Roadmap for America's Future Act of 2010

Contacts in support of legislation (not introduced) to repeal or revise certain components of Public Law 111-148 regarding the Independent Payment Advisory Boards authority to make recommendations, both in regards to government funded and private insurance, to slow the growth in national health expenditures below the rate of medical inflation. (continued) Oppose the authority of the Secretary of Health and Human Services or other Federal agencies to impose quality and efficiency measures that may be designed to limit what people spend in health care. Contacts in support of legislation (not introduced) to repeal or revise certain components of Public Law 111-148 regarding the authority of CMS to refuse to allow Medicare participants the choice of private-fee-for-service plans, which allow seniors to voluntarily add their own funds on top of the government contribution to obtain a plan less likely to deny care. Contacts in support of legislation (not introduced) to repeal or revise certain components of Public Law 111-148 regarding the authority of state health insurance exchanges administrators to limit premiums and plan values that insurers may offer inside and outside of the exchange should the insurer participate, having the effect of limiting what can be charged for health insurance, therefore restricting what people are allowed to pay for medical treatment. Contacts in support of legislation (not introduced) to repeal or revise certain components of Public Law 111-148 regarding shared decisionmaking due to lack of oversight, lack of balance in the materials and decision aids, and lack of safeguards in the creation of disseminating organization, which may lead to discouraging patients from seeking treatment. Contacts in response to inquiries regarding implementation of certain elements of Public Law 111-148 related to the denial of life-saving medical treatments. Contacts in response to inquiries regarding Medicare regulation, CMS-2010-0205-1983, which would provide for end-of-life counseling during annual visits. U.S. House of Representatives only: Contacts in regards to H.R. 4529 (111th Cong.), Roadmap for Americas Future Act, regarding concerns over authority of a Health Care Services Commissions ability to restrict access to life-saving care; regarding concerns over premium price controls that might reduce the ability of insurance to cover expensive life-saving care; and regarding malpractice limits being made applicable to intentional denial of treatment, denied for discriminatory reasons.

Client expense: $119,232 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Social Security/Cost of Living Adjustment. S. 3985, S. 3976, H.R. 5987: provision providing a one-time, emergency benefit to seniors and persons with disabilities to compensate for the lack of a 2011 Social Security cost of living adjustment. Social Security. H.R. 4213 (Unemployment Compensation Extension Act of 2010), S. Amdt. 3353: providing an emergency benefit of $250 to seniors, veterans, and persons with disabilities to compensate for the lack of a 2010 Social Security cost-of-living adjustment. Social Security/Seniors' Cost of Living Adjustment (COLA). H.R. 1371, H.R. 2429, H.R. 2365, H.R. 4193, H.R. 5305: provisions establishing a consumer price index for elderly consumers (CPI-E) to compute cost-of-living increases for Social Security and Medicare benefits and authorizing a cost-of living-adjustment for Social Security recipients in 2010. Social Security/Payroll Tax Holiday. H.R. 4853: provisions establishing a one-year, two percent payroll tax cut and extending tax cuts that were set to expire in 2010. Social Security/Privatization. H.R. 107, H.R. 4529: provisions converting Social Security into a system of private investment accounts. Social Security/Trust Funds. H.R. 1276, S. 86, H.R. 219, H.R. 1712: provisions removing Social Security Trust Fund receipts and disbursements from the federal budget baseline, limiting Trust Fund proceeds to OASDI purposes, and prohibiting the use of Social Security payroll tax monies for private accounts. Social Security/Benefit Indexing. S. 426: requiring progressive indexing and longevity indexing of Social Security old-age insurance benefits. Social Security/Government Pension Offset (GPO) and Windfall Elimination Provision (WEP). S. 484, H.R. 235: repealing both the GPO and WEP; S. 490, H. R. 1221: repealing the WEP. Older Workers Workforce Participation. S. 502: promoting the labor force participation of older Americans. Pension Reform and Improvements (no bill): pertaining to initiatives to improve the pension system by making it universal, more secure and adequate. Womens Pension Improvements and Protections (no bill): provisions to improve working womens pension plan participation and pension account accumulation, and safeguard spousal rights pertaining to pensions at divorce.

