Autism Treatment Acceleration Act of 2009

HR 1600/S 1169 - To amend title 10, United States Code, to provide for the treatment of autism under TRICARE; lobbied to educate on Occupational Therapy role in Autism services. S 819/HR 2413 - Autism Treatment Acceleration Act of 2009; lobbied to educate on Occupational Therapy role in Autism services. No bill #: Health Care Reform; Educate about recommendations and position of the American Occupational Therapy Association regarding occupational therapy. HR 3200 - America's Affordable Health Choices Act of 2009: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy. HR 2891 - Access to Frontline Health Care Act of 2009: Support passage. HR 3590 (PL 111-148) - Patient Protection and Affordable Care Act: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy; and oppose Wyden Amendment D-9 offset related to orthotics and prosthetics; advocated to change Lincoln D-10 amendment to reduce the scope of the amendment and to include occupational therapy. HR 4662 - Lymphedema Diagnosis and Treatment Cost Saving Act of 2010: Oppose provisions requiring additional accreditation for occupational therapy services. H Res 1258 - A resolution expressing support for designation of May 2010 as Mental Health Month: Advocated passage. H Res 1033 - A resolution expressing support for designation of April 2010 as "National Autism Awareness Month":and supporting efforts to devote new resources to research into the causes and treatment of autism and to improve training and support for individuals with autism and those who care for individuals with autism: Advocated for passage and educated about role of occupational therapy in treatment of autism. HR 5040 - Health Information Technology Extension for Behavioral Health Services Act of 2010: advocated for passage and educated about occupational therapy services. HR 5025 -HITECH Extension for Behavioral Health Services Act of 2010: Educated about occuaptional therapy services. HR 678 - Huntington's Disease Parity Act: Advocated for passage.

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

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

S. 683/H.R. 1670, Community Choice Act of 2009, provisions related to Developmental Disabilities H.R.1721/S.697, The Community Living Assistance Services & Supports Act (CLASS Act), provisions related to Developmental Disabilities H.R.2413/S.819, Autism Treatment Acceleration Act, provisions related to Developmental Disabilities H.R.3184/S.1186, Medicare Independent Living Act of 2009, provisions related to Developmental Disabilities Public Law 111-148, Patient Protection and Affordable Care Act, provisions related to Developmental Disabilities Public Law 111-152, Health Care and Education Reconciliation Act of 2010, provisions related to Developmental Disabilities

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S.3686, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, FY2011; Autism provisions H.R.2413/S.819, Autism Treatment Acceleration Act; Autism provisions Public Law 111-148, Patient Protection and Affordable Care Act, Autism related issues Public Law 111-152, Health Care and Education Reconciliation Act of 2010, Autism related issues. H.R.5756, Training and Research for Autism Improvements Nationwide (TRAIN) Act of 2010, Autism related issues.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

H.R. 1205/S. 493, ABLE Act of 2009, relating to savings for individuals with disabilities, all provisions; H.R. 2413/S. 819, Autism Treatment Acceleration Act of 2009, providing for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families, all provisions; H.R. 1707/S. 706, Helping HANDS for Autism Act of 2009, relating to housing, awareness, and navigation demonstration services for individuals with autism spectrum disorders, all provisions; H.R. 1600/S. 1169, to amend title 10, United States Code, to provide for the treatment of autism under TRICARE; all provisions; H.R. 1670/S. 683 Community Choice Act of 2009, relating to equal access to community-based attendant services and supports and other purposes, all provisions; S. 1373, Federal Research Public Access Act of 2009, providing for the development of public access policies relating to research, all provisions; H.R. 4247, Keeping All Students Safe Act, to prevent and reduce the use of physical restraint and seclusion in schools, all provisions; S.2860, Preventing Harmful Restraint and Seclusion in Schools Act, to protect students from inappropriate seclusion and physical restraint, all provisions; H.R. 3590, Patient Protection and Affordable Care Act, relating to healthcare reform, Title I, provisions relating to nondiscrimination and to essential health benefits; H.R. 4872, Health Care and Education Reconciliation Act of 2010, relating to healthcare reform, Title II, provisions relating to health; H.R. 5756, TRAIN Act of 2010, to improve services rendered to children and adults on the autism spectrum and their families, all provisions.

Client expense: $130,000 · Firm income: Not reported

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

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

H.R. 1205/S. 493, ABLE Act of 2009, relating to savings for individuals with disabilities, all provisions; H.R. 2413/S. 819, Autism Treatment Acceleration Act of 2009, providing for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families, all provisions; H.R. 1707/S. 706, Helping HANDS for Autism Act of 2009, relating to housing, awareness, and navigation demonstration services for individuals with autism spectrum disorders, all provisions; H.R. 1600/S, 1169, to amend title 10, United States Code, to provide for the treatment of autism under TRICARE; all provisions; H.R. 1670/S. 683 Community Choice Act of 2009, relating to equal access to community-based attendant services and supports and other purposes, all provisions; S. 1373, Federal Research Public Access Act of 2009, providing for the development of public access policies relating to research, all provisions; H.R. 4247, Preventing Harmful Restraint and Seclusion in Schools Act, all provisions; H.R. 3590, Patient Protection and Affordable Care Act, relating to healthcare reform, Title I, provisions relating to nondiscrimination and to essential health benefits; H.R. 4872, Health Care and Education Reconciliation Act of 2010, relating to healthcare reform, Title II, provisions relating to health.

Client expense: $110,000 · Firm income: Not reported

S. 683/H.R. 1670, Community Choice Act of 2009, provisions related to Developmental Disabilities H.R.1721/S.697, The Community Living Assistance Services & Supports Act (CLASS Act), provisions related to Developmental Disabilities H.R.2413/S.819, Autism Treatment Acceleration Act, provisions related to Developmental Disabilities H.R.3184/S.1186, Medicare Independent Living Act of 2009, provisions related to Developmental Disabilities America's Healthy Futures Act of 2009, provisions related to Developmental Disabilities H.R.3200, America's Affordable Health Choices Act of 2009, provisions related to Developmental Disabilities S.1679, Affordable Health Choices Act, provisions related to Developmental Disabilities H.R.3962, Affordable Health Care for America Act, provisions related to Developmental Disabilities Public Law 111-148, Patient Protection and Affordable Care Act, provisions related to Developmental Disabilities Public Law 111-152, Health Care and Education Reconciliation Act of 2010, provisions related to Developmental Disabilities

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

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, FY2011; Autism provisions H.R.2413/S.819, Autism Treatment Acceleration Act; Autism provisions America's Healthy Futures Act of 2009, Autism related issues H.R.3200, America's Affordable Health Choices Act of 2009, Autism related issues S.1679, Affordable Health Choices Act, Autism related issues H.R.3962, Affordable Health Care for America Act, Autism related issues Public Law 111-148, Patient Protection and Affordable Care Act, Autism related issues Public Law 111-152, Health Care and Education Reconciliation Act of 2010, Autism related issues.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

HR 1600/S 1169 - To amend title 10, United States Code, to provide for the treatment of autism under TRICARE; lobbied to educate on Occupational Therapy role in Autism services. S 819/HR 2413 - Autism Treatment Acceleration Act of 2009; lobbied to educate on Occupational Therapy role in Autism services. No bill #: Health Care Reform; Educate about recommendations and position of the American Occupational Therapy Association regarding occupational therapy. HR 3200 - America's Affordable Health Choices Act of 2009: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy. HR 2891 - Access to Frontline Health Care Act of 2009: Support passage. HR 3590 (PL 111-148) - Patient Protection and Affordable Care Act: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy; and oppose Wyden Amendment D-9 offset related to orthotics and prosthetics; advocated to change Lincoln D-10 amendment to reduce the scope of the amendment and to include occupational therapy. HR 4662 - Lymphedema Diagnosis and Treatment Cost Saving Act of 2010: Oppose provisions requiring additional accreditation for occupational therapy services. H Res 1258 - A resolution expressing support for designation of May 2010 as Mental Health Month: Advocated passage. H Res 1033 - A resolution expressing support for designation of April 2010 as "National Autism Awareness Month":and supporting efforts to devote new resources to research into the causes and treatment of autism and to improve training and support for individuals with autism and those who care for individuals with autism: Advocated for passage and educated about role of occupational therapy in treatment of autism. HR 5040 - Health Information Technology Extension for Behavioral Health Services Act of 2010: advocated for passage and educated about occupational therapy services. HR 5025 -HITECH Extension for Behavioral Health Services Act of 2010: Educated about occuaptional therapy services. HR 678 - Huntington's Disease Parity Act: Advocated for passage.

