Flexible Health Savings Act of 2009

H.R. 99 - the Fair and Simple Tax Act of 2009 H.R. 198 - Health Care Tax deduction Act of 2009 H.R. 205 - the Death Tax Repeal Act H.R. 85 - Marriage Tax Penalty Permanent Elimination Act of 2009 H.R. 199 - Simple Savings Tax Relief Act of 2009 H.R. 379 - State and Local Sales Tax Deduction Expansion Act of 2009 H.R. 498 - Capital Gains and Estate Tax Relief Act of 2009 H.R. 544 - Flexible Health Savings Act of 2009 H.R. 897 - Long-Term Care and Retirement Security Act of 2009 H.R. 1560 - Permanent Internet Tax Freedom Act of 2009 H.R. 1960 - Permanent Death Tax Repeal Act of 2009

Client expense: $172,523 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 99 - the Fair and Simple Tax Act of 2009 H.R. 198 - Health Care Tax deduction Act of 2009 H.R. 205 - the Death Tax Repeal Act H.R. 85 - Marriage Tax Penalty Permanent Elimination Act of 2009 H.R. 199 - Simple Savings Tax Relief Act of 2009 H.R. 379 - State and Local Sales Tax Deduction Expansion Act of 2009 H.R. 498 - Capital Gains and Estate Tax Relief Act of 2009 H.R. 544 - Flexible Health Savings Act of 2009 H.R. 897 - Long-Term Care and Retirement Security Act of 2009 H.R. 1560 - Permanent Internet Tax Freedom Act of 2009 H.R. 1960 - Permanent Death Tax Repeal Act of 2009

Client expense: Not reported · Firm income: $14,520

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 99 - the Fair and Simple Tax Act of 2009 H.R. 198 - Health Care Tax deduction Act of 2009 H.R. 205 - the Death Tax Repeal Act H.R. 85 - Marriage Tax Penalty Permanent Elimination Act of 2009 H.R. 199 - Simple Savings Tax Relief Act of 2009 H.R. 379 - State and Local Sales Tax Deduction Expansion Act of 2009 H.R. 498 - Capital Gains and Estate Tax Relief Act of 2009 H.R. 544 - Flexible Health Savings Act of 2009 H.R. 897 - Long-Term Care and Retirement Security Act of 2009 H.R. 1560 - Permanent Internet Tax Freedom Act of 2009 H.R. 1960 - Permanent Death Tax Repeal Act of 2009

Client expense: $175,137 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 99 - the Fair and Simple Tax Act of 2009 H.R. 198 - Health Care Tax deduction Act of 2009 H.R. 205 - the Death Tax Repeal Act H.R. 85 - Marriage Tax Penalty Permanent Elimination Act of 2009 H.R. 199 - Simple Savings Tax Relief Act of 2009 H.R. 379 - State and Local Sales Tax Deduction Expansion Act of 2009 H.R. 498 - Capital Gains and Estate Tax Relief Act of 2009 H.R. 544 - Flexible Health Savings Act of 2009 H.R. 897 - Long-Term Care and Retirement Security Act of 2009 H.R. 1560 - Permanent Internet Tax Freedom Act of 2009 H.R. 1960 - Permanent Death Tax Repeal Act of 2009

Client expense: Not reported · Firm income: $12,701

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 109, America's Affordable Health Care Act (Fortenberg) - essential benefits plan, high risk pools; H.R. 544, Flexible Health Savings Act (Royce) - FSA rollovers; H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare Act (Gingrey) - medical liability reform; (cont.) HCR (Legislative) H.R. 1468, Medical Justice Act (Burgess) medical liability reform; H.R. 1493, Quality Health Care Coalition Act (Paul) antitrust exemption for physicians; H.R. 1658, Veterans Healthcare Commitment Act (Tiahrt) third party billing by VA for service-connected disabilities; H.R. 2221, Data Accountability and Trust Act (Rush) data security; H.R. 2249, Health Care Price Transparency Promotion Act (Burgess) price transparency; H.R. 2502, Comparative Effectiveness Research Act (Schrader) comparative effectiveness research; H.R. 2520, Patients Choice Act (Ryan) comprehensive health reform; H.R. 2607: Small Business Health Coverage (Johnson) association health plans; H.R. 2668, Choice in Health Options Insures Care for Everyone Act (Murphy) government run health plan; H.R. 2847, Jobs for Main Street Act (Mollohan) extension of COBRA subsidies for the unemployed; H.R. 3002, PATIENTS Act (Boehner) comparative effectiveness research; H.R. 3200, Americas Affordable Health Choices Act (Dingell) coverage expansions, quality improvements, delivery system reforms, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; H.R. 3400, Empowering Patients First Act (Price) premium subsidies, national marketplace, medical liability reforms, wellness, transparency, quality; H.R. 3468, Prevention and Wellness Programs (Castle) incentives for prevention and wellness; H.R. 3472, Premium Discounts for Healthy Behavior (Dahlkemper) premium discounts for healthy behavior; H.R. 3590, Patient Protection and Affordable Care Act (Reid) coverage expansions, 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; H.R. 3962, Americas Affordable Health Choices Act (Dingell) coverage expansions, 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; H.R. 4061, Cybersecurity Enhancement Act (Lipinski) privacy protections for health information technology; H.R. 4213, Tax Extenders Act (Rangel) COBRA assistance; H.R. 4691, Temporary Extension Act (Rangel) COBRA assistance; H.R. 4700, Transparency in All Health Care Pricing Act (Kagen) transparency in health care pricing; H.R. 4803, Patients' Right to Know Act (Barton) health benefits plan information, transparency in hospital price and quality information; H.R. 4851, Continuing Extension Act (Levin) COBRA assistance, electronic health records; S. 45, Medical Care Access Protection Act (Ensign) medical liability reform; S. 139, Data Breach Notification Act (Feinstein) data security; S. 179, Health Information Technology Act (Stabenow) health information technology; S. 458, False Claims Act Clarification Act (Grassley) fraud and abuse; S. 698, State-Based Health Care Reform Act (Feingold) pilot projects for state-based health reforms; S. 913, Workforce Health Improvement Program Act (Cornyn) wellness incentives; S. 988, SIMPLE Cafeteria Plan Act (Snowe) cafeteria plans, flexible spending arrangements; S. 1099, Patients Choice Act (Coburn) comprehensive health reform; S. 1213, Patient-Centered Outcomes Research Act (Baucus) comparative effectiveness research; S. 1259, PATIENTS Act (Kyl) comparative effectiveness research; S. 1278, Consumers Health Care Act (Rockefeller) government run health plan; S. 1490, Personal Data Privacy and Security Act (Leahy) privacy, identity theft; S. 1679, Affordable Health Choices Act (Harkin) coverage expansions, quality improvements, delivery system reforms, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; S. 1734, Medical Liability Reform (Kyl) medical liability reform; S. 1796, Americas Healthy Future Act (Baucus) coverage expansions, quality improvements, delivery system reforms, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; S. 2730, COBRA Subsidy Extension and Enhancement Act (Brown) COBRA subsidies for the unemployed; S. 3153, Continuing Extension Act (Grassley) COBRA assistance, electronic health records HCR (Regulatory Issues): HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets; HIPAA enforcement; FEHBP enrollment data clearinghouse initiative; issues relating to health insurance plan participation in FEHBP, including contract requirements related to interoperability of health information technology, community rating policies, and similarly sized subscriber group (SSSG) requirement; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; issues related to genetics and genetic nondiscrimination; issues relating to mental health parity; issues relating to data breach requirements; issues relating to "meaningful use" requirements for health information technology; and issues relating to Form 5500 reporting requirements.

