MediKids Health Insurance Act of 2009

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

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

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

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

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Consumer Product Safety Commission (CPSC), Education, Dept of, Environmental Protection Agency (EPA), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Indian Health Service, Labor, Dept of (DOL), Natl Highway Traffic Safety Administration (NHTSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

State Children's Health Insurance Program (SCHIP)/PL111-3 Managed Care Reform Title VII, PHS act Health Care Reform Appropriate Physician payment levels/systems Medical Records Confidentiality Deficit Reduction Act Children's Access to health insurance Immunizations H.R. 194/S. 958 MediKids Health Insurance Act of 2009 WIC national Immunizations program (administration) The Start Healthy, Stay Healthy Act Immunization Coding Issues Health Care Coverage Expansion and Quality Improvement Act Children's Access to Vision Improvement Act Pandemic Influenza Heath Information Technology/Electronic Health Records HRZ-ARRA Emergency Medical Services for Children' Act Reauthorization Injury Prevention HR 1932/S 999 Child Health Care Crisis Relief Act Preemie Act Pediatrics Disaster Preparedness Education Begins at Home Act Child Maltreatment Foster Care and Adoption Native American Child Health Genetic Nondiscrimination Resident Physician Shortage Reduction Act HR872/S 588 Stem Cell Research Improvement Act HR 881 Mercury Free Vaccines Act HR 2184 Enhanced Health Care Value For All Act HR 2584 High Need Physician Workforce Incentives Act S. 1576 Minority Health Improvement and Health Disparity Elimination Act S. 1695 Biologics Price Competition and Innovation Act HR 1246 Early Hearing and Detection and Intervention Family Smoking Prevention and Tobacco Control Act (PL 111-31) H.R. 3525/S. 467 FACT Act HR1378/S.456 Food Allergy and Anaphylaxis Management Act HR1548Pathway for Biosimilars Act H.R. 4296/S.2408 E-Meds Act HR 1028 Support 21 Act of 2009 S. 726/HR 1427 Promoting Innovation and Access to Life Saving Medicine Act S.819 Autism Treatment Acceleration Act of 2009 HR 1261 Youth Prevention and Tobacco Harm Reduction Act HR 1339 Children's Access to Reconstruction Evaluation and Surgery (CARES)Act S. 1551, Comprehensive TB Elimination Act HR 1210/S. 984 Arthritis Prevention Control and Cure Act of 2009 S.301 Physician Payments Sunshine Act S. 678 Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009 Americans with Disabilities Act National Center on Health Statistics Child Nutrition Reauthorization Needle Exchange Ban National AIDS Strategy HR 1380/S. 1197 Josh Miller HEARTS Act S. 621 Congenital Heart Futures Act Juvenile Justice Accountability and Improvement Act Vaccine Barcoding Pediatric Drugs and Devices HR 3590 The Patient Protection and Affordable Care Act HR 3962 To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes Stop Act Reauthorization Dependent Coverage Tobacco cessation Medicaid coverage Medicaid coverage for juveniles leaving justice system Screening, brief intervention, and referral to treatment for mental health and substance abuse Catastrophic health plans for young adults Insurance discrimination against clinical trial participants Biosimilars and pediatric research Medical home in health reform University autism research Food and Drug Administration Amendments Act (PL 110-85) titles III, IV, V Tanning beds Concussion Treatment and Care Tools Act (H.R. 1347/S. 2840) Smoking in Public Housing Medicaid quitline coverage

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

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

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

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

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

H.R. 20/S. 324, Melanie Blocker Stokes Mom's Opportunity to Access Health, Education, Research, and Support for Postpartum Depression Act H.R. 1350, Post-Abortion Depression Research and Care 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. 3962, Affordable Health Care for America Act H.R. 3590, Patient Protection and Affordable Care Act 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. 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

