AmeriCare Health Care Act of 2009

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 15: National Health Insurance Act HR 676: United States National Health Care Act or the Expanded and Improved Medicare for All Act HR 956: HealthCARE Act of 2009 HR 2: Children's Health Insurance Program Reauthorization Act of 2009 HR 193: AmeriCare Health Care Act of 2009 HR 1039: Promoting Health Information Technology Act of 2009 HR 1200: American Health Security Act of 2009 HR 1321: Healthy Americans Act HR 1322: Emergency Retiree Health Benefits Protection Act of 2009 H.R. 3962: Affordable Health Care for America Act H.R. 4872: Health Care and Education Reconciliation Act of 2010, SAFRA Act S.29: Coverage Continuity Act S.266: Medicare Prescription Drug Gap Reduction Act of 2009 S. 301: Physician Payments Sunshine Act of 2009 S. 318: Medicare Rural Health Access Improvement Act of 2009 S. 323: Rural Revitalization Act of 2009 S.391: Healthy Americans Act S. 698: State-Based Health Care Reform Act S.1679: Affordable Health Choices Act S. 1796: America's Healthy Future Act of 2009

Client expense: $947,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Healthcare Reform: S.391, H.R. 1321 Healthy Americans Act; H.R. 193 American Healthcare Act; H.R. 3200, America's Affordable Health Choices Act; America's Healthy Futures Act of 2009; H.R. 3962, Affordable Healthcare for America Act; H.R. 3590 Patient Protection and Affordable Care Act, Pub. Law No: 111-148 H.R. 5710, National All Schedules Prescription Electronic Reporting Reauthorization Act H.R. 4872, The Health Care and Education Affordability Reconciliation Act of 2010 H.R. 5808, To amend the Patient Protection and Affordable Care Act to establish a public health insurance option. Nondiscrimination language regarding paraprofessionals H.R. 5295, Healthcare Truth and Transparency Act: Healthcare Provider Transparency, Healthcare Provider Misrepresentation H.R. 756, National Pain Care Policy Act, S.660, National Pain Care Policy Act DEA E-Prescribing DEA Propofol Comparative Effectiveness Research Hospital Acquired Infections HITECH Implemenation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use Data Registry Funding HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Risk Evaluation and Mitigation Strategies Physician Antitrust Relief Physician Workforce Issues Medical Liability Reform FDA Safe Use Initiative FDA Operating Room Fires FDA ACTION Initiative FDA Propofol Shortage Compliance with Senate Finance Committee request FDA Scheduling of Propofol FDA Sentinel Non-Anesthesia Provider Use of Propofol Prescription Drug User Fee Act Deep sedation NASPER Funding Required Physician Supervision of Nurse Anesthetists, Nurse error rates State Exchanges pursuant to PPACA Patient Safety Initiatives

Client expense: $210,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE

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

Employer Health Insurance Mandates S 3501- American Job Protection Act Epansion of Small Business Health Coverage; Possible Limits on Itemized Deductions as Pay-Fors; Affordability Tax Credits S 979 - Small Business Health Options Program (SHOP) Act S 1679 - Affordable Health Choices Act S 1796- America's Healthy Future Act of 2009 HR 2360- Small Business Health Options Program (SHOP) Act of 2009 HR 3200- America's Affordable Health Choices Act of 2009 HR 3962- Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 HR 1470- Equity for Our Nation's Self-Employed Act of 2009 S 725- Equity for Our Nation's Self-Employed Act of 2009 Expansion of Small Business Health Coverage S 45- Medical Care Access Protection (MCAP) Act of 2009 S 79- Healthy Businesses, Healthy Workers Reinsurance Act S 93- Small Business Empowerment Act S 391 - Healthy Americans Act HR 193 - AmeriCare Health Insurance Act of 2009 HR 859- Small Business Cooperative for Healthcare Options to Improve Coverage for Employees (CHOICE) Act of 2009 HR 879- Affordable Health Care Expansion Act of 2009

Client expense: $3,940,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Council on Environmental Quality (CEQ), Energy, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Housing Finance Agency (FHFA), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office

Healthcare Reform: S.391, H.R. 1321 Healthy Americans Act; H.R. 193 American Healthcare Act; H.R. 3200, America's Affordable Health Choices Act; America's Healthy Futures Act of 2009; H.R. 3962, Affordable Healthcare for America Act; H.R. 3590 Patient Protection and Affordable Care Act, Pub. Law No: 111-148 H.R. 4872, The Health Care and Education Affordability Reconciliation Act of 2010 Nondiscrimination language regarding paraprofessionals Independent Payment Advisory Board (IPAB) Anesthesia Conversion factor H.R. 5295, Healthcare Truth and Transparency Act: Healthcare Provider Transparency, Healthcare Provider Misrepresentation H.R. 756, National Pain Care Policy Act, S.660, National Pain Care Policy Act FDA Ethicon Endo-Surgery SEDASYS System DEA E-Prescribing DEA Propofol Comparative Effectiveness Research Hospital Acquired Infections American Recovery and Reinvestment Act of 2009: Health Information Technology, Stimulus Bill, HITECH Data Registry Funding HHS/OIG Anesthesia Practice Arrangements FDA Risk Evaluation and Mitigation Strategies Physician Antitrust Relief Physician Workforce Issues Medical Liability Reform FDA Safe Use Initiative HIT Meaningful Use FDA Operating Room Fires FDA ACTION Initiative FDA Propofol Shortage Public Plan - Negotiated Provider payment rates OIG Company Model issue Compliance with Senate Finance Committee request FDA Scheduling of Propofol FDA Sentinel Non-Anesthesia Provider Use of Propofol Prescription Drug User Fee Act Deep sedation

Client expense: $340,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

H.R. 193, AmeriCare Health Care Act of 2009 H.R. 468/S. 245, Retooling the Health Care Workforce for an Aging America Act of 2009 H.R. 619, to repeal the exclusion from medical assistance under the Medicaid program of items and services for patients in an institution for mental diseases H.R. 676, Expanded and Improved Medicare for All Act H.R. 1693/S. 671, Seniors Mental Health Access Improvement Act of 2009 (MFTs and MHCs under Medicare) H.R. 1708/S. 700, Ending the Medicare Disability Waiting Period Act of 2009 H.R. 194, MediKids Health Insurance Act of 2009 S. 391, Healthy Americans Act S. 1110, H.R. 2718, Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009 S. 1136, Mental Illness Chronic Care Improvement Act of 2009 S. 1679, Affordable Health Choices Act H.R. 3191, Positive Aging Act of 2009 H.R. 3962, Affordable Health Care for America Act H.R. 3590, Patient Protection and Affordable Care Act H.R. 3961, Physician Payment Reform Act of 2009 H.R. 4204/S. 1857, Establishing a Network of Health-Advancing National Centers of Excellence for Depression (ENHANCED) Act of 2009 S. 1776, Medicare Physician Fairness Act of 2009 H.R. 4872, Health Care and Education Reconciliation Act of 2010

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

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

H.R. 193, AmeriCare Health Care Act of 2009 H.R. 676, Expanded and Improved Medicare for All Act S. 93, Small Business Empowerment Act H.R. 850/H.R. 859, Small Business Cooperative for Healthcare Options to Improve Coverage for Employees (CHOICE) Act of 2009 H.R. 15, National Health Insurance Act H.R. 194, MediKids Health Insurance Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 (medical malpractice reform) H.R. 1468, Medical Justice Act of 2009 (medical malpractice reform) S. 45, Medical Care Access Protection Act of 2009 or the MCAP Act (medical malpractice reform) H.R. 1092, No Discrimination in Health Insurance Act of 2009 H.R. 1558, Preexisting Condition Patient Protection Act of 2009 S. 1099, Patients Choice Act and Independent Health Record Trust Act of 2009 S. 391, Healthy Americans Act S. 1679, Affordable Health Choices Act H.R. 3962, Affordable Health Care for America Act H.R. 3590, Patient Protection and Affordable Care Act H.R. 3961, Physician Payment Reform Act of 2009 H.R. 1721/S. 697, Community Living Assistance Services and Supports (CLASS) Act H.R. 4872, Health Care and Education Reconciliation Act of 2010 Interim Final Rules under the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008; Docket No. CMS-2009-0040-0048; 75 Federal Register 5410 (February 2, 2010)

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

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

Expansion of Small Business Health Coverage: H.R. 2360/S. 979 - "Small Business Options Program Act of 2009 (SHOP)" H.R. 859 Small Business CHOICE Act of 2009 Expansion of Small Business Health Coverage (cont'd): H.R. 3590 - "Patient Protection and Affordable Care Act" H.R. 4872 - "Health Care and Education Reconciliation Act of 2010" H.R. 3962 - "Affordable Health Care for America Act" S. 1796 - "America's Healthy Future Act of 2009" H.R. 3200 - "America's Affordable Health Choices Act of 2009" S. 1679 - "Affordable Health Choices Act" H.R. 193 - "AmeriCare Health Care Act of 2009" S. 93 - Small Business Empowerment Act S. 79 - Healthy Businesses, Healthy Workers Reinsurance Act of 2009 S. 45 - Medical Care Access Protection Act of 2009 S. 391 - Healthy Americans Act H.R. 879 - Affordable Health Care Expansion Act of 2009 Payroll Tax Treatment of Health Insurance Premiums Paid for Self-Employed Individuals: S. 725 - "Equity for Our Nation's Self Employed Act of 2009" H.R. 1470 - "Equity for Our Nations Self-Employed Act of 2009"

Client expense: $4,300,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Council on Environmental Quality (CEQ), Energy, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

Healthcare Reform: S.391, H.R. 1321 Healthy Americans Act; H.R. 193 American Healthcare Act; H.R. 3200, America's Affordable Health Choices Act; America's Healthy Futures Act of 2009; H.R. 3962, Affordable Healthcare for America Act; H.R. 3590 Patient Protection and Affordable Care Act, Pub. Law No: 111-148 H.R. 4872, The Health Care and Education Affordability Reconciliation Act of 2010 Nondiscrimination language regarding paraprofessionals Independent Payment Advisory Board (IPAB) Anesthesia Conversion factor Healthcare Truth and Transparency Act: Healthcare Provider Transparency, Healthcare Provider Misrepresentation H.R. 756, National Pain Care Policy Act, S.660, National Pain Care Policy Act FDA Ethicon Endo-Surgery SEDASYS System DEA E-Prescribing National All Schedules Prescription Electronic Reporting Act Funding DEA Propofol Homeland Security Disaster preparedness Comparative Effectiveness Research Hospital Acquired Infections American Recovery and Reinvestment Act of 2009: Health Information Technology, Stimulus Bill, HITECH Data Registry Funding HHS/OIG Anesthesia Practice Arrangements FDA Risk Evaluation and Mitigation Strategies Physician Antitrust Relief Physician Workforce Issues Medical Liability Reform FDA Safe Use Initiative HIT Meaningful Use FDA Operating Room Fires FDA ACTION Initiative FDA Propofol Shortage Public Plan - Negotiated Provider payment rates OIG Company Model issue Compliance with Senate Finance Committee request FDA Scheduling of Propofol Military Anesthesia FDA Sentinel Non-Anesthesia Provider Use of Propofol

Client expense: $210,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE

HR 2: Children's Health Insurance Program Reauthorization Act of 2009 HR 15: National Health Insurance Act HR 193: AmeriCare Health Care Act of 2009 HR 676: United States National Health Care Act or the Expanded and Improved Medicare for All Act HR 956: HealthCARE Act of 2009 HR 1039: Promoting Health Information Technology Act of 2009 HR 1200: American Health Security Act of 2009 HR 1321: Healthy Americans Act HR 1322: Emergency Retiree Health Benefits Protection Act of 2009 S. 4: Comprehensive Health Reform Act of 2009 S.29: Coverage Continuity Act S.266: Medicare Prescription Drug Gap Reduction Act of 2009 S. 301: Physician Payments Sunshine Act of 2009 S. 318: Medicare Rural Health Access Improvement Act of 2009 S. 323: Rural Revitalization Act of 2009 S 350: HITECH Act (included in H.R. 1 as passed) S.391: Healthy Americans Act S. 698: State-Based Health Care Reform Act H.R. 3200: Tri-Committee Health Care Reform Bill S.1679: Affordable Health Choices Act Senate Finance Committee "Baucus Bill" as approved by committee H.R. 3590: The Patient Protection and Affordable Care Act of 2009 S. 1796: America's Healthy Future Act of 2009 H.R. 3200: America's Affordable Health Choices Act of 2009 H.R. 3962: Affordable Health Care for America Act H.R. 4872: Health Care and Education Reconciliation Act of 2010, SAFRA Act

Client expense: $1,011,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.914, Physician Workforce Enhancement Act of 2009, Addiction treatment workforce development. S.790, Health Access and Health Professions Supply Act of 2009, Addiction treatment workforce development. Add to #17 below: National Institute of Drug Abuse (NIDA); and Center for Substance Abuse Treatment (CSAT) H.R. 1092, No Discrimination in Health Insurance Act of 2009, Consumer and patient protections. HR 1558/S. 623, Pre-existing Condition Patient Protection Act, Consumer and patient protections. S. 442, Health Insurance Coverage Protection Act, Consumer and patient protections. H.R. 1253, Health Insurance Restrictions and Limitations Clarification Act of 2009, Consumer and patient protections. H.R.1085, Health Insurance Coverage Protection Act, Consumer and patient protections. S. 391, Healthy Americans Act, Health care reform. H.R. 193, AmeriCare Health Insurance Act of 2009, Health care reform. S. 1050, Informed Consumer Choices in Health Care Act of 2009, Discrimination in the private health insurance market related issues. H.R.756/S.660, National Pain Care Policy Act of 2009, Pain care related issues. H.R.3200, America's Affordable Health Choices Act of 2009, Addiction treatment issues. S.1679, Affordable Health Choices Act, Addiction treatment issues. Public Law 111-148, Patient Protection and Affordable Care Act, Addiction treatment issues. H.R.4872, Health Care Reconciliation Act of 2010, Addiction Treatment issues.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

S. 391 Healthy Americans Act S.4, Comprehensive Health Reform Act of 2009 H.R. 193, AmeriCare Health Care Act of 2009 H.R. 1321 Healthy Americans Act H.R. 194, MediKids Health Insurance Act of 2009 H.R. 2360 the Small Business Health Options Program Act of 2009 S. 979, the Small Business Health Options Program Act of 2009 H.R. 2399, the American Health Benefits Program Act of 2009 H.R. 1409 Employee Free Choice Act S. 560, Employee Free Choice Act S.1020 Patient-Focuses Critical Care Enhancement Act H.R. 1581, Patient-Focuses Critical Care Enhancement Act S. 973 Resident Physician Shortage Reduction Act of 2009 H.R. 2251, Resident Physician Shortage Reduction Act of 2009 S. 1143 Public Health Workforce Development Act of 2009 H.R. 2620, Public Health Workforce Development Act of 2009 S.1022, Nurses Higher Education and Loan Repayment Act of 2009 H.R. 2350, Preserving Patient Access to Primary Care Act of 2009 S. 1213, Patient-Centered Outcomes Research Act of 2009 H.R. 1776, Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act H.R. 759, Food and Drug Administration (FDA) Globalization Act H.R. 2502, Comparative Effectiveness Research Act of 2009 H.R. 1548, Pathway for Biosimilars Act H.R. 1427, Promoting Innovation and Access to Life-Saving Medicine Act S. 634 Fitness Integrated with Teaching (FIT) Kids Act H.R. 1585, Fitness Integrated with Teaching (FIT) Kids Act S. 934 Child Nutrition Promotion and School Lunch Protection Act of 2009 H.R. 1324, Child Nutrition Promotion and School Lunch Protection Act of 2009 S. 584 Complete the Streets Act of 2009 Healthy Workforce Act H.R. 1443, Complete the Streets Act of 2009 Healthy Workforce Act H.R. 2105, Personal Health Investment Today (PHIT) Act of 2009 H.R. 1402, Catalyst to Better Diabetes Care bill S. 803 Healthy Workforce Act H.R. 1897, Healthy Workforce Act S. 717, 21st Century Cancer ALERT(Access to Life-Saving Early detection, Reseach and Tratment)

Client expense: $280,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Veterans Healthcare issues Health Reform Comparative Effectiveness Research Health Information Technology S. 4 - Comprehensive Health Reform Act (1/09) S. 45 - Health Liability Reduction Act (1/09) S. 301 - Physician Payments Sunshine Act (1/09) S. 501 - Fair Prescription Drug Competition Act (3/09) S. 726 - Promoting Innovation and Access to Life-Saving Medicine Act S. 717 - 21st Century Cancer ALERT Act S. Con Res 13 - Budget Reconciliation H.R. 15 - National Health Insurance Act (1/09) H.R. 193 - AmeriCare Act (1/09) H.R. 1 - The American Recovery and Reinvestment Act H.R. 1427 - Promoting Innovation and Access to Life-Saving Medicine Act H.R. 2 - Children's Health Insurance Program Reauthorization Act of 2009 H.R. 1548 - Pathway for Biosimilars Act H. Con Res 85 - Budget Reconciliation H.R. 2366 Cancer Drug Coverage Parity Act 0f 2009 H.R. 1548 - The Pathway for Biosimilars Act H.R. 1549 The Preservation of Antibiotics for Medical Treatment Act H.R. 2400 - Strategies to Address Antimicrobial Resistance Act H.R. 3200 - America's Affordable Health Choice Act H.R. 2366 - Cancer Drug Coverage parity Act H.R. 3962 - Affordable Healthcare for America Act H.R. 3590 - Patient Protection and Affordable Care Act Health Information Technology Comparative Effectiveness Research Health Care Reform Proposals Follow on Biologics Medicare Part D

Client expense: $6,200,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, Veterans Affairs, Dept of (VA)

Veterans Healthcare issues Health Reform Comparative Effectiveness Research Health Information Technology S. 4 - Comprehensive Health Reform Act (1/09) S. 45 - Health Liability Reduction Act (1/09) S. 301 - Physician Payments Sunshine Act (1/09) S. 501 - Fair Prescription Drug Competition Act (3/09) S. 726 - Promoting Innovation and Access to Life-Saving Medicine Act S. 717 - 21st Century Cancer ALERT Act S. Con Res 13 - Budget Reconciliation H.R. 15 - National Health Insurance Act (1/09) H.R. 193 - AmeriCare Act (1/09) H.R. 1 - The American Recovery and Reinvestment Act H.R. 1427 - Promoting Innovation and Access to Life-Saving Medicine Act H.R. 2 - Children's Health Insurance Program Reauthorization Act of 2009 H.R. 1548 - Pathway for Biosimilars Act H. Con Res 85 - Budget Reconciliation H.R. 2366 Cancer Drug Coverage Parity Act 0f 2009 H.R. 1548 - The Pathway for Biosimilars Act H.R. 1549 The Preservation of Antibiotics for Medical Treatment Act H.R. 2400 - Strategies to Address Antimicrobial Resistance Act H.R. 3200 - America's Affordable Health Choice Act H.R. 2366 - Cancer Drug Coverage parity Act Health Information Technology Comparative Effectiveness Research Health Care Reform Proposals Follow on Biologics Medicare Part D

Client expense: $5,490,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, Veterans Affairs, Dept of (VA)

Veterans Healthcare issues Electronic Prescribing Comparative Effectiveness Research Health Information Technology Follow-on Biologics S. 4 - Comprehensive Health reform Act (1/09) S. 45 - Health Liability Reduction Act (1/09) S. 301 - Physician Payments Sunshine Act (1/09) H.R. 15 - National Health Insurance Act (1/09) H.R. 193 - AmeriCare Act (1/09) S. 501 - Fair Prescription Drug Competition Act (3/09) H.R. 1 - The American Recovery and Reinvestment Act H.R. 1427 - Promoting Innovation and Access to Life-Saving Medicine Act HR 2, Children's Health Insurance Program Reauthorization Act of 2009 S. 726 - Promoting Innovation and Access to Life-Saving Medicine Act H.R. 1548 - Pathway for Biosimilars Act S.717 21st Century Cancer ALERT Act S. Con Res 13 - Budget Reconciliation H. Con Res 85 - Budget Reconciliation Health Reform Initiatives Health Information Technology Comparative Effectiveness Research Follow on Biologics

Client expense: $5,860,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, Veterans Affairs, Dept of (VA)

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.

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, White House Office

Veterans Healthcare issues Health Reform Comparative Effectiveness Research Health Information Technology S. 4 - Comprehensive Health Reform Act (1/09) S. 45 - Health Liability Reduction Act (1/09) S. 301 - Physician Payments Sunshine Act (1/09) S. 501 - Fair Prescription Drug Competition Act (3/09) S. 726 - Promoting Innovation and Access to Life-Saving Medicine Act S. 717 - 21st Century Cancer ALERT Act S. Con Res 13 - Budget Reconciliation H.R. 15 - National Health Insurance Act (1/09) H.R. 193 - AmeriCare Act (1/09) H.R. 1 - The American Recovery and Reinvestment Act H.R. 1427 - Promoting Innovation and Access to Life-Saving Medicine Act H.R. 2 - Children's Health Insurance Program Reauthorization Act of 2009 H.R. 1548 - Pathway for Biosimilars Act H. Con Res 85 - Budget Reconciliation H.R. 2366 Cancer Drug Coverage Parity Act 0f 2009 H.R. 1548 - The Pathway for Biosimilars Act H.R. 1549 The Preservation of Antibiotics for Medical Treatment Act H.R. 2400 - Strategies to Address Antimicrobial Resistance Act H.R. 3200 - America's Affordable Health Choice Act H.R. 2366 - Cancer Drug Coverage parity Act H.R. 3962 - Affordable Healthcare for America Act H.R. 3590 - Patient Protection and Affordable Care Act Health Information Technology Comparative Effectiveness Research Health Care Reform Proposals Follow on Biologics Medicare Part D

Client expense: $5,590,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, Veterans Affairs, Dept of (VA)

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.

Client expense: $2,540,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

Veterans Healthcare issues Health Reform Comparative Effectiveness Research Health Information Technology S. 4 - Comprehensive Health Reform Act (1/09) S. 45 - Health Liability Reduction Act (1/09) S. 301 - Physician Payments Sunshine Act (1/09) S. 501 - Fair Prescription Drug Competition Act (3/09) S. 726 - Promoting Innovation and Access to Life-Saving Medicine Act S. 717 - 21st Century Cancer ALERT Act S. Con Res 13 - Budget Reconciliation H.R. 15 - National Health Insurance Act (1/09) H.R. 193 - AmeriCare Act (1/09) H.R. 1 - The American Recovery and Reinvestment Act H.R. 1427 - Promoting Innovation and Access to Life-Saving Medicine Act H.R. 2 - Children's Health Insurance Program Reauthorization Act of 2009 H.R. 1548 - Pathway for Biosimilars Act H. Con Res 85 - Budget Reconciliation H.R. 2366 Cancer Drug Coverage Parity Act 0f 2009 H.R. 1548 - The Pathway for Biosimilars Act H.R. 1549 The Preservation of Antibiotics for Medical Treatment Act H.R. 2400 - Strategies to Address Antimicrobial Resistance Act H.R. 3200 - America's Affordable Health Choice Act H.R. 2366 - Cancer Drug Coverage parity Act H.R. 3962 - Affordable Healthcare for America Act H.R. 3590 - Patient Protection and Affordable Care Act Health Information Technology Comparative Effectiveness Research Health Care Reform Proposals Follow on Biologics Medicare Part D

Client expense: $5,590,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, Veterans Affairs, Dept of (VA)

HR 2: Children's Health Insurance Program Reauthorization Act of 2009 HR 15: National Health Insurance Act HR 193: AmeriCare Health Care Act of 2009 HR 676: United States National Health Care Act or the Expanded and Improved Medicare for All Act HR 956: HealthCARE Act of 2009 HR 1039: Promoting Health Information Technology Act of 2009 HR 1200: American Health Security Act of 2009 HR 1321: Healthy Americans Act HR 1322: Emergency Retiree Health Benefits Protection Act of 2009 S. 4: Comprehensive Health Reform Act of 2009 S.29: Coverage Continuity Act S.266: Medicare Prescription Drug Gap Reduction Act of 2009 S. 301: Physician Payments Sunshine Act of 2009 S. 318: Medicare Rural Health Access Improvement Act of 2009 S. 323: Rural Revitalization Act of 2009 S 350: HITECH Act (included in H.R. 1 as passed) S.391: Healthy Americans Act S. 698: State-Based Health Care Reform Act H.R. 3200: Tri-Committee Health Care Reform Bill S.1679: Affordable Health Choices Act Senate Finance Committee "Baucus Bill" as approved by committee H.R. 3590: The Patient Protection and Affordable Care Act of 2009 S. 1796: America's Healthy Future Act of 2009 H.R. 3200: America's Affordable Health Choices Act of 2009 H.R. 3962: Affordable Health Care for America Act H.R. 3936: Preserve Benefits and Jobs Act of 2009

Client expense: $1,107,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Healthcare Reform: S.391, H.R. 1321 Healthy Americans Act; H.R. 193 American Healthcare Act; H.R. 3200, America's Affordable Health Choices Act; Call to Action Healthcare Reform 2009 - Senate Finance Committee; Senate Finance Committee Chairman's Mark, America's Healthy Futures Act of 2009; Senate Health, Education, Labor and Pension Committee Reform Proposal; H.R. 3962, Affordable Healthcare for America Act; H.R. 3590 Patient Protection and Affordable Care Act; Nondiscrimination language regarding paraprofessionals Independent Payment Advisory Board (IPAB) Anesthesia Conversion factor Healthcare Truth and Transparency Act: Healthcare Provider Transparency, Healthcare Provider Misrepresentation H.R. 756, National Pain Care Policy Act, S.660, National Pain Care Policy Act Patient Safety Organizations FDA Fospropofol FDA Ethicon Endo-Surgery SEDASYS System DEA E-Prescribing DEA Fospropofol National All Schedules Prescription Electronic Reporting Act Funding DEA Propofol Homeland Security Disaster preparedness Comparative Effectiveness Research Hospital Acquired Infections American Recovery and Reinvestment Act of 2009: Health Information Technology, Stimulus Bill, HITECH HIT Data Registry Funding HHS/OIG Anesthesia Practice Arrangements FDA Risk Evaluation and Mitigation Strategies Physician Antitrust Relief Physician Workforce Issues Medical Liability Reform FDA Propofol Infection Issue HIT Meaningful Use FDA Operating Room Fires FDA ACTION Initiative FDA Propofol Shortage Public Plan - Negotiated Provider payment rates OIG Company Model issue

Client expense: $240,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE

H.R. 193, AmeriCare Health Care Act of 2009 H.R. 468/S. 245, Retooling the Health Care Workforce for an Aging America Act of 2009 H.R. 619, to repeal the exclusion from medical assistance under the Medicaid program of items and services for patients in an institution for mental diseases H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act H.R. 1693/S. 671, Seniors Mental Health Access Improvement Act of 2009 (MFTs and MHCs under Medicare) H.R. 1708/S. 700, Ending the Medicare Disability Waiting Period Act of 2009 H.R. 194, MediKids Health Insurance Act of 2009 H.R. 3200, Americas Affordable Health Choices Act of 2009 S. 391, Healthy Americans Act S. 1110, H.R. 2718, Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009 S. 1136, Mental Illness Chronic Care Improvement Act of 2009 S. 1679, Affordable Health Choices Act H.R. 3191, Positive Aging Act of 2009 H.R. 3962, Affordable Health Care for America Act H.R. 3590, Patient Protection and Affordable Care Act H.R. 3961, Physician Payment Reform Act of 2009 S. 1857, H.R. 4204, Enhanced Act of 2009 S. 1776, Medicare Physician Fairness Act of 2009 Medicare Program; Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2010; Final Rule; 74 Federal Register 617380 (November 25, 2009). Proposed Rule; Medicare Program; Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs Docket No. CMS-4085-P] 74 Federal Register 54633 (October 22, 2009)

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

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

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

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

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

H.R. 193, AmeriCare Health Care Act of 2009 H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act S. 93, Small Business Empowerment Act H.R. 850/H.R. 859, Small Business Cooperative for Healthcare Options to Improve Coverage for Employees (CHOICE) Act of 2009 H.R. 15, National Health Insurance Act H.R. 194, MediKids Health Insurance Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 (medical malpractice reform) H.R. 1468, Medical Justice Act of 2009 (medical malpractice reform) S. 45, Medical Care Access Protection Act of 2009 or the MCAP Act (medical malpractice reform) H.R. 1092, No Discrimination in Health Insurance Act of 2009 H.R. 1558, Preexisting Condition Patient Protection Act of 2009 H.R. 3200, Americas Affordable Health Choices Act of 2009 S. 1099, Independent Health Record Trust Act of 2009 S. 391, Healthy Americans Act S. 1679, Affordable Health Choices Act H.R. 3962, Affordable Health Care for America Act H.R. 3590, Patient Protection and Affordable Care Act H.R. 3961, Physician Payment Reform Act of 2009 H.R. 1721/S. 697, Community Living Assistance Services and Supports (CLASS) Act

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

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

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.

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, White House Office

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.914, Physician Workforce Enhancement Act of 2009, Addiction treatment workforce development. S.790, Health Access and Health Professions Supply Act of 2009, Addiction treatment workforce development. Add to #17 below: National Institute of Drug Abuse (NIDA); and Center for Substance Abuse Treatment (CSAT) H.R. 1092, No Discrimination in Health Insurance Act of 2009, Consumer and patient protections. HR 1558/S. 623, Pre-existing Condition Patient Protection Act, Consumer and patient protections. S. 442, Health Insurance Coverage Protection Act, Consumer and patient protections. H.R. 1253, Health Insurance Restrictions and Limitations Clarification Act of 2009, Consumer and patient protections. H.R.1085, Health Insurance Coverage Protection Act, Consumer and patient protections. S. 391, Healthy Americans Act, Health care reform. H.R. 193, AmeriCare Health Insurance Act of 2009, Health care reform. S. 1050, Informed Consumer Choices in Health Care Act of 2009, Discrimination in the private health insurance market related issues. H.R.756/S.660, National Pain Care Policy Act of 2009, Pain care related issues. H.R.3200, America's Affordable Health Choices Act of 2009, Addiction treatment issues. S.1679, Affordable Health Choices Act, Addiction treatment issues. H.R.3590, Patient Protection and Affordable Care Act, Addiction treatment issues.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Expansion of Small Business Health Coverage: H.R. 2360/S. 979 - "Small Business Options Program Act of 2009 (SHOP)" H.R. 859 Small Business CHOICE Act of 2009 Expansion of Small Business Health Coverage (cont'd): H.R. 3590 - "Patient Protection and Affordable Care Act" H.R. 3962 - "Affordable Health Care for America Act" S. 1796 - "America's Healthy Future Act of 2009" H.R. 3200 - "America's Affordable Health Choices Act of 2009" S. 1679 - "Affordable Health Choices Act" H.R. 193 AmeriCare Health Care Act of 2009 S. 93 - Small Business Empowerment Act S. 79 - Healthy Businesses, Healthy Workers Reinsurance Act of 2009 S. 45 - Medical Care Access Protection Act of 2009 S. 391 - Healthy Americans Act H.R. 879 - Affordable Health Care Expansion Act of 2009

Client expense: $5,600,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Council on Environmental Quality (CEQ), Energy, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

Universal Coverage. H.R. 3590, H.R. 3962, H.R.15, H.R.193, H.R. 676, H.R.1200, S. 4: provisions providing health care or insurance for all U.S. residents and to control the cost and enhance the quality of the health care system. Importation of Prescription Drugs. H.R. 3590, H.R. 163, H.R. 1298, S. 525: provisions facilitating the importation of prescription drugs. Health Information Technology. H.R. 1031, H.R. 1039, S. 179, S. 444: provisions facilitating the adoption of modern information technology. Generic Drugs. S. 369: provision to prohibit brand name drug companies from compensating generic drug companies to delay the entry of a generic drug into the market. Long-Term Services and Supports. H.R. 3590, H.R. 3962, S. 697/H.R.1721, H.R. 3200, S. 1679, Senate Finance Committee Mark of Americas Healthy Futures Act: provisions providing assistance to individuals with functional impairments maintain their independence, authorizing establishment of a community living infrastructure, and providing assistance to family caregivers (CLASS Act). Healthcare Workforce. H.R. 3590, H.R. 3962, H.R. 468/S. 245, S. 750, H.R. 3098: provisions relating to the recruitment, training, and support of health care professionals and direct care workers in support of older Americans. Affordability of Health Coverage for Seniors. H.R. 3590, H.R. 3962, S.1679: provisions reducing allowable age rating ratio for health insurance premiums.

Client expense: $340,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 193 AmeriCare Healt Care Act of 2009. A Bill to provide that AmeriCare guarantees health insurance coverage to all U.S. residents by amending the Social Security Act and Internal Revenue Code of 1986. The issue of guaranteeing coverage to all. H.J. Res 4 health Protection Amendment of 2009. A Bill guarantee health care to all United States citizens by amending the Constitution of the United States by granting Congress the power to enforce health care. The issue of amending the Constitution. H. R. United States national Health Care Act. A Bill to provide comprehensive health insurance coverge for United State residents. The issue to provide government universal health care to all United States residents. S. 4 Comprhensive Health Reform Act of 2009. A Bill to provide and guarantee health coverage at a reduced rate for all Americans.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. United States National Heatlth Care Act. A Bill to provide comprehensive health insurance coverage for United States residents. The issue to provide government univeral health care to all United states residents. S.4 Comprhensive Health reform Act of 2009. A Bill to provide and guarantee health coverage at a reduced rate for all Americans. H.R. 193 AmeriCare Health Care Act of 2009. A Bill to provide that AmeriCare guarantees health insurance coverage to all U.S. residents by amending the Social Security Act and Internal Revenue Code of 1986. H.J. Res. 4 Health Protection Amendment of 2009. A Bill to guarantee halth care to all United Sates citizens by amending the Constitution of the United States by granting Congress the power to enforce health care.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Veterans Healthcare issues Health Reform Comparative Effectiveness Research Health Information Technology S. 4 - Comprehensive Health Reform Act (1/09) S. 45 - Health Liability Reduction Act (1/09) S. 301 - Physician Payments Sunshine Act (1/09) S. 501 - Fair Prescription Drug Competition Act (3/09) S. 726 - Promoting Innovation and Access to Life-Saving Medicine Act S. 717 - 21st Century Cancer ALERT Act S. Con Res 13 - Budget Reconciliation H.R. 15 - National Health Insurance Act (1/09) H.R. 193 - AmeriCare Act (1/09) H.R. 1 - The American Recovery and Reinvestment Act H.R. 1427 - Promoting Innovation and Access to Life-Saving Medicine Act H.R. 2 - Children's Health Insurance Program Reauthorization Act of 2009 H.R. 1548 - Pathway for Biosimilars Act H. Con Res 85 - Budget Reconciliation H.R. 2366 Cancer Drug Coverage Parity Act 0f 2009 H.R. 1548 - The Pathway for Biosimilars Act H.R. 1549 The Preservation of Antibiotics for Medical Treatment Act H.R. 2400 - Strategies to Address Antimicrobial Resistance Act H.R. 3200 - America's Affordable Health Choice Act H.R. 2366 - Cancer Drug Coverage parity Act Health Information Technology Comparative Effectiveness Research Health Care Reform Proposals Follow on Biologics Medicare Part D

Client expense: $5,420,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, Veterans Affairs, Dept of (VA)

Veterans Healthcare issues Electronic Prescribing Comparative Effectiveness Research Health Information Technology Follow-on Biologics S. 4 - Comprehensive Health reform Act (1/09) S. 45 - Health Liability Reduction Act (1/09) S. 301 - Physician Payments Sunshine Act (1/09) H.R. 15 - National Health Insurance Act (1/09) H.R. 193 - AmeriCare Act (1/09) S. 501 - Fair Prescription Drug Competition Act (3/09) H.R. 1 - The American Recovery and Reinvestment Act H.R. 1427 - Promoting Innovation and Access to Life-Saving Medicine Act HR 2, Children's Health Insurance Program Reauthorization Act of 2009 S. 726 - Promoting Innovation and Access to Life-Saving Medicine Act H.R. 1548 - Pathway for Biosimilars Act S.717 21st Century Cancer ALERT Act S. Con Res 13 - Budget Reconciliation H. Con Res 85 - Budget Reconciliation Health Reform Initiatives Health Information Technology Comparative Effectiveness Research Follow on Biologics

