Reform Americans Can Afford Act of 2010

Implementation of healthcare reform laws - Executive Branch actions re PL 111-148 and PL 111-152. Repeal Patient Protection and Affordable Health Care Acts (PL 111-148/PL 111-152) - HR 4901, To repeal the Patient Protection and Affordable Care Act; HR 4903, To repeal the Patient Protection and Affordable Care Act; HR 4910, To repeal the Patient Protection and Affordable Care Act and enact the Empowering Patients First Act in order to provide incentives to encourage health insurance coverage; HR 4919, To repeal the Patient Protection and Affordable Care Act; HR 4972, To repeal the Patient Protection and Affordable Care Act; HR 5005, To repeal the Patient Protection and Affordable Care Act; HR 5073, To repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 and enact the OPTION Act of 2009; HR 5216, To repeal the Patient Protection and Affordable Care Act; HR 5421, To repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, repeal the 7.5 percent threshold on the deduction for medical expenses, provide for increased funding for high-risk pools, allow acquiring health insurance across State lines, and allow for the creation of association health plans; HR 5424, Reform Americans Can Afford Act of 2010 ; HR 5444, Private Option Health Care Act; HR 6355, STAT Act of 2010; S 3147, Patient Choice Restoration Act; S 3152, A bill to repeal the Patient Protection and Affordable Care Act. *Generic contributions by veterans - HR 2974, To amend the Internal Revenue Code of 1986 to allow individuals eligible for veterans health benefits to contribute to health savings accounts. *Tax incentives for LTC insurance - HR 897, To amend the Internal Revenue Code of 1986 to allow individuals a deduction for qualified long-term care insurance premiums, use of such insurance under cafeteria plans and flexible spending arrangements, and a credit for individuals with long-term care needs; S 94, A bill to amend the Internal Revenue Code of 1986 to provide for a nonrefundable tax credit for long-term care insurance premiums; S 702, A bill to amend the Internal Revenue Code of 1986 to allow long-term care insurance to be offered under cafeteria plans and flexible spending arrangements and to provide additional consumer protections for long-term care insurance; HR 1891, To amend the Internal Revenue Code of 1986 to allow an above-the-line deduction for half of an individual's long-term care insurance premiums; HR 2096, To amend the Internal Revenue Code of 1986 to allow long-term care insurance to be offered under cafeteria plans and flexible spending arrangements and to provide additional consumer protections for long-term care insurance; HR 6234, Comprehensive Long-Term Care Support Act of 2010. *HSA improvements, transparency - HR 3478, To amend the Internal Revenue Code of 1986 to modify rules relating to health savings accounts, to provide payments for a health savings account and for a high deductible health plan instead of entitlement to benefits under Medicare, Medicaid, and SCHIP, to give more control and coverage to patients, to lower health care costs through increased price transparency, and to require immigrants to have a health savings account and high deductible health coverage at time of admission. *HSA improvements - HR 3508, To amend the Internal Revenue Code of 1986 to provide for improved treatment of HSA account provisions, and for other purposes; HR 3971, To amend the Internal Revenue Code of 1986 to expand the permissible use of health savings accounts to include health insurance payments and to increase the dollar limitation for contributions to health savings accounts, and for other purposes. *Tax incentives for employer-sponsored wellness programs - HR 3490, To amend the Internal Revenue Code of 1986 to provide tax incentives for employer-provided wellness programs. *Health insurance tax deduction, HSAs - HR 3610, To amend the Internal Revenue Code of 1986 to improve access to health care by allowing a deduction for the health insurance costs of individuals, expanding health savings accounts, and for other purposes. *Tax incentives for LTC insurance, consumer protections for LTC insurance, caregiver tax credits - S 2958, CARE Act of 2010. *Changes to premium tax, high-value health plan tax - HR 4872, Health Care and Education Reconciliation Act of 2010. *Repeal HSA and FSA restrictions - HR 5923, To amend the Patient Protection and Affordable Care Act to repeal certain limitations on tax health care benefits; S 3673, Patients' Freedom to Choose Act. *Treatment of high deductible health plans as qualified health plans, repeal of HSA and FSA restrictions - HR 5936, Restoring Assistance for Families' and Seniors' Health Expenses Act of 2010. *TAA health coverage tax credits - HR 6517, Omnibus Trade Act of 2010.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of healthcare reform laws - Executive Branch actions re PL 111-148/PL 111-152. Repeal Patient Protection and Affordable Health Care Acts (PL 111-148/PL 111-152) - HR 4901, To repeal the Patient Protection and Affordable Care Act; HR 4903, To repeal the Patient Protection and Affordable Care Act; HR 4910, To repeal the Patient Protection and Affordable Care Act and enact the Empowering Patients First Act in order to provide incentives to encourage health insurance coverage; HR 4919, To repeal the Patient Protection and Affordable Care Act; HR 4972, To repeal the Patient Protection and Affordable Care Act; HR 5005, To repeal the Patient Protection and Affordable Care Act; HR 5073, To repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 and enact the OPTION Act of 2009; HR 5216, To repeal the Patient Protection and Affordable Care Act; HR 5421, To repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, repeal the 7.5 percent threshold on the deduction for medical expenses, provide for increased funding for high-risk pools, allow acquiring health insurance across State lines, and allow for the creation of association health plans; HR 5424, Reform Americans Can Afford Act of 2010 ; HR 5444, Private Option Health Care Act; HR 6355, STAT Act of 2010; S 3147, Patient Choice Restoration Act; S 3152, A bill to repeal the Patient Protection and Affordable Care Act. *Medical liability reform - HR 1468, To provide health care liability reform, and for other purposes; S 45, 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 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010; S 1734, 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. *Antitrust exemption for physicians - HR 1493, To ensure and foster continued patient safety and quality of care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers. *Third-party billing by VA for service-connected disabilities - HR 1658, To amend title 38, United States Code, to prohibit the recovery by the United States of charges from a third party for hospital care or medical services furnished to a veteran for a service-connected disability. * COBRA subsidies for the unemployed - S 2730, COBRA Subsidy Extension and Enhancement Act of 2009. *COBRA extension - HR 5324, COBRA Health Benefits Extension Act of 2010; S 3393, COBRA Health Benefits Extension Act of 2010. *Transparency in healthcare pricing - HR 4700, Transparency in All Health Care Pricing Act of 2010. *Health benefits plan information, transparency in hospital price and quality information - HR 4803, 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. *Privacy protections for health information technology - HR 4061, To advance cybersecurity research, development, and technical standards, and for other purposes. *Fraud and abuse - S 458, A bill to amend the False Claims Act. *Cafeteria plans, flexible spending arrangements - S 988, A bill to amend the Internal Revenue Code of 1986 to allow small businesses to set up simple cafeteria plans to provide nontaxable employee benefits to their employees, to make changes in the requirements for cafeteria plans, flexible spending accounts, and benefits provided under such plans or accounts, and for other purposes. * Coverage expansion, quality improvements, delivery system reforms, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - HR 3590, Patient Protection and Affordable Care Act. *Amendments on employer reporting requirements - S 510, FDA Food Safety Modernization Act. *Employer reporting requirement - S 3946, Small Business Paperwork Relief Act. *Data security - HR 2221, To protect consumers by requiring reasonable security policies and procedures to protect computerized data containing personal information, and to provide for nationwide notice in the event of a security breach; S 139, A bill to require Federal agencies, and persons engaged in interstate commerce, in possession of data containing sensitive personally identifiable information, to disclose any breach of such information. *Price transparency - HR 2249, 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. *Association health plans - HR 2607, To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees. *Privacy, identity theft - S 1490, A bill to prevent and mitigate identity theft, to ensure privacy, to provide notice of security breaches, and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information. *Premium assistance for unemployed - S 3421, Protecting Against Indebting our Descendants through Fully Offset Relief (PAID FOR) Temporary Extension Act of 2010; S 3548, Extend COBRA Premium Assistance Program Act of 2010. *Continuing resolution with temporary funding for HHS programs and agencies - HR 3081, Continuing Appropriations Act, 2011; HR 3082, Continuing Appropriations and Surface Transportation Extensions Act, 2011; S 3686, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2011. *Data security, privacy - HR 5777, To foster transparency about the commercial use of personal information, provide consumers with meaningful choice about the collection, use, and disclosure of such information; S 3579, Data Security Act of of 2010; S 3742, Data Security and Breach Notification Act of 2010. *Privacy proposal, collection and disclosure of certain personal information - Proposed legislation re this issue.

