Mental Health in Schools Act of 2009

Mental Health in Schools Act of 2009 (HR 2531) Labor-HHS-Education Appropriations (S. 3686) Positive Behavior for Safe and Effective Schools Act (HR 2507) Preventing Harmful Restraint and Seclusion in Schools Act of 2009 (H.R. 4247/S. 2860) Achievement Through Prevention Act (S.3733) Pregnant and Parenting Students Access to Education Act (H.R. 5894) Safe Schools Improvement Act in the House (HR 2262) Mental Health on Campus Improvement Act (H.R.1704/S.682)

Client expense: $11,432 · Firm income: Not reported

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

Labor-HHS-Education Appropriations (S. 3686) Health Information Technology Extension for Behavioral Health Services Act of 2010 (H.R. 5040/S. 3709) Mental Health in Schools Act of 2009 (HR 2531) Medicaid Funding Extensions Bill (1586) SAMHSA Modernization Act of 2010 (H.R. 5466) Small Business Jobs and Credit Act (H.R. 5297), an amendment to strip the Prvention and Public Health Fund

Client expense: $11,432 · Firm income: Not reported

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

1. S. 750, the "Caring for an Aging America Act of 2009," a bill to provide for the establishment of a new geriatric and gerontology loan repayment program. Support all provisions. 2. S. 245/H.R. 468, the "Retooling the Health Care Workforce for an Aging American Act of 2009". This bill addresses the current and future shortage of health care personnel who are trained to care for older adults. Support all provisions. 3. S. 682, the "Mental Health on Campus Improvement Act," to amend the Public Health Service Act to improve mental and behavioral services on college campuses. Support all provisions. 4. S. 697, the "Community Living Assistance Supports and Services Act (CLASS Act)," 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. Support all provisions. Support inclusion of provisions of this bill in healht care reform legislation (H.R. 3590). 5. H.R. 1457, the "Geriatrics Loan Forgiveness Act of 2009," to amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professional Shortage Area. Support all provisions. 6. Discussed with House and Senate staff the need to include older adults in clinical trials. 7. Support comparative effectiveness research focused specifically on treatments for older adults and mental illness. 8. Support programs to reverse the declining numbers of geriatric specialists. 9. Support legislation to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. 10. Support H.R. 1932/S. 999, the "Child Health Care Crisis Relief Act," to address the national shortage of children's mental health professionals, including school-based professionals, by encouraging more individuals to enter these critical fields. 11. S. 678, "Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009". Support all provisions, but especially those that strengthen protections for those in the criminal and juvenile justices systems with needs related to mental health and substance abuse. 12. Support H.R. 2901, "Healthy Transitions Act," to provide access to knowledge, skills, and supports that are necessary for a successful transition to adulthood for young adults with mental health disorders. The bill would provide technical and monetary assistance to states as they implement plans to develop a coordinated service delivery system in order to maximize continuity of care and access to services. The bill would also establish planning and implementation grants to assist peer support programs and programs promoting independent living, life skills, employment, and education. 13. Support H.R. 1193, the "Federal Response to Eliminate Easting Disorders Act" (H.R. 1193/S. 3260), to create Centers of Excellence dedicated to research collaboration, create a Center of Epidemiology to study the prevalence, economic impact and related morbidity and mortality rates of eating disorders, provide for evidence-based standards of care, establish education and prevention grant programs for training of health professionals and schools at all levels, provide public service announcements, and enhance access to care for those who suffer from eating disorders. 14. Support H.R. 2531, the "Mental Health in Schools Act of 2009," to authorize competitive grants to local school districts to assist them in early mental health interventions and referrals for treatment, to provide supports for students and their families, and to allow for staff training to be culturally and linguistically appropriate. 15. H. R. 3191 and S. 3698, the "Positive Aging Act," to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. Support all provisions. 16. Support S. 1857 and H. R. 4204, to establish national centers of excellence for the treatment of depression and bipolar disorders. 17. Support S. 2928, to include direct care workers as a priority for the National Health Care Workforce Commission. 18. Support efforts to strengthen existing Title VII geriatric health professions education programs. 19. Support H.R. 5466, the "SAMHSA Modernization Act of 2010," to reauthorize programs administered by the Substance Abuse and Mental Health Services Administration. Support provisions to improve the accessibility and quality of mental heatlh services for the elderly. 20. Support H.R. 5040, the "Health Information Technology Extension for Behavioral Health Sciences Act of 2010," to extend the meaningful use incentives established through the American Recovery and Reinvestment Act to mental health and substance abuse providers and facilities, including psychiatric hospitals, community mental health centers, mental health treatment facilities, clinical psychologists and social workers.

HR1932 and S999 The Child Healthcare Crisis Relief Act HR5040 The Health Information Technology Extension for Behavioral Health Services Act of 2010 HR2531 The Mental Health in Schools Act HR5392 Council on the Integration of Healthcare Education Act SAMHSA Reauthorization Patient Protection and Affordable Care Act

Client expense: Not reported · Firm income: Not reported

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

HR1932 and S999 The Child Healthcare Crisis Relief Act HR5040 The Health Information Technology Extension for Behavioral Health Services Act of 2010 HR2531 The Mental Health in Schools Act of 2009 HR2597 The Positive Behavior for Safe and Effective Schools Act HR5392 Council on the Integration of Healthcare Education Act SAMHSA Reauthorization FY2011 Appropriations (Labor/HHS/Education) Patient Protection and Affordable Care Act

Client expense: Not reported · Firm income: Not reported

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

Mental Health in Schools Act of 2009 (HR 2531) Labor-HHS-Education Appropriations (S. 3686) Positive Behavior for Safe and Effective Schools Act (HR 2507) Preventing Harmful Restraint and Seclusion in Schools Act of 2009 (H.R. 4247 and S. 2860) Achievement Through Prevention Act (S.3733) Pregnant and Parenting Students Access to Education Act (H.R. 5894) Safe Schools Improvement Act in the House (HR 2262)

Client expense: $12,515 · Firm income: Not reported

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

Labor-HHS-Education Appropriations (S. 3686) Health Information Technology Extension for Behavioral Health Services Act of 2010 (H.R. 5040, S. 3709) Mental Health in Schools Act of 2009 (HR 2531) Medicaid Funding Extensions Bill (1586) SAMHSA Modernization Act of 2010 (H.R. 5466) Small Business Jobs and Credit Act (H.R. 5297), an amendment to strip the Prvention and Public Health Fund

Client expense: $12,515 · Firm income: Not reported

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

HR1932 and S999 The Child Healthcare Crisis Relief Act HR5040 The Health Information Technology Extension for Behavioral Health Services Act of 2010 HR2531 The Mental Health in Schools Act of 2009 HR2597 The Positive Behavior for Safe and Effective Schools Act HR5392 Council on the Integration of Healthcare Education Act SAMHSA Reauthorization FY2011 Appropriations (Labor/HHS/Education) Patient Protection and Affordable Care Act

Client expense: Not reported · Firm income: Not reported

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

1. S. 750, the "Caring for an Aging America Act of 2009," a bill to provide for the establishment of a new geriatric and gerontology loan repayment program. Support all provisions. 2. S. 245/H.R. 468, the "Retooling the Health Care Workforce for an Aging American Act of 2009". This bill addresses the current and future shortage of health care personnel who are trained to care for older adults. Support all provisions. 3. S. 682, the "Mental Health on Campus Improvement Act," to amend the Public Health Service Act to improve mental and behavioral services on college campuses. Support all provisions. 4. S. 697, the "Community Living Assistance Supports and Services Act (CLASS Act)," 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. Support all provisions. Support inclusion of provisions of this bill in healht care reform legislation (H.R. 3590). 5. H.R. 1457, the "Geriatrics Loan Forgiveness Act of 2009," to amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professional Shortage Area. Support all provisions. 6. Discussed with House and Senate staff the need to include older adults in clinical trials. 7. Support comparative effectiveness research focused specifically on treatments for older adults and mental illness. 8. Support programs to reverse the declining numbers of geriatric specialists. 9. Support legislation to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. 10. Support H.R. 1932/S. 999, the "Child Health Care Crisis Relief Act," to address the national shortage of children's mental health professionals, including school-based professionals, by encouraging more individuals to enter these critical fields. 11. S. 678, "Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009". Support all provisions, but especially those that strengthen protections for those in the criminal and juvenile justices systems with needs related to mental health and substance abuse. 12. Support H.R. 2901, "Healthy Transitions Act," to provide access to knowledge, skills, and supports that are necessary for a successful transition to adulthood for young adults with mental health disorders. The bill would provide technical and monetary assistance to states as they implement plans to develop a coordinated service delivery system in order to maximize continuity of care and access to services. The bill would also establish planning and implementation grants to assist peer support programs and programs promoting independent living, life skills, employment, and education. 13. Support H.R. 1193, the "Federal Response to Eliminate Easting Disorders Act" (H.R. 1193/S. 3260), to create Centers of Excellence dedicated to research collaboration, create a Center of Epidemiology to study the prevalence, economic impact and related morbidity and mortality rates of eating disorders, provide for evidence-based standards of care, establish education and prevention grant programs for training of health professionals and schools at all levels, provide public service announcements, and enhance access to care for those who suffer from eating disorders. 14. Support H.R. 2531, the "Mental Health in Schools Act of 2009," to authorize competitive grants to local school districts to assist them in early mental health interventions and referrals for treatment, to provide supports for students and their families, and to allow for staff training to be culturally and linguistically appropriate. 15. H. R. 3191 and S. 3698, the "Positive Aging Act," to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. Support all provisions. 16. Support S. 1857 and H. R. 4204, to establish national centers of excellence for the treatment of depression and bipolar disorders. 17. Support S. 2928, to include direct care workers as a priority for the National Health Care Workforce Commission. 18. Support efforts to strengthen existing Title VII geriatric health professions education programs. 19. Support H.R. 5466, the "SAMHSA Modernization Act of 2010," to reauthorize programs administered by the Substance Abuse and Mental Health Services Administration. Support provisions to improve the accessibility and quality of mental heatlh services for the elderly. 20. Support H.R. 5040, the "Health Information Technology Extension for Behavioral Health Sciences Act of 2010," to extend the meaningful use incentives established through the American Recovery and Reinvestment Act to mental health and substance abuse providers and facilities, including psychiatric hospitals, community mental health centers, mental health treatment facilities, clinical psychologists and social workers.

Mental Health in Schools Act of 2009 (HR 2531) Labor-HHS-Education Appropriations (S. 3686) Positive Behavior for Safe and Effective Schools Act (HR 2507) Preventing Harmful Restraint and Seclusion in Schools Act of 2009 (H.R. 4247 and S. 2860) Achievement Through Prevention Act (S.3733) Pregnant and Parenting Students Access to Education Act (H.R. 5894) Safe Schools Improvement Act in the House (HR 2262)

Client expense: $17,800 · Firm income: Not reported

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

Labor-HHS-Education Appropriations (S. 3686) Health Information Technology Extension for Behavioral Health Services Act of 2010 (H.R. 5040, S. 3709) Mental Health in Schools Act of 2009 (HR 2531) Medicaid Funding Extensions Bill (1586) SAMHSA Modernization Act of 2010 (H.R. 5466) Small Business Jobs and Credit Act (H.R. 5297), an amendment to strip the Prvention and Public Health Fund

Client expense: $17,800 · Firm income: Not reported

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

HR1932 and S999 The Child Healthcare Crisis Relief Act HR5040 The Health Information Technology Extension for Behavioral Health Services Act of 2010 HR2531 The Mental Health in Schools Act of 2009 HR2597 The Positive Behavior for Safe and Effective Schools Act HR5392 Council on the Integration of Healthcare Education Act SAMHSA Reauthorization FY2011 Appropriations (Labor/HHS/Education) President's Budget for FY2011

Client expense: Not reported · Firm income: Not reported

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

Community Mental Health Services Improvement Act (HR 1011/S 1188), all provisions of bill relating to community mental health services improvement Mental Health in Schools Act of 2009 (H.R. 2531), all provisions related to providing grant funding for licensed mental health professionals to work with students with mental disorders. Child Health Care Crisis Relief Act of 2009 (S.999/ H.R. 1932), all provisions related to creating incentives to help recruit and retain child mental health professionals providing direct clinical care, and to improve, expand, or help create programs to train child mental health professionals Student Support Act (H.R. 1338), all provisions related to the hiring of additional school-based mental health and student service providers. Mental Health on Campus Improvement Act (S. 682/H.R. 1704), all provisions related to expanding the mental and behavioral health services available on college campuses around the country. Health Information Technology Extension for Behavioral Health Services Act (H.R. 5040), all provisions related to expanding federal incentive payments for the adoption and meaningful use of electronic health records to behavioral health providers and facilities. Mental Health and Addictions Safety Net Equity Act (H.R. 5636), all provisions related to the creation of Federally Qualified Behavioral Health Centers. SAMHSA Modernization Act (H.R. 5466), all provisions related to reauthorizing the Substance Abuse and Mental Health Services Administration. Improving the Quality of Mental and Substance Use Health Care Act (H.R. 2369), all provisions related to promoting the use of evidence-based practices in MH/SUD treatment and streamlining/improving federal financing for these services. Positive Aging Act (H.R. 3191), all provisions related to establishing grants for demonstration programs that integrate mental health services for older adults into primary care settings and support the establishment and maintenance of interdisciplinary geriatric mental health outreach teams in community settings. Methamphetamine Education, Treatment, and Hope Act (H.R. 2818), all provisions related to requiring the Center for Substance Abuse Treatment to collaborate with professionals in the addiction field and primary healthcare providers to raise awareness among providers about recognition of the signs of substance use disorders and apply evidence-based practices for the screening and treatment of individuals who have or might develop those types of conditions. Rural Preventive Health Care Training Act (S. 113), all provisions related to establishing grants and contracts for preventive healthcare training of rural practitioners. Indian Youth Suicide Prevention Act (S. 1635), all provisions related to providing telemental health services to American Indian youths who have expressed suicidal ideas, have attempted suicide, or have mental health conditions that increase or could increase their risk for suicide. Autonomy for Psychologists and Social Workers Act (S. 56), all provisions related to removing a restriction under current law that clinical psychologists or clinical social workers can provide services in a comprehensive outpatient rehabilitation facility only to patients under the care of a physician. Childrens Hospitals Education Equity Act (S. 830/H.R. 2003), all provisions related to including certain freestanding childrens psychiatric hospitals under the program of federal payments to childrens hospitals that operate graduate medical residency training programs.