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

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

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

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

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

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

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

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

State Children's Health Insurance Program (SCHIP)/PL111-3 Managed Care Reform Title VII, PHS act Appropriate Physician payment levels/systems Medical Records Confidentiality Deficit Reduction Act Children's Access to health insurance Immunizations H.R. 194/S. 958 MediKids Health Insurance Act of 2009 WIC national Immunizations program (administration) The Start Healthy, Stay Healthy Act Immunization Coding Issues Health Care Coverage Expansion and Quality Improvement Act Children's Access to Vision Improvement Act Pandemic Influenza Heath Information Technology/Electronic Health Records HRZ-ARRA Emergency Medical Services for Children' Act Reauthorization Injury Prevention HR 1932/S 999 Child Health Care Crisis Relief Act Preemie Act Pediatrics Disaster Preparedness Education Begins at Home Act Child Maltreatment Foster Care and Adoption Native American Child Health Genetic Nondiscrimination Resident Physician Shortage Reduction Act HR872/S 588 Stem Cell Research Improvement Act HR 881 Mercury Free Vaccines Act HR 2184 Enhanced Health Care Value For All Act HR 2584 High Need Physician Workforce Incentives Act S. 1576 Minority Health Improvement and Health Disparity Elimination Act S. 1695 Biologics Price Competition and Innovation Act HR 1246 Early Hearing and Detection and Intervention Family Smoking Prevention and Tobacco Control Act (PL 111-31) H.R. 3525/S. 467 FACT Act HR1378/S.456 Food Allergy and Anaphylaxis Management Act HR1548Pathway for Biosimilars Act H.R. 4296/S.2408 E-Meds Act HR 1028 Support 21 Act of 2009 S. 726/HR 1427 Promoting Innovation and Access to Life Saving Medicine Act S.819 Autism Treatment Acceleration Act of 2009 HR 1261 Youth Prevention and Tobacco Harm Reduction Act HR 1339 Children's Access to Reconstruction Evaluation and Surgery (CARES)Act S. 1551, Comprehensive TB Elimination Act HR 1210/S. 984 Arthritis Prevention Control and Cure Act of 2009 S.301 Physician Payments Sunshine Act S. 678 Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009 Americans with Disabilities Act National Center on Health Statistics Child Nutrition Reauthorization Needle Exchange Ban National AIDS Strategy HR 1380/S. 1197 Josh Miller HEARTS Act S. 621 Congenital Heart Futures Act Juvenile Justice Accountability and Improvement Act Vaccine Barcoding Pediatric Drugs and Devices HR 3590 The Patient Protection and Affordable Care Act HR 3962 To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes Stop Act Reauthorization Dependent Coverage Tobacco cessation Medicaid coverage Medicaid coverage for juveniles leaving justice system Screening, brief intervention, and referral to treatment for mental health and substance abuse Catastrophic health plans for young adults Insurance discrimination against clinical trial participants Biosimilars and pediatric research Medical home in health reform University autism research Food and Drug Administration Amendments Act (PL 110-85) titles III, IV, V Tanning beds Concussion Treatment and Care Tools Act (H.R. 1347/S. 2840)

Children's provisions in health care reform proposals impacting coverage, access, and quality improvement issues. H.R. 194 - "Medikids Health Insurance Act of 2009" and H.R. 1117 - "Medically Fragile Children's Act" - all provisions H.R. 2859 - "Medicaid provision re: FMAP as part of HCR" - all provisions S.142 - "Kids Come First Act of 2009" - all provisions

Client expense: $640,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

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)

H.R. 20/S. 324, Melanie Blocker Stokes Mom's Opportunity to Access Health, Education, Research, and Support for Postpartum Depression Act H.R. 1350, Post-Abortion Depression Research and Care 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. 3962, Affordable Health Care for America Act H.R. 3590, Patient Protection and Affordable Care 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)