American Workers state and Business Relief Act, HR 2413; TBI Treatment Act, HR 4568; TRICARE Dependent Coverage Extension Act S. 3201/HR 4923; Military Retirees Health care Protection Act, HR 816;

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA)

H.R. 716, Access to Cancer Clinical Trials Act (Israel) clinical trials coverage mandate; H.R. 850, Small Business CHOICE Act (Velazquez) small employer health options; H.R. 859, Small Business CHOICE Act (Velazquez) small employer health options; (cont.) INS (Legislative) H.R. 1085, Health Insurance Coverage Protection Act (Eshoo) lifetime benefit limits; H.R. 1092, No Discrimination in Health Insurance Act (Kagen) preexisting condition exclusions, affiliation periods, uniform premiums; H.R. 1253, Health Insurance Restrictions and Limitations Clarification Act (Burgess) disclosure of coverage exclusions; H.R. 1321, Healthy Americans Act (Eshoo) comprehensive health reform; H.R. 1558, Preexisting Condition Patient Protection Act (Courtney) preexisting condition exclusions; H.R. 1583, Insurance Industry Competition Act (DeFazio) McCarran Ferguson reforms; H.R. 1619, Children's Health Protection Act (Schwartz) preexisting condition exclusions for children; H.R. 1691, Breast Cancer Patient Protection Act (DeLauro) rescissions, hospital stays for breast cancer patients; H.R. 1721, CLASS Act (Pallone) national LTC program; H.R. 1880, National Insurance Consumer Protection Act (Bean) regulatory reform; H.R. 2360, SHOP Act (Kind) small employer health options; H.R. 2402, Woman's Health Insurance Fairness Act (Neal) gender rating for health insurance; H.R. 2413, Autism Treatment Acceleration Act (Doyle) coverage for autism spectrum disorders; H.R. 2427, Informed Consumer Choices in Health Care Act (DeLauro) federal standards for health insurance, consumer information; H.R. 2457, Right to a Second Medical Opinion Act (Davis) coverage of second opinions; H.R. 2609, Insurance Information Act (Kanjorski) Federal Office of Insurance Information; H.R. 2635, Gender Equity in Health Premiums Act (Sanchez) gender rating for health insurance; H.R. 2833, Medical Loss Ratios (Ellison) medical loss ratios; H.R. 2940, Women's Obstetrician and Gynecologist Medical Access Now Act (Davis) direct access to ob/gyns; H.R. 3200, Americas Affordable Health Choices Act (Dingell) government-run health plan, health insurance exchange, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS Act, medical loss ratios, premium assistance; H.R. 3217, Health Care Choice Act (Shadegg) national marketplace; H.R. 3584, Health Care Consumer Protection Act (Forbes) reinstatement of coverage upon payment of overdue premiums; H.R. 3590, Patient Protection and Affordable Care Act (Reid) government-run health plan, health insurance cooperatives, multi-state plans, insurance market reforms, health insurance exchanges, benefit packages, medical loss ratios, CLASS Act, regulatory reform, individual coverage requirement, premium assistance, federal rate review process, health care choice compacts, appeals procedures, disclosure requirements, high risk pool program, McCarran-Ferguson Act; H.R. 3596, Health Insurance Industry Antitrust Enforcement Act (Conyers) changes to McCarran-Ferguson Act; H.R.3681, Fairness in Health Insurance Act (Ellison) medical loss ratios; H.R. 3962, Americas Affordable Health Choices Act (Dingell) government-run health plan, health insurance exchange, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS Act, medical loss ratios, premium assistance, federal rate review process, health care choice compacts, high risk pool program, McCarran-Ferguson Act; H.R. 4078, Long-Term Care Insurance Disclosure Act (Perriello) model disclosure form for long-term care insurance; H.R. 4563, Cancer Screening Coverage Act (Maloney) coverage requirement for cancer screening; H.R. 4626, Health Insurance Industry Fair Competition Act (Perriello) McCarran-Ferguson antitrust exemption; H.R. 4757, Health Insurance Rate Authority Act (Schakowsky) federal rate review process; H.R. 4872, Health Care and Education Reconciliation Act (Spratt) changes to individual coverage requirement, grandfathered plans, immediate insurance reforms, premium assistance, CLASS Act, coverage issues, quality improvements, delivery system reforms; S. 79, Healthy Businesses, Healthy Workers Reinsurance Act (Kerry) reinsurance; S. 93, Small Business Empowerment Act (Brown) small employer health options; S. 391, Healthy Americans Act (Wyden) comprehensive health reform; S. 442, Health Insurance Coverage Protection Act (Dorgan) lifetime benefit limits; S. 488, Access to Cancer Clinical Trials Act (Brown) clinical trials coverage mandate; S. 623, Pre-existing Condition Patient Protection Act (Rockefeller) preexisting condition exclusions; S. 643, Children's Health Protection Act (Lautenberg) preexisting condition exclusions for children; S. 688, Breast Cancer Patient Protection Act (Snowe) rescissions, hospital stays for breast cancer patients; S. 697, CLASS Act (Kennedy) national LTC program; S. 819, Autism Treatment Acceleration Act (Durbin) coverage for autism spectrum disorders; S. 969, Women's Health Insurance Fairness Act (Kerry) gender rating for health insurance; S. 979, SHOP Act (Durbin) small employer health options; S. 1050, Informed Consumer Choices in Health Care Act (Rockefeller) federal standards for health insurance, consumer information; S. 1149, Annual and Lifetime Health Care Limit Elimination Act (Rockefeller) annual and lifetime coverage limits; S. 1177, Confidence in Long-Term Care Insurance Act (Kohl) LTC consumer protections; (cont.) INS (Legislative) S. 1459, Health Care Choice Act (DeMint) national marketplace; S. 1626, Long Term Care Insurance Integrity Act (Klobuchar) third party review of LTCI disputed claims; S. 1636, Long-Term Care Insurance Consumer Right-to-Know Act (Klobuchar) model disclosure forms for LTC insurance; S. 1679, Affordable Health Choices Act (Harkin) government-run health plan, insurance market reforms, health benefit gateways, benefit packages, medical loss ratios, CLASS Act, regulatory reform, individual coverage requirement, premium assistance; S. 1681, Health Insurance Industry Antitrust Enforcement Act (Leahy) changes to McCarran-Ferguson Act; S. 1730, Fairness in Health Insurance Act (Franken) medical loss ratios; S. 1796, Americas Healthy Future Act (Baucus) government-run health plan, health insurance cooperatives, health insurance exchange, insurance market reforms, individual coverage requirement, benefit packages, premium assistance, medical loss ratios, regulatory reform; S. 3078, Health Insurance Rate Authority Act (Feinstein) federal rate review process INS (Regulatory) Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials; implementation of the Mental Health Parity Act requirements; issues related to COBRA subsidy requirements, and issues related to genetic nondiscrimination.

HR 1600/S 1169 - To amend title 10, United States Code, to provide for the treatment of autism under TRICARE; lobbied to educate on Occupational Therapy role in Autism services. S 819/HR 2413 - Autism Treatment Acceleration Act of 2009; lobbied to educate on Occupational Therapy role in Autism services. No bill #: Health Care Reform; Educate about recommendations and position of the American Occupational Therapy Association regarding occupational therapy. HR 3200 - America's Affordable Health Choices Act of 2009: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy. S. 1679 - Affordable Health Choices Act: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and support of efforts to address shortages in health care workforce, including occupational therapy.. S. 1796 - America's Healthy Future Act: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy; and oppose Wyden Amendment D-9 offset related to orthotics and prosthetics; advocated to change Lincoln D-10 amendment to reduce the scope of the amendment and to include occupational therapy. HR 2891 - Access to Frontline Health Care Act of 2009: Support passage. HR 3590 (PL 111-148) - Patient Protection and Affordable Care Act: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy; and oppose Wyden Amendment D-9 offset related to orthotics and prosthetics; advocated to change Lincoln D-10 amendment to reduce the scope of the amendment and to include occupational therapy. HR 4662 - Lymphedema Diagnosis and Treatment Cost Saving Act of 2010: Oppose provisions requiring additional accreditation for occupational therapy services.

Support Tax Extender of 2009: HR2413

Client expense: $112,194 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), SENATE, U.S. Trade Representative (USTR)

Govt-run health plan, health insurance exchanges, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS Act, medical loss ratios, premium assistance, Federal rate review process, healthcare choice compacts, high risk pool program, McCarran-Ferguson Act - HR 3962, Affordable Health Care for America Act; Govt-run health plan, health insurance cooperatives, multi-state plans, health insurance exchanges, regulatory reform, insurance market reforms, individual coverage requirement, benefit packages, CLASS Act, medical loss ratios, premium assistance, Federal rate review process, healthcare choice compacts, appeals procedures, disclosure requirements, high risk pool program, McCarran-Ferguson Act - HR 3590, Patient Protection and Affordable Care Act. Changes to individual coverage requirement, grandfathered plans, immediate insurance reforms, premium assistance, CLASS Act, coverage issues, quality improvements, delivery system reforms - HR 4872, Health Care and Education Reconciliation Act of 2010. *National LTC program - HR 1721, To amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes; S 697, A bill to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes. *Clinical trials coverage mandate - HR 716, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require group and individual health insurance coverage and group health plans to provide coverage for individuals participating in approved cancer clinical trials; S 488, A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require group and individual health insurance coverage and group health plans to provide coverage for individuals participating in approved cancer clinical trials. *Small employer health options - HR 850, To encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit; HR 859, To encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit; S 93, A bill to provide quality, affordable health insurance for small employers and individuals; HR 2360, To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible; S 979, A bill to amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. *Lifetime benefit limits - HR 1085, To impose a limitation on lifetime aggregate limits imposed by health plans; S 442, A bill to impose a limitation on lifetime aggregate limits imposed by health plans. *Pre-existing condition exclusions, affiliation periods, uniform premiums - HR 1092, To amend the Employee Retirement Income Security Act of 1974, Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit discrimination in group health coverage and individual health insurance coverage. *Disclosure of coverage exclusions - HR 1253, To require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable. *Comprehensive health reform - HR 1321, To provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away, S 391, A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. *Pre-existing condition exclusions - HR 1558, To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and health insurance coverage in the group and individual markets; S 623, A bill to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and in health insurance coverage in the group and individual markets. *McCarran Ferguson reforms - HR 1583, To further competition in the insurance industry. *Pre-existing condition exclusions for children - HR 1619, To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions for children in group health plans and health insurance coverage in the group and individual markets; S 643, A bill to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions for children in group health plans and health insurance coverage in the group and individual markets. *Recissions, hospital stays for breast cancer patients - HR 1691, To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations; S 688, A bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. *Gender rating for health insurance - HR 2402, To amend the Public Health Service Act to ensure fairness in the coverage of women in the individual health insurance market; HR 2635, To amend title XXVII of the Public Health Service Act to prohibit gender rating in the group and individual markets for health insurance coverage, and for other purposes; S 969, A bill to amend the Public Health Service Act to ensure fairness in the coverage of women in the individual health insurance market. *Coverage requirement for cancer screening - HR 4563, Cancer Screening Coverage Act of 2009. *MCCarran-Ferguson antitrust exemption - HR 4626, Health Insurance Industry Fair Competition Act. *Federal standards for health insurance, consumer information - HR 2427, To amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets, and for other purposes; S 1050, A bill to amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets, and for other purposes. *Coverage of second opinions - HR 2457, To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code to require that group health plans and issuers of health insurance coverage provide coverage for second opinions. *Regulatory reform - HR 1880, To establish a system of regulation and supervision for insurers, insurance agencies, and insurance producers chartered or licensed under Federal law that ensures the stability and financial integrity of those insurers, agencies, and producers and that protects policyholders and other consumers served by such insurers, agencies, or producers. *Medical loss ratios - HR 2833, To require a minimum loss ratio for 90 percent for health insurance coverage offered through an insurance exchange. *Direct access to Ob/Gyns - HR 2940, To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans permit enrollees direct access to services of obstetrical and gynecological physician services directly and without a referral. *Coverage for autism spectrum disorders - HR 2413, To provide for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families; S 819, A bill to provide for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families. *Reinsurance - S 79, A bill to amend the Social Security Act to establish a Federal Reinsurance Program for Catastrophic Health Care Costs. *LTC consumer protections - S 1177, A bill to improve consumer protections for purchasers of long-term care insurance, and for other purposes. *Annual and lifetime coverage limits - S 1149, A bill to eliminate annual and lifetime aggregate limits imposed by health plans. *Lifetime benefit limits - S 442, A bill to impose a limitation on lifetime aggregate limits imposed by health plans. *Small employer health options - HR 2360, To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. *Federal office of insurance information - HR 2609, To establish an Office of Insurance Information in the Department of the Treasury. *National marketplace, health insurance coverage offered in interstate commerce; S 1459, A bill to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce. *Reinstatement of coverage upon payment of overdue premiums - HR 3584, To amend the Public Health Service Act to require reinstatement upon payment of all premiums due of group or individual health insurance coverage terminated by reason of nonpayment of premiums. *Changes to McCarran-Ferguson Act - HR 3596, To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers; S 1681, A bill to ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. *Medical loss ratios - HR 3681, To provide for minimum loss ratios for health insurance coverage; S 1730, A bill to provide for minimum loss ratios for health insurance coverage. *Third-party review of LTCI disputed claims - S 1626, A bill to require issuers of long term care insurance to establish third party review processes for disputed claims. *Model disclosure forms for LTC insurance - S 1636, A bill to develop a model disclosure form to assist consumers in purchasing long-term care insurance. *Model Disclosure form for long-term care insurance - HR 4078, To require the Secretary of Health and Human Services to develop a national model disclosure form to assist consumers in purchasing long-term care insurance. *Government-run health plan, health insurance cooperatives, health insurance exchange, insurance market reforms, individual coverage requirement, benefit packages, premium assistance, medical loss ratios, regulatory reform - 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. *Federal rate review process - HR 4757, Health Insurance Rate Authority Act of 2010; S 3078, Health Insurance Rate Authority Act of 2010.

