Temporary Extension Act of 2010

See page 3 for a complete list of lobbying issues. HR 855/ S. 616 - Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies HR 2112/ S. 332 - Lung Cancer Mortality Reduction Act of 2009 HR 3590 - Patient Protection and Affordable Care Act HR 3961 - Medicare Physician Payment Reform Act of 2009 HR 4872 - Health Care and Education Reconciliation Act of 2010 HR 4213 - American Jobs and Closing Tax Loopholes Act of 2010 HR 4691 - Temporary Extension Act of 2010 HR 4851 - Continuing Extension Act of 2010 HR 4985 - Medicare Decisions Accountability Act of 2010 HR 5253 - Federal Research Public Access Act of 2010 HR 5295 - Healthcare Truth and Transparency Act of 2010 H. Con. Res. 202 - Celebrating the Goals and Ideals of the 20th Anniversary of The Society of Thoracic Surgeons National Database Health care reform, health care quality improvement; physician workforce; comparative effectiveness research; health information technology, National Healthcare Workforce Commission, Patient-Centered Outcomes Research Institute Board of Governors, HIT Meaningful Use, Independent Payment Advisory Board.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE

See page 5 for a complete list of lobbying activities. HR 3961 - Medicare Physician Payment Reform Act of 2009 HR 4213 - American Jobs and Closing Tax Loopholes Act of 2010 HR 4691 - Temporary Extension Act of 2010 HR 4851 - Continuing Extension Act of 2010 HR 5295 - Healthcare Truth and Transparency Act of 2010 HR 5253 - Federal Research Public Access Act of 2010 CMS Medicare Physician Fee Schedule proposed rule, HHS Health Information Technology Meaningful Use, Medicare physician payment, National Healthcare Workforce Commission, Patient-Centered Outcomes Research Institute Board of Governors, HIT Meaningful Use, Independent Payment Advisory Board.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE

H.R. 4016, Hazardous Material Transportation Safety Act of 2009 Surface Transportation Authorization Act of 2009 (not yet introduced) and other issues related to the reauthorization of the Safe, Accountable, Flexible, Efficient, Transportation Equity Act-a Legacy for Users (SAFETEA-LU) H.R. 1586/S. 1451, FAA Air Transportation Modernization and Safety Improvement Act H.R. 915, FAA Reauthorization Act of 2009 H.R. 4957/S.3187, Federal Aviation Administration Extension Act of 2010 H.R. 4691, Temporary Extension Act of 2010, including provisions relating to a short-term extension of SAFTEA-LU and authority for the Highway Trust Fund H.R. 2521, National Infrastructure Development Bank Act of 2009 H.R. 2847, FY 2010 Commerce, Justice, Science, and Related Agencies Appropriations Act H.R. 4472/S. 2946, Close All Routes and Prevent Asian Carp Today Act of 2010 H.R. 4844, a bill to ensure that amounts credited to the Harbor Maintenance Trust Fund are used for harbor maintenance H.R. 3288, FY 2010 Transportation, Housing and Urban Development, and Related Agencies Appropriations Act FY 2011 Energy & Water Development and Related Agencies Appropriations Act (not yet introduced) Various issues relating to; the Lithium Battery Notice of Proposed Rulemaking (Docket No. PHMSA-2009-0095), Inland Marine Transportation System Capital Investment Strategy, the Marine Transportation System National Advisory Council, cross-border trucking with Mexico, Water Resources Development Act Reauthorization, Clean Truck programs, regulation of interstate commerce, Port infrastructure, operations/maintenance and major rehabilitation of locks and dams, inland waterway system issues, Harbor Maintenance Trust Fund, NextGen implementation, foreign repair stations, short sea shipping and marine highways (specific legislation not yet introduced) Issues relating to proposed provisions to temporarily extend SAFETEA-LU and authority for the Highway Trust Fund (specific legislation not introduced)

Client expense: $25,120,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Economic Council (NEC), Natl Security Council (NSC), Office of Management & Budget (OMB), Pipeline & Hazardous Materials Safety Administration, SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), St. Lawrence Seaway Development Corporation, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 4472/S. 2946, Close All Routes and Prevent Asian Carp Today Act of 2010 H.R. 2847, FY 2010 Commerce, Justice, Science, and Related Agencies Appropriations Act H.R. 4691, Temporary Extension Act of 2010, provisions relating to a short-term extension of SAFTEA-LU and authority for the Highway Trust Fund H.R. 4844, a bill to ensure that amounts credited to the Harbor Maintenance Trust Fund are used for harbor maintenance H.R. 1586/H.R. 915/S. 1451, FAA Air Transportation Modernization and Safety Improvement Act, provisions related to NextGen implementation, foreign repair stations, and anti-trust immunity Various issues including; proposed provisions to temporarily extend SAFETEA-LU and authority for the Highway Trust Fund, Clean Truck programs and federal preemption of state and local regulation of interstate commerce, Port infrastructure including dredging/channel depth, Harbor Maintenance Trust Fund, inland waterway system issues (navigation, Inland Waterway Trust Fund, Army Corps of Engineers, operations/maintenance and major rehabilitation of locks and dams), and grant programs, Water Resources Development Act Reauthorization, cross-border trucking with Mexico, Marine Transportation System National Advisory Council (MTSNAC) and the Inland Marine Transportation System Capital Investment Strategy (specific legislation not yet introduced) Lithium Battery Notice of Proposed Rulemaking (Docket No. PHMSA-2009-0095) Surface Transportation Authorization Act of 2009 (not yet introduced) and other issues related to the reauthorization of the Safe, Accountable, Flexible, Efficient, Transportation Equity Act-a Legacy for Users (SAFETEA-LU)

Client expense: $25,120,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Economic Council (NEC), Natl Security Council (NSC), Office of Management & Budget (OMB), Pipeline & Hazardous Materials Safety Administration, SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), St. Lawrence Seaway Development Corporation, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Implementation of Health Reform The Health Information Technology for Economic and Clinical Health Act (HITECH), Regarding Implementation of Act H.R. 4691 - Provisions within Temporary Extension Act of 2010 and H.R. 4213 - The Unemployment Compensation Extension Act of 2010 S. 3708 and H.R. 6072 - Electronic Health Record Incentives for Multi-Campus Hospitals Act of 2010 H.R. 5209 - Healthy CHOICES Act Issues Related to the Medicare & Medicaid Protection Act of 1987 that Regulate Group Purchasing Organizations Under HHS Medical Device Manufacturers Gag Clause on Hospital Contracting