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

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

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

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

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

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

State Children's Health Insurance Program (SCHIP)/PL111-3 Managed Care Reform Title VII, PHS act Appropriate Physician payment levels/systems Medical Records Confidentiality Deficit Reduction Act Children's Access to health insurance Immunizations H.R. 194/S. 958 MediKids Health Insurance Act of 2009 WIC national Immunizations program (administration) The Start Healthy, Stay Healthy Act Immunization Coding Issues Health Care Coverage Expansion and Quality Improvement Act Children's Access to Vision Improvement Act Pandemic Influenza Heath Information Technology/Electronic Health Records HRZ-ARRA Emergency Medical Services for Children' Act Reauthorization Injury Prevention HR 1932/S 999 Child Health Care Crisis Relief Act Preemie Act Pediatrics Disaster Preparedness Education Begins at Home Act Child Maltreatment Foster Care and Adoption Native American Child Health Genetic Nondiscrimination Resident Physician Shortage Reduction Act HR872/S 588 Stem Cell Research Improvement Act HR 881 Mercury Free Vaccines Act HR 2184 Enhanced Health Care Value For All Act HR 2584 High Need Physician Workforce Incentives Act S. 1576 Minority Health Improvement and Health Disparity Elimination Act S. 1695 Biologics Price Competition and Innovation Act HR 1246 Early Hearing and Detection and Intervention Family Smoking Prevention and Tobacco Control Act (PL 111-31) H.R. 3525/S. 467 FACT Act HR1378/S.456 Food Allergy and Anaphylaxis Management Act HR1548Pathway for Biosimilars Act H.R. 4296/S.2408 E-Meds Act HR 1028 Support 21 Act of 2009 S. 726/HR 1427 Promoting Innovation and Access to Life Saving Medicine Act S.819 Autism Treatment Acceleration Act of 2009 HR 1261 Youth Prevention and Tobacco Harm Reduction Act HR 1339 Children's Access to Reconstruction Evaluation and Surgery (CARES)Act S. 1551, Comprehensive TB Elimination Act HR 1210/S. 984 Arthritis Prevention Control and Cure Act of 2009 S.301 Physician Payments Sunshine Act S. 678 Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009 Americans with Disabilities Act National Center on Health Statistics Child Nutrition Reauthorization Needle Exchange Ban National AIDS Strategy HR 1380/S. 1197 Josh Miller HEARTS Act S. 621 Congenital Heart Futures Act Juvenile Justice Accountability and Improvement Act Vaccine Barcoding Pediatric Drugs and Devices HR 3590 The Patient Protection and Affordable Care Act HR 3962 To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes Stop Act Reauthorization Dependent Coverage Tobacco cessation Medicaid coverage Medicaid coverage for juveniles leaving justice system Screening, brief intervention, and referral to treatment for mental health and substance abuse Catastrophic health plans for young adults Insurance discrimination against clinical trial participants Biosimilars and pediatric research Medical home in health reform University autism research Food and Drug Administration Amendments Act (PL 110-85) titles III, IV, V

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

Client expense: $74,075 · Firm income: Not reported

S.1796 Senate Finance health care reform - provisions in Child Health and Children's Hospital Funding S. 958 MediKids Act - all provisions HR 194 - MediKids Bill - all provisions HR 2346 - Making supplemental appropriations for the fiscal year ending September 30, 2009, and for other purposes. S.1174 - A bill to amend the Public Health Service Act and the Social Security Act to increase the number of primary care physicians and primary care providers and to improve patient access to primary care services, and for other services. H.R. 3200 -To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. Provisions related to children's hospitals, children's benefits, coverage, provider reimbursements and prevetion and quality of care. S.1679 - A bill to authorize appropriations for fiscal years 2010 through 2014 to provide assistance to foreign countries to promote food security, to stimulate rural economies, and to improve emergency response to food crises, to amend the Foreign Assistance Act of 1961, and for other purposes. Provisions in Child Health and Children's Hosptial Funding.