S. 683/H.R. 1670, Community Choice Act of 2009, provisions related to Developmental Disabilities H.R.1721/S.697, The Community Living Assistance Services & Supports Act (CLASS Act), provisions related to Developmental Disabilities H.R.2413/S.819, Autism Treatment Acceleration Act, provisions related to Developmental Disabilities H.R.3184/S.1186, Medicare Independent Living Act of 2009, provisions related to Developmental Disabilities America's Healthy Futures Act of 2009, provisions related to Developmental Disabilities H.R.3200, America's Affordable Health Choices Act of 2009, provisions related to Developmental Disabilities S.1679, Affordable Health Choices Act, provisions related to Developmental Disabilities H.R.3962, Affordable Health Care for America Act, provisions related to Developmental Disabilities Public Law 111-148, Patient Protection and Affordable Care Act, provisions related to Developmental Disabilities

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

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, FY2011; Autism provisions H.R.2413/S.819, Autism Treatment Acceleration Act; Autism provisions America's Healthy Futures Act of 2009, Autism related issues H.R.3200, America's Affordable Health Choices Act of 2009, Autism related issues S.1679, Affordable Health Choices Act, Autism related issues H.R.3962, Affordable Health Care for America Act, Autism related issues Public Law 111-148, Patient Protection and Affordable Care Act, Autism related issues

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

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

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

H.R. 1205/S. 493, ABLE Act of 2009, relating to savings for individuals with disabilities, all provisions; H.R. 2413/S. 819, Autism Treatment Acceleration Act of 2009, providing for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families, all provisions; H.R. 1707/S. 706, Helping HANDS for Autism Act of 2009, relating to housing, awareness, and navigation demonstration services for individuals with autism spectrum disorders, all provisions; H.R. 1600/S. 1169, to amend title 10, United States Code, to provide for the treatment of autism under TRICARE; all provisions; S. 914, Cures Acceleration Network and National Institutes of Health Reauthorization Act of 2009, relating to establishing an independent Cures Acceleration Network agency and other purposes, all provisions; H.R. 1670/S. 683 Community Choice Act of 2009, relating to equal access to community-based attendant services and supports and other purposes, all provisions; S. 1373, Federal Research Public Access Act of 2009, providing for the development of public access policies relating to research, all provisions; H.R. 4247, Preventing Harmful Restraint and Seclusion in Schools Act, all provisions; H.R. 3590, Patient Protection and Affordable Care Act, relating to healthcare reform, Title I, provisions relating to nondiscrimination and to essential health benefits; H.R. 4872, Health Care and Education Reconciliation Act of 2010, relating to healthcare reform, Title II, provisions relating to health.

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

*National LTC program - HR 1721, To amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes; S 697, A bill to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes. *Immunization coverage mandate - HR 323, To amend title XXVII of the Public Health Service Act and title I of the Employee Retirement Income Security Act of 1974 to require that group and individual health insurance coverage and group health plans provide comprehensive coverage for childhood immunization. *Coverage mandate for hormone replacement therapy - HR 584, To provide for coverage of hormone replacement therapy for treatment of menopausal symptoms, and for coverage of an alternative therapy for hormone replacement therapy for such symptoms, under the Medicare and Medicaid Programs, group health plans and individual health insurance coverage, and other Federal health insurance programs. *Clinical trials coverage mandate - HR 716, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require group and individual health insurance coverage and group health plans to provide coverage for individuals participating in approved cancer clinical trials; S 488, A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require group and individual health insurance coverage and group health plans to provide coverage for individuals participating in approved cancer clinical trials. *Small employer health options - HR 850, To encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit; HR 859, To encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit; S 93, A bill to provide quality, affordable health insurance for small employers and individuals; HR 2360, To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible; S 979, A bill to amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. *Coverage mandate for mammograms - HR 995, To amend the Public Health Service Act and Employee Retirement Income Security Act of 1974 to require that group and individual health insurance coverage and group health plans provide coverage for annual screening mammography for women 40 years of age or older and for such screening and annual magnetic resonance imaging for women at high risk for breast cancer if the coverage or plans include coverage for diagnostic mammography for women 40 years of age or older. *Lifetime benefit limits - HR 1085, To impose a limitation on lifetime aggregate limits imposed by health plans; S 442, A bill to impose a limitation on lifetime aggregate limits imposed by health plans. *Pre-existing condition exclusions, affiliation periods, uniform premiums - HR 1092, To amend the Employee Retirement Income Security Act of 1974, Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit discrimination in group health coverage and individual health insurance coverage. Disclosure of coverage exclusions - HR 1253, To require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable. Comprehensive health reform - HR 1321, To provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away, S 391, A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. Coverage mandate for cancer screening - HR 1330, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, the Internal Revenue Code of 1986, and title 5, United States Code, to require that group and individual health insurance coverage and group health plans and Federal employees health benefit plans provide coverage of colorectal cancer screening. Coverage mandate for treatment of a child's congenital or developmental deformity - HR 1339, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for treatment of a minor child's congenital or developmental deformity or disorder due to trauma, infection, tumor, or disease; S 1235, A bill to amend the Public Health Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for treatment of a minor child's congenital or developmental deformity or disorder due to trauma, infection, tumor, or disease. Pre-existing condition exclusions - HR 1558, To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and health insurance coverage in the group and individual markets; S 623, A bill to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and in health insurance coverage in the group and individual markets. McCarran Ferguson reforms - HR 1583, To further competition in the insurance industry. Pre-existing condition exclusions for children - HR 1619, To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions for children in group health plans and health insurance coverage in the group and individual markets; S 643, A bill to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions for children in group health plans and health insurance coverage in the group and individual markets. Recissions, hospital stays for breast cancer patients - HR 1691, To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations; S 688, A bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. Gender rating for health insurance - HR 2402, To amend the Public Health Service Act to ensure fairness in the coverage of women in the individual health insurance market; HR 2635, To amend title XXVII of the Public Health Service Act to prohibit gender rating in the group and individual markets for health insurance coverage, and for other purposes; S 969, A bill to amend the Public Health Service Act to ensure fairness in the coverage of women in the individual health insurance market. Federal standards for health insurance, consumer information - HR 2427, To amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets, and for other purposes; S 1050, A bill to amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets, and for other purposes. Coverage of second opinions - HR 2457, To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code to require that group health plans and issuers of health insurance coverage provide coverage for second opinions. Regulatory reform - HR 1880, To establish a system of regulation and supervision for insurers, insurance agencies, and insurance producers chartered or licensed under Federal law that ensures the stability and financial integrity of those insurers, agencies, and producers and that protects policyholders and other consumers served by such insurers, agencies, or producers. Medical loss ratios - HR 2833, To require a minimum loss ratio for 90 percent for health insurance coverage offered through an insurance exchange. Direct access to Ob/Gyns - HR 2940, To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans permit enrollees direct access to services of obstetrical and gynecological physician services directly and without a referral. Coverage for autism spectrum disorders - HR 2413, To provide for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families; S 819, A bill to provide for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families. Reinsurance - S 79, A bill to amend the Social Security Act to establish a Federal Reinsurance Program for Catastrophic Health Care Costs. Coverage mandate for infertility treatments - HR 697, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and chapter 89 of title 5, United States Code, to require coverage for the treatment of infertility; S 1258, A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and chapter 89 of title 5, United States Code, to require coverage for the treatment of infertility. LTC consumer protections - S 1177, A bill to improve consumer protections for purchasers of long-term care insurance, and for other purposes. Annual and lifetime coverage limits - S 1149, A bill to eliminate annual and lifetime aggregate limits imposed by health plans. Lifetime benefit limits - S 442, A bill to impose a limitation on lifetime aggregate limits imposed by health plans. Small employer health options - HR 2360, To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. Federal office of insurance information - HR 2609, To establish an Office of Insurance Information in the Department of the Treasury. Government-run health plan, health insurance exchanges, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS act, medical loss ratios, premium assistance - HR 3200, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes; 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. National marketplace - HR 3217, To amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce; S 1459, A bill to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce. Reinstatement of coverage upon payment of overdue premiums - HR 3584, To amend the Public Health Service Act to require reinstatement upon payment of all premiums due of group or individual health insurance coverage terminated by reason of nonpayment of premiums. Changes to McCarran-Ferguson Act - HR 3596, To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers; S 1681, A bill to ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Medical loss ratios - HR 3681, To provide for minimum loss ratios for health insurance coverage; S 1730, A bill to provide for minimum loss ratios for health insurance coverage. Third-party review of LTCI disputed claims - S 1626, A bill to require issuers of long term care insurance to establish third party review processes for disputed claims. Model disclosure forms for LTC insurance - S 1636, A bill to develop a model disclosure form to assist consumers in purchasing long-term care insurance. Medicare physician payments - HR 3961, To amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physicians and to reinstitute and update the Pay-As-You-Go requirement of budget neutrality on new tax and mandatory spending legislation, enforced by the threat of annual, automatic sequestration. Model Disclosure form for long-term care insurance - HR 4078, To require the Secretary of Health and Human Services to develop a national model disclosure form to assist consumers in purchasing long-term care insurance. Government-run health plan, health insurance cooperatives, multi-state plans, insurance market reforms, health insurance exchanges, benefit packages, medical loss ratios, CLASS Act, regulatory reform, individual coverage requirement, premium assistance, federal rate review process, healthcare choice compacts, appeals procedures, disclosure requirements, high risk pool program, McCarran-Ferguson Act - HR 3590, An act entitled The Patient Protection and Affordable Care Act. Government-run health plan, health insurance exchange, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS Act, medical loss ratios, premium assistance, federal rate review process, healthcare choice compacts, high risk pool program, McCarran-Ferguson Act - HR 3962, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. Government-run health plan, health insurance cooperatives, health insurance exchange, insurance market reforms, individual coverage requirement, benefit packages, premium assistance, medical loss ratios, regulatory reform - 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.

