Continuing Extension Act of 2010

H.R. 1829/S.950 - Medicare Patient Access to Physical Therapists Act of 2009: prevent direct access to physical therapists in order to avoid unnecessary and overuse of therapy services. H.R. 3693 - Ensuring the Future Physican Workforce Act of 2009 H.R. 4851 - Continuing Extension Act of 2010 H.J. RES. 45 - Increasing the statutory limit on the public debt H.R. 3962 - Affordable Health Care for America Act H.R. 3962 - The Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R. 3961 - Medicare Physician Payment Reform Act of 2009 H.R. 4985 - Medicare Decisions Accountability Act of 2010 H.R. 4872 - Health Care and Education Reconciliation Act of 2010 H.R. 3590 - Patient Protection and Affordable Care Act H.R. 1031 - Health Information Technology Promotion Act of 2009 H.R. 1911 - American Recovery & Reinvestment Act (ARRA) Health Information Technology Meaningful Use Stark II - Physician Ban on Self-Referral and Other Fraud & Abuse: ensure that Stark laws do not prevent timely access to quality medical services. Surgical Workforce Shortage

Client expense: $331,937 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

H.R. 1021/S.1548 - Access to America's Orthopedic Services Act of 2009: Musculoskeletal Disease and Condition Legislation to improve research, diagnosis, and treatment of musculoskeletal diseases, conditions, and injuries, to conduct a longitudinal study on aging, and for other purposes H.R. 3693 - Ensuring the Future Physician Workforce Act of 2009 H.R. 4851 - Continuing Extension Act of 2010 H.J. RES. 45 - Increasing the statutory limit on the public debt H.R. 3962 - Affordable Health Care for America Act H.R. 3961 - Medicare Physician Payment Reform Act of 2009 H.R. 4985 - Medicare Decisions Accountability Act of 2010 H.R. 4872 - Health Care and Education Reconciliation Act of 2010 H.R. 3590 - Patient Protection and Affordable Care Act H.R. 3200 - America's Affordable Health Choices Act of 2009: provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 1678 - Mitigating the Impact of Uncompensated Service and Time Act of 2009: amend the Internal Revenue code of 1986 to allow a bad debt deduction to doctors to partially offset the cost of providing uncompensated care required to be provided under amendments made by the Emergency Medical Treatment and Labor Act. H.R. 3856 - Bone Health Promotion and Research Act of 2009: Amends the Public Health Service Act to: (1) authoirize the Secretary of Health and Human Services (HHS) to develop and implement a National Bone Health Program for the control, preention, and surveillance of osteoposoris and related bone diseases and to coordinate and carry out national education and outreach activities in support of such program; (2) authorize the Secretary to award grants to states and Indian tribes for comprehensive osteoporosis and related bone disease control and prevention programs; and (3) award grants or enter into cooperative agreements for the collection, analysis, and reporting of data on osteopososis and related bone diseases, including osteogenesis imperfecta and Paget's disease of the bone. Surgical Workforce Shortage Truth and Transparency .

Client expense: $331,937 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

H.R. 1021/S.1548 - Access to America's Orthopedic Services Act of 2009: Musculoskeletal Disease and Condition Legislation to improve research, diagnosis, and treatment of musculoskeletal diseases, conditions, and injuries, to conduct a longitudinal study on aging, and for other purposes H.R. 3693 - Ensuring the Future Physician Workforce Act of 2009 H.R. 4851 - Continuing Extension Act of 2010 H.J. RES. 45 - Increasing the statutory limit on the public debt H.R. 3962 - Affordable Health Care for America Act H.R. 3961 - Medicare Physician Payment Reform Act of 2009 H.R. 4985 - Medicare Decisions Accountability Act of 2010 H.R. 4872 - Health Care and Education Reconciliation Act of 2010 H.R. 3590 - Patient Protection and Affordable Care Act H.R. 3200 - America's Affordable Health Choices Act of 2009: provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 1678 - Mitigating the Impact of Uncompensated Service and Time Act of 2009: amend the Internal Revenue code of 1986 to allow a bad debt deduction to doctors to partially offset the cost of providing uncompensated care required to be provided under amendments made by the Emergency Medical Treatment and Labor Act. H.R. 3856 - Bone Health Promotion and Research Act of 2009: Amends the Public Health Service Act to: (1) authoirize the Secretary of Health and Human Services (HHS) to develop and implement a National Bone Health Program for the control, preention, and surveillance of osteoposoris and related bone diseases and to coordinate and carry out national education and outreach activities in support of such program; (2) authorize the Secretary to award grants to states and Indian tribes for comprehensive osteoporosis and related bone disease control and prevention programs; and (3) award grants or enter into cooperative agreements for the collection, analysis, and reporting of data on osteopososis and related bone diseases, including osteogenesis imperfecta and Paget's disease of the bone. Surgical Workforce Shortage Truth and Transparency .

Client expense: $352,625 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

H.R. 1829/S.950 - Medicare Patient Access to Physical Therapists Act of 2009: prevent direct access to physical therapists in order to avoid unnecessary and overuse of therapy services. H.R. 3693 - Ensuring the Future Physican Workforce Act of 2009 H.R. 4851 - Continuing Extension Act of 2010 H.J. RES. 45 - Increasing the statutory limit on the public debt H.R. 3962 - Affordable Health Care for America Act H.R. 3962 - The Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R. 3961 - Medicare Physician Payment Reform Act of 2009 H.R. 4985 - Medicare Decisions Accountability Act of 2010 H.R. 4872 - Health Care and Education Reconciliation Act of 2010 H.R. 3590 - Patient Protection and Affordable Care Act H.R. 1031 - Health Information Technology Promotion Act of 2009 H.R. 1911 - American Recovery & Reinvestment Act (ARRA) Health Information Technology Meaningful Use Stark II - Physician Ban on Self-Referral and Other Fraud & Abuse: ensure that Stark laws do not prevent timely access to quality medical services. Surgical Workforce Shortage

Client expense: $352,625 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

H.R. 4213, "the Tax Extenders Act of 2010" (energy tax credits/pensions); H.R. 4851, "Continuing Extension Act of 2010"; H.R. 4849, "Small Business & Infrastructure Jobs Tax Act of 2010"; S 567 A bill to repeal the sunset on the reduction of capital gains rates for individuals and on the taxation of dividends of individuals at capital gains rates; Support lower rates of taxation on dividends - Budget Resolution FY 2010, S Con Res 13; Oppose repeal of energy production incentives;S__ Restoring American Financial Stability Act of 2010; H.R.4850, S. 3014 - American Job Creation and Investment Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2847 - Hiring Incentives to Restore Employment Act H.R. 4691 - Temporary Extension Act of 2010 H.R. 4851 - Continuing Extension Act of 2010

Client expense: $216,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

H.R. 384, TARP Reform and Accountability Act of 2009 H.R. 2336, GREEN Act of 2009, multifamily mortgage provisions; assisted housing porvisions H.R. 3068, TARP for Main Street Act of 2009, multifamily mortgage provisions H.R. 1778, Retrofit for Energy and Environmental Performance (REEP) Program Act H.R. 2246, Community Building Code Administration Grant Act of 2009 S.1379, A bill to encourage energy efficiency and conservation and development of renewable energy sources for housing, commercial structures, and other buildings, and to create sustainable communities. H.R. 3045, Section 8 Voucher Reform Act of 2009- assisted housing provisions, multifamily owner provisions, foreclosure provisions H.R. 3288, Transportation/HUD Appropriations-assisted housing provisions, energy performance provisions H.R. 4173, Wall Street Reform and Consumer Protection Act of 2009, mortage reform provisions, mortgage lending provisions, foreclosure provisions H.R. 476, The Housing Fairness Act of 2009 H.R. 3527, FHA Multifamily Loan Limit Adjustment Act of 2009 Housing Finance-What Should the New System Be Able to Do?: Part I-Government and Stakeholder Perspectives (House Committee on Financial Services Hearing) H.R. 4868, Housing Preservation and Tenant Protection Act of 2010-ivestor/owner provisions, tenant access provisions H.R. 4851, The Continuing Extension Act of 2010 H.R. 5028, Right to Rent-all provisions H.R. 5297, Small Business Lending Fund Act - commercail real estate issues H.R. 5361 Responsible GSE Affordable Housing Investment Act-overall, Fannie Freddie as it relates to multifamly housing PETRA, Preservation, Enhancement and transformation Rental Assistance-assited housing provisions H.R. 4099, the energy Efficiency Modernization Act of 2009-provisions on assisted housing, Wall Street Reform H.R. 5072, the FHA Reform Act-multifamily mortgage provisions H.R. 3527, the FHA Multifamily Loan Limit Adjustment Act- all provisions FY 2011 HUD Appropriations-FHA multifamily commitment authority, assisted housing provisions H.R. 476, Housing Fairness Act-Section 2 Testing for Discrimination, Section 3 FHIP Funding, Section 5 Studies