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

Senate Finance health care reform - provisions in Child Health and Children's Hospital Funding S. 958 MediKids Act - all provisions HR 194 - MediKids Bill - all provisions HR 2346 - Making supplemental appropriations for the fiscal year ending September 30, 2009, and for other purposes. S.1174 - A bill to amend the Public Health Service Act and the Social Security Act to increase the number of primary care physicians and primary care providers and to improve patient access to primary care services, and for other services. H.R. 3200 -To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. Provisions related to children's hospitals, children's benefits, coverage, provider reimbursements and prevetion and quality of care. S.1679 - A bill to authorize appropriations for fiscal years 2010 through 2014 to provide assistance to foreign countries to promote food security, to stimulate rural economies, and to improve emergency response to food crises, to amend the Foreign Assistance Act of 1961, and for other purposes. Provisions in Child Health and Children's Hosptial Funding.

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

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

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

H.R. 20/S. 324, Melanie Blocker Stokes Mom's Opportunity to Access Health, Education, Research, and Support for Postpartum Depression Act H.R. 1350, Post-Abortion Depression Research and Care 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

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

State Children's Health Insurance Program (SCHIP)/PL111-3 Veto Override Managed Care Reform Title VII, PHS act Appropriate Physician payment levels/systems Medical Records Confidentiality Deficit Reduction Act Children's Access to health insurance Immunizations H.R. 194/S. 958 MediKids Health Insurance Act of 2009 WIC national Immunizations program (administration) The Start Healthy, Stay Healthy Act Immunization Coding Issues Health Care Coverage Expansion and Quality Improvement Act Children's Access to Vision Improvement Act Pandemic Influenza Heath Information Technology/Electronic Health Records HRZ-ARRA Emergency Medical Services for Children' Act Reauthorization Injury Prevention HR 1932/S 999 Child Health Care Crisis Relief Act Preemie Act Pediatrics Disaster Preparedness Education Begins at Home Act Child Maltreatment Foster Care and Adoption Native American Child Health Genetic Nondiscrimination Resident Physician Shortage Reduction Act HR872/S 588 Stem Cell Research Improvement Act HR 881 Mercury Free Vaccines Act HR 2184 Enhanced Health Care Value For All Act HR 2584 High Need Physician Workforce Incentives Act S. 1576 Minority Health Improvement and Health Disparity Elimination Act S. 1695 Biologics Price Competition and Innovation Act HR 1246 Early Hearing and Detection and Intervention Family Smoking Prevention and Tobacco Control Act (PL 111-31) H.R. 3525/S. 467 FACT Act HR1378/S.456 Food Allergy and Anaphylaxis Management Act HR1548Pathway for Biosimilars Act H.R. 4296/S.2408 E-Meds Act HR 1028 Support 21 Act of 2009 S. 726/HR 1427 Promoting Innovation and Access to Life Saving Medicine Act S.819 Autism Treatment Acceleration Act of 2009 S. 579 Federal Tobacco Act of 2009 HR 1261 Youth Prevention and Tobacco Harm Reduction Act HR 1339 Children's Access to Reconstruction Evaluation and Surgery (CARES)Act S. 1551, Comprehensive TB Elimination Act HR 1210/S. 984 Arthritis Prevention Control and Cure Act of 2009 S.301 Physician Payments Sunshine Act S. 678 Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009 H.R. 179 Community AIDS and Hepatitis Prevention Act Americans with Disabilities Act National Center on Health Statistics Child Nutrition Reauthorization Needle Exchange Ban National AIDS Strategy HR 1380/S. 1197 Josh Miller HEARTS Act S. 621 Congential Heart Futures Act Juvenile Justice Accountability and Improvement Act Vaccine Barcoding Pediatric Drugs and Devices

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

Client expense: $57,797 · Firm income: Not reported

HR 525 & S 406 - Association Health Plans. NAIFA opposes exempting AHP's from state benefit, regulatory oversight and solvency laws. S. 1995 allows AHP's to offer only issued plans that are subject to state solvency standards. Some regulatory oversight and an "average" of state mandated coverages. S. 725, HR 1470 - would amend IRC of 1986 to allow self emloyed individuals to deduct health insurance costs in computing self-employment taxes. NAIFA supports. S. 703 - Provides health care for all americans, controls costs and enhances health care system quality. NAIFA opposes. HR 1558, S. 623, HR 1092 - Amends title I of ERISA, title XXVII of the Public Service Act & IRC of 1986 to prohibit preexisting condition exclusions in group health plans and in health coverage in the group and individual markets. NAIFA opposes. S 207 - Amend the IRC of 1986 to allow deduction for health insurance premiums. NAIFA supports. HR 176 & HR 1177 - would allow unused flexible spending arrangement funds to be carried over to the next year. NAIFA & AHIA favors this option. HR 27 - An "Above the line" deduction for "higher deductible" health plans coupled with HSA's. NAIFA supports. S.4 the Health American Act. NAIFA supports many provisions but concerned over the bills support for AHPs. HR 37, S. 978, HR 1872, HR 2063, HR 3873 creates Health Savings Accounts. NAIFA supports. HR 3511, S. 1569. NAIFA supports allowing states to establish LTC partnerships. HR 6331 - Would cut funding for Medicare Advantage - NAIFA opposes. HR 2096 & S. 702 - The Long-Term Care Affordability and Security Act of 2009 expands the authority under IRC Sectioin 125 that allows individuals to pay for certain benefits offered through cafeteria plans and/or flexible spending arrangement s with pre-tax dollars. AHIA & NAIFA support. HR 897 - Allows for Long Term Care insurance to be offered through cafeteria plans and/or FSA's as well as creates an above the line deduction for LTC premiums and provides a tax credit for caregivers. NAIFA & AHIA support. S. 93 - A bill to provide quality affordable health insurance for small employers and individuals. S.82 - A bill to amend title XXI of the Social Security Act to reauthorize the State Children's Health Insurance Program, to limit income eligibility expansions under that program until the lowest income eligible individuals are enrolled, and for other purposes. NAIFA supports. S. 45 - A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system. NAIFA supports. HR 1468 - To provide health care liability reform, and for other purposes. NAIFA supports. HR 1413 - To amend the Internal Revenue Code of 1986 to allow certain public employees a deductioin for distributions from governmental plans for health and long-term care insurance,and for other purposes. NAIFA supports. HR 1279 - To amend the Internal Revenue Code of 1986 to increase the contribution limits to dependent care flexible spending accounts and to provide for a carryover of unused dependent care benefits. NAIFA supports. S. 1177 - Confidence in Long Term Cre Insurance Act would instruct the Health and Human Services Department to ask the NAIC to collect data and also create a website called "LTC Insurance Compare" to help consumers research long term care insurance. NAIFA supports. HR 563 - To amend title XXI of the Social Security Act to require States to provide priority under the State Children's Health Insurance Program (SCHIP) to children in families with gross income below 200 percent of the Federal poverty level. NAIFA supports. HR 542 - To amend titles XIX and XXI of the Social Security Act to permit States to rely on findings from an express plan agency to conduct simplified eligibility determinations under Medicaid and the State Children's Health Insurance Program. NAIFA supports. HR 198 - To amend the Internal Revenue Code of 1986 to allow a deduction for amounts paid for health insurance and prescription drug costs of individuals. NAIFA supports. HR 194 - To amend the Social Security Act to guarantee comprehensive health care coverage for all children born after 2009, and for other purposes. NAIFA opposes. HR 109 - To provide for the offering of Health Benefit Plans to individuals, to increase funding for State high risk health insurance pools, and to promote best practice protocols for State high risk pools. NAIFA supports. HR 15 - To provide a program of national health insurance, and for other purposes. NAIFA opposes. HR 2 - To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. NAIFA opposes. S 94 - A bill to amend the Internal Revenue Code of 1986 to provide for a nonrefundable tax credit for long-term care insurance premiums. NAIFA supports. HR 1891 - To amend the Internal Revenue Code of 1986 to allow an above-the-line deduction for half of an individual's long-term care insruance premiums. NAIFA supports. HR 897 - To amend the Internal Revenue Code of 1986 to allow individuals a deduction for qualified long-term care insurance premiums, use of such insurance under cafeteria plans and flexible spending arrangements, and a credit for individuals with long-term care needs. NAIFA supports.

