Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010

See page 5 for specific lobbying issues. HR 3590 Patient Protection and Affordable Care Act HR 4872 Health Care and Education Reconciliation Act of 2010 HR 4985 Medicare Decisions Accountability Act of 2010 HR 5295 Healthcare Truth and Transparency Act of 2010 HR 4851 Continuing Extension Act of 2010 HR 4213 American Jobs and Closing Tax Loopholes Act of 2010 HR 4994 Taxpayer Assistance Act of 2010 HR 5690 Meaningful End to Defensive Medicine and Aimless Lawsuits (MedMal) Act of 2010 HR 5712 The Physician Payment and Therapy Relief Act of 2010 CMS Medicare Physician Fee Schedule rule, CMS Hospital Inpatient Prospective Payment System rule, HHS Health Information Technology Meaningful Use, Medicare physician payment, National Healthcare Workforce Commission, Patient-Centered Outcomes Research Institute Board of Governors, HIT Meaningful Use, Independent Payment Advisory Board

Client expense: $130,000 · Firm income: Not reported

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

H.R. 5690, Medical Liability Reform, meaningful end to defensive medicine and aimless lawsuits.

Client expense: $389,199 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), SENATE, White House Office

H.R. 3962, Affordable Health Care for America Act, Preventing Medicare cut from taking effect without gutting health reform as an budgetary offset. H.R. 4994, Taxpayer Assistance Act, block 25% cut in Medicare physician payment rate through 2011. H.R. 5297, Small Business Jobs Act, Support for the amendment to reduce or eliminate 1099 requirement without eliminating preventive health fund. H.R. 5690, Medical Liability Reform, meaningful end to defensive medicine and aimless lawsuits. H.R. 5712, Veterans, Seniors, Children's Health Technical Corrections Act, defer Medicare physician pay cuts for 30 days. H.R. 6420, Exempt Health care professionals from FTC Red Flag Rule, Reduce regulatory burdens on family physicians. S. 3416, Exempt Health care professionals from FTC Red Flag Rule, Reduce regulatory burdens on family physicians. S. 3987, Exempt Health care professionals from FTC Red Flag Rule, Reduce regulatory burdens on family physicians. No Bill Number, Family physician workforce expansion, Negotiating Rule Making Committee on the designation of medically underserved populations and health professionals shortage areas. No Bill Number, Teaching Health Centers grant guidance development, Expand FP workforce and provide GME to train outside hospital setting. No Bill Number, Promote family physician workforce expansion, Set AAFP workforce policy information and supporting research to newly appointed members of the NHCWC. No Bill Number, GAO appointment process for NHCWC and PCORI Board, HRSA administers AAFP priority programs, Title VII, NHSC and CHCs. No Bill Number, Recommend the highest possible funding for HRSA, HRSA administers AAFP priority programs including Title VII, NHSC, and CHCs. No Bill Number, Recommend the highest possible funding for AHRQ, AHRQ comparative effectiveness research, HIT support, practice support and enhancement. No Bill Number, HRSA grants stakeholders group activities, HRSA Title VII Primary Care Medicine training grants in support of family medicine. No Bill Number, Action for FY11 spending bill with higher of House and Senate funding levels of HHR, Top AAFP budget priorities include HRSA and AHRQ. No Bill Number, Increased spending levels for health professionals Title VII grants for FY11, Title VII grants support family medicine training programs. No Bill Number, Increased funding for National Health Service Corps in FY11, NHSC provides medical school debt relief and access to health care. No Bill Number, Increased FY11 appropriations for Title VII primary care training 747, rural physician training 749B, and NHSC funding levels, AAFP budget priorities. No Bill Number, AHRQ Center for Primary Care calling for patient centered medical home to promote primary care and prevention, Promoting quality primary care and the patient centered medical home practice. No Bill Number, 42 CFR Parts 410, 416, 419 Medicare program - changes to the hospital outpatient prospective payment system and CY 2010 payment rates, Graduate medical education cost provisions that were part of the CMS proposed rule concerning Medicare payment system changes. No Bill Number, CMS IFR re: Face-to-Face Requirement for home health certification, Recommendations to improve the proposed face-to-face requirement for home health certification. No Bill Number, Interim final rule relating to coverage of preventive services, Required changes in coverage of preventive services required by both insured and self-insured plans. No Bill Number, Nominations to US Preventive Services Task Force, Three AAFP members as potential nominees. No Bill Number, CMS Administrator Berwick meeting, Discuss family physicians views on the structure of accountable care organizations. No Bill Number, Physician payment rule, Support changes that improve payment for primary care. No Bill Number, CMS Director of office of innovation, discuss views on new Center for Medicare and Medicaid Innovation. No Bill Number, Tax relief, unemployment insurance reauthorization and job creation act, Extend for two years the expanded exclusion for employer provided educational assistance and the expanded student loan interest deduction. No Bill Number, Graduate Medical Education Pilot Project, Promoting Family Physician workforce expansion. No Bill Number, Small business considerations for family physicians, Advocate for small business loans to purchase EHRs. No Bill Number, Delivery System Reform, Health Care Reform. No Bill Number, Increased FY11 appropriations for Title VII primary care training 747. No Bill Number, Patient Centered Primary Care Collaborative, Medical Home and Health Care Reform.