Client expense: $244,795 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 1264: MULTIPLE PERIL INSURANCE ACT OF 2009; ALL PROVISIONS OF THE BILL HR 1880: NATIONAL INSURANCE CONSUMER PROTECTION ACT; ALL PROVISIONS OF THE BILL HR 2555: HOMEOWNERS DEFENSE ACT OF 2009; ALL PROVISIONS OF THE BILL HR 2609: INSURANCE INFORMATION ACT OF 2009; ALL PROVISIONS OF THE BILL HR 3126: CONSUMER FINANCIAL PROTECTION AGENCY ACT OF 2009; PROVISIONS RELATED TO PROPERTY-CASUALTY AND LIFE INSURANCE HR 3377: DISASTER RESPONSE, RECOVERY, AND MITIGATION ENHANCEMENT ACT OF 2009; ALL PROVISIONS OF THE BILL HR 4173: WALL STREET REFORM AND CONSUMER PROTECTION ACT OF 2009; ALL PROVISIONS OF BILL AND PROVISIONS RELATED TO INSURANCE - SYSTEMIC RISK, ASSESSMENTS AND FEES, TIER 1 DESIGNATIONS, RESOLUTION AUTHORITY, FEDERAL INSURANCE OFFICE, CORPORATE GOVERNANCE, IMPACT ON AGENTS, AFFILIATES AND CONTROL LANGUAGE HR 4213: AMERICAN WORKERS, STATE AND BUSINESS RELIEF ACT OF 2010; PROVISIONS COVERING NATIONAL FLOOD INSURANCE PROGRAM REAUTHORIZATION, LONG-TERM EXTENSION AND TAX ISSUES RELATED TO INSURANCE. HR 4691: TEMPORARY EXTENSION ACT OF 2010; PROVISIONS RELATED TO THE NATIONAL FLOOD INSURANCE PROGRAM HR 4851: CONTINUING EXTENSION ACT OF 2010; PROVISIONS COVERING NATIONAL FLOOD INSURANCE PROGRAM REAUTHORIZATION, SHORT-TERM EXTENSION S 2818: TO AMEND THE ENERGY CONSERVATION AND PRODUCTION ACT TO IMPROVE WEATHERIZATION ASSISTANCE FOR LOW-INCOME PERSONS, AND FOR OTHER PURPOSES; ALL PROVISIONS OF THE BILL S 3217: RESTORING AMERICAN FINANCIAL STABILITY ACT: ALL PROVISIONS OF THE DRAFT BILL AND INTRODUCED LEGISLATION, PROVISIONS RELATED TO INSURANCE - SYSTEMIC RISK, ASSESSMENTS AND FEES, TIER 1 DESIGNATIONS, RESOLUTION AUTHORITY, OFFICE OF NATIONAL INSURANCE, CORPORATE GOVERNANCE, IMPACT ON AGENTS, AFFILIATES AND CONTROL LANGUAGE BILL NOT YET ASSIGNED: GENERAL DISCUSSIONS REGARDING HOME MITIGATION AND BUILDING CODE LEGISLATION NO SPECIFIC BILL: NATURAL CATASTROPHE, GENERAL DISCUSSIONS ON THE ISSUE NO SPECIFIC BILL: GENERAL DISCUSSIONS COVERING MCCARRAN FERGUSON REPEAL FOR ALL LINES OF INSURANCE PROPERTY-CASUALTY AND LIFE NO SPECIFIC BILL: GENERAL DISCUSSIONS ON NATIONAL FLOOD INSURANCE PROGRAM EXTENSION, REAUTHORIZATION, REFORMS NO SPECIFIC BILL: GENERAL FEDERAL FINANCIAL SERVICES REGULATORY REFORM DISCUSSIONS NO SPECIFIC BILL: GENERAL TARP DISCUSSIONS, AS RELATED TO THE INSURANCE INDUSTRY BILL NOT YET ASSIGNED: GENERAL DISCUSSIONS REGARDING HOME MITIGATION AND BUILDING CODE LEGISLATION BILL NOT YET ASSIGNED: GENERAL DISCUSSIONS COVERING THE USE OF CREDIT FOR INSURANCE PURPOSES AND PRIVACY ISSUES

Client expense: $290,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Access to Rehabilitation Services Act (S. 46/H.R. 43) Senior's Medication Co-payment Reduction Act (S. 1040) Temporary Extension Act of 2010 (Medicare Therapy Caps) (H.R. 4691)

Client expense: $136,997 · Firm income: Not reported

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

Medicare Physician Payment Reform; in general. HR 4691 - Temporary Extensions Act of 2010; all provisions. HR 4851 - Continuing Extensions Act of 2010; all provisions. HR 4213 - American Jobs and Closing Tax Loopholes Act of 2010; all provisions. HR 3024 - Medicare Hearing and Healthcare Enhancement Act of 2009; all provisions. HR 4895 - Medicare Decisions Accountability Act of 2010; all provisions. HR 3962 - Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010; all provisions. MedPAC Report to Congress, June 2010; all provisions. Ambulatory Surgical Centers (ASCs) payments; in general. Medicare physician participation status; in general. HR 4994 - Medicare and Medicaid Extensions Act of 2010; all provisions. HR 5712 - Physician Payment and Therapy Relief Act of 2010; all provisions. 2011 Medicare Payment Fee Schedule; all provisions. Reinstatement of consultation codes, in general. Transition to ICD-10 and Version 5010 of HIPAA, in general. Implementation of electronic health records and e-prescribing, in general. Medicare, Medicaid, and Children's Health Insurance Programs proposed rule on program integrity; all provisions. Accountable Care Organizations, in general.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), SENATE, Treasury, Dept of

Eliminate racial disparities in unemployment. Increase unemployment training & assistance. Support an extension of unemployment benefits, support H.R. 3548. Support job creation programs through public works and infrastructure development. Support H.R. 2847 as it passed the House on 12/16/2009. Support an extension of unemployment benefits and COBRA health care premium assistance. Support H. R. 4691. Support full funding ($620 million) for youth summer jobs programs; support H.R. 4899. Support for comprehensive jobs legislation to address not only the unemployment crisis facing our nation, but also the challenges being faced by states and local municipalities in meeting the basic education, public safety, health care, child care, and public transportation needs of our communities. Support H.R. 4812, the Local Jobs for America Act. Support H.R. 2847, the Hiring Incentives to Restore Employment Act, or HIRE Act. Support H.R. 4851, the Continuing Extension Act of 2010, legislation to provide up to 99 weekly unemployment checks averaging $335 to people whose 26 weeks of state-paid benefits have run out. Ensure that funding under the American Reinvestment and Recovery Act is spent in full compliance with Title VI of the Civil Rights Act. Support H.R. 4899, the Disaster Relief and Summer Jobs Act of 2010. Support H.R. 4851, the Continuing Extension Act of 2010. Support H.R. 4213, the American Jobs and Closing Tax Loopholes Act of 2010. Support H.R. 3149, the Equal Employment for All Act, which would outlaw the use of credit scores by potential employers when making hiring decisions. Support for unemployment benefits extensions through November 30, 2010 (support HR 4213) (support HR 5618). Support an extension of unemployment insurance through 2011.

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

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

H.R. 3854- Small Business Financing and Investment Act H.R. 43/S. 46- Medicare Access to Rehabilitation Services Act of 2009 H.R. 3962- Affordable Health Care Act for America H.R. 3590- Patient Protection and Affordable Care Act Non-discrimination Physician Practice Information Survey Red Flag Rules H.R. 1829/ S. 950 - Medicare Patient Access to Physical Therapists Act of 2009 H.R. 4872- Health Care & Education Affordability Reconciliation Act H.R. 4691-Temporary Extension Act of 2010 H.R. 4851-Continuing Extension Act of 2010 H.R. 4231-Tax Extenders Act of 2010 H.R. 4154- American Workers State and Business Relief Act of 2010 Opt-Out Locum Tenens Consumer Financial Protection Bureau Authority over Health Care Providers/Physical Therapy H.R. 4213- American Jobs, Closing Loopholes and Preventing Outsourcing Act H.R. 3962- Preservation of Access to Care for Medicare Beneficiaries & Pension Relief Act Repeal of 1099 Tax Filing Requirement S. 3987 Red Flag Program Clarification Act

Client expense: $240,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 1409/S. 560, The Employee Free Choice Act (Union Organizing) S. 1152.H.R. 2460, The Healthly Families Act (Paid Sick Leave) H.R. 933, The Family Friendly Workplace Act (Paid Family Leave) H.R. 1274, The Working Families Flexibility Act (Comp. Time) H.R. 4855, The Work-Life Balance Award Act (Award for employers that support work-life balance) H.R. 466, Wounded Veteran Job Security Act (Veteran Non-Discrimination) H.R. 2564, Paid Vacation Act (Paid Vacation) H.R. 2339, The Family Income to Respond to Significant Transitions Act (Paid Leave) H.R. 1723, The Family Leave Insurance Act (Paid Family Leave) H.R. 2647/S. 1390, Defense Authorization (Military Leave under FMLA) RESPECT Act (Definition of Supervisor) H.R. 3991, the Emergency Influenza Act (Paid Sick Leave) H.R. 4092/S. 2790, the Pandemic Protection for Workers, Families, Businesses Act (Paid Sick Leave) H.R. 3326, Department of Defense Appropriations Act, FY2010 (Arbitration, COBRA, Unemployment Benefits) H.R. 4691, Temporary Extension Act of 2010, (provides a short term extension of federal unemployment insurance and COBRA benefits which were originally provisions of American Recovery and Reinvestment Act (ARRA)) H.R. 4851, Continuing extension Act of 2010, (extends federal unemployment insurance and COBRA benefits) S. 1611 & H.R. 413, Public Safety Employer - Employee Cooperation Act of 2009. (Union organizing) S. 931/H.R. 1020, Arbitration Fairness Act of 2009 (Pre-dispute employment arbitration)

Client expense: $690,178 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Insurance regulation reform issues including optional federal charter, creation of a Federal Insurance Office, McCarran-Ferguson, retained assets accounts, long-term disability issues and underwriting issues. S.1583 - Insurance Industry Competition Act of 2009 - all provisions H.R.1880 - National Insurance Consumer Protection Act - all provisions H.R.2609 Insurance Information Act of 2009 / Federal Insurance Office Act of 2009 all provisions H.R.2554 National Association of Registered Agents and Brokers Reform Act of 2009 - licensing issues H.R.2571 / S.1363 Nonadmitted and Reinsurance Reform Act of 2009 surplus lines issues H.R.3059 / S.1386 - Access to Repair Parts all provisions H.R.2057 Motor Vehicles Owners Right to Repair Act of 2009 all provisions S.1681 / H.R.3596 - Health Insurance Industry Anti-Trust Enforcement Act of 2009 definitions of insurance: liability and health H.R.4626 Health Insurance Industry Fair Competition Act Lines of insurance included and FTC study of insurance H.R.5993 / S.3718 Securing Americas Veterans Insurance Needs and Goals (SAVINGS) Act of 2010 all provisions S.3683 Insurance Competition and Transparency Act of 2010 FTC Oversight Provisions Natural catastrophe issues including proposals regarding government backstops for insurance losses from large-scale natural catastrophes. H.R.1264 - Multiple Peril Insurance Act of 2009 all provisions H.R.83 Homeowners Insurance Protection Act of 2009 all provisions H.R.998 - Policyholder Disaster Protection Act of 2009 all provisions S.866 Catastrophe Obligation Guarantee Act all provisions H.R.2555 / S.505 Homeowners Defense Act all provisions S.1486 / H.R.998 Policyholder Disaster Protection Act of 2009 all provisions S.1487 Commission on Catastrophic Disaster Risk and Insurance Act of 2009 all provisions H.R.2555 Homeowners Defense Act of 2009 all provisions S.3672 Coordination of Wind and Flood Perils Act of 2010 all provisions Flood insurance issues including reauthorization of the National Flood Insurance Program (NFIP) H.R.1105 Omnibus Appropriations Act, 2009 extend the National Flood Insurance Program (NFIP) to September 30, 2009 and privacy provisions H.R.3139 National Flood Insurance Program Extension Act of 2009 Extend the NFIP program H.R.2918 Legislative Branch Appropriations Act 2010 Temporary extension of the NFIP H.R.2996 the Interior Environment Appropriations Act Temporary extension of the NFIP H.R.3326 The Department of Defense Appropriations Act 2010 Temporary extension of the NFIP H.R.4691 Temporary Extension Act of 2010 Temporary extension of the NFIP H.R.2701 Intelligence Authorization Act of 2010 Temporary extension of the NFIP & COBRA Hiring Incentives to Restore Employment Act Draft bill Temporary extension of the NFIP H.R.4851 Continuing Extension Act of 2010 Temporary extension of the NFIP H.R.5114 Flood Insurance Reform Priorities Act of 2010 all provisions H.R.5255 Stable Flood Insurance Authorization Act of 2010 all provisions H.R.4778 National Flood Insurance Program Extension Act of 2010 all provisions S.3347 - a bill to extend the National Flood Insurance Program through December 31, 2010 all provisions H.R.5569 National Flood Insurance Program Extension Act of 2010 all provisions H.R.4213 - American Jobs and Closing Tax Loopholes Act of 2010 - Temporary extension of the NFIP S.3814 National Flood Insurance Program Reextension Act of 2010 - all provisions Workers compensation issues including: H.R.635 National Commission on State Workers Compensation Laws Act of 2009 all provisions H.R.2641 Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2009 all provisions Clarification of Medicare Secondary Payer reporting requirements Health care reform issues, including revenue offsets, expansion of the Medicare Secondary Payer Act, definition of health insurer, CLASS Act and workers compensation. H.R.3200 - Americas Affordable Health Choices Act of 2009 S.1679 - Affordable Health Choices Act including the CLASS Act and the Universal 24-Hour Coverage amendment S. 1796 - Americas Healthy Future Act of 2009 - revenue offsets, expansion of the Medicare Secondary Payer Act, definition of health insurer, CLASS Act and workers compensation) H.R.3590 Patient Protection and Affordable Care Act (House and Senate versions) - revenue offsets, expansion of the Medicare Secondary Payer Act, definition of health insurer, CLASS Act and workers compensation H.R.3962 the Affordable Health Care for America Act - revenue offsets, expansion of the Medicare Secondary Payer Act, definition of health insurer, CLASS Act and workers compensation H.R.4872 Health Care and Education Reconciliation Act of 2010 - revenue offsets

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

S. 732 - Dam Rehabilitation and Repair Act of 2009 H.R. 1770 - Dam Rehabilitation and Repair Act of 2009 The Safe, Accountable, Flexible, Efficient, Transportation Equity Act (SAFETEA-LU) Reauthorization H.R. 1 - The American Recovery and Reinvestment Act H.R. 457 - Responsible Highway Investment Act of 2009 H.R. 1105 - Omnibus Appropriations Act, 2009 H.R. 2521 - National Infrastructure Development Bank S. 1036 - Federal Surface Transportation Policy and Planning Act of 2009 S. 1474 - Tranfer of Funds to Highway Trust Fund H.R. 3617 - Three Month Extension of SAFETEA-LU H.R. 3357 - Infusion of Funds to Highway Trust Fund H.R. 2918 - Continuing Resolution for FY 2009 Funding Levels H.R. 2847 - Jobs for Main Street Act H.R. 3326 - Defense Appropriation Act (Surface Transportation Extension) S. 1498 - SAFETEA-LU Extension S. 1533 - SAFETEA-LU Extension H.R. 4691 - Surface Transportation Extention ASCE's Report Card for America's Infrastructure

Client expense: $131,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Energy, Dept of, Environmental Protection Agency (EPA), Federal Aviation Administration (FAA), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Natl Institute of Standards & Technology (NIST), Natl Oceanic & Atmospheric Administration (NOAA), Natl Science Foundation (NSF), SENATE, Transportation, Dept of (DOT), U.S. Geological Survey (USGS)

tax issues affecting the home building industry including: Public Law No: 111-92 (Formerly H.R.3548), H.R.3404, H.R.3756, H.R.4183, H.R.4691, H.R.4707, H.R.4851, S.1647, S.1699, S.2831, S.3153 ) & other legislation Provisions dealing with Housing Tax Credits The First Time Home Buyers tax credit extension

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Care Reform Social Security payroll tax reduction impact on selected federal, state, local government workers Streamline Sales Tax Employer provided mass transit commuter tax benefit Expiring individual income tax cuts - extension of middle class tax cuts for those earning <$200K/$250K, expiration of tax cuts for those earning >$200K/$250K Employer provided educational subsidy, Section 127 Emergency unemployment insurance benefits HR 4213 - Aid to States HR 4213, HR 2847, HR 4691, HR 4853 - Expiring Tax Cuts, Tax Relief, Unemployment Insurance Reauthorization and Job Creation Act of 2010 HR 5297 - Small Business taxes HR 1083 - Business Activity Tax Estate Tax HR 2454, HR 4154, S 722 - Estate Tax Extension S 1023 - Tourism Promotion Act/Online Travel Collection

Client expense: $580,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

H.R. 5850, 2011 Transportation, Housing and Urban Development, and Related Agencies; Positive Train Control included in the Rail Safety Improvement Act of 2008; S.1733, The American Power Act; H.R. 2847, Hiring Incentives to Restore Employment Act (HIRE ACT); H.R. 4691, The Temporary Extension Act of 2010; monitored proposals regarding reauthorization of SAFETEA-LU, P. L. 109-59; H.R. 3082, Continuing Resolution

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

Consulting services related to various general corporate tax issues impacting for-profit hospitals issues which were debated during the 111th session of Congress on the following bills:H.R. 4213, the American Jobs and Closing Tax Loopholes Act of 2010; S. 3793, the Job Creation and Tax Cuts Act; S. 3513, the Bonus Depreciation Extension Act; H.R. 5297, the Small Business Lending Fund Act of 2010;H.R. 4994, the Taxpayer Assistance Act of 2010; S. 3773, the Tax Hike Prevention Act of 2010; H.R. 5982, Small Business Tax Relief Act of 2010; and S.3777 & S.3783, Information Reporting Modernization Act of 2010. H.R. 4691, the Temporary Extension Act of 2010; H.R. 4213, the Tax Extenders Act of 2009; H.R. 3408, S. 2822, Taxpayer Responsibility, Accountability, and Consistency Act of 2009.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

HR 1, S1, American Recovery and Reinvestment Act of 2009, Public Law No: 111-92 (Formerly HR 3548), HR 3404, HR 3756, HR 4183, HR 4691, HR 4707, HR 4851, S.1647, S.1699, S.2831, S.3153 - provisions dealing with Housing Tax Credits

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2204, Medicare Access to Rural Anesthesiology Act: Rural Pass Through; S.1157, Craig Thomas Rural Hospital and Provider Equity Act of 2009; Johnson Amendment, An amendment to H.R. 3200 to set Medicare payment rates for anesthesia services at a rate not less than the average paid by exchange participant health benefit plans. H.R. 4371, To amend the Social Security Act to continue using 2009 relative value units for certain cardiology services. Part B Medicare Physician's Fee Schedule: Implementation of Medicare Anesthesiology Teaching Funding Restoration Act H.R. 4851, The Continuing Extension Act of 2010 H.R. 4213, Tax Extenders Act of 2009 H.R. 4691, The Temporary Extension Act of 2010 H.J. Res. 45 Statutory Pay-As-You-Go Act of 2010 H.R. 4872, The Health Care and Education Affordability and Reconciliation Act of 2010 2010 Medicare Physician Fee Schedule proposed and final rules Medicare Reform, Payment Issues: Physician Quality Reporting Initiative, Medicare Sustainable Growth Rate Physician Payment Update Scope of Practice Bundled payments CMS Interpretive Guidelines CMS IPPS Medicare Payment CMS Physician Resource Use Reports CMS ICD-10 CMS Hospital Outpatient Payment Proposed Rule CMS Hospital Acquired Conditions CMS Value-Based purchasing CMS Recovery Audit Contractors Program CMS Practicing Physicians' Advisory Council Nominations Medicaid Expansion: Provider payment levels Medicare Expansion, Ages 55-64 Independent Payment Advisory Board (IPAB) Balance billing MedPAC nominations CMS Handoffs Accountable Care Organizations Misvalued codes Historical Medicare payment undervaluation for anesthesiology services (33% problem) Medical loss ratios Anesthesia Conversion Factor Public Plan - Negotiated Provider Payment Rates

Client expense: $210,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE

H.R. 3590 The Patient Protection and Affordable Care Act. All provisions related to health care reform including the Medicare and Medicaid programs, tax and insurance policies, graduate medical education, biomedical research, public and preventative health measures, and other policies concerning hospitals, physicians, health plans, employers, and individuals. H.R. 4851 The Continuing Extension Act of 2010 - All provisions related to Medicare physician payments, and physician and hospital eligibility for health care information technology/electronic health records incentive payments. H.R. 2251 and S.973 Resident Shortage Reduction Act of 2009. All provisions related to graduate medical education. S. 1776 Medicare Physician Fairness Act of 2009. All provisions concerning the Medicare Physician Fee Schedule. H.R. 4691 Temporary Extension Act of 2010 - All provisions related to Medicare physician payments. H.R. 4213 The American Workers, State, and Business Relief Act of 2010. All provisions related to Medicare physician payments and Medicaid Federal Medical Assistance Payments (FMAP) to states associated with the American Recovery and Reinvestment Act of 2009. H.R. 3962 Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 Medical and health care policy matters concerning post-Katrina disaster assistance for New Orleans area hospitals, and health care/Medicaid reform initiatives in Louisiana including adjustments and extensions related to Medicaid Federal Medical Assistance Payments (FMAP) for states associated with the American Recovery and Reinvestment Act of 2009. Medicare and Medicaid incentive payments for physicians and hospitals associated with the use of electronic health records. H.R. 6072 Electronic Health Record Incentives for Multi-Campus Hospitals Act of 2010. All provisions concerning Medicare and Medicaid incentive payments for physicians and hospitals associated with the use of electronic health records. S. 3708 Electronic Health Record Incentives for Multi-Campus Hospitals Act of 2010. All provisions concerning Medicare and Medicaid incentive payments for physicians and hospitals associated with the use of electronic health records. H.R. 5712 Veterans', Seniors', and Children's Health Technical Corrections Act of 2010 H.R. 1586 Education, Jobs and Medicaid Funding Bill/FAA Air Transportation Modernization and Safety Improvement Act. All provisions related to Medicaid. H.R. 5712 The Physician Payment and Therapy Relief Act of 2010. All provisions concerning the Medicare Phyusician Fee Schedule. H.R. 4994 Medicare and Medicaid Extenders Act of 2010. All provisions concerning the Medicare Phyusician Fee Schedule and graduate medical education. H.R. 6427 Medicare Phyhsician Payment Update Extension Act. All provisions concerning the Medicare Phyusician Fee Schedule.

Client expense: $160,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), SENATE

H.R. 3590 The Patient Protection and Affordable Care Act. All provisions related to health care reform including the Medicare and Medicaid programs, tax and insurance policies, graduate medical education, biomedical research, public and preventative health measures, and other policies concerning hospitals, physicians, health plans, employers, and individuals. H.R. 4851 The Continuing Extension Act of 2010 - All provisions related to Medicare physician payments, and physician and hospital eligibility for health care information technology/electronic health records incentive payments. H.R. 2251 and S.973 Resident Shortage Reduction Act of 2009. All provisions related to graduate medical education. S. 1776 Medicare Physician Fairness Act of 2009. All provisions concerning the Medicare Physician Fee Schedule. H.R. 4691 Temporary Extension Act of 2010 - All provisions related to Medicare physician payments. H.R. 4213 The American Workers, State, and Business Relief Act of 2010. All provisions related to Medicare physician payments and Medicaid Federal Medical Assistance Payments (FMAP) to states associated with the American Recovery and Reinvestment Act of 2009. H.R. 3962 Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 Medical and health care policy matters concerning post-Katrina disaster assistance for New Orleans area hospitals, and health care/Medicaid reform initiatives in Louisiana including adjustments and extensions related to Medicaid Federal Medical Assistance Payments (FMAP) for states associated with the American Recovery and Reinvestment Act of 2009. H.R. 6072 Electronic Health Record Incentives for Multi-Campus Hospitals Act of 2010. All provisions concerning Medicare and Medicaid incentive payments for physicians and hospitals associated with the use of electronic health records. S. 3708 Electronic Health Record Incentives for Multi-Campus Hospitals Act of 2010. All provisions concerning Medicare and Medicaid incentive payments for physicians and hospitals associated with the use of electronic health records. H.R. 5712 Veterans', Seniors', and Children's Health Technical Corrections Act of 2010 H.R. 1586 Education, Jobs and Medicaid Funding Bill/FAA Air Transportation Modernization and Safety Improvement Act. All provisions related to Medicaid. H.R. 4994 Medicare and Medicaid Extenders Act of 2010. All provisions related to Medicare physician payments and graduate medical education. H.R. 6427 Medicare Phyhsician Payment Update Extension Act. All provisions related to Medicare physician payments. S. 3686 Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2011. All provisions related to biomedical education and research. H.R. 3081 Continuing Appropriations Act, 2011. All provisions related to biomedical education and research. H.R. 5712 The Physician Payment and Therapy Relief Act of 2010. All provisions related to Medicare physician payments.

Client expense: $160,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), SENATE

HR 1583, HR 1880, HR 2555, HR 2571, HR 2609, HR 3139, HR 3415, HR 4164, HR 4213, HR 4596, HR 4691, HR 4778, HR 4796, HR 4802, HR 4851, HR 5114, HR 5255, HR 5553, HR 5559, HR 6207, HR 6254, S 1363, S 3051, S 3109, S 3153, S 3203, S 3546, S 3672, S 3685, S 3815, S 3994

Client expense: $810,000 · Firm income: Not reported

Government targets: Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

H.R. 2766 - To repeal the exemption for hydraulic fracturing in the Safe Drinking Water Act, and for other purposes. H.R. 4691 - Temporary Extension Act of 2010 H.R. 4851 - Continuing Extension Act of 2010 H.R. 5893 - Investing in American Jobs and Closing Tax Loopholes Act of 2010 H.R. 4853 - Middle Class Tax Relief Act of 2010

Client expense: Not reported · Firm income: $100,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.882: To amend the Internal Revenue Code of 1986 to increase the age at which distributions from qualified retirement plans are required to begin from 70 1/2 to 75 H.R.421: American Jobs and Closing Tax Loopholes Act of 2010 H.R. 4213: American Workers, State, and Business Relief Act of 2010 H.R.4691: Temporary Extension Act of 2010 H.R.4849: Small Business and Infrastructure Jobs Tax Act of 2010 H.R.4851: Continuing Extension Act of 2010 H.R.5618: Restoration of Emergency Unemployment Compensation Act of 2010 S. 401: Defined Contribution Fee Disclosure Act of 2009 S.502: Older Worker Opportunity Act of 2009 S. 4012: Incentives for Older Workers Act

Client expense: $809,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2766 - To repeal the exemption for hydraulic fracturing in the Safe Drinking Water Act, and for other purposes. H.R. 4691 - Temporary Extension Act of 2010 H.R. 4851 - Continuing Extension Act of 2010 H.R. 5893 - Investing in American Jobs and Closing Tax Loopholes Act of 2010 H.R. 4853 - Middle Class Tax Relief Act of 2010

Client expense: Not reported · Firm income: $100,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of Health Reform The Health Information Technology for Economic and Clinical Health Act (HITECH), regarding implementation of Act H.R. 4691 and H.R. 4213 -- Provisions within Tax Extenders Package S. 3708 and H.R. 6072 -- Electronic Health Record Incentives for Multi-Campus Hospitals Act of 2010 H.R. 5209 - Healthy CHOICES Act Issues related to the Medicare & Medicaid Protection Act of 1987 that regulate Group Purchasing Organizations under HHS Medical Device Manufacturers Gag Clause on Hospital Contracting

Client expense: $287,120 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Health Care Reform Law Implementation HR 4213, HR 2847, HR 4691, Expiring individual income tax cuts, extension of middle class tax cuts for those earning <$200K/$250K, expiration of tax cuts for those earning >$200K/$250K HR 2454, HR 4154, S 722 - Estate Tax, extension of estate tax Streamline Sales Tax HR 1083 - Business Activity Tax Cell Phone Tax legislation S 1023 - Tourism Promotion Act, Online Travel Collection HR 5297 - Small Business Taxes Expiring Bush Tax Cuts

Client expense: $810,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

Medically Fragile Children's Act (H.R. 1117) Medicare Access to Rehabilitation Services Act (S. 46/H.R. 43) Medicare Telehealth Enhancement Act (H.R. 2068) Rural Telemedicine Enhancing Community Health Act (S. 2741) Senior's Medication Co-payment Reduction Act (S. 1040) Temporary Extension Act of 2010 (Medicare Therapy Caps) (H.R. 4691) Conditions of Participation for Hospitals and Critical Access Hospitals: Credentialing and Privileging of Telemedicine Physicians and Practitioners (CMS-3227-P)

Client expense: $141,999 · Firm income: Not reported

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

Insurance regulation reform issues including optional federal charter, creation of a Federal Insurance Office, McCarran-Ferguson, retained assets accounts, long-term disability issues and underwriting issues. S.1583 - Insurance Industry Competition Act of 2009 - all provisions H.R.1880 - National Insurance Consumer Protection Act - all provisions H.R.2609 Insurance Information Act of 2009 / Federal Insurance Office Act of 2009 all provisions H.R.2554 National Association of Registered Agents and Brokers Reform Act of 2009 - licensing issues H.R.2571 / S.1363 Nonadmitted and Reinsurance Reform Act of 2009 surplus lines issues H.R.3059 / S.1386 - Access to Repair Parts all provisions H.R.2057 Motor Vehicles Owners Right to Repair Act of 2009 all provisions S.1681 / H.R.3596 - Health Insurance Industry Anti-Trust Enforcement Act of 2009 definitions of insurance: liability and health H.R.4626 Health Insurance Industry Fair Competition Act Lines of insurance included and FTC study of insurance H.R.5993 / S.3718 Securing Americas Veterans Insurance Needs and Goals (SAVINGS) Act of 2010 all provisions S.3683 Insurance Competition and Transparency Act of 2010 FTC Oversight Provisions Natural catastrophe issues including proposals regarding government backstops for insurance losses from large-scale natural catastrophes. H.R.1264 - Multiple Peril Insurance Act of 2009 all provisions H.R.83 Homeowners Insurance Protection Act of 2009 all provisions H.R.998 - Policyholder Disaster Protection Act of 2009 all provisions S.866 Catastrophe Obligation Guarantee Act all provisions H.R.2555 / S.505 Homeowners Defense Act all provisions S.1486 / H.R.998 Policyholder Disaster Protection Act of 2009 all provisions S.1487 Commission on Catastrophic Disaster Risk and Insurance Act of 2009 all provisions H.R.2555 Homeowners Defense Act of 2009 all provisions S.3672 Coordination of Wind and Flood Perils Act of 2010 all provisions Flood insurance issues Reauthorization of the National Flood Insurance Program (NFIP) H.R.1105 Omnibus Appropriations Act, 2009 extend the National Flood Insurance Program (NFIP) to September 30, 2009 and privacy provisions H.R.3139 National Flood Insurance Program Extension Act of 2009 Extend the NFIP program H.R.2918 Legislative Branch Appropriations Act 2010 Temporary extension of the NFIP H.R.2996 the Interior Environment Appropriations Act Temporary extension of the NFIP H.R.3326 The Department of Defense Appropriations Act 2010 Temporary extension of the NFIP H.R.4691 Temporary Extension Act of 2010 Temporary extension of the NFIP H.R.2701 Intelligence Authorization Act of 2010 Temporary extension of the NFIP & COBRA Hiring Incentives to Restore Employment Act Draft bill Temporary extension of the NFIP H.R.4851 Continuing Extension Act of 2010 Temporary extension of the NFIP H.R.5114 Flood Insurance Reform Priorities Act of 2010 all provisions H.R.5255 Stable Flood Insurance Authorization Act of 2010 all provisions H.R.4778 National Flood Insurance Program Extension Act of 2010 all provisions S.3347 - a bill to extend the National Flood Insurance Program through December 31, 2010 all provisions H.R.5569 National Flood Insurance Program Extension Act of 2010 all provisions H.R.4213 - American Jobs and Closing Tax Loopholes Act of 2010 - Temporary extension of the NFIP S.3814 National Flood Insurance Program Reextension Act of 2010 - all provisions Workers Compensation issues including: H.R.635 National Commission on State Workers Compensation Laws Act of 2009 all provisions H.R.2641 Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2009 all provisions Health care reform issues, including revenue offsets, expansion of the Medicare Secondary Payer Act, definition of health insurer, CLASS Act and workers compensation. H.R.3200 - Americas Affordable Health Choices Act of 2009 S.1679 - Affordable Health Choices Act including the CLASS Act and the Universal 24-Hour Coverage amendment S. 1796 - Americas Healthy Future Act of 2009 - revenue offsets, expansion of the Medicare Secondary Payer Act, definition of health insurer, CLASS Act and workers compensation H.R.3590 Patient Protection and Affordable Care Act (House and Senate versions) - revenue offsets, expansion of the Medicare Secondary Payer Act, definition of health insurer, CLASS Act and workers compensation H.R.3962 the Affordable Health Care for America Act - revenue offsets, expansion of the Medicare Secondary Payer Act, definition of health insurer, CLASS Act and workers compensation H.R.4872 Health Care and Education Reconciliation Act of 2010 - revenue offsets

Client expense: $440,000 · Firm income: Not reported

Government targets: Commodity Futures Trading Commission (CFTC), HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

H.R. 1409/S. 560, The Employee Free Choice Act (Union Organizing) S. 1152.H.R. 2460, The Healthy Families Act (Paid Sick Leave) H.R. 933, The Family Friendly Workplace Act (Paid Family Leave) H.R. 1274, The Working Families Flexibility Act (Comp. Time) H.R. 4855, The Work-Life Balance Award Act (Award for employers that suport work-life balance) H.R. 466, Wounded Veteran Job Security Act (Veteran Non-Discrimination) H.R. 2564, Paid Vacation Act (Paid Vacation) H.R. 2339, The Family Income to Respond to Significant Transitions Act (Paid Leave) H.R. 1723, The Family Leave Insurance Act (Paid Family Leave) H.R. 2647/S. 1390, Defense Authorization (Military Leave under FMLA) The RESPECT Act (Definition of Supervisor) H.R. 3991, the Emergency Influenza Act (Paid Sick Leave) H.R. 4092/S. 2790, the Pandemic Protection for Workers, Families, Businesses Act (Paid Sick Leave) H.R. 3326, Department of Defense Appropriations Act, FY2010 (Arbitration, COBRA, Unemployment Benefits) HR 4691, Temporary Extension Act of 2010, provides a short term extension of federal unemployment insurance and COBRA benefits which were originally provisions of American Recovery and Reinvestment Act (ARRA). HR 4851, Continuing extension Act of 2010, extends federal unemployment insurance and COBRA benefits through June 2, 2010 and May 31, 2010, respectively. S. 1611 & H.R. 413, Public Safety Employer - Employee Cooperation Act of 2009. (Union organizing) S. 931/H.R. 1020, Arbitration Fairness Act of 2009 (Pre-dispute employment arbitration)

Client expense: $197,897 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

See Attached HR 1583, Insurance Industry Competition Act of 2009 HR 1880, National Insurance Consumer Protection Act HR 2554, National Association of Registered Agents and Brokers Reform Act of 2009 HR 2571, Nonadmitted and Reinsurance Reform Act of 2009 HR 2609, Insurance Information Act of 2009 HR 3139, Natinal Flood Insurance Program Extension Act of 2010 HR 3139, National Flood Insurance Program Extension Act of 2009 HR 4164, A bill to amend the National Flood Insurance Act of 1968 to provide for a phased-in increase of chargeable premium rates for properties affected by updated Flood Insurance Rate Maps. HR 4213, American Workers, State and Business Relief Act of 2010 HR 4691, Temporary Extensions Act of 2010 HR 4778, Natinal Flood Insurance Program Extension Act of 2010 HR 4802, Risk Retention Modernization Act of 2010 HR 4851, Conitinuing Extention Act of 2010 HR 5114, Flood Insurance Reform Priorities Act HR 5297, Small Business Jobs Act of 2010 HR 5553, National Flood Insurance Program Extension Act of 2010 HR 5559, Flood Insurance Fairness Act of 2010 HR 5569, National Flood Insurance Program Extension Act of 2010 HR 5808, Amend PPACA to establish a public health insurance option HR 5982, Small Business Tax Relief Act of 2010 S 1363, Nonadmitted and Reinsurance Reform Act of 2009 S 3153, Conitnuing Extension Act of 2010 S 3203, A bill to extend the National Flood Insurance Program through May 31, 2010 S 3814, National Flood Insurance Reextension act of 2010

Client expense: $270,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1583, HR 1880, HR 2554, HR 2571, HR 2609, HR 3139, HR 3415, HR 4164, HR 4213, HR 4596, HR 4691, HR 4778, HR 4796, HR 4802, HR 4851, HR 5255, HR 5553, HR 5559, HR 5569, HR 6207, HR 6254, S 1363, S 3051, S 3109, S 3153, S 3203, S 3546, S 3672, HR 3685, S 3814

Client expense: $1,170,000 · Firm income: Not reported

Government targets: Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

H.R. 2766 - To repeal the exemption for hydraulic fracturing in the Safe Drinking Water Act, and for other purposes. H.R. 4691 - Temporary Extension Act of 2010 H.R. 4851 - Continuing Extension Act of 2010 H.R. 5893 - Investing in American Jobs and Closing Tax Loopholes Act of 2010

Client expense: Not reported · Firm income: $100,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Consulting services related to various general corporate tax issues impacting for-profit hospitals issues which were debated during the 111th session of Congress on the following bills:H.R. 4213, the American Jobs and Closing Tax Loopholes Act of 2010; S. 3793, the Job Creation and Tax Cuts Act; S. 3513, the Bonus Depreciation Extension Act; H.R. 5297, the Small Business Lending Fund Act of 2010;H.R. 4994, the Taxpayer Assistance Act of 2010; S. 3773, the Tax Hike Prevention Act of 2010; H.R. 5982, Small Business Tax Relief Act of 2010; and S.3777 & S.3783, Information Reporting Modernization Act of 2010. H.R. 4691, the Temporary Extension Act of 2010; H.R. 4213, the Tax Extenders Act of 2009; H.R. 3408, S. 2822, Taxpayer Responsibility, Accountability, and Consistency Act of 2009.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

tax issues affecting the home building industry including: Public Law No: 111-92 (Formerly H.R.3548), H.R.3404, H.R.3756, H.R.4183, H.R.4691, H.R.4707, H.R.4851, S.1647, S.1699, S.2831, S.3153 ) & other legislation Provisions dealing with Housing Tax Credits The First Time Home Buyers tax credit extension

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.5850, 2011 Transportation, Housing and Urban Development, and Related Agencies; Positive Train Control included in the Rail Safety Improvement Act of 2008; S.1733, The American Power Act; H.R. 2847, Hiring Incentives to Restore Employment Act (HIRE ACT), H.R. 4691, The Temporary Extension Act of 2010; and monitored legislation regarding SAFETEA-LU, Public Law; 109-59

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

HR 1, S1, American Recovery and Reinvestment Act of 2009, Public Law No: 111-92 (Formerly HR 3548), HR 3404, HR 3756, HR 4183, HR 4691, HR 4707, HR 4851, S.1647, S.1699, S.2831, S.3153 - provisions dealing with Housing Tax Credits

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Eliminate racial disparities in unemployment. Increase unemployment training & assistance. Support an extension of unemployment benefits, support H.R. 3548. Support job creation programs through public works and infrastructure development. Support H.R. 2847 as it passed the House on 12/16/2009. Support an extension of unemployment benefits and COBRA health care premium assistance. Support H. R. 4691. Support full funding ($620 million) for youth summer jobs programs; support H.R. 4899. Support for comprehensive jobs legislation to address not only the unemployment crisis facing our nation, but also the challenges being faced by states and local municipalities in meeting the basic education, public safety, health care, child care, and public transportation needs of our communities. Support H.R. 4812, the Local Jobs for America Act. Support H.R. 2847, the Hiring Incentives to Restore Employment Act, or HIRE Act. Support H.R. 4851, the Continuing Extension Act of 2010, legislation to provide up to 99 weekly unemployment checks averaging $335 to people whose 26 weeks of state-paid benefits have run out. Ensure that funding under the American Reinvestment and Recovery Act is spent in full compliance with Title VI of the Civil Rights Act. Support H.R. 4899, the Disaster Relief and Summer Jobs Act of 2010. Support H.R. 4851, the Continuing Extension Act of 2010. Support H.R. 4213, the American Jobs and Closing Tax Loopholes Act of 2010. Support H.R. 3149, the Equal Employment for All Act, which would outlaw the use of credit scores by potential employers when making hiring decisions. Support for unemployment benefits extensions through November 30, 2010 (support HR 4213) (support HR 5618)

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

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

S. 732 - Dam Rehabilitation and Repair Act of 2009 H.R. 1770 - Dam Rehabilitation and Repair Act of 2009 The Safe, Accountable, Flexible, Efficient, Transportation Equity Act (SAFETEA-LU) Reauthorization H.R. 1 - The American Recovery and Reinvestment Act H.R. 457 - Responsible Highway Investment Act of 2009 H.R. 1105 - Omnibus Appropriations Act, 2009 H.R. 2521 - National Infrastructure Development Bank S. 1036 - Federal Surface Transportation Policy and Planning Act of 2009 S. 1474 - Tranfer of Funds to Highway Trust Fund H.R. 3617 - Three Month Extension of SAFETEA-LU H.R. 3357 - Infusion of Funds to Highway Trust Fund H.R. 2918 - Continuing Resolution for FY 2009 Funding Levels H.R. 2847 - Jobs for Main Street Act H.R. 3326 - Defense Appropriation Act (Surface Transportation Extension) S. 1498 - SAFETEA-LU Extension S. 1533 - SAFETEA-LU Extension H.R. 4691 - Surface Transportation Extention ASCE's Report Card for America's Infrastructure

Client expense: $218,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Energy, Dept of, Environmental Protection Agency (EPA), Federal Aviation Administration (FAA), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Natl Institute of Standards & Technology (NIST), Natl Oceanic & Atmospheric Administration (NOAA), Natl Science Foundation (NSF), SENATE, Transportation, Dept of (DOT), U.S. Geological Survey (USGS)

H.R. 4173, the Dodd-Frank Wall Street Reform and Consumer Protection (Entire Bill); S. 1799, the Fairness and Accountability in Receiving Overdraft Coverage Act of 2009 (Entire Bill); H.R. 1456, the Consumer Overdraft Protection Fair Practices Act of 2009 (Entire Bill); H.R. 3904, the Overdraft Protection Act of 2009 (Entire Bill); H.R. 5297, the Small Business Jobs and Credit Act of 2010 (Entire Bill); H.R. 4300, the Restoring America's Commitment to Consumers Act of 2009 (Entire Bill); S. 3677, the Financial Services and General Government Appropriations Act, 2011 (Section 745); H.R. 5504, the Improving Nutrition for America's Children Act (Section 352); H.R. 3421, the Medical Debt Relief Act of 2009 (Entire Bill); H.R. 5816, the Commercial Real Estate Stabilization Act of 2010 (Entire Bill); H.R. 6334, American Community Investment Reform Act of 2010 (Entire Bill); H.R. 2454, the American Clean Energy and Security Act (Title II); H.R. 3808, the Interstate Recognition of Notarizations Act of 2010 (Entire Bill); H.R. 4694, the Safe Affordable Small Dollar Loan Act of 2010 (Entire Bill); H.R. 5072, the FHA Reform Act (Entire Bill); H.R. 5017, the Rural Housing Preservation and Stabilization Act of 2010 (Entire Bill); H.R. 2555, the Homeowners' Defense Act of 2009 (Entire Bill); H.R. 1264, the Multiple Peril Insurance Act of 2009 (Entire Bill); H.R. 5114, the Flood Insurance Reform Priorities Act of 2010 (Entire Bill); H.R. 476, the Housing Fairness Act of 2009 (Entire Bill); S. 2919, the Small Business Lending Enhancement Act of 2009 (Entire Bill); H.R. 3723, the Small Business Credit Expansion and Loan Markets Stabilization Act of 2009 (Entire Bill); H.R. 3854, the Small Business Financing and Investment Act of 2009 (Entire Bill); H.R. 3614, S. 1513, and S. 1929, to provide a temporary extension of programs under the Small Business Act and the Small Business Investment Act of 1958 (Entire Bill); H.R. 3044, to delay the implementation of the Home Valuation Code of Conduct (Entire Bill); H.R. 2382, the Credit Card Interchange Fees Act of 2009 (Entire Bill); H.R. 2695, the Credit Card Fair Fee Act of 2009 (Entire Bill); H.R. 3380, the Promoting Lending to America's Small Businesses Act of 2009 (Entire Bill); H.R. 3221, the Student Aid and Fiscal Responsibility Act of 2009 (Title II); H.R. 2267, the Internet Gambling Regulation, Consumer Protection, and Enforcement Act of 2009 (Entire Bill); H.R. 2336, the GREEN Act of 2009 (Entire Bill); H.R. 4778, the National Flood Insurance Program Extension Act of 2010 (Entire Bill); H.R. 1479, the Community Reinvestment Modernization Act of 2009 (Entire Bill); H.R. 4691, the Temporary Extension Act of 2010 (Entire Bill); H.R. 4213, the American Workers, State, and Business Relief Act of 2010 (Entire Bill); Job-Creation legislation; Regulatory Compliance with Department of Defense Financial Management Regulations; Reform of Government Sponsored Enterprises; Reform of Credit Rating Agencies; Financial Literacy; Overdraft Fees; Credit Card Interchange Fees; Financial Regulatory Reform; CDFI Appropriations; CLF Appropriations; Regulatory Relief for Financial Institutions; Financial Modernization; Real Estate Settlement Practices Act (RESPA); FY 2010 Budget Resolution; Troubled Asset Relief Program (TARP); Military New Housing Assistance Program; Pension Relief; Community Reinvestment Act (CRA); Credit Union Member Business Lending (MBL); Corporate Credit Union issues; Mortgage Bankruptcy Cramdown; First-Time Homebuyer Tax Credit; SBA Loan Guarantee; Mark to Market Accounting Rules; National Credit Union Share Insurance Fund (NCUSIF); Remittances; Refund Anticipation Loans; National Flood Insurance Program (NFIP) Extension; Credit Risk Retention; Asset-Backed Securities; Housing Finance Reform; Real Estate Appraiser Independence; Executive Compensation; Electronic Financial Statement Disclosure Requirements under the E-SIGN Act; Private Mortgage Insurance (PMI); Federal Trade Commission Pre-Merger Notification Requirements under the Hart-Scott-Rodino Act of 1976; Community Charter Conversions; Credit Union Governance; Credit Union Broker-Dealer Registration under the Gramm-Leach-Bliley Act of 1999; Risk-Based Capital; Loan Originator Registration under the S.A.F.E. Mortgage Licensing Act of 2008; Creation of the Bureau of Consumer Financial Protection.

Client expense: $610,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Federal Deposit Insurance Corporation (FDIC), Federal Housing Finance Agency (FHFA), Federal Reserve System, Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Natl Credit Union Administration (NCUA), Office of Thrift Supervision (OTS), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Treasury, Dept of, White House Office

H.R. 4173, the Dodd-Frank Wall Street Reform and Consumer Protection (Entire Bill); S. 1799, the Fairness and Accountability in Receiving Overdraft Coverage Act of 2009 (Entire Bill); H.R. 1456, the Consumer Overdraft Protection Fair Practices Act of 2009 (Entire Bill); H.R. 3904, the Overdraft Protection Act of 2009 (Entire Bill); H.R. 5297, the Small Business Jobs and Credit Act of 2010 (Entire Bill); H.R. 4300, the Restoring America's Commitment to Consumers Act of 2009 (Entire Bill); S. 3677, the Financial Services and General Government Appropriations Act, 2011 (Section 745); H.R. 5504, the Improving Nutrition for America's Children Act (Section 352); H.R. 3421, the Medical Debt Relief Act of 2009 (Entire Bill); H.R. 5816, the Commercial Real Estate Stabilization Act of 2010 (Entire Bill); H.R. 6334, American Community Investment Reform Act of 2010 (Entire Bill); H.R. 2454, the American Clean Energy and Security Act (Title II); H.R. 3808, the Interstate Recognition of Notarizations Act of 2010 (Entire Bill); H.R. 4694, the Safe Affordable Small Dollar Loan Act of 2010 (Entire Bill); H.R. 5072, the FHA Reform Act (Entire Bill); H.R. 5017, the Rural Housing Preservation and Stabilization Act of 2010 (Entire Bill); H.R. 2555, the Homeowners' Defense Act of 2009 (Entire Bill); H.R. 1264, the Multiple Peril Insurance Act of 2009 (Entire Bill); H.R. 5114, the Flood Insurance Reform Priorities Act of 2010 (Entire Bill); H.R. 476, the Housing Fairness Act of 2009 (Entire Bill); S. 2919, the Small Business Lending Enhancement Act of 2009 (Entire Bill); H.R. 3723, the Small Business Credit Expansion and Loan Markets Stabilization Act of 2009 (Entire Bill); H.R. 3854, the Small Business Financing and Investment Act of 2009 (Entire Bill); H.R. 3614, S. 1513, and S. 1929, to provide a temporary extension of programs under the Small Business Act and the Small Business Investment Act of 1958 (Entire Bill); H.R. 3044, to delay the implementation of the Home Valuation Code of Conduct (Entire Bill); H.R. 2382, the Credit Card Interchange Fees Act of 2009 (Entire Bill); H.R. 2695, the Credit Card Fair Fee Act of 2009 (Entire Bill); H.R. 3380, the Promoting Lending to America's Small Businesses Act of 2009 (Entire Bill); H.R. 3221, the Student Aid and Fiscal Responsibility Act of 2009 (Title II); H.R. 2267, the Internet Gambling Regulation, Consumer Protection, and Enforcement Act of 2009 (Entire Bill); H.R. 2336, the GREEN Act of 2009 (Entire Bill); H.R. 4778, the National Flood Insurance Program Extension Act of 2010 (Entire Bill); H.R. 1479, the Community Reinvestment Modernization Act of 2009 (Entire Bill); H.R. 4691, the Temporary Extension Act of 2010 (Entire Bill); H.R. 4213, the American Workers, State, and Business Relief Act of 2010 (Entire Bill); Job-Creation legislation; Regulatory Compliance with Department of Defense Financial Management Regulations; Reform of Government Sponsored Enterprises; Reform of Credit Rating Agencies; Financial Literacy; Overdraft Fees; Credit Card Interchange Fees; Financial Regulatory Reform; CDFI Appropriations; CLF Appropriations; Regulatory Relief for Financial Institutions; Financial Modernization; Real Estate Settlement Practices Act (RESPA); FY 2010 Budget Resolution; Troubled Asset Relief Program (TARP); Military New Housing Assistance Program; Pension Relief; Community Reinvestment Act (CRA); Credit Union Member Business Lending (MBL); Corporate Credit Union issues; Mortgage Bankruptcy Cramdown; First-Time Homebuyer Tax Credit; SBA Loan Guarantee; Mark to Market Accounting Rules; National Credit Union Share Insurance Fund (NCUSIF); Remittances; Refund Anticipation Loans; National Flood Insurance Program (NFIP) Extension; Credit Risk Retention; Asset-Backed Securities; Housing Finance Reform; Real Estate Appraiser Independence; Executive Compensation; Electronic Financial Statement Disclosure Requirements under the E-SIGN Act; Private Mortgage Insurance (PMI); Federal Trade Commission Pre-Merger Notification Requirements under the Hart-Scott-Rodino Act of 1976; Community Charter Conversions; Credit Union Governance; Credit Union Broker-Dealer Registration under the Gramm-Leach-Bliley Act of 1999; Risk-Based Capital; Loan Originator Registration under the S.A.F.E. Mortgage Licensing Act of 2008; Creation of the Bureau of Consumer Financial Protection.

Client expense: $610,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Federal Deposit Insurance Corporation (FDIC), Federal Housing Finance Agency (FHFA), Federal Reserve System, Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Natl Credit Union Administration (NCUA), Office of Thrift Supervision (OTS), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Treasury, Dept of, White House Office

Entire bill of the following: H.R.1880, National Insurance Consumer Protection Act H.R. 3596 / S.1681, the Health Insurance Industry Antitrust Enforcement Act of 2009 H.R.3059 / S.1368, the Access to Repair Parts Act Monitoring issues related to the insurance industry; H.R. 5114, Flood Insurance Reform Priorities Act of 2010 (National Flood Insurance Program) Extensions: HR 4851, Continuing Extension Act of 2010 (Related Bills: H.R.3404, H.R.3548, H.R.3756, H.R.4183, H.R.4691, H.R.4707, S.1647, S.1699, S.2831, S.3153, S.3173) H.R. 4213, American Jobs and Closing Tax Loopholes Act of 2010 (Related Bills: H.RES.955, H.RES.1403, H.R.1935, H.R.3931, H.R.3933, S.1934, S.3191, S.3333) H.R. 5569, National Flood Insurance Program Extension Act of 2010 (Related Bills: H.R.4778, H.R.5553, H.R.5650, S.3347) S. 3347, A bill to extend the National Flood Insurance Program through December 31, 2010 (Related Bills: H.R.4778, H.R.5553, H.R.5569) S.AMDT.4674 to H.R.3081, Continuing Appropriations Act, 2011 Monitored entire bills of the following: H.R. 1264, Multiple Peril Insurance Act of 2009 H.R. 2555, Homeowners' Defense Act of 2009

Client expense: Not reported · Firm income: $40,000

Government targets: Federal Reserve System, HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

H.R. 3854- Small Business Financing and Investment Act H.R. 43/S. 46- Medicare Access to Rehabilitation Services Act of 2009 H.R. 3962- Affordable Health Care Act for America H.R. 3590- Patient Protection and Affordable Care Act Non-discrimination Physician Practice Information Survey Red Flag Rules H.R. 1829/ S. 950 - Medicare Patient Access to Physical Therapists Act of 2009 H.R. 4872- Health Care & Education Affordability Reconciliation Act H.R. 4691-Temporary Extension Act of 2010 H.R. 4851-Continuing Extension Act of 2010 H.R. 4231-Tax Extenders Act of 2010 H.R. 4154- American Workers State and Business Relief Act of 2010 Opt-Out Locum Tenens Consumer Financial Protection Bureau Authority over Health Care Providers/Physical Therapy H.R. 4213- American Jobs, Closing Loopholes and Preventing Outsourcing Act H.R. 3962- Preservation of Access to Care for Medicare Beneficiaries & Pension Relief Act

Client expense: $280,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

Medicare Physician Payment Reform, in general. HR 4691 - Temporary Extensions Act of 2010; all provisions. HR 4851 - Continuing Extensions Act of 2010; all provisions. HR 4213 - American Jobs and Closing Tax Loopholes Act of 2010; all provisions. HR 3024 - Medicare Hearing and Healthcare Enhancement Act of 2009; all provisions. HR 4985 - Medicare Decisions Accountability Act of 2010; all provisions. HR 3962 - Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010; all provisions. MedPAC Report to Congress, June 2010; all provisions. Ambulatory Surgical Centers (ASCs) payments, in general.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

H.R.882: To amend the Internal Revenue Code of 1986 to increase the age at which distributions from qualified retirement plans are required to begin from 70 1/2 to 75 H.R.421: American Jobs and Closing Tax Loopholes Act of 2010 HR 939: IRA Equity for Seniors Act H.R. 3936: Preserve Benefits and Jobs Act of 2009 H.R. 3962: Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act, Became Public Law No: 111-192 H.R. 4213: American Workers, State, and Business Relief Act of 2010 H.R.4691: Temporary Extension Act of 2010 H.R.4849: Small Business and Infrastructure Jobs Tax Act of 2010 H.R.4851: Continuing Extension Act of 2010 H.R.5618: Restoration of Emergency Unemployment Compensation Act of 2010 S. 401: Defined Contribution Fee Disclosure Act of 2009 S.502: Older Worker Opportunity Act of 2009

Client expense: $947,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE