Health Care Waiver Transparency Act

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act H.R.451, Healthcare Truth and Transparency Act of 2011 H.R.751, Mental Health in Schools Act of 2011 H.R. 831/S 483, 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 S.483, Medicare Mental Health Access Act S.37, Autonomy for Psychologists and Social Workers Act of 2011 S.40, Graduate Psychology Education Act of 2011 S.43, Psychologists in the Service of the Public Act of 2011 S.539, Behavioral Health Information Technology Act of 2011 S 248/ HR 844, Empowering States to Innovate Act S. 525, Positive Aging Act of 2011 S 650/HR 1184, Health Care Waiver Transparency Act S. 374, Medicare Mental Health Inpatient Equity Act S. 1627, Resident Physician Shortage Reduction Act of 2011, A bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes. HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H Res 92, Providing for consideration of the bill (H.R. 1) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes, and waiving a requirement of clause 6(a) of rule XIII with respect to consideration of certain resolutions reported from the Committee on Rules. S. 1542, H.R. 2883, Child and Family Services Improvement and Innovation Act S. 1925, H.R. 4970 Violence against Women Act Reauthorization Act S. 3604, A bill to amend title XVIII of the Social Security Act to provide for the implementation of prescriber education programs and to establish requirements relating to the administration of antipsychotics to residents of skilled nursing facilities and nursing facilities under the Medicare and Medicaid programs, and for other purposes. H.R. 6043, the Behavioral Health Information Technology Act of 2012 H.R. 5989, the Excellence in Mental Health Act of 2012 H.R. 5996, the Mental Health First Aid Higher Education Act of 2012 H.R. 5707, the Medicare Physician Payment Innovation Act of 2012 H. R. 6562, the Resident Physician Shortage Act of 2012 H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act of 2012 H.R. 6079, the Repeal of Obamacare Act Proposed Rule on Patient Protection and Affordable Care Act; Data Collection To Support Standards Related to Essential Health Benefits; Recognition of Entities for the Accreditation of Qualified Health. Posted June 6, 2012. (CMS-2012-0071-0001)

Client expense: $143,731 · 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), Indian Health Service, Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT)

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act HR 896, Medical Justice Act of 2011 HR 1256, Medicare Physician Payment Transparency and Assessment Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S 650/HR 1184, Health Care Waiver Transparency Act S 374, Medicare Mental Health Inpatient Equity Act S 539, Behavioral Health Information Technology Act of 2011 S.365, the Budget Control Act of 2011 Proposed Rule on Patient Protection and Affordable Care Act; Data Collection To Support Standards Related to Essential Health Benefits; Recognition of Entities for the Accreditation of Qualified Health. Posted June 6, 2012. (CMS-2012-0071-0001)

Client expense: $143,731 · Firm income: Not reported

See attached. Supported HR 144, S.18, and HR 4, the Comprehensive 1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act of 2011 to repeal a provision contained in HR 3590 (Patient Protection and Affordable Care Act) to expand IRS "Form 1099 filing requirements to include business reporting of all payments to corporations for goods or services in excess of $600, beginning in 2012. Monitored HR 371, the Health Care Choice Act of 2011, allowing purchasers to go online to shop for a health care policy. Monitored HR 1184, the Health Care Waiver Transparency Act of 2011.

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

Government targets: Bureau of Land Management (BLM), Commerce, Dept of (DOC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Natl Highway Traffic Safety Administration (NHTSA), SENATE, U.S. Forest Service

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act HR 896, Medical Justice Act of 2011 HR 1256, Medicare Physician Payment Transparency and Assessment Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S 650/HR 1184, Health Care Waiver Transparency Act S 374, Medicare Mental Health Inpatient Equity Act S 539, Behavioral Health Information Technology Act of 2011 S.365, the Budget Control Act of 2011 Establishment of Exchanges and Qualified Health Plans, and Standards Related to Reinsurance, Risk Corridors and Risk Adjustment (HHS-0S-2011-0022-0001)

