Competitive Health Insurance Reform Act of 2011

See Attached HR 2107 Short-Term Fiscal 2012 Continuing Resolution; HR 2608 Continuing Appropriations Act; HR 1309 Flood Insurance Reform Act of 2011; HR 2055 Consolidated Appropriations Act of 2012; HR 3628 Bill to extend National Flood Insurance Program until 5-31-12; HR 3630 Middle Class Tax Relief and Job Creation Act of 2011; S 1548 National Flood Insurance Program Ext. Act of 2011; S 1958 National Flood Insurance Program Extension Act; HR 1150 - Competitive Health Insurance Reform Act of 2011; and HR 2126 - Risk Retentin Modernizatin Act of 2011

Client expense: $180,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE

Public Law 111-148 - Patient Protection and Affordable Care Act - PPACA (Implementation) H.R. 2 - Repealing Jobs - Killing Health Care Law Act H.R. 5 - Help Efficient, Accessible, Low-Cost Timely Health Care (HEALTH) Act H.R. 1150 - Competitive Health Insurance Reform Act (McCarran Repeal) H.R. 1217 - To Repeal the Prevention and Public Health Fund H.R. 1309 / Public Law 112-141 - Flood Insurance Reform and Modernization Act of 2011 (Rulemaking and Implementation) S. 528 - Safe Teen and Novice Driver Uniform Protection (STANDUP) Act S. 637 - Earthquake Insurance Affordability Act S. 886 - Catastrophe Obligation Guarantee Act S. 3994 - Flood Insurance Affordability and Risk Notification Act S. 137 / H.R. 416 - Health Insurance Rate Review Act H.R. 2126 - Risk Retention Modernization Act H.R. 623 - The National Commission on State Workers' Comp Laws H.R. 1063 - Strengthening Medicare and Repaying Taxpayers Act of 2011 (SMART) Act S. 1091 - Consumer Option for an Alternative System to Allocate Losses Act of 2011 H.R. 5860 - Executive Compensation Clawback Full Enforcement Act H.R. 5284 - Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2012 Public Law 112-141 - Moving Ahead for Progress in the 21st Century Act (Rulemakings and Implementation) Public Law 112-106 - Jumpstart our Business Start Ups (JOBS) Act (Rulemakings and Implementation) H.R. 5891 - Defense Base Act and Insurance Improvement Act S. 2295 - Patient Safety and Generic Labeling Improvement Act H.R. 4384 - Patient Safety and Drug Labeling Improvement Act H.R. 6477 - Taxpayer Protection Act H.R. 6186 - To require a study of voluntary community-based flood insurance options and how such options could be incorporated into the National Flood Insurance Program, and for other purposes. H.R. 6129 - Ban the Use of Credit Scores in Auto Insurance Act Terrorism Risk Insurance Act / Terrorism Risk Insurance Revision and Extension Act of 2005 / Terrorism Risk Insurance Program Reauthorization Act of 2007 (reauthorization) Potential legislation similar to H.R. 1346 / S. 540, Medical Device Safety Act (111th Congress) Department of Justice FY2012 budget submission dealing with medical liability grants Various issues relating to the Patient Protection and Affordable Care Act

Client expense: $761,278 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1150 Competitive Health Insurance Reform Act of 2011 H.R.605 / S. 312 Patients' Freedom to Choose Act Medicare Physician Payment Reform H.R. 2863- Medicare Oral Health Rehabilitative Enhancement Act of 2011 H.R. 969 Medical Practice Freedom Act of 2011 S. 296 The Preserving Access to Life-Saving Medications Act H.R. 157 Health Care Safety Net enhancement Act of 2011 H.R. 1700/ S. 1042 Medicare Patient Empowerment Act H.R. 1316 Stop Oxy Abuse Act of 2011 S. 507 Prescription Drug Abuse Prevention and Treatment Act of 2011 H.R. 2104 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Repealing the Job-Killing Health Care Law Act - H.R. 2, all provisions Strengthening Medicare and Repaying Taxpayers Act - H.R. 1063, all provisions National Association of Registered Agents and Brokers Reform Act of 2011 - H.R. 1112, all provisions Competitive Health Insurance Reform Act - H.R. 1150, all provisions The Insurance Consumer Protection and Solvency Act of 2012 H.R. 6423, all provisions Claims Licensing Advancement for Interstate Matters Act H.R. 6415, all provisions

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

Financial System Regulatory Overhaul: Implementation of Dodd-Frank Wall Street Reform & Consumer Protection Act Issues related to the systemic risk designation process in the U.S. and globally Various issues related to the role of the Federal Insurance Office, Financial Stability Oversight Council and Office of Financial Research, including HR 3559 Issues related to Dodd-Frank Act clarification: Insurance Consumer Protection and Solvency Act - HR 6423 Issues related to the federal crop insurance program: Agriculture Reform, Food, and Jobs Act of 2012 - S. 3240, HR 6083 National Commission on State Workers' Compensation Laws Act of 2011 - HR 623 Strenthening Medicare & Repaying Taxpayers Act of 2011 - HR 1063, S. 1718 Issues related to the repeal of McCarran Ferguson Act - HR 1150, HR 5 Issues related to terrorism risk insurance

Client expense: $950,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

H.R. 1150, Competitive Health Insurance Reform Act (entire bill) S. 197, Medical Care Access Protection Act (entire bill) H.R. 623, The National Commission on State Workers' Compensation Laws Act (entire bill) H.R. 1943, Health Insurance Industry Fair Competition Act (entire bill)

Client expense: $310,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

H.R. 5/S. 1099, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act (entire bill) H.R.3139, District of Columbia National Disaster Insurance Protection Act (entire bill) S. 669, Longshore and Harbor Workers' Compensation Act Amendments (entire bill) H.R. 890, Holocaust Insurance Accountability Act (entire bill) S. 466, Restoration of Legal Rights for Claimants Under Holocaust-Era Insurance Policies Act (entire bill) H.R. 1150, Competitive Health Insurance Reform Act (entire bill) H.R. 1063/ S. 1718, Strengthening Medicare and Repaying Tax Payers Act (entire bill) H.R. 2099, Natural Disaster Mitigation Act of 2011 (entire bill) H.R. 2100, Catastrophe Savings Accounts Act of 2011 (entire bill) H.R. 2101, Policyholder Disaster Protection Act of 2011 (entire bill) S. 1091, COASTAL Act of 2011 (entire bill) H.R. 2126, Risk Retention Modernization Act of 2011 (entire bill) S. 1383, Save Child Support Act (Sec 5, Requiring States to Compare Information Maintained by insurers; Sec 6, Data Matching and Registry of Payments made on property and casualty insurance) H.R. 3125, Earthquake Insurance Affordability Act (entire bill) S. 1630, Disaster Recovery Act of 2011 (entire bill) H.R.3534, Security in Bonding Act of 2011 (entire bill) H.R. 5284, Medicare Secondary Payer and Workers Compensation Settlement Agreements Act of 2012 (entire bill) H.R. 3559, Insurance Data Protection Act (entire bill) H.R.1845, Medicare IVIG Access and Strengthening Medicare and Repaying Taxpayers Act of 2012 (Title II) H.R. 6346, To amend the Fair Labor Standards Act of 1938 to provide a specific limited exemption from the overtime pay requirements of such Act for work related to insurance claims adjustment after a major disaster. S.3677, A bill to make a technical correction to the Flood Disaster Protection Act of 1973. Terrorism Risk Insurance Program Reauthorization

Client expense: $310,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

the Competitive Health Insurance Reform Act of 2011 (H.R. 1150) the Dental Insurance Fairness Act of 2012 (H.R. 4818)

Client expense: $30,430 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Office of Natl Drug Control Policy (NDCP), SENATE

H.R. 1873 - Arbitration Fairness Act S. 987 - Arbitration Fairness Act S. 1186 - Arbitration Fairness Act Asbestos Related Legislation Bankruptcy Transparency Issues S. 223 - FAA Air Transportation Modernization and Safety Improvement Act H.R. 658 - FAA Reauthorization Act Low Income Tax Recapture Bonds Climate Change/Global Warming Natural Catastrophe legislation Coast Wind Zone Proposal Credit Scoring and the Use of Credit as Underwriting Tool H.R. 769 - Fair Access to Credit Scores Act of 2011 H.R. 1062 - The Burdensome Data Collection Relief Act Insurance issues relating to the authority of the Financial Stability Oversight Council Insurance issues relating to the Office of Financial Research Issues relating to Financial Services Systemic Risk Proposals Insurance issues relating to Federal Resolution Authority Issues relating to the Federal Insurance Office Insurance issues relating to liquidation authority for systemically important financial institutions and the plans for US and global regulators for higher capital requirements for financial institutions. SEC issues related to the implementation of the Dodd-Frank Act H.R. 1039 - Flood Insurance Reform Act of 2011 H.R. 435 - National Flood Insurance Program Termination Act of 2010 H.R. 1026 - Flood Insurance Reform Priorities Act of 2011 (Waters) S. 1940 - Flood Insurance Reform and Modernization Act of 2011 Medical Liability Reform Medicare Secondary Payer and Workers' Compensation Settlement Agreements S. 533 - Lawsuit Abuse Reduction Act H.R. 966 - Lawsuit Abuse Reduction Act McCarran-Ferguson Reform and Modernization H.R. 5 - Health Act, H.R. 1150 - Competitive Health Insurance Reform Act of 2011 S. 528 - Safe Teen and Novice Driver Uniform Protection Act Oil Spill Liability Issues H.R. 2483 - The Whistleblower Improvement Act S. 669 - Longshore and Harbor Workers' Compensation Act Amendments of 2011 H.R. 1249 - America Invents Act S. 23 - America Invents Act H.R. 1965 - To amend the securities laws to establish certain thresholds for shareholder registration, and for other purposes. S. 556 - A bill to amend the securities laws to establish certain thresholds for shareholder registration, and for other purposes. H.R. 940 - United States Covered Bond Act of 2011 State bankruptcy issues S. 251 - A bill to prohibit the provision of Federal funds to State and local governments for the payment of obligations, to prohibit the Federal Reserve System from financially assisting state and local governments, and for other purposes. Bank Tax Issues H.R. 623 - National Commission on State Workers' Compensation Laws Act of 2011 H.R. 1063 - SMART Act

Client expense: $690,000 · Firm income: Not reported

Government targets: Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of, White House Office

Issues relating to small-businesses in the following bills and topics: H.R.1150, Competitive Health Insurance Reform Act of 2011; Discussions with Occupational Safety & Health Administration (OSHA) regarding issues related to ergonomics, Comprehensive Infectious Disease Control Standards; Enforcement Procedures for Exposure to Bloodborne Pathogens. S. 1813, the MAP-21 Act (pension relief) H.R. 4818 - Dental Insurance Fairness Act of 2012

Client expense: $620,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Trade Commission (FTC), 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), Navy, Dept of, Occupational Safety & Health Administration (OSHA), Office of Natl Drug Control Policy (NDCP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

HR531--Access to Frontline Health Care Act; HR452/S 668 -- IPAB Repeal; S454--Medicare AntiFraud; S756--Medicare Data Transparency; HR5/S218--Medical Liability Reform; HR1206/2077--Medical Loss Ratio changes; HR 1256 -- Medicare Physician Payment Transparency; HR 1409--Quality Health are Coalition Act; HR1700/S1042--Medicare Patient Empowerment Act; S1309/HR 3364--Equity and Access for Podiatric Physicians Under Medicaid; PDUFA/MDUFA reauthorization; Budget Sequestration (HR 8); 100th Anniversary of APMA; Medicare Physician payment / SGR; S1958--Medicare Orthotics and Prosthetics Improvement Act; HR 1256--Medicare Relative Update Committee (RUC); HR 1409--Physician Antitrust; HR 2363--Health Care OverUse Reform Today (HealthCOURT) Act; HR 3630/HR 3675--Medicare Physician Payments/SGR; HR 1150--Health Insurer Antitrust Reform; HR 969 Medical Practice Freedom Act; S 756--Claims Data Publication; TRICARE reimbursement issues; VA provider issues

Client expense: $96,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R. 1150 Competitive Health Insurance Reform Act (all sections of full text) H.R. 4818 Dental Insurance Fairness Act of 2012 (all sections of full text)

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

Government targets: SENATE, State, Dept of (DOS)

HR 1150, HR 623

Client expense: $720,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), SENATE, Treasury, Dept of