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

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

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

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

H.R. 20/S. 324, Melanie Blocker Stokes Mom's Opportunity to Access Health, Education, Research, and Support for Postpartum Depression Act H.R. 1350, Post-Abortion Depression Research and Care 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

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

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

H.R. 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. ___, Affordable Health Choices Act H.R. 3191, Positive Aging Act of 2009 Notice and Request for Comments: Medicare Program; Inpatient Psychiatric Facilities Prospective Payment System Payment Update for Rate Year Beginning July 1, 2009 (RY 2010)

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

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. ___, Affordable Health Choices Act Request for Information Regarding the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008

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

Children's provisions in health care reform proposals impacting coverage, access, and quality improvement issues. H.R. 194 - "Medikids Health Insurance Act of 2009" - all provsision. HR 1117 - "Medically Fragile Children's Act" - all provisions HR 2859 - "Medicaid provision re: FMAP as part of HCR" - all provisions S.142 - "Kids Come First Act of 2009" - all provisions

Client expense: $640,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

HR 525 & S 406 - Association Health Plans. NAIFA opposes exempting AHP's from state benefit, regulatory oversight and solvency laws. S. 1995 allows AHP's to offer only issued plans that are subject to state solvency standards. Some regulatory oversight and an "average" of state mandated coverages. S. 725, HR 1470 - would amend IRC of 1986 to allow self emloyed individuals to deduct health insurance costs in computing self-employment taxes. NAIFA supports. S. 703 - Provides health care for all americans, controls costs and enhances health care system quality. NAIFA opposes. HR 1558, S. 623, HR 1092 - Amends title I of ERISA, title XXVII of the Public Service Act & IRC of 1986 to prohibit preexisting condition exclusions in group health plans and in health coverage in the group and individual markets. NAIFA opposes. S 207 - Amend the IRC of 1986 to allow deduction for health insurance premiums. NAIFA supports. HR 176 & HR 1177 - would allow unused flexible spending arrangement funds to be carried over to the next year. NAIFA & AHIA favors this option. HR 27 - An "Above the line" deduction for "higher deductible" health plans coupled with HSA's. NAIFA supports. S.4 the Health American Act. NAIFA supports many provisions but concerned over the bills support for AHPs. HR 37, S. 978, HR 1872, HR 2063, HR 3873 creates Health Savings Accounts. NAIFA supports. HR 3511, S. 1569. NAIFA supports allowing states to establish LTC partnerships. HR 6331 - Would cut funding for Medicare Advantage - NAIFA opposes. HR 2096 & S. 702 - The Long-Term Care Affordability and Security Act of 2009 expands the authority under IRC Sectioin 125 that allows individuals to pay for certain benefits offered through cafeteria plans and/or flexible spending arrangement s with pre-tax dollars. AHIA & NAIFA support. HR 897 - Allows for Long Term Care insurance to be offered through cafeteria plans and/or FSA's as well as creates an above the line deduction for LTC premiums and provides a tax credit for caregivers. NAIFA & AHIA support. S. 93 - A bill to provide quality affordable health insurance for small employers and individuals. S.82 - A bill to amend title XXI of the Social Security Act to reauthorize the State Children's Health Insurance Program, to limit income eligibility expansions under that program until the lowest income eligible individuals are enrolled, and for other purposes. NAIFA supports. S. 45 - A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system. NAIFA supports. HR 1468 - To provide health care liability reform, and for other purposes. NAIFA supports. HR 1413 - To amend the Internal Revenue Code of 1986 to allow certain public employees a deductioin for distributions from governmental plans for health and long-term care insurance,and for other purposes. NAIFA supports. HR 1279 - To amend the Internal Revenue Code of 1986 to increase the contribution limits to dependent care flexible spending accounts and to provide for a carryover of unused dependent care benefits. NAIFA supports. S. 1177 - Confidence in Long Term Cre Insurance Act would instruct the Health and Human Services Department to ask the NAIC to collect data and also create a website called "LTC Insurance Compare" to help consumers research long term care insurance. NAIFA supports. HR 563 - To amend title XXI of the Social Security Act to require States to provide priority under the State Children's Health Insurance Program (SCHIP) to children in families with gross income below 200 percent of the Federal poverty level. NAIFA supports. HR 542 - To amend titles XIX and XXI of the Social Security Act to permit States to rely on findings from an express plan agency to conduct simplified eligibility determinations under Medicaid and the State Children's Health Insurance Program. NAIFA supports. HR 198 - To amend the Internal Revenue Code of 1986 to allow a deduction for amounts paid for health insurance and prescription drug costs of individuals. NAIFA supports. HR 194 - To amend the Social Security Act to guarantee comprehensive health care coverage for all children born after 2009, and for other purposes. NAIFA opposes. HR 109 - To provide for the offering of Health Benefit Plans to individuals, to increase funding for State high risk health insurance pools, and to promote best practice protocols for State high risk pools. NAIFA supports. HR 15 - To provide a program of national health insurance, and for other purposes. NAIFA opposes. HR 2 - To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. NAIFA opposes. S 94 - A bill to amend the Internal Revenue Code of 1986 to provide for a nonrefundable tax credit for long-term care insurance premiums. NAIFA supports. HR 1891 - To amend the Internal Revenue Code of 1986 to allow an above-the-line deduction for half of an individual's long-term care insruance premiums. NAIFA supports. HR 897 - To amend the Internal Revenue Code of 1986 to allow individuals a deduction for qualified long-term care insurance premiums, use of such insurance under cafeteria plans and flexible spending arrangements, and a credit for individuals with long-term care needs. NAIFA supports.