H.R. 323, Comprehensive Insurance Coverage of Childhood Immunization Act (Green) immunization coverage mandate; H.R. 584, Menopausal Hormone Replacement Therapies and Alternative Treatments and Fairness Act (Lee) coverage mandate for hormone replacement therapy (cont.) H.R. 697, Family Building Act (Weiner) coverage mandate for infertility treatments; H.R. 716, Access to Cancer Clinical Trials Act (Israel) clinical trials coverage mandate; H.R. 850, Small Business CHOICE Act (Velazquez) small employer health options; H.R. 859, Small Business CHOICE Act (Velazquez) small employer health options; H.R. 995, Mammogram and MRI Availability Act (Nadler) coverage mandate for mammograms; H.R. 1085, Health Insurance Coverage Protection Act (Eshoo) lifetime benefit limits; H.R. 1092, No Discrimination in Health Insurance Act (Kagen) preexisting condition exclusions, affiliation periods, uniform premiums; H.R. 1253, Health Insurance Restrictions and Limitations Clarification Act (Burgess) disclosure of coverage exclusions; H.R. 1321, Healthy Americans Act (Eshoo) comprehensive health reform; H.R. 1330, Colorectal Cancer Screening and Detection Coverage Act (Boren) coverage mandate for cancer screening; H.R. 1339, Children's Access to Reconstructive Evaluation & Surgery Act (McCarthy) coverage mandate for treatment of a child's congenital or developmental deformity; H.R. 1558, Preexisting Condition Patient Protection Act (Courtney) preexisting condition exclusions; H.R. 1583, Insurance Industry Competition Act (DeFazio) McCarran Ferguson reforms; H.R. 1619, Children's Health Protection Act (Schwartz) preexisting condition exclusions for children; H.R. 1691, Breast Cancer Patient Protection Act (DeLauro) rescissions, hospital stays for breast cancer patients; H.R. 1721, CLASS Act (Pallone) national LTC program; H.R. 1880, National Insurance Consumer Protection Act (Bean) regulatory reform; H.R. 2360, SHOP Act (Kind) small employer health options; H.R. 2402, Woman's Health Insurance Fairness Act (Neal) gender rating for health insurance; H.R. 2413, Autism Treatment Acceleration Act (Doyle) coverage for autism spectrum disorders; H.R. 2427, Informed Consumer Choices in Health Care Act (DeLauro) federal standards for health insurance, consumer information; H.R. 2457, Right to a Second Medical Opinion Act (Davis) coverage of second opinions; H.R. 2609, Insurance Information Act (Kanjorski) Federal Office of Insurance Information; H.R. 2635, Gender Equity in Health Premiums Act (Sanchez) gender rating for health insurance; H.R. 2833, Medical Loss Ratios (Ellison) medical loss ratios; H.R. 2940, Women's Obstetrician and Gynecologist Medical Access Now Act (Davis) direct access to ob/gyns; H.R. 3200, Americas Affordable Health Choices Act (Dingell) government-run health plan, health insurance exchange, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS Act, medical loss ratios, premium assistance; H.R. 3217, Health Care Choice Act (Shadegg) national marketplace; H.R. 3584, Health Care Consumer Protection Act (Forbes) reinstatement of coverage upon payment of overdue premiums; H.R. 3590, Patient Protection and Affordable Care Act (Reid) government-run health plan, health insurance cooperatives, multi-state plans, insurance market reforms, health insurance exchanges, benefit packages, medical loss ratios, CLASS Act, regulatory reform, individual coverage requirement, premium assistance, federal rate review process, health care choice compacts, appeals procedures, disclosure requirements, high risk pool program, McCarran-Ferguson Act; H.R. 3596, Health Insurance Industry Antitrust Enforcement Act (Conyers) changes to McCarran-Ferguson Act; H.R.3681, Fairness in Health Insurance Act (cont.) H.R. 3961, Medicare Physician Payment Reform Act (Dingell) Medicare physician payment; H.R. 3962, Americas Affordable Health Choices Act (Dingell) government-run health plan, health insurance exchange, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS Act, medical loss ratios, premium assistance, federal rate review process, health care choice compacts, high risk pool program, McCarran-Ferguson Act; H.R. 4078, Long-Term Care Insurance Disclosure Act (Perriello) model disclosure form for long-term care insurance; S. 79, Healthy Businesses, Healthy Workers Reinsurance Act (Kerry) reinsurance; S. 93, Small Business Empowerment Act (Brown) small employer health options; S. 391, Healthy Americans Act (Wyden) comprehensive health reform; S. 442, Health Insurance Coverage Protection Act (Dorgan) lifetime benefit limits; S. 488, Access to Cancer Clinical Trials Act (Brown) clinical trials coverage mandate; S. 623, Pre-existing Condition Patient Protection Act (Rockefeller) preexisting condition exclusions; S. 643, Children's Health Protection Act (Lautenberg) preexisting condition exclusions for children; S. 688, Breast Cancer Patient Protection Act (Snowe) rescissions, hospital stays for breast cancer patients; S. 697, CLASS Act (Kennedy) national LTC program; S. 819, Autism Treatment Acceleration Act (Durbin) coverage for autism spectrum disorders; S. 969, Women's Health Insurance Fairness Act (Kerry) gender rating for health insurance; S. 979, SHOP Act (Durbin) small employer health options; S. 1050, Informed Consumer Choices in Health Care Act (Rockefeller) federal standards for health insurance, consumer information; S. 1149, Annual and Lifetime Health Care Limit Elimination Act (Rockefeller) annual and lifetime coverage limits; S. 1177, Confidence in Long-Term Care Insurance Act (Kohl) LTC consumer protections; S. 1235, Children's Access to Reconstructive Evaluation & Surgery Act (Landrieu) coverage mandate for treatment of a child's congenital or developmental deformity; S. 1258, Family Building Act (Gillibrand) coverage mandate for infertility treatments; S. 1459, Health Care Choice Act (DeMint) national marketplace; S. 1626, Long Term Care Insurance Integrity Act (Klobuchar) third party review of LTCI disputed claims; S. 1636, Long-Term Care Insurance Consumer Right-to-Know Act (Klobuchar) model disclosure forms for LTC insurance; S. 1679, Affordable Health Choices Act (Harkin) government-run health plan, insurance market reforms, health benefit gateways, benefit packages, medical loss ratios, CLASS Act, regulatory reform, individual coverage requirement, premium assistance; S. 1681, Health Insurance Industry Antitrust Enforcement Act (Leahy) changes to McCarran-Ferguson Act; S. 1730, Fairness in Health Insurance Act (Franken) medical loss ratios; S. 1796, Americas Healthy Future Act (Baucus) government-run health plan, health insurance cooperatives, health insurance exchange, insurance market reforms, individual coverage requirement, benefit packages, premium assistance, medical loss ratios, regulatory reform INS (Regulatory) Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials; implementation of the Mental Health Parity Act requirements; issues related to COBRA subsidy requirements, and issues related to genetic nondiscrimination.