Coverage expansions, quality improvements, delivery system refors, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - HR 3962, To provide affordable, quality health care for all Americans and reduce the growth in healthcare spending, and for other purposes; HR 3590, Patient Protection and Affordable Care Act. Healthcare reform - HR 4872, Health Care and Education Reconciliation Act of 2010. *Coverage expansions, quality improvements, delivery system reforms, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - HR 3200, America's Affordable Health Choices Act. *Coverage expansions, quality improvements, delivery system reforms, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - S 1679, An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce; S 1796, An original bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. *Essential benefits plan, high-risk pools - HR 109, To provide for the offering of Health Benefit Plans to individuals, to increase funding for State high risk health insurance pools, and to promote best practice protocols for State high risk pools. *FSA rollovers - HR 544, To amend the Internal Revenue Code of 1986 to allow amounts in a health flexible spending arrangement that are unused during a plan year to be carried over to subsequent plan years or deposited into certain health or retirement plans. *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. *Premium subsidies, national marketplace, medical liability reforms, wellness, transparency, quality - HR 3400, To provide for incentives to encourage health insurance coverage, and for other purposes. *Incentives for prevention and wellness - HR 3468, To amend the Internal Revenue Code of 1986, the Public Health Service Act, and the Employee Retirement Income Security Act of 1974 to promote the use of prevention and wellness programs. *Premium discounts for healthy behavior - HR 3472, To provide for health insurance coverage premium discounts for healthy behavior and improvements toward healthy behavior. *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. *Medical liability reform - HR 1086, 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 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; 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. 8Health information technology - S 179, A bill to improve quality in health care by providing incentives for adoption of modern information technology. *uninsured individuals through State health care coverage pilot projects that expand coverage and access and improve quality and efficiency in the health care system. *Comparative effectiveness research - HR 2502, To amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Comparative Effectiveness Research Trust Fund, and for other purposes; HR 3002, To protect all patients by prohibiting the use of data obtained from comparative effectiveness research 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 1213, A bill to amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Patient-Centered Outcomes Research Trust Fund, and for other purposes; S 1259, A bill to protect all patients by prohibiting the use of data obtained from comparative effectiveness research 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. *Extension of COBRA subsidies for the unemployed - HR 2847, Making appropriations for the Departments of Commerce and Justice, and Science, and Related Agencies for the fiscal year ending September 30, 2010, and for other purposes. *COBRA assistance - HR 4213, American Workers, State, and Business Relief Act of 2010 ; HR 4691, Temporary Extension Act of 2010 *COBRA assistance, electronic health records - HR 4851, Continuing Extension Act of 2010; S 3153, Continuing 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. *Government-run health plan - HR 2668, To provide for the offering of an American Trust Health Plan to provide choice in health insurance options so as to ensure quality, affordable health coverage for all Americans; S 1278, 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. *Fraud and abuse - S 458, A bill to amend the False Claims Act. 8Wellness incentives - S 913, A bill to amend the Internal Revenue Code of 1986 to expand workplace health incentives by equalizing the tax consequences of employee athletic facility use. *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. *Comprehensive health reform - S 1099, A bill to provide comprehensive solutions for the health care system of the United States, and for other purposes; HR 2520, To provide comprehensive solutions for the health care system of the United States, and for other purposes.

H.R. 99 - the Fair and Simple Tax Act of 2009 H.R. 198 - Health Care Tax deduction Act of 2009 H.R. 205 - the Death Tax Repeal Act H.R. 85 - Marriage Tax Penalty Permanent Elimination Act of 2009 H.R. 199 - Simple Savings Tax Relief Act of 2009 H.R. 379 - State and Local Sales Tax Deduction Expansion Act of 2009 H.R. 498 - Capital Gains and Estate Tax Relief Act of 2009 H.R. 544 - Flexible Health Savings Act of 2009 H.R. 897 - Long-Term Care and Retirement Security Act of 2009 H.R. 1560 - Permanent Internet Tax Freedom Act of 2009 H.R. 1960 - Permanent Death Tax Repeal Act of 2009

Client expense: Not reported · Firm income: $25,403

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

Coverage expansions, quality improvements, delivery system reforsm, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - HR 3200, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes; proposed legislation re these issue. Coverage expansions, 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 3962, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. Coverage expansions, quality improvements, delivery system reforms, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - S 1679, An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce; S 1796, An original bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. Single-payer health reform - HR 15, To provide a program of national health insurance, and for other purposes; HR 676, To provide for comprehensive health insurance coverage for all United States residents, improved health care delivery, and for other purposes; HR 1200, To provide for health care for every American and to control the cost and enhance the quality of the health care system; S 703, A bill to provide for health care for every American and to control the cost and enhance the quality of the health care system. Essential benefits plan, high-risk pools - HR 109, To provide for the offering of Health Benefit Plans to individuals, to increase funding for State high risk health insurance pools, and to promote best practice protocols for State high risk pools. New government health program - HR 193, To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. FSA rollovers - HR 544, To amend the Internal Revenue Code of 1986 to allow amounts in a health flexible spending arrangement that are unused during a plan year to be carried over to subsequent plan years or deposited into certain health or retirement plans. 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. High risk pool funding, comparative effectiveness research, HHS programs - HR 3292, To amend title 28, United States Code, to provide for a 6-month period for Federal judges to opt into the Judicial Survivors' Annuities System and begin contributing toward an annuity for their spouse and dependent children upon their death, and for other purposes; HR 3288, Making appropriations for the Departments of Transportation, and Housing and Urban Development, and related agencies for the fiscal year ending September 30, 2010, and for other purposes. Premium subsidies, national marketplace, medical liability reforms, wellness, transparency, quality - HR 3400, To provide for incentives to encourage health insurance coverage, and for other purposes. Incentives for prevention and wellness - HR 3468, To amend the Internal Revenue Code of 1986, the Public Health Service Act, and the Employee Retirement Income Security Act of 1974 to promote the use of prevention and wellness programs. Premium discounts for healthy behavior - HR 3472, To provide for health insurance coverage premium discounts for healthy behavior and improvements toward healthy behavior. 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. Medical liability reform - HR 1086, 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 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; 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. Health information technology - S 179, A bill to improve quality in health care by providing incentives for adoption of modern information technology. Pilot projects for State-based health reforms - S 698, A bill to ensure the provision of high-quality health care coverage for uninsured individuals through State health care coverage pilot projects that expand coverage and access and improve quality and efficiency in the health care system. Comparative effectiveness research - HR 2502, To amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Comparative Effectiveness Research Trust Fund, and for other purposes; HR 3002, To protect all patients by prohibiting the use of data obtained from comparative effectiveness research 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 1213, A bill to amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Patient-Centered Outcomes Research Trust Fund, and for other purposes; S 1259, A bill to protect all patients by prohibiting the use of data obtained from comparative effectiveness research 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. Coverage expansions, 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, An act entitled The Patient Protection and Affordable Care Act. Extension of COBRA subsidies for the unemployed - HR 2847, Making appropriations for the Departments of Commerce and Justice, and Science, and Related Agencies for the fiscal year ending September 30, 2010, and for other purposes; HR 3326, Making appropriations for the Department of Defense for the fiscal year ending September 30, 2010, and for other purposes. Privacy protections for health information technology - HR 4061, To advance cybersecurity research, development, and technical standards, and for other purposes. Government-run health plan - HR 2668, To provide for the offering of an American Trust Health Plan to provide choice in health insurance options so as to ensure quality, affordable health coverage for all Americans; S 1278, 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. Fraud and abuse - S 458, A bill to amend the False Claims Act. Wellness incentives - S 913, A bill to amend the Internal Revenue Code of 1986 to expand workplace health incentives by equalizing the tax consequences of employee athletic facility use. 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. Comprehensive health reform - S 1099, A bill to provide comprehensive solutions for the health care system of the United States, and for other purposes; HR 2520, To provide comprehensive solutions for the health care system of the United States, and for other purposes.

H.R. 99 - the Fair and Simple Tax Act of 2009 H.R. 198 - Health Care Tax deduction Act of 2009 H.R. 205 - the Death Tax Repeal Act H.R. 85 - Marriage Tax Penalty Permanent Elimination Act of 2009 H.R. 199 - Simple Savings Tax Relief Act of 2009 H.R. 379 - State and Local Sales Tax Deduction Expansion Act of 2009 H.R. 498 - Capital Gains and Estate Tax Relief Act of 2009 H.R. 544 - Flexible Health Savings Act of 2009 H.R. 897 - Long-Term Care and Retirement Security Act of 2009 H.R. 1560 - Permanent Internet Tax Freedom Act of 2009 H.R. 1960 - Permanent Death Tax Repeal Act of 2009

Client expense: $115,362 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR)

H.R. 99 - the Fair and Simple Tax Act of 2009 H.R. 198 - Health Care Tax deduction Act of 2009 H.R. 205 - the Death Tax Repeal Act H.R. 85 - Marriage Tax Penalty Permanent Elimination Act of 2009 H.R. 199 - Simple Savings Tax Relief Act of 2009 H.R. 379 - State and Local Sales Tax Deduction Expansion Act of 2009 H.R. 498 - Capital Gains and Estate Tax Relief Act of 2009 H.R. 544 - Flexible Health Savings Act of 2009 H.R. 897 - Long-Term Care and Retirement Security Act of 2009 H.R. 1560 - Permanent Internet Tax Freedom Act of 2009 H.R. 1960 - Permanent Death Tax Repeal Act of 2009

Client expense: $164,909 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office

H.R. 15, National Health Insurance Act (Dingell) single-payer health reform; H.R. 109, America's Affordable Health Care Act (Fortenberg) essential benefits plan, high risk pools; H.R. 193, AmeriCare Health Care Act (Stark) new government health program; H.R. 544, Flexible Health Savings Act (Royce) FSA rollovers; H.R. 676, United States National Health Care Act (Conyers) single payer health reform; H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare Act (Gingrey) medical liability reform; H.R. 1200, American Health Security Act (McDermott) single-payer health reform; H.R. 1468, Medical Justice Act (Burgess) medical liability reform; H.R. 1493, Quality Health Care Coalition Act (Paul) antitrust exemption for physicians; H.R. 1658, Veterans Healthcare Commitment Act (Tiahrt) third party billing by VA for service-connected disabilities; H.R. 2221, Data Accountability and Trust Act (Rush) data security; H.R. 2249, Health Care Price Transparency Promotion Act (Burgess) price transparency; H.R. 2502, Comparative Effectiveness Research Act (Schrader) comparative effectiveness research; H.R. 2520, Patients Choice Act (Ryan) comprehensive health reform; H.R. 2607: Small Business Health Coverage (Johnson) association health plans; H.R. 2668, Choice in Health Options Insures Care for Everyone Act (Murphy) government run health plan; H.R. 2847, Jobs for Main Street Act (Mollohan) extension of COBRA subsidies for the unemployed; H.R. 3002, PATIENTS Act (Boehner) comparative effectiveness research; H.R. 3200, Americas Affordable Health Choices Act (Dingell) coverage expansions, quality improvements, delivery system reforms, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; H.R. 3288, Consolidated Appropriations Act (Olver) high risk pool funding, comparative effectiveness research, HHS programs; H.R. 3293, Labor, HHS, Education Appropriations Act (Obey/Harkin) high risk pool funding, comparative effectiveness research, HHS programs; H.R. 3326, Defense Appropriations Act (Murtha) extension of COBRA subsidies for the unemployed; H.R. 3400, Empowering Patients First Act (Price) premium subsidies, national marketplace, medical liability reforms, wellness, transparency, quality; H.R. 3468, Prevention and Wellness Programs (Castle) incentives for prevention and wellness; H.R. 3472, Premium Discounts for Healthy Behavior (Dahlkemper) premium discounts for healthy behavior; H.R. 3590, Patient Protection and Affordable Care Act (Reid) coverage expansions, 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; H.R. 3962, Americas Affordable Health Choices Act (Dingell) coverage expansions, 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; H.R. 4061, Cybersecurity Enhancement Act (Lipinski) privacy protections for health information technology; S. 45, Medical Care Access Protection Act (Ensign) medical liability reform; S. 139, Data Breach Notification Act (Feinstein) data security; S. 179, Health Information Technology Act (Stabenow) health information technology; S. 458, False Claims Act Clarification Act (Grassley) fraud and abuse; S. 698, State-Based Health Care Reform Act (Feingold) pilot projects for state-based health reforms; S. 703, American Health Security Act (Sanders) single-payer health reform; S. 913, Workforce Health Improvement Program Act (Cornyn) wellness incentives; S. 988, SIMPLE Cafeteria Plan Act (Snowe) cafeteria plans, flexible spending arrangements; S. 1099, Patients Choice Act (Coburn) comprehensive health reform; S. 1213, Patient-Centered Outcomes Research Act (Baucus) comparative effectiveness research; S. 1259, PATIENTS Act (Kyl) comparative effectiveness research; S. 1278, Consumers Health Care Act (Rockefeller) government run health plan; S. 1490, Personal Data Privacy and Security Act (Leahy) privacy, identity theft; S. 1679, Affordable Health Choices Act (Harkin) coverage expansions, quality improvements, delivery system reforms, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; S. 1734, Medical Liability Reform (Kyl) medical liability reform; S. 1796, Americas Healthy Future Act (Baucus) coverage expansions, quality improvements, delivery system reforms, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; S. 2730, COBRA Subsidy Extension and Enhancement Act (Brown) COBRA subsidies for the unemployed HCR (Regulatory Issues): HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets; HIPAA enforcement; FEHBP enrollment data clearinghouse initiative; issues relating to health insurance plan participation in FEHBP, including contract requirements related to interoperability of health information technology, community rating policies, and similarly sized subscriber group (SSSG) requirement; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; issues related to genetics and genetic nondiscrimination; issues relating to mental health parity; issues relating to data breach requirements; issues relating to "meaningful use" requirements for health information technology; and issues relating to Form 5500 reporting requirements.

Coverage expansions, quality improvements, delivery system reforsm, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - HR 3200, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes; proposed legislation re these issue. Coverage expansions, 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 3962, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. Coverage expansions, quality improvements, delivery system reforms, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - S 1679, An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce; S 1796, An original bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. Single-payer health reform - HR 15, To provide a program of national health insurance, and for other purposes; HR 676, To provide for comprehensive health insurance coverage for all United States residents, improved health care delivery, and for other purposes; HR 1200, To provide for health care for every American and to control the cost and enhance the quality of the health care system; S 703, A bill to provide for health care for every American and to control the cost and enhance the quality of the health care system. Essential benefits plan, high-risk pools - HR 109, To provide for the offering of Health Benefit Plans to individuals, to increase funding for State high risk health insurance pools, and to promote best practice protocols for State high risk pools. New government health program - HR 193, To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. FSA rollovers - HR 544, To amend the Internal Revenue Code of 1986 to allow amounts in a health flexible spending arrangement that are unused during a plan year to be carried over to subsequent plan years or deposited into certain health or retirement plans. 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. High risk pool funding, comparative effectiveness research, HHS programs - HR 3292, To amend title 28, United States Code, to provide for a 6-month period for Federal judges to opt into the Judicial Survivors' Annuities System and begin contributing toward an annuity for their spouse and dependent children upon their death, and for other purposes; HR 3288, Making appropriations for the Departments of Transportation, and Housing and Urban Development, and related agencies for the fiscal year ending September 30, 2010, and for other purposes. Premium subsidies, national marketplace, medical liability reforms, wellness, transparency, quality - HR 3400, To provide for incentives to encourage health insurance coverage, and for other purposes. Incentives for prevention and wellness - HR 3468, To amend the Internal Revenue Code of 1986, the Public Health Service Act, and the Employee Retirement Income Security Act of 1974 to promote the use of prevention and wellness programs. Premium discounts for healthy behavior - HR 3472, To provide for health insurance coverage premium discounts for healthy behavior and improvements toward healthy behavior. 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. Medical liability reform - HR 1086, 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 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; 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. Health information technology - S 179, A bill to improve quality in health care by providing incentives for adoption of modern information technology. Pilot projects for State-based health reforms - S 698, A bill to ensure the provision of high-quality health care coverage for uninsured individuals through State health care coverage pilot projects that expand coverage and access and improve quality and efficiency in the health care system. Comparative effectiveness research - HR 2502, To amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Comparative Effectiveness Research Trust Fund, and for other purposes; HR 3002, To protect all patients by prohibiting the use of data obtained from comparative effectiveness research 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 1213, A bill to amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Patient-Centered Outcomes Research Trust Fund, and for other purposes; S 1259, A bill to protect all patients by prohibiting the use of data obtained from comparative effectiveness research 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. Coverage expansions, 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, An act entitled The Patient Protection and Affordable Care Act. Extension of COBRA subsidies for the unemployed - HR 2847, Making appropriations for the Departments of Commerce and Justice, and Science, and Related Agencies for the fiscal year ending September 30, 2010, and for other purposes; HR 3326, Making appropriations for the Department of Defense for the fiscal year ending September 30, 2010, and for other purposes. Privacy protections for health information technology - HR 4061, To advance cybersecurity research, development, and technical standards, and for other purposes. Government-run health plan - HR 2668, To provide for the offering of an American Trust Health Plan to provide choice in health insurance options so as to ensure quality, affordable health coverage for all Americans; S 1278, 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. Fraud and abuse - S 458, A bill to amend the False Claims Act. Wellness incentives - S 913, A bill to amend the Internal Revenue Code of 1986 to expand workplace health incentives by equalizing the tax consequences of employee athletic facility use. 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. Comprehensive health reform - S 1099, A bill to provide comprehensive solutions for the health care system of the United States, and for other purposes; HR 2520, To provide comprehensive solutions for the health care system of the United States, and for other purposes.