Client expense: $277,532 · Firm income: Not reported

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 4274, the Better Pharmaceuticals for Children ACT and Pediatric Research Reauthorization Act of 2012 Draft, Senate HELP, drug shortage legislation and Prescription Drug User Fee Act (PDUFA) reauthorization S. 3187, Food and Drug Administration Safety and Innovation Act of 2012 H. R. 2245, S. 296, Preserving Access to Life-Saving Medications Act of 2011 S.1584 , Drug Safety and Accountability Act of 2011 HR 439/S 73, State Leadership in Health Care Act H.R.451, Healthcare Truth and Transparency Act of 2011 H.R.751, Mental Health in Schools Act of 2011 H.R. 831/S 483, 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 S.483, Medicare Mental Health Access Act S.37, Autonomy for Psychologists and Social Workers Act of 2011 S.40, Graduate Psychology Education Act of 2011 S.43, Psychologists in the Service of the Public Act of 2011 S.539, Behavioral Health Information Technology Act of 2011 S 248/ HR 844, Empowering States to Innovate Act S. 525, Positive Aging Act of 2011 S 650/HR 1184, Health Care Waiver Transparency Act S. 374, Medicare Mental Health Inpatient Equity Act S. 1627, Resident Physician Shortage Reduction Act of 2011, A bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes. HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H Res 92, Providing for consideration of the bill (H.R. 1) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes, and waiving a requirement of clause 6(a) of rule XIII with respect to consideration of certain resolutions reported from the Committee on Rules. S. 1542, H.R. 2883, Child and Family Services Improvement and Innovation Act S. 1925, H.R. 4970 Violence against Women Act Reauthorization Act H.R. 6043, the Behavioral Health Information Technology Act of 2012 H.R. 5989, the Excellence in Mental Health Act of 2012 H.R. 5996, the Mental Health First Aid Higher Education Act of 2012 H.R. 5707, the Medicare Physician Payment Innovation Act of 2012 Nationwide Health Information Network: Conditions for Trusted Exchange (HHS-OS-2012-0006) HHS Bulletin on Federally-Facilitated Exchanges

See attached. Supported HR 144, S.18, and HR 4, the Comprehensive 1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act of 2011 to repeal a provision contained in HR 3590 (Patient Protection and Affordable Care Act) to expand IRS "Form 1099 filing requirements to include business reporting of all payments to corporations for goods or services in excess of $600, beginning in 2012. Monitored HR 371, the Health Care Choice Act of 2011, allowing purchasers to go online to shop for a health care policy. Monitored HR 1184, the Health Care Waiver Transparency Act of 2011.

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

Government targets: Bureau of Land Management (BLM), Commerce, Dept of (DOC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Natl Highway Traffic Safety Administration (NHTSA), SENATE, U.S. Forest Service

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act HR 896, Medical Justice Act of 2011 HR 1256, Medicare Physician Payment Transparency and Assessment Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S 650/HR 1184, Health Care Waiver Transparency Act S 374, Medicare Mental Health Inpatient Equity Act S 539, Behavioral Health Information Technology Act of 2011 S.365, the Budget Control Act of 2011 HHS-0S-2011-0022-0001 Establishment of Exchanges and Qualified Health Plans, and Standards Related to Reinsurance, Risk Corridors and Risk Adjustment

Client expense: $135,786 · Firm income: Not reported

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act H.R.451, Healthcare Truth and Transparency Act of 2011 H.R.751, Mental Health in Schools Act of 2011 H.R. 831/S 483, 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 S.483, Medicare Mental Health Access Act S.37, Autonomy for Psychologists and Social Workers Act of 2011 S.40, Graduate Psychology Education Act of 2011 S.43, Psychologists in the Service of the Public Act of 2011 S.539, Behavioral Health Information Technology Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S. 525, Positive Aging Act of 2011 S 650/HR 1184, Health Care Waiver Transparency Act S. 374, Medicare Mental Health Inpatient Equity Act S. 1627, Resident Physician Shortage Reduction Act of 2011, A bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes. HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H Res 92, Providing for consideration of the bill (H.R. 1) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes, and waiving a requirement of clause 6(a) of rule XIII with respect to consideration of certain resolutions reported from the Committee on Rules. S. 1542, H.R. 2883, Child and Family Services Improvement and Innovation Act HR 4274, the Better Pharmaceuticals for Children ACT and Pediatric Research Reauthorization Act of 2012 Draft, Senate HELP, drug storage legislation and Prescription Drug User Fee Act (PDUFA) reauthorization HR 2245/S 296 Prserving Access to Life-Saving Medications Act of 2011 S. 1584, Drug safety and Accountablity Act of 2011 HR 3765, Temporary Payroll Tax Cut Continuation Act of 2011 HR 3630, Temporary Payroll Tax Cut Continuation Act of 2011 S. 1925 Violence against Women Act Reauthorization HHS Secretary's Bulletin on Essential Health Benefits Final Rule on Medicare Part B Physician Fee Schedules for CY 2012 The use of restraint and seculsion in psychiatric residential treatment facilities providing services to persons under 21 years of age (CMS-2012-0005-0001) Medicare Program; Payment Policies Under the Physician Fee Schedule, Five-Year Review of Work Relative Value Units, Clinical Laboratory Fee Schedule: Signature on Requisition, and Other Revisions to Part B for CY 2012 [CMS1524FC and CMS1436F]

See attached. Supported HR 144, S.18, and HR 4, the Comprehensive 1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act of 2011 to repeal a provision contained in HR 3590 (Patient Protection and Affordable Care Act) to expand IRS "Form 1099 filing requirements to include business reporting of all payments to corporations for goods or services in excess of $600, beginning in 2012. Monitor HR 371, the Health Care Choice Act of 2011, allowing purchasers to go online to shop for a health care policy. Monitor HR 1184, the Health Care Waiver Transparency Act of 2011.

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

Government targets: Bureau of Land Management (BLM), Commerce, Dept of (DOC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Natl Highway Traffic Safety Administration (NHTSA), SENATE, U.S. Forest Service

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act HR 896, Medical Justice Act of 2011 HR 1256, Medicare Physician Payment Transparency and Assessment Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S 650/HR 1184, Health Care Waiver Transparency Act S 374, Medicare Mental Health Inpatient Equity Act S 539, Behavioral Health Information Technology Act of 2011 S.365, the Budget Control Act of 2011 HHS-0S-2011-0022-0001 Establishment of Exchanges and Qualified Health Plans, and Standards Related to Reinsurance, Risk Corridors and Risk Adjustment

Client expense: $126,533 · Firm income: Not reported

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act H.R.451, Healthcare Truth and Transparency Act of 2011 H.R.751, Mental Health in Schools Act of 2011 H.R. 831/S 483, 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 S.483, Medicare Mental Health Access Act S.37, Autonomy for Psychologists and Social Workers Act of 2011 S.40, Graduate Psychology Education Act of 2011 S.43, Psychologists in the Service of the Public Act of 2011 S.539, Behavioral Health Information Technology Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S. 525, Positive Aging Act of 2011 S 650/HR 1184, Health Care Waiver Transparency Act S. 374, Medicare Mental Health Inpatient Equity Act S. 1627, Resident Physician Shortage Reduction Act of 2011, A bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes. HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 1830 Service members' Telemedicine and E-Health Portability Act of 2011 H Res 92, Providing for consideration of the bill (H.R. 1) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes, and waiving a requirement of clause 6(a) of rule XIII with respect to consideration of certain resolutions reported from the Committee on Rules. HR 1473, Department of Defense and Full-Year Continuing Appropriations Act, 2011 S. 1542, H.R. 2883, Child and Family Services Improvement and Innovation Act S.365, the Budget Control Act of 2011 Payment Policies Under the Physician Fee Schedule, Five-Year Review of Work Relative Value Units, Clinical Laboratory Fee Schedule: Signature on Requisition, and Other(CMS-2011-0131-1045) Requirements for History and Physical Examinations; Authentication of Verbal Orders; Securing Medications; and Postanesthesia Evaluations (CMS-2006-0232-0001) H.R. 3630, HR 3765, Temporary Payroll Tax Cut Continuation Action of 2011 CLIA Program and HIPAA Privacy; Patients Access to Laboratory Test Reports (CMS-2011-0145-0001) Proposed Changes to the Medicare Advantage and the Medicare (CMS-2010-0258-0001) FDAs Education Blueprint for Prescriber Education for the Long-Acting/Extended Release Opioid Classes (FDA-2011-D-0771-0001) Proposed Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (CMS-2010-0258-0001)

H.R. 972, Secret Ballot Protection Act, all provisions H.R. 1184, Health Care Waiver Transparency Act, all provisions. H.R. 1870, Increase American Energy Production Now Act of 2011, all provisions. H.R. 1976, Job Protection Act, all provisions. H.R. 2040, National Right to Work Act, all provisions. H.R. 2066, to amend title 5, United States Code, to require that the Office of Personnel Management submit an annual report to Congress relating to the use of official time H.R. 2145, to amend title 5, United States Code, to provide that agencies may not deduct labor organization dues from the pay of Federal employees, and for other purposes. H.R. 2153, Truth in Employment Act of 2011, all provisions. H.R. 2507, Transportation Security Administratin Employee Freedom Act of 2011, all provisions. H.R. 2810, Employee Rights Act, all provisions. H.R. 3094, Workforce Democracy and Fairness Act, all provisions. H.R. 3471, Helping Individuals Return to Employment Act, all provisions. H.R. 3487, Job Creation Act, all provisions. H.R. 3538, a bill to amend the Railway Labor Act to direct the National Mediation Board to apply the ssame procedures, including voting standards, to the direct decertification of a labor organization as is applied to elections to certify a representative. H.R. 3671, Consolidated Appropriations Act, all provisions. S. 217, Secret Ballot Protection Act, All provisions. S. 223, FAA Air Transportation Modernization and Safety Improvement Act, all provisions. S. 504, National Right to Work Act, all provisions. S. 964, Job Protection Act, all provisions. S. 1143, a bill to amend title 5, United States Code, to provide that agencies may not deduct labor organizaiton dues from the pay of Federal employees, and for other S. 1507, Employment Rights Act, all provisions. S. 1843, Representation Fairness Restoration Act, all provisions. Freedom Against Unionism Act, all provisions. Sharron Block, oppoed apponitment to National Labor Relations Board. Richard Griffin, opposed appointment to National Labor Relations Board.

See attached. Supported HR 144, S.18, and HR 4, the Comprehensive 1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act of 2011 to repeal a provision contained in HR 3590 (Patient Protection and Affordable Care Act) to expand IRS "Form 1099 filing requirements to include business reporting of all payments to corporations for goods or services in excess of $600, beginning in 2012. Monitor HR 371, the Health Care Choice Act of 2011, allowing purchasers to go online to shop for a health care policy. Monitor HR 1184, the Health Care Waiver Transparency Act of 2011.

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

Government targets: Bureau of Land Management (BLM), Commerce, Dept of (DOC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Natl Highway Traffic Safety Administration (NHTSA), SENATE, U.S. Forest Service

H.R. 49, American Energy Independence and Price Reduction Act, all provisions. H.R. 129, Labor Relations First Contract Negotiations Act of 2011, all provisions.. H.R. 807, to amend title 38, United States Code, to repeal the prohibition on collective bargaining with respect to matters and questions regarding compensation of employ H.R. 972, Secret Ballot Protection Act, all provisions. H.R. 1184, Health Care Waiver Transparency Act, all provisions. H.R. 1870, Increase American Energy Production Now Act of 2011, all provisions. H.R. 1969, to provide for private-sector solutions to certain pension funding challenges, and for other purposes. H.R. 1976, Job Protection Act, all provisions. H.R. 2040, National Right to Work Act, all provisions. H.R. 2066, to amend title 5, United States Code, to require that the Office of Personnel Management submit an annual report to Congress relating to the use of official tim H.R. 2145, to amend title 5, United States Code, to provide that agencies may not deduct labor organization dues from the pay of Federal employees, and for other purposes. H.R. 2153, Truth in Employment Act of 2011, all provisions. H.R. 2368, Put America to Work Act of 2011, all provisions. H.R. 2507, Transportation Security Administratin Employee Freedom Act of 2011, all provisions. H.R. 2810, Employee Rights Act, all provisions. H.R. 3094, Workforce Democracy and Fairness Act, all provisions. S. 217, Secret Ballot Protection Act, All provisions. S. 223, FAA Air Transportation Modernization and Safety Improvement Act, all provisions. S. 351, No Surface Occupancy Western Arctic Coastal Plain Domestic Energy Security Act, all provisions. S. 352, American Energy Independence and Security Act of 2011, all provisions. S. 650, health Care Waiver Transparency Act, all provisions. S. 964, Job Protection Act, all provisions. S. 1143, a bill to amend title 5, United States Code, to provide that agencies may not deduct labor organizaiton dues from the pay of Federal employees, and for other S. 1507, Employment Rights Act, all provisions.

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act H.R.451, Healthcare Truth and Transparency Act of 2011 H.R.751, Mental Health in Schools Act of 2011 H.R. 831/S 483, 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 S.483, Medicare Mental Health Access Act S.37, Autonomy for Psychologists and Social Workers Act of 2011 S.40, Graduate Psychology Education Act of 2011 S.43, Psychologists in the Service of the Public Act of 2011 S.539, Behavioral Health Information Technology Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S. 525, Positive Aging Act of 2011 S 650/HR 1184, Health Care Waiver Transparency Act S. 374, Medicare Mental Health Inpatient Equity Act S. 1627, Resident Physician Shortage Reduction Act of 2011, A bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes. HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 1830 Service members' Telemedicine and E-Health Portability Act of 2011 H Res 92, Providing for consideration of the bill (H.R. 1) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes, and waiving a requirement of clause 6(a) of rule XIII with respect to consideration of certain resolutions reported from the Committee on Rules. HR 1473, Department of Defense and Full-Year Continuing Appropriations Act, 2011 S. 1542, H.R. 2883, Child and Family Services Improvement and Innovation Act S.365, the Budget Control Act of 2011 Medicare Program; Proposed Changes to the Electronic Prescribing (eRx) Incentive Program CMS-2011-0108-0001 Medicare Program: Conditions of Participation for Community Mental Health Centers CMS-2011-0123-0001 Medicare and Medicaid Programs: Opportunities for Alignment under Medicaid and Medicare CMS-2011-0080-0002 HIPAA Privacy Rule Accounting of Disclosures under the Health Information Technology for Economic and Clinical Health Act HHS-OCR-2011-0011-0001 Proposed Rules for Screening for Depression in Adults (CAG-00425N) and Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse (CAG-00427N)

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act HR 896, Medical Justice Act of 2011 HR 1256, Medicare Physician Payment Transparency and Assessment Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S 650/HR 1184, Health Care Waiver Transparency Act S 374, Medicare Mental Health Inpatient Equity Act S 539, Behavioral Health Information Technology Act of 2011 S.365, the Budget Control Act of 2011 HHS-0S-2011-0022-0001 Establishment of Exchanges and Qualified Health Plans, and Standards Related to Reinsurance, Risk Corridors and Risk Adjustment

Client expense: $118,117 · Firm income: Not reported

See attached. Supported HR 144, S.18, and HR 4, the Comprehensive 1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act of 2011 to repeal a provision contained in HR 3590 (Patient Protection and Affordable Care Act) to expand IRS "Form 1099 filing requirements to include business reporting of all payments to corporations for goods or services in excess of $600, beginning in 2012. Monitor HR 371, the Health Care Choice Act of 2011, allowing purchasers to go online to shop for a health care policy. Monitor HR 1184, the Health Care Waiver Transparency Act of 2011.

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

Government targets: Bureau of Land Management (BLM), Commerce, Dept of (DOC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Natl Highway Traffic Safety Administration (NHTSA), SENATE, U.S. Forest Service

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act H.R.451, Healthcare Truth and Transparency Act of 2011 H.R.751, Mental Health in Schools Act of 2011 H.R. 831/S 483, 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 S.483, Medicare Mental Health Access Act S.37, Autonomy for Psychologists and Social Workers Act of 2011 S.40, Graduate Psychology Education Act of 2011 S.43, Psychologists in the Service of the Public Act of 2011 S.539, Behavioral Health Information Technology Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S. 525, Positive Aging Act of 2011 S 650/HR 1184, Health Care Waiver Transparency Act S. 374, Medicare Mental Health Inpatient Equity Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 1830 Servicemembers' Telemedicine and E-Health Portability Act of 2011 H Res 92, Providing for consideration of the bill (H.R. 1) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes, and waiving a requirement of clause 6(a) of rule XIII with respect to consideration of certain resolutions reported from the Committee on Rules. HR 1473, Department of Defense and Full-Year Continuing Appropriations Act, 2011 H Res 218, Providing for consideration of the bill (H.R. 1473) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes HR 1, Full-Year Continuing Appropriations Act, 2011 Screening for Depression in Adults, National Coverage Analysis (CAG-00425N). (4/1/11) Medicare Program; Proposed Changes to the Electronic Prescribing (eRx) Incentive ProgramCMS-2011-0108-0001 Medicare Program: Conditions of Participation for Community Mental Health Centers CMS-2011-0123-0001 Medicare and Medicaid Programs: Opportunities for Alignment under Medicaid and Medicare CMS-2011-0080-0002 HIPAA Privacy Rule Accounting of Disclosures under the Health Information Technology for Economic and Clinical Health Act HHS-OCR-2011-0011-0001

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act HR 896, Medical Justice Act of 2011 HR 1256, Medicare Physician Payment Transparency and Assessment Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S 650/HR 1184, Health Care Waiver Transparency Act S 374, Medicare Mental Health Inpatient Equity Act S 539, Behavioral Health Information Technology Act of 2011

Client expense: $190,234 · 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

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act H.R.451, Healthcare Truth and Transparency Act of 2011 H.R.751, Mental Health in Schools Act of 2011 H.R. 831/S 483, 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 S.483, Medicare Mental Health Access Act S.37, Autonomy for Psychologists and Social Workers Act of 2011 S.40, Graduate Psychology Education Act of 2011 S.43, Psychologists in the Service of the Public Act of 2011 S.539, Behavioral Health Information Technology Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S. 525, Positive Aging Act of 2011 S 650/HR 1184, Health Care Waiver Transparency Act S. 374, Medicare Mental Health Inpatient Equity Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H Res 92, Providing for consideration of the bill (H.R. 1) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes, and waiving a requirement of clause 6(a) of rule XIII with respect to consideration of certain resolutions reported from the Committee on Rules. HR 1473, Department of Defense and Full-Year Continuing Appropriations Act, 2011 H Res 218, Providing for consideration of the bill (H.R. 1473) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes HR 1, Full-Year Continuing Appropriations Act, 2011 Meaningful Use Workgroup Request for Comments Regarding Meaningful Use Stage 2 (1/12/11) Screening for Depression in Adults, National Coverage Analysis (CAG-00425N). (4/ 1/11)

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act HR 896, Medical Justice Act of 2011 HR 1256, Medicare Physician Payment Transparency and Assessment Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S 650/HR 1184, Health Care Waiver Transparency Act S 374, Medicare Mental Health Inpatient Equity Act S 539, Behavioral Health Information Technology Act of 2011

Client expense: $130,169 · 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

See attached. Monitored HR 2, the Repealing the Job-Killing Health care Law Act. Supported HR 144, S.18, and HR 4, the Comprehensive 1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act of 2011 to repeal a provision contained in HR 3590 (Patient Protection and Affordable Care Act) to expand IRS "Form 1099 filing requirements to include business reporting of all payments to corporations for goods or services in excess of $600, beginning in 2012. Monitor HR 371, the Health Care Choice Act of 2011, allowing purchasers to go online to shop for a health care policy. Monitor HR 1184, the Health Care Waiver Transparency Act of 2011.

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

Government targets: Bureau of Land Management (BLM), Commerce, Dept of (DOC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Federal Motor Carrier Safety Administration, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Natl Highway Traffic Safety Administration (NHTSA), Research & Special Programs Administration, SENATE, U.S. Forest Service

H.R. 1, Amendment 166, prohibit union-only Project Labor Agreements. H.R. 1, Amendment 209, to forbid union officials doing union work on government time. H.R. 1, Amendment 255, to require union certification be by secret ballot. H.R. 1, Amendment 410, to defund the National Labor Relations Board. H.R. 1, Amendment 578, to defund the National Labor Relations Board. H.R. 2, to repeal ObamaCare, all provisions. H.R. 49, Union-Only Project Labor Agreements. H.R. 129, Binding Arbitration. H.R. 658, Provisions to overturn NMB rulemaking in the FAA Authorization. H.R. 972, Secret Ballot Protection Act, all provisions. H.R. 1047, State Right to Vote Act, all provisions. H.R. 1184, Health Care Waiver Transparency Act. S. 217, Secret Ballot Protection Act, All provisions. S. 223, Binding Arbitration in the FAA Bill. S. 504, National Right to Work Act, all provisions. S. 650, Health Care Waiver Transparency Act.

Client expense: $430,000 · Firm income: Not reported