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)

State Children's Health Insurance Program (SCHIP)/PL111-3 Veto Override Managed Care Reform Title VII, PHS act H.R. 2357/S. 2522 MediKids Appropriate Physician payment levels/systems Medical Records Confidentiality Deficit Reduction Act Children's Access to health insurance Immunizations H.R. 194/S. 958 MediKids Health Insurance Act of 2009 WIC national Immunizations program (administration) The Start Healthy, Stay Healthy Act Immunization Coding Issues Health Care Coverage Expansion and Quality Improvement Act Children's Access to Vision Improvement Act Pandemic Influenza Heath Information Technology/Electronic Health Records HRZ-ARRA Emergency Medical Services for Children' Act Reauthorization Injury Prevention HR 1932/S 999 Child Health Care Crisis Relief Act Preemie Act Pediatrics Disaster Preparedness Education Begins at Home Act Child Maltreatment Foster Care and Adoption Native American Child Health Genetic Nondiscrimination Resident Physician Shortage Reduction Act HR872/S 588 Stem Cell Research Improvement Act HR 881 Mercury Free Vaccines Act HR 2184 Enhanced Health Care Value For All Act HR 2584 High Need Physician Workforce Incentives Act S. 1576 Minority Health Improvement and Health Disparity Elimination Act S. 1695 Biologics Price Competition and Innovation Act HR 1246 Early Hearing and Detection and Intervention HR 1256 Family Smoking Prevention and Tobacco Control Act H.R. 3525/S. 467 FACT Act HR1378/S.456 Food Allergy and Anaphylaxis Management Act HR1548Pathway for Biosimilars Act H.R. 4296/S.2408 E-Meds Act HR 1028 Support 21 Act of 2009 S. 726/HR 1427 Promoting Innovation and Access to Life Saving Medicine Act S.819 Autism Treatment Acceleration Act of 2009 S. 579 Federal Tobacco Act of 2009 HR 1261 Youth Prevention and Tobacco Harm Reduction Act HR 1339 Children's Access to Reconstruction Evaluation and Surgery (CARES)Act S. 1551, Comprehensive TB Elimination Act HR 1210/S. 984 Arthritis Prevention Control and Cure Act of 2009 S.301 Physician Payments Sunshine Act S. 678 Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009 H.R. 179 Community AIDS and Hepatitis Prevention Act Americans with Disabilities Act National Center on Health Statistics Child Nutrition Reauthorization Needle Exchange Ban