H.R. 462 Medicaid SCHIP Dental Benefits Improvement Act of 2009; H.R. 544 Flexible Health Savings Act of 2009; H.R. 1321/S. 391 Healthy Americans Act of 2009; H.R. 2220 Essential Oral Health Act of 2009; H.R. 3200 America's Affordable Health Choices Act of 2009; America's Healthy Future Act of 2009; S. 1679 Affordable Health Choices Act of 2009; H.R. 3962 The Affordable Healthcare for America Act; H.R. 3590 The Patient Protection and Affordable Care Act

Client expense: $824,821 · 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, 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. 99 - the Fair and Simple Tax Act of 2009 H.R. 198 - Health Care Tax deduction Act of 2009 H.R. 205 - the Death Tax Repeal Act H.R. 85 - Marriage Tax Penalty Permanent Elimination Act of 2009 H.R. 199 - Simple Savings Tax Relief Act of 2009 H.R. 379 - State and Local Sales Tax Deduction Expansion Act of 2009 H.R. 498 - Capital Gains and Estate Tax Relief Act of 2009 H.R. 544 - Flexible Health Savings Act of 2009 H.R. 897 - Long-Term Care and Retirement Security Act of 2009 H.R. 1560 - Permanent Internet Tax Freedom Act of 2009 H.R. 1960 - Permanent Death Tax Repeal Act of 2009

Client expense: Not reported · Firm income: $26,618

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office

H.R. 99 - the Fair and Simple Tax Act of 2009 H.R. 198 - Health Care Tax deduction Act of 2009 H.R. 205 - the Death Tax Repeal Act H.R. 85 - Marriage Tax Penalty Permanent Elimination Act of 2009 H.R. 199 - Simple Savings Tax Relief Act of 2009 H.R. 379 - State and Local Sales Tax Deduction Expansion Act of 2009 H.R. 498 - Capital Gains and Estate Tax Relief Act of 2009 H.R. 544 - Flexible Health Savings Act of 2009 H.R. 897 - Long-Term Care and Retirement Security Act of 2009 H.R. 1560 - Permanent Internet Tax Freedom Act of 2009 H.R. 1960 - Permanent Death Tax Repeal Act of 2009

Client expense: $115,362 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR)

H.R. 462 Medicaid SCHIP Dental Benefits Improvement Act of 2009; H.R. 544 Flexible Health Savings Act of 2009; H.R. 1321/S. 391 Healthy Americans Act of 2009; H.R. 2220 Essential Oral Health Act of 2009; H.R. 3200 America's Affordable Health Choices Act of 2009; America's Healthy Future Act of 2009; S. 1679 Affordable Health Choices Act of 2009

Client expense: $1,209,750 · 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 Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, 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)

All aspects of healthcare reform - HR 3200, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes; proposed legislation re these issues. Committee investigations into health insurance practices - Congressional inquiry. Single-payer health reform - HR 15, To provide a program of national health insurance, and for other purposes; HR 676, To provide for comprehensive health insurance coverage for all United States residents, improved health care delivery, and for other purposes; HR 1200, To provide for health care for every American and to control the cost and enhance the quality of the health care system; S 703, A bill to provide for health care for every American and to control the cost and enhance the quality of the health care system. Essential benefits plan, high-risk pools - HR 109, To provide for the offering of Health Benefit Plans to individuals, to increase funding for State high risk health insurance pools, and to promote best practice protocols for State high risk pools. New government health program - HR 193, To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. FSA rollovers - HR 544, To amend the Internal Revenue Code of 1986 to allow amounts in a health flexible spending arrangement that are unused during a plan year to be carried over to subsequent plan years or deposited into certain health or retirement plans. 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. 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. High risk pool funding, comparative effectiveness research, HHS programs - HR 3292, To amend title 28, United States Code, to provide for a 6-month period for Federal judges to opt into the Judicial Survivors' Annuities System and begin contributing toward an annuity for their spouse and dependent children upon their death, and for other purposes. Premium subsidies, national marketplace, medical liability reforms, wellness, transparency, quality - HR 3400, To provide for incentives to encourage health insurance coverage, and for other purposes. Incentives for prevention and wellness - HR 3468, To amend the Internal Revenue Code of 1986, the Public Health Service Act, and the Employee Retirement Income Security Act of 1974 to promote the use of prevention and wellness programs. Premium discounts for healthy behavior - HR 3472, To provide for health insurance coverage premium discounts for healthy behavior and improvements toward healthy behavior. 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. Coverage expansions, quality improvements, delivery systems refors, health information technology, comparative effectiveness research, admin. simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - S 1679, An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce. Medical liability reform - HR 1086, 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 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; 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. Health information technology - S 179, A bill to improve quality in health care by providing incentives for adoption of modern information technology. Pilot projects for State-based health reforms - S 698, A bill to ensure the provision of high-quality health care coverage for uninsured individuals through State health care coverage pilot projects that expand coverage and access and improve quality and efficiency in the health care system. Comparative effectiveness research - HR 2502, To amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Comparative Effectiveness Research Trust Fund, and for other purposes; HR 3002, To protect all patients by prohibiting the use of data obtained from comparative effectiveness research 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 1213, A bill to amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Patient-Centered Outcomes Research Trust Fund, and for other purposes; S 1259, A bill to protect all patients by prohibiting the use of data obtained from comparative effectiveness research 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. Government-run health plan - HR 2668, To provide for the offering of an American Trust Health Plan to provide choice in health insurance options so as to ensure quality, affordable health coverage for all Americans; S 1278, 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. Fraud and abuse - S 458, A bill to amend the False Claims Act. Wellness incentives - S 913, A bill to amend the Internal Revenue Code of 1986 to expand workplace health incentives by equalizing the tax consequences of employee athletic facility use. 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. Comprehensive health reform - S 1099, A bill to provide comprehensive solutions for the health care system of the United States, and for other purposes; HR 2520, To provide comprehensive solutions for the health care system of the United States, and for other purposes.

Americas Healthy Future Act (Baucus) coverage expansions, quality improvements, delivery system reforms, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse (cont.) HCR (cont.) H.R. 15, National Health Insurance Act (Dingell) single-payer health reform; H.R. 109, America's Affordable Health Care Act (Fortenberg) essential benefits plan, high risk pools; H.R. 193, AmeriCare Health Care Act (Stark) new government health program; H.R. 544, Flexible Health Savings Act (Royce) FSA rollovers; H.R. 676, United States National Health Care Act (Conyers) single payer health reform; H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare Act (Gingrey) medical liability reform; H.R. 1200, American Health Security Act (McDermott) single-payer health reform; H.R. 1468, Medical Justice Act (Burgess) medical liability reform; H.R. 1493, Quality Health Care Coalition Act (Paul) antitrust exemption for physicians; H.R. 1658, Veterans Healthcare Commitment Act (Tiahrt) third party billing by VA for service-connected disabilities; H.R. 2221, Data Accountability and Trust Act (Rush) data security; H.R. 2249, Health Care Price Transparency Promotion Act (Burgess) price transparency; H.R. 2502, Comparative Effectiveness Research Act (Schrader) comparative effectiveness research; H.R. 2520, Patients Choice Act (Ryan) comprehensive health reform; H.R. 2607: Small Business Health Coverage (Johnson) association health plans; H.R. 2668, Choice in Health Options Insures Care for Everyone Act (Murphy) government run health plan; H.R. 3002, PATIENTS Act (Boehner) comparative effectiveness research; H.R. 3200, Americas Affordable Health Choices Act (Dingell) coverage expansions, quality improvements, delivery system reforms, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; H.R. 3293, Labor, HHS, Education Appropriations Act (Obey/Harkin) high risk pool funding, comparative effectiveness research, HHS programs; H.R. 3400, Empowering Patients First Act (Price) premium subsidies, national marketplace, medical liability reforms, wellness, transparency, quality; H.R. 3468, Prevention and Wellness Programs (Castle) incentives for prevention and wellness; H.R. 3472, Premium Discounts for Healthy Behavior (Dahlkemper) premium discounts for healthy behavior; S. 45, Medical Care Access Protection Act (Ensign) medical liability reform; S. 179, Health Information Technology Act (Stabenow) health information technology;S. 458, False Claims Act Clarification Act (Grassley) fraud and abuse; S. 698, State-Based Health Care Reform Act (Feingold) pilot projects for state-based health reforms; S. 703, American Health Security Act (Sanders) single-payer health reform; S. 913, Workforce Health Improvement Program Act (Cornyn) wellness incentives; S. 988, SIMPLE Cafeteria Plan Act (Snowe) cafeteria plans, flexible spending arrangements; S. 1099, Patients Choice Act (Coburn) comprehensive health reform; S. 1213, Patient-Centered Outcomes Research Act (Baucus) comparative effectiveness research; S. 1259, PATIENTS Act (Kyl) comparative effectiveness research; S. 1278, Consumers Health Care Act (Rockefeller) government run health plan; S. 1490, Personal Data Privacy and Security Act (Leahy) privacy, identity theft; S. 1679, Affordable Health Choices Act (Harkin) coverage expansions, quality improvements, delivery system reforms, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; S. 1734, Medical Liability Reform (Kyl) medical liability reform HCR (Regulatory Issues): HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets; FEHBP enrollment data clearinghouse initiative; issues relating to health insurance plan participation in FEHBP, including contract requirements related to interoperability of health information technology, community rating policies, and similarly sized subscriber group (SSSG) requirement; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; issues related to genetics and genetic nondiscrimination; issues relating to mental health parity; issues relating to data breach requirements; issues relating to "meaningful use" requirements for health information technology; and issues relating to Form 5500 reporting requirements.

H.R. 2/S. 275 Children's Health Insurance Program Reauthorization Act of 2009; H.R. 15 National Health Insurance Act of 2009; H.R. 109 America's Affordable Health Care Act of 2009; H.R. 193 AmeriCare Health Care Act of 2009; H.R. 462 Medicaid SCHIP Dental Benefits Improvement Act of 2009; H.R. 544 Flexible Health Savings Act of 2009; H.R. 1321 Healthy Americans Act of 2009; S. 4 Comprehensive Health Reform Act of 2009; S. 391 Healthy Americans Act of 2009

Client expense: $1,131,806 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Natl Security Council (NSC), 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. 99 - the Fair and Simple Tax Act of 2009 H.R. 198 - Health Care Tax deduction Act of 2009 H.R. 205 - the Death Tax Repeal Act H.R. 85 - Marriage Tax Penalty Permanent Elimination Act of 2009 H.R. 199 - Simple Savings Tax Relief Act of 2009 H.R. 379 - State and Local Sales Tax Deduction Expansion Act of 2009 H.R. 498 - Capital Gains and Estate Tax Relief Act of 2009 H.R. 544 - Flexible Health Savings Act of 2009 H.R. 897 - Long-Term Care and Retirement Security Act of 2009 H.R. 1560 - Permanent Internet Tax Freedom Act of 2009 H.R. 1960 - Permanent Death Tax Repeal Act of 2009

Client expense: Not reported · Firm income: $18,893

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR)

H.R. 2/S. 275 Children's Health Insurance Program Reauthorization Act of 2009; H.R. 15 National Health Insurance Act of 2009; H.R. 109 America's Affordable Health Care Act of 2009; H.R. 193 AmeriCare Health Care Act of 2009; H.R. 462 Medicaid SCHIP Dental Benefits Improvement Act of 2009; H.R. 544 Flexible Health Savings Act of 2009; H.R. 1321 Healthy Americans Act of 2009; S. 4 Comprehensive Health Reform Act of 2009; S. 391 Healthy Americans Act of 2009

Client expense: $1,131,806 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Natl Security Council (NSC), 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. 462 Medicaid SCHIP Dental Benefits Improvement Act of 2009; H.R. 544 Flexible Health Savings Act of 2009; H.R. 1321 Healthy Americans Act of 2009; S. 4 Comprehensive Health Reform Act of 2009; S. 391 Healthy Americans Act of 2009; H.R. 676 Expand and Improve Medicare for All; H.R. 2220 Essential Oral Health Act of 2009; Healthcare Reform

Client expense: $1,275,841 · 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 Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, 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)

COBRA / premium assistance (H.R. 1); FY 10 Budget Resolutions / Reconciliation (S.Con.Res. 13; H.Con.Res. 85); Generic Biologics (S. 726; H.R. 1427; H.R. 1528); Health system / insurance / ERISA reform & health insurance mandates (H.R. 193; S. 391; H.R. 1085; S. 442; H.R. 1092; H.R. 1321; H.R. 676; S. 623; H.R. 1558l H.R. 2300); Health cost savings / comparative effectiveness / wellness promotion (H.R. 1; S. 369; S. 803; H.R. 1204); Health IT (H.R. 1); High Risk Pools (FY 2010 Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing of Medicare-related private insurance products); Medicaid (S. 142; S. 434); medical liability reform (S. 391); insurance regulation (H.R. 1880); Long Term Care (S. 94; S. 697; S. 702; S. 1177; H.R. 897; H.R. 1891); Health Insurance Tax Treatment (Employer Exclusion, HSAs, FSAs, HRAs, Health Coverage Tax Credit (H.R. 1; H.R. 544; H.R. 1495; S. 391; H.R. 1085; H.R. 1470; S. 725); SCHIP premium assistance and other private insurance coordination issues (H.R. 2; S. 142; H.R. 321); Small business / national pooling of insurance health reform (S. 93; S. 797; H.R. 2360)

Client expense: $250,000 · Firm income: Not reported

COBRA / premium assistance (H.R. 1); FY 10 Budget Resolutions / Reconciliation (S.Con.Res. 13; H.Con.Res. 85); Generic Biologics (S. 726; H.R. 1427; H.R. 1528); Health system / insurance / ERISA reform & health insurance mandates (H.R. 193; S. 391; H.R. 1085; S. 442; H.R. 1092; H.R. 1321; H.R. 676; S. 623; H.R. 1558l H.R. 2300); Health cost savings / comparative effectiveness / wellness promotion (H.R. 1; S. 369; S. 803; H.R. 1204); Health IT (H.R. 1); High Risk Pools (FY 2010 Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing of Medicare-related private insurance products); Medicaid (S. 142; S. 434); medical liability reform (S. 391); insurance regulation (H.R. 1880); Long Term Care (S. 94; S. 697; S. 702; S. 1177; H.R. 897; H.R. 1891); Health Insurance Tax Treatment (Employer Exclusion, HSAs, FSAs, HRAs, Health Coverage Tax Credit (H.R. 1; H.R. 544; H.R. 1495; S. 391; H.R. 1085; H.R. 1470; S. 725); SCHIP premium assistance and other private insurance coordination issues (H.R. 2; S. 142; H.R. 321); Small business / national pooling of insurance health reform (S. 93; S. 797; H.R. 2360)

Client expense: $250,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, White House Office

Senate HELP Committee Draft Affordable Health Choices Act (Kennedy) coverage expansions, quality improvements, delivery system reforms, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse (continued); Senate Finance Committee Draft Policy Options (Baucus-Grassley) coverage expansions, quality improvements, delivery system reforms, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; House Tri-Committee Discussion Draft for Health Reform (Waxman, Rangel, Miller) coverage expansions, quality improvements, delivery system reforms, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; H.Con.Res. 85 Budget Resolution (Spratt) health-related provisions; S.Con.Res. 13 Budget Resolution (Conrad) health-related provisions; H.R. 15, National Health Insurance Act (Dingell) single-payer health reform; H.R. 109, America's Affordable Health Care Act (Fortenberg) essential benefits plan, high risk pools; H.R. 193, AmeriCare Health Care Act (Stark) new government health program; H.R. 544, Flexible Health Savings Act (Royce) FSA rollovers; H.R. 676, United States National Health Care Act (Conyers) single payer health reform; H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare Act (Gingrey) medical liability reform; H.R. 1200, American Health Security Act (McDermott) single-payer health reform; H.R. 1468, Medical Justice Act (Burgess) medical liability reform; H.R. 1493, Quality Health Care Coalition Act (Paul) antitrust exemption for physicians; H.R. 1658, Veterans Healthcare Commitment Act (Tiahrt) third party billing by VA for service-connected disabilities; H.R. 2221, Data Accountability and Trust Act (Rush) data security; H.R. 2249, Health Care Price Transparency Promotion Act (Burgess) price transparency; H.R. 2502, Comparative Effectiveness Research Act (Schrader) comparative effectiveness research; H.R. 2520, Patients Choice Act (Ryan) comprehensive health reform; H.R. 2607: Small Business Health Coverage (Johnson) association health plans; H.R. 2668, Choice in Health Options Insures Care for Everyone Act (Murphy) government run health plan; H.R. 3002, PATIENTS Act (Boehner) comparative effectiveness research; S. 45, Medical Care Access Protection Act (Ensign) medical liability reform; S. 179, Health Information Technology Act (Stabenow) health information technology; S. 458, False Claims Act Clarification Act (Grassley) fraud and abuse; S. 698, State-Based Health Care Reform Act (Feingold) pilot projects for state-based health reforms; S. 703, American Health Security Act (Sanders) single-payer health reform; S. 913, Workforce Health Improvement Program Act (Cornyn) wellness incentives; S. 988, SIMPLE Cafeteria Plan Act (Snowe) cafeteria plans, flexible spending arrangements; S. 1099, Patients Choice Act (Coburn) comprehensive health reform; S. 1213, Patient-Centered Outcomes Research Act (Baucus) comparative effectiveness research; S. 1259, PATIENTS Act (Kyl) comparative effectiveness research; S. 1278, Consumers Health Care Act (Rockefeller) government run health plan HCR (Regulatory Issues): HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets; FEHBP enrollment data clearinghouse initiative; issues relating to health insurance plan participation in FEHBP, including contract requirements related to interoperability of health information technology, community rating policies, and similarly sized subscriber group (SSSG) requirement; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues related to provider conscience requirements; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; issues related to genetics and genetic nondiscrimination; issues relating to mental health parity; issues relating to data breach requirements; issues realting to "meaningful use" requirements for health information technology; and issues relating to Form 5500 reporting requirements.

COBRA / premium assistance (H.R. 1); FY 10 Budget Resolutions / Reconciliation (S.Con.Res. 13; H.Con.Res. 85); Generic Biologics (S. 726; H.R. 1427; H.R. 1528); Health system / insurance / ERISA reform & health insurance mandates (S. 391; H.R. 1085; S. 442; H.R. 1092; H.R. 1321; H.R. 676; S. 623; H.R. 2300); Health cost savings / comparative effectiveness / wellness promotion (H.R. 1; S. 369; S. 803; H.R. 1204); Health IT (H.R. 1); High Risk Pools (FY 2010 Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing of Medicare-related private insurance products); Medicaid (S. 142; S. 434); medical liability reform; insurance regulation (H.R. 1880); Long Term Care (S. 94; S. 697; S. 702; S. 1177; H.R. 897; H.R. 1891); Health Insurance Tax Treatment (Employer Exclusion, HSAs, FSAs, HRAs, Health Coverage Tax Credit (H.R. 1; H.R. 544; H.R. 1495; S. 391; H.R. 1085; H.R. 1470; S. 725); SCHIP premium assistance and other private insurance coordination issues (H.R. 2; S. 142; H.R. 321); Small business / national pooling of insurance health reform (S. 93; S. 797; H.R. 2360)

Client expense: $250,000 · Firm income: Not reported

H.R. 99 - the Fair and Simple Tax Act of 2009 H.R. 198 - Health Care Tax deduction Act of 2009 H.R. 205 - the Death Tax Repeal Act H.R. 85 - Marriage Tax Penalty Permanent Elimination Act of 2009 H.R. 199 - Simple Savings Tax Relief Act of 2009 H.R. 379 - State and Local Sales Tax Deduction Expansion Act of 2009 H.R. 498 - Capital Gains and Estate Tax Relief Act of 2009 H.R. 544 - Flexible Health Savings Act of 2009 H.R. 897 - Long-Term Care and Retirement Security Act of 2009 H.R. 1560 - Permanent Internet Tax Freedom Act of 2009 H.R. 1960 - Permanent Death Tax Repeal Act of 2009

Client expense: $132,507 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR)

All aspects of healthcare reform - S 1054, An original bill making supplemental appropriations for the fiscal year ending September 30, 2009, and for other purposes; SRes 156, A resolution expressing the sense of the Senate that reform of our Nation's health care system should include the establishment of a federally-backed insurance pool; proposed legislation re this issue. Including healthcare reform in Reconciliation - HConRes 85, Setting forth the congressional budget for the United States Government for fiscal year 2010 and including the appropriate budgetary levels for fiscal years 2009 and 2011 through 2014; SConRes 13, An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2010, revising the appropriate budgetary levels for fiscal year 2009, and setting forth the appropriate budgetary levels for fiscal years 2011 through 2014. Universal healthcare reform - potential legislation. Healthcare alternatives to Administration's budget proposals - HConRes 85, Setting forth the congressional budget for the United States Government for fiscal year 2010 and including the appropriate budgetary levels for fiscal years 2009 and 2011 through 2014; SConRes 13, An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2010, revising the appropriate budgetary levels for fiscal year 2009, and setting forth the appropriate budgetary levels for fiscal years 2011 through 2014; potential legislation. Health-related provisions - HConRes 85, Setting forth the congressional budget for the United States Government for fiscal year 2010 and including the appropriate budgetary levels for fiscal years 2009 and 2011 through 2014; SConRes 13, An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2010, revising the appropriate budgetary levels for fiscal year 2009, and setting forth the appropriate budgetary levels for fiscal years 2011 through 2014. Single-payer health reform - HR 15, To provide a program of national health insurance, and for other purposes; HR 676, To provide for comprehensive health insurance coverage for all United States residents, improved health care delivery, and for other purposes; HR 1200, To provide for health care for every American and to control the cost and enhance the quality of the health care system; S 703, A bill to provide for health care for every American and to control the cost and enhance the quality of the health care system. Essential benefits plan, high-risk pools - HR 109, To provide for the offering of Health Benefit Plans to individuals, to increase funding for State high risk health insurance pools, and to promote best practice protocols for State high risk pools. New government health program - HR 193, To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. FSA rollovers - HR 544, To amend the Internal Revenue Code of 1986 to allow amounts in a health flexible spending arrangement that are unused during a plan year to be carried over to subsequent plan years or deposited into certain health or retirement plans. Health IT and privacy issues - HR 598, To provide for a portion of the economic recovery package relating to revenue measures, unemployment and health; HR 629, To provide energy and commerce provisions of the American Recovery and Reinvestment Act of 2009; HR 1, Making supplemental appropriations for job preservation and creation, infrastructure investment, energy efficiency and science, assistance to the unemployed, and State and local fiscal stabilization, for fiscal year ending September 30, 2009, and for other purposes. 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. 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. Medical liability reform - HR 1086, 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 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. 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. Health information technology - S 179, A bill to improve quality in health care by providing incentives for adoption of modern information technology. Pilot projects for State-based health reforms - S 698, A bill to ensure the provision of high-quality health care coverage for uninsured individuals through State health care coverage pilot projects that expand coverage and access and improve quality and efficiency in the health care system. Comparative effectiveness research - HR 2502, To amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Comparative Effectiveness Research Trust Fund, and for other purposes; HR 3002, To protect all patients by prohibiting the use of data obtained from comparative effectiveness research 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 1213, A bill to amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Patient-Centered Outcomes Research Trust Fund, and for other purposes; S 1259, A bill to protect all patients by prohibiting the use of data obtained from comparative effectiveness research 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. Government-run health plan - HR 2668, To provide for the offering of an American Trust Health Plan to provide choice in health insurance options so as to ensure quality, affordable health coverage for all Americans; S 1278, 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. Fraud and abuse - S 458, A bill to amend the False Claims Act. Wellness incentives - S 913, A bill to amend the Internal Revenue Code of 1986 to expand workplace health incentives by equalizing the tax consequences of employee athletic facility use. 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. Comprehensive health reform - S 1099, A bill to provide comprehensive solutions for the health care system of the United States, and for other purposes.

COBRA / premium assistance (H.R. 1); FY 10 Budget Resolutions / Reconciliation (S.Con.Res. 13; H.Con.Res. 85); Generic Biologics (S. 726; H.R. 1427; H.R. 1528); Health system / insurance / ERISA reform & health insurance mandates (H.R. 193; S. 391; H.R. 1085; S. 442; H.R. 1092; H.R. 1321; H.R. 676; S. 623; H.R. 1558l H.R. 2300); Health cost savings / comparative effectiveness / wellness promotion (H.R. 1; S. 369; S. 803; H.R. 1204); Health IT (H.R. 1); High Risk Pools (FY 2010 Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing of Medicare-related private insurance products); Medicaid (S. 142; S. 434); medical liability reform (S. 391); insurance regulation (H.R. 1880); Long Term Care (S. 94; S. 697; S. 702; S. 1177; H.R. 897; H.R. 1891); Health Insurance Tax Treatment (Employer Exclusion, HSAs, FSAs, HRAs, Health Coverage Tax Credit (H.R. 1; H.R. 544; H.R. 1495; S. 391; H.R. 1085; H.R. 1470; S. 725); SCHIP premium assistance and other private insurance coordination issues (H.R. 2; S. 142; H.R. 321); Small business / national pooling of insurance health reform (S. 93; S. 797; H.R. 2360)

Client expense: $250,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, White House Office

COBRA / premium assistance (H.R. 1); FY 10 Budget Resolutions / Reconciliation (S.Con.Res. 13; H.Con.Res. 85); Generic Biologics (S. 726; H.R. 1427; H.R. 1528); Health system / insurance / ERISA reform & health insurance mandates (H.R. 193; S. 391; H.R. 1085; S. 442; H.R. 1092; H.R. 1321; H.R. 676; S. 623; H.R. 1558l H.R. 2300); Health cost savings / comparative effectiveness / wellness promotion (H.R. 1; S. 369; S. 803; H.R. 1204); Health IT (H.R. 1); High Risk Pools (FY 2010 Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing of Medicare-related private insurance products); Medicaid (S. 142; S. 434); medical liability reform (S. 391); insurance regulation (H.R. 1880); Long Term Care (S. 94; S. 697; S. 702; S. 1177; H.R. 897; H.R. 1891); Health Insurance Tax Treatment (Employer Exclusion, HSAs, FSAs, HRAs, Health Coverage Tax Credit (H.R. 1; H.R. 544; H.R. 1495; S. 391; H.R. 1085; H.R. 1470; S. 725); SCHIP premium assistance and other private insurance coordination issues (H.R. 2; S. 142; H.R. 321); Small business / national pooling of insurance health reform (S. 93; S. 797; H.R. 2360)

Client expense: $250,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, White House Office

H.R. 99 - the Fair and Simple Tax Act of 2009 H.R. 198 - Health Care Tax deduction Act of 2009 H.R. 205 - the Death Tax Repeal Act H.R. 85 - Marriage Tax Penalty Permanent Elimination Act of 2009 H.R. 199 - Simple Savings Tax Relief Act of 2009 H.R. 379 - State and Local Sales Tax Deduction Expansion Act of 2009 H.R. 498 - Capital Gains and Estate Tax Relief Act of 2009 H.R. 544 - Flexible Health Savings Act of 2009 H.R. 897 - Long-Term Care and Retirement Security Act of 2009 H.R. 1560 - Permanent Internet Tax Freedom Act of 2009 H.R. 1960 - Permanent Death Tax Repeal Act of 2009

Client expense: Not reported · Firm income: $14,675

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR)

H.R. 2/S. 275 Children's Health Insurance Program Reauthorization Act of 2009; H.R. 15 National Health Insurance Act of 2009; H.R. 109 America's Affordable Health Care Act of 2009; H.R. 193 AmeriCare Health Care Act of 2009; H.R. 462 Medicaid SCHIP Dental Benefits Improvement Act of 2009; H.R. 544 Flexible Health Savings Act of 2009; H.R. 1321 Healthy Americans Act of 2009; S. 4 Comprehensive Health Reform Act of 2009; S. 391 Healthy Americans Act of 2009

Client expense: $1,131,806 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Natl Security Council (NSC), 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.Con.Res. 85 Budget Resolution (Spratt) health-related provisions; H.R. 1, American Recovery and Reinvestment Act (Obey) health information technology, privacy, comparative effectiveness research, prevention and wellness; H.R. 15, National Health Insurance Act (Dingell) single-payer health reform (continued) H.R. 109, America's Affordable Health Care Act (Fortenberg) essential benefits plan, high risk pools; H.R. 193, AmeriCare Health Care Act (Stark) new government health program; H.R. 544, Flexible Health Savings Act (Royce) FSA rollovers; H.R. 598, Economic Recovery Provisions (Rangel) health information technology, privacy; H.R. 629, Economic Recovery Provisions (Waxman) health information technology, privacy; H.R. 676, United States National Health Care Act (Conyers) single payer health reform; H.R. 679, Economic Recovery Provisions (Obey) health information technology, privacy, comparative effectiveness research, prevention and wellness; H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare Act (Gingrey) medical liability reform; H.R. 1105, Omnibus Appropriations Act (Obey) high risk pools, comparative effectiveness research; H.R. 1200, American Health Security Act (McDermott) single-payer health reform; H.R. 1468, Medical Justice Act (Burgess) medical liability reform; H.R. 1493, Quality Health Care Coalition Act (Paul) antitrust exemption for physicians; H.R. 1658, Veterans Healthcare Commitment Act (Tiahrt) third party billing by VA for service-connected disabilities; H.R. 1721, CLASS Act (Pallone) national LTC program; S.Con.Res. 13 Budget Resolution (Conrad) health-related provisions; S. 45, Medical Care Access Protection Act (Ensign) medical liability reform; S. 179, Health Information Technology Act (Stabenow) health information technology; S. 336, Economic Recovery Provisions (Inouye) health information technology, privacy, comparative effectiveness research; S. 350, Economic Recovery Provisions (Baucus) health information technology; S. 697, CLASS Act (Kennedy) national LTC program; S. 698, State-Based Health Care Reform Act (Feingold) pilot projects for state-based health reforms; S. 703, American Health Security Act (Sanders) single-payer health reform HCR (Regulatory Issues): HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets; FEHBP enrollment data clearinghouse initiative; issues relating to health insurance plan participation in FEHBP, including contract requirements related to interoperability of health information technology, community rating policies, and similarly sized subscriber group (SSSG) requirement; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues related to provider conscience requirements; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; issues related to genetics and genetic nondiscrimination; and issues relating to Form 5500 reporting requirements.

H.R. 99 - the Fair and Simple Tax Act of 2009 H.R. 198 - Health Care Tax deduction Act of 2009 H.R. 205 - the Death Tax Repeal Act H.R. 85 - Marriage Tax Penalty Permanent Elimination Act of 2009 H.R. 199 - Simple Savings Tax Relief Act of 2009 H.R. 379 - State and Local Sales Tax Deduction Expansion Act of 2009 H.R. 498 - Capital Gains and Estate Tax Relief Act of 2009 H.R. 544 - Flexible Health Savings Act of 2009 H.R. 897 - Long-Term Care and Retirement Security Act of 2009 H.R. 1560 - Permanent Internet Tax Freedom Act of 2009 H.R. 1960 - Permanent Death Tax Repeal Act of 2009

Client expense: Not reported · Firm income: $13,150

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR)

Health IT and privacy issues - HR 598, To provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health; HR 629, To provide energy and commerce provisions of the American Recovery and Reinvestment Act of 2009; HR 1, Making supplemental appropriations for job preservation and creation, infrastructure investment, energy efficiency and science, assistance to the unemployed, and State and local fiscal stabilization, for fiscal year ending September 30, 2009, and for other purposes. Including healthcare reform in Reconciliation - HConRes 85, Setting forth the congressional budget for the United States Government for fiscal year 2010 and including the appropriate budgetary levels for fiscal years 2009 and 2011 through 2014; SConRes 13, An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2010, revising the appropriate budgetary levels for fiscal year 2009, and setting forth the appropriate budgetary levels for fiscal years 2011 through 2014. Universal healthcare reform - potential legislation. Healthcare alternatives to Administration's budget proposals - HConRes 85, Setting forth the congressional budget for the United States Government for fiscal year 2010 and including the appropriate budgetary levels for fiscal years 2009 and 2011 through 2014; SConRes 13, An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2010, revising the appropriate budgetary levels for fiscal year 2009, and setting forth the appropriate budgetary levels for fiscal years 2011 through 2014; potential legislation. Single-payer health reform - HR 15, To provide a program of national health insurance, and for other purposes; HR 676, To provide for comprehensive health insurance coverage for all United States residents, improved health care delivery, and for other purposes; HR 1200, To provide for health care for every American and to control the cost and enhance the quality of the health care system; S 703, A bill to provide for health care for every American and to control the cost and enhance the quality of the health care system. Essential benefits plan, high-risk pools - HR 109, To provide for the offering of Health Benefit Plans to individuals, to increase funding for State high risk health insurance pools, and to promote best practice protocols for State high risk pools. New government health program - HR 193, To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. FSA rollovers - HR 544, To amend the Internal Revenue Code of 1986 to allow amounts in a health flexible spending arrangement that are unused during a plan year to be carried over to subsequent plan years or deposited into certain health or retirement plans. Health information technology, privacy - HR 598, To provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health; HR 629, To provide energy and commerce provisions of the American Recovery and Reinvestment Act of 2009. Health information technology, privacy, comparative effectiveness research, prevention and wellness - HR 679, Making supplemental appropriations for job preservation and creation, infrastructure investment, energy efficiency and science, assistance to the unemployed, and State and local fiscal stabilization, for the fiscal year ending September 30, 2009, and for other purposes. Medical liability reform - HR 1086, 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 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. High-risk pool, comparative effectiveness research - HR 1105, Making omnibus appropriations for the fiscal year ending September 30, 2009, and for other purposes. 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. National LTC program - HR 1721, To amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes; S 697, A bill to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes. Health information technology - S 179, A bill to improve quality in health care by providing incentives for adoption of modern information technology; S 350, An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. Health information technology, privacy, comparative effectiveness research - S 336, An original bill making supplemental appropriations for job preservation and creation, infrastructure investment, energy efficiency and science, assistance to the unemployed, and State and local fiscal stabilization, for the fiscal year ending September 30, 2009, and for other purposes. Pilot projects for State-based health reforms - S 698, A bill to ensure the provision of high-quality health care coverage for uninsured individuals through State health care coverage pilot projects that expand coverage and access and improve quality and efficiency in the health care system.

H.R. 99 - the Fair and Simple Tax Act of 2009 H.R. 198 - Health Care Tax deduction Act of 2009 H.R. 205 - the Death Tax Repeal Act H.R. 85 - Marriage Tax Penalty Permanent Elimination Act of 2009 H.R. 199 - Simple Savings Tax Relief Act of 2009 H.R. 379 - State and Local Sales Tax Deduction Expansion Act of 2009 H.R. 498 - Capital Gains and Estate Tax Relief Act of 2009 H.R. 544 - Flexible Health Savings Act of 2009 H.R. 897 - Long-Term Care and Retirement Security Act of 2009 H.R. 1560 - Permanent Internet Tax Freedom Act of 2009 H.R. 1960 - Permanent Death Tax Repeal Act of 2009

Client expense: $108,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR)

COBRA / COBRA premium assistance (H.R. 1); FY 10 Budget Resolutions / Reconciliation (S.Con.Res. 13; H.Con.Res. 85); Generic Biologics (S. 726; H.R. 1427; H.R. 1528); Health system / insurance / ERISA reform & health insurance mandates (H.R. 193; S. 391; H.R. 1085; S. 442; H.R. 1092; H.R. 1321; H.R. 676; S. 623; H.R. 1558); Health cost savings / comparative effectiveness / wellness promotion (H.R. 1; S. 803; H.R. 1204); Health IT (H.R. 1); High Risk Pools (H.R. 1105, Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing of Medicare-related private insurance products) -- H.R. 1105; Medicaid (S. 142; S. 434); medical liability reform (S. 391); insurance regulation (H.R. 1880); Long Term Care (S. 94; S. 697; S. 702; H.R. 897; H.R. 1891); Health Insurance Tax Treatment (Employer Exclusion, HSAs, FSAs, HRAs, Health Coverage Tax Credit (H.R. 1; H.R. 544; H.R. 1495; S. 391; H.R. 1085; H.R. 1470; S. 725); SCHIP premium assistance and other private insurance coordination issues (H.R. 2; S. 142; H.R. 321); Small business / national pooling of insurance health reform (S. 93)

Client expense: $250,000 · Firm income: Not reported

COBRA / COBRA premium assistance (H.R. 1); FY 10 Budget Resolutions / Reconciliation (S.Con.Res. 13; H.Con.Res. 85); Generic Biologics (S. 726; H.R. 1427; H.R. 1528); Health system / insurance / ERISA reform & health insurance mandates (H.R. 193; S. 391; H.R. 1085; S. 442; H.R. 1092; H.R. 1321; H.R. 676; S. 623; H.R. 1558); Health cost savings / comparative effectiveness / wellness promotion (H.R. 1; S. 803; H.R. 1204); Health IT (H.R. 1); High Risk Pools (H.R. 1105, Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing of Medicare-related private insurance products) -- H.R. 1105; Medicaid (S. 142; S. 434); medical liability reform (S. 391); insurance regulation (H.R. 1880); Long Term Care (S. 94; S. 697; S. 702; H.R. 897; H.R. 1891); Health Insurance Tax Treatment (Employer Exclusion, HSAs, FSAs, HRAs, Health Coverage Tax Credit (H.R. 1; H.R. 544; H.R. 1495; S. 391; H.R. 1085; H.R. 1470; S. 725); SCHIP premium assistance and other private insurance coordination issues (H.R. 2; S. 142; H.R. 321); Small business / national pooling of insurance health reform (S. 93)

Client expense: $250,000 · Firm income: Not reported

COBRA / COBRA premium assistance (H.R. 1); FY 10 Budget Resolutions / Reconciliation (S.Con.Res. 13; H.Con.Res. 85); Generic Biologics (S. 726; H.R. 1427; H.R. 1528); Health system / insurance / ERISA reform & health insurance mandates (H.R. 193; S. 391; H.R. 1085; S. 442; H.R. 1092; H.R. 1321; H.R. 676; S. 623; H.R. 1558); Health cost savings / comparative effectiveness / wellness promotion (H.R. 1; S. 803; H.R. 1204); Health IT (H.R. 1); High Risk Pools (H.R. 1105, Labor-HHS Approps.); Medicare (Medicare Advantage, electronic prescribing, sales and marketing of Medicare-related private insurance products) -- H.R. 1105; Medicaid (S. 142; S. 434); medical liability reform (S. 391); insurance regulation (H.R. 1880); Long Term Care (S. 94; S. 697; S. 702; H.R. 897; H.R. 1891); Health Insurance Tax Treatment (Employer Exclusion, HSAs, FSAs, HRAs, Health Coverage Tax Credit (H.R. 1; H.R. 544; H.R. 1495; S. 391; H.R. 1085; H.R. 1470; S. 725); SCHIP premium assistance and other private insurance coordination issues (H.R. 2; S. 142; H.R. 321); Small business / national pooling of insurance health reform (S. 93)

Client expense: $250,000 · Firm income: Not reported