Medicare Decisions Accountability Act of 2010

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

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

Various issues surrounding health care reform. HR 3200, HR 1339, S 1235, HR 1392, S 1221, HR 3590, HR 1188, S 468, HR 1765, HR 4827, S.701, HR 4985, H.RES 1444, HR 5597, HR 2400, HR 1549, HR 5106.

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

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

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

Sustainable Growth Rate Formula Reform (general); Independent Payment Advisory Board (general); ; FMAP (general);Imaging Accreditation H.R. 4213; H.R. 5618; Medicaid Primary Care Payment (General);H.R.4994, Medicare and Medicaid Extenders Act 2010; H.R. 4985, Medicare Decisions Accountability Act of 2010.

Client expense: $129,800 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 1339; S. 1235: The Children's Access to Reconstructive Evaluation and Surgery (CARES) Act -- health insurance coverage for children with congenital medical deformities; H.R. 4985, the Medicare Decisions Accountability Act of 2010 -- to repeal IPAB; S. 3653 -- Eliminate Health Care Bureaucrats Act; H.R. 5295; the Health Care Truth and Transparency Act of 2010

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

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

H.R. 4985 A bill to suspend temporarily the duty on Coflake S. 2369 A bill to suspend temporarily the duty on certain plastic laminate sheets; S. 2355 A bill to suspend temporarily the duty on 1,3-Propanediaminium, N-[3-[[[dimethyl[3-[(2-methyl-1-oxo-2-pro-penyl)amino]propyl]ammonio]acetyl]amino]propyl]-2-hydroxy-N,N,N',N',N'-pentamethyl-, trichloride, polymer with 2-propenamide; S. 2191 A bill to extend the temporary suspension of duty on certain rayon staple fibers S. 2356 A bill to suspend temporarily the duty on a mixture of 1-(1,2,3,4,5,6,7,8-octahydro-2,3,8,8-tetramethyl-2-naphthalenyl)-ethan-1-one (and isomers) S. 2363 A bill to extend and modify temporarily the suspension of duty on Methylionone S. 2357 A bill to suspend temporarily the duty on 2-cyclo-hexylidene-2-phenyl acetonitrile S. 2358 A bill to suspend temporarily the duty on certain warp knit open-work fabric

Client expense: $980,915 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Natl Security Council (NSC), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Agency for International Development (USAID), U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

See page five for specific Health issues. H. R. 3590 - Patient Protection and Affordable Care Act H. R. 4872 - Health Care and Education Reconciliation Act of 2010 H. R. 4985 - Medicare Decisions Accountability Act of 2010 H. R. 5295 - Healthcare Truth and Transparency Act of 2010 H. R. 4851 - Continuing Extension Act of 2010 H. R. 4213 - American Jobs and Closing Tax Loopholes Act of 2010 H. R. 5690 - Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H. R. 6073 - Congressional Gold Medal bill H. R. 4994 - Taxpayer Assistance Act of 2010 H. R. 5712 - The Physician Payment and Therapy Relief Act of 2010 H. R. 3652/S. 3737 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2010 Surgical Workforce Shortage Veterans Ophthalmology/Optometry Issues Health Care in Rural Areas National Healthcare Workforce Commission Patient-Centered Outcomes Research Institute's Board of Governors Ambulatory Surgical Center Reimbursement HIT Meaningful Use Independent Payment Advisory Board/Health Care Reform Veterans Ophthalmology/Optometry Issues Regionalization of Care Issues Nominations to Board of Governors for Patient Centered Outcomes Research Institute American College of Surgeons National Surgical Quality Improvement Program Rare Pediatric Illnesses Medicare Payment Errors Athletes and Concussions

Client expense: $7,906 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

See page three for specific Medicare/Medicaid issues. H. R. 3590 - Patient Protection and Affordable Care Act H. R. 4872 - Health Care and Education Reconciliation Act of 2010 H. R. 4985 - Medicare Decisions Accountability Act of 2010 H. R. 5295 - Healthcare Truth and Transparency Act of 2010 H. R. 4851 - Continuing Extension Act of 2010 H. R. 4213 - American Jobs and Closing Tax Loopholes Act of 2010 H. R. 5690 - Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H. R. 6073 - Congressional Gold Medal bill H. R. 4994 - Taxpayer Assistance Act of 2010 H. R. 5712 - The Physician Payment and Therapy Relief Act of 2010 H. R. 3652/S. 3737 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2010 Surgical Workforce Shortage Veterans Ophthalmology/Optometry Issues Health Care in Rural Areas National Healthcare Workforce Commission Patient-Centered Outcomes Research Institute's Board of Governors Ambulatory Surgical Center Reimbursement HIT Meaningful Use Independent Payment Advisory Board/Health Care Reform Veterans Ophthalmology/Optometry Issues Regionalization of Care Issues Nominations to Board of Governors for Patient Centered Outcomes Research Institute American College of Surgeons National Surgical Quality Improvement Program Rare Pediatric Illnesses Medicare Payment Errors Athletes and Concussions

Client expense: $7,906 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

See page five for specific Health Issues. H. R. 3590 - Patient Protection and Affordable Care Act H. R. 4872 - Health Care and Education Reconciliation Act of 2010 H. R. 4985 - Medicare Decisions Accountability Act of 2010 H. R. 5295 - Healthcare Truth and Transparency Act of 2010 H. R. 4851 - Continuing Extension Act of 2010 H. R. 4213 - American Jobs and Closing Tax Loopholes Act of 2010 H. R. 5690 - Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H. R. 6073 - Congressional Gold Medal bill H. R. 4994 - Taxpayer Assistance Act of 2010 H. R. 5712 - The Physician Payment and Therapy Relief Act of 2010 H. R. 3652/S. 3737 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2010 Surgical Workforce Shortage Veterans Ophthalmology/Optometry Issues Health Care in Rural Areas National Healthcare Workforce Commission Patient-Centered Outcomes Research Institute's Board of Governors Ambulatory Surgical Center Reimbursement HIT Meaningful Use Independent Payment Advisory Board/Health Care Reform Veterans Ophthalmology/Optometry Issues Regionalization of Care Issues Nominations to Board of Governors for Patient Centered Outcomes Research Institute American College of Surgeons National Surgical Quality Improvement Program Rare Pediatric Illnesses Medicare Payment Errors Athletes and Concussions

Client expense: $15,459 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

See page three for specific Medicare/Medicaid issues. H. R. 3590 - Patient Protection and Affordable Care Act H. R. 4872 - Health Care and Education Reconciliation Act of 2010 H. R. 4985 - Medicare Decisions Accountability Act of 2010 H. R. 5295 - Healthcare Truth and Transparency Act of 2010 H. R. 4851 - Continuing Extension Act of 2010 H. R. 4213 - American Jobs and Closing Tax Loopholes Act of 2010 H. R. 5690 - Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H. R. 6073 - Congressional Gold Medal bill H. R. 4994 - Taxpayer Assistance Act of 2010 H. R. 5712 - The Physician Payment and Therapy Relief Act of 2010 H. R. 3652/S. 3737 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2010 Surgical Workforce Shortage Veterans Ophthalmology/Optometry Issues Health Care in Rural Areas National Healthcare Workforce Commission Patient-Centered Outcomes Research Institute's Board of Governors Ambulatory Surgical Center Reimbursement HIT Meaningful Use Independent Payment Advisory Board/Health Care Reform Veterans Ophthalmology/Optometry Issues Regionalization of Care Issues Nominations to Board of Governors for Patient Centered Outcomes Research Institute American College of Surgeons National Surgical Quality Improvement Program Rare Pediatric Illnesses Medicare Payment Errors Athletes and Concussions

Client expense: $15,459 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

H.R. 1708/S. 700, Ending the Medicare Disability Waiting Period Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 H.R. 1468, Medical Justice Act of 2009 S. 45, Medical Care Access Protection Act of 2009 or the MCAP Act S. 1136/H.R. 3065, Mental Illness Chronic Care Improvement Act H.R. 5025, HITECH Extension for Behavioral Health Services Act of 2010 S.3709, HITECH Extension for Behavioral Health Services Act of 2010 H.R. 5466, SAMHSA Modernization Act of 2010 H.R. 5636, Community Mental Health and Addiction Safety Net Equity Act of 2010 H.R. 5712, Veterans, Seniors, and Childrens Health Technical Corrections Act of 2010 H.R. 5295, Healthcare Truth and Transparency Act of 2010 H.R. 4985, Medicare Decisions Accountability Act of 2010 S. 3425, Embedded Mental Health Providers for Reserves Act of 2010 H.R. 5392, Council on Integration of Health Care Education Act of 2010 H.R. 6147, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. H.R.6143, Medicare Mental Health Inpatient Equity Act HR 847, James Zadroga 9/11 Health and Compensation Act of 2010 S 4043, Garrett Lee Smith Memorial Reauthorization Act S 4035, Community-Based Mental Health Infrastructure Improvements Act H.R.5712, The Physician Payment and Therapy Relief Act of 2010 CMS-1503-FC Medicare Program; Revisions to Payment Policies Under the Physician Payment Schedule and Other Revisions to Part B for CY 2011; Final Rule Medicare Program; Request for Information Regarding Accountable Care Organizations and the Medicare Shared Savings Program; 75 Fed. Reg. 70,165 (November 17, 2010); CMS-1345-NC. SSA20070101; Revised Medical Criteria for Evaluating Mental Disorders; Proposed Rule; RIN 0960AF69; 75 Federal Register 51336 (August 19, 2010).

Client expense: $118,190 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, SENATE, Social Security Administration (SSA)

S. 1136/H.R. 3065, Mental Illness Chronic Care Improvement Act of 2009 H.R. 5025, HITECH Extension for Behavioral Health Services Act of 2010 H.R. 5466, SAMHSA Modernization Act of 2010 H.R. 5636, Community Mental Health and Addiction Safety Net Equity Act of 2010 H.R. 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H.R. 5295, Healthcare Truth and Transparency Act of 2010 H.R. 4985, Medicare Decisions Accountability Act of 2010 S. 3425, Embedded Mental Health Providers for Reserves Act of 2010 S.3709, HITECH Extension for Behavioral Health Services Act of 2010 H.R. 5392, Council on Integration of Health Care Education Act of 2010 H.R. 6147, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. H.R.6143, Medicare Mental Health Inpatient Equity Act H.R.5712, The Physician Payment and Therapy Relief Act of 2010

Client expense: $118,190 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, SENATE, Social Security Administration (SSA)

H.R. 5466, SAMHSA Modernization Act of 2010 H.R. 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H.R. 5295, Healthcare Truth and Transparency Act of 2010 H.R. 4985, Medicare Decisions Accountability Act of 2010

Client expense: $118,190 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, SENATE, Social Security Administration (SSA)

H.R. 1693/S. 671, Seniors Mental Health Access Improvement Act of 2009 H.R. 1708/S. 700, Ending the Medicare Disability Waiting Period Act of 2009 S. 1136/H.R. 3065, Mental Illness Chronic Care Improvement Act of 2009 H.R. 5025, HITECH Extension for Behavioral Health Services Act of 2010 S.3709, HITECH Extension for Behavioral Health Services Act of 2010 H.R. 5636, Community Mental Health and Addiction Safety Net Equity Act of 2010 H.R. 5712, Veterans, Seniors, and Childrens Health Technical Corrections Act of 2010 H.R. 4985, Medicare Decisions Accountability Act of 2010 H.R. 5290, More Doctors, More Choices Act of 2010 H.R. 6147, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. H.R.6143, Medicare Mental Health Inpatient Equity Act S 4035 - Community-Based Mental Health Infrastructure Improvements Act H.R.5712, The Physician Payment and Therapy Relief Act of 2010 CMS-1503-FC Medicare Program; Revisions to Payment Policies Under the Physician Payment Schedule and Other Revisions to Part B for CY 2011; Final Rule Medicare Program; Request for Information Regarding Accountable Care Organizations and the Medicare Shared Savings Program; 75 Fed. Reg. 70,165 (November 17, 2010); CMS-1345-NC.

Client expense: $118,190 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, SENATE, Social Security Administration (SSA)

H.R. 1693/S. 671, Seniors Mental Health Access Improvement Act of 2009 H.R. 5712, Veterans', Seniors', and Children's Health Technical Corrections Act of 2010 H.R. 4985, Medicare Decisions Accountability Act of 2010 H.R. 5290, More Doctors, More Choices Act of 2010 H.R. 6147, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. H.R.6143, Medicare Mental Health Inpatient Equity Act H.R.5712, The Physician Payment and Therapy Relief Act of 2010

Client expense: $118,190 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, SENATE, Social Security Administration (SSA)

H.R. 667, Heroes at Home Act of 2009 H.R. 952, COMBAT PTSD Act H.R. 1701, PTSD/TBI Guaranteed Review for Heroes Act S. 711/H.R. 2058, Post-Deployment Health Assessment Act H.R. 1308, Veterans Mental Health Screening and Assessment Act H.R. 4985, Medicare Decisions Accountability Act of 2010 S. 3371, TRICARE Mental Health Care Access Act S. 3425, Embedded Mental Health Providers for Reserves Act of 2010 H.R. 3082, Continuing Appropriations and Surface Transportation Extensions Act, 2011

Client expense: $118,190 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, SENATE, Social Security Administration (SSA)

H.R. 5466, SAMHSA Modernization Act of 2010 H.R. 5636, Community Mental Health and Addiction Safety Net Equity Act of 2010 H.R. 5712, Veterans', Seniors', and Children's Health Technical Corrections Act of 2010 H.R. 4985, Medicare Decisions Accountability Act of 2010 S. 3425, Embedded Mental Health Providers for Reserves Act of 2010 H.R.5712, The Physician Payment and Therapy Relief Act of 2010

Client expense: $118,190 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, SENATE, Social Security Administration (SSA)

H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 H.R. 1468, Medical Justice Act of 2009 S. 45, Medical Care Access Protection Act of 2009 or the MCAP Act S. 1099, Patients' Choice Act and Independent Health Record Trust Act of 2009 H.R. 5025, HITECH Extension for Behavioral Health Services Act of 2010 S.3709, HITECH Extension for Behavioral Health Services Act of 2010 H.R. 5712, Veterans, Seniors, and Childrens Health Technical Corrections Act of 2010 H.R. 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H.R. 4985, Medicare Decisions Accountability Act of 2010 H.R. 5290, More Doctors, More Choices Act of 2010 S. 3371, TRICARE Mental Health Care Access Act H.R. 6147, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. H.R.6143, Medicare Mental Health Inpatient Equity Act H.R.5712, The Physician Payment and Therapy Relief Act of 2010

Client expense: $118,190 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, SENATE, Social Security Administration (SSA)

P.L.111-148 - Healthcare reform law and possible modification of certain sections; General discussion related to drug pricing issues (no specific legislation); HR 4985, Medicare Decisions Accountability Act of 2010

Client expense: $60,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare/Home Health Benefits (No bill): Pertaining to potential regulation regarding the face-to-face physician encounter requirement to qualify for the Medicare home health benefit. Medicare/Part A Hospital Inpatient Status. H.R. 5950: provisions ensuring that beneficiaries receiving hospital services are designated inpatients, thereby assuring coverage of prescription drugs and post-acute care under Part A. Medicare/Physician Fees (P.L. 111-309): provisions relating to maintaining current levels of physician fees under Part B; extension of the therapy caps exceptions process; the extension of the Qualified Individual program (no bill). Medicare/Part B Premium. S. 3950, H.R. 3631: provisions extending the current "hold harmless" policy to all Medicare enrollees ensuring 2010 Part B monthly premiums remain at the current rate. Comprehensive Health Care Reform. P.L. 111-148 (H.R. 3590), P.L. 111-152 (H.R. 4872): implementation of provisions relating to reducing Medicare Advantage plan payments; reducing the coverage gap in Part D; requiring wealthier Medicare beneficiaries to pay a greater share of the cost of their premiums under Medicare Parts B and D; expanding benefits for low-income beneficiaries under the Medicare Savings Programs and the Part D Low-Income Subsidy (LIS); improving the process for reassigning LIS beneficiaries to new plans; expanding coverage of prevention services; establishing a Medicare Commission; providing expanded Medicaid coverage for home and community-based services; authorizing the collection of data regarding disparities in the provision of care; providing safeguards and subsidies to assure affordability of health coverage for seniors. Medicare/Commission. P.L. 111-148 (H.R. 3590), P.L. 111-152 (H.R. 4872), S. 3653, H.R. 4985: pertaining to the repeal or modification of provisions creating an independent commission authorized to establish Medicare payment and policy designed to reduce Medicare spending growth. Medicare/Hearing Coverage. H.R. 504: authorizing coverage of hearing aids and auditory rehabilitation services under Medicare Part B. Medicare/Part D Premiums. H.R. 1832: limiting Part D premium increases to no more than the Social Security cost-of-living adjustment and requiring the Secretary of Health and Human Services to negotiate lower prescription drug prices. Medicare/Parts C and D. P.L. 110-275, P.L. 108-173. implementation of regulations and issuance of guidance relating to beneficiary eligibility, enrollment, and effectiveness of exceptions and the appeals processes under Medicare Parts C and D. Medicare/Negotiation of Part D Drug Prices (No bill): pertaining to requiring the Secretary of the Department of Health and Human Services to negotiate price concessions from pharmaceutical manufacturers for drugs purchased under the Part D program. Medicare/Prescription Drug Plan. S. 330, H.R. 684: authorizing the establishment of a Medicare-operated prescription drug plan. Medicare/Combating Waste, Fraud, Abuse. H.R. 5044: relating to provisions to combat waste, fraud, and abuse within Medicare; H.R. 203: increasing civil and criminal penalties for acts involving fraud and abuse and increasing the surety bond amount for suppliers of durable medical equipment. Medicare and Medicaid/ Federal Coordinated Health Care Office (No bill): proposals for the activities of the Federal Coordinated Health Care Office intended to improve the management of the Part D low-income subsidy, the Medicare Savings Programs, and Special Needs Plans for dually-eligible beneficiaries. Medicare and Medicaid/ Center for Medicare and Medicaid Innovations (No bill): relating to planning for the Center for Medicare and Medicaid Innovations, and the approach this office will take toward coordinated programs for dually-eligible Medicare and Medicaid beneficiaries.

Client expense: $420,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), President of the U.S., 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: $573,687 · 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: $573,687 · Firm income: Not reported

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

Various issues surrounding health care reform. HR 3200, HR 1339, S 1235, HR 1392, S 1221, HR 3590, HR 1188, S 468, HR 1765, HR 4827, S.701, HR 4985, H.RES 1444, HR 5597, HR 2400, HR 1549, HR 5106.

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

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

H.R. 4985, the Medicare Decisions Accountability Act of 2010" to repeal the Independent Payment Advisory Board

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4985, the Medicare Decisions Accountability Act of 2010" to repeal the Independent Payment Advisory Board

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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 5253 Federal Research Public Access Act of 2010 HR 5690 Meaningful End to Defensive Medicine and Aimless Lawsuits (MedMal) 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: $105,000 · 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 5690 Meaningful End to Defensive Medicine and Aimless Lawsuits (MedMal) 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: $105,000 · Firm income: Not reported

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

H.R. 4985 A bill to suspend temporarily the duty on Coflake S. 2369 A bill to suspend temporarily the duty on certain plastic laminate sheets; S. 2355 A bill to suspend temporarily the duty on 1,3-Propanediaminium, N-[3-[[[dimethyl[3-[(2-methyl-1-oxo-2-pro-penyl)amino]propyl]ammonio]acetyl]amino]propyl]-2-hydroxy-N,N,N',N',N'-pentamethyl-, trichloride, polymer with 2-propenamide; S. 2191 A bill to extend the temporary suspension of duty on certain rayon staple fibers S. 2356 A bill to suspend temporarily the duty on a mixture of 1-(1,2,3,4,5,6,7,8-octahydro-2,3,8,8-tetramethyl-2-naphthalenyl)-ethan-1-one (and isomers) S. 2363 A bill to extend and modify temporarily the suspension of duty on Methylionone S. 2357 A bill to suspend temporarily the duty on 2-cyclo-hexylidene-2-phenyl acetonitrile S. 2358 A bill to suspend temporarily the duty on certain warp knit open-work fabric

Client expense: $1,030,211 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Natl Security Council (NSC), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Agency for International Development (USAID), U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

H.R. 3615, the Home Office Deduction Simplification Act-support H.R. 3765, the REINS Act-support H.R. 5297, the Small Business Jobs Act of 2010- support self employed health insurance tax credit H.R. 5982, the Small Business Tax Relief Act-support H.R.4985, the Medicare Decisions Accountability Act of 2010 H.R.12, the Paycheck Fairness Act-oppose H.R.5853, the Fiscal Responsibility and Retirement Security Act S. 3502, The American Liberty Restoration Act-support S. 3628, the Democracy Is Strengthened by Casting Light on Spending in Elections Act-oppose S. 3578, the Small Business Paperwork Mandate Elimination Act-support Johanns Amendment (SA 4596) to the Small Business Jobs and Credit Act of 2010- support Nelson (FL) amendment #4595 to the Small Business Jobs and Credit Act of 2010- oppose S.J. Res. 39 to overturn the so-called grandfather rule issued by the administration in response to the Patient Protection and Affordable Care Act-support Draft FY 20112015 EPA Strategic Plan Docket ID: EPA-HQ-OPPT-2010-0173] Comments for the Advanced Notice of Proposed Rulemaking on Lead; Renovation, Repair, and Painting Program for Public and Commercial Buildings urging the Department of Treasury not to issue guidance that would allow the plaintiffs trial bar to receive a new tax deduction for certain costs associated with contingency fee lawsuits General Issues Estate Tax Extension of the 2001 and 2003 individual income tax rates IRS Form 1099 Healthcare Reform

Client expense: $685,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA)

H.R. 1339; S. 1235; the Children's Access to Reconstructive Evaluation and Surgery (CARES) Act -- health insurance coverage for children with congenital medical deformities; H.R. 4985, the Medicare Decisions Accountability Act of 2010 -- to repeal IPAB; S. 3653 -- Eliminate Health Care Bureaucrats Act; H.R. 5295; the Health Care Truth and Transparency Act of 2010 -- to give FTC additional monies for combatting false advertising

Client expense: $160,000 · 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 five for specific Health Issues. H.R. 3590 - Patient Protection and Affordable Care Act H.R. 4872 - Health Care and Education Reconciliation Act of 2010 H.R. 4985 - Medicare Decisions Accountability Act of 2010 H.R. 5295 - Healthcare Truth and Transparency Act of 2010 H.R. 4851 - Continuing Extension Act of 2010 H.R. 4213 - American Jobs and Closing Tax Loopholes Act of 2010 H.R. 5690 - Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H. R. 6073 - Congressional Gold Medal bill S. 3737: Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2010 Surgical Workforce Shortage Veterans Ophthalmology/Optometry Issues Health Care in Rural Areas National Healthcare Workforce Commission Patient-Centered Outcomes Research Institute's Board of Governors Ambulatory Surgical Center Reimbursement HIT Meaningful Use Independent Payment Advisory Board/Health Care Reform Veterans Ophthalmology/Optometry Issues Regionalization of Care Issues Nominations to Board of Governors for Patient Centered Outcomes Research Institute American College of Surgeons National Surgical Quality Improvement Program Rare Pediatric Illnesses Medicare Payment Errors Athletes and Concussions

Client expense: $23,672 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

See page three for specific Medicare/Medicaid issues. H.R. 3590 - Patient Protection and Affordable Care Act H.R. 4872 - Health Care and Education Reconciliation Act of 2010 H.R. 4985 - Medicare Decisions Accountability Act of 2010 H.R. 5295 - Healthcare Truth and Transparency Act of 2010 H.R. 4851 - Continuing Extension Act of 2010 H.R. 4213 - American Jobs and Closing Tax Loopholes Act of 2010 H.R. 5690 - Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H. R. 6073 - Congressional Gold Medal bill S. 3737: Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2010 Surgical Workforce Shortage Veterans Ophthalmology/Optometry Issues Health Care in Rural Areas National Healthcare Workforce Commission Patient-Centered Outcomes Research Institute's Board of Governors Ambulatory Surgical Center Reimbursement HIT Meaningful Use Independent Payment Advisory Board/Health Care Reform Veterans Ophthalmology/Optometry Issues Regionalization of Care Issues Nominations to Board of Governors for Patient Centered Outcomes Research Institute American College of Surgeons National Surgical Quality Improvement Program Rare Pediatric Illnesses Medicare Payment Errors Athletes and Concussions

Client expense: $23,672 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

See page three for specific Medicare/Medicaid issues. H.R. 3590 - Patient Protection and Affordable Care Act H.R. 4872 - Health Care and Education Reconciliation Act of 2010 H.R. 4985 - Medicare Decisions Accountability Act of 2010 H.R. 5295 - Healthcare Truth and Transparency Act of 2010 H.R. 4851 - Continuing Extension Act of 2010 H.R. 4213 - American Jobs and Closing Tax Loopholes Act of 2010 H.R. 5690 - Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H. R. 6073 - Congressional Gold Medal bill S. 3737: Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2010 Surgical Workforce Shortage Veterans Ophthalmology/Optometry Issues Health Care in Rural Areas National Healthcare Workforce Commission Patient-Centered Outcomes Research Institute's Board of Governors Ambulatory Surgical Center Reimbursement HIT Meaningful Use Independent Payment Advisory Board/Health Care Reform Veterans Ophthalmology/Optometry Issues Regionalization of Care Issues Nominations to Board of Governors for Patient Centered Outcomes Research Institute American College of Surgeons National Surgical Quality Improvement Program Rare Pediatric Illnesses Medicare Payment Errors Athletes and Concussions

Client expense: $24,373 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

See page five for specific Health Issues. H.R. 3590 - Patient Protection and Affordable Care Act H.R. 4872 - Health Care and Education Reconciliation Act of 2010 H.R. 4985 - Medicare Decisions Accountability Act of 2010 H.R. 5295 - Healthcare Truth and Transparency Act of 2010 H.R. 4851 - Continuing Extension Act of 2010 H.R. 4213 - American Jobs and Closing Tax Loopholes Act of 2010 H.R. 5690 - Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H. R. 6073 - Congressional Gold Medal bill S. 3737: Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2010 Surgical Workforce Shortage Veterans Ophthalmology/Optometry Issues Health Care in Rural Areas National Healthcare Workforce Commission Patient-Centered Outcomes Research Institute's Board of Governors Ambulatory Surgical Center Reimbursement HIT Meaningful Use Independent Payment Advisory Board/Health Care Reform Veterans Ophthalmology/Optometry Issues Regionalization of Care Issues Nominations to Board of Governors for Patient Centered Outcomes Research Institute American College of Surgeons National Surgical Quality Improvement Program Rare Pediatric Illnesses Medicare Payment Errors Athletes and Concussions

Client expense: $24,373 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

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

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

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

H.R. 1708/S. 700, Ending the Medicare Disability Waiting Period Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 (medical malpractice reform) H.R. 1468, Medical Justice Act of 2009 (medical malpractice reform) S. 45, Medical Care Access Protection Act of 2009 or the MCAP Act (medical malpractice reform) S. 1136/H.R. 3065, Mental Illness Chronic Care Improvement Act H.R. 667, the Heroes at Home Act H.R. 2505, the Reaching Rural Veterans Through Telehealth Act H.R. 5025, HITECH Extension for Behavioral Health Services Act of 2010 S.3709, HITECH Extension for Behavioral Health Services Act of 2010 H.R. 5466, SAMHSA Modernization Act of 2010 H.R. 5636, Community Mental Health and Addiction Safety Net Equity Act of 2010 H.R. 5712, Veterans, Seniors, and Childrens Health Technical Corrections Act of 2010 H.R. 5295, Healthcare Truth and Transparency Act of 2010 H.R. 4985, Medicare Decisions Accountability Act of 2010 (repeal IPAB) S. 3425, Embedded Mental Health Providers for Reserves Act of 2010 H.R. 5392, Council on Integration of Health Care Education Act of 2010 H.R. 6147, to treat psychologists as physicians under Medicare H.R.6143, Medicare Mental Health Inpatient Equity Act CMS-1504-P: Medicare Program: Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates (August 3, 2010). Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2011; Proposed Rule; CMS-1503-P; 75 Federal Register 40,040 (July 13, 2010).

Client expense: $102,791 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, SENATE, Veterans Affairs, Dept of (VA)

H.R. 1693/S. 671, Seniors Mental Health Access Improvement Act of 2009 (MFTs and MHCs under Medicare) H.R. 1708/S. 700, Ending the Medicare Disability Waiting Period Act of 2009 S. 1136/H.R. 3065, Mental Illness Chronic Care Improvement Act of 2009 H.R. 5025, HITECH Extension for Behavioral Health Services Act of 2010 S.3709, HITECH Extension for Behavioral Health Services Act of 2010 H.R. 5636, Community Mental Health and Addiction Safety Net Equity Act of 2010 H.R. 5712, Veterans, Seniors, and Childrens Health Technical Corrections Act of 2010 H.R. 4985, Medicare Decisions Accountability Act of 2010 (repeal IPAB) H.R. 5290, More Doctors, More Choices Act of 2010 H.R. 6147, to treat psychologists as physicians under Medicare H.R.6143, Medicare Mental Health Inpatient Equity Act CMS-1504-P: Medicare Program: Proposed Changes to the Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates (August 3, 2010). Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2011; Proposed Rule; CMS-1503-P; 75 Federal Register 40,040 (July 13, 2010).

Client expense: $102,791 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, SENATE, Veterans Affairs, Dept of (VA)

H.R. 1693/S. 671, Seniors Mental Health Access Improvement Act of 2009 (MFTs and MHCs under Medicare) H.R. 5712, Veterans', Seniors', and Children's Health Technical Corrections Act of 2010 H.R. 4985, Medicare Decisions Accountability Act of 2010 (repeal IPAB) H.R. 5290, More Doctors, More Choices Act of 2010 H.R. 6147, to treat psychologists as physicians under Medicare H.R.6143, Medicare Mental Health Inpatient Equity Act

Client expense: $102,791 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, SENATE, Veterans Affairs, Dept of (VA)

S. 1136/H.R. 3065, Mental Illness Chronic Care Improvement Act of 2009 H.R. 5025, HITECH Extension for Behavioral Health Services Act of 2010 H.R. 5466, SAMHSA Modernization Act of 2010 H.R. 5636, Community Mental Health and Addiction Safety Net Equity Act of 2010 H.R. 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H.R. 5295, Healthcare Truth and Transparency Act of 2010 H.R. 4985, Medicare Decisions Accountability Act of 2010 S. 3425, Embedded Mental Health Providers for Reserves Act of 2010 S.3709, HITECH Extension for Behavioral Health Services Act of 2010 H.R. 5392, Council on Integration of Health Care Education Act of 2010 H.R. 6147, to treat psychologists as physicians under Medicare H.R.6143, Medicare Mental Health Inpatient Equity Act

Client expense: $102,791 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, SENATE, Veterans Affairs, Dept of (VA)

H.R. 5466, SAMHSA Modernization Act of 2010 H.R. 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H.R. 5295, Healthcare Truth and Transparency Act of 2010 H.R. 4985, Medicare Decisions Accountability Act of 2010

Client expense: $102,791 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, SENATE, Veterans Affairs, Dept of (VA)