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

Client expense: $106,699 · Firm income: Not reported

Juvenile Justice Delinquency and Prevention Act reauthorization (S. 678) National Adoption Day & National Adoption Month (H Res. 358) Year of the Safe Child (H Res 376) Providing Resources Early for Kids Act of 2009 (HR 702) Childrens Program of All-inclusive, Coordinated Care (ChiPACC) Act of 2009 (HR 722) All Healthy Children Act of 2009 (HR 747) Rural Early Education Access Act (HR 1755) Protecting Incentives for the Adoption of Children with Special Needs Act of 2009 (HR 1840/S 735) School Choice for Foster Kids Act (HR 2072) Prepare All Kids Act of 2009 (HR 2184 / S 839) Essential Oral Health Care Act of 2009 (HR 2220) Early Support for Families Act (HR 2667) Ready to Learn Act (S 240) Community Health Workers Act of 2009 (S 319) Foster Care Mentoring Act of 2009 (S 986) Medicaid Services Restoration Act (S 1217) Senate Budget Resolution (S Con Res 13) Child Abuse Prevention and Treatment Act Homeless Children and Youth Act of 2009 (HR 29) Medicaid Newborn Coverage Act of 2009 (HR 180) MediKids Health Insurance Act of 2009 (HR 194) Homeless Women Veterans and Homeless Veterans With Children Reintegration Grant Act of 2009 (HR 293) Legal Immigrant Childrens Health Improvement Act of 2009 (HR 319) Homeless Youth Housing (HR 475/S 249) Universal Prekindergarten Act (HR 555) Vision Care for Kids Act of 2009 (HR 577/S 259) White House Conference on Children and Youth in 2010 Act (HR 618 / S 938 ) Stop Child Abuse in Residential Programs for Teens Act of 2009 (HR 911) Immigration Oversight and Fairness Act (HR 1215) Childrens Mental Health Parity Act (S 77) Kids Come First Act of 2009 (S 142) Early Education Act of 2009 (S 206) Education Begins at Home Act ( HR 2205 / S 244) Resource Family Recruitment and Retention Act of 2009 (S 410)

Client expense: Not reported · Firm income: Not reported

H.R. 2/S. 275, Children's Health Insurance Program Reauthorization Act of 2009 H.R. 193, AmeriCare Health Care Act of 2009 H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act S. 93, Small Business Empowerment Act H.R. 850/H.R. 859, Small Business Cooperative for Healthcare Options to Improve Coverage for Employees (CHOICE) Act of 2009 H.R. 15, National Health Insurance Act H.R. 194, MediKids Health Insurance Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 (medical malpractice reform) H.R. 1468, Medical Justice Act of 2009 (medical malpractice reform) S. 45, Medical Care Access Protection Act of 2009 or the MCAP Act (medical malpractice reform) H.R. 1092, No Discrimination in Health Insurance Act of 2009 H.R. 1558, Preexisting Condition Patient Protection Act of 2009

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

H.R. 2/S. 275, Children's Health Insurance Program Reauthorization Act of 2009 H.R. 20/S. 324, Melanie Blocker Stokes Mom's Opportunity to Access Health, Education, Research, and Support for Postpartum Depression Act H.R. 1350, Post-Abortion Depression Research and Care 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

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

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