*National LTC program - HR 1721, To amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes; S 697, A bill to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes. *Immunization coverage mandate - HR 323, To amend title XXVII of the Public Health Service Act and title I of the Employee Retirement Income Security Act of 1974 to require that group and individual health insurance coverage and group health plans provide comprehensive coverage for childhood immunization. *Coverage mandate for hormone replacement therapy - HR 584, To provide for coverage of hormone replacement therapy for treatment of menopausal symptoms, and for coverage of an alternative therapy for hormone replacement therapy for such symptoms, under the Medicare and Medicaid Programs, group health plans and individual health insurance coverage, and other Federal health insurance programs. *Clinical trials coverage mandate - HR 716, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require group and individual health insurance coverage and group health plans to provide coverage for individuals participating in approved cancer clinical trials; S 488, A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require group and individual health insurance coverage and group health plans to provide coverage for individuals participating in approved cancer clinical trials. *Small employer health options - HR 850, To encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit; HR 859, To encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit; S 93, A bill to provide quality, affordable health insurance for small employers and individuals; HR 2360, To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible; S 979, A bill to amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. *Coverage mandate for mammograms - HR 995, To amend the Public Health Service Act and Employee Retirement Income Security Act of 1974 to require that group and individual health insurance coverage and group health plans provide coverage for annual screening mammography for women 40 years of age or older and for such screening and annual magnetic resonance imaging for women at high risk for breast cancer if the coverage or plans include coverage for diagnostic mammography for women 40 years of age or older. *Lifetime benefit limits - HR 1085, To impose a limitation on lifetime aggregate limits imposed by health plans; S 442, A bill to impose a limitation on lifetime aggregate limits imposed by health plans. *Pre-existing condition exclusions, affiliation periods, uniform premiums - HR 1092, To amend the Employee Retirement Income Security Act of 1974, Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit discrimination in group health coverage and individual health insurance coverage. Disclosure of coverage exclusions - HR 1253, To require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable. Comprehensive health reform - HR 1321, To provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away, S 391, A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. Coverage mandate for cancer screening - HR 1330, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, the Internal Revenue Code of 1986, and title 5, United States Code, to require that group and individual health insurance coverage and group health plans and Federal employees health benefit plans provide coverage of colorectal cancer screening. Coverage mandate for treatment of a child's congenital or developmental deformity - HR 1339, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for treatment of a minor child's congenital or developmental deformity or disorder due to trauma, infection, tumor, or disease; S 1235, A bill to amend the Public Health Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for treatment of a minor child's congenital or developmental deformity or disorder due to trauma, infection, tumor, or disease. Pre-existing condition exclusions - HR 1558, To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and health insurance coverage in the group and individual markets; S 623, A bill to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and in health insurance coverage in the group and individual markets. McCarran Ferguson reforms - HR 1583, To further competition in the insurance industry. Pre-existing condition exclusions for children - HR 1619, To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions for children in group health plans and health insurance coverage in the group and individual markets; S 643, A bill to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions for children in group health plans and health insurance coverage in the group and individual markets. Recissions, hospital stays for breast cancer patients - HR 1691, To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations; S 688, A bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. Gender rating for health insurance - HR 2402, To amend the Public Health Service Act to ensure fairness in the coverage of women in the individual health insurance market; HR 2635, To amend title XXVII of the Public Health Service Act to prohibit gender rating in the group and individual markets for health insurance coverage, and for other purposes; S 969, A bill to amend the Public Health Service Act to ensure fairness in the coverage of women in the individual health insurance market. Federal standards for health insurance, consumer information - HR 2427, To amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets, and for other purposes; S 1050, A bill to amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets, and for other purposes. Coverage of second opinions - HR 2457, To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code to require that group health plans and issuers of health insurance coverage provide coverage for second opinions. Regulatory reform - HR 1880, To establish a system of regulation and supervision for insurers, insurance agencies, and insurance producers chartered or licensed under Federal law that ensures the stability and financial integrity of those insurers, agencies, and producers and that protects policyholders and other consumers served by such insurers, agencies, or producers. Medical loss ratios - HR 2833, To require a minimum loss ratio for 90 percent for health insurance coverage offered through an insurance exchange. Direct access to Ob/Gyns - HR 2940, To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans permit enrollees direct access to services of obstetrical and gynecological physician services directly and without a referral. Coverage for autism spectrum disorders - HR 2413, To provide for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families; S 819, A bill to provide for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families. Reinsurance - S 79, A bill to amend the Social Security Act to establish a Federal Reinsurance Program for Catastrophic Health Care Costs. Coverage mandate for infertility treatments - HR 697, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and chapter 89 of title 5, United States Code, to require coverage for the treatment of infertility; S 1258, A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and chapter 89 of title 5, United States Code, to require coverage for the treatment of infertility. LTC consumer protections - S 1177, A bill to improve consumer protections for purchasers of long-term care insurance, and for other purposes. Annual and lifetime coverage limits - S 1149, A bill to eliminate annual and lifetime aggregate limits imposed by health plans. Lifetime benefit limits - S 442, A bill to impose a limitation on lifetime aggregate limits imposed by health plans. Small employer health options - HR 2360, To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. Federal office of insurance information - HR 2609, To establish an Office of Insurance Information in the Department of the Treasury. Government-run health plan, health insurance exchanges, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS act, medical loss ratios, premium assistance - HR 3200, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes; 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. National marketplace - HR 3217, To amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce; S 1459, A bill to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce. Reinstatement of coverage upon payment of overdue premiums - HR 3584, To amend the Public Health Service Act to require reinstatement upon payment of all premiums due of group or individual health insurance coverage terminated by reason of nonpayment of premiums. Changes to McCarran-Ferguson Act - HR 3596, To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers; S 1681, A bill to ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Medical loss ratios - HR 3681, To provide for minimum loss ratios for health insurance coverage; S 1730, A bill to provide for minimum loss ratios for health insurance coverage. Third-party review of LTCI disputed claims - S 1626, A bill to require issuers of long term care insurance to establish third party review processes for disputed claims. Model disclosure forms for LTC insurance - S 1636, A bill to develop a model disclosure form to assist consumers in purchasing long-term care insurance. Medicare physician payments - HR 3961, To amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physicians and to reinstitute and update the Pay-As-You-Go requirement of budget neutrality on new tax and mandatory spending legislation, enforced by the threat of annual, automatic sequestration. Model Disclosure form for long-term care insurance - HR 4078, To require the Secretary of Health and Human Services to develop a national model disclosure form to assist consumers in purchasing long-term care insurance. Government-run health plan, health insurance cooperatives, multi-state plans, insurance market reforms, health insurance exchanges, benefit packages, medical loss ratios, CLASS Act, regulatory reform, individual coverage requirement, premium assistance, federal rate review process, healthcare choice compacts, appeals procedures, disclosure requirements, high risk pool program, McCarran-Ferguson Act - HR 3590, An act entitled The Patient Protection and Affordable Care Act. Government-run health plan, health insurance exchange, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS Act, medical loss ratios, premium assistance, federal rate review process, healthcare choice compacts, high risk pool program, McCarran-Ferguson Act - HR 3962, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. Government-run health plan, health insurance cooperatives, health insurance exchange, insurance market reforms, individual coverage requirement, benefit packages, premium assistance, medical loss ratios, regulatory reform - 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.

HR 1600/S 1169 - To amend title 10, United States Code, to provide for the treatment of autism under TRICARE; lobbied to educate on Occupational Therapy role in Autism services. S 819/HR 2413 - Autism Treatment Acceleration Act of 2009; lobbied to educate on Occupational Therapy role in Autism services. No bill #: Health Care Reform; Educate about recommendations and position of the American Occupational Therapy Association regarding occupational therapy. HR 3200 - America's Affordable Health Choices Act of 2009: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy. S. 1679 - Affordable Health Choices Act: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and support of efforts to address shortages in health care workforce, including occupational therapy.. S. 1796 - America's Healthy Future Act: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy; and oppose Wyden Amendment D-9 offset related to orthotics and prosthetics; advocated to change Lincoln D-10 amendment to reduce the scope of the amendment and to include occupational therapy. HR 2891 - Access to Frontline Health Care Act of 2009: Support passage. HR 3590 - Patient Protection and Affordable Care Act: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy; and oppose Wyden Amendment D-9 offset related to orthotics and prosthetics; advocated to change Lincoln D-10 amendment to reduce the scope of the amendment and to include occupational therapy.

S. 683/H.R. 1670, Community Choice Act of 2009, provisions related to Developmental Disabilities H.R.1721/S.697, The Community Living Assistance Services & Supports Act (CLASS Act), provisions related to Developmental Disabilities H.R.2413/S.819, Autism Treatment Acceleration Act, provisions related to Developmental Disabilities H.R.3184/S.1186, Medicare Independent Living Act of 2009, provisions related to Developmental Disabilities America's Healthy Futures Act of 2009, provisions related to Developmental Disabilities H.R.3200, America's Affordable Health Choices Act of 2009, provisions related to Developmental Disabilities S.1679, Affordable Health Choices Act, provisions related to Developmental Disabilities H.R.3962, Affordable Health Care for America Act, provisions related to Developmental Disabilities H.R.3590, Patient Protection and Affordable Care Act, provisions related to Developmental Disabilities

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Public Law 111-5, American Recovery and Reinvestment Act of 2009; provisions relating to NIH H.R.3293, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, FY2010; Autism provisions H.R.2413/S.819, Autism Treatment Acceleration Act; Autism provisions America's Healthy Futures Act of 2009, Autism related issues H.R.3200, America's Affordable Health Choices Act of 2009, Autism related issues S.1679, Affordable Health Choices Act, Autism related issues H.R.3962, Affordable Health Care for America Act, Autism related issues H.R.3590, Patient Protection and Affordable Care Act, Autism related issues