Client expense: $389,199 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), SENATE, White House Office

Medical Liability H.R. 5690- MedMal Act- Meaningful End to Defensive Medicine & Aimless Lawsuits Act

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

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

H.R. 1032/S422 - HEART for Women Act H.R. 1210 - Arthritis Prevention, Control and Cure Act H.R. 2345- A bill to Amend the Fair and Accurate Credit Transactions Act of 2003 H.R. 3014- Health Information Technology Financing Act of 2009 Prevention Initiatives S. 697- Community Living Assistance Services and Supports Act Comparative Effectiveness Physical Therapy involvement on President's Council on Physical Fitness and Sports Healthy People 2020 Rehabilitation as an essential benefit in Health Care Reform S. 2741- Rural Telemedicine Enhancing Community Health Act Non-discrimination in Health Care Reform H.R. 3590- Patient Protection and Affordable Care Act H.R. 4872-Health Care & Education Affordability Reconciliation Act H.R. 4662- Lymphedema Diagnosis and Treatment Cost Saving Act of 2010 Access to Affordable Healthcare Reducing Health Disparities Eliminating Arbitrary Limits on Benefits Adequate Healthcare Workforce Eliminate Referral for Profit Expanding HIT incentives Falls Awareness/ Falls Prevention Traumatic Brain Injury Awareness H.R. 6172 Protecting Student Athletes From Concussions Act H.R. 1347 Concussion Treatment & Care Tools Act of 2009 S. Res. 633 National Falls Prevention Day Supporting the International Convention on the Rights of Persons with Disabilities (CRPD) Patient Rights & Market Reforms H.Res. 1438 The Peripheral Arterial Disease (P.A.D.) Resolution Quality H.R. 3851/S. 1810 Physical Activity Guidelines for American Act Comments on the Role of Physical Therapy in Multidisciplinary Pain Programs for Chronis Non-Cancer Pain Nomination for Interangency Pain Research Coordinating Committee Comments on the Role of Physical Therapy in Wheeled Mobility Service Delivery Comments on Role of Physical Therapy in Comparative Effectiveness of for Kneww Pain Secondary to Osteoarthritis Comments on Role of Physical Therapy in Future Research Needs for the Treatment of Common Hip Fractures S. 3987 Red Flag Program Clarification Act H.R. 1086- Help Efficient, Accessible, Low-Cost, Timely Healthcare Act (HEALTH) H.R. 5690- MedMal Act- Meaningful End to Defensive Medicine & Aimless Lawsuits Act National Public Health Initiative on Diabetes Preservation of Public Health & Prevention Fund

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

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

HR.463,The Prevention First Act; Comprehensive Sexuality Education funding (general), National HIV/AIDS Strategy (general); H.R. 3312 H.R. 3652; S. 3737, CARE Act; H.R. 5354, GEDI Act;Sudden unexpected infant deaths (general); Postpartum Depression (general); Emergency Contraception (general); Pre-existing condition exclusion (general); Gender rating (general). Preventive Care (general); Domestic Violence(general); Prescription Drug Coverage (general); Comparative Effectiveness Research (general); Medicaid SCHIP Coverage and Reimbursement; HIV Screening (general); H.R. 2941Gynecological Cancer; Breast Cancer (general); Breastfeeding(general); Medical Liability Reform (general); HR 4386, S. 2904 Emergency Contraception in the Military; Direct Access to Ob-Gyns (general); S. 1742, H.R. 4235 Women's Hospitals Education Equity; National HIV/AIDS Strategy Steps; H.R. 3854 Small Business Financing and Investment Act of 2009; H.R. 4216 Personal Health Record Act of 2009; Abortion (general); H.R. 4872 Health Care and Reconciliation Act of 2010; Health IT (general); Birth Defects(general);Birth Centers (general);Prematurity(general);Obesity (general);Disparities (general);Smoking cessation (general); Prevention & Public Health Trust Fund(general); S.1445 and H.R.3212, Stillbirth and Suid Prevention Education, Awareness Act of 2009,H.R.5462 and S.3479, Birth Defects, Prevention Risk Reduction, Awareness Act of 2010; USDA Dietary Guidelines Advisory Committee Report; H.R. 5690, The Meaningful End to Defensive Medicine and Aimless Lawsuits; S. 422; H.R. 3470, Newborn Act; S. 3906, Preemie Act; H.R. 6437, Improve Maternity Care Quality Act 2010; H.R. 1995/ S. 844, Eliminating Diabetes Disparities; S. 3307 Healthy Hunger-Free Kids Act.