1. S. 750, the "Caring for an Aging America Act of 2009," a bill to provide for the establishment of a new geriatric and gerontology loan repayment program. Support all provisions. 2. S. 245/H.R. 468, the "Retooling the Health Care Workforce for an Aging American Act of 2009". This bill addresses the current and future shortage of health care personnel who are trained to care for older adults. Support all provisions. 3. S. 682, the "Mental Health on Campus Improvement Act," to amend the Public Health Service Act to improve mental and behavioral services on college campuses. Support all provisions. 4. S. 697, the "Community Living Assistance Supports and Services Act (CLASS Act)," 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. Support all provisions. Support inclusion of provisions of this bill in healht care reform legislation (H.R. 3590). 5. H.R. 1457, the "Geriatrics Loan Forgiveness Act of 2009," to amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professional Shortage Area. Support all provisions. 6. Discussed with House and Senate staff the need to include older adults in clinical trials. 7. Support comparative effectiveness research focused specifically on treatments for older adults and mental illness. 8. Support programs to reverse the declining numbers of geriatric specialists. 9. Support legislation to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. 10. Support H.R. 1932/S. 999, the "Child Health Care Crisis Relief Act," to address the national shortage of children's mental health professionals, including school-based professionals, by encouraging more individuals to enter these critical fields. 11. S. 678, "Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009". Support all provisions, but especially those that strengthen protections for those in the criminal and juvenile justices systems with needs related to mental health and substance abuse. 12. Support H.R. 2901, "Healthy Transitions Act," to provide access to knowledge, skills, and supports that are necessary for a successful transition to adulthood for young adults with mental health disorders. The bill would provide technical and monetary assistance to states as they implement plans to develop a coordinated service delivery system in order to maximize continuity of care and access to services. The bill would also establish planning and implementation grants to assist peer support programs and programs promoting independent living, life skills, employment, and education. 13. Support H.R. 1193, the "Federal Response to Eliminate Easting Disorders Act" (H.R. 1193/S. 3260), to create Centers of Excellence dedicated to research collaboration, create a Center of Epidemiology to study the prevalence, economic impact and related morbidity and mortality rates of eating disorders, provide for evidence-based standards of care, establish education and prevention grant programs for training of health professionals and schools at all levels, provide public service announcements, and enhance access to care for those who suffer from eating disorders. 14. Support H.R. 2531, the "Mental Health in Schools Act of 2009," to authorize competitive grants to local school districts to assist them in early mental health interventions and referrals for treatment, to provide supports for students and their families, and to allow for staff training to be culturally and linguistically appropriate. 15. H. R. 3191, the "Positive Aging Act," to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. Support all provisions. 16. Support S. 1857 and H. R. 4204, to establish national centers of excellence for the treatment of depression and bipolar disorders. 17. Support S. 2928, to include direct care workers as a priority for the National Health Care Workforce Commission. 18. Support efforts to strengthen existing Title VII geriatric health professions education programs. 19. Support H.R. 5466, the "SAMHSA Modernization Act of 2010," to reauthorize programs administered by the Substance Abuse and Mental Health Services Administration. Support provisions to improve the accessibility and quality of mental heatlh services for the elderly. 20. Support H.R. 5040, the "Health Information Technology Extension for Behavioral Health Sciences Act of 2010," to extend the meaningful use incentives established through the American Recovery and Reinvestment Act to mental health and substance abuse providers and facilities, including psychiatric hospitals, community mental health centers, mental health treatment facilities, clinical psychologists and social workers.

Mental Health in Schools Act of 2009 (HR 2531) Positive Behavior for Safe and Effective Schools Act (HR 2507) Preventing Harmful Restraint and Seclusion in Schools Act of 2009 (H.R. 4247 and S. 2860)

Client expense: $15,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.4247/S.2860 Preventing Harmful Restraint and Seclusion in Schools Act H.R.2531 Mental Health in Schools Act H.R.2597 Positive Behavior for Safe and Effective Schools Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. S. 750, the "Caring for an Aging America Act of 2009," a bill to provide for the establishment of a new geriatric and gerontology loan repayment program. Support all provisions. 2. S. 245/H.R. 468, the "Retooling the Health Care Workforce for an Aging American Act of 2009". This bill addresses the current and future shortage of health care personnel who are trained to care for older adults. Support all provisions. 3. S. 682, the "Mental Health on Campus Improvement Act," to amend the Public Health Service Act to improve mental and behavioral services on college campuses. Support all provisions. 4. S. 697, the "Community Living Assistance Supports and Services Act (CLASS Act)," 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. Support all provisions. Support inclusion of provisions of this bill in healht care reform legislation (H.R. 3590). 5. H.R. 1457, the "Geriatrics Loan Forgiveness Act of 2009," to amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professional Shortage Area. Support all provisions. 6 Discussed with House and Senate staff the need to include older adults in clinical trials. 7. Support comparative effectiveness research focused specifically on treatments for older adults and mental illness. 8 Support programs to reverse the declining numbers of geriatric specialists. 9. Support adoption of a 2:1 cap on age rating in health insurance systems in health care reform legislation (H.R. 3590). 10. Support legislation to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. 11. H.R. 1932/S. 999, the "Child Health Care Crisis Relief Act," to address the national shortage of children's mental health professionals, including school-based professionals, by encouraging more individuals to enter these critical fields. 12. S. 678, "Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009". Support all provisions, but especially those that strengthen protections for those in the criminal and juvenile justices systems with needs related to mental health and substance abuse. 13. H.R. 2901, "Healthy Transitions Act," to provide access to knowledge, skills, and supports that are necessary for a successful transition to adulthood for young adults with mental health disorders. The bill would provide technical and monetary assistance to states as they implement plans to develop a coordinated service delivery system in order to maximize continuity of care and access to services. The bill would also establish planning and implementation grants to assist peer support programs and programs promoting independent living, life skills, employment, and education. 14. H.R. 1193, the "Federal Response to Eliminate Easting Disorders Act," to create Centers of Excellence dedicated to research collaboration, create a Center of Epidemiology to study the prevalence, economic impact and related morbidity and mortality rates of eating disorders, provide for evidence-based standards of care, establish education and prevention grant programs for training of health professionals and schools at all levels, provide public service announcements, and enhance access to care for those who suffer from eating disorders. 15. H.R. 2531, the "Mental Health in Schools Act of 2009," to authorize competitive grants to local school districts to assist them in early mental health interventions and referrals for treatment, to provide supports for students and their families, and to allow for staff training to be culturally and linguistically appropriate. 16. H. R. 3191, the "Positive Aging Act," to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. Support all provisions. 17. Support language in the health care reform bills (H.R. 3590) to ensure coverage of critical services and supplies in a federal benefit standard and to require a fully open, transparent, and inclusive process for development of the standard that ensures full engagement of consumers, patients, workers and providers. 18. Support S. 1857 and H. R. 4204, to establish national centers of excellence for the treatment of depression and bipolar disorders. Support inclusion of that language in the health care reform bill (H.R. 3590). 19. Support H. R. 3590, the health care overhaul bill (the "Patient Protection and Affordable Care Act") and H. R. 4872, the reconciliation bill (the "Health Care and Education Reconciliation Act of 2010") to modify the healht care overhaul bill. 20. Support S. 2928, to include direct care workers as a priority for the National Health Care Workforce Commission and support inclusion of that language in the health care reform bill (H. R. 3590). 25. Support provisions in H.R. 3590, the "Patient Protection and Affordable Care Act," to strengthen existing Title VII geriatric health professions education programs. 26. Support reauthorization of the Substance Abuse and Mental Health Services Administration.

Community Mental Health Services Improvement Act (HR 1011/S 1188), all provisions of bill relating to community mental health services improvement Affordable Health Care for America Act (HR 3962), all provisions related to the coverage of mental health and substance use disorder services and health information technology investments Patient Protection and Affordable Care Act (HR 3590), all provisions related to the coverage of mental health and substance use disorder services and health information technology investments. Health Care and Education Reconciliation Act of 2010 (HR 4872), all provisions related to the coverage of mental health and substance use disorder services and health information technology investments. Mental Health in Schools Act of 2009 (H.R. 2531), all provisions related to providing grant funding for licensed mental health professionals to work with students with mental disorders. School-Based Health Clinic Establishment Act of 2007 (H.R. 4230), all provisions related to authorizing a grant-based program for the operation and development of school-based health clinics Healthy Schools Act of 2009 (S. 1034/H.R. 2840), all provisions related to establishing a mechanism for States to certify school based health centers to be recognized under Medicaid and the State Childrens Health Insurance Program for Medicaid and SCHIP-enrolled school children and adolescents. Child Health Care Crisis Relief Act of 2009 (S.999/ H.R. 1932), all provisions related to creating incentives to help recruit and retain child mental health professionals providing direct clinical care, and to improve, expand, or help create programs to train child mental health professionals Healthy Transitions Act (H.R. 2691), all provisions related to establishing a planning grant program that would allow States to implement effective transition-age mental health services and supports. Student Support Act (H.R. 1338), all provisions related to the hiring of additional school-based mental health and student service providers. Full-Service Community Schools Act of 2009 (H.R. 3545/S. 1655), all provisions related to mental health counseling, mentoring, and other youth health and development services. Mental Health on Campus Improvement Act (S. 682/H.R. 1704), all provisions related to expanding the mental and behavioral health services available on college campuses around the country.

Community Mental Health Services Improvement Act (HR 1011/S 1188), all provisions of bill relating to community mental health services improvement Community Living Assistance Services and Supports (CLASS) Act (HR 1721/ S 697), all provisions relating to the creation of a new national insurance program for adults seeking access to long-term services and supports if they became functionally disabled. Americas Healthy Future Act, all provisions related to the coverage of mental health and substance use disorder services and health information technology investments. Affordable Access to Prescription Medications Act (HR 3799), all provisions relating to placing a cap on out-of-pocket spending on prescription medications and restricting the practice of imposing co-insurance policies that disproportionately affect people with severe chronic illnesses. Affordable Health Care for America Act (HR 3962), all provisions related to the coverage of mental health and substance use disorder services and health information technology investments ENHANCED Act (S 1857/HR 4204), all provisions related to establishing national centers of excellence for the treatment of depression and bipolar disorder and the development of evidence-based treatment standards and clinical guidelines for improving the detection of depression and bipolar disorder. Patient Protection and Affordable Care Act (HR 3590), all provisions related to the coverage of mental health and substance use disorder services and health information technology investments. Rural Telemedicine Enhancing Community Health (TECH) Act of 2009 (S. 2749), all provisions related to establishing pilot projects in rural and underserved areas of the country to provide telehealth services and analyze their cost-effectiveness and clinical outcomes. Mental Health in Schools Act of 2009 (H.R. 2531), all provisions related to providing grant funding for licensed mental health professionals to work with students with mental disorders.

Community Mental Health Services Improvement Act (HR 1011/S 1188), all provisions of bill relating to community mental health services improvement Community Living Assistance Services and Supports (CLASS) Act (HR 1721/ S 697), all provisions relating to the creation of a new national insurance program for adults seeking access to long-term services and supports if they became functionally disabled. Americas Healthy Future Act, all provisions related to the coverage of mental health and substance use disorder services and health information technology investments. Affordable Access to Prescription Medications Act (HR 3799), all provisions relating to placing a cap on out-of-pocket spending on prescription medications and restricting the practice of imposing co-insurance policies that disproportionately affect people with severe chronic illnesses. Affordable Health Care for America Act (HR 3962), all provisions related to the coverage of mental health and substance use disorder services and health information technology investments ENHANCED Act (S 1857/HR 4204), all provisions related to establishing national centers of excellence for the treatment of depression and bipolar disorder and the development of evidence-based treatment standards and clinical guidelines for improving the detection of depression and bipolar disorder. Patient Protection and Affordable Care Act (HR 3590), all provisions related to the coverage of mental health and substance use disorder services and health information technology investments. Rural Telemedicine Enhancing Community Health (TECH) Act of 2009 (S. 2749), all provisions related to establishing pilot projects in rural and underserved areas of the country to provide telehealth services and analyze their cost-effectiveness and clinical outcomes. Mental Health in Schools Act of 2009 (H.R. 2531), all provisions related to providing grant funding for licensed mental health professionals to work with students with mental disorders.

To include mental health and substance use disorder services in various components of health care reforms bills --- HR 3200, S 1679 and HR 3590 Mental Health in Schools Act of 2009 (HR 2531) Labor-HHS-Education Appropriations (HR 3288, HR 3293)

Client expense: $15,443 · Firm income: Not reported

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

Mental Health in Schools Act of 2009 (HR 2531) Labor-HHS-Education Appropriations (HR 3288, HR 3293) Positive Behavior for Safe and Effective Schools Act (HR 2507) Preventing Harmful Restraint and Seclusion in Schools Act of 2009 (H.R. 4247 and S. 2860)

Client expense: $15,443 · Firm income: Not reported

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

1. Discussed with House staff the need for additonal health care professionals trained in geriatrics and the need for a study on the mental health care workforce that will be needed to treat older adults with mental disorders over the next three decades. S. S. 750, the "Caring for an Aging America Act of 2009," a bill to provide for the establishment of a new geriatric and gerontology loan repayment program. Support all provisions. 3. S. 245/H.R. 468, the "Retooling the Health Care Workforce for an Aging America Act of 2009". This bill addresses the current and future shortage of health care personnel who are trained to care for older adults. Support all provisions. 4. S. 682, the "Mental Health on Campus Improvement Act," to amend the Public Health Service Act to improve mental and behavioral services on college campuses. Support all provisions. 5. S. 697, the "Community Living Assistance Supports and Services Act (CLASS Act)," 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. Support all provisions. Support inclusion of provisions of this bill in healht care reform legislation (H.R. 3590). 6. H.R. 1457, the "Geriatrics Loan Forgiveness Act of 2009," to amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professional Shortage Area. Support all provisions. 7. Discussed with House and Senate staff the need to include older adults in clinical trials. 8. Support involvement of geriatric specialists in development of medical homes. 9. Support patient privacy protections for health information systems. 10. Support comparative effectiveness research focused specifically on treatments for older adults and mental illness. 11. Support programs to reverse the declining numbers of geriatric specialists. 12. Oppose permitting age discrimination in insurance ratings in private or public health insurance systems. 13. Support legislation to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. 14. Request Senate hearing to discuss opportunities within health reform to ameliorate and eliminate disparities in health status and health services. 15. H.R. 1932/S. 999, the "Child Health Care Crisis Relief Act," to address the national shortage of children's mental health professionals, including school-based professionals, by encouraging more individuals to enter these critical fields. 16. S. 678, "Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009". Support all provisions, but especially those that strengthen protections for those in the criminal and juvenile justices systems with needs related to mental health and substance abuse. 17. H.R. 2901, "Health Transitions Act," to provide access to knowledge, skills, and supports that are necessary for a successful transition to adulthood for young adults with mental health disorders. The bill would provide technical and monetary assistance to states as they implement plans to develop a coordinated service delivery system in order to maximize continuity of care and access to services. The bill would also establish planning and implementation grants to assist peer support programs and programs promoting independent living, life skills, employment, and education. 18. H.R. 1193, the "Federal Response to Eliminate Easting Disorders Act," to create Centers of Excellence dedicated to research collaboration, create a Center of Epidemiology to study the prevalence, economic impact and related morbidity and mortality rates of eating disorders, provide for evidence-based standards of care, establish education and prevention grant programs for training of health professionals and schools at all levels, provide public service announcements, and enhance access to care for those who suffer from easting disorders. 19. H.R. 2531, the "Mental Health in Schools Act of 2009," to authorize competitive grants to local school districts to assist them in early mental health interventions and referrals for treatment, to provide supports for students and their families, and to allow for staff training to be culturally and linguistically appropriate. 20. H.R. 3191, the "Positive Aging Act", to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. Support all provisions. 21. Support language in House and Senate health care reform bills (H.R. 3962/H.R. 3590) to ensure coverage of critical services and supplies in a federal benefit standard and to require a fully open, transparent, and inclusive process for development of the standard that ensures full engagement of consumers, patients, workers and providers. 22. Support S. 1857 and H. R. 4204, to establish national centers of excellence for the treatment of depression and bipolar disorders. Support inclusion of that language in Senate health care reform bill (H.R. 3590). 23. Support H. R. 3962, the "Affordable Health Care for American Act," health care reform bill approved by the House of Representatives. 24. Support S. 2928, to include direct care workers as a priority for the National health Care Workforce Commission and support inclusion of that language in the Senate health care reform bill (h.R. 3590). 25. Support provisions in H.R. 3590, the "Patient Protection and Affordable Care Act," to strengthen existing Title VII geriatric health professions education programs.

In support of The Mental Health in Schools Act of 2009 (H.R. 2531) In support of Positive Behavior in Safe and Effective Schools Act (H.R. 2507) For mental health funding in Labor-HHS-Education Appropriations (House draft, Senate draft)

Client expense: $12,470 · Firm income: Not reported

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

To include mental health and substance use disorder services in various components of health care reform bills - H.R. 3200, S. 1679 and Senate Finance Committee bill In support of mental health funding in Labor-HHS-Education Appropriations (House draft, Senate draft) In support of The Mental Health in Schools Act of 2009 (H.R. 2531)

Client expense: $12,470 · Firm income: Not reported

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

1. Discussed with House staff the need for additonal health care professionals trained in geriatrics and the need for a study on the mental health care workforce that will be needed to treat older adults with mental disorders over the next three decades. S. S. 750, the "Caring for an Aging America Act of 2009," a bill to provide for the establishment of a new geriatric and gerontology loan repayment program. Support all provisions. 3. S. 245/H.R. 468, the "Retooling the Health Care Workforce for an Aging America Act of 2009". This bill addresses the current and future shortage of health care personnel who are trained to care for older adults. Support all provisions. 4. S. 682, the "Mental Health on Campus Improvement Act," to amend the Public Health Service Act to improve mental and behavioral services on college campuses. Support all provisions. 5. S. 697, the "Community Living Assistance Supports and Services Act (CLASS Act)," 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. Support all provisions. 6. H.R. 1457, the "Geriatrics Loan Forgiveness Act of 2009," to amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professional Shortage Area. Support all provisions. 7. Discussed with House and Senate staff the need to include older adults in clinical trials. 8. Support involvement of geriatric specialists in development of medical homes. 9. Support patient privacy protections for health information systems. 10. Support comparative effectiveness research focused specifically on treatments for older adults and mental illness. 11. Support programs to reverse the declining numbers of geriatric specialists. 12. Oppose permitting age discrimination in insurance ratings in private or public health insurance systems. 13. Support legislation to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. 14. Request Senate hearing to discuss opportunities within health reform to ameliorate and eliminate disparities in health status and health services. 15. H.R. 1932/S. 999, the "Child Health Care Crisis Relief Act," to address the national shortage of children's mental health professionals, including school-based professionals, by encouraging more individuals to enter these critical fields. 16. S. 678, "Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009". Support all provisions, but especially those that strengthen protections for those in the criminal and juvenile justices systems with needs related to mental health and substance abuse. 17. H.R. 2901, "Health Transitions Act," to provide access to knowledge, skills, and supports that are necessary for a successful transition to adulthood for young adults with mental health disorders. The bill would provide technical and monetary assistance to states as they implement plans to develop a coordinated service delivery system in order to maximize continuity of care and access to services. The bill would also establish planning and implementation grants to assist peer support programs and programs promoting independent living, life skills, employment, and education. 18. H.R. 1193, the "Federal Response to Eliminate Easting Disorders Act," to create Centers of Excellence dedicated to research collaboration, create a Center of Epidemiology to study the prevalence, economic impact and related morbidity and mortality rates of eating disorders, provide for evidence-based standards of care, establish education and prevention grant programs for training of health professionals and schools at all levels, provide public service announcements, and enhance access to care for those who suffer from easting disorders. 19. H.R. 2531, the "Mental Health in Schools Act of 2009," to authorize competitive grants to local school districts to assist them in early mental health interventions and referrals for treatment, to provide supports for students and their families, and to allow for staff training to be culturally and linguistically appropriate. 20. H.R. 3191, the "Positive Aging Act", to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. Support all provisions. 21. Support language in House and Senate health care reform bills (H.R. 3200/S. 1679/draft Senate bill) to ensure coverage of critical services and supplies in a federal benefit standard and to require a fully open, transparent, and inclusive process for development of the standard that ensures full engagement of consumers, patients, workers and providers.

The Mental Health in Schools Act of 2009 (HR 2531) Positive Behavior for Safe and Effective Schools Act (HR 2507) Labor-HHS-Education (House Draft, Senate Draft)

Client expense: $30,744 · Firm income: Not reported

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

Health Care Reform Legislation ( Americas Affordable Health Choices Act of 2009 (H.R. 3200, S. _____) Labor-HHS-Education (House Draft, Senate Draft) The Mental Health in Schools Act of 2009 (HR 2531), Medicare Improvements for Patients and Providers Act implementation, Mental Health Parity and Addiction Equity Act of 2008 implementation

Client expense: $30,744 · Firm income: Not reported

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

1. Discussed with House staff the need for additonal health care professionals trained in geriatrics and the need for a study on the mental health care workforce that will be needed to treat older adults with mental disorders over the next three decades. S. S. 750, the "Caring for an Aging America Act of 2009," a bill to provide for the establishment of a new geriatric and gerontology loan repayment program. Support all provisions. 3. S. 245/H.R. 468, the "Retooling the Health Care Workforce for an Aging America Act of 2009". This bill addresses the current and future shortage of health care personnel who are trained to care for older adults. Support all provisions. 4. S. 682, the "Mental Health on Campus Improvement Act," to amend the Public Health Service Act to improve mental and behavioral services on college campuses. Support all provisions. 5. S. 697, the "Community Living Assistance Supports and Services Act (CLASS Act)," 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. Support all provisions. 6. H.R. 1457, the "Geriatrics Loan Forgiveness Act of 2009," to amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professional Shortage Area. Support all provisions. 7. Discussed with House and Senate staff the need to include older adults in clinical trials. 8. Support involvement of geriatric specialists in development of medical homes. 9. Support patient privacy protections for health information systems. 10. Support comparative effectiveness research focused specifically on treatments for older adults and mental illness. 11. Support programs to reverse the declining numbers of geriatric specialists. 12. Oppose permitting age discrimination in insurance ratings in private or public health insurance systems. 13. Support legislation to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services. 14. Request Senate hearing to discuss opportunities within health reform to ameliorate and eliminate disparities in health status and health services. 15. H.R. 1932/S. 999, the "Child Health Care Crisis Relief Act," to address the national shortage of children's mental health professionals, including school-based professionals, by encouraging more individuals to enter these critical fields. 16. S. 678, "Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009". Support all provisions, but especially those that strengthen protections for those in the criminal and juvenile justices systems with needs related to mental health and substance abuse. 17. H.R. 2901, "Health Transitions Act," to provide access to knowledge, skills, and supports that are necessary for a successful transition to adulthood for young adults with mental health disorders. The bill would provide technical and monetary assistance to states as they implement plans to develop a coordinated service delivery system in order to maximize continuity of care and access to services. The bill would also establish planning and implementation grants to assist peer support programs and programs promoting independent living, life skills, employment, and education. 18. H.R. 1193, the "Federal Response to Eliminate Easting Disorders Act," to create Centers of Excellence dedicated to research collaboration, create a Center of Epidemiology to study the prevalence, economic impact and related morbidity and mortality rates of eating disorders, provide for evidence-based standards of care, establish education and prevention grant programs for training of health professionals and schools at all levels, provide public service announcements, and enhance access to care for those who suffer from easting disorders. 19. H.R. 2531, the "Mental Health in Schools Act of 2009," to authorize competitive grants to local school districts to assist them in early mental health interventions and referrals for treatment, to provide supports for students and their families, and to allow for staff training to be culturally and linguistically appropriate. 20. Support provisions in House and Senate draft health care reform bills to ensure coverage of critical services and supplies in a federal benefit standard and to require a fully open, transparent, and inclusive process for development of the standard that ensures full engagement of consumers, patients, workers and providers. 21. Support legislation to make mental health services for older adults an integral part of primary care services in community settings and to extend them to other settings where older adults reside and receive services.