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

H.R. 1205/S. 493, ABLE Act of 2009, relating to savings for individuals with disabilities, all provisions; H.R. 2413/S. 819, Autism Treatment Acceleration Act of 2009, providing for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families, all provisions; H.R. 1707/S. 706, Helping HANDS for Autism Act of 2009, relating to housing, awareness, and navigation demonstration services for individuals with autism spectrum disorders, all provisions; H.R. 1600/S. 1169, to amend title 10, United States Code, to provide for the treatment of autism under TRICARE; all provisions; H.R. 3326, Department of Defense Appropriations Act, 2010, provisions relating to Department of Defense Autism Research Program; H.R. 2918, Legislative Branch Appropriations Act, 2010, provisions relating to autism; H.R. 2996, Department of the Interior, Environment, and Related Agencies Appropriations Act, 2010, provisions relating to autism; S. 914, Cures Acceleration Network and National Institutes of Health Reauthorization Act of 2009, relating to establishing an independent Cures Acceleration Network agency and other purposes, all provisions; H.R. 1670/S. 683 Community Choice Act of 2009, relating to equal access to community-based attendant services and supports and other purposes, all provisions; S. 1373, Federal Research Public Access Act of 2009, providing for the development of public access policies relating to research, all provisions; H.R. 4247, Preventing Harmful Restraint and Seclusion in Schools Act, all provisions; H.R. 3293, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2010, provisions relating to autism; H.R. 3288, Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2010, provisions relating to autism; S. 1679, the Affordable Health Choices Act, relating to healthcare reform, Title I, provisions relating to nondiscrimination and to essential health benefits; S. 1796, America's Healthy Future Act of 2009, relating to healthcare reform, Title I, provisions relating to nondiscrimination and to essential health benefits; H.R. 3590, Patient Protection and Affordable Care Act, relating to healthcare reform, Title I, provisions relating to nondiscrimination and to essential health benefits; H.R. 3200, America's Affordable Health Choices Act of 2009, relating to healthcare reform, Division A, Title I, provisions relating to nondiscrimination and to essential health benefits; H.R. 3962, Affordable Health Care for America Act, Division A, Title II, relating to healthcare reform, provisions relating to nondiscrimination and to essential health benefits.

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

Government-run health plan, health insurance cooperatives, health insurance exchanges, insurance market reforms, individual coverage requirement, benefit packages, premium assistance, medical loss ratios, regulatory reform - Draft legislation re these issues. *National LTC program - HR 1721, To amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes; S 697, A bill to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes. *Immunization coverage mandate - HR 323, To amend title XXVII of the Public Health Service Act and title I of the Employee Retirement Income Security Act of 1974 to require that group and individual health insurance coverage and group health plans provide comprehensive coverage for childhood immunization. *Coverage mandate for hormone replacement therapy - HR 584, To provide for coverage of hormone replacement therapy for treatment of menopausal symptoms, and for coverage of an alternative therapy for hormone replacement therapy for such symptoms, under the Medicare and Medicaid Programs, group health plans and individual health insurance coverage, and other Federal health insurance programs. *Clinical trials coverage mandate - HR 716, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require group and individual health insurance coverage and group health plans to provide coverage for individuals participating in approved cancer clinical trials; S 488, A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require group and individual health insurance coverage and group health plans to provide coverage for individuals participating in approved cancer clinical trials. *Small employer health options - HR 850, To encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit; HR 859, To encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit; S 93, A bill to provide quality, affordable health insurance for small employers and individuals; HR 2360, To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible; S 979, A bill to amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. *Coverage mandate for mammograms - HR 995, To amend the Public Health Service Act and Employee Retirement Income Security Act of 1974 to require that group and individual health insurance coverage and group health plans provide coverage for annual screening mammography for women 40 years of age or older and for such screening and annual magnetic resonance imaging for women at high risk for breast cancer if the coverage or plans include coverage for diagnostic mammography for women 40 years of age or older. *Lifetime benefit limits - HR 1085, To impose a limitation on lifetime aggregate limits imposed by health plans; S 442, A bill to impose a limitation on lifetime aggregate limits imposed by health plans. *Pre-existing condition exclusions, affiliation periods, uniform premiums - HR 1092, To amend the Employee Retirement Income Security Act of 1974, Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit discrimination in group health coverage and individual health insurance coverage. Disclosure of coverage exclusions - HR 1253, To require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable. Comprehensive health reform - HR 1321, To provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away, S 391, A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. Coverage mandate for cancer screening - HR 1330, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, the Internal Revenue Code of 1986, and title 5, United States Code, to require that group and individual health insurance coverage and group health plans and Federal employees health benefit plans provide coverage of colorectal cancer screening. Coverage mandate for treatment of a child's congenital or developmental deformity - HR 1339, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for treatment of a minor child's congenital or developmental deformity or disorder due to trauma, infection, tumor, or disease; S 1235, A bill to amend the Public Health Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for treatment of a minor child's congenital or developmental deformity or disorder due to trauma, infection, tumor, or disease. Pre-existing condition exclusions - HR 1558, To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and health insurance coverage in the group and individual markets; S 623, A bill to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and in health insurance coverage in the group and individual markets. McCarran Ferguson reforsm - HR 1583, To further competition in the insurance industry. Pre-existing condition exclusions for children - HR 1619, To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions for children in group health plans and health insurance coverage in the group and individual markets; S 643, A bill to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions for children in group health plans and health insurance coverage in the group and individual markets. Recissions, hospital stays for breast cancer patients - HR 1691, To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations; S 688, A bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. Gender rating for health insurance - HR 2402, To amend the Public Health Service Act to ensure fairness in the coverage of women in the individual health insurance market; HR 2635, To amend title XXVII of the Public Health Service Act to prohibit gender rating in the group and individual markets for health insurance coverage, and for other purposes; S 969, A bill to amend the Public Health Service Act to ensure fairness in the coverage of women in the individual health insurance market. Federal standards for health insurance, consumer information - HR 2427, To amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets, and for other purposes; S 1050, A bill to amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets, and for other purposes. Coverage of second opinions - HR 2457, To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code to require that group health plans and issuers of health insurance coverage provide coverage for second opinions. Regulatory reform - HR 1880, To establish a system of regulation and supervision for insurers, insurance agencies, and insurance producers chartered or licensed under Federal law that ensures the stability and financial integrity of those insurers, agencies, and producers and that protects policyholders and other consumers served by such insurers, agencies, or producers. Medical loss ratios - HR 2833, To require a minimum loss ratio for 90 percent for health insurance coverage offered through an insurance exchange. Direct access to Ob/Gyns - HR 2940, To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans permit enrollees direct access to services of obstetrical and gynecological physician services directly and without a referral. Coverage for autism spectrum disorders - HR 2413, To provide for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families; S 819, A bill to provide for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families. Reinsurance - S 79, A bill to amend the Social Security Act to establish a Federal Reinsurance Program for Catastrophic Health Care Costs. Coverage mandate for infertility treatments - HR 697, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and chapter 89 of title 5, United States Code, to require coverage for the treatment of infertility; S 1258, A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and chapter 89 of title 5, United States Code, to require coverage for the treatment of infertility. LTC consumer protections - S 1177, A bill to improve consumer protections for purchasers of long-term care insurance, and for other purposes. Annual and lifetime coverage limits - S 1149, A bill to eliminate annual and lifetime aggregate limits imposed by health plans. Lifetime benefit limits - S 442, A bill to impose a limitation on lifetime aggregate limits imposed by health plans. Small employer health options - HR 2360, To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. Federal office of insurance information - HR 2609, To establish an Office of Insurance Information in the Department of the Treasury. Government-run health plan, health insurance exchanges, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS act, medical loss ratios, premium assistance - HR 3200, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes; 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. National marketplace - HR 3217, To amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce; S 1459, A bill to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce. Reinstatement of coverage upon payment of overdue premiums - HR 3584, To amend the Public Health Service Act to require reinstatement upon payment of all premiums due of group or individual health insurance coverage terminated by reason of nonpayment of premiums. Changes to McCarran-Ferguson Act - HR 3596, To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers; S 1681, A bill to ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Medical loss ratios - HR 3681, To provide for minimum loss ratios for health insurance coverage; S 1730, A bill to provide for minimum loss ratios for health insurance coverage. Third-party review of LTCI disputed claims - S 1626, A bill to require issuers of long term care insurance to establish third party review processes for disputed claims. Model disclosure forms for LTC insurance - S 1636, A bill to develop a model disclosure form to assist consumers in purchasing long-term care insurance.

Americas Healthy Future Act (Baucus) government-run health plan, health insurance cooperatives, health insurance exchange, insurance market reforms, individual coverage requirement, benefit packages, premium assistance, medical loss ratios, regulatory reform (cont.) H.R. 323, Comprehensive Insurance Coverage of Childhood Immunization Act (Green) immunization coverage mandate; H.R. 584, Menopausal Hormone Replacement Therapies and Alternative Treatments and Fairness Act (Lee) coverage mandate for hormone replacement therapy; H.R. 697, Family Building Act (Weiner) coverage mandate for infertility treatments; H.R. 716, Access to Cancer Clinical Trials Act (Israel) clinical trials coverage mandate; H.R. 850, Small Business CHOICE Act (Velazquez) small employer health options; H.R. 859, Small Business CHOICE Act (Velazquez) small employer health options; H.R. 995, Mammogram and MRI Availability Act (Nadler) coverage mandate for mammograms; H.R. 1085, Health Insurance Coverage Protection Act (Eshoo) lifetime benefit limits; H.R. 1092, No Discrimination in Health Insurance Act (Kagen) preexisting condition exclusions, affiliation periods, uniform premiums; H.R. 1253, Health Insurance Restrictions and Limitations Clarification Act (Burgess) disclosure of coverage exclusions; H.R. 1321, Healthy Americans Act (Eshoo) comprehensive health reform; H.R. 1330, Colorectal Cancer Screening and Detection Coverage Act (Boren) coverage mandate for cancer screening; H.R. 1339, Children's Access to Reconstructive Evaluation & Surgery Act (McCarthy) coverage mandate for treatment of a child's congenital or developmental deformity; H.R. 1558, Preexisting Condition Patient Protection Act (Courtney) preexisting condition exclusions; H.R. 1583, Insurance Industry Competition Act (DeFazio) McCarran Ferguson reforms; H.R. 1619, Children's Health Protection Act (Schwartz) preexisting condition exclusions for children; H.R. 1691, Breast Cancer Patient Protection Act (DeLauro) rescissions, hospital stays for breast cancer patients; H.R. 1721, CLASS Act (Pallone) national LTC program; H.R. 1880, National Insurance Consumer Protection Act (Bean) regulatory reform; H.R. 2360, SHOP Act (Kind) small employer health options; H.R. 2402, Woman's Health Insurance Fairness Act (Neal) gender rating for health insurance; H.R. 2413, Autism Treatment Acceleration Act (Doyle) coverage for autism spectrum disorders; H.R. 2427, Informed Consumer Choices in Health Care Act (DeLauro) federal standards for health insurance, consumer information; H.R. 2457, Right to a Second Medical Opinion Act (Davis) coverage of second opinions; H.R. 2609, Insurance Information Act (Kanjorski) Federal Office of Insurance Information; H.R. 2635, Gender Equity in Health Premiums Act (Sanchez) gender rating for health insurance; H.R. 2833, Medical Loss Ratios (Ellison) medical loss ratios; H.R. 2940, Women's Obstetrician and Gynecologist Medical Access Now Act (Davis) direct access to ob/gyns; H.R. 3200, Americas Affordable Health Choices Act (Dingell) government-run health plan, health insurance exchange, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS Act, medical loss ratios, premium assistance; H.R. 3217, Health Care Choice Act (Shadegg) national marketplace; H.R. 3584, Health Care Consumer Protection Act (Forbes) reinstatement of coverage upon payment of overdue premiums; H.R. 3596, Health Insurance Industry Antitrust Enforcement Act (Conyers) changes to McCarran-Ferguson Act; H.R.3681, Fairness in Health Insurance Act (Ellison) medical loss ratios; S. 79, Healthy Businesses, Healthy Workers Reinsurance Act (Kerry) reinsurance; S. 93, Small Business Empowerment Act (Brown) small employer health options; S. 391, Healthy Americans Act (Wyden) comprehensive health reform;S. 442, Health Insurance Coverage Protection Act (Dorgan) lifetime benefit limits; S. 488, Access to Cancer Clinical Trials Act (Brown) clinical trials coverage mandate; S. 623, Pre-existing Condition Patient Protection Act (Rockefeller) preexisting condition exclusions; S. 643, Children's Health Protection Act (Lautenberg) preexisting condition exclusions for children; S. 688, Breast Cancer Patient Protection Act (Snowe) rescissions, hospital stays for breast cancer patients; S. 697, CLASS Act (Kennedy) national LTC program; S. 819, Autism Treatment Acceleration Act (Durbin) coverage for autism spectrum disorders; S. 969, Women's Health Insurance Fairness Act (Kerry) gender rating for health insurance; S. 979, SHOP Act (Durbin) small employer health options; S. 1050, Informed Consumer Choices in Health Care Act (Rockefeller) federal standards for health insurance, consumer information; S. 1149, Annual and Lifetime Health Care Limit Elimination Act (Rockefeller) annual and lifetime coverage limits; S. 1177, Confidence in Long-Term Care Insurance Act (Kohl) LTC consumer protections; S. 1235, Children's Access to Reconstructive Evaluation & Surgery Act (Landrieu) coverage mandate for treatment of a child's congenital or developmental deformity; S. 1258, Family Building Act (Gillibrand) coverage mandate for infertility treatments; S. 1459, Health Care Choice Act (DeMint) national marketplace; S. 1626, Long Term Care Insurance Integrity Act (Klobuchar) third party review of LTCI disputed claims; S. 1636, Long-Term Care Insurance Consumer Right-to-Know Act (Klobuchar) model disclosure forms for LTC insurance; S. 1679, Affordable Health Choices Act (Harkin) government-run health plan, insurance market reforms, health benefit gateways, benefit packages, medical loss ratios, CLASS Act, regulatory reform, individual coverage requirement, premium assistance; S. 1681, Health Insurance Industry Antitrust Enforcement Act (Leahy) changes to McCarran-Ferguson Act; S. 1730, Fairness in Health Insurance Act (Franken) medical loss ratios (cont.) INS (Regulatory) Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; issues relating to the coordination of benefits between private health insurance plans and Medicaid; crossover fees for Medigap claims; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials; implementation of the Mental Health Parity Act requirements; issues related to COBRA subsidy requirements, and issues related to genetic nondiscrimination.

HR 1600/S 1169 - To amend title 10, United States Code, to provide for the treatment of autism under TRICARE; lobbied to educate on Occupational Therapy role in Autism services. S 819/HR 2413 - Autism Treatment Acceleration Act of 2009; lobbied to educate on Occupational Therapy role in Autism services. No bill #: Health Care Reform; Educate about recommendations and position of the American Occupational Therapy Association regarding occupational therapy. HR 3200 - America's Affordable Health Choices Act of 2009: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy. S. 1679 - Affordable Health Choices Act: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and support of efforts to address shortages in health care workforce, including occupational therapy.. No Bill #: (Senate) - America's Healthy Future Act - lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services; and in support of efforts to address shortages in health care workforce, including occupational therapy; and oppose Wyden Amendment D-9 offset related to orthotics and prosthetics; advocated to change Lincoln D-10 amendment to reduce the scope of the amendment and to include occupational therapy. HR 2891 - Access to Frontline Health Care Act of 2009: Support passage.

Client expense: $80,000 · Firm income: Not reported

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

S. 683/H.R. 1670, Community Choice Act of 2009, provisions related to Developmental Disabilities H.R.1721/S.697, The Community Living Assistance Services & Supports Act (CLASS Act), provisions related to Developmental Disabilities H.R.2413/S.819, Autism Treatment Acceleration Act, provisions related to Developmental Disabilities H.R.3184/S.1186, Medicare Independent Living Act of 2009, provisions related to Developmental Disabilities America's Healthy Futures Act of 2009, provisions related to Developmental Disabilities H.R.3200, America's Affordable Health Choices Act of 2009, provisions related to Developmental Disabilities S.1679, Affordable Health Choices Act, provisions related to Developmental Disabilities

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Public Law 111-5, American Recovery and Reinvestment Act of 2009; provisions relating to NIH H.R.3293, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, FY2010; Autism provisions H.R.2413/S.819, Autism Treatment Acceleration Act; Autism provisions America's Healthy Futures Act of 2009, Autism related issues H.R.3200, America's Affordable Health Choices Act of 2009, Autism related issues S.1679, Affordable Health Choices Act, Autism related issues

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

H.R. 1205/S. 493, ABLE Act of 2009, relating to savings for individuals with disabilities, all provisions; H.R. 2413/S. 819, Autism Treatment Acceleration Act of 2009, providing for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families, all provisons; H.R. 1707/S. 706. Helping Hands for Autism Act of 2009, relating to housing, awareness, and navigation demonstration services for individuals with autism spectrum disorders, all provisions; H.R. 1600/S. 1169, to amend title 10, United States Code, to provide for the treatment of autism under TRICARE, all provisions; Department of Defense appropriations, provisions relating to Department of Defense Autism Research Program; S. 914, Cures Acceleration Network and National Institutes of Health Reauthorization Act of 2009, relating to establishing an independent Cures Acceleration Network agency and other purposes, all provisions; H.R. 1670/S. 683, Community Choice Act of 2009, relating to equal access to community-based attendant services and supports and other purposes, all provisions; S. 1373, Federal Research Public Access Act of 2009, providing for the development of public access policies relating to research, all provisions; S.1679, the Affordable Health Choices Act, relating to healthcare reform, Title I, provisions relating to nondiscrimination and to essential health benefits; H.R. 3200, America's Affordable Health Choices Act of 2009, relating to healthcare reform, Division A, Title I, provisions relating to nondiscrimination and to essential health benefits; America's Healthy Future Act of 2009, relating to healthcare reform, Title I, provisions relating to nondiscrimination and to benefit options.

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

HR 1600/S 1169 - To amend title 10, United States Code, to provide for the treatment of autism under TRICARE; lobbied to educate on Occupational Therapy role in Autism services. S 819/HR 2413 - Autism Treatment Acceleration Act of 2009; lobbied to educate on Occupational Therapy role in Autism services. No bill #: Health Care Reform; Educate about recommendations and position of the American Occupational Therapy Association regarding occupational therapy. No bill # - (Senate) - Affordable Health Choices Act: lobby regarding inclusion of occupational therapy, mental health coverage, and rehabilitation services.