HR 594: Save Our Climate Act of 2009; provisions related to funding and taxes HR 1482: Consumer Reasonable Energy Price Protection Act of 2009; provisions related to funding levels and taxes HR 1586: FAA Air Transportation Modernization and Safety Improvement Act; provisions related to Title II, Subtitle B and revenue offsets HR 2454: American Clean Energy and Security Act of 2009; provisions related to Title III HR 4213: American Jobs and Closing Tax Loopholes Act of 2010; provisions related to energy taxes, revenue and funding, energy development, and Title IV HR 4529: Roadmap for Americas Future Act of 2010; provisions related to taxes, revenue, and funding HR 4940: Renewable Fuels Reinvestment Act; provisions related to taxes and tariffs HR 5214: Big Oil Bailout Prevention Act of 2010; provisions related to taxes HR 5297: Small Business Jobs and Credit Act of 2010; all provisions of the bill HR 5435: Big Oil Accountability Act of 2010; provisions related to taxes HR 5893: Investing in American Jobs and Closing Tax Loopholes Act of 2010; provisions related to energy taxes S 3405: Close Big Oil Tax Loopholes Act; provisions related to taxes S 3793: Job Creation and Tax Cut Act of 2010; provisions related to Title IV and revenue offsets S 3816: Creating American Jobs and Ending Offshoring Act; provisions related to Titles I and II S 3839: A bill to provide for an additional temporary extension of programs under the Small Business Act and the Small Business Investment Act of 1958, and for other purposes; provisions related to revenue and funding Presidents Fiscal Year 2011 Budget Proposals; revenue provisions related to oil and gas and other business related tax provisions

Client expense: $4,070,000 · Firm income: Not reported

Social Security Cost of Living Adjustment for 2010 Replacement Benefit. H.R. 3536, H.R. 746, H.R. 3810 H.R. 3672, H.R. 3597, H.R. 4429, S. 1685: provision providing a one-time, emergency benefit to seniors and persons with disabilities to compensate for the lack of a 2010 Social Security cost of living adjustment. Social Security Cost of Living Adjustment for 2011 Replacement Benefit. H.R. 5987: provision providing a one-time, emergency benefit to seniors and persons with disabilities to compensate for the lack of a 2011 Social Security cost of living adjustment. Tax Extenders Act, H.R. 4213, S. Amdt. 3353: providing an emergency benefit of $250 to seniors, veterans, and persons with disabilities to compensate for the lack of a 2010 Social Security cost-of-living adjustment. Seniors' Cost of Living Adjustment (COLA). H.R. 1371, H.R. 2429, H.R. 2365, H.R. 4193, H.R. 5305: provisions establishing a consumer price index for elderly consumers (CPI-E) to compute cost-of-living increases for Social Security and Medicare benefits and authorizing a cost-of living-adjustment for Social Security recipients in 2010. Social Security Cost of Living Adjustment. H.R. 3557, H.R. 3572: providing for a Social Security COLA in 2010. Social Security Privatization. H.R. 107, H.R. 4529: provisions converting Social Security into a system of private investment accounts. Social Security Trust Funds. H.R. 1276, S. 86, H.R. 219, H.R. 1712: provisions removing Social Security Trust Fund receipts and disbursements from the federal budget baseline, limiting Trust Fund proceeds to OASDI purposes, and prohibiting the use of Social Security payroll tax monies for private accounts. Social Security Benefits. S. 426: requiring progressive indexing and longevity indexing of Social Security old-age insurance benefits. Social Security Government Pension Offset (GPO) and Windfall Elimination Provision (WEP). S. 484, H.R. 235: repealing both the GPO and WEP; S. 490, H. R. 1221: repealing the WEP. Older Workers/Workforce Participation. S. 502: promoting the labor force participation of older Americans. Pension Distribution. H.R.424, H.R. 939: provisions relating to the suspension of minimum distribution rules for tax-deferred retirement plans. Public Pension Modifications. H.R. 1804: provisions safeguarding spousal benefits with respect to Civil Service Retirement System (CSRS) pensions, the Thrift Savings Plan (TSP) and the Federal Employees Retirement System (FERS). Pension Reform and Improvements (no bill): pertaining to initiatives to improve the pension system by making it universal, more secure and adequate. Womens Pension Improvements and Protections (no bill number): provisions to improve working womens pension plan participation and pension account accumulation, and safeguard spousal rights pertaining to pensions at divorce. Seniors Bill of Rights. S.Res. 553, H.Res. 1342: pertaining to resolutions expressing the sense of Congress that the dignity and independence of older Americans should be upheld. Elder Justice Act. H.R. 2006, S. 795: provisions establishing an Elder Justice program under Title XX (Block Grants to States for Social Services), including an Elder Justice Coordinating Council within the Office of the Secretary of Health and Human Services (HHS) and an Advisory Board on Elder Abuse, Neglect, and Exploitation.

