ENHANCED Act of 2009

Stem Cell Research Policy HR873, S487 Stem Cell Research Enhancement Act of 2009 HR4204, S1857 Enhanced Act of 2009

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

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

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

H.R. 4213--American Workers, State, and Business Relief Act (Lobbied for extension of the ARRA Medicaid FMAP increase, and Medicare physician payment cut) S. 353--Pediatric Research Consortia Establishment Act (Lobbied for support of bill) H.R. 1--American Recovery and Reinvestment Act of 2009 (Lobbied on proposed definition of and requirements for hospitals to become qualified as meaningful users of certified electronic health record, or EHR, technology) H.R. 4204--ENHANCED Act of 2009 (Lobbied for support of bill) H.R. 3962--Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 (Lobbied on the Medicare physician payment cut provision) Lobbied on the Center for Medicare and Medicaid Services (CMS) Proposed Inpatient Prospective Payment System rule (IPPS), specifically the proposed coding offset for FY 2011 Lobbied to restore HRSA funding for faculty fellowships

Client expense: $235,568 · Firm income: Not reported

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

Stem Cell Research Policy HR873, S487 Stem Cell Research Enhancement Act of 2009 HR4204, S1857 Enhanced Act of 2009

Client expense: $70,000 · Firm income: Not reported

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

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

Health Care Reform: S1857, H.R. 3962, H.R. 4204, HR. 4872, P.L. 111-148, P.L. 111=152 Health Care Truth and Transparency act of 2010: H.R. 5295 Red Flag Rule Amendments: H.R. 3763 Mental Health Parity: Wellstone-Domenici Act: P.L. 110-343 HITECH Act: H.R. 1, P.L. 111-5, H.R. 5040

Client expense: $143,267 · Firm income: Not reported

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

H.R.1011, Community Mental Health Services Improvement Act H.R. 1092, No Discrimination in Health Insurance Act of 2009 H.R. 1558, Preexisting Condition Patient Protection Act of 2009 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. 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 H.R. 3590, Patient Protection and Affordable Care Act Medical Devices: Neurological Devices; Electroconvulsive Therapy Device; Establishing a Public Docket; Docket No. FDA2009N0392; 74 Federal Register 46607 (September 10, 2009)

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

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

H.R. 20/S. 324, Melanie Blocker Stokes Mom's Opportunity to Access Health, Education, Research, and Support for Postpartum Depression Act H.R. 468/S. 245, Retooling the Health Care Workforce for an Aging America Act of 2009 H.R. 1350, Post-Abortion Depression Research and Care Act of 2009 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. 1932, S. 999 Child Health Care Crisis Relief 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. 3962, Affordable Health Care for America Act H.R. 3590, Patient Protection and Affordable Care Act H.R. 4204/S. 1857, Establishing a Network of Health-Advancing National Centers of Excellence for Depression (ENHANCED) Act of 2009 H.R. 4872, Health Care and Education Reconciliation Act of 2010

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

H.R. 211/S. 211, Calling for 2-1-1 Act of 2009 H.R. 1092, No Discrimination in Health Insurance Act of 2009 H.R. 1558, Preexisting Condition Patient Protection Act of 2009 S. 1180/H.R. 1011, Community Mental Health Services Improvement Act of 2009 S. 391, Healthy Americans Act S. 1110, H.R. 2718, Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009 S. 1136, Mental Illness Chronic Care Improvement Act of 2009 S. 1679, Affordable Health Choices Act H.R. 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. 3590, Patient Protection and Affordable Care Act 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)

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

H.R. 468/S. 245, Retooling the Health Care Workforce for an Aging America Act of 2009 H.R. 914, Physician Workforce Enhancement Act of 2009 S. 391, Healthy Americans Act S. 1679, Affordable Health Choices Act H.R. 3962, Affordable Health Care for America Act H.R. 3590, Patient Protection and Affordable Care Act H.R. 4204/S. 1857, Establishing a Network of Health-Advancing National Centers of Excellence for Depression (ENHANCED) Act of 2009

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

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

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

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

Health Care Reform: S. 697, S. 1857, H.R. 1721, H.R. 3200, H.R. 3590, P.L.111-148, H.R. 3962, H.R. 4872, P.L. 111-152, H.R. 4204 Mental Health Parity: Wellstone-Domenici Act: P.L. 110-343 HITECH Act: H.R. 1, P.L. 111-5

Client expense: $201,000 · Firm income: Not reported

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

Stem Cell Research Policy HR873, S487 Stem Cell Research Enhancement Act of 2009 Medicaid GME Policy in the Labor HHS Appropriations Bill (disclosed under BUD) HR4204, S1857 Enhanced Act of 2009

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

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

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

H.R. 3590, America's Affordable Health Choices Act of 2009. Health care delivery and financing, disproportionate share hospital payments, Medicare cancer demonstration project, creation of an independent Medicare advisory board, graduate and indirect medical education, academic medical centers, home health care, liability reform, Guided Care, and regional variation in health care costs. H.R. 4204, S. 1857, ENHANCED Act. National centers of excellence to treat depressive and bipolar disorders. H.R. 1549, S.619, The Preservation of Antibiotics for Medical Treatment Act. Antibiotic Resistance. . H.R. 3790, DMEPOS Act. DME competitive bidding. Health care for military retirees and their families; and wounded warrior research. Malaria and global public health.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

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

Stem Cell Research Policy HR873, S487 Stem Cell Research Enhancement Act of 2009 Medicaid GME Policy in the Labor HHS Appropriations Bill (disclosed under BUD) HR4204, S1857 Enhanced Act of 2009

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

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

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

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

H.R. 20/S. 324, Melanie Blocker Stokes Mom's Opportunity to Access Health, Education, Research, and Support for Postpartum Depression Act H.R. 468/S. 245, Retooling the Health Care Workforce for an Aging America Act of 2009 H.R. 1350, Post-Abortion Depression Research and Care Act of 2009 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. 1932, S. 999 Child Health Care Crisis Relief 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. 3200, Americas Affordable Health Choices Act of 2009 H.R. 3962, Affordable Health Care for America Act H.R. 3590, Patient Protection and Affordable Care Act H.R. 4204/S. 1857, Establishing a Network of Health-Advancing National Centers of Excellence for Depression (ENHANCED) Act of 2009

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

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

H.R.1011, Community Mental Health Services Improvement Act H.R. 1092, No Discrimination in Health Insurance Act of 2009 H.R. 1558, Preexisting Condition Patient Protection Act of 2009 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. 3200, Americas Affordable Health Choices Act of 2009 S. 1857, H.R. 4204, Enhanced Act of 2009 H.R. 667, the Heroes at Home Act H.R. 2505, the Reaching Rural Veterans Through Telehealth Act H.R. 3590, Patient Protection and Affordable Care Act

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

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

H.R. 211/S. 211, Calling for 2-1-1 Act of 2009 H.R. 1092, No Discrimination in Health Insurance Act of 2009 H.R. 1558, Preexisting Condition Patient Protection Act of 2009 H.R. 1011, Community Mental Health Services Improvement Act of 2009 S. 391, Healthy Americans Act S. 1110, H.R. 2718, Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009 S. 1136, Mental Illness Chronic Care Improvement Act of 2009 S. 1679, Affordable Health Choices Act H.R. 3200, Americas Affordable Health Choices 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. 3590, Patient Protection and Affordable Care Act Comments on ONC Consumer Preferences Draft Requirements Document

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

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

H.R. 3590, America's Affordable Health Choices Act of 2009. Health care delivery and financing, disproportionate share hospital payments, Medicare cancer demonstration project, creation of an independent Medicare advisory board, graduate and indirect medical education, academic medical centers, home health care, liability reform, Guided Care, and regional variation in health care costs. H.R. 4204, S.1857, ENHANCED Act. National centers of excellence to treat depressive and bipolar disorders. H.R. 3134, Healthcare Innovation Zones Program Act of 2009. Health Care Innovation Zones. H.R. 1549, S.619, The Preservation of Antibiotics for Medical Treatment Act. Antibiotic Resistance. H.R. 3790, DMEPOS Act. DME competitive bidding. Veteran health care and wounded warrior research. Consumer product testing, toxicology research, and the Toxic Substances Control Act.

Client expense: $150,000 · Firm income: Not reported

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

S 1857/ HR 4204, Establishing a Network of Health - Advancing National Centers of Excellence for Depression (ENHANCED) Act of 2009. S 1796, America's Healthy Future Act of 2009, issues pertaining to academic medical programs. HR 3590/ S 1728, Patient Protection and Affordable Care Act, issues pertaining to academic medical programs. HR 3962, Affordable Health Care for America Act, issues pertaining to academic medical programs. HR 3200, America's Affordable Health Choices Act of 2009, issues pertaining to academic medical programs.

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