To amend the Internal Revenue Code of 1986 to allow a credit for lightweight coal freight cars.

H.R. 3590: The Patient Protection and Affordable Care Act H.R. 4872: The Health Care and Education Affordability Act (Reconciliation Act) H.R. 2847: The Hiring Incentives to Restore Employment (HIRE) H.R. 4494: Medicare and Medicaid Extenders Act S. 510: FDA Food Safety Modernization Act. H.R. 5712: Veteran's, Senior's, Childrens' Health Technical Corrections Act H.R.4504: A bill that will allow state veterans homes to provide services to non-verterans of any child (one or more) who died while serving in the armed forces, has passed in the House and Senate.

Client expense: $500,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), SENATE

H.R. 3590: the Patient Protection and Affordable Care Act H.R. 4872: the Health Care and Education Reconciliation Act of 2010 H.R. 5712: Veterans', Seniors', Childrens', Health Tech. Corrections Act of 2010. S. 534: A bill to amend title XVIII of the Social Security Act to reduce cost-sharing under part D of such title for certain non-institutional full-benefit dual eligible individuals. S. 647: A bill to amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. S.1110: A bill to amend title XVIII of the Social Security Act to create a sensible infrastructure for delivery system reform by renaming the Medicare Payment Advisory Commission, making the Commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy. S. 683: A bill to amend title XIX of the Social Security Act to provide individuals with disabilities and older American with equal access to community-based attendant services and supports, and for other purposes. S. 46: A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S. 750: A bill to amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R. 2006: To amend the Social Security Act to enhance the social security of the Nation by ensuing adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect and exploitation, and for other purposes. H.R. 43: To amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. H.R. 448: Elder Abuse Victims Act of 2009. H.R. 3200: America's Affordable Health Choices Act of 2009. To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 1407: To amend title XVIII of the Social Security Act to reduce cost-sharing under Part D of such title of certain non-instutional full-benefit dual eligible individuals. S. 702: A bill to amend the Internal Revenue Code of 1986 to allow long-term care insurance to be offered under Cafeteria plans and flexible spending arrangements and to provide additional consumer protections for long-term care insurance. H.R. 1255: To protect the interests of each resident of intermediate care facilities for the mentally retarded in class action lawsuits on behalf of such resident. H.R. 1457: 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, and for other purposes. H.R. 3962: To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. S. 1679: An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce. H.R. 2223: To provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers. S. 1131: A bill to amend title XVIII of the Social Security Act to provide certain high cost Medicare beneficiaries suffering from multiple chronic conditions with access to coordinated, primary care medical services in lower cost treatment settings, such as their residences, under a plan of care developed by a team of qualified and experiences health care professionals. S.1004: A bill to amend title XVIII of the Social Security Act to provide Medicare beneficiaries with access to geriatric assessments and chronic care management and coordination services, and for other purposes. H.R. 2: To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S. 795: A bill to amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, and for other purposes. S.631: A bill to provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers. S. 458: A bill to amend the False Claims Act. H.R. 2043: To amend the Public Health Service Act to authorize capitation grants to increase the number of nursing faculty and students, and for other purposes. H.R. 1642: To provide loans and grants for fire sprinkler retrofitting in nursing facilities. H.R. 1494: To ensure that a private for-profit nursing home affected by a major disaster receives the same reimbursement as a public nursing home affected by a major disaster. H.R. 448: To protect seniors in the United States from elder abuse by establishing specialized elder abuse prosecution and research programs and activities to aid victims of elder abuse, to provide training to prosecutors and other law enforcement related to elder abuse prevention and protection, to establish programs that provide for emergency crisis response teams to combat elder abuse, and for other purposes. H.R. 3191: To amend the Public Health Service Act to provide for integration of mental health services and mental health treatment outreach teams, and for other purposes. S. 386: A bill to improve enforcement of mortgage fraud, securities fraud, financial institutional fraud, and other frauds related to federal assistance and relief programs, for the recovery of funds lost to these frauds, and for other purposes. H.R. 5457: Nursing Home Patient and Medicaid Assistance Act of 2010. H.R. 6130: The Strengthening Medicare Anti-Fraud Measures Act of 2010. H.R. 6261: To amend titles XVIII and XIX of the Social Security Act to improve oversight of nursing facilities under the Medicare and Medicaid programs by ensuring adequate, trained surveyors, and for other purposes. H.R. 1586: FAA Air Transportation Modernization and Safety Improvement Act-which provides for an extension of additional FMAP support until June 2011. H.R. 6074: Enhancing Quality through Survey System Improvements Act of 2010. H.R. 5950: A bill introduced on June 29th, Rep Joe Courtney (D-CT), introduced the Improving Access to Medicare Coverage Act of 2010, which requires observation stays exceeding 24 hours to be considered as inpatient days for the purpose of meeting the 3-day inpatient hospital requirement for Medicare coverage of SNF stays. H.R. 5546: To provide for the establishment of a fraud, waste and abuse detection and mitigation program for the Medicare program under Titles XVIII of the Social Security Act. S. 2781: Rosa's Law. H.R. 5457: Nursing Home Patient and Medicaid Assistance Act of 2010. H.R. 4494: Medicare and Medicaid Extenders Act of 2010. H.R. 2520: the Patient's Choice Act. H.R. 4529: Roadmap for America's Future Act of 2010. This bill raises several major concerns for LTC financing, including impacts on providers and beneficiaries of all types.

H.R.272 - Freight Rail Infrastructure Capacity Expansion Act of 2009 H.R.1789 - Comprehensive Rail Infrastructure Investment Act of 2009 H.R.1806 - Freight Rail Infrastructure Capacity Expansion Act of 2009 H.R.1132/S.461 - Extension and Modification of Railroad Track Maintenance Credit H.R.212/S.3513 - Bonus Depreciation Extension to Create Jobs Act H.R.5478 - Green Rail Car Enhancement Act H.R.4494 - Freight Rail Car Jobs Revitalization Act H.R.4213 - American Jobs and Closing Tax Loopholes Act, issues relating to short line tax credit and highway formula change H.R.5297 - Small Business Job and Credit Act of 2010, issues relating to bonus depreciation S.464 - ACTION Act, regarding to funding for Americorps H.R.2847 - HIRE Act H.R.4853 - Tax Relief, Unemployment Insurance Reauthorization, and Job Creation Act, issues relating to bonus depreciation

Client expense: $1,141,094 · Firm income: Not reported

H.R. 574 and S. 254, the Medicare Home Infusion Therapy Coverage Act - Lobbied for passage of the bill to increase access to home-infusion coverage for Medicare beneficiaries. H.R. 1485 and S. 565, Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act - Lobbied for increased Medicare reimbursement for immunosuppressive drugs & for passage of bills. H.R. 4494, The Medicare and Medicaid Extenders Act - Lobbied for passage of the bill to prevent cuts to the Medicare Physician Reimbursement formula (SGR).

Client expense: $384,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE, Treasury, Dept of

HR 233/S.146 Railroad Antitrust Enforcement Act of 2009; HR 272 Freight Rail Infrastructure Capacity Act of 2009; HR 1789 Comprehensive Rail Infrastructure Act of 2009; HR 1806 Freight Rail Infrastructure Capacity Expansion Act of 2009; S.2889 Surface Transportation Board Reauthorization Act of 2009; H.R. 4494 Freight Rail Car Jobs Revitalization Act; HR 5478 Green Railcar Enhancement Act.

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

Government targets: Federal Railroad Administration, HOUSE OF REPRESENTATIVES, SENATE, Surface Transportation Board (STB), Treasury, Dept of

HR 233/S.146 Railroad Antitrust Enforcement Act of 2009; HR 272 Freight Rail Infrastructure Capacity Act of 2009; HR 1789 Comprehensive Rail Infrastructure Act of 2009; HR 1806 Freight Rail Infrastructure Capacity Expansion Act of 2009; S.2889 Surface Transportation Board Reauthorization Act of 2009; H.R. 4494 Freight Rail Car Jobs Revitalization Act; HR 5478 Green Railcar Enhancement Act.

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

Government targets: Federal Railroad Administration, HOUSE OF REPRESENTATIVES, SENATE, Surface Transportation Board (STB)

H.R.272 - Freight Rail Infrastructure Capacity Expansion Act of 2009 H.R.1789 - Comprehensive Rail Infrastructure Investment Act of 2009 H.R.1806 - Freight Rail Infrastructure Capacity Expansion Act of 2009 H.R.1132/S.461 - Extension and Modification of Railroad Track Maintenance Credit H.R.212/S.3513 - Bonus Depreciation Extension to Create Jobs Act H.R.5478 - Green Rail Car Enhancement Act H.R.4494 - Freight Rail Car Jobs Revitalization Act H.R.4213 - American Jobs and Closing Tax Loopholes Act, issues relating to short line tax credit and highway formula change H.R.5297 - Small Business Job and Credit Act of 2010, issues relating to bonus depreciation S.464 - ACTION Act, regarding to funding for Americorps H.R.2847 - HIRE Act

Client expense: $1,141,094 · Firm income: Not reported

H.R. 4213, the American Jobs and Closing Tax Loopholes Act of 2010 H.R. 4494, the Freight Railcar Jobs Revitalization Act of 2010 Legislative provisions to provide temporary tax credits for companies that purchase lightweight US-made coal railcars

Client expense: $310,000 · Firm income: Not reported

Government targets: Council on Environmental Quality (CEQ), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), SENATE, State, Dept of (DOS), Treasury, Dept of

HR 233/S.146 Railroad Antitrust Enforcement Act of 2009; HR 272 Freight Rail Infrastructure Capacity Act of 2009; HR 1789 Comprehensive Rail Infrastructure Act of 2009; HR 1806 Freight Rail Infrastructure Capacity Expansion Act of 2009; S.2889 Surface Transportation Board Reauthorization Act of 2009; H.R. 4494 Freight Rail Car Jobs Revitalization Act

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

Government targets: Federal Railroad Administration, HOUSE OF REPRESENTATIVES, SENATE, Surface Transportation Board (STB)

H.R.272 - Freight Rail Infrastructure Capacity Expansion Act of 2009 H.R.1789 - Comprehensive Rail Infrastructure Investment Act of 2009 H.R.1806 - Freight Rail Infrastructure Capacity Expansion Act of 2009 H.R.1132/S.461 - Extension and Modification of Railroad Track Maintenance Credit H.R.212/S.3513 - Bonus Depreciation Extension to Create Jobs Act H.R.5478 - Green Rail Car Enhancement Act H.R.4494 - Freight Rail Car Jobs Revitalization Act H.R.4213 - American Jobs and Closing Tax Loopholes Act, issues relating to short line tax credit and highway formula change

Client expense: $1,162,966 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT)

HR 233/S.146 Railroad Antitrust Enforcement Act of 2009; HR 272 Freight Rail Infrastructure Capacity Act of 2009; HR 1789 Comprehensive Rail Infrastructure Act of 2009; HR 1806 Freight Rail Infrastructure Capacity Expansion Act of 2009; S.2889 Surface Transportation Board Reauthorization Act of 2009; H.R. 4494 Freight Rail Car Jobs Revitalization Act

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

Government targets: Federal Railroad Administration, HOUSE OF REPRESENTATIVES, SENATE, Surface Transportation Board (STB)

Railcar issues including H.R. 1806, the Freight Rail Infrastructure Capacity Expansion Act; H.R. 233, the Railroad Antitrust Enforcement Act; and H.R. 4494, the tax credit for lightweight coal cars.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE