Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2009

See page 3 for a complete list of lobbying issues. HR 855/ S. 616 - Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies HR 2112/ S. 332 - Lung Cancer Mortality Reduction Act of 2009 HR 3590 - Patient Protection and Affordable Care Act HR 3961 - Medicare Physician Payment Reform Act of 2009 HR 4872 - Health Care and Education Reconciliation Act of 2010 HR 4213 - American Jobs and Closing Tax Loopholes Act of 2010 HR 4691 - Temporary Extension Act of 2010 HR 4851 - Continuing Extension Act of 2010 HR 4985 - Medicare Decisions Accountability Act of 2010 HR 5253 - Federal Research Public Access Act of 2010 HR 5295 - Healthcare Truth and Transparency Act of 2010 H. Con. Res. 202 - Celebrating the Goals and Ideals of the 20th Anniversary of The Society of Thoracic Surgeons National Database Health care reform, health care quality improvement; physician workforce; comparative effectiveness research; health information technology, National Healthcare Workforce Commission, Patient-Centered Outcomes Research Institute Board of Governors, HIT Meaningful Use, Independent Payment Advisory Board.

Client expense: $120,000 · Firm income: Not reported

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

See page 3 for specific lobbying issues HR 855/S 616 Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies HR 2112/S332 Lung Cancer Mortality Reduction Act of 2009 HR 3590 Patient Protection and Affordable Care Act HR 4872 Health Care and Education Reconciliation Act of 2010 HR 4985 Medicare Decisions Accountability Act of 2010 HR 5295 Healthcare Truth and Transparency Act of 2010 HR 4851 Continuing Extension Act of 2010 HR 4213 American Jobs and Closing Tax Loopholes Act of 2010 HR 4994 Taxpayer Assistance Act of 2010 HR 5253 Federal Research Public Access Act of 2010 HR 5690 Meaningful End to Defensive Medicine and Aimless Lawsuits (MedMal) Act of 2010 HR 5712 The Physician Payment and Therapy Relief Act of 2010 H. Con. Res. 202 Celebrating the Goals and Ideals of the 20th Anniversary of The Society of Thoracic Surgeons National Database Health care reform, health care quality improvement; physician workforce; comparative effectiveness research; health information technology, National Healthcare Workforce Commission, Patient-Centered Outcomes Research Institute Board of Governors, HIT Meaningful Use, Independent Payment Advisory Board, Resident Work Hours

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

H.R. 2220, the Essential Oral Health Care Act of 2009; H.R. 903, Dental Emergency Responder Act; H.R. 1671/S. 450, Meth Mouth Prevention and Community Recovery Act; H.R. 2, Children's Health Insurance Program Reauthorization Act of 2009; H.R. 3109, Health Access and Health Professions Supply Act of 2009; S. 616/H.R. 855, Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act; Medical/Dental Coding Issues; H.Res. 648, Expressing the need for enhanced public awareness of potential health effects posed by mercury; H.R. 4615, Consumers Have Options for Molar Protection Act of 2009; H.R. 4731, Medicaid Options for Dental Fillings Act of 2010; Comparative Effectiveness regarding Dental Quality Alliance; Health Information Technology (HIT) Regulations; H.R. 870, the Medicare Medically Necessary Dental Care Act; H.R. 1339, the Children's Access to Reconstructive and Evaluative Surgery "CARES" Act, specific to dental surgery; H.R. 1430, to permit physical therapy services to be furnished under the Medicare Program to individuals under the care of a dentist; H.R. 1253, Health Insurance Restrictions and Limitations Clarification Act of 2009, a bill to require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable H.R. 2400 Strategies to Address Anti-microbial Resistance (STARR) Act, a bill to amend the Public Health Service Act to enhance efforts to address anti-microbial resistance; S. 1790, Senate Health Care Reform Bill; S. 1679, Affordable Health Choices Act, a health care reform bill; H.R. 3200, H.R. 3962, H.R. 3590, H.R. 4872, House Health Care Reform Bill; H.R. 5364, Special Care Dentistry Act of 2010 H.R. 5000, Dental Coverage Value and Transparency Act of 2010 H.R. 5466, SAMHSA Modernization Act of 2010; H.R. 5678, Universal Access to Methamphetamine Treatment Act of 2010; H.R. 2818, Methamphetamine Education, Treatment, and Hope Act of 2010; H.R. 1745, Family Health care Accessibility Act of 2010; HHS - Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020; HHS - Health People 2020; HHS - Comments on planning and establishment of state level exchanges; HHS - Comments on 45 CFR Part 147; Interim final rule for group health plans and health insurance issuers relating to coverage of preventative services under the Patient Protection and Affordable Care Act; SAMHSA - National Alcohol and Drug Addiction Recovery Month.

Urging members of Congress to co-sponsor H.R. 1326 and S. 3694, the Great Ape Protection Act, which would phase out invasive research on chimpanzees and retire chimpanzees owned by the federal government to permanent sanctuaries. Urging members of Congress to support H.R. 855 and S. 616, the Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2009.

Client expense: $113,592 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical Simulation Technology Research and Acquisition; S. 616/H.R. 855, Enhancing SIMULATION (Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now) Act.

Client expense: Not reported · Firm income: $10,000

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA)

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

H.R. 2220, the Essential Oral Health Care Act of 2009; H.R. 903, Dental Emergency Responder Act; H.R. 1671/S. 450, Meth Mouth Prevention and Community Recovery Act; H.R. 2, Children's Health Insurance Program Reauthorization Act of 2009: Working with CMS on implementation; H.R. 3109, Health Access and Health Professions Supply Act of 2009; S. 616/H.R. 855, Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act; Medical/Dental Coding Issues; H.Res. 648, Expressing the need for enhanced public awareness of potential health effects posed by mercury; H.R. 4615, Consumers Have Options for Molar Protection Act of 2009; H.R. 4731, Medicaid Options for Dental Fillings Act of 2010; Comparative Effectiveness regarding Dental Quality Alliance; Health Information Technology (HIT) Regulations; H.R. 870, the Medicare Medically Necessary Dental Care Act; H.R. 1339, the Children's Access to Reconstructive and Evaluative Surgery "CARES" Act, specific to dental surgery; H.R. 1430, to permit physical therapy services to be furnished under the Medicare Program to individuals under the care of a dentist; H.R. 1253, Health Insurance Restrictions and Limitations Clarification Act of 2009, a bill to require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable H.R. 2400 Strategies to Address Anti-microbial Resistance (STARR) Act, a bill to amend the Public Health Service Act to enhance efforts to address anti-microbial resistance; S. 1790, Senate Health Care Reform Bill; S. 1679, Affordable Health Choices Act, a health care reform bill; H.R. 3200, H.R. 3962, H.R. 3590, H.R. 4872, House Health Care Reform Bill; H.R. 5364, Special Care Dentistry Act of 2010 H.R. 5000, Dental Coverage Value and Transparency Act of 2010 H.R. 5466, SAMHSA Modernization Act of 2010; H.R. 5678, Universal Access to Methamphetamine Treatment Act of 2010; H.R. 2818, Methamphetamine Education, Treatment, and Hope Act of 2010; H.R. 1745, Family Health care Accessibility Act of 2010; HHS - Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020; HHS - Health People 2020; SAMHSA - National Alcohol and Drug Addiction Recovery Month.

H.R.855/S.616, Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2009, Medical training related issues. Monitor Public Law 111-148, Patient Protection and Affordable Care Act, Implementation issues. Monitor Senate Amendment to H.R.1586, Education Jobs and Medicaid Assistance Act, FMAP issues generally.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Federal Medical Assisdtance Percentage (FMAP) as part of H.R. 1586) FY 2011 Labor, Health & Education Consolidated Appropriations bill (S.3686) Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies Act (HR 855/S616)

Client expense: $110,761 · Firm income: Not reported

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

Medical Simulation Technology Research and Acquisition; S. 616/H.R. 855, Enhancing SIMULATION (Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now) Act.

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA)

See page 3 for a complete list of lobbying issues. HR 855/ S. 616 - Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies HR 2112/ S. 332 - Lung Cancer Mortality Reduction Act of 2009 HR 3590 - Patient Protection and Affordable Care Act HR 3961 - Medicare Physician Payment Reform Act of 2009 HR 4872 - Health Care and Education Reconciliation Act of 2010 HR 4213 - American Jobs and Closing Tax Loopholes Act of 2010 HR 4691 - Temporary Extension Act of 2010 HR 4851 - Continuing Extension Act of 2010 HR 4985 - Medicare Decisions Accountability Act of 2010 HR 5253 - Federal Research Public Access Act of 2010 HR 5295 - Healthcare Truth and Transparency Act of 2010 H. Con. Res. 202 - Celebrating the Goals and Ideals of the 20th Anniversary of The Society of Thoracic Surgeons National Database Health care reform, health care quality improvement; physician workforce; comparative effectiveness research; health information technology, National Healthcare Workforce Commission, Patient-Centered Outcomes Research Institute Board of Governors, HIT Meaningful Use, Independent Payment Advisory Board.

Client expense: $120,000 · Firm income: Not reported

H.R. 2220, the Essential Oral Health Care Act of 2009; H.R. 903, Dental Emergency Responder Act; H.R. 1671/S. 450, Meth Mouth Prevention and Community Recovery Act; H.R. 2, Children's Health Insurance Program Reauthorization Act of 2009: Working with CMS on implementation; H.R. 3109, Health Access and Health Professions Supply Act of 2009; S. 616/H.R. 855, Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act; Medical/Dental Coding Issues; H.Res. 648, Expressing the need for enhanced public awareness of potential health effects posed by mercury; H.R. 4615, Consumers Have Options for Molar Protection Act of 2009; H.R. 4731, Medicaid Options for Dental Fillings Act of 2010; Comparative Effectiveness regarding Dental Quality Alliance; Health Information Technology (HIT) Regulations; H.R. 870, the Medicare Medically Necessary Dental Care Act; H.R. 1339, the Children's Access to Reconstructive and Evaluative Surgery "CARES" Act, specific to dental surgery; H.R. 1430, to permit physical therapy services to be furnished under the Medicare Program to individuals under the care of a dentist; H.R. 1253, Health Insurance Restrictions and Limitations Clarification Act of 2009, a bill to require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable H.R. 2400 Strategies to Address Anti-microbial Resistance (STARR) Act, a bill to amend the Public Health Service Act to enhance efforts to address anti-microbial resistance; S. 1790, Senate Health Care Reform Bill; S. 1679, Affordable Health Choices Act, a health care reform bill; H.R. 3200, H.R. 3962, H.R. 3590, H.R. 4872, House Health Care Reform Bill; H.R. 5364, Special Care Dentistry Act of 2010 H.R. 5000, Dental Coverage Value and Transparency Act of 2010 H.R. 5466, SAMHSA Modernization Act of 2010; HHS - Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020 HHS - Health People 2020 SAMHSA - National Alcohol and Drug Addiction Recovery Month

Medical Simulation Technology Research and Acquisition; S. 616/H.R. 855, Enhancing SIMULATION (Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now) Act.

Client expense: Not reported · Firm income: $10,000

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA)

FY 2011 Labor, Health & Education Appropriations Bill Enhancing Safety in Medicine (HR 855/S 616) Health Care Reform Implementation (PL 111-148) Federal Medical Assistance Percentage (FMAP) as part of HR 4213, the American Jobs and Closing Tax Loopholes Act of 2010

Client expense: $77,569 · Firm income: Not reported

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

H.R.855/S.616, Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2009, Medical training related issues. Public Law 111-148, Patient Protection and Affordable Care Act, Residency slot issue. Monitor H.R.4213,American Jobs and Closing Tax Loopholes Act of 2010, Medicare physician payments & FMAP issues generally.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1581 and S. 1020, Patient-Focused Critical Care Enhancement Act; implementation of The Family Smoking Prevention and Tobacco Control Act; implementation of HR 3590, Patient Protection and Affordable Care Act; HR 3961, Medicare Physician Payment Reform Act of 2009; H. Res. 1122 & S. Res. 432, Year of the Lung; COPD policy issues; H.R. 855, Enhancing Safety in Medicine Utilizing Advanced Simulation Technologies to Improve Outcomes Now Act of 2009.

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

See page 5 for complete list of lobbying activities H.R. 855, Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies H.R. 2112, Lung Cancer Mortality Reduction Act of 2009 H.R. 2251, Resident Physician Shortage Reduction Act of 2009 H.R. 3590, Patient Protection and Affordable Care Act H.R. 3693; Ensuring the Future Physician Workforce Act of 2009 H.R. 3961, Medicare Physician Payment Reform Act of 2009 H.R. 3962, Affordable Health Care for America Act H.R. 4213, American Workers, State, and Business Relief Act of 2010 (Physician Payment Reform provisions only) H.R. 4691, Temporary Extension Act of 2010 (Physician Payment Reform provisions only) H.R. 4851, Continuing Extension Act of 2010 (Physician Payment Reform provisions only) H.R. 4872, Health Care and Education Affordability Reconciliation Act H. Con. Res. 202, Celebrating the Goals and Ideals of the 20th Anniversary of The Society of Thoracic Surgeons National Database H.J. Res. 45, Increasing the statutory limit on the public debt (Physician Payment Reform provisions only) Health care reform; health care quality improvement; physician workforce; comparative effectiveness research; health information technology

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

Medical Simulation Technology Research and Acquisition; S. 616/H.R. 855, Enhancing SIMULATION (Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now) Act.

Client expense: Not reported · Firm income: Not reported

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

H.R. 1326, Great Ape Protection Act of 2009: urging members of Congress to co-sponsor and support this legislation. H.R. 855/S.616, the Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2009: urging members of Congress to co-sponsor and support this legislation.

Client expense: $110,904 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.855/S.616, Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2009, Medical training related issues. Public Law 111-148, Patient Protection and Affordable Care Act, Residency slot issue.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Care Reform (PL 111-148) Enhancing Safety in Medicine (HR 855/S616) Patient Protection and Affordable Care Act (HR3590) FY 2011 Labor, Health & Education Appropriations Consolidated Bill

Client expense: $75,662 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE

See page 5 for complete list of lobbying activities H.R. 855, Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies H.R. 1039, Promoting Health Information Technology Act of 2009 H.R. 1256, Family Smoking Prevention and Tobacco Control Act H.R. 2251, Resident Physician Shortage Reduction Act of 2009 H.R. 3200, Americas Affordable Health Choices Act H.R. 3961, Medicare Physician Payment Reform Act of 2009 H.R. 3962, Affordable Health Care for America Act 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

Client expense: $170,000 · Firm income: Not reported

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

Medical Simulation Technology Research and Acquisition; S. 616/H.R. 855, Enhancing SIMULATION (Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now) Act.

Client expense: Not reported · Firm income: $10,000

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

H.R.855/S.616, Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2009, Medical training related issues. H.R.3200, Affordable Health Choices Act, Residency slot issue Patient Protection and Affordable Care Act, Residency slot issue.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Urging Members of Congress to co-sponsor and support H.R. 1326, Great Ape Protection Act of 2009. Urging Members of Congress to co-sponsor and support H.R. 855/S.616, Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2009, to promote the expanded use of medical simulation technology.

Client expense: $179,930 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 855, "Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies"; H.R. 1039, "Promoting Health Information Technology Act of 2009"; H.R. 1256, "Family Smoking Prevention and Tobacco Control Act"; H.R. 2251, "Resident Physician Shortage Reduction Act of 2009"; H.R. 3200, "America's Affordable Health Choices Act of 2009; House Resolution Honoring STS National Database (no bill number). Health care reform, health care quality improvement, physician workforce, comparative effectiveness research, health information technology.

Client expense: $220,000 · 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, White House Office

Medical Simulation Technology Research and Acquisition; S. 616/H.R. 855, Enhancing SIMULATION (Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now) Act.

Client expense: Not reported · Firm income: $10,000

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

H.R.855/S.616, Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2009, Medical training related issues. H.R.3200, Affordable Health Choices Act, Residency slot issue America's Healthy Future Act, Residency slot issue.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3200 - GME Provisions HR 3220 Medicare Home Oxygen Therapy Act of 2009 Health Care Reform - tobacco prevention measures Sustained Growth Rate Formula S. 1020-HR 1581 Patient Focused Critical Care Enhancement Act HR 855/S 616 Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies

Client expense: $38,000 · Firm income: Not reported

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

Introduction of HR 1581 and S. 1020, Patient-Focused Critical Care Enhancement Act; HR 1256, S. 982 the Family Smoking Prevention and Tobacco Control Act; HR 855. Ehancing Safety in Medicine Utlizing Advanced Simulation Technologies to Improve Outcomes Now Act of 2009; SGR; S.1173, the Community-Based Health Care Retraining Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 855 and S 616 -- Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2009; HR 978 and S 848 -- Helicopter Medical Services Patient Safety, Protection, and Coordination Act; S 1199 -- A bill to Increase the Safety of the Crew and Passengers in Air Ambulances

Client expense: $210,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR855/S616 Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2009

Client expense: $45,000 · Firm income: Not reported

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

H.R. 855, "Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies"; H.R. 1039, "Promoting Health Information Technology Act of 2009"; H.R. 1256, "Family Smoking Prevention and Tobacco Control Act"; H.R. 2251, "Resident Physician Shortage Reduction Act of 2009"; "America's Affordable Health Choices Act of 2009 (no bill number); health care reform, health care quality improvement, physician workforce, comparative effectiveness research, health information technology.

Client expense: $140,000 · 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), SENATE

Medical Simulation Technology Research and Acquisition; S. 616/H.R. 855, Enhancing SIMULATION (Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now) Act.

Client expense: Not reported · Firm income: $10,000

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

H.R.855, Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2009, Medical training related issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Introduction of HR 1581 and S. 1020, Patient-Focused Critical Care Enhancement Act; HR 1256, S. 982 the Family Smoking Prevention and Tobacco Control Act; HR 855. Ehancing Safety in Medicine Utlizing Advanced Simulation Technologies to Improve Outcomes Now Act of 2009

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical Simulation Technology Research and Acquisition; S. 616/H.R. 855, Enhancing SIMULATION (Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now) Act.

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE

National Institutes of Health funding in ARRA (Stimulus) legislation H.R. 855, Enhancing Safety in Medicine Utilizing Advanced Simulation Technologies to Improve Outcomes Now Act.

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

Government targets: HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Natl Park Service (NPS), SENATE, Veterans Affairs, Dept of (VA)