Health Equity and Accountability Act of 2009

H.R. 1995, S. 844, Eliminating Disparities in Diabetes Prevention Access and Care Act and the Diabetes in Minority Populations Evaluations Act; H.R. 3090, Health Equity and Accountability Act; P.L. 111-148, Patient Protection and Affordable Care Act of 2009; P.L. 111-152, The Health Care and Education Affordability Reconciliation Act of 2010, issues related to minority health, biosimilar provisions, and diabetes-related provisons; H.R. 6012, the Diabetes Screening Utilization Act; H.R. 5354, Gestational Diabetes Act (GEDI); H.R. 2590, Preventing Diabetes in Medicare Act; H.R. 2425, Medicare Diabetes Self Management Training Act. Supporting increasing funding opportunities for better care and treatment of people with diabetes in P.L. 111-148, Patient Protection and Affordable Care Act of 2009; P.L. 111-152, The Health Care and Education Affordability Reconciliation Act of 2010, including National Diabetes Prevention Program, National Quality Strategy, and the Prevent and Public Health Fund.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Reduce health care disparities in service and in research; support H.R. 3090. Support the Minority AIDS initiative. Support Needle Exchange programs (H.R. 179). Support efforts to end childhood obesity. Support lifting the federal ban on needle (or syringe) exchange programs to fight the spread of HIV / AIDS, and oppose the so called "1,000 foot rule" on needle exchange programs. Support H.R. 3421, the The Medical Debt Relief Act of 2009.

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Bureau of Investigation (FBI), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Small Business Administration (SBA), Social Security Administration (SSA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Commission on Civil Rights, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), Voice of America, White House Office

Support ending health care disparities among racial and ethnic minorities, support hearing into the extent of the problem as well as potential solutions; support H.R. 3090. Support Patient Bill of Rights. Support Universal Health Care (H.R. 676). Support Minority AIDS initiative. Support needle exchange programs (support H.R. 179). Support the reauthorization and expansion of SCHIP (support H.R. 2). Support ensuring that all children receive adequate, affordable care in any national health care proposal. Support Tom Daschle and Kathleen Sebelius as Secretary of US Department of Health and Human Services. Support for Dr. Regina Benjamin to be U.S. Surgeon General. Support (1) Full health care coverage that is affordable to every individual, family and business which also provides coverage for pre-existing conditions; (2) Standard, comprehensive health care benefits that meet everyones needs from preventive to chronic care; (3) The choice of a private (allowing recipients to stay with their existing health care coverage if they choose) or public health care plan, which includes a new public health care plan (the public option) that will provide a guaranteed backup which will always be there to ensure quality, affordable health care coverage no matter what; and (4) Equity in health care access, treatment, research, and resources to people and communities of color and stronger health services in low-income communities. Support the inclusion of a public option in health care reform. Support inclusion of anti-discrimination provisions in health care reform. Support passage of H.R. 3590. Support enacting cloture on HR 3590 every time the question was raised. Support the inclusion of a public option provision in H.R. 3590. Support the inclusion of steps to eliminate racial and ethnic disparities in H.R. 3590. Support requiring health insurers to cover mammogram's for women under age 50. Support inclusion of provisions requiring health insurance parity for women at no additional cost. Support H.R. 3962. Support lifting the federal ban on needle (or syringe) exchange programs to fight the spread of HIV / AIDS, and oppose the so called "1,000 foot rule" on needle exchange programs. Support prevention and wellness programs; oppose increased health insurance rates for personal characteristics such as obesity and addiction. Support the immediate implementation of the GINA (Genetic Information Non-discrimination Act ). Support H.R. 4872, Health Care Reconciliation. Support H.R. 3590, Health Care overhaul. Support efforts to curb childhood obesity. Support H. Res. 996 and S. Res. 412. Fight childhood hunger and obesity -- support a robust, well-funded child nutrition bill. Work to eliminate "food deserts" in low-income neighborhoods, support the establishment of farmers markets and other means of fresh fruits and vegetables in urban areas. Support the preservation of Indian Countrys health care of choice the Indian Health Service. Support S. 332 and H.R. 2112, the Lung Cancer Mortality Reduction Act of 2009. Support H.R. 3421, the The Medical Debt Relief Act of 2009. Support Healthcare Reform Insurance Web Portal Requirements. Oppose motion to require individuals in certain health care plans to sign an affidavit swearing they are an American citizen. Support the "grandfathering" of health insurance plans under to 2010 health care law. Oppose S J Res 39. Support efforts to end childhood obesity. Support HR 6258. Support full implementation, and oppose efforts to weaken or repeal, the Affordable Care Act. Include existig health care plans in the implementation of the Affordable Care Act. Sipport H.R. 4480, the National Youth Sports Program Revitalization Act of 2010

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Bureau of Investigation (FBI), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Small Business Administration (SBA), Social Security Administration (SSA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Commission on Civil Rights, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), Voice of America, White House Office

**see addendum page ***, no specific bill, Raising Awareness of Hepatitis C ***, no specific bill, public health funding for Hepatitis, appropriations for the Department of Health and Human Services, screening PL 111-148 - The Patient Protection and Affordable Care Act, implementation H.R. 3090 - Health Equity and Accountability Act of 2009, hepatitis awareness and screening H.R. 3974 - Viral Hepatitis and Liver Cancer Control and Prevention Act of 2009 S. 3711 Viral Hepatitis and Liver Cancer Control and Prevention Act of 2010

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

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

H.R. 1995, S. 844, Eliminating Disparities in Diabetes Prevention Access and Care Act and the Diabetes in Minority Populations Evaluations Act; H.R. 3090, Health Equity and Accountability Act; P.L. 111-148, Patient Protection and Affordable Care Act of 2009; P.L. 111-152, The Health Care & Education Affordability Reconciliation Act of 2010, issues related to minority health

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE

Implementation of H.R. 3590, the Patient Protection and Affordable Care Act, to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. Implementation of H.R. 4872, the Health Care and Reconciliation Act of 2010, a bill that makes a number of health-related financing and revenue changes to the Patient Protection and Affordable Care Act, specifically regarding the medical device tax. S.540, Medical Device Safety Act, a bill that would remove federal preemption protection for certain medical devices H.R.1346, Medical Device Safety Act, a bill that would remove federal preemption protection for certain medical devices Reform of the 510 (k) regulatory pathway H.R. 759, Food and Drug Administration Globalization Act, a bill to improve the safety of food, drugs, devices, and cosmetics S. 882, the Drug and Device Accountability Act, a bill to ensure the safety and quality of medical products and enhance the authorities of the FDA H.R. 2502, Comparative Effectiveness Research Act of 2009, a bill to provide for the conduct of comparative effectiveness research for drugs, devices, and other therapies and create a Comparative Effectiveness Research Trust Fund S.1213, Patient-Centered Outcomes Research Act of 2009, a bill to provide for the conduct of comparative effectiveness research for drugs, devices, and other therapies and to establish a Patient-Centered Outcomes Research Trust Fund H.R. 2824, Doctor-Patient Relationship and Research Protection Act, a bill to support federally funded comparative effectiveness research for drugs, devices, and other therapies S.1142, Informed Health Care Decision Making Act, a bill with respect to the inclusion of effectiveness information in drug and device labeling and advertising H.R. 3090, Health Equity & Accountability Act of 2009, provides for the elimination of racial and ethnic health disparities S.660, National Pain Care Policy Act, a bill to promote greater access to chronic pain therapies H.R. 756, National Pain Care Policy Act, a bill to promote greater access to chronic pain therapies H.R. 4700, the Transparency in All Health Care Pricing Act of 2010, to provide for transparency in health care pricing H.R. 2249, the Health Care Price Transparency Promotion Act of 2009, to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs. H.R. 4803, the Patients Right to Know Act, to ensure health care consumer and provider access to certain health benefits plan information and to amend title XIX of the Social Security Act to provide transparency in hospital price and quality information. H.R.1032, Heart Disease Education, Analysis Research, and Treatment for Women Act to amend the Public Health Service Act to improve the prevention, diagnosis, and treatment of heart disease, stroke, and other cardiovascular diseases in women. S.422, Heart Disease Education, Analysis Research, and Treatment for Women Act to amend the Public Health Service Act to improve the prevention, diagnosis, and treatment of heart disease, stroke, and other cardiovascular diseases in women.

Client expense: $450,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE, Transportation, Dept of (DOT)

HR 1751 DREAM Act HR 1612 Public Service Corps HR 1995 Eliminating Disparaties in Diabetes Prevention Access and Care Act of 2009 HR 2410 Authorization, Departments of State and Peace Corps HR 2681 Proud Act HR 2710 Enhancing Science, Technology, Engineering and Mathematics Education Act of 2009 HR 3090 Health Equity & Accountability Act of 2009 HR 3109 Health Access and Health Professions Supply HR 3238 Adult Education and Economic Growth Act of 2009 HR 3359 U.S. and the World Act Education Act HR 3384 Save Our Schools Act of 2009 HR 4122 Graduation for All Act fo 2009 HR 4321 CIR HR 4330 All Students Achievsign through Reform Act of 2009 - All STAR Act HR 4355 New Jobs for America Act of 2009 HR 5079 Grow Your Own Teacher Program HR 5116 America Competes Act HR 5336 Teacher and Principal Improvement HR 5477 Ready to Compete Act HR 5708 Urban Jobs Act of 2010 HR 5929 Computer Science Education Act HR 6142 Green Workforce Development S 268 Green Collar Youth Jobs, Education and Training Stimulus Act S473 Paul Simon Study Abroad Education Act S 678 Juvenile Justice and Delinquency Prevention Reauthorization Act of 2009 S1104 Nurse-Manageed Health Clinic Investment Act of 2009 S 1503 Improved Nutrition and Physical Activity Act - IMPACT Act S 3117 Nanotechnology Act S 3663 Clean Energy Jobs and Oil Company Accountability Act S 3695 Fighting Gangs adn Empowering Youth Act of 2010 S 3830 Undergraduate Scholars Awards Science, Technology, Engineering Mathematics Act S 3364 Streamline Energy Efficieny for Schools Act of 2010