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

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

Monitoring issues related to medical malpractice reform; entire bills of the following: H.R. 1508 / S. 537, Sunshine in Litigation Act of 2009 H.R. 991, Consumer Fairness Act of 2009 H.R.1020, Arbitration Fairness Act of 2009 H.R. 2975, Medical Practice Protection Act of 2009 S. 1551, Liability for Aiding and Abetting Securities Violations Act of 2009 S. 1504, Notice Pleading Restoration Act of 2009 H.R.5243, To amend the Patient Protection and Affordable Care Act to clarify that the Act does not affect standards or procedures in medical malpractice actions. (House) S.1578, A bill to amend chapter 171 of title 28, United States Code, (commonly referred to as the Federal Torts Claim Act) to extend medical malpractice coverage to free clinics and the officers, governing board members, employees, and contractors of free clinics in the same manner and extent as certain Federal officers and employees. H.R.1745, Family Health Care Accessibility Act of 2010 H.R.5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitoring issues related to healthcare; entire bills of the following: H.R. 1797, Compete Act of 2009 H.R. 1583, Insurance Industry Competition Act of 2009 Healthy Mothers and Healthy Babies Access to Care Act (formerly S. 244) H.R.2975, Medical Practice Protection Act of 2009 H.R. 568 / S. 246, Veterans Health Care Quality Improvement Act H.R. 3400, Empowering Patients First Act S. 45, MCAP Act S. 391 / H.R.1321, Healthy Americans Act H.R. 1495, Comprehensive HealthCARE Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 H.R. 1468, Medical Justice Act of 2009 H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act H.R.5243, To amend the Patient Protection and Affordable Care Act to clarify that the Act does not affect standards or procedures in medical malpractice actions. (House) S.1578, A bill to amend chapter 171 of title 28, United States Code, (commonly referred to as the Federal Torts Claim Act) to extend medical malpractice coverage to free clinics and the officers, governing board members, employees, and contractors of free clinics in the same manner and extent as certain Federal officers and employees. H.R.1745, Family Health Care Accessibility Act of 2010 H.R.5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 Monitoring implementation of electronic health records

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

H.R. 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H.R. 5295, Healthcare Truth and Transparency Act of 2010 H.R. 5290, More Doctors, More Choices Act of 2010

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

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

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

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

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

S. 678, Juvenile Justice and Delinquency Prevention Act of 2009 S. 714, National Criminal Justice Commission Act H.R. 2289, Juvenile Justice Accountability and Improvement Act H.R. 5466, SAMHSA Modernization Act of 2010 H.R. 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H.R. 5295, Healthcare Truth and Transparency Act of 2010

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

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

H.R. 5466, SAMHSA Modernization Act of 2010 H.R. 5636, Community Mental Health and Addiction Safety Net Equity Act of 2010 H.R. 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H.R. 5295, Healthcare Truth and Transparency Act of 2010 H.R. 5290, More Doctors, More Choices Act of 2010

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

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

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

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

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

H.R. 5690, 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, and for other purposes, AAFP policy supports medical liability reforms No Bill Number, Medicare Physician payment reform/Sustainable Growth Rate patch, Prevent Medicare physician payment cut without cutting health reform as "pay for"

Client expense: $2,774,319 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Treasury, Dept of, White House Office

H.R.1586, FAA Air Transportation Modernization and Safety Improvement Act, Preventing reduction in Medicaid's payments to states H.R. 3961, Statutory Pay-As-You-Go Act of 2009, Postponing the Medicare payment cuts until September 30, 2010 H.R. 3962, Affordable Health Care for America Act, Postponing the Medicare payment cut until November 30, 2919 and providing a 2.2 percent update in payments H.R. 5297, Small Business Jobs and Credit Act of 2010, Minimizing effect of requirement to file Form 1099 and preventing loss of preventive health funds H.R. 5690, 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, and for other purposes, AAFP policy supports medical liability reforms S. 3307, Healthy, Hunger-Free Kids Act, Increasing funding for federal nutrition programs S.3686 - An original bill making appropriations for the Department of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2011, and for other purposes, Title VII health professions grants for primary care funding, National Health Service Corps, National Health Care Workforce Commissions, Health Care for All, medical student debt relief, development grants authorized by health reform promoting a new model of training for primary care physicians in health centers, AHRQ comparative effectiveness research, Health Information Technology and practice enhancement support, Patient Centered Medical Home, and providing a 2.2 percent update in payments No Bill Number, Accountable Care Organizations, Proposing ways to make primary care practices central to ACOs, Caution re exclusions, patient freedom of choice; data; risk; adjustment No Bill Number, Graduate Medical Education regulations, GME cost provisions that were in the physician payment rule, workforce development and GME modernization No Bill Number, Patient Visitation Rights regulations, Recommending increased equality in visitation rights for legal couples No Bill Number, Home Health Certification regulations, Recommending improvements to face to face requirement for home health certification No Bill Number, Payment Policies under the Physician Fee Schedule and other revisions to Part B for CY 2011, Medicare fee schedule for 2011 No Bill Number, Health Insurance Exchanges, Participating in HHS forum on Health Insurance Exchanges No Bill Number, Coverage of Preventive Services, Commenting on regulation requiring some health plans to cover preventive health services No Bill Number, New clinical preventative health topics, Nominations to the USPS task force committee No Bill Number, Health Information Technology, Using HITECH Act to spur adoption and use of Health Information Technology in small practices No Bill Number, Funding for Family Medicine priorities for 2011, Increasing funding for health professions programs in the next budget No Bill Number, Discussions with HRSA on Title VII health professions grant programs, HRSA health professions programs No Bill Number, Briefings on Antitrust and Accountable Care Organizations/integrative care, ACOs structured on a primary care foundation and antitrust protection for family physicians No Bill Number, Teaching health centers, Securing HRSA GME payment for family medicine residency training programs No Bill Number, Primary Care Health Professions promotion scholarship programs, loan repayment, Title VII, Graduate Medical Education payment reforms. Expand Family Medicine workforce, medical student debt relief, GME modernization to improve financing of family medicine of family medicine education and training No Bill Number, Inquiries about nominations for appointment to National Workforce Commission, Policy calls for this commission No Bill Number, Geographic payment variation under Medicare, Input to IOM study on value modifier No Bill Number, Patient Centered Outcomes Research, To educate agencies about the importance of including FPS on the PCORi No Bill Number, Medicare Physician Payment Reform, Preventing Medicare Physician payment cuts No Bill Number, Patient Centered Primary Care Collaborative, Medical Home and Health Reform No Bill Number, Herndon alliance, Health Care Reform No Bill Number, Accountable Care Organization Regs, Urging agencies to base ACOs on primary care practices No Bill Number, CMS Prep Call, For meeting with the Administrator, actually meeting with the Administrator, Dr. Don Berwick No Bill Number, Workforce and NIH funding

Client expense: $2,774,319 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Treasury, Dept of, White House Office

See page 3 for specific lobbying issues HR 855/S 616 Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies HR 2112/S332 Lung Cancer Mortality Reduction Act of 2009 HR 3590 Patient Protection and Affordable Care Act HR 4872 Health Care and Education Reconciliation Act of 2010 HR 4985 Medicare Decisions Accountability Act of 2010 HR 5295 Healthcare Truth and Transparency Act of 2010 HR 4851 Continuing Extension Act of 2010 HR 4213 American Jobs and Closing Tax Loopholes Act of 2010 HR 5253 Federal Research Public Access Act of 2010 HR 5690 Meaningful End to Defensive Medicine and Aimless Lawsuits (MedMal) Act of 2010 H. Con. Res. 202 Celebrating the Goals and Ideals of the 20th Anniversary of The Society of Thoracic Surgeons National Database Health care reform, health care quality improvement; physician workforce; comparative effectiveness research; health information technology, National Healthcare Workforce Commission, Patient-Centered Outcomes Research Institute Board of Governors, HIT Meaningful Use, Independent Payment Advisory Board, Resident Work Hours

Client expense: $105,000 · Firm income: Not reported

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

See page 5 for specific lobbying issues. HR 3590 Patient Protection and Affordable Care Act HR 4872 Health Care and Education Reconciliation Act of 2010 HR 4985 Medicare Decisions Accountability Act of 2010 HR 5295 Healthcare Truth and Transparency Act of 2010 HR 4851 Continuing Extension Act of 2010 HR 4213 American Jobs and Closing Tax Loopholes Act of 2010 HR 5690 Meaningful End to Defensive Medicine and Aimless Lawsuits (MedMal) Act of 2010 CMS Medicare Physician Fee Schedule rule, CMS Hospital Inpatient Prospective Payment System rule, HHS Health Information Technology Meaningful Use, Medicare physician payment, National Healthcare Workforce Commission, Patient-Centered Outcomes Research Institute Board of Governors, HIT Meaningful Use, Independent Payment Advisory Board

Client expense: $105,000 · Firm income: Not reported

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

- Prepared questions for Members of Congress to be asked during September 2010 Committee on Science & Technology hearing on Health Information Technology; - H.R. 5440, The Geonomic and Personalized Medicine Act; - H.R. 5690, The Meaningful End to Defensive Medicine and Aimless Lawsuits (MedMal) Act of 2010; - Hatch BETTER (Better Evaluation and Treatment Through Essential Regulatory Reform) Patient Care Act.

Client expense: $165,465 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.Res. 1493 (Spratt) budget enforcement resolution; H.R. 1468, Medical Justice Act (Burgess) medical liability reform; H.R. 1493, Quality Health Care Coalition Act (Paul) antitrust exemption for physicians (cont.) 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. 2607: Small Business Health Coverage (Johnson) association health plans; H.R. 3081, Continuing Appropriations Act (Lowey) continuing resolution with temporary funding for HHS programs and agencies; H.R. 4061, Cybersecurity Enhancement Act (Lipinski) privacy protections for health information technology; H.R. 4213, Tax Extenders Act (Rangel/Baucus) premium assistance for unemployed, Roberts amendment addressing individual coverage requirement; 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. 5136, National Defense Authorization Act (Skelton) coverage for dependents under TRICARE; H.R. 5324, COBRA Health Benefits Extension Act (Davis) COBRA extension; H.R. 5690, MedMal Act (Gingrey) medical liability reform; H.R. 5777, Best PRACTICES Act (Rush) data security, privacy; DRAFT Boucher-Stearns privacy proposal collection and disclosure of certain personal information; S. 45, Medical Care Access Protection Act (Ensign) medical liability reform; S. 139, Data Breach Notification Act (Feinstein) data security; S. 458, False Claims Act Clarification Act (Grassley) fraud and abuse; S. 988, SIMPLE Cafeteria Plan Act (Snowe) cafeteria plans, flexible spending arrangements; S. 1490, Personal Data Privacy and Security Act (Leahy) privacy, identity theft; S. 1734, Medical Liability Reform (Kyl) medical liability reform; S. 2730, COBRA Subsidy Extension and Enhancement Act (Brown) premium assistance for unemployed; S. 3393, COBRA Health Benefits Extension Act (Brown) COBRA extension; S. 3421, Temporary Extension Act (Grassley) premium assistance for unemployed; S. 3548, Extend COBRA Premium Assistance Program Act (Casey) premium assistance for unemployed; S. 3579, Data Security Act (Carper) data security, privacy; S. 3686, Labor-HHS-Education Appropriations Act (Harkin) funding for HHS programs and agencies; S. 3742, Data Security and Breach Notification Act (Pryor) data security, privacy 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; issues relating to Form 5500 reporting requirements; medical loss ratios; review of rates for reasonableness; health insurance exchanges; pre-existing condition insurance plans; accountable care organizations; internal claims and appeals and external review processes; coverage of preventive services; pre-existing condition exclusions; lifetime and annual dollar limits on benefits rescissions; patient protections; grandfathered health plan provisions; health insurance web portal requirements; dependent coverage; and other issues relating to health care reform implementation.

Client expense: $2,330,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

H.R. 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010, all provisions Proposed contingency fee contract tax deductions Telemedicine liability issues Medical Liability Reform

Client expense: $2,250,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Occupational Safety & Health Administration (OSHA), SENATE, Treasury, Dept of, White House Office

Implementation of healthcare reform legislation, coverage expansions, quality improvements, delivery system reforms, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public heath and workforce issues, fraud and abuse - Executive Branch actions re PL 111-148/PL 111-152 *Data security - HR 2221, To protect consumers by requiring reasonable security policies and procedures to protect computerized data containing personal information, and to provide for nationwide notice in the event of a security breach; S 139, A bill to require Federal agencies, and persons engaged in interstate commerce, in possession of data containing sensitive personally identifiable information, to disclose any breach of such information. *Price transparency - HR 2249, To amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs. *Association health plans - HR 2607, To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees. *Privacy, identity theft - S 1490, A bill to prevent and mitigate identity theft, to ensure privacy, to provide notice of security breaches, and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information. *Coverage for dependents under TRICARE - HR 5136, National Defense Authorization Act for Fiscal Year 2011. *Budget enforcement resolution - H.Res 1493, Providing for budget enforcement for fiscal year 2011. *Premium assistance for unemployed - S 3421, Protecting Against Indebting our Descendants through Fully Offset Relief (PAID FOR) Temporary Extension Act of 2010; S 3548, Extend COBRA Premium Assistance Program Act of 2010. *Continuing resolution with temporary funding for HHS programs and agencies - HR 3081, Continuing Appropriations Act, 2011; S 3686, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2011. *Data security, privacy - HR 5777, To foster transparency about the commercial use of personal information, provide consumers with meaningful choice about the collection, use, and disclosure of such information; S 3579, Data Security Act of of 2010; S 3742, Data Security and Breach Notification Act of 2010. *Privacy proposal, collection and disclosure of certain personal information - Proposed legislation re this issue. *Medical liability reform - HR 1468, To provide health care liability reform, and for other purposes; S 45, A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; HR 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010; S 1734, A bill to reduce the cost of health care and ensure patient access to doctors by ending excessive malpractice verdicts through common-sense lawsuit reform. *Antitrust exemption for physicians - HR 1493, To ensure and foster continued patient safety and quality of care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers. *Third-party billing by VA for service-connected disabilities - HR 1658, To amend title 38, United States Code, to prohibit the recovery by the United States of charges from a third party for hospital care or medical services furnished to a veteran for a service-connected disability. *COBRA assistance - HR 4213, American Workers, State, and Business Relief Act of 2010. * COBRA subsidies for the unemployed - S 2730, COBRA Subsidy Extension and Enhancement Act of 2009. *COBRA extension - HR 5324, COBRA Health Benefits Extension Act of 2010; S 3393, COBRA Health Benefits Extension Act of 2010. *Transparency in healthcare pricing - HR 4700, Transparency in All Health Care Pricing Act of 2010. *Health benefits plan information, transparency in hospital price and quality information - HR 4803, To ensure health care consumer and provider access to certain health benefits plan information and to amend title XIX of the Social Security Act to provide transparency in hospital price and quality information. *Privacy protections for health information technology - HR 4061, To advance cybersecurity research, development, and technical standards, and for other purposes. *Fraud and abuse - S 458, A bill to amend the False Claims Act. *Cafeteria plans, flexible spending arrangements - S 988, A bill to amend the Internal Revenue Code of 1986 to allow small businesses to set up simple cafeteria plans to provide nontaxable employee benefits to their employees, to make changes in the requirements for cafeteria plans, flexible spending accounts, and benefits provided under such plans or accounts, and for other purposes.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR.463,The Prevention First Act; Comprehensive Sexuality Education funding (general), Melanie Blocker Stokes MOTHERS Act; H.R. 2427/S. 1050, National HIV/AIDS Strategy (general); H.R. 3312 Preventing Unintended Pregnancies, Reducing the Need for Abortion and Supporting Parents; The Heart for Women Act; H.R. 3652S. 3737, CARE Act; H.R. 5354, GEDI Act. H.R. 3090, Health Equity and Accountability Act; H.R. 2635; Stillbirth (general); Sudden unexpected infant deaths (general); Postpartum Depression (general); Emergency Contraception (general); Pre-existing condition exclusion (general); Gender rating (general); Maternity Coverage (general); S. 1303 Medical Home Demonstration Project; Alternatives to Medical Liability Reform Demonstration Project (general); Young Adult Plans (general); Preventive Care (general); Domestic Violence(general); Prescription Drug Coverage (general); Comparative Effectiveness Research (general); S.1679 Affordable Health Choices Act; Medicaid SCHIP Coverage and Reimbursement; HIV Screening (general); H.R. 3962 Affordable Health Care For America Act; H.R. 2941Gynecological Cancer; Breast Cancer (general); Breastfeeding(general); Medical Liability Reform (general); HR 4386, S. 2904 Emergency Contraception in the Military; Direct Access to Ob-Gyns (general); S. 1742, H.R. 4235 Women's Hospitals Education Equity; National HIV/AIDS Strategy Steps; H.R. 3854 Small Business Financing and Investment Act of 2009; H.R. 4216 Personal Health Record Act of 2009; Abortion (general); H.R. 4872 Health Care and Reconciliation Act of 2010; Health IT (general); Birth Defects(general);Birth Centers (general);Prematurity(general);Obesity (general);Disparities (general);Smoking cessation (general); Prevention & Public Health Trust Fund(general); S.1445 and H.R.3212, Stillbirth and Suid Prevention Education, Awareness Act of 2009,H.R.5462 and S.3479, Birth Defects, Prevention Risk Reduction, Awareness Act of 2010; USDA Dietary Guidelines Advisory Committee Report; H.R. 5690, The Meaningful End to Defensive Medicine and Aimless Lawsuits; S. 422.

Client expense: $127,174 · Firm income: Not reported

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

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

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

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

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

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

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

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

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

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

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

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

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

Monitoring issues related to medical malpractice reform; entire bills of the following: H.R. 1508 / S. 537, Sunshine in Litigation Act of 2009 H.R. 991, Consumer Fairness Act of 2009 H.R.1020, Arbitration Fairness Act of 2009 H.R. 2975, Medical Practice Protection Act of 2009 S. 1551, Liability for Aiding and Abetting Securities Violations Act of 2009 S. 1504, Notice Pleading Restoration Act of 2009 H.R.5243, To amend the Patient Protection and Affordable Care Act to clarify that the Act does not affect standards or procedures in medical malpractice actions. (House) S.1578, A bill to amend chapter 171 of title 28, United States Code, (commonly referred to as the Federal Torts Claim Act) to extend medical malpractice coverage to free clinics and the officers, governing board members, employees, and contractors of free clinics in the same manner and extent as certain Federal officers and employees. H.R.1745, Family Health Care Accessibility Act of 2010 H.R.5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitoring issues related to healthcare; entire bills of the following: H.R. 1797, Compete Act of 2009 H.R. 1583, Insurance Industry Competition Act of 2009 Healthy Mothers and Healthy Babies Access to Care Act (formerly S. 244) H.R.2975, Medical Practice Protection Act of 2009 H.R. 568 / S. 246, Veterans Health Care Quality Improvement Act H.R. 3400, Empowering Patients First Act S. 45, MCAP Act S. 391 / H.R.1321, Healthy Americans Act H.R. 1495, Comprehensive HealthCARE Act of 2009 H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 H.R. 1468, Medical Justice Act of 2009 H.R. 676, United States National Health Care Act or the Expanded and Improved Medicare for All Act H.R.5243, To amend the Patient Protection and Affordable Care Act to clarify that the Act does not affect standards or procedures in medical malpractice actions. (House) S.1578, A bill to amend chapter 171 of title 28, United States Code, (commonly referred to as the Federal Torts Claim Act) to extend medical malpractice coverage to free clinics and the officers, governing board members, employees, and contractors of free clinics in the same manner and extent as certain Federal officers and employees. H.R.1745, Family Health Care Accessibility Act of 2010 H.R.5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 Monitoring implementation of electronic health records

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5466, SAMHSA Modernization Act of 2010 H.R. 5636, Community Mental Health and Addiction Safety Net Equity Act of 2010 H.R. 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H.R. 5295, Healthcare Truth and Transparency Act of 2010 H.R. 5290, More Doctors, More Choices Act of 2010

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

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

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

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

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

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

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

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

S. 678, Juvenile Justice and Delinquency Prevention Act of 2009 H.R. 2289, Juvenile Justice Accountability and Improvement Act H.R. 5466, SAMHSA Modernization Act of 2010 H.R. 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H.R. 5295, Healthcare Truth and Transparency Act of 2010

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

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

H.R. 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H.R. 5295, Healthcare Truth and Transparency Act of 2010 H.R. 5290, More Doctors, More Choices Act of 2010

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

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

H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009 (medical malpractice reform) H.R. 1468, Medical Justice Act of 2009 (medical malpractice reform) S. 45, Medical Care Access Protection Act of 2009 or the MCAP Act (medical malpractice reform) S. 1099, Patients' Choice Act and Independent Health Record Trust Act of 2009 H.R. 5025, HITECH Extension for Behavioral Health Services Act of 2010 S.3709, HITECH Extension for Behavioral Health Services Act of 2010 H.R. 5712, Veterans, Seniors, and Childrens Health Technical Corrections Act of 2010 H.R. 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010 H.R. 4985, Medicare Decisions Accountability Act of 2010 (repeal IPAB) H.R. 5290, More Doctors, More Choices Act of 2010 S. 3371, TRICARE Mental Health Care Access Act (MHCs in TRICARE/DOD) H.R. 6147, to treat psychologists as physicians under Medicare H.R.6143, Medicare Mental Health Inpatient Equity Act

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

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

Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act (regarding medical liability reform), H.R. 1086, entire bill; Medical Practice Protection Act, H.R. 2975 (regarding medical liability reform), entire bill; Medical Liability Reform Act of 2009 (regarding medical liability reform), S. 1734, entire bill; Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act (regarding medical liability reform), H.R. 5690, entire bill; (Unintroduced) Medical Disaster Volunteer Liability Protection Act (regarding medical liability reform), entire bill

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

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

H.Res. 1493 (Spratt) budget enforcement resolution; H.R. 1468, Medical Justice Act (Burgess) medical liability reform; (cont.) 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. 2607: Small Business Health Coverage (Johnson) association health plans; 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. 4061, Cybersecurity Enhancement Act (Lipinski) privacy protections for health information technology; H.R. 4213, Tax Extenders Act (Rangel/Baucus) premium assistance for unemployed, Roberts amendment addressing individual coverage requirement; H.R. 4691, Temporary Extension Act (Rangel) premium assistance for unemployed; 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) premium assistance for unemployed, electronic health records; H.R. 5136, National Defense Authorization Act (Skelton) coverage for dependents under TRICARE; H.R. 5324, COBRA Health Benefits Extension Act (Davis) COBRA extension; H.R. 5486, Small Business Jobs Tax Relief Act (Levin) Camp motion addressing individual coverage requirement; H.R. 5690, MedMal Act (Gingrey) medical liability reform; S.Con.Res. 60, FY 2011 Budget Resolution (Conrad) reserve funds for health priorities; S. 45, Medical Care Access Protection Act (Ensign) medical liability reform; S. 139, Data Breach Notification Act (Feinstein) data security; S. 458, False Claims Act Clarification Act (Grassley) fraud and abuse; S. 988, SIMPLE Cafeteria Plan Act (Snowe) cafeteria plans, flexible spending arrangements; S. 1490, Personal Data Privacy and Security Act (Leahy) privacy, identity theft; S. 1734, Medical Liability Reform (Kyl) medical liability reform; S. 2730, COBRA Subsidy Extension and Enhancement Act (Brown) premium assistance for unemployed; S. 3393, COBRA Health Benefits Extension Act (Brown) COBRA extension; S. 3421, Temporary Extension Act (Grassley) premium assistance for unemployed; S. 3548 (Casey) premium assistance for 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; issues relating to Form 5500 reporting requirements; and issues relating to health care reform implementation.

Client expense: $2,290,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

H.J. Res 45, Medicare physician payment reform of the Sustainable Growth Rate, Prevent Medicare physician pay cuts H.R.1585, Fitness Integrated with Teaching Kids Act, Understanding the role of local primary care physicians in obesity prevention H.R. 2249, Health Care Price Transparency Promotion Act of 2009, Determining pricing information that clarifies primary care's practices H.R. 3961, Statutory Pay-As-You-Go Act of 2009, Postponing the Medicare payment cuts until September 30, 2010 H.R. 3962, Affordable Health Care for America Act, Title VII primary care medicine training grants program to provide a 2.2 percent update in payments H.R. 4213, American Workers, State, and Business Relief Act of 2010, Postponing the Medicare physician pay cuts until September 30, 2010, preventing 21 percent reduction in Medicare's payments to physicians and extending the enhanced FMAP until June 30, 2011 H.R. 4700, Transparency in All Health Care Pricing Act of 2010, Determining pricing information that clarifies primary care's practices H.R. 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, Determining pricing information that clarifies primary care's practices H.R. 4813, To provide for insurance reform (including health insurance reform), amend title XVIII of the Social Security Act to reform Medicare Advantage and reduce disparities in the Medicare Program, regulate the importation of prescription drugs, and for other purposes, Postponing the Medicare physician pay cuts until September 30, 2010 H.R. 4851, Continuing Extension Act of 2010, Prevent Medicare physician pay cuts H.R. 5690, 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, and for other purposes, AAFP policy supports medical liability reforms S. 1628, Rural Physician Pipeline Act of 2009, Health professions training funds and rural health needs S. 1681, Health Insurance Industry Antitrust Enforcement Act of 2009, Health professions training funds and rural health needs S. 3217, Restoring American Financial Stability Act of 2010, Repealing the federal antitrust exemption for health insurance companies to give primary care physicians the ability to negotiate their fees. No Bill Number, President's budget for HHS programs, AAFP federal budget priorities-Title VII Sec 747 grants, NHSC, AHRQ, Rural Health Programs No Bill Number, FY 2011 appropriations for AHRQ to provide for the President's budget request of $611 million plus the new Primary Care Extension program authorized at $120 million, AHRQ comparative effectiveness research, health information technology support and practice enhancement and support No Bill Number, Increased FY 2011 appropriations for Title VII section 749B Rural physician training grants authorized by health reform law No Bill Number, Increased health professions grants for addressing unique health service needs for rural communities No Bill Number, Increased FY 2011 appropriations for Title VII health professions grants for primary care funding, Title VII Sec 747 primary care training grants program No Bill Number, Increased FY 2011 funding for the new Title VII health Teaching Health Centers Development grants authorized by health reform, Promoting a new model of training for primary care physicians in health centers No Bill Number, Increased FY 2011 appropriations for National Health Service Corp, health care for all medical student debt relief No Bill Number, Funding for National Health Care Workforce Analysis in FY 2011, AAFP workforce policy calls for national health care workforce commission No Bill Number, Antibiotic Resistance, Preventing excessive and unnecessary use of antibiotics No Bill Number, Accountable Care Organizations, Caution re exclusions, patient freedom of choice No Bill Number, Payment Policies under physician fee schedule and other revisions to Part B for FY2011 No Bill Number, Nominations to National Workforce Commission, Securing representation for family medicine No Bill Number, Nominations to Board of Governors of Patient Centered Outcomes Research Institute, Securing representation for family medicine No Bill Number, Nominations to Advisory Group for the prevention, health promotion and integrative and public health, Securing representation for family medicine No Bill Number, To ensure that the Drug Enforcement Administrations regulations are not overly burdensome to small practices No Bill Number, To advocate for small business loans enabling physicians to purchase EHRs and to ensure that MU regulations are not overly burdensome No Bill Number, To discuss educating individuals about the new health care law

Client expense: $870,448 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

H.R. 5690, 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, and for other purposes, AAFP policy supports medical liability reforms

Client expense: $870,448 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office