HR 4529 - Roadmap for America's Future Act of 2010 - support; H.R. 5029 - the Economic Freedom Act of 2010; S.3652 Deficit Reduction and Budget Reform Act of 2010; H.R.5618 Restoration of Emergency Unemployment Compensation Act of 2010 HR 1586 - FAA Air Transportation Modernization and Safety Improvement Act (opposing the increased budgetary add ons)

Client expense: $22,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 594: Save Our Climate Act of 2009; provisions regarding funding and taxes HR 1482: Consumer Reasonable Energy Price Protection Act of 2009; provisions regarding funding levels, windfall profit taxes HR 2454: American Clean Energy and Security Act of 2009; provisions related to Title III HR 4213: American Jobs and Closing Tax Loopholes Act of 2010; provisions regarding energy taxes, revenue and funding, energy development and Title IV HR 4529: Roadmap for Americas Future Act of 2010; provisions regarding taxes, revenue and funding HR 4940: Renewable Fuels Reinvestment Act; provisions regarding taxes and tariffs HR 5104: To amend the Internal Revenue Code of 1986 to allow for the deduction for domestic oil related production activities of companies which are not major integrated oil companies; provisions regarding tax deductions HR 5214: Big Oil Bailout Prevention Act of 2010; provisions regarding taxes HR 5435: Big Oil Accountability Act of 2010; provisions regarding taxes HR 5486: To amend the Internal Revenue Code of 1986 to provide tax incentives for small business job creation, and for other purposes (aka: Small Business Jobs Tax Relief Act of 2010); provisions regarding revenue and funding S 3405: Close Big Oil Tax Loopholes Act; provisions regarding taxes General discussions regarding tax issues Presidents Fiscal Year 2011 Budget Proposals; revenue raising provisions related to oil and gas taxpayers and other business related tax provisions

Client expense: $2,520,000 · Firm income: Not reported

Social Security Cost of Living Adjustment for 2010 Replacement Benefit. H.R. 3536, H.R. 746, H.R. 3810 H.R. 3672, H.R. 3597, H.R. 4429, S. 1685: provision providing a one-time, emergency benefit to seniors and persons with disabilities to compensate for the lack of a 2010 Social Security cost of living adjustment. Tax Extenders Act, H.R. 4213, S.Amdt. 3353: provision provides an emergency benefit of $250 to seniors, veterans, and persons with disabilities to compensate for the lack of a 2010 Social Security cost-of-living adjustment. Seniors' Cost of Living Adjustment (COLA). H.R. 1371, H.R. 2429, H.R. 2365, H.R. 4193, H.R. 5305: provisions establishing a consumer price index for elderly consumers (CPI-E) to compute cost-of-living increases for Social Security and Medicare benefits and authorizing a cost-of living-adjustment for Social Security recipients in 2010. Social Security Cost of Living Adjustment. H.R. 3557, H.R. 3572: providing for a Social Security COLA in 2010. Social Security Privatization. H.R. 107, H.R. 4529: provisions converting Social Security to a system of private investment accounts. Social Security Trust Funds. H.R. 1276, S. 86, H.R. 219, H.R. 1712: provisions removing Social Security Trust Fund receipts and disbursements from the federal budget baseline, limiting Trust Fund proceeds to OASDI purposes, and prohibiting the use of Social Security payroll tax monies for private accounts. Social Security Benefits. S. 426: requiring progressive indexing and longevity indexing of Social Security old-age insurance benefits. Social Security Government Pension Offset (GPO) and Windfall Elimination Provision (WEP). S. 484, H.R. 235: repealing both the GPO and WEP; S. 490, H.R. 1221: repealing the WEP. Older Workers/Workforce Participation. S. 502: promoting the labor force participation of older Americans. Pension Distribution. H.R.424, H.R. 939: provisions relating to the suspension of minimum distribution rules for tax-deferred retirement plans. Public Pension Modifications. H.R. 1804: provisions safeguarding spousal benefits with respect to Civil Service Retirement System (CSRS) pensions, the Thrift Savings Plan (TSP) and the Federal Employees Retirement System (FERS). Womens Pension Improvements and Protections (no bill number): provisions to improve working womens pension plan participation and pension account accumulation, and safeguard spousal rights pertaining to pensions at divorce. Seniors Bill of Rights. S.Res. 553, H.Res. 1342: resolutions expressing the sense that Congress should unwaveringly uphold the dignity and independence of older Americans. Elder Justice Act. H.R. 2006, S. 795: provisions establishing an Elder Justice program under title XX (Block Grants to States for Social Services), including an Elder Justice Coordinating Council within the Office of the Secretary of Health and Human Services (HHS) and an Advisory Board on Elder Abuse, Neglect, and Exploitation.

Social Security Cost of Living Adjustment for 2010 Replacement Benefit. H.R. 3536, H.R. 3672, H.R. 3597, H.R. 4429, S. 1685. Provision providing a one-time, emergency benefit to seniors and persons with disabilities to compensate for the lack of a 2010 Social Security cost of living adjustment. Tax Extenders Act, H.R. 4213, S.Amdt.3353: provision provides an emergency benefit of $250 to seniors, veterans, and persons with disabilities to compensate for the lack of a 2010 Social Security cost-of-living adjustment. Social Security Cost of Living Adjustment. H.R. 3557, H.R. 3572: providing for a Social Security COLA in 2010. Seniors' Cost of Living Adjustment (COLA). H.R. 1371/ H.R. 2429, H.R. 2365, H.R. 4193: provisions establishing a consumer price index for elderly consumers (CPI-E) to compute cost-of-living increases for Social Security and Medicare benefits; authorizing a cost-of living-adjustment for Social Security recipients in 2010 . Social Security Privatization. H.R. 107, H.R. 4529: provisions converting Social Security is a system of private investment accounts. Social Security Trust Funds. H.R. 1276, S. 86, H.R. 219, H.R. 1712: provisions removing Social Security Trust Fund receipts and disbursements from the federal budget baseline, limiting Trust Fund proceeds to OASDI purposes, and prohibiting the use of Social Security payroll tax monies for private accounts. Social Security Benefits. S. 426: requiring progressive indexing and longevity indexing of Social Security old-age insurance benefits. Social Security Government Pension Offset (GPO) and Windfall Elimination Provision (WEP). S. 484, H. R. 235: repealing both the GPO and WEP; S. 490, H. R. 1221: repealing the WEP. Older Workers/Workforce Participation. S. 502: promoting the labor force participation of older Americans.

HR 594: Save Our Climate Act of 2009; provisions regarding funding and taxes; HR 1482: Consumer Reasonable Energy Price Protection Act of 2009; provisions regarding funding levels, windfall profit taxes; HR 2454: American Clean Energy and Security Act of 2009; provisions related to Title III; HR 3200: Americas Affordable Health Choices Act of 2009; provisions regarding revenue and funding, mandates and exclusions; HR 4209: To amend the Internal Revenue Code of 1986 to suspend for an additional year the taxable income limit on percentage depletion for oil and natural gas from marginal wells; provisions regarding marginal wells and percentage depletion; HR 4213: American Workers, State and Business Relief Act of 2010; provisions regarding energy taxes; HR 4226: Expanding Building Efficiency Incentives Act of 2009; provisions regarding energy taxes and weatherization program; HR 4411: To amend the Internal Revenue Code of 1986 to make permanent accelerated depreciation of natural gas distribution property and to clarify to which property such treatment applies; provisions related to accelerated depreciation; HR 4481: Deficit Reduction Act of 2009; provisions regarding revenue and funding; HR 4529: Roadmap for Americas Future Act; provisions regarding taxes, revenue and funding; HR 4592: Energy Jobs for Veterans Act; provisions regarding revenue and funding; HR 4646: Debt Free America Act; provisions regarding revenue and funding; HR 4706: Home Energy Affordability Tax Relief Act of 2010; provisions regarding revenue and funding and tax credits; HR 4746: To amend the Internal Revenue Code of 1986 to prevent pending tax increases, and for other purposes; provisions regarding taxes on corporations and energy; HR 4849: Small Business and Infrastructure Jobs Tax Act of 2010; provisions regarding revenue and funding; HR 4906: ARPA-3 Reauthorization Act of 2010; provisions regarding revenue and funding; General discussions regarding tax issues; Presidents Fiscal Year 2011 Budget Proposals; revenue raising provisions relating to oil and gas taxpayers and other business related tax provisions

Contacts in support of amendments to remove pro-abortion mandates and abortion subsidies from health care reform bills. (continued) Opposed "Patient Protection and Affordable Care Act" (H.R. 3590), as passed by the Senate on December 24, 2009. In the House, advocated multiple revisions to correct pro-abortion provisions, including addition of language similar to the Stupak-Pitts Amendment added by the House to H.R. 3962 on November 7, 2009), to correct provisions that would otherwise allow or require funding of abortion, subsidies for health plans that cover abortion, and/or pro-abortion administrative mandates, such as language found in H. Con. Res. 254. Also contacts in support of the addition of "Hyde-Weldon" provision from H.R. 3962 (Section 259) to H.R. 3590. Contacts to House and Senate offices to explain that revisions proposed on February 22, 2010, by President Obama, would correct none of the abortion-related problems and make some worse. Contacts to House members pointing out that that no executive order could correct the objectionable provisions of the bill. Opposed concurrence in the Senate-passed bill (approved 219-212, March 21, 2010); signed into law March 23, 2010. Provided analysis of revisions needed to H.R. 4529, Roadmap for America's Future Act, to prevent pro-abortion effects. (continued) U.S. Senate Contacts in effort to oppose measures that could enable the rationing of health care, supported the addition of variable withhold financing method to avoid rationing. Contacts in opposition to the Senate provisions wherein Commissioners of the State Health Insurance Exchanges are given discretion to impose price controls on insurance premiums under Section 1003 thus limiting access to plans able to provide unrationed care. Contacts in opposition to H.B. 3962s section 3209s grant of discretion to CMS to deny older Americans the choice of plans whose premiums CMS deems too high thus limiting access to plans able to provide unrationed care. Contacts in opposition to the inclusion of concepts from the February 22, 2010 Obama Administration health care proposal which would have imposed premium price controls on private plan and denied senior citizens their current right to add their own money on top of the government Medicare contribution to get health insurance less likely to deny treatment through tightly controlled managed care. U.S. House of Representatives Contacts in effort to oppose measures that could enable the rationing of health care, supported the addition of variable withhold financing method to avoid rationing. Contacts in opposition to the Senate provisions wherein Commissioners of the State Health Insurance Exchanges are given discretion to impose price controls on insurance premiums under Section 1003 thus limiting access to plans able to provide unrationed care. Contacts in opposition to H.B. 3962s section 3209s grant of discretion to CMS to deny older Americans the choice of plans whose premiums CMS deems too high thus limiting access to plans able to provide unrationed care. Contacts in opposition to the inclusion of concepts from the February 22, 2010 Obama Administration health care proposal which would have imposed premium price controls on private plan and denied senior citizens their current right to add their own money on top of the government Medicare contribution to get health insurance less likely to deny treatment through tightly controlled managed care. Contacts expressing general concerns about denial of treatment and rationing provisions in H.R. 4529, the "Roadmap for America's Future Act" including the inconsistency in rejection of premium price controls and the clarification that malpractice reform limitations ought not to apply to intentional discriminatory denial of life-preserving treatment.

U.S. Senate Contacts in effort to oppose measures that could enable the rationing of health care, supported the addition of variable withhold financing method to avoid rationing. (continued) On potential merger of Senate H.R. 3590, the Patient Protection and Affordable Care Act, with H.B. 3962, the Affordable Health Care for America Act contacts in support of addition of variable withhold financing method to avoid rationing. Contacts in support of the Senates anti-discrimination language as it related to Comparative Effectiveness Research. Contacts in support of extending the Senates comparative effectiveness anti-discrimination language to other places in the legislation where the Secretary is given authority to determine quality and efficiency. Contacts in opposition to the inclusion of either the House or Senate Advance Care planning provisions which contains disincentive for balanced counseling and incentives to steer them toward rejection of treatment, including life-preserving treatment, lacks representatives of disability rights groups and groups who advocate for treatment without regard to patients quality of life, and lacks continuing oversight. Contacts to oppose further changes relating to advance care planning which would make changes to Assisted Suicide Funding Restriction Act of 1997. Contacts in support of conscience protection that does not extend to protecting providers against denial of medical care to an individual because of the individuals age, disability, or other characteristic. Contacts to ensure that taxpayer funds do not support of fund physician assisted suicide. Contacts in opposition to the Senate Independent Medicare Advisory Boards power to recommend, and the Secretary of Health and Human Services to impose, requirements for insurance plans in the exchanges that would have the effect of limiting Americans right to spend their own money, if they choose, to save their own lives. Contacts in opposition to the Senate bills Independent Payment Advisory Board authority to make cuts in Medicare. Contacts in opposition to the Senate provisions wherein Commissioners of the State Health Insurance Exchanges are given discretion to impose price controls on insurance premiums under Section 1003 thus limiting access to plans able to provide unrationed care. Contacts in opposition to H.B. 3962s section 3209s grant of discretion to CMS to deny older Americans the choice of plans whose premiums CMS deems too high thus limiting access to plans able to provide unrationed care. Contacts in opposition to the inclusion of concepts from the February 22, 2010 Obama Administration health care proposal which would have imposed premium price controls on private plan and denied senior citizens their current right to add their own money on top of the government Medicare contribution to get health insurance less likely to deny treatment through tightly controlled managed care. U.S. House of Representatives Contacts in effort to oppose measures that could enable the rationing of health care, supported the addition of variable withhold financing method to avoid rationing. On potential merger of Senate H.R. 3590, the Patient Protection and Affordable Care Act, with H.B. 3962, the Affordable Health Care for America Act contacts in support of addition of variable withhold financing method to avoid rationing. Contacts in support of the Senates anti-discrimination language as it related to Comparative Effectiveness Research. Contacts in support of extending the Senates comparative effectiveness anti-discrimination language to other places of the mark where the Secretary is given authority to determine quality and efficiency. Contacts in opposition to the inclusion of either the House or Senate Advance Care planning provisions which contains disincentive for balanced counseling and incentives to steer them toward rejection of treatment, including life-preserving treatment, lacks representatives of disability rights groups and groups who advocate for treatment without regard to patients quality of life, and lacks continuing oversight. Contacts to oppose further changes relating to advance care planning which would make changes to Assisted Suicide Funding Restriction Act of 1997. Contacts in support of conscience protection that does not extend to protecting providers against denial of medical care to an individual because of the individuals age, disability, or other characteristic. Contacts to ensure that taxpayer funds do not support of fund physician assisted suicide. Contacts in opposition to the Senate Independent Medicare Advisory Boards power to recommend, and the Secretary of Health and Human Services to impose, requirements for insurance plans in the exchanges that would have the effect of limiting Americans right to spend their own money, if they choose, to save their own lives. Contacts in opposition to the Senate bills Independent Payment Advisory Board authority to make cuts in Medicare. Contacts in opposition to the Senate provisions wherein Commissioners of the State Health Insurance Exchanges are given discretion to impose price controls on insurance premiums under Section 1003 thus limiting access to plans able to provide unrationed care. Contacts in opposition to H.B. 3962s section 3209s grant of discretion to CMS to deny older Americans the choice of plans whose premiums CMS deems too high thus limiting access to plans able to provide unrationed care. (continued) Contacts in opposition to the inclusion of concepts from the February 22, 2010 Obama Administration health care proposal which would have imposed premium price controls on private plan and denied senior citizens their current right to add their own money on top of the government Medicare contribution to get health insurance less likely to deny treatment through tightly controlled managed care. Contacts expressing general concerns about denial of treatment and rationing provisions in H.R. 4529, the "Roadmap for America's Future Act" including: 1. The possibility of the health care services commissions dictation of the practice of medicine, 2. The inadequate protection of the use of discriminatory criteria in comparative effectiveness research, 3. The inconsistency in rejection of premium price controls, and 4. clarification that malpractice reform limitations ought not to apply to intentional discriminatory denial of life-preserving treatment.

U.S. Senate Contacts in effort to oppose measures that could enable the rationing of health care; supported the addition of a variable financing method to avoid rationing. (continued) On potential merger of Senate H.R. 3590, the Patient Protection and Affordable Care Act, with H.B. 3962, the Affordable Health Care for America Act contacts in support of addition of variable withhold financing method to avoid rationing. Contacts in support of the Senates anti-discrimination language as it related to Comparative Effectiveness Research. Contacts in support of extending the Senates comparative effectiveness anti-discrimination language to other places in the legislation where the Secretary is given authority to determine quality and efficiency. Contacts in opposition to the inclusion of either the House or Senate Advance Care planning provisions which contains disincentive for balanced counseling and incentives to steer them toward rejection of treatment, including life-preserving treatment, lacks representatives of disability rights groups and groups who advocate for treatment without regard to patients quality of life, and lacks continuing oversight. Contacts to oppose further changes relating to advance care planning which would make changes to Assisted Suicide Funding Restriction Act of 1997. Contacts in support of conscience protection that does not extend to protecting providers against denial of medical care to an individual because of the individuals age, disability, or other characteristic. Contacts to ensure that taxpayer funds do not support of fund physician assisted suicide. Contacts in opposition to the Senate Independent Medicare Advisory Boards power to recommend, and the Secretary of Health and Human Services to impose, requirements for insurance plans in the exchanges that would have the effect of limiting Americans right to spend their own money, if they choose, to save their own lives. Contacts in opposition to the Senate bills Independent Payment Advisory Board authority to make cuts in Medicare. Contacts in opposition to the Senate provisions wherein Commissioners of the State Health Insurance Exchanges are given discretion to impose price controls on insurance premiums under Section 1003 thus limiting access to plans able to provide unrationed care. Contacts in opposition to H.B. 3962s section 3209s grant of discretion to CMS to deny older Americans the choice of plans whose premiums CMS deems too high thus limiting access to plans able to provide unrationed care). Contacts in opposition to the inclusion of concepts from the February 22, 2010 Obama Administration health care proposal which would have imposed premium price controls on private plan and denied senior citizens their current right to add their own money on top of the government Medicare contribution to get health insurance less likely to deny treatment through tightly controlled managed care. (continued) U.S. House of Representatives Contacts in effort to oppose measures that could enable the rationing of health care; supported the addition of a variable financing method to avoid rationing. On potential merger of Senate H.R. 3590, the Patient Protection and Affordable Care Act, with H.B. 3962, the Affordable Health Care for America Act contacts in support of addition of variable withhold financing method to avoid rationing. Contacts in support of the Senates anti-discrimination language as it related to Comparative Effectiveness Research. Contacts in support of extending the Senates comparative effectiveness anti-discrimination language to other places in the legislation where the Secretary is given authority to determine quality and efficiency. Contacts in opposition to the inclusion of either the House or Senate Advance Care planning provisions which contains disincentive for balanced counseling and incentives to steer them toward rejection of treatment, including life-preserving treatment, lacks representatives of disability rights groups and groups who advocate for treatment without regard to patients quality of life, and lacks continuing oversight. Contacts to oppose further changes relating to advance care planning which would make changes to Assisted Suicide Funding Restriction Act of 1997. Contacts in support of conscience protection that does not extend to protecting providers against denial of medical care to an individual because of the individuals age, disability, or other characteristic. Contacts to ensure that taxpayer funds do not support of fund physician assisted suicide. Contacts in opposition to the Senate Independent Medicare Advisory Boards power to recommend, and the Secretary of Health and Human Services to impose, requirements for insurance plans in the exchanges that would have the effect of limiting Americans right to spend their own money, if they choose, to save their own lives. Contacts in opposition to the Senate bills Independent Payment Advisory Board authority to make cuts in Medicare. Contacts in opposition to the Senate provisions wherein Commissioners of the State Health Insurance Exchanges are given discretion to impose price controls on insurance premiums under Section 1003 thus limiting access to plans able to provide unrationed care. Contacts in opposition to H.B. 3962s section 3209s grant of discretion to CMS to deny older Americans the choice of plans whose premiums CMS deems too high thus limiting access to plans able to provide unrationed care). Contacts in opposition to the inclusion of concepts from the February 22, 2010 Obama Administration health care proposal, which would have imposed premium price controls on private plans and denied senior citizens their current right to add their own money on top of the government Medicare contribution to get health insurance less likely to deny treatment through tightly controlled managed care. Contacts expressing general concerns about denial of treatment and rationing provisions in H.R. 4529, the "Roadmap for America's Future Act" including: 1. The possibility of the health care services commissions dictation of the practice of medicine, 2. The inadequate protection of the use of discriminatory criteria in comparative effectiveness research, 3. The inconsistency in rejection of premium price controls, and 4. clarification that malpractice reform limitations ought not to apply to intentional discriminatory denial of life-preserving treatment.

Social Security Cost of Living Adjustment for 2010 Replacement Benefit. H.R. 3536, H.R. 3672, H.R. 3597, H.R. 4429, S. 1685. Provision providing a one-time, emergency benefit to seniors and persons with disabilities to compensate for the lack of a 2010 Social Security cost of living adjustment. Tax Extenders Act, H.R. 4213, S.Amdt.3353: provision provides an emergency benefit of $250 to seniors, veterans, and persons with disabilities to compensate for the lack of a 2010 Social Security cost-of-living adjustment. Social Security Cost of Living Adjustment. H.R. 3557, H.R. 3572: providing for a Social Security COLA in 2010. Seniors' Cost of Living Adjustment (COLA). H.R. 1371/ H.R. 2429, H.R. 2365, H.R. 4193: provisions establishing a consumer price index for elderly consumers (CPI-E) to compute cost-of-living increases for Social Security and Medicare benefits; authorizing a cost-of living-adjustment for Social Security recipients in 2010 . Social Security Privatization. H.R. 107, H.R. 4529: provisions converting Social Security is a system of private investment accounts. Social Security Trust Funds. H.R. 1276, S. 86, H.R. 219, H.R. 1712: provisions removing Social Security Trust Fund receipts and disbursements from the federal budget baseline, limiting Trust Fund proceeds to OASDI purposes, and prohibiting the use of Social Security payroll tax monies for private accounts. Social Security Benefits. S. 426: requiring progressive indexing and longevity indexing of Social Security old-age insurance benefits. Social Security Government Pension Offset (GPO) and Windfall Elimination Provision (WEP). S. 484, H. R. 235: repealing both the GPO and WEP; S. 490, H. R. 1221: repealing the WEP. Older Workers/Workforce Participation. S. 502: promoting the labor force participation of older Americans

Social Security Cost of Living Adjustment for 2010 Replacement Benefit. H.R. 3536, H.R. 3672, H.R. 3597, H.R. 4429, S. 1685: provision providing a one-time, emergency benefit to seniors and persons with disabilities to compensate for the lack of a 2010 Social Security cost of living adjustment. Tax Extenders Act, H.R. 4213, S.Amdt.3353: provision provides an emergency benefit of $250 to seniors, veterans, and persons with disabilities to compensate for the lack of a 2010 Social Security cost-of-living adjustment. Seniors' Cost of Living Adjustment (COLA). H.R. 1371, H.R. 2429, H.R. 2365, H.R. 4193: provisions establishing a consumer price index for elderly consumers (CPI-E) to compute cost-of-living increases for Social Security and Medicare benefits and authorizing a cost-of living-adjustment for Social Security recipients in 2010. Social Security Cost of Living Adjustment. H.R. 3557, H.R. 3572: providing for a Social Security COLA in 2010. Social Security Privatization. H.R. 107, H.R. 4529: provisions converting Social Security is a system of private investment accounts. Social Security Trust Funds. H.R. 1276, S. 86, H.R. 219, H.R. 1712: provisions removing Social Security Trust Fund receipts and disbursements from the federal budget baseline, limiting Trust Fund proceeds to OASDI purposes, and prohibiting the use of Social Security payroll tax monies for private accounts. Social Security Benefits. S. 426: requiring progressive indexing and longevity indexing of Social Security old-age insurance benefits. Social Security Government Pension Offset (GPO) and Windfall Elimination Provision (WEP). S. 484, H. R. 235: repealing both the GPO and WEP; S. 490, H. R. 1221: repealing the WEP. Older Workers/Workforce Participation. S. 502: promoting the labor force participation of older Americans. Pension Distribution. H.R.424, H.R. 939: provisions relating to the suspension of minimum distribution rules for tax-deferred retirement plans. Public Pension Modifications. H.R. 1804: provisions safeguarding spousal benefits with respect to Civil Service Retirement System (CSRS) pensions, the Thrift Savings Plan (TSP) and the Federal Employees Retirement System (FERS). Womens Pension Improvements and Protections (no bill number): provisions to improve working womens pension plan participation and pension account accumulation, and safeguard spousal rights pertaining to pensions at divorce.

To improve Medicare, Medicaid equity. HR 3148, HR 4887, S 1963, S 1273, HR 3843, HR 3590, HR 4529, HR 293, HR 3962, S 1776, HR 1016, S 46, S 1963, HR 3631, HR 3961, HR 449, S 491, HR 1203

Client expense: $483,459 · Firm income: Not reported