Public Law 111-148 - Patient Protection and Affordable Care Act - PPACA (Implementation) H.R. 2 - Repealing Jobs - Killing Health Care Law Act H.R. 5 - Help Efficient, Accessible, Low-Cost Timely Health Care (HEALTH) Act H.R. 1150 - Competitive Health Insurance Reform Act (McCarran Repeal) H.R. 1217 - To Repeal the Prevention and Public Health Fund H.R. 1309 / Public Law 112-141 - Flood Insurance Reform and Modernization Act of 2011 (Rulemaking and Implementation) S. 528 - Safe Teen and Novice Driver Uniform Protection (STANDUP) Act S. 637 - Earthquake Insurance Affordablity Act S. 886 - Catastrophe Obligation Guarantee Act S. 3994 - Flood Insurance Affordability and Risk Notification Act S. 137 / H.R. 416 - Health Insurance Rate Review Act H.R. 2126 - Risk Retention Modernization Act H.R. 623 - The National Commission on State Workers' Comp Laws H.R. 1063 - Strengthening Medicare and Repaying Taxpayers Act of 2011 (SMART) Act S. 1091 - Consumer option for an Alternative System to Allocate Losses Act of 2011 H.R. 5860 - Executive Compensation Clawback Full Enforcement Act H.R. 5284 - Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2012 Public Law 112-141 - Moving Ahead for Progress in the 21st Century Act (Rulemakings and Implementation) Public Law 112-106 - Jumpstart our Business Start Ups (JOBS) Act (Rulemakings and Implementation) H.R. 5891 - Defense Base Act and Insurance Improvement Act S. 2295 - Patient Safety and Generic Labeling Improvement Act H.R. 4384 - Patient Safety and Drug Labeling Improvement Act H.R. 6477 - Taxpayer Protection Act H.R. 6186 - To require a study of voluntary community-based flood insurance options and how such options could be incorporated into the National Flood Insurance Program, and for other purposes. H.R. 6129 - Ban the Use of Credit Scores in Auto Insurance Act Potential legislation similar to H.R. 1346 / S. 540, Medical Device Safety Act (111th Congress) Department of Justice FY2012 budget submission dealing with medical liability grants Various issues relating to the Patient Protection and Affordable Care Act

Client expense: $768,022 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

Financial System Regulatory Overhaul: Implementation of Dodd-Frank Wall Street Reform & Consumer Protection Act Issues related to the systemic risk designation process in the U.S. and globally Various issues related to the role of the Federal Insurance Office, Financial Stability Oversight Council and Office of Financial Research, including HR 3559 Issues related to Dodd-Frank Act clarification: Insurance Consumer Protection and Solvency Act - HR 6423 Issues related to the federal crop insurance program: Agriculture Reform, Food, and Jobs Act of 2012 - S. 3240, HR 6083 Biggert-Waters Flood Insurance Reform Act of 2012 - HR 4348 National Commission on State Workers' Compensation Laws Act of 2011 - HR 623 Strenthening Medicare & Repaying Taxpayers Act of 2011 - HR 1063, S. 1718 Issues related to the repeal of McCarran Ferguson Act - HR 1150, HR 5 Issues related to terrorism risk insurance

Client expense: $200,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR)

H.R. 1150, Competitive Health Insurance Reform Act (entire bill) S. 197, Medical Care Access Protection Act (entire bill) H.R. 623, The National Commission on State Workers' Compensation Laws Act (entire bill) H.R. 1943, Health Insurance Industry Fair Competition Act (entire bill)

Client expense: $310,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

H.R. 5/S. 1099, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act (entire bill) HR 1309, Flood Insurance Reform Act of 2011(entire bill) S.1864, A bill to extend the National Flood Insurance Program until September 30, 2012 (entire bill) H.R.3139, District of Columbia National Disaster Insurance Protection Act (entire bill) S. 669, Longshore and Harbor Workers' Compensation Act Amendments (entire bill) H.R. 890, Holocaust Insurance Accountability Act (entire bill) S. 466, Restoration of Legal Rights for Claimants Under Holocaust-Era Insurance Policies Act (entire bill) H.R. 1150, Competitive Health Insurance Reform Act (entire bill) H.R. 1063/ S. 1718, Strengthening Medicare and Repaying Tax Payers Act (entire bill) H.R. 2099, Natural Disaster Mitigation Act of 2011 (entire bill) H.R. 2100, Catastrophe Savings Accounts Act of 2011 (entire bill) H.R. 2101, Policyholder Disaster Protection Act of 2011 (entire bill) S. 1091, COASTAL Act of 2011 (entire bill) H.R. 2126, Risk Retention Modernization Act of 2011 (entire bill) S. 1383, Save Child Support Act (Sec 5, Requiring States to Compare Information Maintained by insurers; Sec 6, Data Matching and Registry of Payments made on property and casualty insurance) H.R. 3125, Earthquake Insurance Affordability Act (entire bill) S. 1630, Disaster Recovery Act of 2011 (entire bill) H.R.3534, Security in Bonding Act of 2011 (entire bill) S.1940, Flood Insurance Reform and Modernization Act of 2011 (entire bill) H.R. 5284, Medicare Secondary Payer and Workers Compensation Settlement Agreements Act of 2012 (entire bill) H.R. 5740, National Flood Insurance Program Extension Act (entire bill) H.R. 4348, MAP-21 (Division F; Title II) H.R. 3559, Insurance Data Protection Act (entire bill) Terrorism Risk Insurance Program Reauthorization

Client expense: $310,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

H.R.1150 Competitive Health Insurance Reform Act of 2011 H.R.605 / S. 312 Patients' Freedom to Choose Act Medicare Physician Payment Reform H.R. 2863- Medicare Oral Health Rehabilitative Enhancement Act of 2011 H.R. 969 Medical Practice Freedom Act of 2011 S. 296 The Preserving Access to Life-Saving Medications Act H.R. 157 Health Care Safety Net enhancement Act of 2011 H.R. 1700/ S. 1042 Medicare Patient Empowerment Act H.R. 1316 Stop Oxy Abuse Act of 2011 S. 507 Prescription Drug Abuse Prevention and Treatment Act of 2011 H.R. 2104 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 63, Long-Term Care Insurance Reform Act (Doggett) - LTC insurance reforms. H.R. 111, Breast Cancer Patient Protection Act (DeLauro) - minimum hospital stays for mastectomy patients. H.R. 346, Health Care Choice Act (Pearce ) - national marketplace for individual coverage. H.R.371, Health Care Choice Act (Blackburn) - national marketplace for individual coverage. H.R. 416, Health insurance Rate Review Act (Schakowsky) - rate review. H.R. 1050, Small Business Health Fairness Act (Johnson) - association health plans. H.R. 1150, Competitive Health Insurance Reform Act (Gosar) - antitrust policy. H.R.1206, Access to Professional Health Insurance Advisors Act (Rogers) - agent commissions, medical loss ratios. H.R. 1943, Health Insurance Industry Fair Competition Act (DeFazio) - changes to McCarran-Ferguson Act. H.R. 2077, MLR Repeal Act (Price) - medical loss ratios. H.R. 2645, Medigap Medical Loss Ratio Improvement Act (Stark) - MLRs for Medigap policies. H.R. 2958, Federal Employee Short-Term Disability Insurance Act (Holmes Norton) - disability program for federal employees. H.R. 5838, Health Insurance Industry Antitrust Enforcement Act (Conyers) - changes to McCarran-Ferguson Act. H.R.6283, Guaranteed Access to Health Insurance Act (Burgess) - reinsurance, high risk pools. S. 137, Health Insurance Rate Review Act (Feinstein) - rate review. S. 159, Confidence in Long-Term Care Insurance Act (Kohl) - LTC insurance reforms. S. 1416, Medigap Medical Loss Ratio Improvement Act (Kerry) - MLRs for Medigap policies. S. 1500, Ensure Children Have Health Care Act (Murkowski/Enzi) - enrollment period for child-only policies. S. 2068, Access to Independent Health Insurance Advisors Act (Landrieu/Isakson) - agent commissions, medical loss ratios. S. 2288, Access to Independent Health Insurance Advisors Act (Landrieu/Isakson) - agent commissions, medical loss ratios. S. 3229, Long-Term Care Insurance Consumer Right-to-Know Act (Klobuchar) -- model disclosure form for marketing long-term care insurance policies. S. 3230, Long-Term Care Integrity Act (Klobuchar) -- claims dispute resolution procedures. S. 3271, Equal Access to Medicare Options Act (Kerry) - Medigap provisions, MA enrollment provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 63, Long-Term Care Insurance Reform Act (Doggett) LTC insurance reforms 16. Specific Lobbying Issues (continued): H.R. 111, Breast Cancer Patient Protection Act (DeLauro) minimum hospital stays for mastectomy patients H.R. 346, Health Care Choice Act (Pearce ) national marketplace for individual coverage H.R.371, Health Care Choice Act (Blackburn) national marketplace for individual coverage H.R. 416, Health Insurance Rate Review Act (Schakowsky) rate review H.R. 1050, Small Business Health Fairness Act (Johnson) association health plans H.R. 1150, Competitive Health Insurance Reform Act (Gosar) antitrust policy H.R.1206, Access to Professional Health Insurance Advisors Act (Rogers) agent commissions, medical loss ratios H.R. 1943, Health Insurance Industry Fair Competition Act (DeFazio) changes to McCarran-Ferguson Act H.R. 2077, MLR Repeal Act (Price) medical loss ratios H.R. 2645, Medigap Medical Loss Ratio Improvement Act (Stark) MLRs for Medigap policies H.R. 2958, Federal Employee Short-Term Disability Insurance Act (Holmes Norton) disability program for federal employees H.R. 5838, Health Insurance Industry Antitrust Enforcement Act (Conyers) changes to McCarran-Ferguson Act H.R.6283, Guaranteed Access to Health Insurance Act (Burgess) reinsurance, high risk pools S. 137, Health Insurance Rate Review Act (Feinstein) rate review S. 159, Confidence in Long-Term Care Insurance Act (Kohl) LTC insurance reforms S. 1416, Medigap Medical Loss Ratio Improvement Act (Kerry) MLRs for Medigap policies S. 1500, Ensure Children Have Health Care Act (Murkowski/Enzi) enrollment period for child-only policies S. 2068, Access to Independent Health Insurance Advisors Act (Landrieu/Isakson) agent commissions, medical loss ratios S. 2288, Access to Independent Health Insurance Advisors Act (Landrieu/Isakson) agent commissions, medical loss ratios S. 3229, Long-Term Care Insurance Consumer Right-to-Know Act (Klobuchar) -- model disclosure form for marketing long-term care insurance policies S. 3230, Long-Term Care Integrity Act (Klobuchar) -- claims dispute resolution procedures S. 3271, Equal Access to Medicare Options Act (Kerry) Medigap provisions, MA enrollment provisions Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; summary of benefits and coverage disclosures; medical loss ratios; review of rates for reasonableness; health insurance exchanges; pre-existing condition insurance plans; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health insurance web portal requirements; dependent coverage; treatment of expatriate plans; compliance with the transitional reinsurance program; and other issues relating to health care reform implementation.

Client expense: $2,630,000 · 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), Federal Bureau of Investigation (FBI), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office

H.R. 1873 - Arbitration Fairness Act S. 987 - Arbitration Fairness Act S. 1186 - Arbitration Fairness Act Asbestos Related Legislation Bankruptcy Transparency Issues S. 223 - FAA Air Transportation Modernization and Safety Improvement Act H.R. 658 - FAA Reauthorization Act Low Income Tax Recapture Bonds Climate Change/Global Warming Natural Catastrophe legislation Coast Wind Zone Proposal Credit Scoring and the Use of Credit as Underwriting Tool H.R. 769 - Fair Access to Credit Scores Act of 2011 H.R. 1062 - The Burdensome Data Collection Relief Act Insurance issues relating to the authority of the Financial Stability Oversight Council Insurance issues relating to the Office of Financial Research Issues relating to Financial Services Systemic Risk Proposals Insurance issues relating to Federal Resolution Authority Issues relating to the Federal Insurance Office Insurance issues relating to liquidation authority for systemically important financial institutions and the plans for US and global regulators for higher capital requirements for financial institutions. SEC issues related to the implementation of the Dodd-Frank Act H.R. 1039 - Flood Insurance Reform Act of 2011 H.R. 435 - National Flood Insurance Program Termination Act of 2010 H.R. 1026 - Flood Insurance Reform Priorities Act of 2011 (Waters) S. 1940 - Flood Insurance Reform and Modernization Act of 2011 Medical Liability Reform Medicare Secondary Payer and Workers' Compensation Settlement Agreements S. 533 - Lawsuit Abuse Reduction Act H.R. 966 - Lawsuit Abuse Reduction Act McCarran-Ferguson Reform and Modernization H.R. 5 - Health Act, H.R. 1150 - Competitive Health Insurance Reform Act of 2011 S. 528 - Safe Teen and Novice Driver Uniform Protection Act Oil Spill Liability Issues H.R. 2483 - The Whistleblower Improvement Act S. 669 - Longshore and Harbor Workers' Compensation Act Amendments of 2011 H.R. 1249 - America Invents Act S. 23 - America Invents Act H.R. 1965 - To amend the securities laws to establish certain thresholds for shareholder registration, and for other purposes. S. 556 - A bill to amend the securities laws to establish certain thresholds for shareholder registration, and for other purposes. H.R. 940 - United States Covered Bond Act of 2011 State bankruptcy issues S. 251 - A bill to prohibit the provision of Federal funds to State and local governments for the payment of obligations, to prohibit the Federal Reserve System from financially assisting state and local governments, and for other purposes. Bank Tax Issues H.R. 623 - National Commission on State Workers' Compensation Laws Act of 2011 H.R. 1063 - SMART Act

