Comprehensive Health Care Reform Act of 2009

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

IRS Discussion about the treatment of hospital foundations in terms of 990, Schedule H; HR 3478 Patient-Controlled Healthcare Protection Act of 2009, bill to amend the Internal Revenue Code of 1986 to modify rules relating to health savings accounts, to provide payments for a health savings account and for a high deductible health plan instead of entitlement to benefits under Medicare, Medicaid, and SCHIP, to give more control and coverage to patients, to lower health care costs through increased price transparency and to require immigrants to have a health savings account and high deductible health coverage at time of admission; HR 1087 ADOPT HIT Act of 2009, a bill to amend the Internal Revenue Code of 1986 to increase the deduction under section 179 for the purchase of qualified health care information technology by medical care providers, and for other purposes; HR 1495 Comprehensive Health Care Reform Act of 2009, a bill to amend the Internal Revenue Code of 1986 to make health care coverage more accessible and affordable; HR 1496 Child Health Care Affordability Act, a bill to amend the Internal Revenue Code of 1986 to allow individuals a credit against income tax for medical expenses for dependents; HR 1497 Treat Physicians Fairly Act of 2009, a bill to amend the Internal Revenue Code of 1986 to allow medical care providers a credit against income tax for uncompensated emergency medical care and to allow hospitals a deduction for such care; S 860 Health Professionals State Loan Repayment Tax Relief Act of 2009, a bill to amend the Internal Revenue Code of 1986 to provide a Federal income tax exclusion for assistance provided to participants in State student loan programs for certain health professionals; HR 2292 Healthy Kids for Healthy Futures Act of 2009, a bill to amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to require coverage of preventive care for children; H.R. 3205 Health Insurance Company Advertising Deduction Denial Act of 2009, a bill to amend the Internal Revenue Code of 1986 to deny any deduction for advertising health insurance; HR 3610 Health Savings and Affordability Act of 2009, a bill to amend the Internal Revenue Code of 1986 to improve access to health care by allowing a deduction for the health insurance costs of individuals, expanding health savings accounts; Letter to IRS urging the Internal Revenue Service to improve its new Schedule H to better reflect the benefits non-profit hospitals systems provide to their communities.

Support client's efforts to advance environmental infrastructure, coastal restoration, drainage and flood control projects, including water and wastewater treatment system improvements, in Mississippi (DeSoto County, Pearl River Basin and Town of Pelahatchie), Louisiana (Lincoln/Union Parish), and Indiana (River Ridge Development Center), as well as a digital earth model mapping program in Mississippi. Legislation of interest includes the FY 2011 Agriculture Appropriations Bill, the FY 2011 Energy and Water Development Appropriations Bill, the FY 2011 Interior and Environment Appropriations Bill, the FY 2011 Commerce-Justice-Science Appropriations Bill, new economic stimulus and recovery legislation emphasizing jobs creation, and implementation of the Water Resources Development Act of 2007 (H.R. 1495; P.L. 110-114).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Seek funding for rehabilitation of the City's water and sewer systems, as well as flood control and drainage efforts. Legislation of interest includes the FY 2011 Energy and Water Development Appropriations Bill, the FY 2011 Agriculture Appropriations Bill, the FY 2011 Interior-Environment Appropriations Bill, and implementation of the Water Resources Development Act of 2007 (H.R. 1495; P.L. 110-114).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Conveyance of land acquisition authorized in Water Resources Development Act (H.R. 1495, which became Public Law No. 110-114); U.S. Army Corps implementation; new authorization in WRDA

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

IRS Discussion about the treatment of hospital foundations in terms of 990, Schedule H; HR 3478 Patient-Controlled Healthcare Protection Act of 2009, bill to amend the Internal Revenue Code of 1986 to modify rules relating to health savings accounts, to provide payments for a health savings account and for a high deductible health plan instead of entitlement to benefits under Medicare, Medicaid, and SCHIP, to give more control and coverage to patients, to lower health care costs through increased price transparency and to require immigrants to have a health savings account and high deductible health coverage at time of admission; HR 1087 ADOPT HIT Act of 2009, a bill to amend the Internal Revenue Code of 1986 to increase the deduction under section 179 for the purchase of qualified health care information technology by medical care providers, and for other purposes; HR 1495 Comprehensive Health Care Reform Act of 2009, a bill to amend the Internal Revenue Code of 1986 to make health care coverage more accessible and affordable; HR 1496 Child Health Care Affordability Act, a bill to amend the Internal Revenue Code of 1986 to allow individuals a credit against income tax for medical expenses for dependents; HR 1497 Treat Physicians Fairly Act of 2009, a bill to amend the Internal Revenue Code of 1986 to allow medical care providers a credit against income tax for uncompensated emergency medical care and to allow hospitals a deduction for such care; S 860 Health Professionals State Loan Repayment Tax Relief Act of 2009, a bill to amend the Internal Revenue Code of 1986 to provide a Federal income tax exclusion for assistance provided to participants in State student loan programs for certain health professionals; HR 2292 Healthy Kids for Healthy Futures Act of 2009, a bill to amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to require coverage of preventive care for children; H.R. 3205 Health Insurance Company Advertising Deduction Denial Act of 2009, a bill to amend the Internal Revenue Code of 1986 to deny any deduction for advertising health insurance; HR 3610 Health Savings and Affordability Act of 2009, a bill to amend the Internal Revenue Code of 1986 to improve access to health care by allowing a deduction for the health insurance costs of individuals, expanding health savings accounts; Letter to IRS urging the Internal Revenue Service to improve its new Schedule H to better reflect the benefits non-profit hospitals provide to their communities.

Support client's efforts to advance environmental infrastructure, drainage and flood control projects, including water and wastewater treatment system improvements, in Mississippi (DeSoto County, Pearl River Basin and Town of Pelahatchie), Louisiana (Lincoln/Union Parish), and Indiana (River Ridge Development Center), as well as a digital earth model mapping program in Mississippi. Legislation of interest includes the FY 2011 Agriculture Appropriations Bill, the FY 2011 Energy and Water Development Appropriations Bill, the FY 2011 Interior and Environment Appropriations Bill, the FY 2011 Commerce-Justice-Science Appropriations Bill, new economic stimulus and recovery legislation emphasizing jobs creation, and implementation of the Water Resources Development Act of 2007 (H.R. 1495; P.L. 110-114).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

Seek funding for rehabilitation of the City's water and sewer systems, as well as flood control and drainage efforts. Legislation of interest includes the FY 2011 Energy and Water Development Appropriations Bill, the FY 2011 Agriculture Appropriations Bill, and implementation of the Water Resources Development Act of 2007 (H.R. 1495; P.L. 110-114).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Conveyance of land acquisition authorized in Water Resources Development Act (H.R. 1495, which became Public Law No. 110-114); U.S. Army Corps implementation; new authorization in WRDA

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

IRS Discussion about the treatment of hospital foundations in terms of 990, Schedule H; HR 3478 Patient-Controlled Healthcare Protection Act of 2009, bill to amend the Internal Revenue Code of 1986 to modify rules relating to health savings accounts, to provide payments for a health savings account and for a high deductible health plan instead of entitlement to benefits under Medicare, Medicaid, and SCHIP, to give more control and coverage to patients, to lower health care costs through increased price transparency and to require immigrants to have a health savings account and high deductible health coverage at time of admission; HR 1087 ADOPT HIT Act of 2009, a bill to amend the Internal Revenue Code of 1986 to increase the deduction under section 179 for the purchase of qualified health care information technology by medical care providers, and for other purposes; HR 1495 Comprehensive Health Care Reform Act of 2009, a bill to amend the Internal Revenue Code of 1986 to make health care coverage more accessible and affordable; HR 1496 Child Health Care Affordability Act, a bill to amend the Internal Revenue Code of 1986 to allow individuals a credit against income tax for medical expenses for dependents; HR 1497 Treat Physicians Fairly Act of 2009, a bill to amend the Internal Revenue Code of 1986 to allow medical care providers a credit against income tax for uncompensated emergency medical care and to allow hospitals a deduction for such care; S 860 Health Professionals State Loan Repayment Tax Relief Act of 2009, a bill to amend the Internal Revenue Code of 1986 to provide a Federal income tax exclusion for assistance provided to participants in State student loan programs for certain health professionals; HR 2292 Healthy Kids for Healthy Futures Act of 2009, a bill to amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to require coverage of preventive care for children; H.R. 3205 Health Insurance Company Advertising Deduction Denial Act of 2009, a bill to amend the Internal Revenue Code of 1986 to deny any deduction for advertising health insurance; HR 3610 Health Savings and Affordability Act of 2009, a bill to amend the Internal Revenue Code of 1986 to improve access to health care by allowing a deduction for the health insurance costs of individuals, expanding health savings accounts.

Conveyance of land acquisition authorized in Water Resources Development Act (H.R. 1495, which became Public law No. 110-114); U.S. Army Corps implementation; new authorization in WRDA

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

Government targets: Army, Dept of (Corps of Engineers), HOUSE OF REPRESENTATIVES, SENATE

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

IRS Discussion about the treatment of hospital foundations in terms of 990, Schedule H; HR 3478 Patient-Controlled Healthcare Protection Act of 2009, bill to amend the Internal Revenue Code of 1986 to modify rules relating to health savings accounts, to provide payments for a health savings account and for a high deductible health plan instead of entitlement to benefits under Medicare, Medicaid, and SCHIP, to give more control and coverage to patients, to lower health care costs through increased price transparency and to require immigrants to have a health savings account and high deductible health coverage at time of admission; HR 1087 ADOPT HIT Act of 2009, a bill to amend the Internal Revenue Code of 1986 to increase the deduction under section 179 for the purchase of qualified health care information technology by medical care providers, and for other purposes; HR 1495 Comprehensive Health Care Reform Act of 2009, a bill to amend the Internal Revenue Code of 1986 to make health care coverage more accessible and affordable; HR 1496 Child Health Care Affordability Act, a bill to amend the Internal Revenue Code of 1986 to allow individuals a credit against income tax for medical expenses for dependents; HR 1497 Treat Physicians Fairly Act of 2009, a bill to amend the Internal Revenue Code of 1986 to allow medical care providers a credit against income tax for uncompensated emergency medical care and to allow hospitals a deduction for such care; S 860 Health Professionals State Loan Repayment Tax Relief Act of 2009, a bill to amend the Internal Revenue Code of 1986 to provide a Federal income tax exclusion for assistance provided to participants in State student loan programs for certain health professionals; HR 2292 Healthy Kids for Healthy Futures Act of 2009, a bill to amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to require coverage of preventive care for children; H.R. 3205 Health Insurance Company Advertising Deduction Denial Act of 2009, a bill to amend the Internal Revenue Code of 1986 to deny any deduction for advertising health insurance; HR 3610 Health Savings and Affordability Act of 2009, a bill to amend the Internal Revenue Code of 1986 to improve access to health care by allowing a deduction for the health insurance costs of individuals, expanding health savings accounts.

Conveyance of land acquisition authorized in Water Resources Development Act (H.R. 1495, which became Pub. L. 110-114); U.S. Army Corps implementation

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

Government targets: Army, Dept of (Corps of Engineers), HOUSE OF REPRESENTATIVES, SENATE

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

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

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

Monitoring issues related to healthcare; entire bills of the following: H.R. 1797, Compete Act of 2009 H.R. 1583, Insurance Industry Competition Act of 2009 Healthy Mothers and Healthy Babies Access to Care Act (formerly S. 244) S. 45, MCAP Act S. 391 / H.R.1321, Healthy Americans Act H.R. 1495, Comprehensive HealthCARE Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 H.R. 1468, Medical Justice Act of 2009 H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act H.R.3200, America's Affordable Health Choices Act of 2009 Senate HELP & Finance Committee Draft legislation

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Brady/ Wilson Hospital Stimulus Letter to Obama Administration - Working with Reps. Robert Brady (D-PA) and Joe Wilson (R-SC) urging their House colleagues to sign a letter asking the President to include relief for hospitals in the plan; HR 1 and S 1 American Recovery and Reinvestment Tax Act of 2009, HR 598 Assistance for Unemployed Workers and Struggling Families Act, HR 629 Health Information Technology for Economic and Clinical Health Act, S 350 Health Insurance Assistance for the Unemployed Act of 2009; HITECH Act Energy and Commerce Recovery and Reinvestment Act, all bills related to issues in the Economic Stimulus Bill pertaining to FMAP increase, DSH payments, moratoria through June 30 on Medicaid provider tax regs and hospital outpatient services, Medicare teaching hospitals IME, long-term care hospitals, health IT, tax exempt bonds, and provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health; HR 2 and S 275 Children's Health Insurance Program Reauthorization Act of 2009, this bill will secure health care coverage for more than 7 million low-income children currently covered by the State Childrens Health Insurance Program (SCHIP) and add coverage to nearly 4 million more. It also contains provisions to improve coverage of dental and mental health benefits for children and to eliminate the five-year waiting period for coverage under SCHIP of legal immigrant children and pregnant women; S 2 Middle Class Opportunity Act, Card Check provisions; S 4 Comprehensive Health Reform Act of 2009, a bill to guarantee affordable, quality health coverage for all Americans, and for other purposes; S 45 MCAP Act, 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 77 Children's Mental Health Parity Act, a bill to amend title XXI of the Social Security Act to provide for equal coverage of mental health services under the State Children's Health Insurance Program; HR 241a bill to amend title 10, United States Code, to require the amounts reimbursed to institutional providers of health care services under the TRICARE program to be the same as amounts reimbursed under Medicare, and to require the Secretary of Defense to contract for health care services with at least one teaching hospital in urban areas; HR 298 Improving Children's Doctor Access Act of 2009, a bill to amend title XXI of the Social Security Act to require SCHIP annual reports to include information on the HEDIS measure relating to access to primary care practitioners by individuals eligible for child health assistance under such plans and on State efforts to avoid certain displacement of private health coverage, and to express the sense of Congress that such States should utilize Consumer Assessment of Healthcare Providers and Systems consumer satisfaction surveys to measure access by such individuals to physicians; S 179 Health Information Technology Act of 2009, a bill to improve quality in health care by providing incentives for adoption of modern information technology; HR 468 and S 245 Retooling the Health Care Workforce for an Aging America Act of 2009, a bill to expand, train, and support all sectors of the health care workforce to care for the growing population of older individuals in the United States; HR 676 United States National Health Care Act or the Expanded and Improved Medicare for All Act, a bill to provide for comprehensive health insurance coverage for all United States residents, improved health care delivery, and for other purposes; HR 688 and S 326 Kids First Act, a bill to amend title XXI of the Social Security Act to reauthorize the State Children's Health Insurance Program through fiscal year 2013, and for other purposes; Tricare letter sent to DOD from Sen. Ben Nelson urging DoD to revise the rule, expand the transition to the new payment system, offer other adjustments to cushion the financial blow on certain hospitals, and conduct a detailed analysis of its impact on the field; S 391 Healthy Americans Act, a bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away; HR 914 Physician Workforce Enhancement Act of 2009, a bill to amend title VII of the Public Health Service Act to establish a loan program for eligible hospitals to establish residency training programs; HR 936 National Trauma Center Stabilization Act of 2009, a bill to ensure the continued and future availability of lifesaving trauma health care in the United States and to prevent further trauma center closures and downgrades by assisting trauma centers with uncompensated care costs, core mission services, emergency needs, and information technology; HR 956 HealthCARE Act of 2009, a bill to expand the number of individuals and families with health insurance coverage, and for other purposes; S 408 Wakefield Act, a bill to amend the Public Health Service Act to provide a means for continued improvement in emergency medical services for children; HR 1085 Health Insurance Coverage Protection Act, a bill to impose a limitation on lifetime aggregate limits imposed by health plans; HR 1086 Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009; 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 1087 ADOPT HIT Act of 2009, a bill to amend the Internal Revenue Code of 1986 to increase the deduction under section 179 for the purchase of qualified health care information technology by medical care providers, and for other purposes; HR 1101 Midwifery Care Access and Reimbursement Equity Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for reimbursement of certified midwife services and to provide for more equitable reimbursement rates for certified nurse-midwife services; S 441 Quality Reform Expansion and Savings Act of 2009, a bill to encourage the development of coordinated quality reforms to improve health care delivery and reduce the cost of care in the health care system; S 444 National Health Information Technology and Privacy Advancement Act of 2009, a bill to provide for the establishment of a health information technology and privacy system; S 486 Access for All America Act, a bill to achieve access to comprehensive primary health care services for all Americans and to reform the organization of primary care delivery through an expansion of the Community Health Center and National Health Service Corps programs; HR 1253 Health Insurance Restrictions and Limitations Clarification Act of 2009, a bill to require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable; HR 1296 Access for All America Act, a bill to achieve access to comprehensive primary health care services for all Americans and to reform the organization of primary care delivery through an expansion of the Community Health Center and National Health Service Corps programs; HR 1411 United States Primary and Preventive Health Care Corps Act of 2009, a bill to amend the Public Health Service Act to establish a Primary and Public Health Scholarship Program; HR 1460 Nurses Higher Education and Loan Repayment Act, a bill to amend the Public Health Service Act to establish a graduate degree loan repayment program for nurses who become nursing school faculty members; HR 1494Nursing Home Emergency Assistance Act, a bill to ensure that a private for-profit nursing home affected by a major disaster receives the same reimbursement as a public nursing home affected by a major disaster; HR 1495 Comprehensive Health Care Reform Act of 2009, a bill to amend the Internal Revenue Code of 1986 to make health care coverage more accessible and affordable; HR 1496 Child Health Care Affordability Act, a bill to amend the Internal Revenue Code of 1986 to allow individuals a credit against income tax for medical expenses for dependents; HR 1497 Treat Physicians Fairly Act of 2009, a bill to amend the Internal Revenue Code of 1986 to allow medical care providers a credit against income tax for uncompensated emergency medical care and to allow hospitals a deduction for such care; HR 1558 and S 623 Preexisting Condition Patient Protection Act of 2009, would prohibit health insurers from denying coverage to people with pre-existing conditions, such as diabetes and heart disease; S 616 Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2009, a bill to amend the Public Health Service Act to authorize medical simulation enhancement programs, and for other purposes; HR 1581 Patient-Focused Critical Care Enhancement Act, a bill to optimize the delivery of critical care medicine and expand the critical care workforce; S 628 Conrad State 30 Improvement Act, a bill to provide incentives to physicians to practice in rural and medically underserved communities; HR 1614 and S 652 Community Coalitions for Access and Quality Improvement Act of 2009, a bill to authorize the Secretary of Health and Human Services to make grants to community health coalitions to assist in the development of integrated health care delivery; HR 1691 and S 688 Breast Cancer Patient Protection Act of 2009, a bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations; HR 1699 Patient Access to Critical Lab Tests Act, a bill to require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; S 698 State-Based Health Care Reform Act, 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; S 703 American Health Security Act of 2009, a bill to provide for health care for every American and to control the cost and enhance the quality of the health care system; HR 1745 Family Health Care Accessibility Act of 2009, a bill to amend the Public Health Service Act to provide liability protections for volunteer practitioners at health centers under section 330 of such Act; S 733 National Trauma Center Stabilization Act of 2009, a bill to ensure the continued and future availability of life saving trauma health care in the United States and to prevent further trauma center closures and downgrades by assisting trauma centers with uncompensated care costs, core mission services, and emergency needs; Letter to HHS about the action plan to prevent Healthcare associated infections; Provided information to members of Congress about the Quality and Patient Safety Transparency initiatives by state; Working with Rep. Nathan Deal to get legislation introduced on provider price transparency; HR 1670 and S 683 Community Choice Act of 2009, to amend title XIX of the Social Security Act to provide individuals with disabilities and older Americans with equal access to community-based attendant services and supports and which would allow disabled Medicaid recipients to receive care in their homes rather than in nursing homes; HR 2003 and S 830 Children's Hospitals Education Equity Act, a bill to modify the definition of children's hospital for purposes of making payments to children's hospitals that operate graduate medical education programs; HR 1998 Health Care Safety Net Enhancement Act of 2009, a bill to improve access to emergency medical services; HR 2043 Nurse Education, Expansion, and Development Act of 2009, a bill to amend the Public Health Service Act to authorize capitation grants to increase the number of nursing faculty and students; S 860 Health Professionals State Loan Repayment Tax Relief Act of 2009, a bill to amend the Internal Revenue Code of 1986 to provide a Federal income tax exclusion for assistance provided to participants in State student loan programs for certain health professionals; HR 2066 Graduate Psychology Education Act of 2009, a bill to amend the Public Health Service Act to promote mental and behavioral health services for underserved populations; S 890 Health Information Technology (IT) Public Utility Act of 2009, a bill to provide for the use of improved health information technology with respect to certain safety net health care providers; HR 2176Nursing and Allied Health Education Preservation Act of 2009A bill to amend title XVIII of the Social Security Act to continue the ability of hospitals to supply a needed workforce of nurses and allied health professionals by preserving funding for hospital operated nursing and allied health education programs; HR 2218 Parental Consent Act of 2009, a bill to prohibit the use of Federal funds for any universal or mandatory mental health screening program; S 957Public Health Emergency Response Act of 2009A bill to amend the Public Health Service Act to ensure that victims of public health emergencies have meaningful and immediate access to medically necessary health care services; S 958 MediKids Health Insurance Act of 2009, a bill to amend the Social Security Act to guarantee comprehensive health care coverage for all children born after 2009; HR 2231 Public Health Emergency Response Act of 2009, a bill to amend the Public Health Service Act to ensure that victims of public health emergencies have meaningful and immediate access to medically necessary health care services; HR 2233 Health Empowerment Zone Act of 2009, a bill to authorize the Secretary of Health and Human Services to designate health empowerment zones; S 966 and HR 2252 National Health Care Quality Act, a bill to improve the Federal infrastructure for health care quality improvement in the United States; HR 2249 Health Care Price Transparency Promotion Act of 2009, a bill 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; HR 2251 and S 973 Resident Physician Shortage Reduction Act of 2009, to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions; S 979 and HR 2360 SHOP Act, a bill to amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible; HR 2273 Nurse Staffing Standards for Patient Safety and Quality Care Act of 2009, a bill to amend the Public Health Service Act to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals; HR 2292 Healthy Kids for Healthy Futures Act of 2009A bill to amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to require coverage of preventive care for children; S 999 Child Health Care Crisis Relief Act of 2009, a bill to increase the number of well-trained mental health service professionals (including those based in schools) providing clinical mental health care to children and adolescents; S 1001 Health Promotion FIRST Act, a bill to provide for increased research, coordination and expansion of health promotion programs through the Department of Health and Human Services; HR 2350 Preserving Patient Access to Primary Care Act of 2009, a bill to amend the Public Health Service Act and the Social Security Act to increase the number of primary care physicians and primary care providers and to improve patient access to primary care services; HR 2369 Improving the Quality of Mental and Substance Use Health Care Act of 2009, a bill to improve mental and substance use health care; S 1020 Patient-Focused Critical Care Enhancement Act, a bill to optimize the delivery of critical care medicine and expand the critical care workforce; S 1022Nurses' Higher Education and Loan Repayment Act of 2009, a bill to amend the Public Health Service Act to establish a graduate degree loan repayment program for nurses who become nursing school faculty members; HR 2381 Nurse and Health Care Worker Protection Act of 2009, a bill to direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, direct-care registered nurses, and all other health care workers by establishing a safe patient handling and injury prevention standard, and for other purposes; HR 2388 Physician Availability Act of 2009, a bill to assure that the services of a nonemergency department physician are available to hospital patients 24 hours a day, seven days a week in all non-Federal hospitals with at least 100 licensed beds; S 1028 Strengthening America's Public Health System Act, a bill to amend the Public Health Service Act to improve the Nation's surveillance and reporting for diseases and conditions; S 1031 National Nursing Shortage Reform and Patient Advocacy Act, a bill to amend the Public Health Service Act to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals; HR 2427 and S 1050Informed Consumer Choices in Health Care Act of 2009, a bill to amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets, and for other purposes; HR 2520 Patients' Choice Act, a bill to provide comprehensive solutions for the health care system of the United States; HR 2535 Blueprint for Health Act of 2009, a bill to establish a Blueprint for Health in order to create a comprehensive system of care incorporating medical homes to improve the delivery and affordability of health care through disease prevention, health promotion, and education about and better management of chronic conditions; S 1104 Nurse-Managed Health Clinic Investment Act of 2009, a bill to amend the Public Health Service Act to establish the Nurse-Managed Health Clinic Investment program; HR 2536 Emergency Nursing Supply Relief Act, to provide relief for the shortage of nurses in the United States; Disclosure of Financial Relationships Report, argue for withdrawal of data collection form; HR 2691 a bill to provide assistance to adolescents and young adults with serious mental health disorders as they transition to adulthood ; S 1173Community-Based Health Care Retraining Act, a bill to establish a demonstration project to train unemployed workers for employment as health care professionals; S 1174 Preserving Patient Access to Primary Care Act of 2009, a bill to amend the Public Health Service Act and the Social Security Act to increase the number of primary care physicians and primary care providers and to improve patient access to primary care services; S 1176 Allied Health Reinvestment Act, a bill to amend the Public Health Service Act to promote and improve the allied health professionals; HR 2744Equal Rights for Health Care Act Title 42, a bill to prohibit discrimination in Federal assisted health care services and research programs on the basis of sex, race, color, national origin, sexual orientation, gender identity, or disability status; HR 2754 Nurse-Managed Health Clinic Investment Act of 2009, a bill to amend the Public Health Service Act to establish the Nurse-Managed Health Clinic Investment program; HR 2778 Health Equity and Accountability through Research Act of 2009, a bill to amend the Public Health Service Act to redesignate the National Center on Minority Health and Health Disparities as the National Institute for Minority Health and Health Disparities; S 1220Patient Access to Critical Lab Tests Act, a bill to require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; HR 2785 Health Care Paperwork Reduction and Fraud Prevention Act of 2009, a bill to reduce the amount of paperwork and improve payment policies for health care services, to prevent fraud and abuse through health care provider education; HR 2804Ensuring Continuous Coverage under SCHIP Act of 2009, a bill to amend title XXI of the Social Security Act to require 12-month continuous coverage under the State Children's Health Insurance Program; HR 2810 Public Health Workforce Investment Act of 2009, a bill to amend the Public Health Service Act to establish various programs for the recruitment and retention of public health workers and to eliminate critical public health workforce shortages in Federal, State, local, and tribal public health agencies and health centers; HR 2816 States' Right To Innovate in Health Care Act of 2009, a bill to amend the Social Security Act to provide grants and flexibility through demonstration projects for States to provide universal, comprehensive, cost-effective systems of health care coverage, with simplified administration; HR 2824Doctor-Patient Relationship and Research Protection ActTo enhance the conduct and support of federally funded comparative effectiveness research relating to health care; HR 2891 Access to Frontline Health Care Act of 2009, a bill to amend the Public Health Service Act to direct the Secretary of Health and Human Services to establish a Frontline Providers Loan Repayment Program; HR 2925 Communities Building Access Act, a bill to amend the Public Health Service Act to provide for community projects that will reduce the number of individuals who are uninsured with respect to health care; HR 2930 Primary Care Training Enhancement Act, a bill to enhance the primary care workforce through modifications to the medical residency training programs and use of qualified teaching health centers and through State primary care scholarship and loan repayment programs; S 1278 Consumers Health Care Act of 2009, 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; HR 2937 and S 1305 MRSA Infection Prevention and Patient Protection Act, a bill to prevent health care facility-acquired infections; HR 2948Healthcare Improvements for Generating High Performance (HIGH Performance) Act of 2009, a bill to amend title IX of the Public Health Service Act to provide for the implementation of best practices in the delivery of health care in the United States; HR 2957 Rural Health Access Act of 2009, a bill to amend the Public Health Service Act to reauthorize the National Health Service Corps Scholarship and Loan Repayment Programs; S 1299 Worker Infection Protection Act, a bill to protect health care workers and first responders, including police, firefighters, emergency medical personnel, and other workers at risk of workplace exposure to infectious agents and drug resistant infections, such as MRSA; Hatch amendment # 21 requires the IOM to make recommendations to Congress on how to reduce unnecessary hospital readmissions; Health Reform Bill, pProvides access to quality affordable health care for all. The health reform package includes: ACCESS TO COVERAGE AND CHOICE, AFFORDABILITY, SHARED RESPONSIBILITY, CONTROLLING COSTS, PREVENTION AND WELLNESS, WORKFORCE INVESTMENTS; HR 2962 Integrity in Medicare Advanced Diagnostic Imaging Act of 2009, a bill to amend title XVIII of the Social Security Act to exclude certain advanced diagnostic imaging services from the in-office ancillary services exception to the prohibition on physician self-referral; HR 2975 Medical Practice Protection Act of 2009, a bill to improve the medical care by reducing the excessive burden imposed by the civil liability system on the health care delivery system; HR 3000 Josephine Butler United States Health Service Act, a bill to establish a United States Health Service to provide high quality comprehensive health care for all Americans and to overcome the deficiencies in the present system of health care delivery; HR 3002 and S 1259 PATIENTS Act of 2009, 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; S 1355Rural Health Clinic Patient Access and Improvement Act of 2009, a bill to amend title XVIII of the Social Security Act to improve access to health care for individuals residing in underserved rural areas.

Conveyance of land acquisition authorized in Water Resources Development Act (H.R. 1495, which became Pub. L. 110-114); U.S. Army Corps implementation

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

Government targets: Army, Dept of (Corps of Engineers), HOUSE OF REPRESENTATIVES, SENATE

COBRA / premium assistance (H.R. 1); FY 10 Budget Resolutions / Reconciliation (S.Con.Res. 13; H.Con.Res. 85); Generic Biologics (S. 726; H.R. 1427; H.R. 1528); Health system / insurance / ERISA reform & health insurance mandates (H.R. 193; S. 391; H.R. 1085; S. 442; H.R. 1092; H.R. 1321; H.R. 676; S. 623; H.R. 1558l H.R. 2300); Health cost savings / comparative effectiveness / wellness promotion (H.R. 1; S. 369; S. 803; H.R. 1204); Health IT (H.R. 1); High Risk Pools (FY 2010 Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing of Medicare-related private insurance products); Medicaid (S. 142; S. 434); medical liability reform (S. 391); insurance regulation (H.R. 1880); Long Term Care (S. 94; S. 697; S. 702; S. 1177; H.R. 897; H.R. 1891); Health Insurance Tax Treatment (Employer Exclusion, HSAs, FSAs, HRAs, Health Coverage Tax Credit (H.R. 1; H.R. 544; H.R. 1495; S. 391; H.R. 1085; H.R. 1470; S. 725); SCHIP premium assistance and other private insurance coordination issues (H.R. 2; S. 142; H.R. 321); Small business / national pooling of insurance health reform (S. 93; S. 797; H.R. 2360)

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

COBRA / premium assistance (H.R. 1); FY 10 Budget Resolutions / Reconciliation (S.Con.Res. 13; H.Con.Res. 85); Generic Biologics (S. 726; H.R. 1427; H.R. 1528); Health system / insurance / ERISA reform & health insurance mandates (H.R. 193; S. 391; H.R. 1085; S. 442; H.R. 1092; H.R. 1321; H.R. 676; S. 623; H.R. 1558l H.R. 2300); Health cost savings / comparative effectiveness / wellness promotion (H.R. 1; S. 369; S. 803; H.R. 1204); Health IT (H.R. 1); High Risk Pools (FY 2010 Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing of Medicare-related private insurance products); Medicaid (S. 142; S. 434); medical liability reform (S. 391); insurance regulation (H.R. 1880); Long Term Care (S. 94; S. 697; S. 702; S. 1177; H.R. 897; H.R. 1891); Health Insurance Tax Treatment (Employer Exclusion, HSAs, FSAs, HRAs, Health Coverage Tax Credit (H.R. 1; H.R. 544; H.R. 1495; S. 391; H.R. 1085; H.R. 1470; S. 725); SCHIP premium assistance and other private insurance coordination issues (H.R. 2; S. 142; H.R. 321); Small business / national pooling of insurance health reform (S. 93; S. 797; H.R. 2360)

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

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

COBRA / premium assistance (H.R. 1); FY 10 Budget Resolutions / Reconciliation (S.Con.Res. 13; H.Con.Res. 85); Generic Biologics (S. 726; H.R. 1427; H.R. 1528); Health system / insurance / ERISA reform & health insurance mandates (S. 391; H.R. 1085; S. 442; H.R. 1092; H.R. 1321; H.R. 676; S. 623; H.R. 2300); Health cost savings / comparative effectiveness / wellness promotion (H.R. 1; S. 369; S. 803; H.R. 1204); Health IT (H.R. 1); High Risk Pools (FY 2010 Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing of Medicare-related private insurance products); Medicaid (S. 142; S. 434); medical liability reform; insurance regulation (H.R. 1880); Long Term Care (S. 94; S. 697; S. 702; S. 1177; H.R. 897; H.R. 1891); Health Insurance Tax Treatment (Employer Exclusion, HSAs, FSAs, HRAs, Health Coverage Tax Credit (H.R. 1; H.R. 544; H.R. 1495; S. 391; H.R. 1085; H.R. 1470; S. 725); SCHIP premium assistance and other private insurance coordination issues (H.R. 2; S. 142; H.R. 321); Small business / national pooling of insurance health reform (S. 93; S. 797; H.R. 2360)

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

COBRA / premium assistance (H.R. 1); FY 10 Budget Resolutions / Reconciliation (S.Con.Res. 13; H.Con.Res. 85); Generic Biologics (S. 726; H.R. 1427; H.R. 1528); Health system / insurance / ERISA reform & health insurance mandates (H.R. 193; S. 391; H.R. 1085; S. 442; H.R. 1092; H.R. 1321; H.R. 676; S. 623; H.R. 1558l H.R. 2300); Health cost savings / comparative effectiveness / wellness promotion (H.R. 1; S. 369; S. 803; H.R. 1204); Health IT (H.R. 1); High Risk Pools (FY 2010 Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing of Medicare-related private insurance products); Medicaid (S. 142; S. 434); medical liability reform (S. 391); insurance regulation (H.R. 1880); Long Term Care (S. 94; S. 697; S. 702; S. 1177; H.R. 897; H.R. 1891); Health Insurance Tax Treatment (Employer Exclusion, HSAs, FSAs, HRAs, Health Coverage Tax Credit (H.R. 1; H.R. 544; H.R. 1495; S. 391; H.R. 1085; H.R. 1470; S. 725); SCHIP premium assistance and other private insurance coordination issues (H.R. 2; S. 142; H.R. 321); Small business / national pooling of insurance health reform (S. 93; S. 797; H.R. 2360)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, White House Office

COBRA / premium assistance (H.R. 1); FY 10 Budget Resolutions / Reconciliation (S.Con.Res. 13; H.Con.Res. 85); Generic Biologics (S. 726; H.R. 1427; H.R. 1528); Health system / insurance / ERISA reform & health insurance mandates (H.R. 193; S. 391; H.R. 1085; S. 442; H.R. 1092; H.R. 1321; H.R. 676; S. 623; H.R. 1558l H.R. 2300); Health cost savings / comparative effectiveness / wellness promotion (H.R. 1; S. 369; S. 803; H.R. 1204); Health IT (H.R. 1); High Risk Pools (FY 2010 Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing of Medicare-related private insurance products); Medicaid (S. 142; S. 434); medical liability reform (S. 391); insurance regulation (H.R. 1880); Long Term Care (S. 94; S. 697; S. 702; S. 1177; H.R. 897; H.R. 1891); Health Insurance Tax Treatment (Employer Exclusion, HSAs, FSAs, HRAs, Health Coverage Tax Credit (H.R. 1; H.R. 544; H.R. 1495; S. 391; H.R. 1085; H.R. 1470; S. 725); SCHIP premium assistance and other private insurance coordination issues (H.R. 2; S. 142; H.R. 321); Small business / national pooling of insurance health reform (S. 93; S. 797; H.R. 2360)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, White House Office

Monitoring issues related to healthcare; entire bills of the following: H.R. 1797, Compete Act of 2009 H.R. 1583, Insurance Industry Competition Act of 2009 Healthy Mothers and Healthy Babies Access to Care Act (formerly S. 244) S. 45, MCAP Act S. 391 / H.R.1321, Healthy Americans Act H.R. 1495, Comprehensive HealthCARE Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 H.R. 1468, Medical Justice Act of 2009 H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act Issues pertaining to Electronic Health Records of the following: H.R. 1, American Recovery and Reinvestment Act of 2009 House and Senate Draft Health Care Reform legislation (no bills introduced)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1495 - Health Care Reform Act of 2009. Issue: health care reform.

Client expense: $1,237,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

Monitoring issues related to healthcare; entire bills of the following: H.R. 1797, Compete Act of 2009 H.R. 1583, Insurance Industry Competition Act of 2009 Healthy Mothers and Healthy Babies Access to Care Act (formerly S. 244) S. 45, MCAP Act S. 391 / H.R.1321, Healthy Americans Act H.R. 1495, Comprehensive HealthCARE Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 H.R. 1468, Medical Justice Act of 2009 H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act Issues pertaining to Electronic Health Records of the following: H.R. 1, American Recovery and Reinvestment Act of 2009

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Conveyance of land acquisition authorized in Water Resources Development Act (H.R. 1495, which became Pub. L. 110-114); U.S. Army Corps implementation

Client expense: Not reported · Firm income: Not reported

Government targets: Army, Dept of (Corps of Engineers), HOUSE OF REPRESENTATIVES, SENATE

Seek support for the County's environmental infrastructure projects (including water, sewer and drainage), hurricane recovery efforts, and coastal conservation and impact assistance. Legislation of interest includes the American Recovery and Reinvestment Act of 2009 (H.R. 1; P.L. 111-5), the FY 2009 Energy and Water Development Appropriations Bill (S. 3258), the FY 2009 Agriculture Appropriations Bill (S. 3289), the FY 2009 Omnibus Appropriations Act (H.R. 1105; P.L. 111-8), the FY 2010 Energy and Water Development Appropriations Bill, the FY 2010 Agriculture Appropriations Bill, and implementation of the Water Resources Development Act of 2007 (H.R. 1495; P.L. 110-114) and the Gulf of Mexico Energy Security Act (P.L. 100-432).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support client's efforts to advance environmental infrastructure, drainage and flood control projects, including water and wastewater treatment system improvements, in Mississippi (DeSoto County, Pearl River Basin and Town of Pelahatchie), Louisiana (Lincoln/Union Parish), and Indiana (River Ridge Development Center), as well as a digital earth model mapping program in Mississippi. Legislation of interest includes the American Recovery and Reinvestment Act of 2009 (H.R. 1; P.L. 111-5), the FY 2009 Omnibus Appropriations Act (H.R. 1105; P.L. 111-8), the FY 2009 Energy and Water Development Appropriations Bill (S. 3258, H.R. 7324), the FY 2009 Agriculture Appropriations Bill (S. 3289), the FY 2009 Interior and Environment Appropriations Bill, the FY 2009 Commerce-Justice-Science Appropriations Bill (S. 3182, H.R. 7322), the FY 2010 Agriculture Appropriations Bill, the FY 2010 Interior and Environment Appropriations Bill, the FY 2010 Commerce-Justice-Science Appropriations Bill, and implementation of the Water Resources Development Act of 2007 (H.R. 1495; P.L. 110-114).

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

Seek funding for rehabilitation of the City's water and sewer systems, as well as flood control and drainage efforts. Legislation of interest includes the American Recovery and Reinvestment Act of 2009 (H.R. 1; P.L. 111-5), the FY 2009 Omnibus Appropriations Act (H.R. 1105; P.L. 111-8), the FY 2009 Energy and Water Development Appropriations Bill (S. 3258), the FY 2009 Agriculture Appropriations Bill (S. 3289), the FY 2010 Energy and Water Development Appropriations Bill, the FY 2010 Agriculture Appropriations Bill, and implementation of the Water Resources Development Act of 2007 (H.R. 1495; P.L. 110-114).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

COBRA / COBRA premium assistance (H.R. 1); FY 10 Budget Resolutions / Reconciliation (S.Con.Res. 13; H.Con.Res. 85); Generic Biologics (S. 726; H.R. 1427; H.R. 1528); Health system / insurance / ERISA reform & health insurance mandates (H.R. 193; S. 391; H.R. 1085; S. 442; H.R. 1092; H.R. 1321; H.R. 676; S. 623; H.R. 1558); Health cost savings / comparative effectiveness / wellness promotion (H.R. 1; S. 803; H.R. 1204); Health IT (H.R. 1); High Risk Pools (H.R. 1105, Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing of Medicare-related private insurance products) -- H.R. 1105; Medicaid (S. 142; S. 434); medical liability reform (S. 391); insurance regulation (H.R. 1880); Long Term Care (S. 94; S. 697; S. 702; H.R. 897; H.R. 1891); Health Insurance Tax Treatment (Employer Exclusion, HSAs, FSAs, HRAs, Health Coverage Tax Credit (H.R. 1; H.R. 544; H.R. 1495; S. 391; H.R. 1085; H.R. 1470; S. 725); SCHIP premium assistance and other private insurance coordination issues (H.R. 2; S. 142; H.R. 321); Small business / national pooling of insurance health reform (S. 93)

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

COBRA / COBRA premium assistance (H.R. 1); FY 10 Budget Resolutions / Reconciliation (S.Con.Res. 13; H.Con.Res. 85); Generic Biologics (S. 726; H.R. 1427; H.R. 1528); Health system / insurance / ERISA reform & health insurance mandates (H.R. 193; S. 391; H.R. 1085; S. 442; H.R. 1092; H.R. 1321; H.R. 676; S. 623; H.R. 1558); Health cost savings / comparative effectiveness / wellness promotion (H.R. 1; S. 803; H.R. 1204); Health IT (H.R. 1); High Risk Pools (H.R. 1105, Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing of Medicare-related private insurance products) -- H.R. 1105; Medicaid (S. 142; S. 434); medical liability reform (S. 391); insurance regulation (H.R. 1880); Long Term Care (S. 94; S. 697; S. 702; H.R. 897; H.R. 1891); Health Insurance Tax Treatment (Employer Exclusion, HSAs, FSAs, HRAs, Health Coverage Tax Credit (H.R. 1; H.R. 544; H.R. 1495; S. 391; H.R. 1085; H.R. 1470; S. 725); SCHIP premium assistance and other private insurance coordination issues (H.R. 2; S. 142; H.R. 321); Small business / national pooling of insurance health reform (S. 93)

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

COBRA / COBRA premium assistance (H.R. 1); FY 10 Budget Resolutions / Reconciliation (S.Con.Res. 13; H.Con.Res. 85); Generic Biologics (S. 726; H.R. 1427; H.R. 1528); Health system / insurance / ERISA reform & health insurance mandates (H.R. 193; S. 391; H.R. 1085; S. 442; H.R. 1092; H.R. 1321; H.R. 676; S. 623; H.R. 1558); Health cost savings / comparative effectiveness / wellness promotion (H.R. 1; S. 803; H.R. 1204); Health IT (H.R. 1); High Risk Pools (H.R. 1105, Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing of Medicare-related private insurance products) -- H.R. 1105; Medicaid (S. 142; S. 434); medical liability reform (S. 391); insurance regulation (H.R. 1880); Long Term Care (S. 94; S. 697; S. 702; H.R. 897; H.R. 1891); Health Insurance Tax Treatment (Employer Exclusion, HSAs, FSAs, HRAs, Health Coverage Tax Credit (H.R. 1; H.R. 544; H.R. 1495; S. 391; H.R. 1085; H.R. 1470; S. 725); SCHIP premium assistance and other private insurance coordination issues (H.R. 2; S. 142; H.R. 321); Small business / national pooling of insurance health reform (S. 93)

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

Brady/ Wilson Hospital Stimulus Letter to Obama Administration - Working with Reps. Robert Brady (D-PA) and Joe Wilson (R-SC) urging their House colleagues to sign a letter asking the President to include relief for hospitals in the plan; HR 1 and S 1 American Recovery and Reinvestment Tax Act of 2009, HR 598 Assistance for Unemployed Workers and Struggling Families Act, HR 629 Health Information Technology for Economic and Clinical Health Act, S 350 Health Insurance Assistance for the Unemployed Act of 2009; HITECH Act Energy and Commerce Recovery and Reinvestment Act, all bills related to issues in the Economic Stimulus Bill pertaining to FMAP increase, DSH payments, moratoria through June 30 on Medicaid provider tax regs and hospital outpatient services, Medicare teaching hospitals IME, long-term care hospitals, health IT, tax exempt bonds, and provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health; HR 2 and S 275 Children's Health Insurance Program Reauthorization Act of 2009, this bill will secure health care coverage for more than 7 million low-income children currently covered by the State Childrens Health Insurance Program (SCHIP) and add coverage to nearly 4 million more. It also contains provisions to improve coverage of dental and mental health benefits for children and to eliminate the five-year waiting period for coverage under SCHIP of legal immigrant children and pregnant women; S 2 Middle Class Opportunity Act, Card Check provisions; S 4 Comprehensive Health Reform Act of 2009, a bill to guarantee affordable, quality health coverage for all Americans, and for other purposes; S 45 MCAP Act, 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 77 Children's Mental Health Parity Act, a bill to amend title XXI of the Social Security Act to provide for equal coverage of mental health services under the State Children's Health Insurance Program; HR 241a bill to amend title 10, United States Code, to require the amounts reimbursed to institutional providers of health care services under the TRICARE program to be the same as amounts reimbursed under Medicare, and to require the Secretary of Defense to contract for health care services with at least one teaching hospital in urban areas; HR 298 Improving Children's Doctor Access Act of 2009, a bill to amend title XXI of the Social Security Act to require SCHIP annual reports to include information on the HEDIS measure relating to access to primary care practitioners by individuals eligible for child health assistance under such plans and on State efforts to avoid certain displacement of private health coverage, and to express the sense of Congress that such States should utilize Consumer Assessment of Healthcare Providers and Systems consumer satisfaction surveys to measure access by such individuals to physicians; S 179 Health Information Technology Act of 2009, a bill to improve quality in health care by providing incentives for adoption of modern information technology; HR 464 More Children, More Choices Act of 2009, a bill to provide for a 5-year SCHIP reauthorization for coverage of low-income children, an expansion of child health care insurance coverage through tax fairness, and a health care Federalism initiative, and for other purposes; HR 468 and S 245 Retooling the Health Care Workforce for an Aging America Act of 2009, a bill to expand, train, and support all sectors of the health care workforce to care for the growing population of older individuals in the United States; HR 676 United States National Health Care Act or the Expanded and Improved Medicare for All Act, a bill to provide for comprehensive health insurance coverage for all United States residents, improved health care delivery, and for other purposes; HR 688 and S 326 Kids First Act, a bill to amend title XXI of the Social Security Act to reauthorize the State Children's Health Insurance Program through fiscal year 2013, and for other purposes; Tricare letter sent to DOD from Sen. Ben Nelson urging DoD to revise the rule, expand the transition to the new payment system, offer other adjustments to cushion the financial blow on certain hospitals, and conduct a detailed analysis of its impact on the field; S 391 Healthy Americans Act, a bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away; HR 914 Physician Workforce Enhancement Act of 2009, a bill to amend title VII of the Public Health Service Act to establish a loan program for eligible hospitals to establish residency training programs; HR 936 National Trauma Center Stabilization Act of 2009, a bill to ensure the continued and future availability of lifesaving trauma health care in the United States and to prevent further trauma center closures and downgrades by assisting trauma centers with uncompensated care costs, core mission services, emergency needs, and information technology; HR 956 HealthCARE Act of 2009, a bill to expand the number of individuals and families with health insurance coverage, and for other purposes; S 408 Wakefield Act, a bill to amend the Public Health Service Act to provide a means for continued improvement in emergency medical services for children; HR 1075 RECOVER Act (Restoring Essential Care for Our Veterans for Effective Recovery), a bill to amend title 38, United States Code, to expand access to hospital care for veterans in major disaster areas, and for other purposes; HR 1085Health Insurance Coverage Protection Act, a bill to impose a limitation on lifetime aggregate limits imposed by health plans; HR 1086 Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009; 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 1087 ADOPT HIT Act of 2009, a bill to amend the Internal Revenue Code of 1986 to increase the deduction under section 179 for the purchase of qualified health care information technology by medical care providers, and for other purposes; HR 1092 No Discrimination in Health Insurance Act of 2009, a bill to amend the Employee Retirement Income Security Act of 1974, Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit discrimination in group health coverage and individual health insurance coverage; HR 1101 Midwifery Care Access and Reimbursement Equity Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for reimbursement of certified midwife services and to provide for more equitable reimbursement rates for certified nurse-midwife services; S 441 Quality Reform Expansion and Savings Act of 2009, a bill to encourage the development of coordinated quality reforms to improve health care delivery and reduce the cost of care in the health care system; S 442 Health Insurance Coverage Protection Act, a bill to impose a limitation on lifetime aggregate limits imposed by health plans; S 444 National Health Information Technology and Privacy Advancement Act of 2009, a bill to provide for the establishment of a health information technology and privacy system; S 486 Access for All America Act, a bill to achieve access to comprehensive primary health care services for all Americans and to reform the organization of primary care delivery through an expansion of the Community Health Center and National Health Service Corps programs; S 491 Federal and Military Retiree Health Care Equity Act, a bill to amend the Internal Revenue Code of 1986 to allow Federal civilian and military retirees to pay health insurance premiums on a pretax basis and to allow a deduction for TRICARE supplemental premiums; HR 1253 Health Insurance Restrictions and Limitations Clarification Act of 2009, a bill to require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable; HR 1296 Access for All America Act, a bill to achieve access to comprehensive primary health care services for all Americans and to reform the organization of primary care delivery through an expansion of the Community Health Center and National Health Service Corps programs; HR 1411 United States Primary and Preventive Health Care Corps Act of 2009, a bill to amend the Public Health Service Act to establish a Primary and Public Health Scholarship Program; HR 1460 Nurses Higher Education and Loan Repayment Act, a bill to amend the Public Health Service Act to establish a graduate degree loan repayment program for nurses who become nursing school faculty members; HR 1494Nursing Home Emergency Assistance Act, a bill to ensure that a private for-profit nursing home affected by a major disaster receives the same reimbursement as a public nursing home affected by a major disaster; HR 1495 Comprehensive Health Care Reform Act of 2009, a bill to amend the Internal Revenue Code of 1986 to make health care coverage more accessible and affordable; HR 1496 Child Health Care Affordability Act, a bill to amend the Internal Revenue Code of 1986 to allow individuals a credit against income tax for medical expenses for dependents; HR 1497 Treat Physicians Fairly Act of 2009, a bill to amend the Internal Revenue Code of 1986 to allow medical care providers a credit against income tax for uncompensated emergency medical care and to allow hospitals a deduction for such care; HR 1558 and S 623 Preexisting Condition Patient Protection Act of 2009, would prohibit health insurers from denying coverage to people with pre-existing conditions, such as diabetes and heart disease; S 616 Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2009, a bill to amend the Public Health Service Act to authorize medical simulation enhancement programs, and for other purposes; HR 1581 Patient-Focused Critical Care Enhancement Act, a bill to optimize the delivery of critical care medicine and expand the critical care workforce; HR 1591 Fulfilling America's Promise to Our Veterans Act, a bill to amend title 38, United States Code, to clarify that the United States may not recover or collect any charges from a third party for hospital care or medical services provided by the Secretary of Veterans Affairs to a veteran for a service-connected disability; S 628 Conrad State 30 Improvement Act, a bill to provide incentives to physicians to practice in rural and medically underserved communities; HR 1614 and S 652 Community Coalitions for Access and Quality Improvement Act of 2009, a bill to authorize the Secretary of Health and Human Services to make grants to community health coalitions to assist in the development of integrated health care delivery; S 658 Rural Veterans Health Care Improvement Act of 2009, a bill to amend title 38, United States Code, to improve health care for veterans who live in rural areas; HR 1691 and S 688 Breast Cancer Patient Protection Act of 2009, a bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations; HR 1699 Patient Access to Critical Lab Tests Act, a bill to require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; S 698 State-Based Health Care Reform Act, 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; S 703 American Health Security Act of 2009, a bill to provide for health care for every American and to control the cost and enhance the quality of the health care system; HR 1745 Family Health Care Accessibility Act of 2009, a bill to amend the Public Health Service Act to provide liability protections for volunteer practitioners at health centers under section 330 of such Act; S 733 National Trauma Center Stabilization Act of 2009, a bill to ensure the continued and future availability of life saving trauma health care in the United States and to prevent further trauma center closures and downgrades by assisting trauma centers with uncompensated care costs, core mission services, and emergency needs; S 734 Rural Veterans Health Care Access and Quality Act of 2009, a bill to amend title 38, United States Code, to improve the capacity of the Department of Veterans Affairs to recruit and retain physicians in Health Professional Shortage Areas and to improve the provision of health care to veterans in rural areas; Letter to HHS about the action plan to prevent Healthcare associated infections; Provided information to members of Congress about the Quality and Patient Safety Transparency initiatives by state; Working with Rep. Nathan Deal to get legislation introduced on provider price transparency.

- The American Recovery and Reinvestment Act (H.R.1) - supported energy efficiency provisions - Fiscal Year 2009 Omnibus Appropriations (H. 1105) - supported - Multinational Species Conservation Fund Appropriations - supported - Interior and Environment Appropriations - supported funding for FWS international affairs programs - International Affairs Budget and State, Foreign Operations and Related Programs Appropriations Omnibus FY2009 (HR 1105) and FY2010 supported increased funding for international conservation programs, biodiversity, GEF, climate funds, food security, and a robust F150 account funding level - Commerce appropriations supported funding for NOAA programs - Kerry-Lugar Budget Resolution Amendment to restore international affairs budget to Presidents request (#732) - supported - Water Resource Development Act Appropriations (H.R. 1495) supported funding for Rio Grande Environmental Management Program

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

Government targets: Agriculture, Dept of (USDA), Council on Environmental Quality (CEQ), Energy, Dept of, Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Natl Oceanic & Atmospheric Administration (NOAA), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Agency for International Development (USAID), U.S. Fish & Wildlife Service (USFWS), U.S. Trade Representative (USTR)