 111-148; PL 111-152.

Client expense: $1,568,045 · Firm income: Not reported

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

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.

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.

HR 1409 and S 560 Employee Free Choice Act , all provisions to amend the National Labor Relations Act to establish an efficient system to enable employees to form, join, or assist labor organizations, to provide for mandatory injunctions for unfair labor practices during organizing efforts, and for other purposes; RESPECT Act, all provisions to amend the National Labor Relations Act to clarify the definition of `supervisor' for purposes of such Act; HR 1355 National Labor Relations Modernization Act, provisions related to interest arbitration for first contracts; enhanced employer penalties for certain NLRA violations or alleged violations; and a provision designed to give unions greater access to employees at the employers property; HR 1493 Quality Health Care Coalition Act of 2009, a bill 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; HR 1176 and S 478 The Secret Ballot Protection Act, to amend the National Labor Relations Act to ensure the right of employees to a secret-ballot election conducted by the National Labor Relations Board; Discussion with DOJ about AHA white paper on Clinical Integration and antitrust barriers to clinical integration; Discussions with DOJ about the implications for hospitals of insurance industry mergers; S 1681 and HR 3596 Health Insurance Industry Antitrust Enforcement Act of 2009, a bill to ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers; S. 1788 and HR 2381 Nurse and Health Care Worker Protection Act of 2009, the bill requires the Secretary of Labor to propose a standard on safe patient handling and injury prevention to prevent musculoskeletal disorders for direct-care registered nurses and all other health care workers that requires the use of engineering controls to lift patients and the elimination of manual lifting of patients through the use of mechanical devices, except where patient care may be compromised.

Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.1204 - Community Pharmacy Fairness Act of 2009, all titles H.R.1493 - Quality Health Care Coalition Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009 H.R. 3962 Affordable Health Care for America Act H.R. 3590 Patient Protection and Affordable Care Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.1204 - Community Pharmacy Fairness Act of 2009, all titles H.R.1493 - Quality Health Care Coalition Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009 H.R. 3962 Affordable Health Care for America Act H.R. 3590 Patient Protection and Affordable Care Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R. 1493 - Quality Health Care Coalition Act of 2009: Ensure patient access to quality health care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers.

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

Government targets: Food & Drug Administration (FDA), 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.

S 1796, S 1679, HR 3962, HR 3590 (Health Care Reform). HR 1204 (Antitrust exemption for pharmacists) HR 1493 (Antitrust exemption for physicians) HR 1 (COBRA coverage subsidy; comparative effectiveness, wellness, HIT). HR 1427/S 726/ HR 1548 (FDA PAthway to approve generic Biopharmaceutical medicines). S. 369/HR 1706 (Generic/brand settlements). S. 93 (establish FEHBP for small employers) S 391/HR 1321 (National health) HR 676/S. 703 (single payer); PL 111-148; PL 111-152.

Client expense: $1,641,400 · Firm income: Not reported

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

HR 462Children's Dental Health Insurance Act Vaccines Patient Protection Act Genetic Information Nondiscrimination Act (HR 493, HR 1424/S. 358) H.R. 1508/S.537Medical Records Privacy S. Con. Res 25 Children's Access to Health Insurance HR 2607/S. 1240 Association Health Plans S. 93 Small Business Health Plans H.R. 1493, H.R. 2708 Indian Health Improvement Act Children's Health Insurance Accountability Act HR. 194/ S. 958 Medikids Health Coverage, Affordability, Responsibility Equity (CARE) Act HR. 2607 Small Business Health Fairness Act Children's Access to Vision Care Act Health Savings Account (HSAs) H.R. 1321/S. 391Healthy Americans Act H.R. 193Americare Act H.R. 2413/S.819 Autism Treatment Acceleration Act of 2009 HR 1339/S. 1235 Children's Access to Reconstructive Evaluation and Surgery (CARES) Act HR 3590 The Patient Protection and Affordable Care Act HR 3962 To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes

Client expense: $91,142 · Firm income: Not reported

H.R. 1493 - Quality Health Care Coalition Act of 2009: Ensure patient access to quality health care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers.

Client expense: $620,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE

Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.1204 - Community Pharmacy Fairness Act of 2009, all titles H.R.1493 - Quality Health Care Coalition Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009 H.R. 3962 Affordable Health Care for America Act H.R. 3590 Patient Protection and Affordable Care Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Implementation of Medicare Improvements for Patients and Providers Act of 2008 H.Con.Res.85 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles H.R.1 - American Recovery and Reinvestment Act of 2009, all titles H.R.1204 - Community Pharmacy Fairness Act of 2009, all titles H.R.1493 - Quality Health Care Coalition Act of 2009, all titles H.R.3200 - America's Affordable Health Choices Act of 2009, all titles S.Con.Res.13 - Concurrent Resolution on the Budget for Fiscal Year 2010, all titles S.1796 - America's Healty Future Act of 2009 H.R. 3962 Affordable Health Care for America Act H.R. 3590 Patient Protection and Affordable Care Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

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.

HR 1409 and S 560 Employee Free Choice Act , all provisions to amend the National Labor Relations Act to establish an efficient system to enable employees to form, join, or assist labor organizations, to provide for mandatory injunctions for unfair labor practices during organizing efforts, and for other purposes; RESPECT Act, all provisions to amend the National Labor Relations Act to clarify the definition of `supervisor' for purposes of such Act; HR 1355 National Labor Relations Modernization Act, provisions related to interest arbitration for first contracts; enhanced employer penalties for certain NLRA violations or alleged violations; and a provision designed to give unions greater access to employees at the employers property; HR 1493 Quality Health Care Coalition Act of 2009, a bill 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; HR 1176 and S 478 The Secret Ballot Protection Act, to amend the National Labor Relations Act to ensure the right of employees to a secret-ballot election conducted by the National Labor Relations Board; Discussion with DOJ about AHA white paper on Clinical Integration and antitrust barriers to clinical integration; Discussions with DOJ about the implications for hospitals of insurance industry mergers; S 1681 and HR 3596 Health Insurance Industry Antitrust Enforcement Act of 2009, a bill to ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers.

Client expense: $5,400,000 · Firm income: Not reported

S 1796, S 1679, HR 3962, HR 3590 (Health Care Reform). HR 1204 (Antitrust exemption for pharmacists) HR 1493 (Antitrust exemption for physicians) HR 1 (COBRA coverage subsidy; comparative effectiveness, wellness, HIT). HR 1427/S 726/ HR 1548 (FDA PAthway to approve generic Biopharmaceutical medicines). S. 369/HR 1706 (Generic/brand settlements). S. 93 (establish FEHBP for small employers) S 391/HR 1321 (National health insurance) HR 676/S. 703 (single payer health plan)

Client expense: $802,573 · Firm income: Not reported

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