Client expense: $75,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Bureau of Land Management (BLM), Central Intelligence Agency (CIA), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Federal Aviation Administration (FAA), Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Science Foundation (NSF), Office of Personnel Management (OPM), Peace Corps, U.S. Agency for International Development (USAID), U.S. Coast Guard (USCG), U.S. Forest Service, Veterans Affairs, Dept of (VA), White House Office

H.R.3590, Patient Protection and Affordable Care Act - Lobbied in support of and on implementation of health care legislation that would reform the health care system to provide affordable quality health care and expand access to long-term services and supports. Provided information on the need for nursing education capacity and the retention of newer and older nurses in the workplace (no bill). S.1569/H.R.3185, Medicare Graduate Nursing Education Act - Advocated for modernizing Medicare funding so that nursing education funds are directed to advanced nurse practice programs to help produce more highly-skilled nurses to care for the Medicare population. S. 623/HR 1558, Pre-existing Condition Patient Protection Act of 2009 - Lobbied in support of bill that would prohibit insurers from denying health insurance or delaying coverage for people with pre-existing conditions. H.R. 2778, Health Equity and Accountability through Research Act of 2009 - Lobbied in support of bill that would address racial and ethnic disparities in care. S. 979/HR 2360, Small Business Health Options Programs Act - Lobbied in support of bill that would 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.1213, Patient-Centered Outcomes Research Act - Lobbied in support of bill that would create a public-private partnership to conduct and disseminate comparative effectiveness research. S. 726/H.R. 1427, Promoting Innovation and Access to Life Saving Medicines - Discussed legislation which would create a pathway for approval of safe, effective biosimilar and generic biologic drugs. H.R. 3090, Health Equity and Accountability Act - Discussed need to end racial and ethnic disparities in care. S. 3686, Labor, HHS, Education and Related Agencies Appropriations Act FY 2011 - Lobbied for funding for healthcare services, research and training involving NIH, AHRQ, CMS, HRSA, HHS and AOA. H.R. 4872, Health Care and Education Reconciliation Act - Lobbied in support of health care law which makes improvements such as closing the Part D coverage gap, in the Patient Protection and Affordable Care Act and implementation of some provisions. H.R. 5364, Special Care Dentistry Act - Discussed bill that would require states to provide oral health coverage for aged, blind, or disabled individuals through a separate state adult dental program, with 100% federal match. H.R. 4213, American Workers, State and Business Relief Act/American Jobs and Closing Tax Loopholes Act - Lobbied for extension of UI, COBRA, FMAP, and SGR. H.R. 3081, Continuing Resolution, FY 2011 - Lobbied for funding for SSA, various health care, employment, aging services and nutrition programs. H.R. 5795, Personalize Your Care Act - Bill gives Americans the opportunity to make advance care plans should he or she become unable to direct their own care. S. 1177, Confidence in Long-Term Care Insurance Act - Bill provides options to help Americans pay for the long-term services and supports they may need, including to help them live in their homes and communities. H.R. 5890, Long-Term Care Insurance Reform Act - Bill provides options to help Americans pay for the long-term services and supports they may need, including to help them live in their homes and communities. S. 776, Promoting Small House Nursing Homes Act - Provides incentives for new, affordable models of long-term services and supports. H.R. 4224, Together We Care Act - Bill creates a three-year pilot program to train public housing residents to provide covered home-based health services. H.R. 5853, Fiscal Responsibility and Retirement Security Act - Bill requires review and approval by law prior to collection of premiums under the CLASS program, to require notice to individuals prior to enrollment, and to require termination of the program in the event of actuarial unsoundness, and for other purposes. S. 2814, Home Health Care Planning Improvement Act of 2010 - Bill recognizes and authorizes nurse practitioners, clinical nurse specialists, certified nurse-midwives and physician assistants as eligible health care professionals who can order home health services under Medicare. H.R. 4993, Home Health Care Planning Improvement Act of 2010 - Bill recognizes and authorizes nurse practitioners, clinical nurse specialists, certified nurse-midwives and physician assistants as eligible health care professionals who can order home health services under Medicare.

Client expense: $4,710,000 · Firm income: Not reported

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Energy, Dept of, Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Vice President of the United States, SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

HR.463,The Prevention First Act; Comprehensive Sexuality Education funding (general), Melanie Blocker Stokes MOTHERS Act; H.R. 2427/S. 1050, National HIV/AIDS Strategy (general); H.R. 3312 Preventing Unintended Pregnancies, Reducing the Need for Abortion and Supporting Parents; The Heart for Women Act; H.R. 3652S. 3737, CARE Act; H.R. 5354, GEDI Act. H.R. 3090, Health Equity and Accountability Act; H.R. 2635; Stillbirth (general); Sudden unexpected infant deaths (general); Postpartum Depression (general); Emergency Contraception (general); Pre-existing condition exclusion (general); Gender rating (general); Maternity Coverage (general); S. 1303 Medical Home Demonstration Project; Alternatives to Medical Liability Reform Demonstration Project (general); Young Adult Plans (general); Preventive Care (general); Domestic Violence(general); Prescription Drug Coverage (general); Comparative Effectiveness Research (general); S.1679 Affordable Health Choices Act; Medicaid SCHIP Coverage and Reimbursement; HIV Screening (general); H.R. 3962 Affordable Health Care For America Act; H.R. 2941Gynecological Cancer; Breast Cancer (general); Breastfeeding(general); Medical Liability Reform (general); HR 4386, S. 2904 Emergency Contraception in the Military; Direct Access to Ob-Gyns (general); S. 1742, H.R. 4235 Women's Hospitals Education Equity; National HIV/AIDS Strategy Steps; H.R. 3854 Small Business Financing and Investment Act of 2009; H.R. 4216 Personal Health Record Act of 2009; Abortion (general); H.R. 4872 Health Care and Reconciliation Act of 2010; Health IT (general); Birth Defects(general);Birth Centers (general);Prematurity(general);Obesity (general);Disparities (general);Smoking cessation (general); Prevention & Public Health Trust Fund(general); S.1445 and H.R.3212, Stillbirth and Suid Prevention Education, Awareness Act of 2009,H.R.5462 and S.3479, Birth Defects, Prevention Risk Reduction, Awareness Act of 2010; USDA Dietary Guidelines Advisory Committee Report; H.R. 5690, The Meaningful End to Defensive Medicine and Aimless Lawsuits; S. 422.

Client expense: $127,174 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

Reduce health care disparities in service and in research; support H.R. 3090. Support the Minority AIDS initiative. Support Needle Exchange programs (H.R. 179). Support efforts to end childhood obesity. Support lifting the federal ban on needle (or syringe) exchange programs to fight the spread of HIV / AIDS, and oppose the so called "1,000 foot rule" on needle exchange programs. Support H.R. 3421, the The Medical Debt Relief Act of 2009.

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Bureau of Investigation (FBI), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Small Business Administration (SBA), Social Security Administration (SSA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Commission on Civil Rights, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), Voice of America, White House Office

Support ending health care disparities among racial and ethnic minorities, support hearing into the extent of the problem as well as potential solutions; support H.R. 3090. Support Patient Bill of Rights. Support Universal Health Care (H.R. 676). Support Minority AIDS initiative. Support needle exchange programs (support H.R. 179). Support the reauthorization and expansion of SCHIP (support H.R. 2). Support ensuring that all children receive adequate, affordable care in any national health care proposal. Support Tom Daschle and Kathleen Sebelius as Secretary of US Department of Health and Human Services. Support for Dr. Regina Benjamin to be U.S. Surgeon General. Support (1) Full health care coverage that is affordable to every individual, family and business which also provides coverage for pre-existing conditions; (2) Standard, comprehensive health care benefits that meet everyones needs from preventive to chronic care; (3) The choice of a private (allowing recipients to stay with their existing health care coverage if they choose) or public health care plan, which includes a new public health care plan (the public option) that will provide a guaranteed backup which will always be there to ensure quality, affordable health care coverage no matter what; and (4) Equity in health care access, treatment, research, and resources to people and communities of color and stronger health services in low-income communities. Support the inclusion of a public option in health care reform. Support inclusion of anti-discrimination provisions in health care reform. Support passage of H.R. 3590. Support enacting cloture on HR 3590 every time the question was raised. Support the inclusion of a public option provision in H.R. 3590. Support the inclusion of steps to eliminate racial and ethnic disparities in H.R. 3590. Support requiring health insurers to cover mammogram's for women under age 50. Support inclusion of provisions requiring health insurance parity for women at no additional cost. Support H.R. 3962. Support lifting the federal ban on needle (or syringe) exchange programs to fight the spread of HIV / AIDS, and oppose the so called "1,000 foot rule" on needle exchange programs. Support prevention and wellness programs; oppose increased health insurance rates for personal characteristics such as obesity and addiction. Support the immediate implementation of the GINA (Genetic Information Non-discrimination Act ). Support H.R. 4872, Health Care Reconciliation. Support H.R. 3590, Health Care overhaul. Support efforts to curb childhood obesity. Support H. Res. 996 and S. Res. 412. Fight childhood hunger and obesity -- support a robust, well-funded child nutrition bill. Work to eliminate "food deserts" in low-income neighborhoods, support the establishmoent of farmers markets and other means of fresh fruits and vegetables in urban areas. Support the preservation of Indian Countrys health care of choice the Indian Health Service. Support S. 332 and H.R. 2112, the Lung Cancer Mortality Reduction Act of 2009. Support H.R. 3421, the The Medical Debt Relief Act of 2009. Support Healthcare Reform Insurance Web Portal Requirements. Oppose motion to require individuals in certain health care plans to sign an affidavit swearing they are an American citizen. Support the "grandfathering" of health insurance plans under to 2010 health care law. Oppose S J Res 39. Support efforts to end childhood obesity. Support HR 6258

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Bureau of Investigation (FBI), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Small Business Administration (SBA), Social Security Administration (SSA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Commission on Civil Rights, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), Voice of America, White House Office

**see addendum page ***, no specific bill, Raising Awareness of Hepatitis C ***, no specific bill, public health funding for Hepatitis, appropriations for the Department of Health and Human Services, screening PL 111-148 - The Patient Protection and Affordable Care Act, implementation H.R. 3090 - Health Equity and Accountability Act of 2009, hepatitis awareness and screening H.R. 3974 - Viral Hepatitis and Liver Cancer Control and Prevention Act of 2009 S. 3711 Viral Hepatitis and Liver Cancer Control and Prevention Act of 2010

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

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

Implementation of H.R. 3590, the Patient Protection and Affordable Care Act, to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. Implementation of H.R. 4872, the Health Care and Reconciliation Act of 2010, a bill that makes a number of health-related financing and revenue changes to the Patient Protection and Affordable Care Act, specifically regarding the medical device tax. S.540, Medical Device Safety Act, a bill that would remove federal preemption protection for certain medical devices H.R.1346, Medical Device Safety Act, a bill that would remove federal preemption protection for certain medical devices Reform of the 510 (k) regulatory pathway H.R. 759, Food and Drug Administration Globalization Act, a bill to improve the safety of food, drugs, devices, and cosmetics S. 882, the Drug and Device Accountability Act, a bill to ensure the safety and quality of medical products and enhance the authorities of the FDA H.R. 2502, Comparative Effectiveness Research Act of 2009, a bill to provide for the conduct of comparative effectiveness research for drugs, devices, and other therapies and create a Comparative Effectiveness Research Trust Fund S.1213, Patient-Centered Outcomes Research Act of 2009, a bill to provide for the conduct of comparative effectiveness research for drugs, devices, and other therapies and to establish a Patient-Centered Outcomes Research Trust Fund H.R. 2824, Doctor-Patient Relationship and Research Protection Act, a bill to support federally funded comparative effectiveness research for drugs, devices, and other therapies S.1142, Informed Health Care Decision Making Act, a bill with respect to the inclusion of effectiveness information in drug and device labeling and advertising H.R. 3090, Health Equity & Accountability Act of 2009, provides for the elimination of racial and ethnic health disparities S.660, National Pain Care Policy Act, a bill to promote greater access to chronic pain therapies H.R. 756, National Pain Care Policy Act, a bill to promote greater access to chronic pain therapies H.R. 4700, the Transparency in All Health Care Pricing Act of 2010, to provide for transparency in health care pricing H.R. 2249, the Health Care Price Transparency Promotion Act of 2009, to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs. H.R. 4803, the Patients Right to Know Act, to ensure health care consumer and provider access to certain health benefits plan information and to amend title XIX of the Social Security Act to provide transparency in hospital price and quality information. H.R.1032, Heart Disease Education, Analysis Research, and Treatment for Women Act to amend the Public Health Service Act to improve the prevention, diagnosis, and treatment of heart disease, stroke, and other cardiovascular diseases in women. S.422, Heart Disease Education, Analysis Research, and Treatment for Women Act to amend the Public Health Service Act to improve the prevention, diagnosis, and treatment of heart disease, stroke, and other cardiovascular diseases in women.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE, Transportation, Dept of (DOT)

HR 1751 DREAM Act HR 2043 Nurse Education coordination of 2009 HR 2074 Pathways Advancing Career Training Act HR 2239 Secondary School Invocation Fund Act HR 2187 21st Century Green High Performing Public School Facilities Act HR 2239 Secondary School Invocation Fund Act HR 2279 Eliminating Disparities in Breast Cancer HR 2354 Health Promotion FIRST Act HR 2454 American Clean Energy and Security Act of 2009 HR 2579 Pathways to College Act HR 2681 Proud Act HR 2754 Nurse-Managed Health Clinic Investment Act of 2009 HR 3090 Health Equity & Accountability Act of 2009 HR 3109 Health Access and Health Professions Supply HR 3200 America's Afforable Health Choices Act of 2009 HR 3221 Student Aid and Fiscal Responsibility Act of 2009 HR 3359 US and the World Educaiton Act HR 3384 Save Our Schools Act HR 3683 Teacher Incentive Fund Act HR 3754 Family Asthma Act S 268 Green-Collar Youth Jobs, Education, and Training Stimulus Act S 277 Serve America Act S 497 Nurse Education, Expansion and Development (NEED) Act S 627 Fast Track to College Act of 2009 S 638 Financial and Economic Literacy Improvement Act S 790 Health Access and Health Professions Supply Act of 2009 S 968 Secondary School Innovation Act S 999 Mental Health Service Professionals S 1096 Energy Grant Competitive Education Program S 1104 Nurse-Managed Health Clinic Investment Act of 2009 S 1173 Community-Based Health Care Retraining Act S 1180 Senior Executive Service Diversity Assurance Act Act of 2009 S 1188 Community Mental Health Services Improvement Act S 1572 Child Health Care Crisis Relief Act of 2007 S 3573 Promoting Innovatins to 21st Century Careers Act S 1460 Building Student Success Act of 2009 S 1360 Civil Rights Tax Relief Act of 2009 S 1593 Social Investment and Economic Development S 1603 Veteran Education Tuition Support Act of 2009 S 1614 Community College Technology Access Act S 1698 Graduation Act of 2009

Client expense: Not reported · Firm income: $75,000

Government targets: Agriculture, Dept of (USDA), Education, Dept of, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Labor, Dept of (DOL), Natl Science Foundation (NSF), Office of Personnel Management (OPM), SENATE

Affordable Health Care for America Act (H.R. 3962) Affordable Health Choices Act (draft) Affordable Health Choices Act (S. 1679) America's Affordable Health Choices Act (H.R. 3200) America's Healthy Future Act (Senate Finance - unnumbered) Children's Health Insurance Program Reauthorization Act (S. 275/H.R. 2) Children's Health Protection Act (S. 643/H.R. 1619) Congenital Heart Futures Act (S. 621/H.R. 1570) Health Care and Education Reconciliation Act (H.R. 4872) Health Equity and Accountability Act (H.R. 3090) Health Insurance Coverage Protection Act (S. 442/H.R. 1085) Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S.422/H.R. 1032) Informed Consumer Choices in Health Care Act (S. 1050/H.R. 2427) Josh Miller HEARTS Act (S. 1197/H.R. 1380) National Atrial Fibrillation Awareness Month Resolution (H.Res.255) NIH-FDA Joint Leadership Council (FDA-2010-N-0233) Patient Protection and Affordable Care Act (H.R. 3590) Preexisting Condition Exclusion Patient Protection Act (S. 623/H.R. 1558) Tri-Committee Health Care Reform Bill (House draft) Women's Health Insurance Fairness Act (S.969) Workplace Wellness Grants (H.R. 3962/H.R. 3590) Young Adult Healthcare Coverage Act of 2009 (H.R. 2831)

Client expense: $105,016 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

**see addendum page ***, no specific bill, Raising Awareness of Hepatitis C ***, no specific bill, public health funding for Hepatitis, appropriations for the Department of Health and Human Services, screening PL 111-148 - The Patient Protection and Affordable Care Act, implementation H.R. 3090 - Health Equity and Accountability Act of 2009, hepatitis awareness and screening H.R. 3974 - Viral Hepatitis and Liver Cancer Control and Prevention Act of 2009

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR.463,The Prevention First Act; Comprehensive Sexuality Education funding (general); H.R. 1691/S.688, Breast Cancer Patient Protection Act. H.R.20/S.324, Melanie Blocker Stokes MOTHERS Act; H.R. 2427/S. 1050, Informed Consumer Choices in Health Care Act; America's Healthy Future Act; National HIV/AIDS Strategy (general); H.R. 3312 Preventing Unintended Pregnancies, Reducing the Need for Abortion and Supporting Parents; S.670, Smoke Free Mothers and Babies Act of 2009; H.R. 3090, Health Equity and Accountability Act; H.R. 2635, Gender Equity in Health Premiums Act; S. 969, H.R. 2402 Women's Health Insurance Fairness Act; Stillbirth (general); Sudden unexpected infant deaths (general); Healthcare reform (general); Postpartum Depression (general); Emergency Contraception over the counter;Insurance Transparency (general); Pre-existing condition exclusion (general); Gender rating (general); Maternity Coverage (general); S. 1303 Medical Home Demonstration Project; Alternatives to Medical Liability Reform Demonstration Project (general); Young Adult Plans (general); Preventive Care (general); Advanced Diagnostic Imaging (general); Domestic Violence(general); Prescription Drug Coverage (general); Comparative Effectiveness Research (general); S. 1796 America's Healthy Future Act; S.1679 Affordable Health Choices Act; Medicaid SCHIP Coverage and Reimbursement; HIV Screening (general); H.R. 3962 Affordable Health Care For America Act; H.R. 2941Gynecological Cancer; H.R. 3590 Patient Protection and Affordable Care Act of 2009; Breastfeeding(general); Medical Liability Reform (general); HR 4386, S. 2904 Emergency Contraception in the Military; Direct Access to Ob-Gyns (general); S. 1742, H.R. 4235 Women's Hospitals Education Equity; National HIV/AIDS Strategy Steps; H.R. 3854 Small Business Financing and Investment Act of 2009; H.R. 4216 Personal Health Record Act of 2009; Abortion Restrictions; H.R. 3590 Patient Protection and Affordable Care Act; H.R. 4872 Health Care and Reconciliation Act of 2010; Health IT (general); H.R. 4985 Medicare Decisions and Accountability Act of 2010;Birth Defects(general);Birth Centers (general);Breast Cancer (general);Prematurity(general);Obesity (general);Disparities (general);Smoking cessation (general); Prevention & Public Health Trust Fund(general); S.1445 and H.R.3212, Stillbirth and Suid Prevention Education, Awareness Act of 2009,H.R.5462 and S.3479, Birth Defects, Prevention Risk Reduction, Awareness Act of 2010.

Client expense: $167,505 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

Support ending health care disparities among racial and ethnic minorities, support hearing into the extent of the problem as well as potential solutions; support H.R. 3090. Support Patient Bill of Rights. Support Universal Health Care (H.R. 676). Support Minority AIDS initiative. Support needle exchange programs (support H.R. 179). Support the reauthorization and expansion of SCHIP (support H.R. 2). Support ensuring that all children receive adequate, affordable care in any national health care proposal. Support Tom Daschle and Kathleen Sebelius as Secretary of US Department of Health and Human Services. Support for Dr. Regina Benjamin to be U.S. Surgeon General. Support (1) Full health care coverage that is affordable to every individual, family and business which also provides coverage for pre-existing conditions; (2) Standard, comprehensive health care benefits that meet everyones needs from preventive to chronic care; (3) The choice of a private (allowing recipients to stay with their existing health care coverage if they choose) or public health care plan, which includes a new public health care plan (the public option) that will provide a guaranteed backup which will always be there to ensure quality, affordable health care coverage no matter what; and (4) Equity in health care access, treatment, research, and resources to people and communities of color and stronger health services in low-income communities. Support the inclusion of a public option in health care reform. Support inclusion of anti-discrimination provisions in health care reform. Support passage of H.R. 3590. Support enacting cloture on HR 3590 every time the question was raised. Support the inclusion of a public option provision in H.R. 3590. Support the inclusion of steps to eliminate racial and ethnic disparities in H.R. 3590. Support requiring health insurers to cover mammogram's for women under age 50. Support inclusion of provisions requiring health insurance parity for women at no additional cost. Support H.R. 3962. Support lifting the federal ban on needle (or syringe) exchange programs to fight the spread of HIV / AIDS, and oppose the so called "1,000 foot rule" on needle exchange programs. Support prevention and wellness programs; oppose increased health insurance rates for personal characteristics such as obesity and addiction. Support the immediate implementation of the GINA (Genetic Information Non-discrimination Act ). Support H.R. 4872, Health Care Reconciliation. Support H.R. 3590, Health Care overhaul. Support efforts to curb childhood obesity. Support H. Res. 996 and S. Res. 412. Fight childhood hunger and obesity -- support a robust, well-funded child nutrition bill. Work to eliminate "food deserts" in low-income neighborhoods, support the establishmoent of farmers markets and other means of fresh fruits and vegetables in urban areas. Support the preservation of Indian Countrys health care of choice the Indian Health Service. Support S. 332 and H.R. 2112, the Lung Cancer Mortality Reduction Act of 2009. Support H.R. 3421, the The Medical Debt Relief Act of 2009. Support Healthcare Reform Insurance Web Portal Requirements.

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Bureau of Investigation (FBI), Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Small Business Administration (SBA), Social Security Administration (SSA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Commission on Civil Rights, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), Voice of America, White House Office

Reduce health care disparities in service and in research; support H.R. 3090. Support the Minority AIDS initiative. Support Needle Exchange programs (H.R. 179). Support efforts to end childhood obesity. Support lifting the federal ban on needle (or syringe) exchange programs to fight the spread of HIV / AIDS, and oppose the so called "1,000 foot rule" on needle exchange programs. Support H.R. 3421, the The Medical Debt Relief Act of 2009.

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Bureau of Investigation (FBI), Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Small Business Administration (SBA), Social Security Administration (SSA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Commission on Civil Rights, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), Voice of America, White House Office

Improve the care and treatment of people with diabetes by the creation of the National Diabetes Coordinator; H.R. 1402, S. 1473, the Catalyst for Better Diabetes Care Act; H.R. 2590, Preventing Diabetes in Medicare Act; H.R. 2425, Medicare Diabetes Self-Management Training Act. H.R. 3590 Patient Protection and Affordable Care Act of 2009; H.R. 4872, The Health Care and Education Affordability Reconciliation Act of 2010; H.R. 1995, S. 844, Eliminating Disparities in Diabetes Prevention Access and Care Act; H.R. 3090, Health Equity and Accountability Act. Protecting patient safety in H.R. 1427 and S. 726, Promoting Innovation and Access to Life Savings Medicine Act; H.R. 1548, Pathway to Biosimilars Act; H.R. 3200 and S. 1796, Affordable Health Choices Act, biosimilar provisions. Supporting increasing opportunities for better care and treatment of people with diabetes in H.R. 3200 and S. 1796, Affordable Health Choice Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.3590, Patient Protection and Affordable Care Act - Lobbied in support of and on implementation of health care legislation that would reform the health care system to provide affordable quality health care and expand access to long-term services and supports. Provided information on the need for nursing education capacity and the retention of newer and older nurses in the workplace (no bill). S.1569/H.R.3185, Medicare Graduate Nursing Education Act - Advocated for modernizing Medicare funding so that nursing education funds are directed to advanced nurse practice programs to help produce more highly-skilled nurses to care for the Medicare population. (no bill) S. 623/HR 1558, Pre-existing Condition Patient Protection Act of 2009 - Lobbied in support of bill that would prohibit insurers from denying health insurance or delaying coverage for people with pre-existing conditions. H.R. 2778, Health Equity and Accountability through Research Act of 2009 - Lobbied in support of bill that would address racial and ethnic disparities in care. S. 979/HR 2360, Small Business Health Options Programs Act - Lobbied in support of bill that would 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.1213, Patient-Centered Outcomes Research Act - Lobbied in support of bill that would create a public-private partnership to conduct and disseminate comparative effectiveness research. S. 726/H.R. 1427, Promoting Innovation and Access to Life Saving Medicines - Discussed legislation which would create a pathway for approval of safe, effective biosimilar and generic biologic drugs. H.R. 3090, Health Equity and Accountability Act - Discussed need to end racial and ethnic disparities in care. Labor, HHS, Education and Related Agencies Appropriations Act FY 2011 - Lobbied for funding for healthcare services, research and training involving NIH, AHRQ, CMS, HRSA, HHS and AOA. (no bill) H.R. 4872, Health Care and Education Reconciliation Act - Lobbied in support of health care law which makes improvements such as closing the Part D coverage gap, in the Patient Protection and Affordable Care Act and implementation of some provisions. Provided comment letter to HHS on their draft Strategic Framework on Multiple Chronic Conditions. (no bill number) H.R. 5364, Special Care Dentistry Act - Discussed bill that would require states to provide oral health coverage for aged, blind, or disabled individuals through a separate state adult dental program, with 100% federal match. H.R. 4213, American Workers, State and Business Relief Act/American Jobs and Closing Tax Loopholes Act - Lobbied for extension of UI, COBRA, FMAP, and SGR.

Client expense: $4,250,000 · Firm income: Not reported

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Energy, Dept of, Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Vice President of the United States, SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

H.R.3590, Patient Protection and Affordable Care Act - Lobbied in support of and on implementation of health care legislation that would reform the health care system to provide affordable quality health care and expand access to long-term services and supports. Provided information on the need for nursing education capacity and the retention of newer and older nurses in the workplace (no bill). S.1569/H.R.3185, Medicare Graduate Nursing Education Act - Advocated for modernizing Medicare funding so that nursing education funds are directed to advanced nurse practice programs to help produce more highly-skilled nurses to care for the Medicare population. (no bill) S. 623/HR 1558, Pre-existing Condition Patient Protection Act of 2009 - Lobbied in support of bill that would prohibit insurers from denying health insurance or delaying coverage for people with pre-existing conditions. H.R. 2778, Health Equity and Accountability through Research Act of 2009 - Lobbied in support of bill that would address racial and ethnic disparities in care. S. 979/HR 2360, Small Business Health Options Programs Act - Lobbied in support of bill that would 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.1213, Patient-Centered Outcomes Research Act - Lobbied in support of bill that would create a public-private partnership to conduct and disseminate comparative effectiveness research. S. 726/H.R. 1427, Promoting Innovation and Access to Life Saving Medicines - Discussed legislation which would create a pathway for approval of safe, effective biosimilar and generic biologic drugs. H.R. 3090, Health Equity and Accountability Act - Discussed need to end racial and ethnic disparities in care. Labor, HHS, Education and Related Agencies Appropriations Act FY 2011 - Lobbied for funding for healthcare services, research and training involving NIH, AHRQ, CMS, HRSA, HHS and AOA. (no bill) H.R. 4872, Health Care and Education Reconciliation Act - Lobbied in support of health care law which makes improvements such as closing the Part D coverage gap, in the Patient Protection and Affordable Care Act and implementation of some provisions. Provided comment letter to HHS on their draft Strategic Framework on Multiple Chronic Conditions. (no bill number) H.R. 5364, Special Care Dentistry Act - Discussed bill that would require states to provide oral health coverage for aged, blind, or disabled individuals through a separate state adult dental program, with 100% federal match. H.R. 4213, American Workers, State and Business Relief Act/American Jobs and Closing Tax Loopholes Act - Lobbied for extension of UI, COBRA, FMAP, and SGR.

Client expense: $4,250,000 · Firm income: Not reported

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Energy, Dept of, Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Vice President of the United States, SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

Affordable Health Care for America Act (H.R. 3962) Affordable Health Choices Act (draft) Affordable Health Choices Act (S. 1679) America's Affordable Health Choices Act (H.R. 3200) America's Healthy Future Act (Senate Finance - unnumbered) Childhood Obesity Task Force Children's Health Insurance Program Reauthorization Act (S. 275/H.R. 2) Children's Health Protection Act (S. 643/H.R. 1619) Congenital Heart Futures Act (S. 621/H.R. 1570) Health Care and Education Reconciliation Act (H.R. 4872) Health Equity and Accountability Act (H.R. 3090) Health Insurance Coverage Protection Act (S. 442/H.R. 1085) Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S.422/H.R. 1032) Informed Consumer Choices in Health Care Act (S. 1050/H.R. 2427) Josh Miller HEARTS Act (S. 1197/H.R. 1380) National Atrial Fibrillation Awareness Month Resolution (H.Res.255) Patient Protection and Affordable Care Act (H.R. 3590) Preexisting Condition Exclusion Patient Protection Act (S. 623/H.R. 1558) Resolution Designating May 1 through May 7, 2009 as National Physical Education and Sports Week (S.RES.133/H.RES.503) Tri-Committee Health Care Reform Bill (House draft) Women's Health Insurance Fairness Act (S.969) Workplace Wellness Grants (H.R. 3962/H.R. 3590) Young Adult Healthcare Coverage Act of 2009 (H.R. 2831)

Client expense: $135,901 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT)

Implementation of H.R. 3590, the Patient Protection and Affordable Care Act, to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. Implementation of H.R. 4872, the Health Care and Reconciliation Act of 2010, a bill that makes a number of health-related financing and revenue changes to the Patient Protection and Affordable Care Act, specifically regarding the medical device tax. S.540, Medical Device Safety Act, a bill that would remove federal preemption protection for certain medical devices H.R.1346, Medical Device Safety Act, a bill that would remove federal preemption protection for certain medical devices Reform of the 510 (k) regulatory pathway H.R. 759, Food and Drug Administration Globalization Act, a bill to improve the safety of food, drugs, devices, and cosmetics S. 882, the Drug and Device Accountability Act, a bill to ensure the safety and quality of medical products and enhance the authorities of the FDA H.R. 2502, Comparative Effectiveness Research Act of 2009, a bill to provide for the conduct of comparative effectiveness research for drugs, devices, and other therapies and create a Comparative Effectiveness Research Trust Fund S.1213, Patient-Centered Outcomes Research Act of 2009, a bill to provide for the conduct of comparative effectiveness research for drugs, devices, and other therapies and to establish a Patient-Centered Outcomes Research Trust Fund H.R. 2824, Doctor-Patient Relationship and Research Protection Act, a bill to support federally funded comparative effectiveness research for drugs, devices, and other therapies S.1142, Informed Health Care Decision Making Act, a bill with respect to the inclusion of effectiveness information in drug and device labeling and advertising H.R. 3090, Health Equity & Accountability Act of 2009, provides for the elimination of racial and ethnic health disparities S.660, National Pain Care Policy Act, a bill to promote greater access to chronic pain therapies H.R. 756, National Pain Care Policy Act, a bill to promote greater access to chronic pain therapies H.R. 4700, the Transparency in All Health Care Pricing Act of 2010, to provide for transparency in health care pricing H.R. 2249, the Health Care Price Transparency Promotion Act of 2009, to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs. H.R. 4803, the Patients Right to Know Act, to ensure health care consumer and provider access to certain health benefits plan information and to amend title XIX of the Social Security Act to provide transparency in hospital price and quality information

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE, Transportation, Dept of (DOT)

H.R. 3090, Health Equity and Accountability Act H.R. 3200, America's Affordable Choices Act of 2009 H.R. 3962, Affordable Health Care for America Act S. 1679, Affordable Health Choices Act H.R. 4782, Health Care and Education Reconciliation Act of 2010 H.R. 3590, Patient Protection and Affordable Care Act S. 1796, Americas Healthy Future Act of 2009 No Number, Child Nutrition Reauthorization U.S. Department of Health and Human Services U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services U.S Department of Health and Human Services, Office of Civil Rights United States Department of Agriculture, Food and Nutrition Services

Client expense: $166,035 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

Support ending health care disparities among racial and ethnic minorities, support hearing into the extent of the problem as well as potential solutions; support H.R. 3090. Support Patient Bill of Rights. Support Universal Health Care (H.R. 676). Support Minority AIDS initiative. Support needle exchange programs (support H.R. 179). Support the reauthorization and expansion of SCHIP (support H.R. 2). Support ensuring that all children receive adequate, affordable care in any national health care proposal. Support Tom Daschle and Kathleen Sebelius as Secretary of US Department of Health and Human Services. Support for Dr. Regina Benjamin to be U.S. Surgeon General. Support (1) Full health care coverage that is affordable to every individual, family and business which also provides coverage for pre-existing conditions; (2) Standard, comprehensive health care benefits that meet everyones needs from preventive to chronic care; (3) The choice of a private (allowing recipients to stay with their existing health care coverage if they choose) or public health care plan, which includes a new public health care plan (the public option) that will provide a guaranteed backup which will always be there to ensure quality, affordable health care coverage no matter what; and (4) Equity in health care access, treatment, research, and resources to people and communities of color and stronger health services in low-income communities. Support the inclusion of a public option in health care reform. Support inclusion of anti-discrimination provisions in health care reform. Support passage of H.R. 3590. Support enacting cloture on HR 3590 every time the question was raised. Support the inclusion of a public option provision in H.R. 3590. Support the inclusion of steps to eliminate racial and ethnic disparities in H.R. 3590. Support requiring health insurers to cover mammogram's for women under age 50. Support inclusion of provisions requiring health insurance parity for women at no additional cost. Support H.R. 3962. Support lifting the federal ban on needle (or syringe) exchange programs to fight the spread of HIV / AIDS, and oppose the so called "1,000 foot rule" on needle exchange programs. Support prevention and wellness programs; oppose increased health insurance rates for personal characteristics such as obesity and addiction. Support the immediate implementation of the GINA (Genetic Information Non-discrimination Act ). Support H.R. 4872, Health Care Reconciliation. Support H.R. 3590, Health Care overhaul. Support efforts to curb childhood obesity. Support H. Res. 996 and S. Res. 412.

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Bureau of Investigation (FBI), Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Small Business Administration (SBA), Social Security Administration (SSA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Commission on Civil Rights, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), Voice of America, White House Office

Reduce health care disparities in service and in research; support H.R. 3090. Support the Minority AIDS initiative. Support Needle Exchange programs (H.R. 179). Support efforts to end childhood obesity. Support lifting the federal ban on needle (or syringe) exchange programs to fight the spread of HIV / AIDS, and oppose the so called "1,000 foot rule" on needle exchange programs.

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Bureau of Investigation (FBI), Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Small Business Administration (SBA), Social Security Administration (SSA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Commission on Civil Rights, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), Voice of America, White House Office

HR.463,The Prevention First Act; Comprehensive Sexuality Education funding (general); H.R. 1691/S.688, Breast Cancer Patient Protection Act. H.R.20/S.324, Melanie Blocker Stokes MOTHERS Act; H.R. 2427/S. 1050, Informed Consumer Choices in Health Care Act; America's Healthy Future Act; National HIV/AIDS Strategy (general); H.R. 3312 Preventing Unintended Pregnancies, Reducing the Need for Abortion and Supporting Parents; H.R. 1558/S. 623, Pre-existing Condition Patient Protection Act.; Cord Blood Banking (general); S.670, Smoke Free Mothers and Babies Act of 2009; H.R. 3090, Health Equity and Accountability Act; H.R. 2635, Gender Equity in Health Premiums Act; S. 969, H.R. 2402 Women's Health Insurance Fairness Act; H.R. 3200, America's Affordable Health Choices Act; Stillbirth (general); Sudden unexpected infant deaths (general); Healthcare reform (general); Postpartum Depression (general); Emergency Contraception over the counter;Insurance Transparency (general); Pre-existing condition exclusion (general); Gender rating (general); Maternity Coverage (general); S. 1303 Medical Home Demonstration Project; Alternatives to Medical Liability Reform Demonstration Project (general); Young Adult Plans (general); Preventive Care (general); Advanced Diagnostic Imaging (general); Domestic Violence(general); Prescription Drug Coverage (general); Comparative Effectiveness Research (general); S. 1796 America's Healthy Future Act; S.1679 Affordable Health Choices Act; Medicaid SCHIP Coverage and Reimbursement; HIV Screening (general); H.R. 3962 Affordable Health Care For America Act; H.R. 2941Gynecological Cancer; H.R. 3590 Patient Protection and Affordable Care Act of 2009; Breastfeeding; Medical Liability Reform (general); HR 4386, S. 2904 Emergency Contraception in the Military; Direct Access to Ob-Gyns (general); S. 1742, H.R. 4235 Women's Hospitals Education Equity; United States Preventive Services Task Force Mammography Recommendations; National HIV/AIDS Strategy Steps; H.R. 3854 Small Business Financing and Investment Act of 2009; H.R. 4216 Personal Health Record Act of 2009; Abortion Restrictions; H.R. 3590 Patient Protection and Affordable Care Act; H.R. 4872 Health Care and Reconciliation Act of 2010; Health IT (general); H.R. 4985 Medicare Decisions and Accountability Act of 2010.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

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

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

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

HR 1346 - To amend the Federal food, Drug, and Cosmetic Act with respect to liability under State and local requirements respecting devices- provision related to federal preemption. S. 540 - A bill to amend the Federal food, Drug, and Cosmetic Act with respect to liability under State and local requirements respecting devices- provision related to federal preemption. HR 756- National Pain Care Policy Act of 2009- Addresses important barriers to proper pain management by improving pain care research, education, outreach and care. S 660- National Pain Care Policy Act of 2009- Addresses important barriers to proper pain management by improving pain care research, education, outreach and care. HR 3090-Health Equity & Accountability Act of 2009- Provides for the elimination of racial and ethnic health disparities. HR 1213- SAAAVE Act of 2009- Provides technical corrections to the original legislation which unlinks AAA screening with the Welcome to Medicare Physical Exam and extends the one-time benefit to 65-75 year old at-risk Medicare beneficiaries. HR 2749- Food Safety Enhancement Act of 2009- Grants FDA the authority and resources it needs to better oversee the safety of the nations food supply. Includes provisions related to device import safety fee, registration fees and unique identifier provisions HR 759- FDA Globalization Act- Grants FDA the authority and resources it needs to better oversee the safety of the nations food, cosmetic, drug and device supply. Includes provisions related to device import safety fee, registration fees and unique identifier provisions S 1213 - A bill to amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Patient-Centered Outcomes Research Trust Fund, and for other purposes - provisions related to comparative effectiveness research. S. 1796 - America's Healthy Future Act of 2009 - An original bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. Contains provisions related to medical device excise tax. S.1679 - Affordable Health Choices Act - contains provisions related to health care reform. H.R. 3200, Americas Affordable Health Choices Act of 2009, H.R. 3590, the Patient Protection and Affordable Care Act, and H.R. 3962, The Affordable Health Care for Americans Act, as they relate to the Independent Payment Advisory Commission, Comparative Effectiveness Research, National Device Registry, Pain Care Management, Medicare Prevention Screening Benefits, Medicare Shared Saving Pilots and Physician Payment Disclosure. H.R. 3590, Patient Protection and Affordable Care Act and H.R. 4872, Health Care and Education Reconciliation Act of 2010 as they relate to device excise tax, comparative effectiveness research, Independent Payment Advisory Board, AAA provisions, prevention and wellness, pain management, health disparity provisions, delivery and payment system reforms, physician-payment disclosure.

Client expense: $1,065,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

**see addendum page ***, no specific bill, Raising Awareness of Hepatitis C ***, no specific bill, public health funding for Hepatitis, appropriations for the Department of Health and Human Services H.R. 3590 - The Patient Protection and Affordable Care Act H.R. 3090 - Health Equity and Accountability Act of 2009, hepatistis awareness and screening H.R. 3974 - Viral Hepatitis and Liver Cancer Control and Prevention Act of 2009

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

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

H.R.3590, Patient Protection and Affordable Care Act - Lobbied in support of health care legislation that would reform the health care system to provide affordable quality health care and expand access to long-term services and supports. Provided information on the need for nursing education capacity and the retention of newer and older nurses in the workplace (no bill). Discussed the need for bipartisan action on health care reform legislation, such as affordable and accessible quality healthcare with a focus on the 50-64 year old population. (no bill) Discussed healthcare reform and issues around the public plan option (no bill). S.1569/H.R.3185 Medicare Graduate Nursing Education Act - Advocated for modernizing Medicare funding so that nursing education funds are directed to advanced nurse practice programs to help produce more highly-skilled nurses to care for the Medicare population. (no bill) S. 623/HR 1558, Pre-existing Condition Patient Protection Act of 2009 - Lobbied in support of bill that would prohibit insurers from denying health insurance or delaying coverage for people with pre-existing conditions. H.R. 2778, Health Equity and Accountability through Research Act of 2009 - Lobbied in support of bill that would address racial and ethnic disparities in care. S. 979/HR 2360, Small Business Health Options Programs Act - Lobbied in support of bill that would 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. H.R. 3200, America's Affordable Health Choices Act/S. 1679, Americas Health Choices Act/S.1796 America's Healthy Future Act ) Discussed need for affordable quality healthcare, delivery system reform, ending age discrimination in the health insurance industry, ending rating by health condition or any proxy, closing the doughnut hole, creating a pathway for generic biologics, allowing and funding states to provide home and community based services, creating a transitional benefit or other transitional care provisions in medicare and expanding the asset limit to qualify for low-income programs in medicare, establishing CLASS program. S.1213, Patient-Centered Outcomes Research Act - Lobbied in support of bill that would create a public-private partnership to conduct and disseminate comparative effectiveness research. S. 726/H.R. 1427, Promoting Innovation and Access to Life Saving Medicines - Discussed legislation which would create a pathway for approval of safe, effective biosimilar and generic biologic drugs. H.R. 3090, Health Equity and Accountability Act - Discussed need to end racial and ethnic disparities in care. Labor, HHS, Education and Related Agencies Appropriations Act FY 2011 - Lobbied for funding for healthcare services, research and training involving NIH, AHRQ, CMS, HRSA, HHS and AOA. (no bill) H.R. 4872, Health Care and Education Reconciliation Act - Lobbied in support of health care legislation which makes improvements such as closing the Part D coverage gap, in the Patient Protection and Affordable Care Act.

Client expense: $3,970,000 · Firm income: Not reported

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Energy, Dept of, Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Vice President of the United States, SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

H.R.3590, Patient Protection and Affordable Care Act - Lobbied in support of health care legislation that would reform the health care system to provide affordable quality health care and expand access to long-term services and supports. Provided information on the need for nursing education capacity and the retention of newer and older nurses in the workplace (no bill). Discussed the need for bipartisan action on health care reform legislation, such as affordable and accessible quality healthcare with a focus on the 50-64 year old population. (no bill) Discussed healthcare reform and issues around the public plan option (no bill). S.1569/H.R.3185 Medicare Graduate Nursing Education Act - Advocated for modernizing Medicare funding so that nursing education funds are directed to advanced nurse practice programs to help produce more highly-skilled nurses to care for the Medicare population. (no bill) S. 623/HR 1558, Pre-existing Condition Patient Protection Act of 2009 - Lobbied in support of bill that would prohibit insurers from denying health insurance or delaying coverage for people with pre-existing conditions. H.R. 2778, Health Equity and Accountability through Research Act of 2009 - Lobbied in support of bill that would address racial and ethnic disparities in care. S. 979/HR 2360, Small Business Health Options Programs Act - Lobbied in support of bill that would 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. H.R. 3200, America's Affordable Health Choices Act/S. 1679, Americas Health Choices Act/S.1796 America's Healthy Future Act ) Discussed need for affordable quality healthcare, delivery system reform, ending age discrimination in the health insurance industry, ending rating by health condition or any proxy, closing the doughnut hole, creating a pathway for generic biologics, allowing and funding states to provide home and community based services, creating a transitional benefit or other transitional care provisions in medicare and expanding the asset limit to qualify for low-income programs in medicare, establishing CLASS program. S.1213, Patient-Centered Outcomes Research Act - Lobbied in support of bill that would create a public-private partnership to conduct and disseminate comparative effectiveness research. S. 726/H.R. 1427, Promoting Innovation and Access to Life Saving Medicines - Discussed legislation which would create a pathway for approval of safe, effective biosimilar and generic biologic drugs. H.R. 3090, Health Equity and Accountability Act - Discussed need to end racial and ethnic disparities in care. Labor, HHS, Education and Related Agencies Appropriations Act FY 2011 - Lobbied for funding for healthcare services, research and training involving NIH, AHRQ, CMS, HRSA, HHS and AOA. (no bill) H.R. 4872, Health Care and Education Reconciliation Act - Lobbied in support of health care legislation which makes improvements such as closing the Part D coverage gap, in the Patient Protection and Affordable Care Act.

Client expense: $3,970,000 · Firm income: Not reported

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Energy, Dept of, Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Vice President of the United States, SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

H.R. 3590, the Patient Protection and Affordable Care Act, to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 4872, the Health Care and Reconciliation Act of 2010, a bill that makes a number of health-related financing and revenue changes to the Patient Protection and Affordable Care Act, specifically regarding the medical device tax. Provisions within the health care reform bills with an emphasis on physician disclosure, comparative effectiveness research, pain research, Medicare secondary payer, bundling, gainsharing, medical device registry, and medical device tax. S.540, Medical Device Safety Act, a bill that would remove federal preemption protection for certain medical devices H.R.1346, Medical Device Safety Act, a bill that would remove federal preemption protection for certain medical devices Reform of the 510 (k) regulatory pathway H.R. 759, Food and Drug Administration Globalization Act, a bill to improve the safety of food, drugs, devices, and cosmetics S. 882, the Drug and Device Accountability Act, a bill to ensure the safety and quality of medical products and enhance the authorities of the FDA H.R. 2502, Comparative Effectiveness Research Act of 2009, a bill to provide for the conduct of comparative effectiveness research for drugs, devices, and other therapies and create a Comparative Effectiveness Research Trust Fund S.1213, Patient-Centered Outcomes Research Act of 2009, a bill to provide for the conduct of comparative effectiveness research for drugs, devices, and other therapies and to establish a Patient-Centered Outcomes Research Trust Fund H.R. 2824, Doctor-Patient Relationship and Research Protection Act, a bill to support federally funded comparative effectiveness research for drugs, devices, and other therapies S.1142, Informed Health Care Decision Making Act, a bill with respect to the inclusion of effectiveness information in drug and device labeling and advertising H.R. 3090, Health Equity & Accountability Act of 2009, provides for the elimination of racial and ethnic health disparities S.660, National Pain Care Policy Act, a bill to promote greater access to chronic pain therapies H.R. 756, National Pain Care Policy Act, a bill to promote greater access to chronic pain therapies

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT)

HR 3590, Patient Protection and Affordable Care Act, Title V and Title VIII, provisions pertaining to health professions. HR 3090, Health Equity and Accountability Act of 2009, provisions pertaining to health professions workforce, education, research and training. HR 2708/S 1790, Indian Health Care Improvement Act, provisions relating to health professions. HR 3962, Affordable Health Care for America Act, provisions pertaining to health professions workforce, education, research and training programs. HR 4166, Veterans Health Professionals Education Assistance Act, all provisions. S 252, Veterans Health Care Authorization Act of 2009, Title I, Section 103. S 1963, Caregivers and Veterans Omnibus Health Services Act of 2009, Title VI, Section 603.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordable Health Care for America Act (H.R. 3962) Affordable Health Choices Act (draft) Affordable Health Choices Act (S. 1679) America's Affordable Health Choices Act (H.R. 3200) America's Healthy Future Act (Senate Finance - unnumbered) Childhood Obesity Task Force Children's Health Insurance Program Reauthorization Act (S. 275/H.R. 2) Children's Health Protection Act (S. 643/H.R. 1619) Congenital Heart Futures Act (S. 621/H.R. 1570) Health Care and Education Reconciliation Act (H.R. 4872) Health Equity and Accountability Act (H.R. 3090) Health Insurance Coverage Protection Act (S. 442/H.R. 1085) Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S.422/H.R. 1032) Informed Consumer Choices in Health Care Act (S. 1050/H.R. 2427) Josh Miller HEARTS Act (S. 1197/H.R. 1380) National Atrial Fibrillation Awareness Month Resolution (H.Res.255) Patient Protection and Affordable Care Act (H.R. 3590) Preexisting Condition Exclusion Patient Protection Act (S. 623/H.R. 1558) Resolution Designating May 1 through May 7, 2009 as National Physical Education and Sports Week (S.RES.133/H.RES.503) Tri-Committee Health Care Reform Bill (House draft) Women's Health Insurance Fairness Act (S.969) Workplace Wellness Grants (H.R. 3962/H.R. 3590) Young Adult Healthcare Coverage Act of 2009 (H.R. 2831)