Client expense: $550,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Consumer Product Safety Commission (CPSC), Energy, Dept of, Environmental Protection Agency (EPA), Federal Housing Finance Agency (FHFA), Federal Reserve System, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Office of the Comptroller of the Currency (OCC), SENATE, Small Business Administration (SBA), Treasury, Dept of, White House Office

H.R. 1524 - Public Safety Enhancement Act of 2009 H.R. 1525 - To Amend the National Flood Insurance Act of 1968 to require the Administrator of the Federal Emergency Management Agency to consider reconstruction and improvement of flood protection systems when establishing flood insurance rates H.R. 3139 - National Flood Insurance Program Extension Act of 2009 H.R. 1264 - Multiple Peril Insurance Act of 2009 H.R. 4173 - Wall Street Reform and Consumer Protection Act of 2009 (National Flood Insurance Program reauthorization) S. 3203 - A bill to extend the National Flood Insurance Program through May 31, 2010. S. 3153 - A bill to provide a fully offset temporary extension of certain programs so as not to increase the deficit, and for other purposes. (National Flood Insurance reauthorization) H.R. 4851 - To provide a temporary extension of certain programs, and for other purposes. (National Flood Insurance reauthorization) H.R. 5114 Flood Insurance Reform Priorities Act of 2010 H.R. 5559 Flood Insurance Fairness Act of 2010

Client expense: $15,343 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Natl Park Service (NPS), SENATE, Transportation, Dept of (DOT), U.S. Fish & Wildlife Service (USFWS), U.S. Forest Service

Medicare Coverage and Reimbursement Issues Implementation of P.L. 111-148 "Patient Protection and Affordable Care Act" (DXA testing; End Stage Renal Disease; Independent Payment and Advisory Board; Medicaid Drug Rebate Program) Implementation of P.L. 111-152, "Health Care and Education Reconciliation Act" (End Stage Renal Disease; Independent Payment and Advisory Board, Medicaid Drug Rebate Program) H.R. 4851 and S. 3153, "Continuing Extension Act of 2010" (Medicare Part D) H.R. 4213, "American Jobs and Closing Tax Loopholes Act of 2010" (Medicaid Drug Rebate Program) H.R. 4899, "Supplemental Appropriations Acot of 2010" (Medicaid Drug Rebate Program)

Client expense: $1,920,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), 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

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 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

Please see addendum H.R. 1456, Consumer Overdraft Protection Practices Act, all provisions H.R. 1479, Community Reinvestment Modernization Act, all provisions H.R. 1728, Mortgage Reform and Anti-Predatory Lending Act of 2007, all provisions Issues related to Interchange Fees Issues related to corporate credit unions Issues related to premium assessments by the National Credit Union Share Insurance Fund H.R. 2382, the Credit Card Interchange Fees Act, all provisions Issues related to Fannie Mae and Freddie Mac Issues related to proposed rules on home-equity lines of credit Issues related to the implementation of section 106 of the Credit Card Accountability, Responsibility and Disclosure Act (CARD Act) H.R. 2695, the Credit Card Fair Fee Act, all provisions S. 1212, the Credit Card Fair Fee Act, all provisions H.R. 3126, the Consumer Financial Protection Agency Act, all provisions H.R. 3269, the Corporate and Financial Institution Compensation Fairness Act, section 4, related to enhanced compensation structure reporting to reduce perverse incentives." H.R. 3380, the Promoting Lending to America's Small Business Act, all provisions S. 1799, Fairness and Accountability in Reviewing Overdraft Coverage Act, all provisions H.R. 3904, Overdraft Protection Act of 2009, all provisions S. 2919, Small Business Lending Enhancement Act of 2009, all provisions H.R. 4173, the Dodd-Frank Wall Street Reform and Consumer Protection Act and its Senate Companion, S. 3217, the Reforming American Financial Stability Act, and Senate and Conference amendments thereto related to the following provisions: [Section numbers refer to the Conference Report on H.R. 4173, as filed in the House of Representatives on June 29, 2010] Title I, Subtitle A, Section 111. Financial Stability Oversight Council established, provision designating the Chairman of the National Credit Union Administration as a member of the Council. Title I, Subtitle B, Section 165. Enhanced supervision and prudential standards for nonbank financial companies supervised by the Board of Governors and certain bank holding companies, provision exempting the Federal Home Loan Banks. Title III, Subtitle C, Section 335. Permanent increase in deposit and share insurance, provision making permanent the $250,000 limit on insurance coverage of share insured by the National Credit Union Share Insurance Fund. Title III, Subtitle D, Section 343. Insurance of transaction accounts, provision providing parallel insurance coverage for credit union business share accounts with bank business transaction accounts. Title IX, Subtitle D, Section 941. Regulation of credit risk retention, all provisions. Title IX, Subtitle E, Section 956. Enhanced compensation structure reporting, all provisions. Title X, Subtitle B, Section 1021. Purpose, objectives and functions, provisions related to the identification of outdated, unnecessary, and unduly burdensome regulations in order to reduce regulatory burden. Title X, Subtitle B, Section 1022. Rulemaking Authority, provisions related to the standards of rulemaking and consideration given to the impact of Bureau rules on institutions identified in Section 1026 and to the impact of the Bureau rules on rural areas. Title X, Subtitle B, Section 1025. Supervision of very large banks, savings associations, and credit unions, all provisions. Title X, Subtitle B, Section 1026. Other banks, savings associations, and credit unions, all provision. Title X, Subtitle B, Section 1029. Exclusion for auto dealers, all provisions. Title X, Subtitle G, Section 1073. Remittance transfers, all provisions. Title X, Subtitle G, Section 1075. Reasonable fees and rules for payment card transactions, all provisions. Title XII. Improving Access to Mainstream Financial Institutions, all provisions. As well as the following provisions which were not included in the conference report: Title X, Subtitle G, Section 1071. Collection of Deposit Account Data. (as numbered in S. 3217, as introduced). Title XVI. Financial Crisis Assessment and Fund. All Provision. (as number in H.R. 4317, as approved by the Conference Committee on June 25, 2010). Senate Amendment 3812 to S. 3217, related to limits on ATM fees. H.R. 4376, the Freedom from Discrimination in Credit Act, all provisions Issues related to the Troubled Asset Relief Program Issues related to the fiduciary duties at credit unions H.R. 4851, the Continuing Extension Act, Section 7, related to the National Flood Insurance Program H.R. 4936, the Faster Access and Shorter Transaction Time for Checks Act, all provisions H.R. 5569, a bill to extend the National Flood Insurance Program until September 30, 2010, all provisions H.R. 5297, the Small Business Lending Fund Act, all provisions Senate Amendment 4443, Senate Amendment 4534, Senate Amendment 4609 to H.R. 5297, increasing the credit union member business lending cap, all provisions H.R. 5302, the State Small Business Credit Initiative Act, all provisions H.R. 5114, the Flood Insurance Reform Priorities Act of 2010, all provisions H.R. 2221, the Data Accountability and Trust Act of 2010, all provisions S. 3677, Financial Services and General Government Appropriation Act for FY 2011, provisions related to the interchange rule charged to federal agencies. Collins Amendment to S. 3677, related to Interchange H.R. 5816, the Commercial Real Estate Stabilization Act, all provisions H.R. 4790, the Shareholder Protection Act, all provisions Issues related to the Bank Secrecy Act and Currency Transaction Reporting Requirements Issues related to NCUA's Corporate Stabilization Plan

Client expense: $880,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Justice, Dept of (DOJ), Natl Credit Union Administration (NCUA), Office of the Vice President of the United States, SENATE, Small Business Administration (SBA), Treasury, Dept of

Please see addendum. H.R. 1456, Consumer Overdraft Protection Practices Act, all provisions H.R. 1479, Community Reinvestment Modernization Act, all provisions H.R. 1728, Mortgage Reform and Anti-Predatory Lending Act of 2007, all provisions Issues related to Interchange Fees Issues related to corporate credit unions Issues related to premium assessments by the National Credit Union Share Insurance Fund H.R. 2382, the Credit Card Interchange Fees Act, all provisions Issues related to Fannie Mae and Freddie Mac Issues related to proposed rules on home-equity lines of credit Issues related to the implementation of section 106 of the Credit Card Accountability, Responsibility and Disclosure Act (CARD Act) H.R. 2695, the Credit Card Fair Fee Act, all provisions S. 1212, the Credit Card Fair Fee Act, all provisions H.R. 3126, the Consumer Financial Protection Agency Act, all provisions H.R. 3269, the Corporate and Financial Institution Compensation Fairness Act, section 4, related to enhanced compensation structure reporting to reduce perverse incentives." H.R. 3380, the Promoting Lending to America's Small Business Act, all provisions S. 1799, Fairness and Accountability in Reviewing Overdraft Coverage Act, all provisions H.R. 3904, Overdraft Protection Act of 2009, all provisions S. 2919, Small Business Lending Enhancement Act of 2009, all provisions H.R. 4173, the Dodd-Frank Wall Street Reform and Consumer Protection Act and its Senate Companion, S. 3217, the Reforming American Financial Stability Act, and Senate and Conference amendments thereto related to the following provisions: [Section numbers refer to the Conference Report on H.R. 4173, as filed in the House of Representatives on June 29, 2010] Title I, Subtitle A, Section 111. Financial Stability Oversight Council established, provision designating the Chairman of the National Credit Union Administration as a member of the Council. Title I, Subtitle B, Section 165. Enhanced supervision and prudential standards for nonbank financial companies supervised by the Board of Governors and certain bank holding companies, provision exempting the Federal Home Loan Banks. Title III, Subtitle C, Section 335. Permanent increase in deposit and share insurance, provision making permanent the $250,000 limit on insurance coverage of share insured by the National Credit Union Share Insurance Fund. Title III, Subtitle D, Section 343. Insurance of transaction accounts, provision providing parallel insurance coverage for credit union business share accounts with bank business transaction accounts. Title IX, Subtitle D, Section 941. Regulation of credit risk retention, all provisions. Title IX, Subtitle E, Section 956. Enhanced compensation structure reporting, all provisions. Title X, Subtitle B, Section 1021. Purpose, objectives and functions, provisions related to the identification of outdated, unnecessary, and unduly burdensome regulations in order to reduce regulatory burden. Title X, Subtitle B, Section 1022. Rulemaking Authority, provisions related to the standards of rulemaking and consideration given to the impact of Bureau rules on institutions identified in Section 1026 and to the impact of the Bureau rules on rural areas. Title X, Subtitle B, Section 1025. Supervision of very large banks, savings associations, and credit unions, all provisions. Title X, Subtitle B, Section 1026. Other banks, savings associations, and credit unions, all provision. Title X, Subtitle B, Section 1029. Exclusion for auto dealers, all provisions. Title X, Subtitle G, Section 1073. Remittance transfers, all provisions. Title X, Subtitle G, Section 1075. Reasonable fees and rules for payment card transactions, all provisions. Title XII. Improving Access to Mainstream Financial Institutions, all provisions. As well as the following provisions which were not included in the conference report: Title X, Subtitle G, Section 1071. Collection of Deposit Account Data. (as numbered in S. 3217, as introduced). Title XVI. Financial Crisis Assessment and Fund. All Provision. (as number in H.R. 4317, as approved by the Conference Committee on June 25, 2010). Senate Amendment 3812 to S. 3217, related to limits on ATM fees. H.R. 4376, the Freedom from Discrimination in Credit Act, all provisions S. 2824, the Safe Affordable Loan Act, all provisions H.R. 4694, the Safe Affordable Small Dollar Loan Act, all provisions Issues related to the Troubled Asset Relief Program Issues related to the fiduciary duties at credit unions H.R. 4872, the Reconciliation Act of 2010, Division III, provisions related to the Federal Family Education Loan Program H.R. 4851, the Continuing Extension Act, Section 7, related to the National Flood Insurance Program H.R. 4936, the Faster Access and Shorter Transaction Time for Checks Act, all provisions H.R. 5569, a bill to extend the National Flood Insurance Program until September 30, 2010, all provisions H.R. 1257, a resolution recognizing Financial Literacy Month. H.R. 5297, the Small Business Lending Fund Act, all provisions Senate Amendment 4443 to H.R. 5297, increasing the credit union member business lending cap, all provisions H.R. 5302, the State Small Business Credit Initiative Act, all provisions H.R. 5114, the Flood Insurance Reform Priorities Act of 2010, all provisions H.R. 2221, the Data Accountability and Trust Act of 2010, all provisions

Client expense: $790,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Justice, Dept of (DOJ), Natl Credit Union Administration (NCUA), Office of the Vice President of the United States, SENATE, Small Business Administration (SBA), Treasury, Dept of

Please see addendum. H.R. 1456, Consumer Overdraft Protection Practices Act, all provisions H.R. 1479, Community Reinvestment Modernization Act, all provisions H.R. 1728, Mortgage Reform and Anti-Predatory Lending Act of 2007, all provisions Issues related to Interchange Fees Issues related to corporate credit unions Issues related to premium assessments by the National Credit Union Share Insurance Fund H.R. 2211, the Data Accountability and Trust Act, all provisions H.R. 2382, the Credit Card Interchange Fees Act, all provisions Issues related to Fannie Mae and Freddie Mac Issues related to proposed rules on home-equity lines of credit Issues related to the implementation of section 106 of the Credit Card Accountability, Responsibility and Disclosure Act (CARD Act) H.R. 2695, the Credit Card Fair Fee Act, all provisions S. 1212, the Credit Card Fair Fee Act, all provisions H.R. 3126, the Consumer Financial Protection Agency Act, all provisions S. 500, the Protecting Consumers from Unreasonable Credit Rates Act, all provisions S. 566, the Financial Products Safety Commission Act, all provisions H.R. 3639, the Expedited CARD Reform for Consumers Act, all provisions H.R. 3269, the Corporate and Financial Institution Compensation Fairness Act, section 4, related to enhanced compensation structure reporting to reduce perverse incentives." H.R. 3380, the Promoting Lending to America's Small Business Act, all provisions H.R. 4300, Restoring America's Commitment to Consumers Act, all provisions S. 1799, Fairness and Accountability in Reviewing Overdraft Coverage Act, all provisions H.R. 3904, Overdraft Protection Act of 2009, all provisions S. 2919, Small Business Lending Enhancement Act of 2009, all provisions H.R. 4173, Wall Street Reform with Consumer Protection Act, Title I, Subtitle G, related to Enhanced dissolution authority, Title II, section 2004, Title IV, related to the creation of the Consumer Financial Protection Agency, all provisions Restoring American Financial Stability Act of 2010 (bill number not yet assigned) (Senate Banking Committee Print of March 15, 2010),--Title I, Subtitle A, related to the Financial Stability Oversight Council --Title II, Section 210(o), related to Assessments to capitalize the orderly Liquidation Fund --Title IX, Subtitle E, related to Accountability and Executive Compensation, all provisions --Title X, related to the Bureau of Consumer Financial Protection, including: Subtitle B, Section 1021, related to regulatory burden; Section 1023, related to review of Bureau Regulation; Section 1025, related to review of Bureau Regulation; Section 1025, related to the Supervision of Very Large Credit Unions, Subtitle D, Preservation of State Law, all provisions, Subtitle G; Section 1071 related to the Collection of Deposit Account Data Manager's Amendment to the Committee Print of March 15, 2010, including Section 1076, related to Remittance transfers and Title XII, related to Improving Access to Mainstream Financial Institutions, all provisions. H.R. 4376, the Freedom from Discrimination in Credit Act, all provisions S. 2824, the Safe Affordable Loan Act, all provisions H.R. 4694, the Safe Affordable Small Dollar Loan Act, all provisions Issues related to the Troubled Asset Relief Program Issues related to the fiduciary duties at credit unions H.R. 4872, the Reconciliation Act of 2010, Division III, provisions related to the Federal Family Education Loan Program H.R. 4851, the Continuing Extension Act, Section 7, related to the National Flood Insurance Program H.R. 4936, the Faster Access and Shorter Transaction Time for Checks Act, all provisions

Client expense: $910,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Justice, Dept of (DOJ), Natl Credit Union Administration (NCUA), Office of the Vice President of the United States, SENATE, Small Business Administration (SBA), Treasury, Dept of

H.R 83 - Homeowners Insurance Protection Act of 2009 - Authorizes the Secretary to make homeowners protection coverage available through contracts for reinsurance coverage. Restricts purchase of such coverage to eligible state programs. Prescribes criteria for state eligibility. H.R. 1264 - To amend the National Flood Insurance Act of 1968 to provide for the national flood insurance program to make available multiperil coverage for damage resulting from windstorms or floods, and for other purposes. H.R. 3139 - National Flood Insurance Program Extension Act of 2009 - Amends the National Flood Insurance Act of 1968 to extend the national flood insurance program from September 30, 2008, through March 31, 2010. H.R. 3200 - America's Affordable Health Choices Act of 2009 - Sets forth provisions governing health insurance plans and issuers, including: (1) exempting grandfathered health insurance coverage from requirements of this Act; (2) prohibiting preexisting condition exclusions; (3) providing for guaranteed coverage to all individuals and employers and automatic renewal of coverage; (4) prohibiting premium variances, except for reasons of age, area, or family enrollment; and (5) prohibiting rescission of health insurance coverage without clear and convincing evidence of fraud. Also deals with small business incentives and exemptions for healthcare coverage of employees. H.R. 3590 - Senate Healthcare - Sets forth provisions governing health insurance plans and issuers, including: (1) exempting grandfathered health insurance coverage from requirements of this Act; (2) prohibiting preexisting condition exclusions; (3) providing for guaranteed coverage to all individuals and employers and automatic renewal of coverage; (4) prohibiting premium variances, except for reasons of age, area, or family enrollment; and (5) prohibiting rescission of health insurance coverage without clear and convincing evidence of fraud. Also deals with small business incentives and exemptions for healthcare coverage of employees. H.R. 4851 - Continuing Extension of 2010 - Will extend multiple federal programs whose funding were set to expire; in particular the National Flood Insurance Program. H.R. 5569 - National Flood Inasurance Program Extension Act - To extend the National Flood Insurance Program until September 30, 2010. S. 505 - A bill to establish a National Catastrophe Risks Consortium and a National Homeowner's Insurance Stabilization Program, and for the other purposes. S. 3814 - National Flood Insurance Program Reextension Act - Funds the NFIP for another twelve months.

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

Government targets: Energy, Dept of, Environmental Protection Agency (EPA), Federal Housing Finance Agency (FHFA), HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA)

H.R. 4149, To amend the Internal Revenue Code of 1986 to provide a renewable electricity integration credit for a utility that purchases or produces renewable power; S.3715, "Charging America Forward Act"; S.3793, "Job Creation and Tax Cuts Act of 2010"; S. 1091, H.R. 4210 STORAGE Act; H.R. 4853, Tax Relief, Unemployment Reauthorization and Job Creation Act of 2010; H.R. 5297, "Small Business Lending Fund Act"; H.R. 4213, "The American Jobs and Closing Tax Loopholes Act of 2010"; S.722, "Taxpayer Certainty and Relief Act of 2009"; S. 2854, A bill to amend the Internal Revenue Code of 1986 to extend and modify the credit for new qualified hybrid motor vehicles, and for other purposes; S. 3442, "The Electric Vehicle Deployment Act of 2010; Dividend tax rate issues generally; S.3793, "Job Creation and Tax Cuts Act of 2010"; HR 4411, Support more rapid depreciation schedules of utility property; S 1643, Support incentives to encourage installation of efficient natural gas technologies; S. 3381, A bill to amend the Clean Air Act to modify certain definitions of the term "renewable biomass", and for other purposes; S 567 A bill to repeal the sunset on the reduction of capital gains rates for individuals and on the taxation of dividends of individuals at capital gains rates; Support lower rates of taxation on dividends - Budget Resolution FY 2010, S Con Res 13; S Amdt 4319 to H.R. 4213, Oppose repeal of energy production incentives; S 3513, Bonus Depreciation Extension to Create Jobs Act, Support extension of 50% bonus depreciation; H.R. 4851, "Continuing Extension Act of 2010"; H.R. 4849, "Small Business & Infrastructure Jobs Tax Act of 2010"; S. 3217, Restoring American Financial Stability Act of 2010; H.R.4850, S. 3014, American Job Creation and Investment Act Discussion draft The Domestic Manufacturing and Energy Jobs Act of 2010;

Client expense: $380,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3590: An act entitled The Patient Protection and Affordable Care Act.-all provisions related to health, coverage, benefits and Medicaid (all provisions). H.R. 4872: An act to provide reconciliation pursuant to Title II of the concurrent resolution on the budget for fiscal year 2010. (S. Con. Res. 13). (all provisions) H.R. 1: American Recovery and Reinvestment Act of 2009 (all provisions) H.R. 1585: FIT Kids Act (all provisions) H.R.1586: FAA Air Transportation Modernization and Safety Improvement Act (all provisions related to FMAP) H.R. 3081: Continuing Appropriations Act, 2011 H.R. 4851: Continuing Extension Act of 2010 - Fiscally Responsible Relief for Our States Act of 2010 (all provisions related to health coverage, benefits and Medicaid) HR 4994: Taxpayer Assistance Act of 2010 (all provisions related to health coverage, benefits and Medicaid) H.R.5471: To amend the American Recovery and Reinvestment Act of 2009 to extend for 6 months the increase provided under that Act in the Medicaid Federal medical assistance percentage (FMAP). H.R.5712: Veterans', Seniors', and Children's Health Technical Corrections Act of 2010 (all provision regarding Childern's Health) H.R.6258: Fit for LIFE Act of 2010 (all provisions related to health coverage, benefits and Medicaid) S. 11: To restore the application of the 340B drug discount program to orphan drugs with respect to children's hospitals. (all provisions) S. 1796: Provide affordable, quality health care for all Americans and reduce the growth in health care spending (all provisions related to health coverage, benefits and Medicaid). S. 2898: Child Safety Care and Educational Continuity Act of 2010 (all provisions regarding Medicaid and CHIP) S. 3551: Fiscally Responsible Relief for Our States Act of 2010 (all provisions related to health coverage, benefits and Medicaid) S. 3793: Job Creation and Tax Cuts Act of 2010 (all provisions related to health coverage, benefits and Medicaid) HIT Certification Standards for Meaningful Use - 45 CFR Part 170 Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology; Final Rule (All provisions) State Exchanges - 45 CFR Part 170 Planning and Establishment of State-Level Exchanges; Request for Comments Regarding Exchange- Related Provisions in Title I of the Patient Protection and Affordable Care Act (Provisions affecting children) Medical homes for individuals with chronic conditions - Section 2703 of the Patient Protection and Affordable Care Act (PPACA) Non-payment for Hospital-Acquired Conditions - Section 2702 of the Patient Protection and Affordable Care Act Childrens Hospitals Graduate Medical Education -- Changes to Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates; Changes to the Ambulatory System and CY 2011 Payment Rates; Proposed Changes to Payments to Hospitals for Certain Inpatient Hospital Services and for Graduate Medical Education Costs; and Proposed Changes to Physician Self-Referral Rules and Related Changes to Provider Agreement Regulations (Provisions affecting CHGME)

Client expense: $370,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), SENATE, White House Office

Pursued six month extension of an enhanced match for the Medicaid (FMAP) program. Promoted amelioration of CMS-imposed "coding offset" cut to hospitals. Promoted desire of HSHS to participate in unspecified delivery system reform pilots to be funded by CMS as part of the Patient Protection and Affordable Care Act, HR 3590. Pushed for extension of physician payment rates as contained in HR3962, the Preservation of Acces to Care for Medicare Beneficiaries Act of 2010, HR4851, Temorary Extension Act

Client expense: $140,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.722, "Taxpayer Certainty and Relief Act of 2009." A bill to amend the Internal Revenue Code of 1986 to provide for permanent alternative minimum tax relief, middle class tax relief, and estate tax relief, and to permanently extend certain expiring provisions, and for other purposes. S.1074, "Shareholder Bill of Rights Act of 2009." A bill to provide shareholders with enhanced authority over the nomination, election, and compensation of public company executives. H.R.4213, "Tax Extenders Act of 2009." To amend the Internal Revenue Code of 1986 to extend certain expiring provisions, and for other purposes. H.R.2989, "401(k) Fair Disclosure and Pension Security Act of 2009." To amend the Employee Retirement Income Security Act of 1974 to provide special reporting and disclosure rules for individual account plans and to provide a minimum investment option requirement for such plans, to amend such Act to provide for independent investment advice for participants and beneficiaries under individual account plans, and to amend such Act and the Internal Revenue Code of 1986 to provide transitional relief under certain pension funding rules added by the Pension Protection Act of 2006. H.R.4849, "Small Business and Infrastructure Jobs Tax Act of 2010." To amend the Internal Revenue Code of 1986 to provide tax incentives for small business job creation, extend the Build America Bonds program, provide other infrastructure job creation tax incentives, and for other purposes. H.R.4149, To amend the Internal Revenue Code of 1986 to provide a renewable electricity integration credit for a utility that purchases or produces renewable power. S.2854, A bill to amend the Internal Revenue Code of 1986 to extend and modify the credit for new qualified hybrid motor vehicles, and for other purposes. (Tax credits for EV's). S.3442, "Electric Vehicle Deployment Act of 2010." A bill to promote the deployment of plug-in electric drive vehicles, and for other purposes. S.3793, "Job Creation and Tax Cuts Act of 2010", (extension of tax credits for EV's and energy efficiency). H.R.4853, Tax Relief, Unemployment Reauthorization and Job Creation Act of 2010, (dividend tax rate extension, bonus depreciation/expensing, and energy efficiency tax incentives). H.R.5372, To amend the Internal Revenue Code of 1986 to treat any business credit attributable to wind, solar, or biomass electricity production and investment in solar energy property as refundable to the extent the taxpayer makes new wind, solar, and other renewable energy investments. S.2899, "Renewable Energy Incentive Act." A bill to amend the American Recovery and Reinvestment Act of 2009 and the Internal Revenue Code of 1986 to provide incentives for the development of solar energy. S.1639, "Expanding Industrial Energy Efficiency Incentives Act of 2009." A bill to amend the Internal Revenue Code of 1986 to improve and extend certain energy-related tax provisions, and for other purposes. H.R.4599, "Renewable Energy Expansion Act of 2010." To amend the Internal Revenue Code of 1986 to provide an elective payment for specified energy property. H.R.4851, "Continuing Extension Act of 2010." To provide a temporary extension of certain programs, and for other purposes. H.R. 5297, "Small Business Lending Fund Act", (bonus depreciation) Renewable Energy Tax Incentives in general.

Client expense: $1,140,000 · Firm income: Not reported

Government targets: Energy, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Nuclear Regulatory Commission (NRC), SENATE, Treasury, Dept of, White House Office

S 2 Middle Class Opportunity Act, Card Check provisions; S 45 MCAP Act, a bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; S 77 Children's Mental Health Parity Act, a bill to amend title XXI of the Social Security Act to provide for equal coverage of mental health services under the State Children's Health Insurance Program; HR 241, a bill to amend title 10, United States Code to require the amounts reimbursed to institutional providers of health care services under the TRICARE program to be the same as amounts reimbursed under Medicare, and to require the Secretary of Defense to contract for health care services with at least one teaching hospital in urban areas; HR 298 Improving Children's Doctor Access Act of 2009, a bill to amend title XXI of the Social Security Act to require SCHIP annual reports to include information on the HEDIS measure relating to access to primary care practitioners by individuals eligible for child health assistance under such plans and on State efforts to avoid certain displacement of private health coverage, and to express the sense of Congress that such States should utilize Consumer Assessment of Healthcare Providers and Systems consumer satisfaction surveys to measure access by such individuals to physicians; HR 468 and S 245 Retooling the Health Care Workforce for an Aging America Act of 2009, a bill to expand, train, and support all sectors of the health care workforce to care for the growing population of older individuals in the United States; HR 676 United States National Health Care Act or the Expanded and Improved Medicare for All Act, a bill to provide for comprehensive health insurance coverage for all United States residents, improved health care delivery, and for other purposes; HR 688 and S 326 Kids First Act, a bill to amend title XXI of the Social Security Act to reauthorize the State Children's Health Insurance Program through fiscal year 2013, and for other purposes; Tricare letter sent to DOD from Sen. Ben Nelson urging DoD to revise the rule, expand the transition to the new payment system, offer other adjustments to cushion the financial blow on certain hospitals, and conduct a detailed analysis of its impact on the field; S 391 Healthy Americans Act, a bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away; HR 914 Physician Workforce Enhancement Act of 2009, a bill to amend title VII of the Public Health Service Act to establish a loan program for eligible hospitals to establish residency training programs; HR 936 National Trauma Center Stabilization Act of 2009, a bill to ensure the continued and future availability of lifesaving trauma health care in the United States and to prevent further trauma center closures and downgrades by assisting trauma centers with uncompensated care costs, core mission services, emergency needs, and information technology; S 408 Wakefield Act, a bill to amend the Public Health Service Act to provide a means for continued improvement in emergency medical services for children; HR 1086 Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009; a bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; HR 1101 Midwifery Care Access and Reimbursement Equity Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for reimbursement of certified midwife services and to provide for more equitable reimbursement rates for certified nurse-midwife services; HR 1296 Access for All America Act, a bill to achieve access to comprehensive primary health care services for all Americans and to reform the organization of primary care delivery through an expansion of the Community Health Center and National Health Service Corps programs; HR 1411 United States Primary and Preventive Health Care Corps Act of 2009, a bill to amend the Public Health Service Act to establish a Primary and Public Health Scholarship Program; HR 1460 Nurses Higher Education and Loan Repayment Act, a bill to amend the Public Health Service Act to establish a graduate degree loan repayment program for nurses who become nursing school faculty members; HR 1494 Nursing Home Emergency Assistance Act, a bill to ensure that a private for-profit nursing home affected by a major disaster receives the same reimbursement as a public nursing home affected by a major disaster; HR 1558 and S 623 Preexisting Condition Patient Protection Act of 2009, to prohibit health insurers from denying coverage to people with pre-existing conditions; S 616 Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2009, a bill to amend the Public Health Service Act to authorize medical simulation enhancement programs, and for other purposes; HR 1581 Patient-Focused Critical Care Enhancement Act, a bill to optimize the delivery of critical care medicine and expand the critical care workforce; S 628 Conrad State 30 Improvement Act, a bill to provide incentives to physicians to practice in rural and medically underserved communities; HR 1614 and S 652 Community Coalitions for Access and Quality Improvement Act of 2009, a bill to authorize the Secretary of Health and Human Services to make grants to community health coalitions to assist in the development of integrated health care delivery; HR 1691 and S 688 Breast Cancer Patient Protection Act of 2009, a bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations; HR 1699 Patient Access to Critical Lab Tests Act, a bill to require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; S 703 American Health Security Act of 2009, a bill to provide for health care for every American and to control the cost and enhance the quality of the health care system; HR 1745 Family Health Care Accessibility Act of 2009, a bill to amend the Public Health Service Act to provide liability protections for volunteer practitioners at health centers under section 330 of such Act; S 733 National Trauma Center Stabilization Act of 2009, a bill to ensure the continued and future availability of life saving trauma health care in the United States and to prevent further trauma center closures and downgrades by assisting trauma centers with uncompensated care costs, core mission services, and emergency needs; Letter to HHS about the action plan to prevent Healthcare associated infections; Provided information to members of Congress about the Quality and Patient Safety Transparency initiatives by state; Working with Rep. Nathan Deal to get legislation introduced on provider price transparency; HR 1670 and S 683 Community Choice Act of 2009, to amend title XIX of the Social Security Act to provide individuals with disabilities and older Americans with equal access to community-based attendant services and supports and which would allow disabled Medicaid recipients to receive care in their homes rather than in nursing homes; HR 2003 and S 830 Children's Hospitals Education Equity Act, a bill to modify the definition of children's hospital for purposes of making payments to children's hospitals that operate graduate medical education programs; HR 1998 Health Care Safety Net Enhancement Act of 2009, a bill to improve access to emergency medical services; HR 2043 Nurse Education, Expansion, and Development Act of 2009, a bill to amend the Public Health Service Act to authorize capitation grants to increase the number of nursing faculty and students; HR 2066 Graduate Psychology Education Act of 2009, a bill to amend the Public Health Service Act to promote mental and behavioral health services for underserved populations; S 890 Health Information Technology (IT) Public Utility Act of 2009, a bill to provide for the use of improved health information technology with respect to certain safety net health care providers; HR 2176 Nursing and Allied Health Education Preservation Act of 2009, to amend title XVIII of the Social Security Act to continue the ability of hospitals to supply a needed workforce of nurses and allied health professionals by preserving funding for hospital operated nursing and allied health education programs; HR 2218 Parental Consent Act of 2009, a bill to prohibit the use of Federal funds for any universal or mandatory mental health screening program; S 957 Public Health Emergency Response Act of 2009, a bill to amend the Public Health Service Act to ensure that victims of public health emergencies have meaningful and immediate access to medically necessary health care services; S 958 MediKids Health Insurance Act of 2009, a bill to amend the Social Security Act to guarantee comprehensive health care coverage for all children born after 2009; HR 2231 Public Health Emergency Response Act of 2009, a bill to amend the Public Health Service Act to ensure that victims of public health emergencies have meaningful and immediate access to medically necessary health care services; HR 2233 Health Empowerment Zone Act of 2009, a bill to authorize the Secretary of Health and Human Services to designate health empowerment zones; S 966 and HR 2252 National Health Care Quality Act, a bill to improve the Federal infrastructure for health care quality improvement in the United States; HR 2249 Health Care Price Transparency Promotion Act of 2009, a bill to amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs; HR 2251 and S 973 Resident Physician Shortage Reduction Act of 2009, to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions; S 979 and HR 2360 SHOP Act, a bill to amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible; HR 2273 Nurse Staffing Standards for Patient Safety and Quality Care Act of 2009, a bill to amend the Public Health Service Act to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals; S 999 Child Health Care Crisis Relief Act of 2009, a bill to increase the number of well-trained mental health service professionals (including those based in schools) providing clinical mental health care to children and adolescents; S 1001 Health Promotion FIRST Act, a bill to provide for increased research, coordination and expansion of health promotion programs through the Department of Health and Human Services; HR 2350 Preserving Patient Access to Primary Care Act of 2009, a bill to amend the Public Health Service Act and the Social Security Act to increase the number of primary care physicians and primary care providers and to improve patient access to primary care services; HR 2369 Improving the Quality of Mental and Substance Use Health Care Act of 2009, a bill to improve mental and substance use health care; S 1020 Patient-Focused Critical Care Enhancement Act, a bill to optimize the delivery of critical care medicine and expand the critical care workforce; S 1022 Nurses' Higher Education and Loan Repayment Act of 2009, a bill to amend the Public Health Service Act to establish a graduate degree loan repayment program for nurses who become nursing school faculty members; HR 2381 Nurse and Health Care Worker Protection Act of 2009, a bill to direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, direct-care registered nurses, and all other health care workers by establishing a safe patient handling and injury prevention standard, and for other purposes; HR 2388 Physician Availability Act of 2009, a bill to assure that the services of a nonemergency department physician are available to hospital patients 24 hours a day, seven days a week in all non-Federal hospitals with at least 100 licensed beds; S 1028 Strengthening America's Public Health System Act, a bill to amend the Public Health Service Act to improve the Nation's surveillance and reporting for diseases and conditions; S 1031 National Nursing Shortage Reform and Patient Advocacy Act, a bill to amend the Public Health Service Act to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals; HR 2427 and S 1050 Informed Consumer Choices in Health Care Act of 2009, a bill to amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets; S 1104 Nurse-Managed Health Clinic Investment Act of 2009, a bill to amend the Public Health Service Act to establish the Nurse- Managed Health Clinic Investment program; HR 2536 Emergency Nursing Supply Relief Act, to provide relief for the shortage of nurses in the United States; HR 2691 a bill to provide assistance to adolescents and young adults with serious mental health disorders as they transition to adulthood ; S 1173 Community-Based Health Care Retraining Act, a bill to establish a demonstration project to train unemployed workers for employment as health care professionals; S 1174 Preserving Patient Access to Primary Care Act of 2009, a bill to amend the Public Health Service Act and the Social Security Act to increase the number of primary care physicians and primary care providers and to improve patient access to primary care services; S 1176 Allied Health Reinvestment Act, a bill to amend the Public Health Service Act to promote and improve the allied health professionals; HR 2744 Equal Rights for Health Care Act Title 42, a bill to prohibit discrimination in Federal assisted health care services and research programs on the basis of sex, race, color, national origin, sexual orientation, gender identity, or disability status; HR 2754 Nurse-Managed Health Clinic Investment Act of 2009, a bill to amend the Public Health Service Act to establish the Nurse-Managed Health Clinic Investment program; S 1220 Patient Access to Critical Lab Tests Act, a bill to require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; HR 2785 Health Care Paperwork Reduction and Fraud Prevention Act of 2009, a bill to reduce the amount of paperwork and improve payment policies for health care services, to prevent fraud and abuse through health care provider education; HR 2804Ensuring Continuous Coverage under SCHIP Act of 2009, a bill to amend title XXI of the Social Security Act to require 12-month continuous coverage under the State Children's Health Insurance Program; HR 2810 Public Health Workforce Investment Act of 2009, a bill to amend the Public Health Service Act to establish various programs for the recruitment and retention of public health workers and to eliminate critical public health workforce shortages in Federal, State, local, and tribal public health agencies and health centers; HR 2816 States' Right To Innovate in Health Care Act of 2009, a bill to amend the Social Security Act to provide grants and flexibility through demonstration projects for States to provide universal, comprehensive, cost-effective systems of health care coverage, with simplified administration; HR 2824 Doctor-Patient Relationship and Research Protection Act, to enhance the conduct and support of federally funded comparative effectiveness research relating to health care; HR 2891 Access to Frontline Health Care Act of 2009, a bill to amend the Public Health Service Act to direct the Secretary of Health and Human Services to establish a Frontline Providers Loan Repayment Program; HR 2925 Communities Building Access Act, a bill to amend the Public Health Service Act to provide for community projects that will reduce the number of individuals who are uninsured with respect to health care; HR 2930 Primary Care Training Enhancement Act, a bill to enhance the primary care workforce through modifications to the medical residency training programs and use of qualified teaching health centers and through State primary care scholarship and loan repayment programs; S 1278 Consumers Health Care Act of 2009, a bill to establish the Consumers Choice Health Plan, a public health insurance plan that provides an affordable and accountable health insurance option for consumers; HR 2937 and S 1305 MRSA Infection Prevention and Patient Protection Act, a bill to prevent health care facility-acquired infections; HR 2948 Healthcare Improvements for Generating High Performance (HIGH Performance) Act of 2009, a bill to amend title IX of the Public Health Service Act to provide for the implementation of best practices in the delivery of health care in the United States; HR 2957 Rural Health Access Act of 2009, a bill to amend the Public Health Service Act to reauthorize the National Health Service Corps Scholarship and Loan Repayment Programs; S 1299 Worker Infection Protection Act, a bill to protect health care workers and first responders, including police, firefighters, emergency medical personnel, and other workers at risk of workplace exposure to infectious agents and drug resistant infections; Hatch amendment # 21 requiring the IOM to make recommendations to Congress on how to reduce unnecessary hospital readmissions; HR 2975 Medical Practice Protection Act of 2009, a bill to improve the medical care by reducing the excessive burden imposed by the civil liability system on the health care delivery system; HR 3000 Josephine Butler United States Health Service Act, a bill to establish a United States Health Service to provide high quality comprehensive health care for all Americans and to overcome the deficiencies in the present system of health care delivery; HR 3002 and S 1259 PATIENTS Act of 2009, a bill to protect all patients by prohibiting the use of data obtained from comparative effictiveness research accounts to deny coverage of items or services under Federal health care programs and to ensure that comparative effectiveness research accounts for advancements in personalized medicine and differences in patient treatment response; S 1355 Rural Health Clinic Patient Access and Improvement Act of 2009, a bill to amend title XVIII of the Social Security Act to improve access to health care for individuals residing in underserved rural areas; S 1403 Strengthen Social Work Training Act of 2009, a bill to amend title VII of the Public Health Service Act to ensure that social work students or social work schools are eligible for support under certain programs that would assist individuals in pursuing health careers or for grants for training projects in geriatrics, and to establish a social work training program; S 1404 Supporting Child Maltreatment Prevention Efforts in Community Health Centers Act of 2009, a bill to implement demonstration projects at federally qualified community health centers to promote universal access to family-centered, evidence-based behavioral health interventions that prevent child maltreatment and promote family well-being by addressing parenting practices and skills for families from diverse socio-economic, cultural, racial, ethnic, and other backgrounds; HR3134 Healthcare Innovation Zone Program Act of 2009, a bill to direct the Secretary of Health and Human Services to establish a Healthcare Innovation Zone pilot program; H.R.3148, a bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings; H.R.3151 and S 1585 Rural Access to Nurse Anesthesia Services Act of 2009, a bill to permit pass-through payment for reasonable costs of certified registered nurse anesthetist services in critical access hospitals notwithstanding the reclassification of such hospitals as urban hospitals, including hospitals located in ``Lugar counties'', and for on-call and standby costs for such services; H.R.3185 and S1569, a bill to amend title XVIII of the Social Security Act to provide payment to hospitals for costs of expanded advanced practice nurse training programs; H.R. 3191 Positive Aging Act of 2009, a bill to amend the Public Health Service Act to provide for integration of mental health services and mental health treatment outreach teams, and for other purposes; H.R. 3199 Emergency Medic Transition (EMT) Act of 2009 , a bill to amend the Public Health Service Act to provide grants to State emergency medical service departments to provide for the expedited training and licensing of veterans with prior medical training; H.R. 3200 America's Affordable Health Choices Act of 2009, a bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending; H.R. 3217 Health Care Choice Act of 2009, a bill to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce; H.R. 3218 Improving Health Care for All Americans Act, a bill to provide a refundable tax credit for medical costs, to expand access to health insurance coverage through individual membership associations (IMAs), and to assist in the establishment of high risk pools; H.R.3234 Community-Based Health Care Retraining Act, a bill to establish a demonstration project to train unemployed workers for employment as health care professionals; H.R. 3242 Women's Health Office Act of 2009, a bill to improve the health of women through the establishment of Offices of Women's Health within the Department of Health and Human Services; S.1459 Health Care Choice Act of 2009, a bill to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce; H.R. 3391 NO TITLE, a bill to allow for the continuation of critical access hospital designation for certain hospitals in geographic areas experiencing population growth; H.R. 3400 Empowering Patients First Act, a bill to provide for incentives to encourage health insurance coverage; HR 3472 a bill to provide for health insurance coverage premium discounts for healthy behavior and improvements toward healthy behavior; HR 3483 Steps Toward Access and Reform (STAR) Act of 2009, a bill to reform the medical liability system, improve access to health care for rural and indigent patients, enhance access to affordable prescription drugs; S 1572, a bill to provide for a point of order against any legislation that eliminates or reduces the ability of Americans to keep their health plan or their choice of doctor or that decreases the number of Americans enrolled in private health insurance, while increasing the number of Americans enrolled in government-managed health care; HR 3652 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2009, a bill to amend the Public Health Service Act and title XVIII of the Social Security Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costly; S 1720 Health Professions and Primary Care Reinvestment Act, a bill to amend title VII of the Public Health Service Act to provide improved training and primary care; HR 3664 Healthcare Innovation Zone Pilot Act of 2009, a bill to direct the Secretary of Health and Human Services to establish a Healthcare Innovation Zone pilot program; S 1730 Fairness in Health Insurance Act, a bill to provide for minimum loss ratios for health insurance coverage; S 1734 Medical Liability Reform Act of 2009, a bill to reduce the cost of health care and ensure patient access to doctors by ending excessive malpractice verdicts through common-sense lawsuit reform; S 1742 Women's Hospitals Education Equity Act, a bill to amend the Public Health Service Act to provide assistance for graduate medical education funding for women's hospitals; Comment letter expressing concerns taht ONC's certification criteria for EHR eliminates flexibility CMS established in rule for achieving meaningful use; HR 4626 Health Insurance Industry Fair Competition Act, to restore the application of the Federal antitrust laws to the business of health insurance to protect competition and consumers; HR 4851 Continuing Extension Act of 2010, to provide a temporary extension of certain programs; Meetings with CMS and HHS to encourage reimbursement under the National Disaster Medical System for hospitals that provided services to victims of the Haitian earthquake; HR 4700 The Transparency in All Health Care Pricing Act of 2010, to provide for transparency in health care pricing; HR 4803 The Patients Right to Know Act, to ensure health care consumer and provider access to certain health benefits plan information and to amend title XIX of the Social Security Act to provide transparency in hospital price and quality information; HR 6072 and S 3708 Electronic Health Record Incentives for Multi-Campus Hospitals Act of 2010, to amend titles XVIII and XIX of the Social Security Act to clarify the application of EHR payment incentives in cases of multi-campus hospitals; HR 6376 to amend title XVIII of the Social Security Act with respect to physician supervision of therapeutic hospital outpatient services; HR 6095 to amend title XVIII of the Social Security Act to preserve integrated care for durable medical equipment under the competitive bidding program for qualified hospital-related DME entities; S 3653 Healthcare Bureacrats Elimination Act, A bill to remove unelected, unaccountable bureaucrats from seniors' personal health decisions by repealing the IPAB.

Client expense: $5,390,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Federal Emergency Management Agency (FEMA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 1880, National Insurance Consumer Protection Act of 2009. Issues related to financial services regulatory reform, specifically as it applies to insurance regulation. Issues related to financial crisis responsibility fee. H.R. 4213, American Workers, State, and Business Relief Act of 2010. H.R. 4851, Continuing Extension Act of 2010. Implementation of Dodd-Frank Wall Street Reform and Consumer Protection Act (Pub.L. 111-203). Issues related to the systemic risk designation process.

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

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

H.R. 1524 - Public Safety Enhancement Act of 2009 H.R. 1525 - To Amend the National Flood Insurance Act of 1968 to require the Administrator of the Federal Emergency Management Agency to consider reconstruction and improvement of flood protection systems when establishing flood insurance rates H.R. 3139 - National Flood Insurance Program Extension Act of 2009 H.R. 1264 - Multiple Peril Insurance Act of 2009 H.R. 4173 - Wall Street Reform and Consumer Protection Act of 2009 (National Flood Insurance Program reauthorization) S. 3203 - A bill to extend the National Flood Insurance Program through May 31, 2010. S. 3153 - A bill to provide a fully offset temporary extension of certain programs so as not to increase the deficit, and for other purposes. (National Flood Insurance reauthorization) H.R. 4851 - To provide a temporary extension of certain programs, and for other purposes. (National Flood Insurance reauthorization) H.R. 5114 Flood Insurance Reform Priorities Act of 2010 H.R. 5559 Flood Insurance Fairness Act of 2010

Client expense: $26,676 · Firm income: Not reported

Government targets: Council on Environmental Quality (CEQ), Environmental Protection Agency (EPA), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Natl Park Service (NPS), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), U.S. Fish & Wildlife Service (USFWS), U.S. Forest Service

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

H.R. 4149, To amend the Internal Revenue Code of 1986 to provide a renewable electricity integration credit for a utility that purchases or produces renewable power; S.3715, "Charging America Forward Act"; S.3793, "Job Creation and Tax Cuts Act of 2010"; S. 1091, H.R. 4210 STORAGE Act; H.R. 4853, Tax Relief, Unemployment Reauthorization and Job Creation Act of 2010; H.R. 5297, "Small Business Lending Fund Act"; H.R. 4213, "The American Jobs and Closing Tax Loopholes Act of 2010"; S.722, "Taxpayer Certainty and Relief Act of 2009"; S. 2854, A bill to amend the Internal Revenue Code of 1986 to extend and modify the credit for new qualified hybrid motor vehicles, and for other purposes; S. 3442, "The Electric Vehicle Deployment Act of 2010; Dividend tax rate issues generally; S.3793, "Job Creation and Tax Cuts Act of 2010"; HR 4411, Support more rapid depreciation schedules of utility property; S 1643, Support incentives to encourage installation of efficient natural gas technologies; S. 3381, A bill to amend the Clean Air Act to modify certain definitions of the term "renewable biomass", and for other purposes; S 567 A bill to repeal the sunset on the reduction of capital gains rates for individuals and on the taxation of dividends of individuals at capital gains rates; Support lower rates of taxation on dividends - Budget Resolution FY 2010, S Con Res 13; S Amdt 4319 to H.R. 4213, Oppose repeal of energy production incentives; S 3513, Bonus Depreciation Extension to Create Jobs Act, Support extension of 50% bonus depreciation; H.R. 4851, "Continuing Extension Act of 2010"; H.R. 4849, "Small Business & Infrastructure Jobs Tax Act of 2010"; S. 3217, Restoring American Financial Stability Act of 2010; H.R.4850, S. 3014, American Job Creation and Investment Act Discussion draft The Domestic Manufacturing and Energy Jobs Act of 2010;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Physician Payments: Averting a 21% Reduction in CY 2010: Continuing Extension Act of 2010 (HR 4851); American Jobs and Closing Tax Loopholes Act of 2010 (HR 4213); Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 (HR 3962); Medicare and Medicaide Extenders Act of 2010 (H.R. 4994) Payment changes associated with coding offsets included in FY 2011 Medicare hospital inpatient prospective payment system (IPPS) proposed rule; Medicare Health IT incentive payments, Continuing Extension Act of 2010 (HR 4851); Extension of ARRA Medicaid Federal Matching Assistance Program: American Jobs and Closing Tax Loopholes Act of 2010 (HR 4213), Education, Jobs and Medicaid Assistance Act (HR 1586); redistribution of unused residency slots: FY 2011 Outpatient PPS Proposed Rule.

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

Government targets: Army, Dept of (Other), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Vice President of the U.S.

Please see addendum. H.R. 1479, Community Reinvestment Modernization Act, all provisions Issues related to Interchange Fees Issues related to corporate credit unions Issues related to premium assessments by the National Credit Union Share Insurance Fund H.R. 2382, the Credit Card Interchange Fees Act, all provisions Issues related to Fannie Mae and Freddie Mac Issues related to proposed rules on home-equity lines of credit Issues related to the implementation of section 106 of the Credit Card Accountability, Responsibility and Disclosure Act (CARD Act) H.R. 2695, the Credit Card Fair Fee Act, all provisions S. 1212, the Credit Card Fair Fee Act, all provisions H.R. 3380, the Promoting Lending to America's Small Business Act, all provisions S. 2919, Small Business Lending Enhancement Act of 2009, all provisions H.R. 4376, the Freedom from Discrimination in Credit Act, all provisions H.R. 4851, the Continuing Extension Act, Section 7, related to the National Flood Insurance Program H.R. 4936, the Faster Access and Shorter Transaction Time for Checks Act, all provisions H.R. 5569, a bill to extend the National Flood Insurance Program until September 30, 2010, all provisions H.R. 5297, the Small Business Lending Fund Act, all provisions Senate Amendment 4443, Senate Amendment 4534, Senate Amendment 4609 to H.R. 5297, increasing the credit union member business lending cap, all provisions H.R. 5302, the State Small Business Credit Initiative Act, all provisions H.R. 5114, the Flood Insurance Reform Priorities Act of 2010, all provisions H.R. 2221, the Data Accountability and Trust Act of 2010, all provisions S. 3677, Financial Services and General Government Appropriation Act for FY 2011, provisions related to the interchange rule charged to federal agencies. Collins Amendment to S. 3677, related to Interchange H.R. 5816, the Commercial Real Estate Stabilization Act, all provisions H.R. 4790, the Shareholder Protection Act, all provisions Issues related to the fidiciary duties at credit unions Issues related to the Bank Secrecy Act and Currency Transaction Reporting Requirements Issues related to NCUA's Corporate Stabilization Plan Issues related to the Community Depository Institution Advisory Council Issues related to the implementation of the Dodd-Frank Wall Street Reform and Consumer Financial Protection Act (PL 111-517) S. 4036, a bill to clarify the National Credit Union Administration authority to make stabilization fund expenditures without borrowing from the Treasury, all provisions. H.R. 6398, to require the Federal Deposit Insurance Corporation to fully insure interest on Lawyer Trust Accounts, all provisions. Issues related to the National Credit Union Share Insurance Fund Coverage of Interest on Lawyer Trust Accounts Issues related to the establishment of the Consumer Financial Protection Bureau

Client expense: $1,064,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Justice, Dept of (DOJ), Natl Credit Union Administration (NCUA), Office of the Vice President of the United States, SENATE, Small Business Administration (SBA), Treasury, Dept of

See page 3 for specific lobbying issues HR 855/S 616 Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies HR 2112/S332 Lung Cancer Mortality Reduction Act of 2009 HR 3590 Patient Protection and Affordable Care Act HR 4872 Health Care and Education Reconciliation Act of 2010 HR 4985 Medicare Decisions Accountability Act of 2010 HR 5295 Healthcare Truth and Transparency Act of 2010 HR 4851 Continuing Extension Act of 2010 HR 4213 American Jobs and Closing Tax Loopholes Act of 2010 HR 4994 Taxpayer Assistance Act of 2010 HR 5253 Federal Research Public Access Act of 2010 HR 5690 Meaningful End to Defensive Medicine and Aimless Lawsuits (MedMal) Act of 2010 HR 5712 The Physician Payment and Therapy Relief 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, Resident Work Hours

Client expense: $130,000 · 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 specific lobbying issues. HR 3590 Patient Protection and Affordable Care Act HR 4872 Health Care and Education Reconciliation Act of 2010 HR 4985 Medicare Decisions Accountability Act of 2010 HR 5295 Healthcare Truth and Transparency Act of 2010 HR 4851 Continuing Extension Act of 2010 HR 4213 American Jobs and Closing Tax Loopholes Act of 2010 HR 4994 Taxpayer Assistance Act of 2010 HR 5690 Meaningful End to Defensive Medicine and Aimless Lawsuits (MedMal) Act of 2010 HR 5712 The Physician Payment and Therapy Relief Act of 2010 CMS Medicare Physician Fee Schedule rule, CMS Hospital Inpatient Prospective Payment System 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: $130,000 · 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. Con. Res. 85, S. Con. Res. 13, and H.R. 4851, Continuing Extension Act of 2010; P.L. 111-148, Patient Protection and Affordable Care Act of 2009; P.L. 111-152, The Health Care and Education Affordability Reconciliation Act of 2010; issues regarding comparative effectiveness.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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. 43/S.46 - Medicare Access to Rehabilitation Services Act of 2009 H.R. 1137 - Athletic Trainers' Equal Access to Medicare Act of 2009 H.R. 1829/ S. 950 - Medicare Patient Access to Physical Therapists Act of 2009 H.R. 1430 - The Medicare Oral Health Rehabilitative Enhancement Act Revisions to the home health assessment instrument OASIS National Quality Forum home health quality measures Cardiac and Pulmonary Rehab national coverage policies AHRQ technical assessment of negative pressure wound therapy devices Comprehensive assessment regarding the development of HCPCS codes for negative pressure wound therapy (sign on) Analysis of the Inpatient Rehabilitation Condition of Participation (COP) on rehab agencies Importance of support personnel and related services under IDEA and ESEA. Development of a Plan to Transition to a Medicare Value-Based Purchasing (VBP) Program for Physician and Other Professional Services Issues Paper (comments) Changes to Medicare payment policies (STATS workgroup), development of short-term alternatives Section 427 of Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) Quality Measures Medically Unbelievable Edits (comments) DMEPOS Accreditation AMA Physician Consortium for Performance Improvement EMG performance Physical Medicine and Rehabilitation LCD (comments) Physician Quality Reporting Initiative Provider Enrollment Post Acute Care Issues-HHPPS Proposed Rule 2011, SNF Updates 2011 Post Acute Care Payment Reform Demonstration, including development and testing of CARE tool Development of long term alternatives to the therapy cap - "Developing Outpatient Therapy Alternatives Project" (DOTPA) Medicare Orthotics and Prosthetics Physician Fee Schedule Update Sustainable Growth Rate (SGR) Inpatient Rehab Issues Medicaid Rules H.R. 1094- The Medicare Home Health Flexibility Act Inclusion of Physical Therapists in the Medicare & Medicaid Health Information Technology incentives S. 1213- Patient Centered Outcomes Research Act of 2009 H.R. 2068- Medicare Telehealth Enhancement Act of 2009 H.R. 1094- Medicare Home Health Flexibility Act The Addition of a program to the Center for Medicare Services Innovation Center to research direct access models for expanding access to physical therapy for Medicare beneficiaries. Medicare SNF PPS FY 2010 Medicare IRF PPS FY 2010 Medicare Home Health PPS CY 2010 H.R. 3590 Patient Protection and Affordable Care Act Physician Practice Information Survey (PPIS) H.R. 4371- To amend title XVIII of the Social Security Act to continue using 2009 Medicare practice expense relative value units for certain cardiology services. H.R. 4872- Health Care & Education Affordability Reconciliation Act H.R. 4851-Continuing Extension Act of 2010 H.R. 4154- American Workers State and Business Relief Act of 2010 H.R. 4662- Lymphedema Diagnosis and Treatment Cost Saving Act of 2010 H.R. 3962- Preservation of Access to Care for Medicare Beneficiaries & Pension Relief Act H.R. 4213- American Jobs, Closing Loopholes and Preventing Outsourcing Act 2011 Medicare Physician Fee Schedule Proposed Rule Health Care Truth and Transparency Legislative Recommendations for Medicaid & CHIP- RFI June 2010 MedPAC Report to Congress-Aligning Incentives in Medicare H.R. 2575/S.3220 -Prosthetic and Custom Orthotic Parity Act of 2009 H.R. 2479- Medicare Orthotics and Prosthetics Improvement Act of 2009 HIT Rules- Meaningful Use Health Exchanges Proposed Rule Multiple Procedure Payment Reduction In Office Ancillary Services/Self Referral Annual Wellness Visit Rule Extension of Federal Medical Assistance Percentages H.R. 4994- the Medicare and Medicaid Extenders Act H.R. 5712- the Physician Payment and Therapy Relief Act of 2010 Comments on Physician Compare Federal External Review Process Comments

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

Availability and Affordability of Commercial/Residential Property Insurance HR 2571- Nonadmitted and Reinsurance Reform Act of 2009 S 1363 - Nonadmitted and Reinsurance Reform Act of 2009 HR 2609- Insurance Information Act of 2009 Addition of Wind Coverage to National Flood Insurance Program HR 1264Multiple Peril Insurance Act of 2009 Establishment of National Government Programs to Provide Affordable & Available Insurance for Natural Disasters HR 2555- Homeowners' Defense Act of 2009 HR 83- Homeowners Insurance Protection Act of 2009 HR 998- Policyholder Disaster Protection Act of 2009 S 505- Homeowners' Defense Act of 2009 Extension of National Flood Insurance Program HR 3139- National Flood Insurance Program Extension Act of 2009 HR 4213 - American Jobs and Closing Tax Loopholes Act of 2010 HR 4778- National Flood Insurance Program Extension Act of 2010 HR 4851- Continuing Extension Act of 2010 HR 5114- Flood Insurance Reform Priorities Act of 2010 HR 5255- Stable Flood Insurance Authorization Act of 2010 HR 5569- National Flood Insurance Program Extension Act of 2010 S 3814 - National Flood Insurance Program Reextension Act of 2010 S 3203- A bill to extend the National Flood Insurance Program through May 31, 2010 S 3347- A bill to extend the National Flood Insurance Program through Dec. 31, 2010 Clarifying Coverage Regarding National Flood Insurance Program S 3672 - Coordination of Wind and Flood Perils Act of 2010 Meetings with FEMA on Flood Maps and Flood Insurance

Client expense: $4,760,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Council on Environmental Quality (CEQ), Energy, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Housing Finance Agency (FHFA), 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), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), Vice President of the U.S., 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

HR 690, S 144, MOBILE Cell Phone Act of 2009, advocacy to revise tax treatment of employer-provided cell phones HR 2492, no short title, amendment of the Internal Revenue Code to exclude from gross income discharges of student loans the repayment of which is income contingent HR 4851, Continuing Extension Act of 2010, funding for temporary extension of certain employment and other benefit programs HR 4213, Tax Extenders Act of 2009, amendment of the Internal Revenue Code to extend certain expiring provisions relevant to higher education institutions HR 1521, Cell Tax Fairness Act of 2009, advocacy on behalf of restricting jurisdictions from imposing new discriminatory cell phone taxes

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

HR 3962, Preservations of Access of CAre for Medicare Beneficiaries and Pension Relief Act of 2010 HR 4213, American Jobs and Closing Tax Loopholes Act of 2010 House Substitues Amendmends to HR 4213, American Jobs and Closing Tax Loopholes Act of 2010 Senate Substitues Amendmends to HR 4213, American Jobs and Closing Tax Loopholes Act of 2010 HR 4851 - The Contining Extension of Act 2010 FY 2010 CMS Inpatient and Long Term Care Proposed Rule Health Informations Techonology: Meaningful Upse Proposed Rule Public Law 111-148, Patient Care and Affordable Care Act Public Law 111-152, Patient Care and Affordable Care Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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. 1880, National Insurance Consumer Protection Act of 2009. Issues related to financial services regulatory reform, specifically as it applies to insurance regulation. Issues related to financial crisis responsibility fee. H.R. 4213, American Workers, State, and Business Relief Act of 2010. H.R. 4851, Continuing Extension Act of 2010. Implementation of Dodd-Frank Wall Street Reform and Consumer Protection Act (Pub.L.111-203). Issues related to the systemic risk designation process and issues relating to implementation of the Volcker Rule.

Client expense: $362,540 · Firm income: Not reported

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

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