Client expense: $5,340,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, Veterans Affairs, Dept of (VA)

HR 2: Children's Health Insurance Program Reauthorization Act of 2009 HR 15: National Health Insurance Act HR 193: AmeriCare Health Care Act of 2009 HR 676: United States National Health Care Act or the Expanded and Improved Medicare for All Act HR 956: HealthCARE Act of 2009 HR 1039: Promoting Health Information Technology Act of 2009 HR 1200: American Health Security Act of 2009 HR 1321: Healthy Americans Act HR 1322: Emergency Retiree Health Benefits Protection Act of 2009 S. 4: Comprehensive Health Reform Act of 2009 S.29: Coverage Continuity Act S.266: Medicare Prescription Drug Gap Reduction Act of 2009 S. 301: Physician Payments Sunshine Act of 2009 S. 318: Medicare Rural Health Access Improvement Act of 2009 S. 323: Rural Revitalization Act of 2009 S 350: HITECH Act (included in H.R. 1 as passed) S.391: Healthy Americans Act S. 698: State-Based Health Care Reform Act H.R. 3200: Tri-Committee Health Care Reform Bill S.1679: Affordable Health Choices Act Senate Finance Committee "Baucus Bill" as approved by committee

Client expense: $1,249,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Expansion of Small Business Health Coverage: H.R. 2360/S. 979 - "Small Business Options Program Act of 2009 (SHOP)" H.R. 859 Small Business CHOICE Act of 2009 Expansion of Small Business Health Coverage (cont'd): H.R. 3200 - "America's Affordable Health Choices Act of 2009" S. 1679 - "Affordable Health Choices Act" S. ____ (Senate Finance Committee Draft Health Reform Legislation) - "America's Affordable Health Choices Act of 2009" H.R. 193 AmeriCare Health Care Act of 2009 S. 93 - Small Business Empowerment Act S. 79 - Healthy Businesses, Healthy Workers Reinsurance Act of 2009 S. 45 - Medical Care Access Protection Act of 2009 S. 391 - Healthy Americans Act H.R. 879 - Affordable Health Care Expansion Act of 2009 Discussions with White House Office of Health Policy

Client expense: $4,220,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Energy, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

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

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

H.R. 193, AmeriCare Health Care Act of 2009 H.R. 468/S. 245, Retooling the Health Care Workforce for an Aging America Act of 2009 H.R. 619, to repeal the exclusion from medical assistance under the Medicaid program of items and services for patients in an institution for mental diseases H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act H.R. 1693/S. 671, Seniors Mental Health Access Improvement Act of 2009 (MFTs and MHCs under Medicare) H.R. 1708/S. 700, Ending the Medicare Disability Waiting Period Act of 2009 H.R. 194, MediKids Health Insurance Act of 2009 S. 264, E-Centives Act of 2009 H.R. 3200, Americas Affordable Health Choices Act of 2009 S. 1099, Independent Health Record Trust Act of 2009 S. 391, Healthy Americans Act S. 1110, H.R. 2718, Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009 S. 1136, Mental Illness Chronic Care Improvement Act of 2009 S. 1679, Affordable Health Choices Act H.R. 3191, Positive Aging Act of 2009 Medicare Program: Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2010 Payment Rates; Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2010 Payment Rates; Proposed Rule (Vol. 74, No. 137), July 20, 2009 Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2010; Proposed Rule; 74 Federal Register 33,520 (July 13, 2009)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

H.R. 193, AmeriCare Health Care Act of 2009 H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act S. 93, Small Business Empowerment Act H.R. 850/H.R. 859, Small Business Cooperative for Healthcare Options to Improve Coverage for Employees (CHOICE) Act of 2009 H.R. 15, National Health Insurance Act H.R. 194, MediKids Health Insurance Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 (medical malpractice reform) H.R. 1468, Medical Justice Act of 2009 (medical malpractice reform) S. 45, Medical Care Access Protection Act of 2009 or the MCAP Act (medical malpractice reform) H.R. 1092, No Discrimination in Health Insurance Act of 2009 H.R. 1558, Preexisting Condition Patient Protection Act of 2009 H.R. 3200, Americas Affordable Health Choices Act of 2009 S. 1099, Independent Health Record Trust Act of 2009 S. 391, Healthy Americans Act S. 1679, Affordable Health Choices Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

All aspects of healthcare reform - 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 issues. Committee investigations into health insurance practices - Congressional inquiry. 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. 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. 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. Coverage expansions, quality improvements, delivery systems refors, health information technology, comparative effectiveness research, admin. 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. 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. 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.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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 (cont.) HCR (cont.) 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. 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. 3293, Labor, HHS, Education Appropriations Act (Obey/Harkin) high risk pool funding, comparative effectiveness research, HHS programs; 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; S. 45, Medical Care Access Protection Act (Ensign) medical liability reform; 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 HCR (Regulatory Issues): HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets; 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.

Client expense: $2,410,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of