Client expense: $860,000 · Firm income: Not reported

Government targets: Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of, White House Office

Issues relating to small-businesses in the following bills and topics: H.R.1150, Competitive Health Insurance Reform Act of 2011; Discussions with Occupational Safety & Health Administration (OSHA) regarding issues related to ergonomics, Comprehensive Infectious Disease Control Standards; Enforcement Procedures for Exposure to Bloodborne Pathogens. S. 1813, the MAP-21 Act (pension relief) H.R. 4818 - Dental Insurance Fairness Act of 2012

Client expense: $600,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Trade Commission (FTC), 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), Navy, Dept of, Occupational Safety & Health Administration (OSHA), Office of Natl Drug Control Policy (NDCP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

Repealing the Job-Killing Health Care Law Act - H.R. 2, all provisions Strengthening Medicare and Repaying Taxpayers Act - H.R. 1063, all provisions National Association of Registered Agents and Brokers Reform Act of 2011 - H.R. 1112, all provisions Competitive Health Insurance Reform Act - H.R. 1150, all provisions The Insurance Consumer Protection and Solvency Act of 2012 H.R. 6423, all provisions Claims Licensing Advancement for Interstate Matters Act H.R. 6415, all provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

the Competitive Health Insurance Reform Act of 2011 (H.R. 1150) the Dental Insurance Fairness Act of 2012 (H.R. 4818)

Client expense: $24,599 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Natl Drug Control Policy (NDCP), SENATE

Protecting Access to Healthcare Act (regarding medical liability), H.R. 5, Title IV (regarding repeal of limited federal antitrust exemption for certain insurers); Strengthening Medicare And Repaying Taxpayers Act of 2011 (regarding Medicare secondary payer and insurer reporting requirements), H.R. 1063, entire bill; Competitive Health Insurance Reform Act (regarding repeal of limited federal antitrust exemption for certain insurers), H.R. 1150, entire bill; Strengthening Medicare And Repaying Taxpayers Act of 2011 (regarding Medicare secondary payer and insurer reporting requirements), S. 1718, entire bill

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR531--Access to Frontline Health Care Act; HR452/S 668 -- IPAB Repeal; S454--Medicare AntiFraud; S756--Medicare Data Transparency; HR5/S218--Medical Liability Reform; HR1206/2077--Medical Loss Ratio changes; HR 1256 -- Medicare Physician Payment Transparency; HR 1409--Quality Health are Coalition Act; HR1700/S1042--Medicare Patient Empowerment Act; S1309/HR 3364--Equity and Access for Podiatric Physicians Under Medicaid; PDUFA/MDUFA reauthorization; Budget Sequestration; 100th Anniversary of APMA; Medicare Physician payment / SGR; S1958--Medicare Orthotics and Prosthetics Improvement Act; HR 1256--Medicare Relative Update Committee (RUC); HR 1409--Physician Antitrust; HR 2363--Health Care OverUse Reform Today (HealthCOURT) Act; HR 3630/HR 3675--Medicare Physician Payments/SGR; HR 1150--Health Insurer Antitrust Reform; HR 969 Medical Practice Freedom Act; S 756--Claims Data Publication; TRICARE reimbursement issues; VA provider issues

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

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

Public Law 111-148 - Patient Protection and Affordable Care Act - PPACA (Implementation) H.R. 2 - Repealing Jobs - Killing Health Care Law Act H.R. 5 - Help Efficient, Accessible, Low-Cost Timely Health Care (HEALTH) Act H.R. 1150 - Competitive Health Insurance Reform Act (McCarran Repeal) H.R. 1217 - To Repeal the Prevention and Public Health Fund H.R. 1309 - Flood Insurance Reform and Modernization Act of 2011 S. 528 - Safe Teen and Novice Driver Uniform Protection (STANDUP) Act S. 637 - Earthquake Insurance Affordability Act S. 886 - Catastrophe Obligation Guarantee Act S. 3994 - Flood Insurance Affordability and Risk Notification Act S. 137 / H.R. 416 - Health Insurance Rate Review Act H.R. 2126 - Risk Retention Modernization Act H.R. 623 - The National Commission on State Workers' Comp Laws H.R. 1063 - Strengthening Medicare and Repaying Taxpayers Act of 2011 (SMART) Act S. 1091 - Consumer option for an Alternative System to Allocate Losses Act of 2011 H.R. 5860 - Executive Compensation Clawback Full Enforcement Act H.R. 5284 - Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2012 H.R. 4348 - Moving Ahead for Progress in the 21st Century Act (which became Public Law 112-141 after this reporting period) Public Law 112-106 - Jumpstart Our Business Start Ups (JOBS) Act (Rulemaking and Implementation) Potential legislation similar to H.R. 1346 / S. 540, Medical Device Safety Act (111th Congress) Department of Justice FY2012 budget submission dealing with medical liability grants Various issues relating to the Patient Protection and Affordable Care Act

Client expense: $491,523 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1150- Competitive Health Insurance Reform Act of 2011 H.R. 605/ S. 312- Patients' Freedom to Choose Act Medicare Physician Payment Reform H.R. 2863- Medicare Oral Health Rehabilitative Enhancement Act of 2011 H.R. 969 Medical Practice Freedom Act of 2011 S. 296 The Preserving Access to Life-Saving Medications Act H.R. 157 Health Care Safety Net enhancement Act of 2011 H.R. 1700/ S. 1042 Medicare Patient Empowerment Act H.R. 1316 Stop Oxy Abuse Act of 2011 S. 507 Prescription Drug Abuse Prevention and Treatment Act of 2011 H.R. 2104 Consistency, Accuracy, Responsibilit, and Excellence in Medical Imaging and Radiation Therapy Act

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 1150, HR 623,

Client expense: $730,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

Flood (HR 435, HR 700, HR 764, HR 898, HR 1026, HR 1309, HR 1379, HR 1430, HR 1453, S.1091); Nat Cat/Earthquake (S. 646, S. 692, HR 2100, HR 2101); Mitigation/Building Codes (HR 2099, HR 2069); Postage (S.353); Medicare (HR 1063, S 1718, HR 5284); Automobile Issues (HR 164, HR 3889); Workers Compensation (HR 623, HR 5891); McCarran-Ferguson (HR 1150, HR 5); FLSA (S. 1747); Surety (HR 3534); Federal Regulation(HR 3559); Quality Parts (HR 3889); Credit Scoring (HR 6129)

Client expense: $220,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, Treasury, Dept of

H.R. 1150, Competitive Health Insurance Reform Act (entire bill) S. 197, Medical Care Access Protection Act (entire bill) H.R. 623, The National Commission on State Workers' Compensation Laws Act (entire bill) H.R. 1943, Health Insurance Industry Fair Competition Act (entire bill)

Client expense: $320,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

H.R. 5/S. 1099, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act (entire bill) HR 1309, Flood Insurance Reform Act of 2011(entire bill) S.1864, A bill to extend the National Flood Insurance Program until September 30, 2012 (entire bill) H.R.3139, District of Columbia National Disaster Insurance Protection Act (entire bill) S. 669, Longshore and Harbor Workers' Compensation Act Amendments (entire bill) H.R. 890, Holocaust Insurance Accountability Act (entire bill) S. 466, Restoration of Legal Rights for Claimants Under Holocaust-Era Insurance Policies Act (entire bill) H.R. 1150, Competitive Health Insurance Reform Act (entire bill) H.R. 1063/ S. 1718, Strengthening Medicare and Repaying Tax Payers Act (entire bill) H.R. 2099, Natural Disaster Mitigation Act of 2011 (entire bill) H.R. 2100, Catastrophe Savings Accounts Act of 2011 (entire bill) H.R. 2101, Policyholder Disaster Protection Act of 2011 (entire bill) S. 1091, COASTAL Act of 2011 (entire bill) H.R. 2126, Risk Retention Modernization Act of 2011 (entire bill) S. 1383, Save Child Support Act (Sec 5, Requiring States to Compare Information Maintained by insurers; Sec 6, Data Matching and Registry of Payments made on property and casualty insurance) H.R. 3125, Earthquake Insurance Affordability Act (entire bill) S. 1630, Disaster Recovery Act of 2011 (entire bill) H.R.3534, Security in Bonding Act of 2011 (entire bill) S.1940, Flood Insurance Reform and Modernization Act of 2011 (entire bill) H.R. 5284, Medicare Secondary Payer and Workers Compensation Settlement Agreements Act of 2012 (entire bill) H.R. 5740, National Flood Insurance Program Extension Act (entire bill) H.R. 4348, MAP-21 (Division F; Title II) H.R. 3559, Insurance Data Protection Act (entire bill)

Client expense: $320,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

Financial System Regulatory Overhaul: Implementation of Dodd-Frank Wall Street Reform & Consumer Protection Act Issues related to the systemic risk designation process in the U.S. and globally Various issues related to the role of the Federal Insurance Office, Financial Stability Oversight Council and Office of Financial Research, including HR 3559 Issues related to the federal crop insurance program: Agriculture Reform, Food, and Jobs Act of 2012 - S. 3240, HR 6083 Biggert-Waters Flood Insurance Reform Act of 2012 - HR 4348 National Commission on State Workers' Compensation Laws Act of 2011 - HR 623 Strenthening Medicare & Repaying Taxpayers Act of 2011 - HR 1063, S. 1718 Issues related to the repeal of McCarran Ferguson Act - HR 1150, HR 5 Issues related to terrorism risk insurance

Client expense: $500,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Natl Security Council (NSC), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR)

H.R. 63, Long-Term Care Insurance Reform Act (Doggett) LTC insurance reforms H.R. 111, Breast Cancer Patient Protection Act (DeLauro) minimum hospital stays for mastectomy patients H.R. 346, Health Care Choice Act (Pearce ) national marketplace for individual coverage 16. Specific Lobbying Issues (continued): H.R.371, Health Care Choice Act (Blackburn) national marketplace for individual coverage H.R. 416, Health Insurance Rate Review Act (Schakowsky) rate review H.R. 1050, Small Business Health Fairness Act (Johnson) association health plans H.R. 1150, Competitive Health Insurance Reform Act (Gosar) antitrust policy H.R.1206, Access to Professional Health Insurance Advisors Act (Rogers) agent commissions, medical loss ratios H.R. 1943, Health Insurance Industry Fair Competition Act (DeFazio) changes to McCarran-Ferguson Act H.R. 2077, MLR Repeal Act (Price) medical loss ratios H.R. 2645, Medigap Medical Loss Ratio Improvement Act (Stark) MLRs for Medigap policies H.R. 2958, Federal Employee Short-Term Disability Insurance Act (Holmes Norton) disability program for federal employees H.R. 5838, Health Insurance Industry Antitrust Enforcement Act (Conyers) changes to McCarran-Ferguson Act S. 137, Health Insurance Rate Review Act (Feinstein) rate review S. 159, Confidence in Long-Term Care Insurance Act (Kohl) LTC insurance reforms S. 1416, Medigap Medical Loss Ratio Improvement Act (Kerry) MLRs for Medigap policies S. 1500, Ensure Children Have Health Care Act (Murkowski/Enzi) enrollment period for child-only policies S. 2068, Access to Independent Health Insurance Advisors Act (Landrieu/Isakson) agent commissions, medical loss ratios S. 2288, Access to Independent Health Insurance Advisors Act (Landrieu/Isakson) agent commissions, medical loss ratios S. 3229, Long-Term Care Insurance Consumer Right-to-Know Act (Klobuchar) -- model disclosure form for marketing long-term care insurance policies S. 3230, Long-Term Care Integrity Act (Klobuchar) -- claims dispute resolution procedures S. 3271, Equal Access to Medicare Options Act (Kerry) Medigap provisions, MA enrollment provisions Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; issues related to genetic nondiscrimination; summary of benefits and coverage disclosures; medical loss ratios; review of rates for reasonableness; health insurance exchanges; pre-existing condition insurance plans; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health insurance web portal requirements; dependent coverage; treatment of expatriate plans; and other issues relating to health care reform implementation.

Client expense: $2,240,000 · 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), Federal Bureau of Investigation (FBI), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office

H.R. 1873 - Arbitration Fairness Act S. 987 - Arbitration Fairness Act S. 1186 - Arbitration Fairness Act Asbestos Related Legislation Bankruptcy Transparency Issues S. 223 - FAA Air Transportation Modernization and Safety Improvement Act H.R. 658 - FAA Reauthorization Act Low Income Tax Recapture Bonds Climate Change/Global Warming Natural Catastrophe legislation Coast Wind Zone Proposal Credit Scoring and the Use of Credit as Underwriting Tool H.R. 769 - Fair Access to Credit Scores Act of 2011 H.R. 1062 - The Burdensome Data Collection Relief Act Insurance issues relating to the authority of the Financial Stability Oversight Council Insurance issues relating to the Office of Financial Research Issues relating to Financial Services Systemic Risk Proposals Insurance issues relating to Federal Resolution Authority Issues relating to the Federal Insurance Office Insurance issues relating to liquidation authority for systemically important financial institutions and the plans for US and global regulators for higher capital requirements for financial institutions. SEC issues related to the implementation of the Dodd-Frank Act H.R. 1039 - Flood Insurance Reform Act of 2011 H.R. 435 - National Flood Insurance Program Termination Act of 2010 H.R. 1026 - Flood Insurance Reform Priorities Act of 2011 (Waters) S. 1940 - Flood Insurance Reform and Modernization Act of 2011 Medical Liability Reform Medicare Secondary Payer and Workers' Compensation Settlement Agreements S. 533 - Lawsuit Abuse Reduction Act H.R. 966 - Lawsuit Abuse Reduction Act McCarran-Ferguson Reform and Modernization H.R. 5 - Health Act, H.R. 1150 - Competitive Health Insurance Reform Act of 2011 S. 528 - Safe Teen and Novice Driver Uniform Protection Act Oil Spill Liability Issues H.R. 2483 The Whistleblower Improvement Act S. 669 - Longshore and Harbor Workers' Compensation Act Amendments of 2011 H.R. 1249 - America Invents Act S. 23 - America Invents Act H.R. 1965 - To amend the securities laws to establish certain thresholds for shareholder registration, and for other purposes. S. 556 - A bill to amend the securities laws to establish certain thresholds for shareholder registration, and for other purposes. H.R. 940 - United States Covered Bond Act of 2011 State bankruptcy issues S. 251 - A bill to prohibit the provision of Federal funds to State and local governments for the payment of obligations, to prohibit the Federal Reserve System from financially assisting state and local governments, and for other purposes. Bank Tax Issues H.R. 623 - National Commission on State Workers' Compensation Laws Act of 2011

Client expense: $600,000 · Firm income: Not reported

Government targets: Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of, White House Office

H.R. 63, Long-Term Care Insurance Reform Act (Doggett) - LTC insurance reforms H.R. 111, Breast Cancer Patient Protection Act (DeLauro) - minimum hospital stays for mastectomy patients H.R. 346, Health Care Choice Act (Pearce ) - national marketplace for individual coverage H.R.371, Health Care Choice Act (Blackburn) - national marketplace for individual coverage H.R. 416, Health Insurance Rate Review Act (Schakowsky) - rate review H.R. 1050, Small Business Health Fairness Act (Johnson) - association health plans H.R. 1150, Competitive Health Insurance Reform Act (Gosar) - antitrust policy H.R.1206, Access to Professional Health Insurance Advisors Act (Rogers) - agent commissions, medical loss ratios H.R. 1943, Health Insurance Industry Fair Competition Act (DeFazio) - changes to McCarran-Ferguson Act H.R. 2077, MLR Repeal Act (Price) - medical loss ratios H.R. 2645, Medigap Medical Loss Ratio Improvement Act (Stark) - MLRs for Medigap policies H.R. 2958, Federal Employee Short-Term Disability Insurance Act (Holmes Norton) - disability program for federal employees H.R. 5838, Health Insurance Industry Antitrust Enforcement Act (Conyers) - changes to McCarran-Ferguson Act S. 137, Health Insurance Rate Review Act (Feinstein) - rate review S. 159, Confidence in Long-Term Care Insurance Act (Kohl) - LTC insurance reforms S. 1416, Medigap Medical Loss Ratio Improvement Act (Kerry) - MLRs for Medigap policies S. 1500, Ensure Children Have Health Care Act (Murkowski/Enzi) - enrollment period for child-only policies S. 2068, Access to Independent Health Insurance Advisors Act (Landrieu/Isakson) - agent commissions, medical loss ratios S. 2288, Access to Independent Health Insurance Advisors Act (Landrieu/Isakson) - agent commissions, medical loss ratios S. 3229, Long-Term Care Insurance Consumer Right-to-Know Act (Klobuchar) -- model disclosure form for marketing long-term care insurance policies S. 3230, Long-Term Care Integrity Act (Klobuchar) -- claims dispute resolution procedures S. 3271, Equal Access to Medicare Options Act (Kerry) - Medigap provisions, MA enrollment provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

*LTC insurance reforms - HR 63, Long-Term Care Insurance Reform Act of 2011; S 159, Confidence in Long-Term Care Insurance Act of 2011. *Minimum hospital stays for matectomy patients - HR 111, Breast Cancer Patient Protection Act of 2011. *National marketplace for individual coverage - HR 346, Health Care Choice Act of 2011; HR 371, Health Care Choice Act of 2011. *Rate review - HR 416, Health Insurance Rate Review Act; S 137, Health Insurance Rate Review Act. *Association health plans - HR 1050, Small Business Health Fairness Act of 2011. *Antitrust policy - HR 1150, Competitive Health Insurance Reform Act of 2011. *Changes to McCarran-Ferguson Act - HR 1943, Health Insurance Industry Fair Competition Act; HR 5838, Health Insurance Industry Antitrust Enforcement Act of 2012. *Medical loss ratios - HR 2077, MLR Repeal Act of 2011. *MLRs for Medigap policies - HR 2645, Medigap Medical Loss Ratio Improvement Act; S 1416, Medigap Medical Loss Ratio Improvement Act of 2011. *Disability program for Federal employees - HR 2958, Federal Employee Short-Term Disability Insurance Act of 2011. *Enrollment period for child-only policies - S 1500, Ensure Children Have Health Care Act. *Agent commissions, medical loss ratios - HR 1206, Access to Professional Health Insurance Advisors Act of 2011; S 2068, Access to Independent Health Insurance Advisors Act of 2012; S 2288, Access to Independent Health Insurance Advisors Act of 2012. *Model disclosure form for marketing long-term care insurance policies - S 3229, Long-Term Care Insurance Consumer Right-to-Know Act of 2012. *Claims dispute resolution procedures - S 3230, Long Term Care Insurance Integrity Act of 2012. *Medigap provisions, MA enrollment provisions - S 3271, Equal Access to Medicare Options Act of 2012.

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

Government targets: HOUSE OF REPRESENTATIVES

Repealing the Job-Killing Health Care Law Act - H.R. 2, all provisions Strengthening Medicare and Repaying Taxpayers Act - H.R. 1063, all provisions National Association of Registered Agents and Brokers Reform Act of 2011 - H.R. 1112, all provisions Competitive Health Insurance Reform Act - H.R. 1150, all provisions

Client expense: $340,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to small-businesses in the following bills and topics: H.R.1150, Competitive Health Insurance Reform Act of 2011; Discussions with Occupational Safety & Health Administration (OSHA) regarding issues related to ergonomics, Comprehensive Infectious Disease Control Standards; Enforcement Procedures for Exposure to Bloodborne Pathogens. S. 1813, the MAP-21 Act (pension relief) H.R. 4818 - Dental Insurance Fairness Act of 2012

Client expense: $790,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Trade Commission (FTC), 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), Navy, Dept of, Occupational Safety & Health Administration (OSHA), Office of Natl Drug Control Policy (NDCP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

Medicare, Medicaid, and SCHIP Extension Act, P.L. 110-173, Section 111 (regarding Medicare Secondary Payer, and specifically, reporting requirements for medical liability insurers); Protecting Access to Healthcare Act (regarding medical liability), H.R. 5, Title IV (regarding repeal of limited federal antitrust exemption for certain insurers); Strengthening Medicare And Repaying Taxpayers Act of 2011 (regarding Medicare secondary payer and insurer reporting requirements), H.R. 1063, entire bill; Competitive Health Insurance Reform Act (regarding repeal of limited federal antitrust exemption for certain insurers), H.R. 1150, entire bill; Strengthening Medicare And Repaying Taxpayers Act of 2011 (regarding Medicare secondary payer and insurer reporting requirements), S. 1718, entire bill

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

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

the Competitive Health Insurance Reform Act of 2011 (H.R. 1150) the Dental Insurance Fairness Act of 2012 (H.R. 4818)

Client expense: $117,767 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Natl Drug Control Policy (NDCP), SENATE

HR531--Access to Frontline Health Care Act; HR452/S 668 -- IPAB Repeal; S454--Medicare AntiFraud; S756--Medicare Data Transparency; HR5/S218--Medical Liability Reform; HR1206/2077--Medical Loss Ratio changes; HR 1256 -- Medicare Physician Payment Transparency; HR 1409--Quality Health are Coalition Act; HR1700/S1042--Medicare Patient Empowerment Act; S1309/HR 3364--Equity and Access for Podiatric Physicians Under Medicaid; PDUFA/MDUFA reauthorization; Medicare Physician payment / SGR; S1958--Medicare Orthotics and Prosthetics Improvement Act; HR 1256--Medicare Relative Update Committee (RUC); HR 1409--Physician Antitrust; HR 2363--Health Care OverUse Reform Today (HealthCOURT) Act; HR 3630/HR 3675--Medicare Physician Payments/SGR; HR 1150--Health Insurer Antitrust Reform; HR 969 Medical Practice Freedom Act; S 756--Claims Data Publication; TRICARE reimbursement issues; VA provider issues

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

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

Implementation of Sec. 111 Pub. Law No. 110-173, the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA), specifically reporting requirements for domestic/international carriers. Implementation of Pub. Law No. 111-148, the Patient Protection and Affordable Care Act, provisions related to excepted benefits and general applicability to non-health carriers. H.R. 1150, Competitive Health Insurance Reform Act of 2011. H.R. 1943, Health Insurance Industry Fair Competition Act.

Client expense: $1,230,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Interior, Dept of (DOI), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 63, Long-Term Care Insurance Reform Act (Doggett) LTC insurance reforms H.R. 111, Breast Cancer Patient Protection Act (DeLauro) minimum hospital stays for mastectomy patients H.R. 346, Health Care Choice Act (Pearce ) national marketplace for individual coverage 16. Specific Lobbying Issues (continued): H.R.371, Health Care Choice Act (Blackburn) national marketplace for individual coverage H.R. 416, Health Insurance Rate Review Act (Schakowsky) rate review H.R. 1050, Small Business Health Fairness Act (Johnson) association health plans H.R. 1150, Competitive Health Insurance Reform Act (Gosar) antitrust policy H.R.1206, Access to Professional Health Insurance Advisors Act (Rogers) agent commissions, medical loss ratios H.R. 1943, Health Insurance Industry Fair Competition Act (DeFazio) changes to McCarran-Ferguson Act H.R. 2077, MLR Repeal Act (Price) medical loss ratios H.R. 2645, Medigap Medical Loss Ratio Improvement Act (Stark) MLRs for Medigap policies H.R. 2958, Federal Employee Short-Term Disability Insurance Act (Holmes Norton) disability program for federal employees S. 137, Health Insurance Rate Review Act (Feinstein) rate review S. 159, Confidence in Long-Term Care Insurance Act (Kohl) LTC insurance reforms S. 1416, Medigap Medical Loss Ratio Improvement Act (Kerry) MLRs for Medigap policies S. 1500, Ensure Children Have Health Care Act (Murkowski/Enzi) enrollment period for child-only policies S. 2068, Access to Independent Health Insurance Advisors Act (Landrieu/Isakson) agent commissions, medical loss ratios Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; issues related to genetic nondiscrimination; summary of benefits and coverage disclosures; medical loss ratios; review of rates for reasonableness; health insurance exchanges; pre-existing condition insurance plans; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health insurance web portal requirements; dependent coverage; treatment of expatriate plans; and other issues relating to health care reform implementation. 18. Lobbyists (continued): K. Callahan: Ross (March 2005- January 2012); Research Assistant, Senator Tim Johnson (October 2001 March 2005). G. Gierer: Legislative Correspondent, Senator Dodd (May 1997 - December 1999); Staff Assistant, Representative DeLauro (March 1996-May 1997). D. Mott-Bronson: (June 1998 - September 2002); Democratic Professional Staff Member, House International Relations Committee, Representative McKinney (September 2002 December 2002).

Client expense: $2,450,000 · Firm income: Not reported

Government targets: Administration on Aging, Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office