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

Government targets: Bureau of Labor Statistics (BLS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), White House Office

Senate HELP Committee Draft Affordable Health Choices Act (Kennedy) government-run health plan, insurance market reforms, health benefit gateways, benefit packages, medical loss ratios, CLASS Act, regulatory reform, individual coverage requirement, premium assistance (cont.) Senate Finance Committee Draft Policy Options (Baucus-Grassley) government-run health plan, health insurance exchange, insurance market reforms, individual coverage requirement, benefit packages, premium assistance; House Tri-Committee Discussion Draft for Health Reform (Waxman, Rangel, Miller) government-run health plan, health insurance exchange, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, medical loss ratios, premium assistance; H.R. 323, Comprehensive Insurance Coverage of Childhood Immunization Act (Green) immunization coverage mandate; H.R. 584, Menopausal Hormone Replacement Therapies and Alternative Treatments and Fairness Act (Lee) coverage mandate for hormone replacement therapy; H.R. 697, Family Building Act (Weiner) coverage mandate for infertility treatments; H.R. 716, Access to Cancer Clinical Trials Act (Israel) clinical trials coverage mandate; H.R. 850, Small Business CHOICE Act (Velazquez) small employer health options; H.R. 859, Small Business CHOICE Act (Velazquez) small employer health options; H.R. 995, Mammogram and MRI Availability Act (Nadler) coverage mandate for mammograms; H.R. 1085, Health Insurance Coverage Protection Act (Eshoo) lifetime benefit limits; H.R. 1092, No Discrimination in Health Insurance Act (Kagen) preexisting condition exclusions, affiliation periods, uniform premiums; H.R. 1253, Health Insurance Restrictions and Limitations Clarification Act (Burgess) disclosure of coverage exclusions; H.R. 1321, Healthy Americans Act (Eshoo) comprehensive health reform; H.R. 1330, Colorectal Cancer Screening and Detection Coverage Act (Boren) coverage mandate for cancer screening; H.R. 1339, Children's Access to Reconstructive Evaluation & Surgery Act (McCarthy) coverage mandate for treatment of a child's congenital or developmental deformity; H.R. 1558, Preexisting Condition Patient Protection Act (Courtney) preexisting condition exclusions; H.R. 1583, Insurance Industry Competition Act (DeFazio) McCarran Ferguson reforms; H.R. 1619, Children's Health Protection Act (Schwartz) preexisting condition exclusions for children; H.R. 1691, Breast Cancer Patient Protection Act (DeLauro) rescissions, hospital stays for breast cancer patients; H.R. 1721, CLASS Act (Pallone) national LTC program; H.R. 1880, National Insurance Consumer Protection Act (Bean) regulatory reform; H.R. 2360, SHOP Act (Kind) small employer health options; H.R. 2402, Woman's Health Insurance Fairness Act (Neal) gender rating for health insurance; H.R. 2413, Autism Treatment Acceleration Act (Doyle) coverage for autism spectrum disorders; H.R. 2427, Informed Consumer Choices in Health Care Act (DeLauro) federal standards for health insurance, consumer information; H.R. 2457, Right to a Second Medical Opinion Act (Davis) coverage of second opinions; H.R. 2609, Insurance Information Act (Kanjorski) Federal Office of Insurance Information; H.R. 2635, Gender Equity in Health Premiums Act (Sanchez) gender rating for health insurance; H.R. 2833, Medical Loss Ratios (Ellison) medical loss ratios; H.R. 2940, Women's Obstetrician and Gynecologist Medical Access Now Act (Davis) direct access to ob/gyns; S. 79, Healthy Businesses, Healthy Workers Reinsurance Act (Kerry) reinsurance; S. 93, Small Business Empowerment Act (Brown) small employer health options; S. 391, Healthy Americans Act (Wyden) comprehensive health reform; S. 442, Health Insurance Coverage Protection Act (Dorgan) lifetime benefit limits; S. 488, Access to Cancer Clinical Trials Act (Brown) clinical trials coverage mandate; S. 623, Pre-existing Condition Patient Protection Act (Rockefeller) preexisting condition exclusions; S. 643, Children's Health Protection Act (Lautenberg) preexisting condition exclusions for children; S. 688, Breast Cancer Patient Protection Act (Snowe) rescissions, hospital stays for breast cancer patients; S. 697, CLASS Act (Kennedy) national LTC program; S. 819, Autism Treatment Acceleration Act (Durbin) coverage for autism spectrum disorders; S. 969, Women's Health Insurance Fairness Act (Kerry) gender rating for health insurance; S. 979, SHOP Act (Durbin) small employer health options; S. 1050, Informed Consumer Choices in Health Care Act (Rockefeller) federal standards for health insurance, consumer information; S. 1149, Annual and Lifetime Health Care Limit Elimination Act (Rockefeller) annual and lifetime coverage limits; S. 1177, Confidence in Long-Term Care Insurance Act (Kohl) LTC consumer protections; S. 1235, Children's Access to Reconstructive Evaluation & Surgery Act (Landrieu) coverage mandate for treatment of a child's congenital or developmental deformity; S. 1258, Family Building Act (Gillibrand) coverage mandate for infertility treatments INS (Regulatory) Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; issues relating to the coordination of benefits between private health insurance plans and Medicaid; crossover fees for Medigap claims; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials; implementation of the Mental Health Parity Act requirements; issues related to COBRA subsidy requirements, and issues related to genetic nondiscrimination.

Government-run health plan, insurance market reforms, health benefit gateways, benefit packages, medical loss ratios, CLASS Act, regulatory reform, individual coverage requirement, premium assistance - Draft legislation re these issues. National LTC program - HR 1721, To amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes; S 697, A bill to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes. Immunization coverage mandate - HR 323, To amend title XXVII of the Public Health Service Act and title I of the Employee Retirement Income Security Act of 1974 to require that group and individual health insurance coverage and group health plans provide comprehensive coverage for childhood immunization. Coverage mandate for hormone replacement therapy - HR 584, To provide for coverage of hormone replacement therapy for treatment of menopausal symptoms, and for coverage of an alternative therapy for hormone replacement therapy for such symptoms, under the Medicare and Medicaid Programs, group health plans and individual health insurance coverage, and other Federal health insurance programs. Clinical trials coverage mandate - HR 716, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require group and individual health insurance coverage and group health plans to provide coverage for individuals participating in approved cancer clinical trials; S 488, A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require group and individual health insurance coverage and group health plans to provide coverage for individuals participating in approved cancer clinical trials. Small employer health options - HR 850, To encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit; HR 859, To encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit; S 93, A bill to provide quality, affordable health insurance for small employers and individuals; HR 2360, To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible; S 979, A bill to amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. Coverage mandate for mammograms - HR 995, To amend the Public Health Service Act and Employee Retirement Income Security Act of 1974 to require that group and individual health insurance coverage and group health plans provide coverage for annual screening mammography for women 40 years of age or older and for such screening and annual magnetic resonance imaging for women at high risk for breast cancer if the coverage or plans include coverage for diagnostic mammography for women 40 years of age or older. Lifetime benefit limits - HR 1085, To impose a limitation on lifetime aggregate limits imposed by health plans; S 442, A bill to impose a limitation on lifetime aggregate limits imposed by health plans. Pre-existing condition exclusions, affiliation periods, uniform premiums - HR 1092, To amend the Employee Retirement Income Security Act of 1974, Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit discrimination in group health coverage and individual health insurance coverage. Disclosure of coverage exclusions - HR 1253, To require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable. Comprehensive health reform - Hr 1321, To provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away, S 391, A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. Coverage mandate for cancer screening - HR 1330, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, the Internal Revenue Code of 1986, and title 5, United States Code, to require that group and individual health insurance coverage and group health plans and Federal employees health benefit plans provide coverage of colorectal cancer screening. Coverage mandate for treatment of a child's congenital or developmental deformity - HR 1339, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for treatment of a minor child's congenital or developmental deformity or disorder due to trauma, infection, tumor, or disease; S 1235, A bill to amend the Public Health Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for treatment of a minor child's congenital or developmental deformity or disorder due to trauma, infection, tumor, or disease. Pre-existing condition exclusions - HR 1558, To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and health insurance coverage in the group and individual markets; S 623, A bill to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and in health insurance coverage in the group and individual markets. McCarran Ferguson reforsm - HR 1583, To further competition in the insurance industry. Pre-existing condition exclusions for children - HR 1619, To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions for children in group health plans and health insurance coverage in the group and individual markets; S 643. A bill to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions for children in group health plans and health insurance coverage in the group and individual markets. Recissions, hospital stays for breast cancer patients - HR 1691, To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations; S 688, A bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. Gender rating for health insurance - HR 2402, To amend the Public Health Service Act to ensure fairness in the coverage of women in the individual health insurance market; HR 2635, To amend title XXVII of the Public Health Service Act to prohibit gender rating in the group and individual markets for health insurance coverage, and for other purposes; S 969, A bill to amend the Public Health Service Act to ensure fairness in the coverage of women in the individual health insurance market. Federal standards for healt insurance, consumer information - HR 2427, To amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets, and for other purposes; S 1050, A bill to amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets, and for other purposes. Coverage of second opinions - HR 2457, To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code to require that group health plans and issuers of health insurance coverage provide coverage for second opinions. Regulatory reform - HR 1880, To establish a system of regulation and supervision for insurers, insurance agencies, and insurance producers chartered or licensed under Federal law that ensures the stability and financial integrity of those insurers, agencies, and producers and that protects policyholders and other consumers served by such insurers, agencies, or producers. Medical loss ratios - HR 2833, To require a minimum loss ratio for 90 percent for health insurance coverage offered through an insurance exchange. Direct access to Ob/Gyns - HR 2940, To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans permit enrollees direct access to services of obstetrical and gynecological physician services directly and without a referral. Coverage for autism spectrum disorders - HR 2413, To provide for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families; S 819, A bill to provide for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families. Reinsurance - S 79, A bill to amend the Social Security Act to establish a Federal Reinsurance Program for Catastrophic Health Care Costs. Coverage mandate for infertility treatments - HR 697, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and chapter 89 of title 5, United States Code, to require coverage for the treatment of infertility; S 1258, A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and chapter 89 of title 5, United States Code, to require coverage for the treatment of infertility. LTC consumer protections - S 1177, A bill to improve consumer protections for purchasers of long-term care insurance, and for other purposes. Annual and lifetime coverage limits - S 1149, A bill to eliminate annual and lifetime aggregate limits imposed by health plans.

S. 683/H.R. 1670, Community Choice Act of 2009, provisions related to Developmental Disabilities H.R.1721/S.697, The Community Living Assistance Services & Supports Act (CLASS Act), provisions related to Developmental Disabilities Healthcare Reform legislation, provisions related to Developmental Disabilities H.R.2413/S.819, Autism Treatment Acceleration Act, provisions related to Developmental Disabilities S.1186, Medicare Independent Living Act of 2009, provisions related to Developmental Disabilities

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Public Law 111-5, American Recovery and Reinvestment Act of 2009; provisions relating to NIH Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, FY2010; Autism provisions H.R.2413/S.819, Autism Treatment Acceleration Act; Autism provisions Healthcare Reform legislation, Autism related issues.

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

Government targets: Centers For Disease Control & Prevention (CDC), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), 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

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