Implementation of healthcare reform laws - Executive Branch actions re PL 111-148 and PL 111-152. Repeal Patient Protection and Affordable Health Care Acts (PL 111-148/PL 111-152) - HR 4901, To repeal the Patient Protection and Affordable Care Act; HR 4903, To repeal the Patient Protection and Affordable Care Act; HR 4910, To repeal the Patient Protection and Affordable Care Act and enact the Empowering Patients First Act in order to provide incentives to encourage health insurance coverage; HR 4919, To repeal the Patient Protection and Affordable Care Act; HR 4972, To repeal the Patient Protection and Affordable Care Act; HR 5005, To repeal the Patient Protection and Affordable Care Act; HR 5073, To repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 and enact the OPTION Act of 2009; HR 5216, To repeal the Patient Protection and Affordable Care Act; HR 5421, To repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, repeal the 7.5 percent threshold on the deduction for medical expenses, provide for increased funding for high-risk pools, allow acquiring health insurance across State lines, and allow for the creation of association health plans; HR 5424, Reform Americans Can Afford Act of 2010 ; HR 5444, Private Option Health Care Act; HR 6355, STAT Act of 2010; S 3147, Patient Choice Restoration Act; S 3152, A bill to repeal the Patient Protection and Affordable Care Act. Medicare physician reimbursement - HR 4994, Medicare and Medicaid Extenders Act of 2010. *Medicaid FMAP extension - HR 4263, State Medicaid Assistance Extension Act of 2009; S 3000, A bill to extend the increase in the FMAP provided in the American Recovery and Reinvestment Act of 2009 for an additional 6 months; S 3000, A bill to extend the increase in the FMAP provided in the American Recovery and Reinvestment Act of 2009 for an additional 6 months. *Enhanced Medicaid FMAP - HR 1586, FAA Air Transportation Modernization and Safety Improvement Act. *Guaranteed-issue MediGap, Medicare Advantage enrollment - S 1669, A bill to provide all Medicare beneficiaries with the right to guaranteed issue of a Medicare supplemental policy. *HHS Secretary's role in negotiating Part D drug prices - HR 4752, Medicare Prescription Drug Price Negotiation Act of 2010. *Medicare Part D formulary changes - HR 4917, To amend part D of title XVIII of the Social Security Act to prohibit mid-year changes in the formularies of Medicare Part D plans. *Medicare Advantage, Part D, special needs plans, Medicare cost plans, Medicaid issues including eligibility expansion and prescription drug pricing, MediGap changes, Medicare FFS payment reform - HR 3590, Patient Protection and Affordable Care Act. *Medicare physician payment - S 3421, Protecting Against Indebting our Descendants through Fully Offset Relief (PAID FOR) Temporary Extension Act of 2010. *Changes to Medicare Advantage funding, Medicare Part D coverage gap, Medicaid funding - HR 4872, Health Care and Education Reconciliation Act of 2010. *Medicaid and CHIP technical corrections - HR 5712, Veterans', Seniors', and Children's Health Technical Corrections Act of 2010; S 3793, Job Creation and Tax Cuts Act of 2010. *MA open enrollment - HR 6303, Medicare Beneficiary Choice Preservation Act of 2010. *Medicare physician payment, Medicaid & CHIP technical corrections - HR 4994, Medicare and Medicaid Extenders Act of 2010. *Medicare open enrollment - HR 6502, Medicare Beneficiary Preservation of Choice Act of 2010; S 4040, Medicare Beneficiary Preservation of Choice Act of 2010. *Price negotiations, plan information - S 4024, Medicare Enhancements for Needed Drugs Act of 2010.

Climate Change; Energy Legislation (S. 1733; S. 1462; H.R. 5424).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Climate Change; Energy Legislation (S. 1733; S. 1462; H.R. 5424).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 557, Vision Care for Kids Act, all sections relating to vision. HR 1884, National Health Service Corps Improvement Act of 2009, all sections relating to vision. HR 2697, To amend title XIX of the Social Security Act to require Medicaid coverage of professional services of optometrists that are otherwise covered when furnished by a physician, all sections relating to vision.. HR 3962, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, all sections relating to vision. HR 5295, Healthcare Truth and Transparency Act of 2010, all sections relating to vision. HR 5424, Reform Americans Can Afford Act of 2010, all sections relating to vision. HR 6290, To amend title XIX of the Social Security Act to require Medicaid coverage of optometrists, all sections relating to vision. H.Res. 1226. Commending EyeCare America for its work over the last 25 years, all sections relating to vision. S. 259, Vision Care for Kids Act of 2009, all sections relating to vision.

Client expense: $254,000 · Firm income: Not reported

HR 2697, To amend title XIX of the Social Security Act to require Medicaid coverage of professional services of optometrists that are otherwise covered when furnished by a physician, all sections relating to vision. HR 3962, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, all sections relating to vision. HR 4213, American Jobs and Closing Tax Loopholes Act of 2010, all sections relating to vision. HR 4371, To amend title XVIII of the Social Security Act to continue using 2009 Medicare practice expense relative value units for certain cardiology services, all sections relating to vision. HR 5424, Reform Americans Can Afford Act of 2010, all sections relating to vision. HR 6290, To amend title XIX of the Social Security Act to require Medicaid coverage of optometrists, all sections relating to vision.

Client expense: $254,000 · Firm income: Not reported

HR 2697, To amend title XIX of the Social Security Act to require Medicaid coverage of professional services of optometrists that are otherwise covered when furnished by a physician, all sections relating to vision. HR 3590, Patient Protection and Affordable Care Act , all sections relating to vision. HR 3962, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, all sections relating to vision. HR 4213, American Jobs and Closing Tax Loopholes Act of 2010, all sections relating to vision. HR 4371, To amend title XVIII of the Social Security Act to continue using 2009 Medicare practice expense relative value units for certain cardiology services, all sections relating to vision. HR 4851, Continuing Extension Act of 2010, all sections relating to vision. HR 5424, Reform Americans Can Afford Act of 2010, all sections relating to vision.

Client expense: $332,000 · Firm income: Not reported

HR 186 Glaucoma Screening Act of 2009, all sections relating to vision. HR 228 To direct the Secretary of Veterans Affairs to establish a scholarship program for students seeking a degree or certificate in the areas of visual impairment and orientation and mobility, all sections relating to vision. HR 577 Vision Care for Kids Act of 2009, all sections relating to vision. HR1402,Catalyst to Better Diabetes Care Act of 2009, all sections relating to vision. HR 1884, National Health Service Corps Improvement Act of 2009, all sections relating to vision. H.R.2350, Preserving Patient Access to Primary Care Act, all sections relating to vision. HR 2697, To amend title XIX of the Social Security Act to require Medicaid coverage of professional services of optometrists that are otherwise covered when furnished by a physician, all sections relating to vision. HR 3961, Medicare Physician Payment Reform Act of 2009, all sections relating to vision. HR 3962, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, all sections relating to vision. HR 3590, Patient Protection and Affordable Care Act, all sections relating to vision. HR 4371, To amend title XVIII of the Social Security Act to continue using 2009 Medicare practice expense relative value units for certain cardiology services, all sections relating to vision. HR 5295, Healthcare Truth and Transparency Act of 2010, all sections relating to vision. HR 5424, Reform Americans Can Afford Act of 2010, all sections relating to vision. H.Res. 1226. Commending EyeCare America for its work over the last 25 years, all sections relating to vision. S. 259, Vision Care for Kids Act of 2009, all sections relating to vision. S.Res.557, A resolution commending EyeCare America for its volunteerism and efforts to preserve eyesight throughout the previous 25 years, all sections relating to vision.

Climate Change; Energy Legislation (S. 1733; S. 1462; H.R. 5424).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Climate Change; Energy Legislation (S. 1733; S. 1462; H.R. 5424).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Fund for Access and Completion proposed legislation; Obama Administration community college proposals, generally; AACC proposal to allow institutions to lower loan maximums; H.R. 5424, "The American Clean Energy and Security Act," proposed amendment to provide funding for environmental education (no amdt. offered).

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

Government targets: Education, Dept of, Employment & Training Administration, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Natl Science Foundation (NSF), SENATE