Client expense: $135,901 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT)

H.R. 3090, Health Equity and Accountability Act H.R. 3200, America's Affordable Choices Act of 2009 S. 1343, Hunger Free Schools Act S. 1679, Affordable Health Choices Act H.R. 2977/S. 1406, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2010, Emerson/Leland Hunger Fellowships No Bill Number, Americas Healthy Future Act of 2009 U.S. Department of Health and Human Services U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services U.S. Department of Agriculture, Food and Nutrition Services

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

Government targets: Agriculture, Dept of (USDA), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), SENATE, Treasury, Dept of

American Health Security Act (H.R. 1200); Access for All America Act (H.R. 1296/S.486); Primary Care Volunteer Incentive Act (H.R. 1185); Edward M. Kennedy Serve America Act (H.R. 1388/S.277); Health Access and Health Professions Supply Act (S.790); Title VII Reauthorization (S.1720); Health Care Reform; Conrad State 30 Improvement Act (S.628); Recognizing the value of community health centers (HCR 144/SCR25). Tri-Caucus Health Equity and Accountant Act; Health Information Technology Public Utility Act of 2009 (S.890); Womens Medical House Demonstration Act (S.1303); Family Healthcare Accessibility Act (H.R.1745); Community Coalitions for Access and Quality Improvement Act (H.R.1614/S.652); Health Access and Health Professions Supply Act (S.790); GAO Study request on VA/CHCs Act (no bill#); Affordable Health Choices Act (H.R.3200); Resident Physician Shortage Act (S.973/H.R.2251); Seniors Mental Health Access Improvement Act (H.R.1693/S.671); Public Health Workforce Development Act (H.R.2620/S.1143); Helping Fill the Medicine Rx Gap Act (H.R.2777/S.1201); Primary Care Training Enhancement Act (H.R.2930); Supporting Child Maltreatment Prevention Efforts in Community Health Centers Act (S.1404); Community & Rural Medical Residency Preservation Act (S.1300) Americas Healthy Future Act of 2009, Chairmans Mark Senate Finance Committee; MedPAC Reform Act of 2009 (S.1110); Consumers Health Care Act of 2009 (S.1278); Preserving Patient Access to Primary Care Act of 2009 (H.R.2350); Senate HELP - Affordable Health Choices Act (S.1679); Ryan White Reauthorization House and Senate; Health Equity and Accountability Act of 2009 (H.R.3090); Medicare Telehealth Enhancement Act of 2009 (H.R.2068); Medicare Transition Care Act of 2009 (S.1295); School Based Health Clinic Establishment Act of 2009 (H.R.3003);DSH Collaborative Care Network Pilot Program Act of 2009 (H.R.3430).

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

Supporting civil rights protections in health care reform legislation - H.R. 3090

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1346 - To amend the Federal food, Drug, and Cosmetic Act with respect to liability under State and local requirements respecting devices- provision related to federal preemption. S. 540 - A bill to amend the Federal food, Drug, and Cosmetic Act with respect to liability under State and local requirements respecting devices- provision related to federal preemption. HR 756- National Pain Care Policy Act of 2009- Addresses important barriers to proper pain management by improving pain care research, education, outreach and care. S 660- National Pain Care Policy Act of 2009- Addresses important barriers to proper pain management by improving pain care research, education, outreach and care. HR 3090-Health Equity & Accountability Act of 2009- Provides for the elimination of racial and ethnic health disparities. HR 1380- Josh Miller Hearts Act- Provides federal grants and training for automated external defibrillators in elementary and secondary schools. S. 1197 Josh Miller Hearts Act- Provides federal grants and training for automated external defibrillators in elementary and secondary schools. S 660- National Pain Care Policy Act of 2009- Addresses important barriers to proper pain management by improving pain care research, education, outreach and care. HR 1213- SAAAVE Act of 2009- Provides technical corrections to the original legislation which unlinks AAA screening with the Welcome to Medicare Physical Exam and extends the one-time benefit to 65-75 year old at-risk Medicare beneficiaries. HR 2749- Food Safety Enhancement Act of 2009- Grants FDA the authority and resources it needs to better oversee the safety of the nations food supply. Includes provisions related to device import safety fee, registration fees and unique identifier provisions HR 759- FDA Globalization Act- Grants FDA the authority and resources it needs to better oversee the safety of the nations food, cosmetic, drug and device supply. Includes provisions related to device import safety fee, registration fees and unique identifier provisions S 1213 - A bill to amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Patient-Centered Outcomes Research Trust Fund, and for other purposes - provisions related to comparative effectiveness research. S. 1796 - America's Healthy Future Act of 2009 - An original bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. Contains provisions related to medical device excise tax. S.1679 - Affordable Health Choices Act - contains provisions related to health care reform. H.R. 3200, Americas Affordable Health Choices Act of 2009, H.R. 3590, the Patient Protection and Affordable Care Act, and H.R. 3962, The Affordable Health Care for Americans Act, as they relate to the Independent Payment Advisory Commission, Comparative Effectiveness Research, National Device Registry, Pain Care Management, Medicare Prevention Screening Benefits, Medicare Shared Saving Pilots and Physician Payment Disclosure.

Client expense: $964,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordable Health Care for America Act (H.R. 3962) Patient Protection and Affordable Care Act (H.R. 3590) America's Affordable Health Choices Act (H.R. 3200) Affordable Health Choices Act (S. 1679) America's Healthy Future Act (Senate Finance - unnumbered) Young Adult Healthcare Coverage Act of 2009 (H.R. 2831) Affordable Health Choices Act (draft) Children's Health Insurance Program Reauthorization Act (S. 275/H.R. 2) Children's Health Protection Act (S. 643/H.R. 1619) Congenital Heart Futures Act (S. 621/H.R. 1570) Health Equity and Accountability Act (H.R. 3090) Health Insurance Coverage Protection Act (S. 442/H.R. 1085) Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S.422/H.R. 1032) Informed Consumer Choices in Health Care Act (S. 1050/H.R. 2427) Josh Miller HEARTS Act (S. 1197/H.R. 1380) National Atrial Fibrillation Awareness Month Resolution (H.Res.255) Preexisting Condition Exclusion Patient Protection Act (S. 623/H.R. 1558) Resolution Designating May 1 through May 7, 2009 as National Physical Education and Sports Week (S.RES.133/H.RES.503) Tri-Committee Health Care Reform Bill (House draft) Women's Health Insurance Fairness Act (S.969) Workplace Wellness Grants (H.R. 3962/H.R. 3590) FDA Draft Guidance on Clinical Study Designs for Surgical Ablation Devices for Treatment of Atrial Fibrilations (FDA-2009-0395) HIPAA Administrative Simplification: Standards for Privacy of Individually Identifiable Health Information (RIN-0991-AB54) Prohibiting Discrimination Based on Genetic Information: Interim Final Rules (RIN-1210-AB27; CMS-4137-IFC; REG-123829-08)

Client expense: $208,767 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

HR.463,The Prevention First Act; Comprehensive Sexuality Education funding (general); H.R. 1691/S.688, Breast Cancer Patient Protection Act. H.R.20/S.324, Melanie Blocker Stokes MOTHERS Act; H.R. 2427/S. 1050, Informed Consumer Choices in Health Care Act; America's Healthy Future Act; National HIV/AIDS Strategy (general); H.R. 3312 Preventing Unintended Pregnancies, Reducing the Need for Abortion and Supporting Parents; HIV Ban on Visitors and Immigrants (general); H.R. 1558/S. 623, Pre-existing Condition Patient Protection Act.; Cord Blood Banking (general); S.670, Smoke Free Mothers and Babies Act of 2009; H.R. 3090, Health Equity and Accountability Act; H.R. 2635, Gender Equity in Health Premiums Act; S. 969, H.R. 2402 Women's Health Insurance Fairness Act; H.R. 3200, America's Affordable Health Choices Act; Stillbirth (general); Sudden unexpected infant deaths (general); Healthcare reform (general); Postpartum Depression (general); Vaccination Requirements for US Immigration; Emergency Contraception over the counter;Insurance Transparency (general); Pre-existing condition exclusion (general); Gender rating (general); Maternity Coverage (general); S. 1303 Medical Home Demonstration Project; Alternatives to Medical Liability Reform Demonstration Project (general); Young Adult Plans (general); Preventive Care (general); Advanced Diagnostic Imaging (general); Domestic Violence(general); Prescription Drug Coverage (general); Comparative Effectiveness Research (general); S. 1796 America's Healthy Future Act; S.1679 Affordable Health Choices Act; Medicaid SCHIP Coverage and Reimbursement; HIV Screening (general); H.R. 3962 Affordable Health Care For America Act; H.R. 2941Gynecological Cancer; H.R. 3590 Patient Protection and Affordable Care Act of 2009; Breastfeeding; Medical Liability Reform (general); HR 4386, S. 2904 Emergency Contraception in the Military; Direct Access to Ob-Gyns (general); S. 1742, H.R. 4235 Women's Hospitals Education Equity; United States Preventive Services Task Force Mammography Recommendations; National HIV/AIDS Strategy Steps; H.R. 3854 Small Business Financing and Investment Act of 2009; H.R. 4216 Personal Health Record Act of 2009; Abortion Restrictions.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl AIDS Policy, SENATE, White House Office

H.R.1256, Family Smoking Prevention and Tobacco Control Act - Supported prescription drug reimportation amendment. Provided information on the need for nursing education capacity and the retention of newer and older nurses in the workplace (no bill). Discussed the need for bipartisan action on health care reform legislation, such as affordable and accessible quality healthcare with a focus on the 50-64 year old population. (no bill) Discussed healthcare reform and issues around the public plan option (no bill). S.1569/H.R.3185 Medicare Graduate Nursing Education Act - Advocated for modernizing Medicare funding so that nursing education funds are directed to advanced nurse practice programs to help produce more highly-skilled nurses to care for the Medicare population. (no bill) S. 623/HR 1558, Pre-existing Condition Patient Protection Act of 2009 - Lobbied in support of bill that would prohibit insurers from denying health insurance or delaying coverage for people with pre-existing conditions. H.R. 2778, Health Equity and Accountability through Research Act of 2009 - Lobbied in support of bill that would address racial and ethnic disparities in care. S. 979/HR 2360, Small Business Health Options Programs Act - Lobbied in support of bill that would 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. H.R. 3200 America's Affordable Health Choices Act/S. 1679, Americas Health Choices Act, America's Healthy Future Act (no Senate bill) - Discussed need for affordable quality healthcare, delivery system reform, ending age discrimination in the health insurance industry, ending rating by health condition or any proxy, closing the doughnut hole, creating a pathway for generic biologics, allowing and funding states to provide home and community based services, creating a transitional benefit or other transitional care provisions in medicare and expanding the asset limit to qualify for low-income programs in medicare, establishing CLASS program. S.1213 Patient-Centered Outcomes Research Act - Lobbied in support of bill that would create a public-private partnership to conduct and disseminate comparative effectiveness research. S. 726/H.R. 1427 Promoting Innovation and Access to Life Saving Medicines - Discussed legislation which would create a pathway for approval of safe, effective biosimilar and generic biologic drugs. H.R. 3090 Health Equity and Accountability Act - Discussed need to end racial and ethnic disparities in care. H.R. 3293, Labor, HHS, Education and Related Agencies Appropriations Act FY 2010 - Lobbied for funding for healthcare services, research and training involving NIH, AHRQ, CMS, HRSA, HHS and AOA. H.J. Res. 64, Third Continuing Resolution, FY 2010; not enacted - Lobbied for various items to be excepted from lower funding levels during the term of the Continuing Resolution. H.R. 3326, Division B, Defense Appropriations bill for FY 2010 - Lobbied for SNAP participation changes, extension of unemployment benefits and COBRA eligibility, delay in cuts to Medicar physician payments. H.R. 2996, Division, Interior Appropriations bill - Lobbied for various items to be excepted from lower funding levels during the term of the Continuing Resolution. House Amendment to Senate Amendment to H.R. 2847 , "Jobs for Main Street Act" - Redirection of some TARP funds to extend unemployment insurance and COBRA eligibility and FMAP assistance to state governments. Senate Amendment 2989 to H.R.3590 - Discussed AARP's support of/lobbied for provisions in health care reform that directly impact Puerto Rico and the territories including; inclusion of Puerto Rico and the territories in the proposed Health Insurance Exchange, increasing Medicaid funds to Puerto Rico and the territories (with eventual removal of a cap), and the auto-enrollment of Puerto Rico seniors in Medicare Part B. Discussed support for the inclusion of Puerto Rico and the territories in the proposed Health Insurance Exchange, incresing Medicaid funds to Puerto Rico and the territories, and the auto-enrollment of Puerto Rico seniors in Medicare Part B. (no bill)

Client expense: $5,950,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Energy, Dept of, Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of the Vice President of the United States, SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

H.R.1256, Family Smoking Prevention and Tobacco Control Act - Supported prescription drug reimportation amendment. Provided information on the need for nursing education capacity and the retention of newer and older nurses in the workplace (no bill). Discussed the need for bipartisan action on health care reform legislation, such as affordable and accessible quality healthcare with a focus on the 50-64 year old population. (no bill) Discussed healthcare reform and issues around the public plan option (no bill). S.1569/H.R.3185 Medicare Graduate Nursing Education Act - Advocated for modernizing Medicare funding so that nursing education funds are directed to advanced nurse practice programs to help produce more highly-skilled nurses to care for the Medicare population. (no bill) S. 623/HR 1558, Pre-existing Condition Patient Protection Act of 2009 - Lobbied in support of bill that would prohibit insurers from denying health insurance or delaying coverage for people with pre-existing conditions. H.R. 2778, Health Equity and Accountability through Research Act of 2009 - Lobbied in support of bill that would address racial and ethnic disparities in care. S. 979/HR 2360, Small Business Health Options Programs Act - Lobbied in support of bill that would 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. H.R. 3200 America's Affordable Health Choices Act/S. 1679, Americas Health Choices Act, America's Healthy Future Act (no Senate bill) - Discussed need for affordable quality healthcare, delivery system reform, ending age discrimination in the health insurance industry, ending rating by health condition or any proxy, closing the doughnut hole, creating a pathway for generic biologics, allowing and funding states to provide home and community based services, creating a transitional benefit or other transitional care provisions in medicare and expanding the asset limit to qualify for low-income programs in medicare, establishing CLASS program. S.1213 Patient-Centered Outcomes Research Act - Lobbied in support of bill that would create a public-private partnership to conduct and disseminate comparative effectiveness research. S. 726/H.R. 1427 Promoting Innovation and Access to Life Saving Medicines - Discussed legislation which would create a pathway for approval of safe, effective biosimilar and generic biologic drugs. H.R. 3090 Health Equity and Accountability Act - Discussed need to end racial and ethnic disparities in care. H.R. 3293, Labor, HHS, Education and Related Agencies Appropriations Act FY 2010 - Lobbied for funding for healthcare services, research and training involving NIH, AHRQ, CMS, HRSA, HHS and AOA. H.J. Res. 64, Third Continuing Resolution, FY 2010; not enacted - Lobbied for various items to be excepted from lower funding levels during the term of the Continuing Resolution. H.R. 3326, Division B, Defense Appropriations bill for FY 2010 - Lobbied for SNAP participation changes, extension of unemployment benefits and COBRA eligibility, delay in cuts to Medicar physician payments. H.R. 2996, Division, Interior Appropriations bill - Lobbied for various items to be excepted from lower funding levels during the term of the Continuing Resolution. House Amendment to Senate Amendment to H.R. 2847 , "Jobs for Main Street Act" - Redirection of some TARP funds to extend unemployment insurance and COBRA eligibility and FMAP assistance to state governments. Senate Amendment 2989 to H.R.3590 - Discussed AARP's support of/lobbied for provisions in health care reform that directly impact Puerto Rico and the territories including; inclusion of Puerto Rico and the territories in the proposed Health Insurance Exchange, increasing Medicaid funds to Puerto Rico and the territories (with eventual removal of a cap), and the auto-enrollment of Puerto Rico seniors in Medicare Part B. Discussed support for the inclusion of Puerto Rico and the territories in the proposed Health Insurance Exchange, incresing Medicaid funds to Puerto Rico and the territories, and the auto-enrollment of Puerto Rico seniors in Medicare Part B. (no bill)

Client expense: $5,950,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Energy, Dept of, Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of the Vice President of the United States, SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

S. 711/H.R. 2058. Post Deployment Health Assessment Act of 2009. A bill to require mental health screenings for members of the Armed Forces who are deployed in connection with a contingency operation, and for other purposes; H.R. 840 Military Domestic Violence and Sexual Assault Response Act. To reduce sexual assault and domestic violence involving members of the Armed Forces and their family members and partners through enhanced programs of prevention and deterrence, enhanced programs of victims services, and strengthened provisions for prosecution of assailants, and for other purposes; H.R. 3200 Americas Affordable Health Choices Act. To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes; (H.R.5447/S.2858) The Dorothy I. Height and Whitney M. Young, Jr. Social Work Reinvestment Act: the initiative attempts to address matters of recruitment/retention as it pertains to the social work profession, in addition to the establishment of a social work commission to study significant problems associated with the profession; S. 686 (Mikulski) & H.R. 795 (Towns) Dorothy I. Height and Whitney M. Young, Jr. Social Work Reinvestment Act Issue: Health/Social Work Workforce - Support a bill to establish the Social Work Reinvestment Commission to provide independent counsel to Congress on policy issues associated with the recruitment, retention, research, and reinvestment in the profession of social work; S. 391 (Wyden/Bennett) The Healthy Americans Act Issues: Health System Reform - Monitor a bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. HR.1321 (Eshoo) Healthy Americans Act Issues: Health System Reform - Monitor a bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. H.R. 3962 (Dingell) Affordable Health Care for America Act Issues: Health System Reform - Support a bill to provide affordable, guaranteed health coverage that will make Americans healthier and can never be taken away. H.R. 3590 (Rangel) The Patient Protection and Affordable Care Act Issues: Health System Reform - Support a bill to provide affordable, guaranteed health coverage that will make Americans healthier and can never be taken away. H.R. 795 and S.686, Dorothy I. Height and Whitney M. Young, Jr. Social Work Reinvestment Act Support establishing a Social Work Reinvestment Commission to address recruitment, retention, research, and reinvestment in the social work profession. S. 114, National Center for Social Work Research Act - Support establishing the National Center for Social Work Research as an agency of the National Institutes of Health (NIH) to conduct, support, and disseminate targeted research on social work methods and outcomes related to problems of significant social concern. S. 1403, Strengthen Social Work Training Act of 2009. Support ensuring that social work students or social work schools are eligible for support under certain programs that would assist individuals in pursuing health careers or for grants for training projects in geriatrics, and to establish a social work training program. H.R. 1490, Teri Zenner Social Worker Safety Act. Support establishing a grant program to assist in the provision of safety measures to protect social workers and other professionals who work with at-risk populations. H.R. 3090, Health Equity and Accountability Act of 2009. Support the bill designed to improve the health of minority individuals. H.R. 3200, America's Affordable Health Choices Act of 2009. Support a bill to reduce costs, improve choices and competition for consumers and expand access to quality, affordable health care for all Americans. H.R. 3962, Affordable Health Care for America Act Support a bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. S. 1796, America's Healthy Future Act of 2009. Support a bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending. H.R. 3590, Patient Protection and Affordable Care Act. Support a bill to provide affordable, quality health care for all Americans. The bill is the Senate vehicle for health care reform legislation.

Client expense: $192,752 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE