To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges.

Pub. Law 111-148 and 111-152, Patient Protection and Affordability Care Act - Discussed implementation of certain provisions related to affordable quality health care and expand access to long-term services and supports. Discussed the age rating provisions in the law.Discussed employer sponsored wellness programs. (no bill) Discussed need for transparency in rate reviews. (no bill) Discussed need for consumer protection in internal and external appeals for self-funded plans. (no bill) H. R. 1213 (112th Congress, To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges - Sent letter in opposition to HR 1213 which would repeal the mandatory funding provided to states under the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges. Discussed medical loss ratio. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared Savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. (no bill) Lobbied in support of Medicare physician payment reform. (no bill) Discussed legislation to make prescription drugs more affordable to older Americans. (no bill) Discussed Consumer protection and implementation of the Affordable Care Act (P.L. 111-148). Discussed the implementation of insurance exchages in the ACA. (no bill) Discussed the age rating provisions of the ACA exchanges. (no bill) H.R. 544, Liberty bill - Discussed AARP's opposition to the bill. Discussed recently published FAQs on out of pocket health insurance limits with DOL. (no bill) H. R. 933, Consolidated and Further Continuing Appropriations Act, 2013 - Lobbied to protect vital health and social services programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. S. Con. Res. 8, Concurrent Resolution on the Budget, 2014 - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. H.Con. Res. 25, Concurrent Resolution on the Budget, 2014 - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation.Lobbied on expected "QM" safe harbor amendment. (The amendment was not offered) H.R. 2786/S.1371, Financial Services and General Government Appropriations, 2014 - Lobbied to protect funding for state high risk pool and insurance exchanges. H.J.R. 50, Continuing Appropriations Resolution, 2014 - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation.

Client expense: $2,520,000 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Commodity Futures Trading Commission (CFTC), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Council on Disability, Natl Highway Traffic Safety Administration (NHTSA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

Pub. Law 111-148 and 111-152, Patient Protection and Affordability Care Act - Discussed implementation of certain provisions related to affordable quality health care and expand access to long-term services and supports. Discussed the age rating provisions in the law.Discussed employer sponsored wellness programs. (no bill) Discussed need for transparency in rate reviews. (no bill) Discussed need for consumer protection in internal and external appeals for self-funded plans. (no bill) H. R. 1213 (112th Congress, To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges - Sent letter in opposition to HR 1213 which would repeal the mandatory funding provided to states under the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges. Discussed medical loss ratio. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared Savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. (no bill) Lobbied in support of Medicare physician payment reform. (no bill) Discussed legislation to make prescription drugs more affordable to older Americans. (no bill) Discussed Consumer protection and implementation of the Affordable Care Act (P.L. 111-148). Discussed the implementation of insurance exchages in the ACA. (no bill) Discussed the age rating provisions of the ACA exchanges. (no bill) H.R. 544, Liberty bill - Discussed AARP's opposition to the bill. Discussed recently published FAQs on out of pocket health insurance limits with DOL. (no bill) H. R. 933, Consolidated and Further Continuing Appropriations Act, 2013 - Lobbied to protect vital health and social services programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. S. Con. Res. 8, Concurrent Resolution on the Budget, 2014 - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. H.Con. Res. 25, Concurrent Resolution on the Budget, 2014 - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation.Lobbied on expected "QM" safe harbor amendment. (The amendment was not offered) Financial Services and General Government Appropriations, 2014 - Lobbied to protect funding for state high risk pool and insurance exchanges. (no bill)

Client expense: $2,460,000 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Commodity Futures Trading Commission (CFTC), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Council on Disability, Natl Highway Traffic Safety Administration (NHTSA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

Pub. Law 111-148 and 111-152, Patient Protection and Affordability Care Act - Discussed implementation of certain provisions related to affordable quality health care and expand access to long-term services and supports. Discussed the age rating provisions in the law.Discussed employer sponsored wellness programs. (no bill) Discussed need for transparency in rate reviews. (no bill) Discussed need for consumer protection in internal and external appeals for self-funded plans. (no bill) H. R. 1213 (112th Congress, To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges - Sent letter in opposition to HR 1213 which would repeal the mandatory funding provided to states under the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges. Discussed medical loss ratio. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared Savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. (no bill) Lobbied in support of Medicare physician payment reform. (no bill) Discussed legislation to make prescription drugs more affordable to older Americans. (no bill) Discussed Consumer protection and implementation of the Affordable Care Act (P.L. 111-148). Discussed the implementation of insurance exchages in the ACA. (no bill) Discussed the age rating provisions of the ACA. (no bill) H.R. 544, Liberty bill - Discussed AARP's opposition to the bill. Discussed recently published FAQs on out of pocket health insurance limits with DOL. (no bill) H.R. 152, Disaster Relief Appropriations Act, 2013 - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. H.R. 325, Debt Limit Extension - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline on bill to suspend the public debt limit through May 18, 2013, and to prevent repeal of certain financial and health care-related regulation. H. R. 933, Consolidated and Further Continuing Appropriations Act, 2013 - Lobbied to protect vital health and social services programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. S. Con. Res. 8, Concurrent Resolution on the Budget, 2014 - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. H.Con. Res. 25, Concurrent Resolution on the Budget, 2014 - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation.Lobbied on expected "QM" safe harbor amendment. (The amendment was not offered) oluntary advance care planning consultations.

Client expense: $2,130,000 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Commodity Futures Trading Commission (CFTC), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Council on Disability, Natl Highway Traffic Safety Administration (NHTSA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

House FY 13 Budget (H.Con.Res. 112) Mental Health in Schools Act (H.R. 751) Labor, Health and Human Services, and Education, and Related Agencies FY 12 Appropriations Act (S.1599/H.R.3070) Behavioral Health Information Technology Act of 2011 (S. 539/H.R. 6043)Healthy Lifestyles and Prevention America Act (S.174) Medicare Mental Health Access Act (S.483) Seniors Mental Health Access Improvement Act of 2011 (S.604) Medicare Mental Health Inpatient Equity Act (S.374) A Bill To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges (HR 1213) A Bill To repeal mandatory funding for school-based health center construction (HR 1214) A Bill To repeal the Prevention and Public Health Fund (HR 1217) Patients Rights Repeal Act (H.R. 2) Medicaid Maintenance-Of-Effort Repeal (H.R.1683/S. 868) The Garrett Lee Smith Memorial Act (GLSMA) Reauthorization of 2011 (S. 740) The Sergeant Coleman S. Bean Reserve Component Suicide Prevention Act (H.R. 1089/S. 579) The Keeping All Students Safe Act (H.R. 1381/S.2020) The Ryan Creedon Act of 2011 (H.R. 2119) Mental Health on Campus Improvement Act, H.R. 1833 Constitutional Balanced Budget Amendment (H.J.Res. 1/S.J.Res. 23) Agriculture FY12 Appropriations (HR 2112) Military/Veterans FY12 Appropriations (HR 2055) Medicare Decisions Accountability Act of 2011 (IPAB; HR 452/S. 668) Cap, Cut and Balance Bill (HR 2560/S. 1340) CAMPUS Safety Act of 2011 (HR 2342) Health Equity and Accountability Act of 2011 (H.R.2954) Continuing Appropriations Act, 2012 (HR 2608) Medigap Medical Loss Ratio Improvement Act (S.1416/H.R.2645) Improving Access to Medicare Coverage Act of 2011 (S.818) Stop Child Abuse in Residential Programs for Teens Act of 2011 (H.R.3126) Commerce/Justice/State FY12 Appropriations Act (HR.2596/S.1572) Promoting Accountability and Excellence in Child Welfare Act (S. 1509) Lifespan Respite Reauthorization Act (HR 3266) Consolidated FY2012 Appropriations Act (was Military/Veterans; HR 2055) Children's Budget Act (S.1396) Middle Class Tax Cut Act of 2011 (H.R. 3630) Speak Up Act Letter of Support (S. 1877) Reauthorization of Drug-Free Communities Support Program (S. 2159) WIPA and PABSS Continuation of Services Act of 2012 (H.R.6061) The Childrens Mental Health Accessibility Act (S. 3289) Departments of Labor, Health and Human Services, and Education Appropriations Act, 2013 (S.3295) Military/Veterans FY13 Appropriations (H.R. 5854/S. 3215) Excellence in Mental Health (S. 2257/H.R. 5989) Mental Health First Aid Higher Education Act (S. 3325/H.R. 5996) Health Equity and Accountability Act (HEAA) of 2012 (S. 2474) Pharmaceutical Stewardship Act of 2011 (H.R. 2939) Food and Drug Administration Reform Act of 2012 (H.R. 5651/S. 3187) Mental Health ACCESS Act of 2012 (S. 3340) Medicaid Information Technology to Enhance Community Health Act of 2012 (S.3539) Recidivism Reduction Act (H.R.6256) To provide payment for patient navigator services under title XIX of the Social Security Act (H.R.6521) 21st Century Language Act of 2012 (S. 2367) Continuing Appropriations Act (through 3/27/2013), HJRes117 Averting the Fiscal Cliff Act/American Taxpayer Relief Act of 2012 (H.R. 8/H.R. 6688) To establish and operate a National Center for Campus Public Safety (H.R.6691) CAMPUS Safety Act of 2012 (S.3682) A bill to provide grants to establish veteran's treatment courts (S.3702)Training of mental health counselors for members of the Armed Forces, veterans, and their families. (S.3254) To improve mental health care programs and activities for members of the Armed Forces and veterans. ( S.3254) Servicemember Mental Health Review Act (H.R.6574)

Client expense: $8,158 · Firm income: Not reported

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

S 3539 Medicaid Information Technology to Enhance Community Health Act of 2012 HR 1216 To amend the Public Health Service Act to convert funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations: entire bill HR 6079 Repeal of Obamacare Act: entire bill Public Law No. 111-148 Patient Protection and Affordable Care Act: entire law Public Law No. 111-152 Health Care and Education Reconciliation Act of 2010: entire law HR 2 Repealing the Job-Killing Health Care Law Act: entire bill S 192 Repealing the Job-Killing Health Care Law Act: entire bill S 248 Empowering States to Innovate Act: entire bill HR 844 Empowering States to Innovate Act: entire bill HR 1213 To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges: entire bill HR 6138 Ending the HIV/AIDS Epidemic Act of 2012: entire bill Ryan White HIV/AIDS Program Reauthorization (no number): entire bill HR 4271 Violence Against Women Reauthorization Act of 2012: entire bill HR 4970 Violence Against Women Reauthorization Act of 2012: entire bill HR 4982 Violence Against Women Reauthorization Act of 2012: entire bill S 1925 Violence Against Women Reauthorization Act of 2011: entire bill S 2338 Violence Against Women Reauthorization Act of 2012: entire bill HR 2085 MARCH for Military Women Act: entire bill S 1214 MARCH for Military Women Act : entire bill HR 2543 Stop Deceptive Advertising for Women's Services Act: entire bill S 1374 Stop Deceptive Advertising for Women's Services Act: entire bill S 1415 Access to Birth Control Act: entire bill HR 2659 Access to Birth Control Act: entire bill HR 2678 Communities of Color Teenage Pregnancy Prevention Act of 2011: provisions related to family planning and reproductive health: entire bill S 1437 Communities of Color Teenage Pregnancy Prevention Act of 2011: provisions related to family planning and reproductive health: entire bill HR 1085 Repealing Ineffective and Incomplete Abstinence-Only Program Funding Act of 2011: entire bill HR 5650Protecting Womens Access to Health Care Act: entire bill S 578 Repealing Ineffective and Incomplete Abstinence-Only Program Funding Act of 2011: entire bill HR 2954 Health Equity and Accountability Act of 2011: entire bill S 2474 Health Equity and Accountability Act of 2012: entire bill S 1782 Real Education for Healthy Youth Act of 2011: entire bill HR 3324 Real Education for Healthy Youth Act of 2011: entire bill

Client expense: $225,140 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID)

Issues relating to health disparities, health care reform, quality of life and palliative care, federal health care programs, genetic information, cancer, nutrition, and wellness, including the following legislation: S. 494 and H.R. 912, Colorectal Cancer Prevention, Early Detection & Treatment Act; H.R. 1213, Repeal mandatory funding provided to states in PPACA to establish American Health Benefit Exchanges; H.R. 1217, Repeal Prevention and Public Health Fund; H.R. 1740 and H.R. 5560, the Quality Cancer Care for Life Act of 2010; H.R.2941 and S.3493; H.R.3974, Viral Hepatitis and Liver Cancer Control and Prevention Act of 2009; H.R.4662, the Lymphedema Diagnosis and Treatment Cost Savings Act of 2010; the implementation of P.L. 111-148, the Patient Proection and Affordable Care Act of 2010; S.1064, the Sun Act; S.965, the Family Act; H.R.2954, Health Equity and Accountability Act of 2011; and H.R.2077, the MLR Repeal Act; H.R.2245 and S.296 Preserving Access to Life-Saving Medications Act, issues related to the reauthorization of the prescription drug user fee, S.3187, the FDA Safety and Innovation Act and the House Companion legislation, and issues relating to the ongoing national shortage of cancer drugs, Amendment relating to S.1813, the Moving Ahead for Progress in the 21st Century Act, and H.R.4274, reauthorization of the Best Pharmaceuticals for Children Act and the Pediatric Research Equity Act. Issues relating to global health including S.2515, the Clean Cookstoves Support Act of 2012; H.R.6155 & S.3047, the Palliative Care and Hospice Education & Training Act; and H.R.6157, the Patient Centered Quality of Care Act.

Client expense: $810,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID), White House Office

Support ending health care disparities among racial and ethnic minorities, support the Affordable Care Act. Reject efforts to repeal health care reform; oppose H.R. 2. Oppose efforts to repeal health car reform via the appropriations process. Oppose cuts in the federal budget to Community Health Care Centers. Fight childhood hunger and obesity -- support a robust, well-funded child nutrition bill. Work to eliminate "food deserts" in low-income neighborhoods, support the establishment of farmers markets and other means of fresh fruits and vegetables in urban areas. Support the National Youth Sports Program Revitalization Act of 2010. Support full funding for HIV/AIDS treatment, prevention and cure. Support H.R. 894, the Maternal Health Accountability Act of 2011. Oppose efforts to privatize Medicare and make Medicaid a block grant program. Oppose H. Con. Res. 35. Oppose banning of all funds to Planned Parenthood affiliates. Oppose H. Con. Res. 36. Oppose H.R. 1227. Support the development and implementation of health insurance exchanges. Support FIT Kids Act (support H.R. 1057 and S.576). Support State Insurance Exchange Programs. Oppose H. R. 1213. Support School based health centers. Oppose H.R. 1214. Support the Prevention and Public Health Fund. Oppose H.R. 1217. Support S. 919, the Successful, Safe, and Healthy Students Act of 2011. Support September as Childhood Obesity Awareness Month. Support H.Res. 339. Support reducing maternal mortality. Support H.R. 894. Support increased funds for AIDS awareness, prevention & treatment. Support a strong and robust Medicaid program. Oppose cuts to Medicaid. Support efforts to advance health equity in the establishment of health insurance Exchanges and the certification of Qualified Health Plans (QHPs) as prescribed in the Affordable Care Act. Support the Health Equity and Accountability Act; support H.R. 2945. Support robust implementation of the data collection requirements of the Affordable Care Act (ACA) . Ensure that the rules surrounding the creation of Accountable Care Organizations under the ACA improve the quality of our healthcare system overall by delivering coordinated, patient- and family-centered care, and greatly advance the effort to achieve health equity. Oppose H.R. 3541, the "Susan B. Anthony and Frederick Douglas Prenatal Non Discrimination Act". Support designating September as National Childhood Obesity Month. Support H. Res. 339. Support the inclusion of prohibitions on discrimination on the basis of race, color, national origin, disability, age, sex, gender identity, or sexual orientation in the establishment of health insurance Exchanges and the certification of Qualified Health Plans as required by the Affordable Care Act. Oppose the Center for Medicare and Medicaid Services (CMS) proposed regulations that would require private Medicare plans (Part C and D) to translate written materials only into languages spoken by 10% of the population in the plans service area. Rather, the NAACP strongly urges CMS to consider an alternative standard of 5% of the general population or 500 individuals served in the service area, whichever is smaller to ensure that every American can access Medicare services. Support H.R. 1880, the Status Report on the 30th Anniversary of HIV/AIDS Act. Support full funding for funding for domestic HIV/AIDS programs. Support Needle Exchange programs. Support H.R. 2086 / S. 2149, the Medical Debt Responsibility Act, which requires that credit agencies to remove FULLY paid or settled medical debt from credit reports within 45 days. Oppose legislation which would impose unprecedented burdens on parties in cases involving a wide array of federal protections in areas such as environmental, consumer, health care, and civil rights laws. Oppose H.R. 3041, H.R. 3862, and H.R. 1996. Support the HEART for Women Act (S. 438/H.R. 3526). Support a long term transportation bill which will: 1.Preserve and expand existing programs that fund essential transportation options bicycling, walking, and public transportation. 2.Expand access to quality transportation jobs for the chronically-unemployed, low-income people, individuals with disabilities, women, and communities of color. 3.Strengthen enforcement of existing civil rights provisions. 4.Improve transportation outcomes through strategic planning with measures that promote economic and social equity. 5.Reform transportation funding to lower household expenses and foster community development. Express concern about a state-based benchmark approach to implementing the Essential Health Benefit (EHB) package. In particular, we believe that flexibility without robust anti-discrimination enforcement mechanisms will undermine critical civil rights protections in the Affordable Care Act (ACA). Oppose the Center for Medicare and Medicaid Services (CMS) proposed regulations that would require private Medicare plans (Part C and D) to translate written materials only into languages spoken by 10% of the population in the plans service area. Rather, the NAACP strongly urges CMS to consider an alternative standard of 5% of the general population or 500 individuals served in the service area, whichever is smaller to ensure that every American can access Medicare services. Oppose a repeal of the Community Living Assistance Services and Supporters program. Oppose HR 1173. Oppose the Red Tape Reduction and Small Business Job Creation Act" (H.R. 4078), which includes the Regulatory Freeze For Jobs Act, the Midnight Rule Relief Act of 2012" (H.R. 4607), and the Sunshine for Regulatory Decrees and Settlements Act of 2012 (H.R. 3862), among other harmful bills. Support LGBT designation as a health disparity population by the National Institute for Minority Health and Health Disparities (NIMHD). Urge Congress to take a balanced approach, invest in strategies that create job growth, lift children and families out of poverty and ensure racial and ethnic minorities are not disproportionately adversely impacted. Strategies include full funding for the Affordable Care Act to protect all provisions in the law, and especially for expansion of Medicaid, establishment of Exchanges, subsidies for people with low incomes and small businesses, and for the Prevention and Public Health Fund; retaining the structure of the Medicaid program so that it remains an entitlement program to provide states with sufficient financial resources to administer their Medicaid programs for underserved communities experiencing health disparities; level funding for the REACH US Program to advance community driven strategies and interventions for the elimination of racial and ethnic chronic disease health disparities and enhance the capacity to conduct evaluation, increase dissemination, facilitate Technical Assistance and mentoring for other federal initiatives; the Public Health Prevention Fund and Community Transformation Grant program must be fully funded in order to effectively reduce the incidence of costly chronic diseases, help improve health, address health inequities, and control health-care spending; an increase in funding from the Presidents request to support its efforts to promote community solutions to eliminate health disparities, improve the diversity and cultural competency of the health-related workforce, and ensure access to quality, culturally and linguistically appropriate care; sufficient funding to accomplish HHS's overall data collection mission; the HHS Office of Civil Rights' needs additional funding to ensure that it has the staff and resources to appropriately investigate and enforce these critical laws; more funding is needed for the HHS Office of Minority Health to ensure these offices have the staff and resources needed to carry out their mission; and investing in the The Healthy Food Financing Initiative. Support requiring the FDA to report on the availability of new drug and device safety and efficacy data by sex, age, and racial and ethnic subgroups. Support the Cardin-Cochran amendment to MAP-21, which gives local governmentsthose closest to the needs of their constituents and communitiesan opportunity to weigh in on how states spend their Additional Activities federal transportation dollars. Support federal support for school-based health centers in the Presidents Budget for Fiscal Year 2014. Support the State Paid Leave Fund. Strongly support the prominence given to the goal of reducing health disparities in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programss structure; however, we are concerned that the meaningful use requirements as proposed are inadequate to achieve this outcome. Specifically, we support the incentive programs reinforcing federal civil rights and health information privacy laws; the incentive program requiring robust demographic data collection and use, including disability status data collection, sexual orientation and gender identity data collection, and geographic information; and the incentive program should build linkages with existing health disparity strategies. Support ensuring that pregnant workers are not forced out of their jobs unnecessarily or denied reasonable job modifications that would allow them to continue working and supporting their families. Strongly support H.R. 2086 and S. 2149, the Medical Debt Responsibility Act. Oppose policy "riders" on the Commerce Justice Science Appropriations bill for FY 13 which would prohibit the US DoJ from supporting legal efforts to implement the Affordable Care Act. Support the nomination of Dr. Kimberly Jeffries Leonard to serve as Director of the Center for Mental Health Services within the Substance Abuse Mental Health Services Administration. Support the use of federal funding for syringe access programs in the FY 2013 Labor-Health and Human Services-Education (LHHS) Appropriations bill. Support full implementation of all provisions in the Affordable Care Act, in particular full implementation of the Medicaid expansion in 50 states and the District of Columbia. Support a revised health disparity population designation methodology that draws on the existing evidence base on lesbian, gay, bisexual, and transgender (LGBT) health disparities and leads to the LGBT population being formally designated as a health disparity population. Support full funding for the implementation of the Affordable Care Act: funding should be protected for all provisions in the law, and especially for expansion of Medicaid, establishment of Exchanges, subsidies for people with low incomes and small businesses, and for the Prevention and Public Health Fund. Support $54 Million for the REACH (Racial and Ethnic Approaches to Community Health) Program in Fiscal Year 2013. Support an increase in funding above $41 million to support the efforts of the efforts of the Office of Minority Health (OMH) to promote community solutions to eliminate health disparities, improve the diversity and cultural competency of the health-related workforce, and ensure access to quality, culturally and linguistically appropriate care. Support sufficient funding to accomplish the Department of Health and Human Service's overall data collection mission. Support additional funding for the HHS Office of Civil Rights (OCR). With the elevation of the Office of Minority Health to the Office of the Secretary and creation of six new offices of minority health throughout HHS, more funding is needed to ensure these offices have the staff and resources needed to carry out their mission. Support the Healthy Food Financing Initiative, which serves to improve access to healthy food in low-income communities across the country by providing loans and grants to open new supermarkets and fresh food retailers to improve access to healthy food in underserved areas. President Obamas budget request includes $285 million for HFFI, which includes $10 million at the Department of Health and Human Services (HHS), $25 million in Community Development Financial Institutions funding at the Department of Treasury, and a $250 million set-aside request within the broader $7 billion New Markets Tax Credit program for HFFI. The budget also calls for the Department of Agriculture (USDA) to target additional resources toward the overall goals of combating food deserts and increasing access to healthy food. Investing in HFFI would promote increased access to healthy food, create new jobs, improve health, and generate new economic opportunities in low-income communities across the nation. Advocated that the United States use its stature and position to have the NAACP policy agenda included in any and all relevant United Nations' treaties and other compliance documents. Support language that permits the use of federal funding for syringe access programs in the FY 2013 Labor-Health and Human Services-Education (LHHS) Appropriations bill Offered the following comments on the Physical Activity Guidelines Midcourse Report: Strategies to Increase Physical Activity Among Youth: Walking programs and options for youth need an even higher and more completely developed priority; Other potential health and social co-benefits of walking should be at least mentioned; The Midcourse Report should more emphatically underscore the importance of a supportive built environment and policies that make walking for all youth the easy and attractive choice; and that this Midcourse Report serves a valuable and appreciated purpose in itself, but should also help set the stage for regular, comprehensive revisions of the U.S. Physical Activity Guidelines. Those revised Guidelines should give serious consideration to an emphasis on walking.

Client expense: $62,500 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Bureau of Indian Affairs (BIA), Centers For Disease Control & Prevention (CDC), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Aviation Administration (FAA), Federal Bureau of Investigation (FBI), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Housing Finance Agency (FHFA), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Park Service (NPS), Office of Personnel Management (OPM), Office of Thrift Supervision (OTS), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Social Security Administration (SSA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Commission on Civil Rights, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), Voice of America, White House Office

HR 1 Full Year Continuing Appropriations Act 2011, making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011; HR 2 Repealing the Job-Killing Health Care Law Act, to repeal the job-killing health care law and health care-related provisions in the Health Care and Education Reconciliation Act of 2010; HR 4 Small Business Paperwork Mandate Elimination Act of 2011, offsets the cost of 1099 repeal by increasing the maximum amount of tax subsidy to be repaid if a persons (or familys) income exceeds 400% of poverty; HR 5, S 218, HR 105 and S 1099 Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act, to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; HRes 9 Instructing four committees to produce legislation to replace the health reform law and to include a permanent fix to the SGR; S 296 and HR 2245 Preserving Access to Life-Saving Medications Act of 2011, to amend the Federal Food, Drug, and Cosmetic Act to provide the Food and Drug Administration with improved capacity to prevent drug shortages; HR 705 The Comprehensive 1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act of 2011, to amend the Internal Revenue Code of 1986 to repeal the expansion of information reporting requirements to payments made to corporations, payments for property and other gross proceeds, and rental property expense payments; HR 1213 To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges; HR 1217 to repeal the Prevention and Public Health Fund; S 539 Behavioral Health Information Technology Act of 2011, a bill to amend the Public Health Services Act and the Social Security Act to extend health information technology assistance eligibility to behavioral health, mental health, and substance abuse professionals and facilities; S 668 Health Care Bureaucrats Elimination Act, a bill to remove unelected, unaccountable bureaucrats from seniors' personal health decisions by repealing the Independent Payment Advisory Board; Allow hospitals to claim the full cost of provider taxes as allowable costs; Ensure CAHs are paid at least 101 percent of costs by Medicare Advantage plans; Ensure that the Centers for Medicare & Medicaid Services (CMS) appropriately addresses the issue of direct supervision for outpatient therapeutic services for rural hospitals and CAHs; Ensure rural hospitals and CAHs have adequate reimbursement for certified registered nurse anesthetist and stand-by services; Exempt CAHs from the Independent Payment Advisory Board; Extend expiring provisions; Provide small, rural hospitals with cost-based reimbursement for outpatient laboratory services and ambulance services; Provide CAHs bed size flexibility; Reinstate CAH necessary provider status; Remove unreasonable restrictions on CAHs ability to rebuild; Discussions on a bill to credit some observation status days to 3 day inpatient hospital stays; Worked with HHS on establishing the Partnership for Patients Program to improve patient safety activities in hospitals; HR 1929 Emergency Nursing Relief Act, provides for 20,000 additional immigrant visas (green cards) for Registered Nurses, and their immediate family members. Visas issued to the family members would not count against the 20,000 quota. The Secretary of State would not be permitted to issue more visas than this set quota. Employers are charged $1,500 for these visas which would support funding US nursing programs; HR 1933, to amend the Immigration and Nationality Act to modify the requirements for admission of nonimmigrant nurses in health professional shortage areas and calls for a limited revival of the H-1C program; S 778 Protecting Access to Rural Therapy Services (PARTS) Act, a bill to amend title XVIII of the Social Security Act with respect to physician supervision of therapeutic hospital outpatient services; HR 1363 Department of Defense and Further Additional Continuing Appropriations Act, 2011; Letter to oppose Cuts to the funding of the Hospital Preparedness Program; HR 1214 a bill to repeal mandatory funding for school-based health center construction, it amends the Patient Protection and Affordable Care Act to repeal the program requiring the Secretary of Health and Human Services (HHS) to award grants to school-based health centers or their sponsoring facilities to support the operation of such health centers. Rescinds unobligated appropriations for the program. Urging that final Accounting of Disclosures rule not include the proposal to require provision of an access report to patients; HR 1540 National Defense Authorization Act of 2012, a bill to establish a working group within the Department of Defense to comprehensively review all TRICARE policies and practices related to pediatric care and to develop recommendations that specifically address the health care needs of children of military families; S 1854 Medical Surge Capacity Act, a bill to enhance medical surge capacity which uses lessons learned from previous disasters to make critical changes when responding to a natural or manmade disaster; HR 2405 and S 1855 Pandemic and All-Hazards Preparedness Act Reauthorization of 2011, a bill to amend the Public Health Service Act to reauthorize various programs under the Pandemic and All-Hazards Preparedness Act; S. 1979 Conrad State 30 Improvement Act (Immigration) , a bill to help streamline J-1 visa waiver process for hospitals to hire international physicians to practice in rural and medically underserved communities; Critical Access Hospital (CAH) Letter from Rep. Ron Kind and Rep. Jo Ann Emerson to the supercommittee to protect CAH from potential cuts or other detrimental policy changes; Urging the Super Committee to reject cuts to inpatient rehabilitation facilities (IRFs); Extender's letter to supercommittee with a list of hospital specific issues that need to be addressed; HR 3586 Good Samaratin Health Professionals Act, a bill to amend the PHSA to limit the liability of healthcare professionals who volunteer to provide healthcare services in response to disaster; HR 3839 Drug Shortage Prevention Act of 2012, to address critical drug shortage; S 2193 Ensuring Safe Medical Devices for Patients, a bill to require the Food and Drug Administration to include devices in the postmarket risk identification and analysis system, to expedite the implementation of the unique device identification system for medical devices; HR 4246 VA Enrollment Act, to amend title 38, United States Code, to provide for the expansion of eligibility for veteran reimbursement for emergency treatment provided in non-Department of Veterans Affairs facilities; HR 5800 Health Care Price Transparency Promotion Act of 2012, to amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs; H.R.6118 and S.3391 Taking Essential Steps for Testing Act of 2012. to amend the Public Health Service Act to revise sanctions for laboratories that intentionally refer proficiency testing samples required for certification to another laboratory for analysis by: (1) giving the Secretary of Health and Human Services (HHS) discretion to substitute intermediate sanctions for such violations instead of the two-year prohibition against ownership or operation which would otherwise apply, and (2) making the one-year certificate revocation for such a laboratory optional rather than mandatory. Which gives CMS more discretion in enforcing the Clinical Laboratory Improvement Amendments to preserve patient access to lab services.

Client expense: $5,350,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Equal Employment Opportunity Commission (EEOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, White House Office

1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act (H.R.4) Access to Independent Health Insurance Advisors Act (S.2068/S.2288) Access to Professional Health Insurance Advisors Act of 2011 (H.R.1206) Draft Legislation to Prevent Enforcement of Grandfathered Health Plan Regulation Draft Research Priorities (PCORI) EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2011 (H.R.3144) Essential Health Benefits Data Collection Proposed Rule (HHS) Food and Drug Administration Safety and Innovation Act (FDA User Fee bills, S.3187/H.R.3988) Guidance on Defining Minimum Essential Value of Employer-Sponsored Insurance (Treasury) Guidance on Federally Facilitated Exchanges (HHS) Health Benefit Exchanges (H.R.1213) Health Care Cost Reduction Act (H.R.436) Health Equity and Accountability Act (H.R.2954/S.2474) Health Risk Assessments in Medicare Comments (CDC) Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S.438/H.R.3526) H.R. 436, Health Care Cost Reduction Act Interest Rate Reduction Act (H.R.4628/S.2366) and other legislation using Prevention Fund to offset student loans Josh Miller Helping Everyone Access Responsive Treatment in Schools (HEARTS) Act (H.R.1377) Menu Labeling (ACA Section 4205) Middle Class Tax Relief and Job Promotion Act (H.R.3630) National Prevention Strategy, Request for Comments (HHS - Surgeon General) Patient-Focused Drug Development Initiative (FDA-2012-N-0967) Patient Protection and Affordable Care Act (P.L. 111-148; P.L. 111-152) - Implementation Prevention and Public Health Fund (ACA Section 4002) Proposed rules on essential health benefits (CMS) Proposed rules on health insurance market reforms (CMS) Qualified Health Plan Accreditation Proposed Rule (HHS) Repealing the Job-Killing Health Care Law Act (H.R.2) Request for information on quality in insurance exchanges (CMS) Sequester Replacement Reconciliation Act (H.R.5652) State Flexibility Act (H.R.1683/S.868) To Repeal Mandatory Funding Provided to States in the Patient Protection and Affordable Care Act to Establish American To Repeal the Patient Protection and Affordable Care Act (H.R.6079) Temporary Payroll Tax Cut Continuation Act (H.R.3630 - Medicare therapy caps exceptions process) To Repeal Mandatory Funding to States to Establish American Health Benefit Exchanges (H.R.1213) To Repeal Medical Loss Ratio Requirements (H.R.2077) To Repeal the Prevention and Public Health Fund (H.R.1217) Unique Device Identification System Proposed Rule (FDA-2011-N-0090)

Client expense: $224,984 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of

Pub. Law 111-148 and 111-152, Patient Protection and Affordability Care Act - Discussed implementation of certain provisions related to affordable quality health care and expand access to long-term services and supports. Discussed the age rating provisions in the law. Discussed employer sponsored wellness programs. (no bill) Discussed need for transparency in rate reviews. (no bill) Discussed need for consumer protection in internal and external appeals for self-funded plans. (no bill) H. R. 1213, To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges - Sent letter in opposition to HR 1213 which would repeal the mandatory funding provided to states under the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges. Discussed medical loss ratio. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared Savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. (no bill) Lobbied in support of Medicare physician payment reform. (no bill) Discussed legislation to make prescription drugs more affordable to older Americans. (no bill) Discussed Consumer protection and implementation of the Affordable Care Act (P.L. 111-148). S. 3295, the Labor-HHS Appropriations bill for FY 2013 - Lobbied to protect funding for program authorized under the Affordable Care Act, including CMS State Health insurance exchanges, state survey and demonstrations and preventive health. H.R. 8, the American Taxpayer Relief Act of 2012 - Lobbied against inclusion of Social Security, Medicare and Medicaid legislation affecting benefit levels or service delivery in any end-of-the-session budget deal, and urged congress to not reduce spending levels below current services levels for various non-security discretionary programs, including Health Care (including Rx, medical research and premium support), Social Security (administrative expenses), Older Americans Act Supportive Service, Nutrition and Caregiver programs, Low Income Home Energy Assistance, Weatherization, Elderly Housing and Transit/Transportation, Legal and Taxpayer Assistance, Consumer and Worker Protections and Postal Services.

Client expense: $2,490,000 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Commodity Futures Trading Commission (CFTC), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Energy Regulatory Commission (FERC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Highway Traffic Safety Administration (NHTSA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

Changes in Health Insurance Markets HR2 - Repealing the Job-Killing Health Care Law Act HR397 - Reform Americans Can Afford Act of 2011 Changes in Health Insurance Markets HR1206 - Access to Professional Health Insurance Advisors Act of 2011 HR1213 - To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges

Client expense: $15,440,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Federal Accounting Standards Advisory Board (FASAB), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Housing Finance Agency (FHFA), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Natl Economic Council (NEC), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

H.R.1 Full-Year Continuing Appropriations Act, 2011 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. Cuts spending in areas that are important to middle class working families. H.AMDT.75 to H.R.1 Amendment sought to reduce the funding for AMTRAK Capitol by $446.9 million. Funding cuts for Amtrak would hurt unions ability to provide much needed transportation alternatives throughout the country. H.AMDT.229 (A020) Amendment sought to strike section 903. Section 903 repeals a National Mediation Board (NMB) rule, finalized last year, which provides for union representation elections among airline and railroad workers covered by the Railway Labor Act. An amendment numbered 21 printed in House Report 112-46 to strike section 903. Section 903 repeals a National Mediation Board (NMB) rule, finalized last year, which provides for union repr presentation elections among airline and railroad workers covered by the Railway Labor Act. Puts unions at a disadvantage to organize new members in the railroad and airlines industries. H.Res.28 Expressing the sense of the House of Representatives that the Transportation Security Administration should, in accordance with existing law, enhance security against terrorist attack and other security threats to our Nation's rail and mass transit systems and other modes of surface transportation; and for other purposes. Work to make the nations transportation systems safer. H.R.55 Northern Virginia Metrorail Extension Act of 2011. Authorizes alternatives analysis and preliminary engineering for specified Metrorail new fixed guideway capital projects in Virginia, Washington, D.C., and Maryland. To improve passenger transportation in the DC area. H.R.304 To amend the limitation on liability for certain passenger rail accidents or incidents under section 28103 of title 49, United States Code, and for other purposes. Increases from $200 million to $275 million the aggregate allowable amount that can be awarded (liability cap) for a single passenger rail accident or incident that was proximately caused by gross negligence or willful misconduct of a defendant (except a defendant that is governmental entity such as Amtrak). (Current law limits to $200 million the aggregate allowable award to all rail passengers, against all defendants, for all claims, including claims for punitive damages, arising from a single accident or incident.) Raises the liability for affected families or persons who suffer a loss due to injury. H.R. 548 Restoring Democracy in the Workplace Act. Declares that a specified rule prescribed by the National Mediation Board relating to representation election procedures shall have no force or effect. Anti-labor bill. Unfair elections. Would harm democracy in the workplace. H.R. 613 To strengthen Buy America requirements applicable to airports, highways, high-speed rail, trains, and transit, and for other purposes. Would create good middle class jobs in the USA. H.R. 1122 Freight FOCUS Act of 2011. To provide for merit-based investment in the freight transportation system of the United States to ensure economic growth, increase vitality and competitiveness in national and global markets, address goods mobility and accessibility issues, reduce air pollution and other environmental impacts of freight transportation, better public health conditions, enhance energy security, and improve the condition and connectivity of the freight transportation system, and for other purposes. Would help create jobs in the railroad industry. H.R.1213 To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges. Amends the Patient Protection and Affordable Care Act to repeal provisions appropriating funds to the Secretary of Health and Human Services (HHS) to award grants to states for activities (including planning activities) related to establishing an American Health Benefit Exchange (a state health insurance exchange). Rescinds any unobligated funds made available under such provisions. Hurts individual states ability to provide affordable health care. S.1 American Competitiveness Act. Expresses the sense of the Senate that Congress should: eliminate tax loopholes that encourage companies to ship American jobs overseas; expand markets for United States exports; promote the development of new, innovative products bearing the inscription "Made in America"; modernize and improve U.S. highways, bridges, and transit systems; modernize and upgrade U.S. rail, levees, dams, and ports; place computers in classrooms; ensure that U.S. small businesses and households have access to high-speed broadband; invest in critical new infrastructure; streamline U.S. regulatory policies. Greater investment in rail structure. To improve transportation to make competitive in the world market. S.223: FAA Air Transportation Modernization and Safety Improvement Act. A bill to modernize the air traffic control system, improve the safety, reliability and availability of transportation by air in the United States, provide modernization of the air traffic control system, reauthorize the Federal Aviation Administration, and for other purposes. Impacts air transportation issues. S.504 National Right-to-Work Act. To preserve and protect the free choice of individual employees to form, join, or assist labor organizations, or to refrain from such activities. Anti-union bill. Puts unions at a disadvantage. H.R.1473 Department of Defense and Full-Year Continuing Appropriations Act, 2011. Title I: General Provisions. It cuts funding for DOL training programs, eliminates appropriations to the Federal Railroad Administration (FRA) railroad safety technology program. Eliminates appropriations for FRA capital assistance for high speed rail corridors and intercity passenger rail service (with a rescission of prior year unobligated balances). Cuts spending in areas that are important to middle class working families and TCU members. HR 1900 Surface Transportation and Mass Transit Security Act of 2011. A bill to authorize programs and activities within the Transportation Security Administration to enhance the security of surface transportation, including mass transit, and for other purposes. Focuses on needed security to Freight, Passenger and Commuter Rail systems. It makes a more secure workplace for workers. S. 1549 American Jobs Act of 2011 To provide tax relief for American workers and businesses, to put workers back on the job while rebuilding and modernizing America, and to provide pathways back to work for Americans looking for jobs. To put middle class workers back to work. S.1769 Rebuild America Jobs Act. Rebuild America Jobs Act - Prohibits the use of funds made available by this Act for a project for the construction, alteration, maintenance, or repair of a public building or public work unless all of the iron, steel, and manufactured goods used in such project are produced in the United States (Buy American). Keeps good jobs for American workers. H.R.3538 To amend the Railway Labor Act to direct the National Mediation Board to apply the same procedures, including voting standards, to the direct decertification of a labor organization as is applied to elections to certify a representative, and for other purposes. We do not support. NMB is an important agency that protects workers rights. H.R.4276 Surface Transportation Extension Act of 2012. To provide an extension of Federal-aid highway, highway safety, motor carrier safety, transit, and other programs funded out of the Highway Trust Fund pending enactment of a multiyear law reauthorizing such programs. We does not support inasmuch as the House should pass the Senate Bill which brings certainty to the industry and creates jobs. S.1831 Access to Capital for Job Creators Act. Access to Capital for Job Creators Act - Amends the Securities Act of 1933 to exempt from proscriptions governing interstate commerce and the mails those transactions by an issuer that do not involve a public offering, whether or not such transactions involve general solicitation or general advertising. We support as it creates jobs. S. 1813 To reauthorize Federal-aid highway and highway safety construction programs, and for other purposes. Moving Ahead for Progress in the 21st Century or MAP-21 - Authorizes appropriations out of the Highway Trust Fund (HTF) (other than the Mass Transit Account) equal to current federal highway spending levels plus inflation for FY2012 and FY2013 for: (1) certain new and existing core federal-aid highway programs, and (2) Federal Highway Administration (FHWA) administrative expenses. Puts people to work. H.R. 4348 Title I - Surface Transportation Extension Surface Transportation Extension Act of 2012, Amends the Surface Transportation Extension Act of 2011, Part II to continue through FY2012, and authorizes appropriations through that date for, specified federal-aid highway programs under the Safe, Accountable, Flexible, Efficient Transportation Equity Act. We approve as it will create jobs. RCV #68, SJR 36: A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Labor Relations Board relating to representation election procedures. Senator Enzi (R-WY) introduced a resolution to prevent the National Labor Relations Board (NLRB) from implementing new fair union election rules; last year the NLRB implemented new election rules that limit the ability of employers to unfairly delay union elections through frivolous or duplicative litigation. RCV #293, H.R. 4348: Representative Rahall (D-WV) offered a motion to instruct House conferees to agree to a Senate-passed Surface Transportation Act requiring Buy American on federally funded rail projects. RCV #293, H.R. 4348: Representative Rahall (D-WV) offered a motion to instruct House conferees to agree to a Senate-passed Surface Transportation Act requiring Buy American on federally funded rail projects. The motion was approved by a vote of 245-169. TCU supported a Yea vote. H.R.5972 Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2013. Makes appropriations for FY2013 to: (1) the Access Board, (2) the Federal Maritime Commission (FMC), (3) the Office of Inspector General for the National Railroad Passenger Corporation (Amtrak), (4) the National Transportation Safety Board (NTSB), (5) the Neighborhood Reinvestment Corporation, and (6) the U.S. Interagency Council on Homelessness. Specifies certain uses and limits on or prohibitions against the use of funds appropriated by this Act. TCU supports the Bill because it provides reasonable funding for Amtrak and creates jobs. RCV # 421, H.R. 5972: Representative Braun (R-GA) offered an amendment to reduce the Federal Rail Administration (FRA) budget by $5.4 million; if implemented, the reduction would not allow the FRA to hire additional safety inspectors and fully implement the risk reduction program. The amendment was rejected by a vote of 173-230. TCU strongly supported a Nay vote. RCV # 422, H.R. 5972: Representative Braun (R-GA) offered an amendment to reduce the Federal Transit Administration (FRA) budget by $1.2 million. The amendment was rejected by a vote of 188-215. TCU supported a Nay vote.

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Railroad Retirement Board, SENATE, Surface Transportation Board (STB), Transportation, Dept of (DOT)

H.R.1 Full-Year Continuing Appropriations Act, 2011 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. Cuts spending in areas that are important to middle class working families. H.AMDT.75 to H.R.1 Amendment sought to reduce the funding for AMTRAK Capitol by $446.9 million. Funding cuts for Amtrak would hurt unions ability to provide much needed transportation alternatives throughout the country. H.AMDT.229 (A020) Amendment sought to strike section 903. Section 903 repeals a National Mediation Board (NMB) rule, finalized last year, which provides for union representation elections among airline and railroad workers covered by the Railway Labor Act. An amendment numbered 21 printed in House Report 112-46 to strike section 903. Section 903 repeals a National Mediation Board (NMB) rule, finalized last year, which provides for union repr presentation elections among airline and railroad workers covered by the Railway Labor Act. Puts unions at a disadvantage to organize new members in the railroad and airlines industries. H.Res.28 Expressing the sense of the House of Representatives that the Transportation Security Administration should, in accordance with existing law, enhance security against terrorist attack and other security threats to our Nation's rail and mass transit systems and other modes of surface transportation; and for other purposes. Work to make the nations transportation systems safer. H.R.55 Northern Virginia Metrorail Extension Act of 2011. Authorizes alternatives analysis and preliminary engineering for specified Metrorail new fixed guideway capital projects in Virginia, Washington, D.C., and Maryland. To improve passenger transportation in the DC area. H.R. 548 Restoring Democracy in the Workplace Act. Declares that a specified rule prescribed by the National Mediation Board relating to representation election procedures shall have no force or effect. Anti-labor bill. Unfair elections. Would harm democracy in the workplace. H.R. 613 To strengthen Buy America requirements applicable to airports, highways, high-speed rail, trains, and transit, and for other purposes. Would create good middle class jobs in the USA. H.R.1213 To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges. Amends the Patient Protection and Affordable Care Act to repeal provisions appropriating funds to the Secretary of Health and Human Services (HHS) to award grants to states for activities (including planning activities) related to establishing an American Health Benefit Exchange (a state health insurance exchange). Rescinds any unobligated funds made available under such provisions. Hurts individual states ability to provide affordable health care. S.1 American Competitiveness Act. Expresses the sense of the Senate that Congress should: eliminate tax loopholes that encourage companies to ship American jobs overseas; expand markets for United States exports; promote the development of new, innovative products bearing the inscription "Made in America"; modernize and improve U.S. highways, bridges, and transit systems; modernize and upgrade U.S. rail, levees, dams, and ports; place computers in classrooms; ensure that U.S. small businesses and households have access to high-speed broadband; invest in critical new infrastructure; streamline U.S. regulatory policies. Greater investment in rail structure. To improve transportation to make competitive in the world market.S.158 Surface Transportation Board Reauthorization Act of 2011. Authorizes appropriations for FY2011-FY2015 for the Surface Transportation Board. Increases Board membership from three to five members. Removes the Board from the Department of Transportation (DOT) to establish it as an independent U.S. agency. The current board structure is sound, changes could create uncertainty in the industry. S.223: FAA Air Transportation Modernization and Safety Improvement Act. A bill to modernize the air traffic control system, improve the safety, reliability and availability of transportation by air in the United States, provide modernization of the air traffic control system, reauthorize the Federal Aviation Administration, and for other purposes. Impacts air transportation issues. S.504 National Right-to-Work Act. To preserve and protect the free choice of individual employees to form, join, or assist labor organizations, or to refrain from such activities. Anti-union bill. Puts unions at a disadvantage. H.R.1473 Department of Defense and Full-Year Continuing Appropriations Act, 2011. Title I: General Provisions. It cuts funding for DOL training programs, eliminates appropriations to the Federal Railroad Administration (FRA) railroad safety technology program. Eliminates appropriations for FRA capital assistance for high speed rail corridors and intercity passenger rail service (with a rescission of prior year unobligated balances). Cuts spending in areas that are important to middle class working families and TCU members. HR 1900 Surface Transportation and Mass Transit Security Act of 2011. A bill to authorize programs and activities within the Transportation Security Administration to enhance the security of surface transportation, including mass transit, and for other purposes. Focuses on needed security to Freight, Passenger and Commuter Rail systems. It makes a more secure workplace for workers. H.R.2350 Protecting Taxpayers in Transportation Asset Transfers Act. To secure public investments in transportation infrastructure. Allows for the use of any alternative analysis or environmental impact report relating the Project to satisfy Federal Railroad Administration capital assistance requirements for new fixed guideway capital projects. Supports the concept of this Bill to protect Tax Payers and Amtrak employees from private companies taking over companies like Amtrak. (Clean up the Bill is intended to stop the Mica Bill to privatize Amtrak.) S.326 : Federal Surface Transportation Policy and Planning Act of 2011. Declares it is U.S. policy to develop a national surface transportation system that advances the national interest and defense, interstate and foreign commerce, the efficient and safe interstate mobility of people and goods, and the protection of the environment. Authorizes the Secretary to amend the goals established under this Act. Develop greater investment in freight rail to move goods with cleaner rail transport. Would help protect fossil fuels and jobs related to coal industry, important for railroad jobs. S. 1549 American Jobs Act of 2011 To provide tax relief for American workers and businesses, to put workers back on the job while rebuilding and modernizing America, and to provide pathways back to work for Americans looking for jobs. To put middle class workers back to work. H.R.3094 Workforce Democracy and Fairness Act. Amends the National Labor Relations Act (NLRA) to revise requirements for determination by the National Labor Relation Board (NLRB) of an appropriate bargaining unit before an election of collective bargaining representation. Requires the NLRB, to determine a unit as appropriate for collective bargaining if it consists of employees that share a sufficient community of interest. Specifies factors the NLRB must consider when making such determinations. Anti-union and workers rights. H.R.3533 Invest in American Jobs Act of 2011. To ensure that transportation and infrastructure projects carried out using Federal financial assistance are constructed with steel, iron, and manufactured goods that are produced in the United States, and for other purposes. TCU supports because it would create good middle-class jobs. H.R.3538 To amend the Railway Labor Act to direct the National Mediation Board to apply the same procedures, including voting standards, to the direct decertification of a labor organization as is applied to elections to certify a representative, and for other purposes. We do not support. NMB is an important agency that protects workers rights. H.R.4276 Surface Transportation Extension Act of 2012. To provide an extension of Federal-aid highway, highway safety, motor carrier safety, transit, and other programs funded out of the Highway Trust Fund pending enactment of a multiyear law reauthorizing such programs. We does not support inasmuch as the House should pass the Senate Bill which brings certainty to the industry and creates jobs. H.R.4272 Freight Rail Economic Development Act of 2012. Freight Rail Economic Development Act of 2012 - Directs the Secretary of Transportation (DOT) to make capital grants to a class I, class II, or class III railroad or a state or local government for freight rail economic development projects, particularly projects to construct freight rail switches and sidings. Prescribes prevailing wage rate requirements for such projects in accordance with the Davis-Bacon Act. We support helps with the seamless flow of rail transportation and helps the industry grow. S.1831 Access to Capital for Job Creators Act. Access to Capital for Job Creators Act - Amends the Securities Act of 1933 to exempt from proscriptions governing interstate commerce and the mails those transactions by an issuer that do not involve a public offering, whether or not such transactions involve general solicitation or general advertising. We support as it creates jobs. S. 1813 To reauthorize Federal-aid highway and highway safety construction programs, and for other purposes. Moving Ahead for Progress in the 21st Century or MAP-21 - Authorizes appropriations out of the Highway Trust Fund (HTF) (other than the Mass Transit Account) equal to current federal highway spending levels plus inflation for FY2012 and FY2013 for: (1) certain new and existing core federal-aid highway programs, and (2) Federal Highway Administration (FHWA) administrative expenses. Puts people to work. H.R. 4348 Title I - Surface Transportation Extension Surface Transportation Extension Act of 2012, Amends the Surface Transportation Extension Act of 2011, Part II to continue through FY2012, and authorizes appropriations through that date for, specified federal-aid highway programs under the Safe, Accountable, Flexible, Efficient Transportation Equity Act. We approve as it will create jobs. RCV #68, SJR 36: A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Labor Relations Board relating to representation election procedures. Senator Enzi (R-WY) introduced a resolution to prevent the National Labor Relations Board (NLRB) from implementing new fair union election rules; last year the NLRB implemented new election rules that limit the ability of employers to unfairly delay union elections through frivolous or duplicative litigation. RCV #293, H.R. 4348: Representative Rahall (D-WV) offered a motion to instruct House conferees to agree to a Senate-passed Surface Transportation Act requiring Buy American on federally funded rail projects. RCV #293, H.R. 4348: Representative Rahall (D-WV) offered a motion to instruct House conferees to agree to a Senate-passed Surface Transportation Act requiring Buy American on federally funded rail projects. The motion was approved by a vote of 245-169. TCU supported a Yea vote. H.R.5972 Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2013. Makes appropriations for FY2013 to: (1) the Access Board, (2) the Federal Maritime Commission (FMC), (3) the Office of Inspector General for the National Railroad Passenger Corporation (Amtrak), (4) the National Transportation Safety Board (NTSB), (5) the Neighborhood Reinvestment Corporation, and (6) the U.S. Interagency Council on Homelessness. Specifies certain uses and limits on or prohibitions against the use of funds appropriated by this Act. TCU supports the Bill because it provides reasonable funding for Amtrak and creates jobs. RCV # 421, H.R. 5972: Representative Braun (R-GA) offered an amendment to reduce the Federal Rail Administration (FRA) budget by $5.4 million; if implemented, the reduction would not allow the FRA to hire additional safety inspectors and fully implement the risk reduction program. The amendment was rejected by a vote of 173-230. TCU strongly supported a Nay vote. RCV # 422, H.R. 5972: Representative Braun (R-GA) offered an amendment to reduce the Federal Transit Administration (FRA) budget by $1.2 million. The amendment was rejected by a vote of 188-215. TCU supported a Nay vote.

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Railroad Retirement Board, SENATE, Surface Transportation Board (STB), Transportation, Dept of (DOT)

H.R.1 Full-Year Continuing Appropriations Act, 2011 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. H.AMDT.75 to H.R.1 Amendment sought to reduce the funding for AMTRAK Capitol by $446.9 million. Amendment sought to reduce the funding for AMTRAK Capitol by $446.9 million. H.R.28 Expressing the sense of the House of Representatives that the Transportation Security Administration should, in accordance with existing law, enhance security against terrorist attack and other security threats to our Nation's rail and mass transit systems and other modes of surface transportation; and for other purposes. Work to make the nations transportation systems safer. H.R. 1122 Freight FOCUS Act of 2011. To provide for merit-based investment in the freight transportation system of the United States to ensure economic growth, increase vitality and competitiveness in national and global markets, address goods mobility and accessibility issues, reduce air pollution and other environmental impacts of freight transportation, better public health conditions, enhance energy security, and improve the condition and connectivity of the freight transportation system, and for other purposes. Would help create jobs in the railroad industry. H.R.1213 To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges. Amends the Patient Protection and Affordable Care Act to repeal provisions appropriating funds to the Secretary of Health and Human Services (HHS) to award grants to states for activities (including planning activities) related to establishing an American Health Benefit Exchange (a state health insurance exchange). Rescinds any unobligated funds made available under such provisions. Hurts individual states ability to provide affordable health care. H.R.1473 Department of Defense and Full-Year Continuing Appropriations Act, 2011. Title I: General Provisions. It cuts funding for DOL training programs, eliminates appropriations to the Federal Railroad Administration (FRA) railroad safety technology program. Eliminates appropriations for FRA capital assistance for high speed rail corridors and intercity passenger rail service (with a rescission of prior year unobligated balances). Cuts spending in areas that are important to middle class working families and TCU members. H.R.1504 Altamont Corridor Rail Improvement Act of 2011 Altamont Corridor Rail Improvement Act of 2011 - Authorizes the Altamont Corridor Rail Project (California) for final design and construction of a new fixed guideway for FY2011-FY2021.Authorizes the Secretary of Transportation (DOT) to make allocations for capital investment grants for such fiscal years for any remaining preliminary engineering and final design and construction of the Project. Improves vital rail infrastructure in California. HR 1900 Surface Transportation and Mass Transit Security Act of 2011. A bill to authorize programs and activities within the Transportation Security Administration to enhance the security of surface transportation, including mass transit, and for other purposes. Focuses on needed security to Freight, Passenger and Commuter Rail systems. It makes a more secure workplace for workers. H.R.2354 Making appropriations for energy and water development and related agencies for the fiscal year ending September 30, 2012, and for other purposes. Funds for the Army Corps of Engineers are made available by transfer from emergency funds appropriated for Department of TransportationFederal Railroad AdministrationCapital Assistance for High Speed Rail Corridors and Intercity Passenger Rail Service. Rescinds unobligated balances of specified funds made available for the Department of Transportation (DOT), Federal Railroad Administration, Capital Assistance for High Speed Rail Corridors and Intercity Passenger Rail Service. This Bill kills good paying Middle Class Railroad and construction jobs. H.R.2350 Protecting Taxpayers in Transportation Asset Transfers Act. To secure public investments in transportation infrastructure. Allows for the use of any alternative analysis or environmental impact report relating the Project to satisfy Federal Railroad Administration capital assistance requirements for new fixed guideway capital projects. Supports the concept of this Bill to protect Tax Payers and Amtrak employees from private companies taking over companies like Amtrak. (Clean up the Bill is intended to stop the Mica Bill to privatize Amtrak.) S.699 Department of Energy Carbon Capture and Sequestration Program Amendments Act of 2011. Amends the Energy Policy Act of 2005 to direct the Secretary of Energy (DOE) to carry out a demonstration program for the commercial application of integrated systems for the capture, injection, monitoring, and long-term geological storage of carbon dioxide from industrial sources. Authorizes the Secretary to enter into cooperative agreements to provide financial and technical assistance to up to 10 demonstration projects. Sets forth requirements for demonstration projects relating to site safety, environmental protection and remediation, and site closure. Creates greater investment in clean coal technology that protects TCU jobs tied to the transportation of coal. .757 Carbon Dioxide Capture Technology Prize Act of 2011 Amends the Energy Policy Act of 2005 to: (1) direct the Secretary of Energy (DOE) to establish and award competitive technology financial awards for the development and implementation of technology to capture carbon dioxide from dilute sources, and (2) establish the Carbon Dioxide Capture Technology Advisory Board to advise the Secretary in carrying out duties under this Act. Terminates the Board and all authorities under this Act on December 31, 2020. Creates greater investment in clean coal technology that protects TCU jobs tied to the transportation of coal. Would help protect fossil fuels and jobs related to coal industry, important for railroad jobs. S.1300 Lincoln Legacy Infrastructure Development Act. (1) the American Association of State Highway and Transportation Officials estimates current highway, bridge, public transit, and freight and passenger rail funding needs are approximately $225,000,000,000 to $340,000,000,000 per year through 2055, while current spending is less than $90,000,000,000 per year. SEC. 6. RAILROAD REHABILITATION AND IMPROVEMENT FINANCING PROGRAM. Creates more Rail Jobs through greater investment in High-Speed Rail. S.1549 American Jobs Act of 2011 To provide tax relief for American workers and businesses, to put workers back on the job while rebuilding and modernizing America, and to provide pathways back to work for Americans looking for jobs. To put middle class workers back to work. H.R.4276 Surface Transportation Extension Act of 2012. To provide an extension of Federal-aid highway, highway safety, motor carrier safety, transit, and other programs funded out of the Highway Trust Fund pending enactment of a multiyear law reauthorizing such programs. We does not support inasmuch as the House should pass the Senate Bill which brings certainty to the industry and creates jobs. H.R.4272 Freight Rail Economic Development Act of 2012. Freight Rail Economic Development Act of 2012 - Directs the Secretary of Transportation (DOT) to make capital grants to a class I, class II, or class III railroad or a state or local government for freight rail economic development projects, particularly projects to construct freight rail switches and sidings. Prescribes prevailing wage rate requirements for such projects in accordance with the Davis-Bacon Act. We support helps with the seamless flow of rail transportation and helps the industry grow. H.R. 4348 Title I - Surface Transportation Extension Surface Transportation Extension Act of 2012, Amends the Surface Transportation Extension Act of 2011, Part II to continue through FY2012, and authorizes appropriations through that date for, specified federal-aid highway programs under the Safe, Accountable, Flexible, Efficient Transportation Equity Act. We approve as it will create jobs. H.R.5972 Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2013. Makes appropriations for FY2013 to: (1) the Access Board, (2) the Federal Maritime Commission (FMC), (3) the Office of Inspector General for the National Railroad Passenger Corporation (Amtrak), (4) the National Transportation Safety Board (NTSB), (5) the Neighborhood Reinvestment Corporation, and (6) the U.S. Interagency Council on Homelessness. Specifies certain uses and limits on or prohibitions against the use of funds appropriated by this Act. TCU supports the Bill because it provides reasonable funding for Amtrak and creates jobs. RCV # 421, H.R. 5972: Representative Braun (R-GA) offered an amendment to reduce the Federal Rail Administration (FRA) budget by $5.4 million; if implemented, the reduction would not allow the FRA to hire additional safety inspectors and fully implement the risk reduction program. The amendment was rejected by a vote of 173-230. TCU strongly supported a Nay vote. RCV # 422, H.R. 5972: Representative Braun (R-GA) offered an amendment to reduce the Federal Transit Administration (FRA) budget by $1.2 million. The amendment was rejected by a vote of 188-215. TCU supported a Nay vote.

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Railroad Retirement Board, SENATE, Surface Transportation Board (STB), Transportation, Dept of (DOT)

PPACA (ACA) implementation; HR2; HR4; HR1213; HR1214; HR1215: HR1217; HR5 the PATH Act; HR 452; HR1117; HR2500 EHR Incentive Parity for Multi-Campus Hospitals; S3178; HR5651 The Food and Drug Administration Safety and Innovation Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

House FY 13 Budget (H.Con.Res. 112) Mental Health in Schools Act (H.R. 751) Labor, Health and Human Services, and Education, and Related Agencies FY 12 Appropriations Act (S.1599/H.R.3070) Behavioral Health Information Technology Act of 2011 (S. 539/H.R. 6043) Healthy Lifestyles and Prevention America Act (S.174) Medicare Mental Health Access Act (S.483) Seniors Mental Health Access Improvement Act of 2011 (S.604) Medicare Mental Health Inpatient Equity Act (S.374) A Bill To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges (HR 1213) A Bill To repeal mandatory funding for school-based health center construction (HR 1214) A Bill To repeal the Prevention and Public Health Fund (HR 1217) Patients Rights Repeal Act (H.R. 2) Medicaid Maintenance-Of-Effort Repeal (H.R.1683/S. 868) The Garrett Lee Smith Memorial Act (GLSMA) Reauthorization of 2011 (S. 740) The Sergeant Coleman S. Bean Reserve Component Suicide Prevention Act (H.R. 1089/S. 579) The Keeping All Students Safe Act (H.R. 1381/S.2020) The Ryan Creedon Act of 2011 (H.R. 2119) Mental Health on Campus Improvement Act, H.R. 1833 Constitutional Balanced Budget Amendment (H.J.Res. 1/S.J.Res. 23) Agriculture FY12 Appropriations (HR 2112) Military/Veterans FY12 Appropriations (HR 2055) Medicare Decisions Accountability Act of 2011 (IPAB; HR 452/S. 668) Cap, Cut and Balance Bill (HR 2560/S. 1340) CAMPUS Safety Act of 2011 (HR 2342) Health Equity and Accountability Act of 2011 (H.R.2954) Continuing Appropriations Act, 2012 (HR 2608) Medigap Medical Loss Ratio Improvement Act (S.1416/H.R.2645) Improving Access to Medicare Coverage Act of 2011 (S.818) Stop Child Abuse in Residential Programs for Teens Act of 2011 (H.R.3126) Commerce/Justice/State FY12 Appropriations Act (HR.2596/S.1572) Promoting Accountability and Excellence in Child Welfare Act (S. 1509) Lifespan Respite Reauthorization Act (HR 3266) Consolidated FY2012 Appropriations Act (was Military/Veterans; HR 2055) Children's Budget Act (S.1396) Middle Class Tax Cut Act of 2011 (H.R. 3630) Speak Up Act Letter of Support (S. 1877) Reauthorization of Drug-Free Communities Support Program (S. 2159) WIPA and PABSS Continuation of Services Act of 2012 (H.R.6061) The Childrens Mental Health Accessibility Act (S. 3289) Departments of Labor, Health and Human Services, and Education Appropriations Act, 2013 (S.3295) Military/Veterans FY13 Appropriations (H.R. 5854/S. 3215) Excellence in Mental Health (S. 2257/H.R. 5989) Mental Health First Aid Higher Education Act (S. 3325/H.R. 5996) Health Equity and Accountability Act (HEAA) of 2012 (S. 2474) Pharmaceutical Stewardship Act of 2011 (H.R. 2939) Food and Drug Administration Reform Act of 2012 (H.R. 5651/S. 3187) Mental Health ACCESS Act of 2012 (S. 3340) Medicaid Information Technology to Enhance Community Health Act of 2012 (S.3539) Recidivism Reduction Act (H.R.6256) To provide payment for patient navigator services under title XIX of the Social Security Act (H.R.6521)

Client expense: $8,670 · Firm income: Not reported

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

HR 1213 - To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges: entire bill HR 1216 - To amend the Public Health Service Act to convert funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations: entire bill HR 1213 To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges: entire bill HR 1216 To amend the Public Health Service Act to convert funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations: entire bill HR 2 Repealing the Job-Killing Health Care Law Act: entire bill S 192 Repealing the Job-Killing Health Care Law Act: entire bill S 248 Empowering States to Innovate Act: entire bill HR 844 Empowering States to Innovate Act: entire bill Public Law No. 111-148 Patient Protection and Affordable Care Act: entire law Public Law No. 111-152 Health Care and Education Reconciliation Act of 2010: entire law HR 3587 Fair Pay to Medicaid Providers Act of 2011: entire bill HR 6079 Repeal of Obamacare Act: entire bill HR 6138 Ending the HIV/AIDS Epidemic Act of 2012: entire bill Ryan White HIV/AIDS Program Reauthorization (no number; not up until 2013): entire bill HR 2543 Stop Deceptive Advertising for Women's Services Act: entire bill S 1374 Stop Deceptive Advertising for Women's Services Act: entire bill S 1415 Access to Birth Control Act: entire bill HR 2659 Access to Birth Control Act: entire bill HR 2678 Communities of Color Teenage Pregnancy Prevention Act of 2011: provisions related to family planning and reproductive health: entire bill S 1437 Communities of Color Teenage Pregnancy Prevention Act of 2011: provisions related to family planning and reproductive health: entire bill HR 1085 Repealing Ineffective and Incomplete Abstinence-Only Program Funding Act of 2011: entire bill S 578 Repealing Ineffective and Incomplete Abstinence-Only Program Funding Act of 2011: entire bill HR 2954 Health Equity and Accountability Act of 2011: entire bill S 2474 Health Equity and Accountability Act of 2012: entire bill S 1782 Real Education for Healthy Youth Act of 2011: entire bill HR 3324 Real Education for Healthy Youth Act of 2011: entire bill HR 4271 Violence Against Women Reauthorization Act of 2012: entire bill HR 4970 Violence Against Women Reauthorization Act of 2012: entire bill HR 4982 Violence Against Women Reauthorization Act of 2012: entire bill S 1925 Violence Against Women Reauthorization Act of 2011: entire bill S 2338 Violence Against Women Reauthorization Act of 2012: entire bill HR 5650 Protecting Women's Access to Health Care Act: entire bill

Client expense: $197,224 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID)

HR 1 Full Year Continuing Appropriations Act 2011, making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011; HR 2 Repealing the Job-Killing Health Care Law Act, to repeal the job-killing health care law and health care-related provisions in the Health Care and Education Reconciliation Act of 2010; HR 4 Small Business Paperwork Mandate Elimination Act of 2011, offsets the cost of 1099 repeal by increasing the maximum amount of tax subsidy to be repaid if a persons (or familys) income exceeds 400% of poverty; HR 5, S 218, HR 105 and S 1099 Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act, to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; HRes 9 Instructing four committees to produce legislation to replace the health reform law and to include a permanent fix to the SGR; S 296 and HR 2245 Preserving Access to Life-Saving Medications Act of 2011, to amend the Federal Food, Drug, and Cosmetic Act to provide the Food and Drug Administration with improved capacity to prevent drug shortages; HR 705 The Comprehensive 1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act of 2011, to amend the Internal Revenue Code of 1986 to repeal the expansion of information reporting requirements to payments made to corporations, payments for property and other gross proceeds, and rental property expense payments; HR 1213 To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges; HR 1217 to repeal the Prevention and Public Health Fund; S 539 Behavioral Health Information Technology Act of 2011, a bill to amend the Public Health Services Act and the Social Security Act to extend health information technology assistance eligibility to behavioral health, mental health, and substance abuse professionals and facilities; S 668 Health Care Bureaucrats Elimination Act, a bill to remove unelected, unaccountable bureaucrats from seniors' personal health decisions by repealing the Independent Payment Advisory Board; Allow hospitals to claim the full cost of provider taxes as allowable costs; Ensure CAHs are paid at least 101 percent of costs by Medicare Advantage plans; Ensure that the Centers for Medicare & Medicaid Services (CMS) appropriately addresses the issue of direct supervision for outpatient therapeutic services for rural hospitals and CAHs; Ensure rural hospitals and CAHs have adequate reimbursement for certified registered nurse anesthetist and stand-by services; Exempt CAHs from the Independent Payment Advisory Board; Extend expiring provisions; Provide small, rural hospitals with cost-based reimbursement for outpatient laboratory services and ambulance services; Provide CAHs bed size flexibility; Reinstate CAH necessary provider status; Remove unreasonable restrictions on CAHs ability to rebuild; Discussions on a bill to credit some observation status days to 3 day inpatient hospital stays; Worked with HHS on establishing the Partnership for Patients Program to improve patient safety activities in hospitals; HR 1929 Emergency Nursing Relief Act, provides for 20,000 additional immigrant visas (green cards) for Registered Nurses, and their immediate family members. Visas issued to the family members would not count against the 20,000 quota. The Secretary of State would not be permitted to issue more visas than this set quota. Employers are charged $1,500 for these visas which would support funding US nursing programs; HR 1933, to amend the Immigration and Nationality Act to modify the requirements for admission of nonimmigrant nurses in health professional shortage areas and calls for a limited revival of the H-1C program; S 778 Protecting Access to Rural Therapy Services (PARTS) Act, a bill to amend title XVIII of the Social Security Act with respect to physician supervision of therapeutic hospital outpatient services; HR 1363 Department of Defense and Further Additional Continuing Appropriations Act, 2011; Letter to oppose Cuts to the funding of the Hospital Preparedness Program; HR 1214 a bill to repeal mandatory funding for school-based health center construction, it amends the Patient Protection and Affordable Care Act to repeal the program requiring the Secretary of Health and Human Services (HHS) to award grants to school-based health centers or their sponsoring facilities to support the operation of such health centers. Rescinds unobligated appropriations for the program. Urging that final Accounting of Disclosures rule not include the proposal to require provision of an access report to patients; HR 1540 National Defense Authorization Act of 2012, a bill to establish a working group within the Department of Defense to comprehensively review all TRICARE policies and practices related to pediatric care and to develop recommendations that specifically address the health care needs of children of military families; S 1854 Medical Surge Capacity Act, a bill to enhance medical surge capacity which uses lessons learned from previous disasters to make critical changes when responding to a natural or manmade disaster; HR 2405 and S 1855 Pandemic and All-Hazards Preparedness Act Reauthorization of 2011, a bill to amend the Public Health Service Act to reauthorize various programs under the Pandemic and All-Hazards Preparedness Act; S. 1979 Conrad State 30 Improvement Act (Immigration) , a bill to help streamline J-1 visa waiver process for hospitals to hire international physicians to practice in rural and medically underserved communities; Critical Access Hospital (CAH) Letter from Rep. Ron Kind and Rep. Jo Ann Emerson to the supercommittee to protect CAH from potential cuts or other detrimental policy changes; Urging the Super Committee to reject cuts to inpatient rehabilitation facilities (IRFs); Extender's letter to supercommittee with a list of hospital specific issues that need to be addressed; HR 3586 Good Samaratin Health Professionals Act, a bill to amend the PHSA to limit the liability of healthcare professionals who volunteer to provide healthcare services in response to disaster; HR 3839 Drug Shortage Prevention Act of 2012, to address critical drug shortage; S 2193 Ensuring Safe Medical Devices for Patients, a bill to require the Food and Drug Administration to include devices in the postmarket risk identification and analysis system, to expedite the implementation of the unique device identification system for medical devices; HR 4246 VA Enrollment Act, to amend title 38, United States Code, to provide for the expansion of eligibility for veteran reimbursement for emergency treatment provided in non-Department of Veterans Affairs facilities; HR 5800 Health Care Price Transparency Promotion Act of 2012, to amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs; H.R.6118 and S.3391 Taking Essential Steps for Testing Act of 2012. to amend the Public Health Service Act to revise sanctions for laboratories that intentionally refer proficiency testing samples required for certification to another laboratory for analysis by: (1) giving the Secretary of Health and Human Services (HHS) discretion to substitute intermediate sanctions for such violations instead of the two-year prohibition against ownership or operation which would otherwise apply, and (2) making the one-year certificate revocation for such a laboratory optional rather than mandatory. Which gives CMS more discretion in enforcing the Clinical Laboratory Improvement Amendments to preserve patient access to lab services.

Client expense: $3,550,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Equal Employment Opportunity Commission (EEOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Office of Management & Budget (OMB), SENATE, White House Office

Issues relating to health disparities, health care reform, quality of life and palliative care, federal health care programs, genetic information, cancer, nutrition, and wellness, including the following legislation: S. 494 and H.R. 912, Colorectal Cancer Prevention, Early Detection & Treatment Act; H.R. 1213, Repeal mandatory funding provided to states in PPACA to establish American Health Benefit Exchanges; H.R. 1217, Repeal Prevention and Public Health Fund; H.R. 1740 and H.R. 5560, the Quality Cancer Care for Life Act of 2010; H.R.2941 and S.3493; H.R.3974, Viral Hepatitis and Liver Cancer Control and Prevention Act of 2009; H.R.4662, the Lymphedema Diagnosis and Treatment Cost Savings Act of 2010; the implementation of P.L. 111-148, the Patient Proection and Affordable Care Act of 2010; S.1064, the Sun Act; S.965, the Family Act; H.R.2954, Health Equity and Accountability Act of 2011; and H.R.2077, the MLR Repeal Act; H.R.2245 and S.296 Preserving Access to Life-Saving Medications Act, issues related to the reauthorization of the prescription drug user fee, S.3187, the FDA Safety and Innovation Act and the House Companion legislation, and issues relating to the ongoing national shortage of cancer drugs, Amendment relating to S.1813, the Moving Ahead for Progress in the 21st Century Act, and H.R.4274, reauthorization of the Best Pharmaceuticals for Children Act and the Pediatric Research Equity Act. Issues relating to global health including S.2515, the Clean Cookstoves Support Act of 2012; H.R.6155 & S.3047, the Palliative Care and Hospice Education & Training Act; and H.R.6157, the Patient Centered Quality of Care Act.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID), White House Office

HR 1213 - To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges: entire bill HR 1216 - To amend the Public Health Service Act to convert funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations: entire bill HR 1213 To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges: entire bill HR 1216 To amend the Public Health Service Act to convert funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations: entire bill HR 2 Repealing the Job-Killing Health Care Law Act: entire bill S 192 Repealing the Job-Killing Health Care Law Act: entire bill S 248 Empowering States to Innovate Act: entire bill HR 844 Empowering States to Innovate Act: entire bill Public Law No. 111-148 Patient Protection and Affordable Care Act: entire law Public Law No. 111-152 Health Care and Education Reconciliation Act of 2010: entire law HR 3587 Fair Pay to Medicaid Providers Act of 2011: entire bill HR 6079 Repeal of Obamacare Act: entire bill HR 6138 Ending the HIV/AIDS Epidemic Act of 2012: entire bill Ryan White HIV/AIDS Program Reauthorization (no number; not up until 2013): entire bill HR 2543 Stop Deceptive Advertising for Women's Services Act: entire bill S 1374 Stop Deceptive Advertising for Women's Services Act: entire bill S 1415 Access to Birth Control Act: entire bill HR 2659 Access to Birth Control Act: entire bill HR 2678 Communities of Color Teenage Pregnancy Prevention Act of 2011: provisions related to family planning and reproductive health: entire bill S 1437 Communities of Color Teenage Pregnancy Prevention Act of 2011: provisions related to family planning and reproductive health: entire bill HR 1085 Repealing Ineffective and Incomplete Abstinence-Only Program Funding Act of 2011: entire bill S 578 Repealing Ineffective and Incomplete Abstinence-Only Program Funding Act of 2011: entire bill HR 2954 Health Equity and Accountability Act of 2011: entire bill S 2474 Health Equity and Accountability Act of 2012: entire bill S 1782 Real Education for Healthy Youth Act of 2011: entire bill HR 3324 Real Education for Healthy Youth Act of 2011: entire bill HR 4271 Violence Against Women Reauthorization Act of 2012: entire bill HR 4970 Violence Against Women Reauthorization Act of 2012: entire bill HR 4982 Violence Against Women Reauthorization Act of 2012: entire bill S 1925 Violence Against Women Reauthorization Act of 2011: entire bill S 2338 Violence Against Women Reauthorization Act of 2012: entire bill S 3539 Medicaid Information Technology to Enhance Community Health Act of 2012: entire bill HR 5650 Protecting Women's Access to Health Care Act: entire bill

Client expense: $137,077 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID)

Pub. Law 111-148 and 111-152, Patient Protection and Affordability Care Act - Discussed implementation of certain provisions related to affordable quality health care and expand access to long-term services and supports. Discussed employer sponsored wellness programs. (no bill) Discussed need for transparency in rate reviews. (no bill) Discussed need for consumer protection in internal and external appeals for self-funded plans. (no bill) H. R. 1213, To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges - Sent letter in opposition to HR 1213 which would repeal the mandatory funding provided to states under the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges. Discussed medical loss ratio. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared Savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. (no bill) Lobbied in support of Medicare physician payment reform. (no bill) Discussed legislation to make prescription drugs more affordable to older Americans. (no bill) Discussed Consumer protection and implementation of the Affordable Care Act (P.L. 111-148). S. 3295, the Labor-HHS Appropriations bill for FY 2013 - Lobbied to protect funding for program authorized under the Affordable Care Act, including CMS State Health insurance exchanges, state survey and demonstrations and preventive health.

Client expense: $2,720,000 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Commodity Futures Trading Commission (CFTC), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Energy Regulatory Commission (FERC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Highway Traffic Safety Administration (NHTSA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act (H.R.4) Access to Independent Health Insurance Advisors Act (S.2068/S.2288) Access to Professional Health Insurance Advisors Act of 2011 (H.R.1206) Draft Legislation to Prevent Enforcement of Grandfathered Health Plan Regulation Draft Research Priorities (PCORI) EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2011 (H.R.3144) Essential Health Benefits Data Collection Proposed Rule (HHS) Experimental Study on Consumer Responses to Nutrition Facts Labels with Various Footnote Formats and Declaration of Amount of Added Sugars (FDA-2012-N-0495) Food and Drug Administration Safety and Innovation Act (FDA User Fee bills, S.3187/H.R.3988) Guidance on Defining Minimum Essential Value of Employer-Sponsored Insurance (Treasury) Guidance on Federally Facilitated Exchanges (HHS) Health Benefit Exchanges (H.R.1213) Health Care Cost Reduction Act (H.R.436) Health Equity and Accountability Act (H.R.2954/S.2474) Health Risk Assessments in Medicare Comments (CDC) Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S.438/H.R.3526) H.R. 436, Health Care Cost Reduction Act Interest Rate Reduction Act (H.R.4628/S.2366) and other legislation using Prevention Fund to offset student loans Josh Miller Helping Everyone Access Responsive Treatment in Schools (HEARTS) Act (H.R.1377) Menu Labeling (ACA Section 4205) Middle Class Tax Relief and Job Promotion Act (H.R.3630) National Prevention Strategy, Request for Comments (HHS - Surgeon General) Patient Protection and Affordable Care Act (P.L. 111-148; P.L. 111-152) - Implementation Prevention and Public Health Fund (ACA Section 4002) Qualified Health Plan Accreditation Proposed Rule (HHS) Repealing the Job-Killing Health Care Law Act (H.R.2) Sequester Replacement Reconciliation Act (H.R.5652) State Flexibility Act (H.R.1683/S.868) To Repeal Mandatory Funding Provided to States in the Patient Protection and Affordable Care Act to Establish American To Repeal the Patient Protection and Affordable Care Act (H.R.6079) Temporary Payroll Tax Cut Continuation Act (H.R.3630 - Medicare therapy caps exceptions process) To Repeal Mandatory Funding to States to Establish American Health Benefit Exchanges (H.R.1213) To Repeal Medical Loss Ratio Requirements (H.R.2077) To Repeal the Prevention and Public Health Fund (H.R.1217)

Client expense: $136,382 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Treasury, Dept of

Support ending health care disparities among racial and ethnic minorities, support the Affordable Care Act. Reject efforts to repeal health care reform; oppose H.R. 2. Oppose efforts to repeal health car reform via the appropriations process. Oppose cuts in the federal budget to Community Health Care Centers. Fight childhood hunger and obesity -- support a robust, well-funded child nutrition bill. Work to eliminate "food deserts" in low-income neighborhoods, support the establishment of farmers markets and other means of fresh fruits and vegetables in urban areas. Support the National Youth Sports Program Revitalization Act of 2010. Support full funding for HIV/AIDS treatment, prevention and cure. Support H.R. 894, the Maternal Health Accountability Act of 2011. Oppose efforts to privatize Medicare and make Medicaid a block grant program. Oppose H. Con. Res. 35. Oppose banning of all funds to Planned Parenthood affiliates. Oppose H. Con. Res. 36. Oppose H.R. 1227. Support the development and implementation of health insurance exchanges. Support FIT Kids Act (support H.R. 1057 and S.576). Support State Insurance Exchange Programs. Oppose H. R. 1213. Support School based health centers. Oppose H.R. 1214. Support the Prevention and Public Health Fund. Oppose H.R. 1217. Support S. 919, the Successful, Safe, and Healthy Students Act of 2011. Support September as Childhood Obesity Awareness Month. Support H.Res. 339. Support reducing maternal mortality. Support H.R. 894. Support increased funds for AIDS awareness, prevention & treatment. Support a strong and robust Medicaid program. Oppose cuts to Medicaid. Support efforts to advance health equity in the establishment of health insurance Exchanges and the certification of Qualified Health Plans (QHPs) as prescribed in the Affordable Care Act. Support the Health Equity and Accountability Act; support H.R. 2945. Support robust implementation of the data collection requirements of the Affordable Care Act (ACA) . Ensure that the rules surrounding the creation of Accountable Care Organizations under the ACA improve the quality of our healthcare system overall by delivering coordinated, patient- and family-centered care, and greatly advance the effort to achieve health equity. Oppose H.R. 3541, the "Susan B. Anthony and Frederick Douglas Prenatal Non Discrimination Act". Support designating September as National Childhood Obesity Month. Support H. Res. 339. Support the inclusion of prohibitions on discrimination on the basis of race, color, national origin, disability, age, sex, gender identity, or sexual orientation in the establishment of health insurance Exchanges and the certification of Qualified Health Plans as required by the Affordable Care Act. Oppose the Center for Medicare and Medicaid Services (CMS) proposed regulations that would require private Medicare plans (Part C and D) to translate written materials only into languages spoken by 10% of the population in the plans service area. Rather, the NAACP strongly urges CMS to consider an alternative standard of 5% of the general population or 500 individuals served in the service area, whichever is smaller to ensure that every American can access Medicare services. Support H.R. 1880, the Status Report on the 30th Anniversary of HIV/AIDS Act. Support full funding for funding for domestic HIV/AIDS programs. Suport Needle Exchange programs. Support H.R. 2086 / S. 2149, the Medical Debt Responsibility Act, which requirees that credit agencies to remove FULLY paid or settled medical debt from credit reports within 45 days. Oppose legislation which would impose unprecedented burdens on parties in cases involving a wide array of federal protections in areas such as environmental, consumer, health care, and civil rights laws. Oppose H.R. 3041, H.R. 3862, and H.R. 1996. Support the HEART for Women Act (S. 438/H.R. 3526). Support a long term transportation bill which will: 1.Preserve and expand existing programs that fund essential transportation options bicycling, walking, and public transportation. 2.Expand access to quality transportation jobs for the chronically-unemployed, low-income people, individuals with disabilities, women, and communities of color. 3.Strengthen enforcement of existing civil rights provisions. 4.Improve transportation outcomes through strategic planning with measures that promote economic and social equity. 5.Reform transportation funding to lower household expenses and foster community development. Express concern about a state-based benchmark approach to implementing the Essential Health Benefit (EHB) package. In particular, we believe that flexibility without robust anti-discrimination enforcement mechanisms will undermine critical civil rights protections in the Affordable Care Act (ACA). Oppose the Center for Medicare and Medicaid Services (CMS) proposed regulations that would require private Medicare plans (Part C and D) to translate written materials only into languages spoken by 10% of the population in the plans service area. Rather, the NAACP strongly urges CMS to consider an alternative standard of 5% of the general population or 500 individuals served in the service area, whichever is smaller to ensure that every American can access Medicare services. Oppose a repeal of the Community Living Assistance Services and Supporters program. Oppose HR 1173. Oppose the Red Tape Reduction and Small Business Job Creation Act" (H.R. 4078), which includes the Regulatory Freeze For Jobs Act, the Midnight Rule Relief Act of 2012" (H.R. 4607), and the Sunshine for Regulatory Decrees and Settlements Act of 2012 (H.R. 3862), among other harmful bills. Support LGBT designation as a health disparity population by the National Institute for Minority Health and Health Disparities (NIMHD). Urge Congress to take a balanced approach, invest in strategies that create job growth, lift children and families out of poverty and ensure racial and ethnic minorities are not disproportionately adversely impacted. Strategies include full funding for the Affordable Care Act to protect all provisions in the law, and especially for expansion of Medicaid, establishment of Exchanges, subsidies for people with low incomes and small businesses, and for the Prevention and Public Health Fund; retaining the structure of the Medicaid program so that it remains an entitlement program to provide states with sufficient financial resources to administer their Medicaid programs for underserved communities experiencing health disparities; level funding for the REACH US Program to advance community driven strategies and interventions for the elimination of racial and ethnic chronic disease health disparities and enhance the capacity to conduct evaluation, increase dissemination, facilitate Technical Assistance and mentoring for other federal initiatives; the Public Health Prevention Fund and Community Transformation Grant program must be fully funded in order to effectively reduce the incidence of costly chronic diseases, help improve health, address health inequities, and control health-care spending; an increase in funding from the Presidents request to support its efforts to promote community solutions to eliminate health disparities, improve the diversity and cultural competency of the health-related workforce, and ensure access to quality, culturally and linguistically appropriate care; sufficient funding to accomplish HHS's overall data collection mission; the HHS Office of Civil Rights' needs additional funding to ensure that it has the staff and resources to appropriately investigate and enforce these critical laws; more funding is needed for the HHS Office of Minority Health to ensure these offices have the staff and resources needed to carry out their mission; and investing in the The Healthy Food Financing Initiative. Support requiring the FDA to report on the availability of new drug and device safety and efficacy data by sex, age, and racial and ethnic subgroups. Support the Cardin-Cochran amendment to MAP-21, which gives local governmentsthose closest to the needs of their constituents and communitiesan opportunity to weigh in on how states spend their Additional Activities federal transportation dollars. Support federal support for school-based health centers in the Presidents Budget for Fiscal Year 2014. Support the State Paid Leave Fund. Strongly support the prominence given to the goal of reducing health disparities in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programss structure; however, we are concerned that the meaningful use requirements as proposed are inadequate to achieve this outcome. Specifically, we support the incentive programs reinforcing federal civil rights and health information privacy laws; the incentive program requiring robust demographic data collection and use, inlcuding disability status data collection, sexual orientation and gender identity data collection, and geographic information; and the incentive program should build linkages with existing health disparity strategies. Support ensuring that pregnant workers are not forced out of their jobs unnecessarily or denied reasonable job modifications that would allow them to continue working and supporting their families. Strongly support H.R. 2086 and S. 2149, the Medical Debt Responsibility Act. Oppose policy "riders" on the Commerce Justice Science Appropriations bill for FY 13 which would prohibit the US DoJ from supporting legal efforts to implement the Affordable Care Act. Support the nomination of Dr. Kimberly Jeffries Leonard to serve as Director of the Center for Mental Health Services within the Substance Abuse Mental Health Services Administration. Support the use of federal funding for syringe access programs in the FY 2013 Labor-Health and Human Services-Education (LHHS) Appropriations bill. Support full implementation of all provisions in the Affordable Care Act, in particular full implementation of the Medicaid expansion in 50 states and the District of Columbia. Support a revised health disparity population designation methodology that draws on the existing evidence base on lesbian, gay, bisexual, and transgender (LGBT) health disparities and leads to the LGBT population being formally designated as a health disparity population. Support full funding for the implementation of the Affordable Carre Act: funding should be protected for all provisions in the law, and especially for expansion of Medicaid, establishment of Exchanges, subsidies for people with low incomes and small businesses, and for the Prevention and Public Health Fund. Support $54 Million for the REACH (Racial and Ethnic Approaches to Community Health) Program in Fiscal Year 2013. Support an increase in funding above $41 million to support the efforts of the efforts of the Office of Minority Health (OMH) to promote community solutions to eliminate health disparities, improve the diversity and cultural competency of the health-related workforce, and ensure access to quality, culturally and linguistically appropriate care. Support sufficient funding to accomplish the Department of Health and Human Service's overall data collection mission. Support additional funding for the HHS Office of Civil Rights (OCR). With the elevation of the Office of Minority Health to the Office of the Secretary and creation of six new offices of minority health throughout HHS, more funding is needed to ensure these offices have the staff and resources needed to carry out their mission. Support the Healthy Food Financing Initiative, which serves to improve access to healthy food in low-income communities across the country by providing loans and grants to open new supermarkets and fresh food retailers to improve access to healthy food in underserved areas. President Obamas budget request includes $285 million for HFFI, which includes $10 million at the Department of Health and Human Services (HHS), $25 million in Community Development Financial Institutions funding at the Department of Treasury, and a $250 million set-aside request within the broader $7 billion New Markets Tax Credit program for HFFI. The budget also calls for the Department of Agriculture (USDA) to target additional resources toward the overall goals of combating food deserts and increasing access to healthy food. Investing in HFFI would promote increased access to healthy food, create new jobs, improve health, and generate new economic opportunities in low-income communities across the nation. Advocated that the United States use its stature and position to have the NAACP policy agenda included in any and all relevant United Nations' treaties and other compliance documents.

Client expense: $62,500 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Bureau of Indian Affairs (BIA), Centers For Disease Control & Prevention (CDC), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Aviation Administration (FAA), Federal Bureau of Investigation (FBI), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Housing Finance Agency (FHFA), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Park Service (NPS), Office of Personnel Management (OPM), Office of Thrift Supervision (OTS), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Social Security Administration (SSA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Commission on Civil Rights, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), Voice of America, White House Office

Issues relating to health disparities, health care reform, quality of life and palliative care, federal health care programs, genetic information, cancer, nutrition, and wellness, including the following legislation: S. 494 and H.R. 912, colorectal Cancer Prevention, Early Detection & Treatment Act; H.R. 1213, repeal mandatory funding provided to states in PPACA to establish American Health Benefit Exchanges; H.R. 1217, repeal Prevention and Public Health Fund; H.R. 1740 and H.R. 5560, the Quality Cancer Care for Life Act of 2010; H.R. 2941 and S. 3493; the Patient Protection and Affordable Care Act of 2010; S. 1064, the Sun Act; S. 965, the Family Act; H.R. 2954, Health Equity and Accountability Act of 2011; and H.R. 2077, the MLR Repeal Act; H.R. 2245 and S. 296 Preserving Access to Life-Saving Medications Act, issues related to the reauthorization of the prescription drug user fee, S. 3187, the FDA Safety and Innovation Act and the House Companion legislation, and issues relating to the ongoing national shortage of cancer drugs, amendment relating to S. 1813, the Moving Ahead for Progress in the 21st Century Act, and H.R. 4274, reauthorization of the Best Pharmaceuticals for Children Act and the Pediatric Research Equity Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Changes in Health Insurance Markets HR2 - Repealing the Job-Killing Health Care Law Act HR397 - Reform Americans Can Afford Act of 2011 Changes in Health Insurance Markets HR1206 - Access to Professional Health Insurance Advisors Act of 2011 HR1213 - To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges

Client expense: $9,820,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Energy, Dept of, Environmental Protection Agency (EPA), Federal Accounting Standards Advisory Board (FASAB), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Housing Finance Agency (FHFA), Federal Reserve System, Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Natl Economic Council (NEC), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

PPACA (ACA) implementation; HR2; HR4; HR1213; HR1214; HR1215: HR1217; HR5 the PATH Act; HR452; HR1117; HR2500 EHR Incentive Parity for Multi-Campus Hospitals; S3178; HR5651 The Food and Drug Administration Safety and Innovation Act;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1 Full-Year Continuing Appropriations Act, 2011 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. Cuts spending in areas that are important to middle class working families. H.AMDT.75 to H.R.1 Amendment sought to reduce the funding for AMTRAK Capitol by $446.9 million. Funding cuts for Amtrak would hurt unions ability to provide much needed transportation alternatives throughout the country. H.AMDT.229 (A020) Amendment sought to strike section 903. Section 903 repeals a National Mediation Board (NMB) rule, finalized last year, which provides for union representation elections among airline and railroad workers covered by the Railway Labor Act. An amendment numbered 21 printed in House Report 112-46 to strike section 903. Section 903 repeals a National Mediation Board (NMB) rule, finalized last year, which provides for union repr presentation elections among airline and railroad workers covered by the Railway Labor Act. Puts unions at a disadvantage to organize new members in the railroad and airlines industries. H.Res.28 Expressing the sense of the House of Representatives that the Transportation Security Administration should, in accordance with existing law, enhance security against terrorist attack and other security threats to our Nation's rail and mass transit systems and other modes of surface transportation; and for other purposes. Work to make the nations transportation systems safer. H.R.55 Northern Virginia Metrorail Extension Act of 2011. Authorizes alternatives analysis and preliminary engineering for specified Metrorail new fixed guideway capital projects in Virginia, Washington, D.C., and Maryland. To improve passenger transportation in the DC area. H.R.304 To amend the limitation on liability for certain passenger rail accidents or incidents under section 28103 of title 49, United States Code, and for other purposes. Increases from $200 million to $275 million the aggregate allowable amount that can be awarded (liability cap) for a single passenger rail accident or incident that was proximately caused by gross negligence or willful misconduct of a defendant (except a defendant that is governmental entity such as Amtrak). (Current law limits to $200 million the aggregate allowable award to all rail passengers, against all defendants, for all claims, including claims for punitive damages, arising from a single accident or incident.) Raises the liability for affected families or persons who suffer a loss due to injury. H.R. 548 Restoring Democracy in the Workplace Act. Declares that a specified rule prescribed by the National Mediation Board relating to representation election procedures shall have no force or effect. Anti-labor bill. Unfair elections. Would harm democracy in the workplace. H.R. 613 To strengthen Buy America requirements applicable to airports, highways, high-speed rail, trains, and transit, and for other purposes. Would create good middle class jobs in the USA. H.R. 1122 Freight FOCUS Act of 2011. To provide for merit-based investment in the freight transportation system of the United States to ensure economic growth, increase vitality and competitiveness in national and global markets, address goods mobility and accessibility issues, reduce air pollution and other environmental impacts of freight transportation, better public health conditions, enhance energy security, and improve the condition and connectivity of the freight transportation system, and for other purposes. Would help create jobs in the railroad industry. H.R.1213 To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges. Amends the Patient Protection and Affordable Care Act to repeal provisions appropriating funds to the Secretary of Health and Human Services (HHS) to award grants to states for activities (including planning activities) related to establishing an American Health Benefit Exchange (a state health insurance exchange). Rescinds any unobligated funds made available under such provisions. Hurts individual states ability to provide affordable health care. S.1 American Competitiveness Act. Expresses the sense of the Senate that Congress should: eliminate tax loopholes that encourage companies to ship American jobs overseas; expand markets for United States exports; promote the development of new, innovative products bearing the inscription "Made in America"; modernize and improve U.S. highways, bridges, and transit systems; modernize and upgrade U.S. rail, levees, dams, and ports; place computers in classrooms; ensure that U.S. small businesses and households have access to high-speed broadband; invest in critical new infrastructure; streamline U.S. regulatory policies. Greater investment in rail structure. To improve transportation to make competitive in the world market. S.223: FAA Air Transportation Modernization and Safety Improvement Act. A bill to modernize the air traffic control system, improve the safety, reliability and availability of transportation by air in the United States, provide modernization of the air traffic control system, reauthorize the Federal Aviation Administration, and for other purposes. Impacts air transportation issues. S.504 National Right-to-Work Act. To preserve and protect the free choice of individual employees to form, join, or assist labor organizations, or to refrain from such activities. Anti-union bill. Puts unions at a disadvantage. H.R.1473 Department of Defense and Full-Year Continuing Appropriations Act, 2011. Title I: General Provisions. It cuts funding for DOL training programs, eliminates appropriations to the Federal Railroad Administration (FRA) railroad safety technology program. Eliminates appropriations for FRA capital assistance for high speed rail corridors and intercity passenger rail service (with a rescission of prior year unobligated balances). Cuts spending in areas that are important to middle class working families and TCU members. HR 1900 Surface Transportation and Mass Transit Security Act of 2011. A bill to authorize programs and activities within the Transportation Security Administration to enhance the security of surface transportation, including mass transit, and for other purposes. Focuses on needed security to Freight, Passenger and Commuter Rail systems. It makes a more secure workplace for workers. S. 1549 American Jobs Act of 2011 To provide tax relief for American workers and businesses, to put workers back on the job while rebuilding and modernizing America, and to provide pathways back to work for Americans looking for jobs. To put middle class workers back to work. S.1769 Rebuild America Jobs Act. Rebuild America Jobs Act - Prohibits the use of funds made available by this Act for a project for the construction, alteration, maintenance, or repair of a public building or public work unless all of the iron, steel, and manufactured goods used in such project are produced in the United States (Buy American). Keeps good jobs for American workers. H.R.3538 To amend the Railway Labor Act to direct the National Mediation Board to apply the same procedures, including voting standards, to the direct decertification of a labor organization as is applied to elections to certify a representative, and for other purposes. We do not support. NMB is an important agency that protects workers rights. H.R.4276 Surface Transportation Extension Act of 2012. To provide an extension of Federal-aid highway, highway safety, motor carrier safety, transit, and other programs funded out of the Highway Trust Fund pending enactment of a multiyear law reauthorizing such programs. We does not support inasmuch as the House should pass the Senate Bill which brings certainty to the industry and creates jobs. S.1831 Access to Capital for Job Creators Act. Access to Capital for Job Creators Act - Amends the Securities Act of 1933 to exempt from proscriptions governing interstate commerce and the mails those transactions by an issuer that do not involve a public offering, whether or not such transactions involve general solicitation or general advertising. We support as it creates jobs. S. 1813 To reauthorize Federal-aid highway and highway safety construction programs, and for other purposes. Moving Ahead for Progress in the 21st Century or MAP-21 - Authorizes appropriations out of the Highway Trust Fund (HTF) (other than the Mass Transit Account) equal to current federal highway spending levels plus inflation for FY2012 and FY2013 for: (1) certain new and existing core federal-aid highway programs, and (2) Federal Highway Administration (FHWA) administrative expenses. Puts people to work. H.R. 4348 Title I - Surface Transportation Extension Surface Transportation Extension Act of 2012, Amends the Surface Transportation Extension Act of 2011, Part II to continue through FY2012, and authorizes appropriations through that date for, specified federal-aid highway programs under the Safe, Accountable, Flexible, Efficient Transportation Equity Act. We approve as it will create jobs.

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Railroad Retirement Board, SENATE, Surface Transportation Board (STB), Transportation, Dept of (DOT)

H.R.1 Full-Year Continuing Appropriations Act, 2011 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. Cuts spending in areas that are important to middle class working families. H.AMDT.75 to H.R.1 Amendment sought to reduce the funding for AMTRAK Capitol by $446.9 million. Funding cuts for Amtrak would hurt unions ability to provide much needed transportation alternatives throughout the country. H.AMDT.229 (A020) Amendment sought to strike section 903. Section 903 repeals a National Mediation Board (NMB) rule, finalized last year, which provides for union representation elections among airline and railroad workers covered by the Railway Labor Act. An amendment numbered 21 printed in House Report 112-46 to strike section 903. Section 903 repeals a National Mediation Board (NMB) rule, finalized last year, which provides for union repr presentation elections among airline and railroad workers covered by the Railway Labor Act. Puts unions at a disadvantage to organize new members in the railroad and airlines industries. H.Res.28 Expressing the sense of the House of Representatives that the Transportation Security Administration should, in accordance with existing law, enhance security against terrorist attack and other security threats to our Nation's rail and mass transit systems and other modes of surface transportation; and for other purposes. Work to make the nations transportation systems safer. H.R.55 Northern Virginia Metrorail Extension Act of 2011. Authorizes alternatives analysis and preliminary engineering for specified Metrorail new fixed guideway capital projects in Virginia, Washington, D.C., and Maryland. To improve passenger transportation in the DC area. H.R. 548 Restoring Democracy in the Workplace Act. Declares that a specified rule prescribed by the National Mediation Board relating to representation election procedures shall have no force or effect. Anti-labor bill. Unfair elections. Would harm democracy in the workplace. H.R. 613 To strengthen Buy America requirements applicable to airports, highways, high-speed rail, trains, and transit, and for other purposes. Would create good middle class jobs in the USA. H.R.1213 To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges. Amends the Patient Protection and Affordable Care Act to repeal provisions appropriating funds to the Secretary of Health and Human Services (HHS) to award grants to states for activities (including planning activities) related to establishing an American Health Benefit Exchange (a state health insurance exchange). Rescinds any unobligated funds made available under such provisions. Hurts individual states ability to provide affordable health care. S.1 American Competitiveness Act. Expresses the sense of the Senate that Congress should: eliminate tax loopholes that encourage companies to ship American jobs overseas; expand markets for United States exports; promote the development of new, innovative products bearing the inscription "Made in America"; modernize and improve U.S. highways, bridges, and transit systems; modernize and upgrade U.S. rail, levees, dams, and ports; place computers in classrooms; ensure that U.S. small businesses and households have access to high-speed broadband; invest in critical new infrastructure; streamline U.S. regulatory policies. Greater investment in rail structure. To improve transportation to make competitive in the world market.S.158 Surface Transportation Board Reauthorization Act of 2011. Authorizes appropriations for FY2011-FY2015 for the Surface Transportation Board. Increases Board membership from three to five members. Removes the Board from the Department of Transportation (DOT) to establish it as an independent U.S. agency. The current board structure is sound, changes could create uncertainty in the industry. S.223: FAA Air Transportation Modernization and Safety Improvement Act. A bill to modernize the air traffic control system, improve the safety, reliability and availability of transportation by air in the United States, provide modernization of the air traffic control system, reauthorize the Federal Aviation Administration, and for other purposes. Impacts air transportation issues. S.504 National Right-to-Work Act. To preserve and protect the free choice of individual employees to form, join, or assist labor organizations, or to refrain from such activities. Anti-union bill. Puts unions at a disadvantage. H.R.1473 Department of Defense and Full-Year Continuing Appropriations Act, 2011. Title I: General Provisions. It cuts funding for DOL training programs, eliminates appropriations to the Federal Railroad Administration (FRA) railroad safety technology program. Eliminates appropriations for FRA capital assistance for high speed rail corridors and intercity passenger rail service (with a rescission of prior year unobligated balances). Cuts spending in areas that are important to middle class working families and TCU members. HR 1900 Surface Transportation and Mass Transit Security Act of 2011. A bill to authorize programs and activities within the Transportation Security Administration to enhance the security of surface transportation, including mass transit, and for other purposes. Focuses on needed security to Freight, Passenger and Commuter Rail systems. It makes a more secure workplace for workers. H.R.2350 Protecting Taxpayers in Transportation Asset Transfers Act. To secure public investments in transportation infrastructure. Allows for the use of any alternative analysis or environmental impact report relating the Project to satisfy Federal Railroad Administration capital assistance requirements for new fixed guideway capital projects. Supports the concept of this Bill to protect Tax Payers and Amtrak employees from private companies taking over companies like Amtrak. (Clean up the Bill is intended to stop the Mica Bill to privatize Amtrak.) S.326 : Federal Surface Transportation Policy and Planning Act of 2011. Declares it is U.S. policy to develop a national surface transportation system that advances the national interest and defense, interstate and foreign commerce, the efficient and safe interstate mobility of people and goods, and the protection of the environment. Authorizes the Secretary to amend the goals established under this Act. Develop greater investment in freight rail to move goods with cleaner rail transport. Would help protect fossil fuels and jobs related to coal industry, important for railroad jobs. S. 1549 American Jobs Act of 2011 To provide tax relief for American workers and businesses, to put workers back on the job while rebuilding and modernizing America, and to provide pathways back to work for Americans looking for jobs. To put middle class workers back to work. H.R.3094 Workforce Democracy and Fairness Act. Amends the National Labor Relations Act (NLRA) to revise requirements for determination by the National Labor Relation Board (NLRB) of an appropriate bargaining unit before an election of collective bargaining representation. Requires the NLRB, to determine a unit as appropriate for collective bargaining if it consists of employees that share a sufficient community of interest. Specifies factors the NLRB must consider when making such determinations. Anti-union and workers rights. H.R.3533 Invest in American Jobs Act of 2011. To ensure that transportation and infrastructure projects carried out using Federal financial assistance are constructed with steel, iron, and manufactured goods that are produced in the United States, and for other purposes. TCU supports because it would create good middle-class jobs. H.R.3538 To amend the Railway Labor Act to direct the National Mediation Board to apply the same procedures, including voting standards, to the direct decertification of a labor organization as is applied to elections to certify a representative, and for other purposes. We do not support. NMB is an important agency that protects workers rights. H.R.4276 Surface Transportation Extension Act of 2012. To provide an extension of Federal-aid highway, highway safety, motor carrier safety, transit, and other programs funded out of the Highway Trust Fund pending enactment of a multiyear law reauthorizing such programs. We does not support inasmuch as the House should pass the Senate Bill which brings certainty to the industry and creates jobs. H.R.4272 Freight Rail Economic Development Act of 2012. Freight Rail Economic Development Act of 2012 - Directs the Secretary of Transportation (DOT) to make capital grants to a class I, class II, or class III railroad or a state or local government for freight rail economic development projects, particularly projects to construct freight rail switches and sidings. Prescribes prevailing wage rate requirements for such projects in accordance with the Davis-Bacon Act. We support helps with the seamless flow of rail transportation and helps the industry grow. S.1831 Access to Capital for Job Creators Act. Access to Capital for Job Creators Act - Amends the Securities Act of 1933 to exempt from proscriptions governing interstate commerce and the mails those transactions by an issuer that do not involve a public offering, whether or not such transactions involve general solicitation or general advertising. We support as it creates jobs. S. 1813 To reauthorize Federal-aid highway and highway safety construction programs, and for other purposes. Moving Ahead for Progress in the 21st Century or MAP-21 - Authorizes appropriations out of the Highway Trust Fund (HTF) (other than the Mass Transit Account) equal to current federal highway spending levels plus inflation for FY2012 and FY2013 for: (1) certain new and existing core federal-aid highway programs, and (2) Federal Highway Administration (FHWA) administrative expenses. Puts people to work. H.R. 4348 Title I - Surface Transportation Extension Surface Transportation Extension Act of 2012, Amends the Surface Transportation Extension Act of 2011, Part II to continue through FY2012, and authorizes appropriations through that date for, specified federal-aid highway programs under the Safe, Accountable, Flexible, Efficient Transportation Equity Act. We approve as it will create jobs.

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Railroad Retirement Board, SENATE, Surface Transportation Board (STB), Transportation, Dept of (DOT)

H.R.1 Full-Year Continuing Appropriations Act, 2011 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. H.AMDT.75 to H.R.1 Amendment sought to reduce the funding for AMTRAK Capitol by $446.9 million. Amendment sought to reduce the funding for AMTRAK Capitol by $446.9 million. H.R.28 Expressing the sense of the House of Representatives that the Transportation Security Administration should, in accordance with existing law, enhance security against terrorist attack and other security threats to our Nation's rail and mass transit systems and other modes of surface transportation; and for other purposes. Work to make the nations transportation systems safer. H.R. 1122 Freight FOCUS Act of 2011. To provide for merit-based investment in the freight transportation system of the United States to ensure economic growth, increase vitality and competitiveness in national and global markets, address goods mobility and accessibility issues, reduce air pollution and other environmental impacts of freight transportation, better public health conditions, enhance energy security, and improve the condition and connectivity of the freight transportation system, and for other purposes. Would help create jobs in the railroad industry. H.R.1213 To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges. Amends the Patient Protection and Affordable Care Act to repeal provisions appropriating funds to the Secretary of Health and Human Services (HHS) to award grants to states for activities (including planning activities) related to establishing an American Health Benefit Exchange (a state health insurance exchange). Rescinds any unobligated funds made available under such provisions. Hurts individual states ability to provide affordable health care. H.R.1473 Department of Defense and Full-Year Continuing Appropriations Act, 2011. Title I: General Provisions. It cuts funding for DOL training programs, eliminates appropriations to the Federal Railroad Administration (FRA) railroad safety technology program. Eliminates appropriations for FRA capital assistance for high speed rail corridors and intercity passenger rail service (with a rescission of prior year unobligated balances). Cuts spending in areas that are important to middle class working families and TCU members. H.R.1504 Altamont Corridor Rail Improvement Act of 2011 Altamont Corridor Rail Improvement Act of 2011 - Authorizes the Altamont Corridor Rail Project (California) for final design and construction of a new fixed guideway for FY2011-FY2021.Authorizes the Secretary of Transportation (DOT) to make allocations for capital investment grants for such fiscal years for any remaining preliminary engineering and final design and construction of the Project. Improves vital rail infrastructure in California. HR 1900 Surface Transportation and Mass Transit Security Act of 2011. A bill to authorize programs and activities within the Transportation Security Administration to enhance the security of surface transportation, including mass transit, and for other purposes. Focuses on needed security to Freight, Passenger and Commuter Rail systems. It makes a more secure workplace for workers. H.R.2354 Making appropriations for energy and water development and related agencies for the fiscal year ending September 30, 2012, and for other purposes. Funds for the Army Corps of Engineers are made available by transfer from emergency funds appropriated for Department of TransportationFederal Railroad AdministrationCapital Assistance for High Speed Rail Corridors and Intercity Passenger Rail Service. Rescinds unobligated balances of specified funds made available for the Department of Transportation (DOT), Federal Railroad Administration, Capital Assistance for High Speed Rail Corridors and Intercity Passenger Rail Service. This Bill kills good paying Middle Class Railroad and construction jobs. H.R.2350 Protecting Taxpayers in Transportation Asset Transfers Act. To secure public investments in transportation infrastructure. Allows for the use of any alternative analysis or environmental impact report relating the Project to satisfy Federal Railroad Administration capital assistance requirements for new fixed guideway capital projects. Supports the concept of this Bill to protect Tax Payers and Amtrak employees from private companies taking over companies like Amtrak. (Clean up the Bill is intended to stop the Mica Bill to privatize Amtrak.) S.699 Department of Energy Carbon Capture and Sequestration Program Amendments Act of 2011. Amends the Energy Policy Act of 2005 to direct the Secretary of Energy (DOE) to carry out a demonstration program for the commercial application of integrated systems for the capture, injection, monitoring, and long-term geological storage of carbon dioxide from industrial sources. Authorizes the Secretary to enter into cooperative agreements to provide financial and technical assistance to up to 10 demonstration projects. Sets forth requirements for demonstration projects relating to site safety, environmental protection and remediation, and site closure. Creates greater investment in clean coal technology that protects TCU jobs tied to the transportation of coal. .757 Carbon Dioxide Capture Technology Prize Act of 2011 Amends the Energy Policy Act of 2005 to: (1) direct the Secretary of Energy (DOE) to establish and award competitive technology financial awards for the development and implementation of technology to capture carbon dioxide from dilute sources, and (2) establish the Carbon Dioxide Capture Technology Advisory Board to advise the Secretary in carrying out duties under this Act. Terminates the Board and all authorities under this Act on December 31, 2020. Creates greater investment in clean coal technology that protects TCU jobs tied to the transportation of coal. Would help protect fossil fuels and jobs related to coal industry, important for railroad jobs. S.1300 Lincoln Legacy Infrastructure Development Act. (1) the American Association of State Highway and Transportation Officials estimates current highway, bridge, public transit, and freight and passenger rail funding needs are approximately $225,000,000,000 to $340,000,000,000 per year through 2055, while current spending is less than $90,000,000,000 per year. SEC. 6. RAILROAD REHABILITATION AND IMPROVEMENT FINANCING PROGRAM. Creates more Rail Jobs through greater investment in High-Speed Rail. S.1549 American Jobs Act of 2011 To provide tax relief for American workers and businesses, to put workers back on the job while rebuilding and modernizing America, and to provide pathways back to work for Americans looking for jobs. To put middle class workers back to work. H.R.4276 Surface Transportation Extension Act of 2012. To provide an extension of Federal-aid highway, highway safety, motor carrier safety, transit, and other programs funded out of the Highway Trust Fund pending enactment of a multiyear law reauthorizing such programs. We does not support inasmuch as the House should pass the Senate Bill which brings certainty to the industry and creates jobs. H.R.4272 Freight Rail Economic Development Act of 2012. Freight Rail Economic Development Act of 2012 - Directs the Secretary of Transportation (DOT) to make capital grants to a class I, class II, or class III railroad or a state or local government for freight rail economic development projects, particularly projects to construct freight rail switches and sidings. Prescribes prevailing wage rate requirements for such projects in accordance with the Davis-Bacon Act. We support helps with the seamless flow of rail transportation and helps the industry grow. H.R. 4348 Title I - Surface Transportation Extension Surface Transportation Extension Act of 2012, Amends the Surface Transportation Extension Act of 2011, Part II to continue through FY2012, and authorizes appropriations through that date for, specified federal-aid highway programs under the Safe, Accountable, Flexible, Efficient Transportation Equity Act. We approve as it will create jobs.

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Railroad Retirement Board, SENATE, Surface Transportation Board (STB), Transportation, Dept of (DOT)

Support ending health care disparities among racial and ethnic minorities, support the Affordable Care Act. Reject efforts to repeal health care reform; oppose H.R. 2. Oppose efforts to repeal health car reform via the appropriations process. Oppose cuts in the federal budget to Community Health Care Centers. Fight childhood hunger and obesity -- support a robust, well-funded child nutrition bill. Work to eliminate "food deserts" in low-income neighborhoods, support the establishment of farmers markets and other means of fresh fruits and vegetables in urban areas. Support the National Youth Sports Program Revitalization Act of 2010. Support full funding for HIV/AIDS treatment, prevention and cure. Support H.R. 894, the Maternal Health Accountability Act of 2011. Oppose efforts to privatize Medicare and make Medicaid a block grant program. Oppose H. Con. Res. 35. Oppose banning of all funds to Planned Parenthood affiliates. Oppose H. Con. Res. 36. Oppose H.R. 1227. Support the development and implementation of health insurance exchanges. Support FIT Kids Act (support H.R. 1057 and S.576). Support State Insurance Exchange Programs. Oppose H. R. 1213. Support School based health centers. Oppose H.R. 1214. Support the Prevention and Public Health Fund. Oppose H.R. 1217. Support S. 919, the Successful, Safe, and Healthy Students Act of 2011. Support September as Childhood Obesity Awareness Month. Support H.Res. 339. Support reducing maternal mortality. Support H.R. 894. Support increased funds for AIDS awareness, prevention & treatment. Support a strong and robust Medicaid program. Oppose cuts to Medicaid. Support efforts to advance health equity in the establishment of health insurance Exchanges and the certification of Qualified Health Plans (QHPs) as prescribed in the Affordable Care Act. Support the Health Equity and Accountability Act; support H.R. 2945. Support robust implementation of the data collection requirements of the Affordable Care Act (ACA) . Ensure that the rules surrounding the creation of Accountable Care Organizations under the ACA improve the quality of our healthcare system overall by delivering coordinated, patient- and family-centered care, and greatly advance the effort to achieve health equity. Oppose H.R. 3541, the "Susan B. Anthony and Frederick Douglas Prenatal Non Discrimination Act". Support designating September as National Childhood Obesity Month. Support H. Res. 339. Support the inclusion of prohibitions on discrimination on the basis of race, color, national origin, disability, age, sex, gender identity, or sexual orientation in the establishment of health insurance Exchanges and the certification of Qualified Health Plans as required by the Affordable Care Act. Oppose the Center for Medicare and Medicaid Services (CMS) proposed regulations that would require private Medicare plans (Part C and D) to translate written materials only into languages spoken by 10% of the population in the plans service area. Rather, the NAACP strongly urges CMS to consider an alternative standard of 5% of the general population or 500 individuals served in the service area, whichever is smaller to ensure that every American can access Medicare services. Support H.R. 1880, the Status Report on the 30th Anniversary of HIV/AIDS Act. Support full funding for funding for domestic HIV/AIDS programs. Suport Needle Exchange programs. Support H.R. 2086 / S. 2149, the Medical Debt Responsibility Act, which requirees that credit agencies to remove FULLY paid or settled medical debt from credit reports within 45 days. Oppose legislation which would impose unprecedented burdens on parties in cases involving a wide array of federal protections in areas such as environmental, consumer, health care, and civil rights laws. Oppose H.R. 3041, H.R. 3862, and H.R. 1996. Support the HEART for Women Act (S. 438/H.R. 3526). Support a long term transportation bill which will: 1.Preserve and expand existing programs that fund essential transportation options bicycling, walking, and public transportation. 2.Expand access to quality transportation jobs for the chronically-unemployed, low-income people, individuals with disabilities, women, and communities of color. 3.Strengthen enforcement of existing civil rights provisions. 4.Improve transportation outcomes through strategic planning with measures that promote economic and social equity. 5.Reform transportation funding to lower household expenses and foster community development. Express concern about a state-based benchmark approach to implementing the Essential Health Benefit (EHB) package. In particular, we believe that flexibility without robust anti-discrimination enforcement mechanisms will undermine critical civil rights protections in the Affordable Care Act (ACA). Oppose the Center for Medicare and Medicaid Services (CMS) proposed regulations that would require private Medicare plans (Part C and D) to translate written materials only into languages spoken by 10% of the population in the plans service area. Rather, the NAACP strongly urges CMS to consider an alternative standard of 5% of the general population or 500 individuals served in the service area, whichever is smaller to ensure that every American can access Medicare services. Oppose a repeal of the Community Living Assistance Services and Supporters program. Oppose HR 1173. Oppose the Red Tape Reduction and Small Business Job Creation Act" (H.R. 4078), which includes the Regulatory Freeze For Jobs Act, the Midnight Rule Relief Act of 2012" (H.R. 4607), and the Sunshine for Regulatory Decrees and Settlements Act of 2012 (H.R. 3862), among other harmful bills. Support LGBT designation as a health disparity population by the National Institute for Minority Health and Health Disparities (NIMHD). Urge Congress to take a balanced approach, invest in strategies that create job growth, lift children and families out of poverty and ensure racial and ethnic minorities are not disproportionately adversely impacted. Strategies include full funding for the Affordable Care Act to protect all provisions in the law, and especially for expansion of Medicaid, establishment of Exchanges, subsidies for people with low incomes and small businesses, and for the Prevention and Public Health Fund; retaining the structure of the Medicaid program so that it remains an entitlement program to provide states with sufficient financial resources to administer their Medicaid programs for underserved communities experiencing health disparities; level funding for the REACH US Program to advance community driven strategies and interventions for the elimination of racial and ethnic chronic disease health disparities and enhance the capacity to conduct evaluation, increase dissemination, facilitate Technical Assistance and mentoring for other federal initiatives; the Public Health Prevention Fund and Community Transformation Grant program must be fully funded in order to effectively reduce the incidence of costly chronic diseases, help improve health, address health inequities, and control health-care spending; an increase in funding from the Presidents request to support its efforts to promote community solutions to eliminate health disparities, improve the diversity and cultural competency of the health-related workforce, and ensure access to quality, culturally and linguistically appropriate care; sufficient funding to accomplish HHS's overall data collection mission; the HHS Office of Civil Rights' needs additional funding to ensure that it has the staff and resources to appropriately investigate and enforce these critical laws; more funding is needed for the HHS Office of Minority Health to ensure these offices have the staff and resources needed to carry out their mission; and investing in the The Healthy Food Financing Initiative. Support requiring the FDA to report on the availability of new drug and device safety and efficacy data by sex, age, and racial and ethnic subgroups. Support the Cardin-Cochran amendment to MAP-21, which gives local governmentsthose closest to the needs of their constituents and communitiesan opportunity to weigh in on how states spend their Additional Activities federal transportation dollars. Support federal support for school-based health centers in the Presidents Budget for Fiscal Year 2014. Support the State Paid Leave Fund. Strongly support the prominence given to the goal of reducing health disparities in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programss structure; however, we are concerned that the meaningful use requirements as proposed are inadequate to achieve this outcome. Specifically, we support the incentive programs reinforcing federal civil rights and health information privacy laws; the incentive program requiring robust demographic data collection and use, inlcuding disability status data collection, sexual orientation and gender identity data collection, and geographic information; and the incentive program should build linkages with existing health disparity strategies. Support ensuring that pregnant workers are not forced out of their jobs unnecessarily or denied reasonable job modifications that would allow them to continue working and supporting their families. Strongly support H.R. 2086 and S. 2149, the Medical Debt Responsibility Act. Oppose policy "riders" on the Commerce Justice Science Appropriations bill for FY 13 which would prohibit the US DoJ from supporting legal efforts to implement the Affordable Care Act. Support the nomination of Dr. Kimberly Jeffries Leonard to serve as Director of the Center for Mental Health Services within the Substance Abuse Mental Health Services Administration.

Client expense: $62,500 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Bureau of Indian Affairs (BIA), Centers For Disease Control & Prevention (CDC), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Aviation Administration (FAA), Federal Bureau of Investigation (FBI), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Housing Finance Agency (FHFA), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Park Service (NPS), Office of Personnel Management (OPM), Office of Thrift Supervision (OTS), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Social Security Administration (SSA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Commission on Civil Rights, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), Voice of America, White House Office

House FY 13 Budget (H.Con.Res. 112) Mental Health in Schools Act (H.R. 751) Labor, Health and Human Services, and Education, and Related Agencies FY 12 Appropriations Act (S.1599/H.R.3070) Behavioral Health Information Technology Act of 2011 (S. 539/H.R. 6043) Healthy Lifestyles and Prevention America Act (S.174) Medicare Mental Health Access Act (S.483) Seniors Mental Health Access Improvement Act of 2011 (S.604) Medicare Mental Health Inpatient Equity Act (S.374) A Bill To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges (HR 1213) A Bill To repeal mandatory funding for school-based health center construction (HR 1214) A Bill To repeal the Prevention and Public Health Fund (HR 1217) Patients Rights Repeal Act (H.R. 2) Medicaid Maintenance-Of-Effort Repeal (H.R.1683/S. 868) The Garrett Lee Smith Memorial Act (GLSMA) Reauthorization of 2011 (S. 740) The Sergeant Coleman S. Bean Reserve Component Suicide Prevention Act (H.R. 1089/S. 579) The Keeping All Students Safe Act (H.R. 1381/S.2020) The Ryan Creedon Act of 2011 (H.R. 2119) Mental Health on Campus Improvement Act, H.R. 1833 Constitutional Balanced Budget Amendment (H.J.Res. 1/S.J.Res. 23) Agriculture FY12 Appropriations (HR 2112) Military/Veterans FY12 Appropriations (HR 2055) Medicare Decisions Accountability Act of 2011 (IPAB; HR 452/S. 668) Cap, Cut and Balance Bill (HR 2560/S. 1340) CAMPUS Safety Act of 2011 (HR 2342) Health Equity and Accountability Act of 2011 (H.R.2954) Continuing Appropriations Act, 2012 (HR 2608) Medigap Medical Loss Ratio Improvement Act (S.1416/H.R.2645) Improving Access to Medicare Coverage Act of 2011 (S.818) Stop Child Abuse in Residential Programs for Teens Act of 2011 (H.R.3126) Commerce/Justice/State FY12 Appropriations Act (HR.2596/S.1572) Promoting Accountability and Excellence in Child Welfare Act (S. 1509) Lifespan Respite Reauthorization Act (HR 3266) Consolidated FY2012 Appropriations Act (was Military/Veterans; HR 2055) Children's Budget Act (S.1396) Middle Class Tax Cut Act of 2011 (H.R. 3630) Speak Up Act Letter of Support (S. 1877) Reauthorization of Drug-Free Communities Support Program (S. 2159) WIPA and PABSS Continuation of Services Act of 2012 (H.R.6061) The Childrens Mental Health Accessibility Act (S. 3289) Departments of Labor, Health and Human Services, and Education Appropriations Act, 2013 (S.3295) Military/Veterans FY13 Appropriations (H.R. 5854/S. 3215) Excellence in Mental Health (S. 2257/H.R. 5989) Mental Health First Aid Higher Education Act (S. 3325/H.R. 5996) Health Equity and Accountability Act (HEAA) of 2012 (S. 2474) Pharmaceutical Stewardship Act of 2011 (H.R. 2939) Food and Drug Administration Reform Act of 2012 (H.R. 5651/S. 3187) Mental Health ACCESS Act of 2012 (S. 3340)

Client expense: $10,078 · Firm income: Not reported

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

Support ending health care disparities among racial and ethnic minorities, support the Affordable Care Act. Reject efforts to repeal health care reform; oppose H.R. 2. Oppose efforts to repeal health car reform via the appropriations process. Oppose cuts in the federal budget to Community Health Care Centers. Fight childhood hunger and obesity -- support a robust, well-funded child nutrition bill. Work to eliminate "food deserts" in low-income neighborhoods, support the establishment of farmers markets and other means of fresh fruits and vegetables in urban areas. Support the National Youth Sports Program Revitalization Act of 2010. Support full funding for HIV/AIDS treatment, prevention and cure. Support H.R. 894, the Maternal Health Accountability Act of 2011. Oppose efforts to privatize Medicare and make Medicaid a block grant program. Oppose H. Con. Res. 35. Oppose banning of all funds to Planned Parenthood affiliates. Oppose H. Con. Res. 36. Oppose H.R. 1227. Support the development and implementation of health insurance exchanges. Support FIT Kids Act (support H.R. 1057 and S.576). Support State Insurance Exchange Programs. Oppose H. R. 1213. Support School based health centers. Oppose H.R. 1214. Support the Prevention and Public Health Fund. Oppose H.R. 1217. Support S. 919, the Successful, Safe, and Healthy Students Act of 2011. Support September as Childhood Obesity Awareness Month. Support H.Res. 339. Support reducing maternal mortality. Support H.R. 894. Support increased funds for AIDS awareness, prevention & treatment. Support a strong and robust Medicaid program. Oppose cuts to Medicaid. Support efforts to advance health equity in the establishment of health insurance Exchanges and the certification of Qualified Health Plans (QHPs) as prescribed in the Affordable Care Act. Support the Health Equity and Accountability Act; support H.R. 2945. Support robust implementation of the data collection requirements of the Affordable Care Act (ACA) . Ensure that the rules surrounding the creation of Accountable Care Organizations under the ACA improve the quality of our healthcare system overall by delivering coordinated, patient- and family-centered care, and greatly advance the effort to achieve health equity. Oppose H.R. 3541, the "Susan B. Anthony and Frederick Douglas Prenatal Non Discrimination Act". Support designating September as National Childhood Obesity Month. Support H. Res. 339. Support the inclusion of prohibitions on discrimination on the basis of race, color, national origin, disability, age, sex, gender identity, or sexual orientation in the establishment of health insurance Exchanges and the certification of Qualified Health Plans as required by the Affordable Care Act. Oppose the Center for Medicare and Medicaid Services (CMS) proposed regulations that would require private Medicare plans (Part C and D) to translate written materials only into languages spoken by 10% of the population in the plans service area. Rather, the NAACP strongly urges CMS to consider an alternative standard of 5% of the general population or 500 individuals served in the service area, whichever is smaller to ensure that every American can access Medicare services. Support H.R. 1880, the Status Report on the 30th Anniversary of HIV/AIDS Act. Support full funding for funding for domestic HIV/AIDS programs. Suport Needle Exchange programs. Support H.R. 2086 / S. 2149, the Medical Debt Responsibility Act, which requirees that credit agencies to remove FULLY paid or settled medical debt from credit reports within 45 days. Oppose legislation which would impose unprecedented burdens on parties in cases involving a wide array of federal protections in areas such as environmental, consumer, health care, and civil rights laws. Oppose H.R. 3041, H.R. 3862, and H.R. 1996. Support the HEART for Women Act (S. 438/H.R. 3526). Support a long term transportation bill which will: 1.Preserve and expand existing programs that fund essential transportation options bicycling, walking, and public transportation. 2.Expand access to quality transportation jobs for the chronically-unemployed, low-income people, individuals with disabilities, women, and communities of color. 3.Strengthen enforcement of existing civil rights provisions. 4.Improve transportation outcomes through strategic planning with measures that promote economic and social equity. 5.Reform transportation funding to lower household expenses and foster community development. Express concern about a state-based benchmark approach to implementing the Essential Health Benefit (EHB) package. In particular, we believe that flexibility without robust anti-discrimination enforcement mechanisms will undermine critical civil rights protections in the Affordable Care Act (ACA). Oppose the Center for Medicare and Medicaid Services (CMS) proposed regulations that would require private Medicare plans (Part C and D) to translate written materials only into languages spoken by 10% of the population in the plans service area. Rather, the NAACP strongly urges CMS to consider an alternative standard of 5% of the general population or 500 individuals served in the service area, whichever is smaller to ensure that every American can access Medicare services. Oppose a repeal of the Community Living Assistance Services and Supporters program. Oppose HR 1173. Oppose the Red Tape Reduction and Small Business Job Creation Act" (H.R. 4078), which includes the Regulatory Freeze For Jobs Act, the Midnight Rule Relief Act of 2012" (H.R. 4607), and the Sunshine for Regulatory Decrees and Settlements Act of 2012 (H.R. 3862), among other harmful bills. Support LGBT designation as a health disparity population by the National Institute for Minority Health and Health Disparities (NIMHD). Urge Congress to take a balanced approach, invest in strategies that create job growth, lift children and families out of poverty and ensure racial and ethnic minorities are not disproportionately adversely impacted. Strategies include full funding for the Affordable Care Act to protect all provisions in the law, and especially for expansion of Medicaid, establishment of Exchanges, subsidies for people with low incomes and small businesses, and for the Prevention and Public Health Fund; retaining the structure of the Medicaid program so that it remains an entitlement program to provide states with sufficient financial resources to administer their Medicaid programs for underserved communities experiencing health disparities; level funding for the REACH US Program to advance community driven strategies and interventions for the elimination of racial and ethnic chronic disease health disparities and enhance the capacity to conduct evaluation, increase dissemination, facilitate Technical Assistance and mentoring for other federal initiatives; the Public Health Prevention Fund and Community Transformation Grant program must be fully funded in order to effectively reduce the incidence of costly chronic diseases, help improve health, address health inequities, and control health-care spending; an increase in funding from the Presidents request to support its efforts to promote community solutions to eliminate health disparities, improve the diversity and cultural competency of the health-related workforce, and ensure access to quality, culturally and linguistically appropriate care; sufficient funding to accomplish HHS's overall data collection mission; the HHS Office of Civil Rights' needs additional funding to ensure that it has the staff and resources to appropriately investigate and enforce these critical laws; more funding is needed for the HHS Office of Minority Health to ensure these offices have the staff and resources needed to carry out their mission; and investing in the The Healthy Food Financing Initiative. Support requiring the FDA to report on the availability of new drug and device safety and efficacy data by sex, age, and racial and ethnic subgroups. Support the Cardin-Cochran amendment to MAP-21, which gives local governmentsthose closest to the needs of their constituents and communitiesan opportunity to weigh in on how states spend their Additional Activities federal transportation dollars. Support federal support for school-based health centers in the Presidents Budget for Fiscal Year 2014. Support the State Paid Leave Fund. Strongly support the prominence given to the goal of reducing health disparities in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programss structure; however, we are concerned that the meaningful use requirements as proposed are inadequate to achieve this outcome. Specifically, we support the incentive programs reinforcing federal civil rights and health information privacy laws; the incentive program requiring robust demographic data collection and use, inlcuding disability status data collection, sexual orientation and gender identity data collection, and geographic information; and the incentive program should build linkages with existing health disparity strategies. Support ensuring that pregnant workers are not forced out of their jobs unnecessarily or denied reasonable job modifications that would allow them to continue working and supporting their families. Strongly support H.R. 2086 and S. 2149, the Medical Debt Responsibility Act. Oppose policy "riders" on the Commerce Justice Science Appropriations bill for FY 13 which would prohibit the US DoJ from supporting legal efforts to implement the Affordable Care Act. Support the nomination of Dr. Kimberly Jeffries Leonard to serve as Director of the Center for Mental Health Services within the Substance Abuse Mental Health Services Administration.

Client expense: $62,500 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Aviation Administration (FAA), Federal Bureau of Investigation (FBI), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Housing Finance Agency (FHFA), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Park Service (NPS), Office of Personnel Management (OPM), Office of Thrift Supervision (OTS), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Social Security Administration (SSA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Commission on Civil Rights, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), Voice of America, White House Office

HR 1213 - To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges: entire bill HR 1216 - To amend the Public Health Service Act to convert funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations: entire bill HR 1213 To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges: entire bill HR 1216 To amend the Public Health Service Act to convert funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations: entire bill HR 2 Repealing the Job-Killing Health Care Law Act: entire bill S 192 Repealing the Job-Killing Health Care Law Act: entire bill S 248 Empowering States to Innovate Act: entire bill HR 844 Empowering States to Innovate Act: entire bill Public Law No. 111-148 Patient Protection and Affordable Care Act: entire law Public Law No. 111-152 Health Care and Education Reconciliation Act of 2010: entire law HR 3587 Fair Pay to Medicaid Providers Act of 2011: entire bill HR 6079 Repeal of Obamacare Act: entire bill HR 6138 Ending the HIV/AIDS Epidemic Act of 2012: entire bill Ryan White HIV/AIDS Program Reauthorization (no number; not up until 2013): entire bill HR 2543 Stop Deceptive Advertising for Women's Services Act: entire bill S 1374 Stop Deceptive Advertising for Women's Services Act: entire bill S 1415 Access to Birth Control Act: entire bill HR 2659 Access to Birth Control Act: entire bill HR 2678 Communities of Color Teenage Pregnancy Prevention Act of 2011: provisions related to family planning and reproductive health: entire bill S 1437 Communities of Color Teenage Pregnancy Prevention Act of 2011: provisions related to family planning and reproductive health: entire bill HR 1085 Repealing Ineffective and Incomplete Abstinence-Only Program Funding Act of 2011: entire bill S 578 Repealing Ineffective and Incomplete Abstinence-Only Program Funding Act of 2011: entire bill HR 2954 Health Equity and Accountability Act of 2011: entire bill S 2474 Health Equity and Accountability Act of 2012: entire bill S 1782 Real Education for Healthy Youth Act of 2011: entire bill HR 3324 Real Education for Healthy Youth Act of 2011: entire bill HR 4271 Violence Against Women Reauthorization Act of 2012: entire bill HR 4970 Violence Against Women Reauthorization Act of 2012: entire bill HR 4982 Violence Against Women Reauthorization Act of 2012: entire bill S 1925 Violence Against Women Reauthorization Act of 2011: entire bill S 2338 Violence Against Women Reauthorization Act of 2012: entire bill

Client expense: $197,224 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID)

Issues relating to health disparities, health care reform, quality of life and palliative care, federal health care programs, genetic information, cancer, nutrition, and wellness, including the following legislation: S. 494 and H.R. 912 Colorectal Cancer Prevention, Early Detection & Treatment Act; H.R. 1213, repeal mandatory funding provided to states in PPACA to establish American Health Benefit Exchanges; H.R. 1217, Repeal Prevention and Public Health Fund; H.R. 1740 and H.R. 5560, the quality Cancer Care for Life Act of 2010; H.R. 2941 and S. 3493; H.R. 3974, Viral Hepatatis and Liver Cancer Control and Prevention Act of 2009; H.R. 4662, the Lymphedema Diagnosis and Treatment Cost Savings Act of 2010; S. 1064, The Sun Act; S. 965, the Family Act; H.R. 2954, Health Equity and Accountability Act of 2011; and H.R. 2077, the MLR Repeal Act; H.R. 2245and S.296 Preserving Access to Life-Saving Medications Act, issues related to the reauthorization of the prescription drug user fee, S. 3187, the FDA Safety and Innovation Act and the House Companion legislation, and issues relating to the ongoig the national shortage of cancer drugs. Amendment relating to S. 1813, the Moving Ahead for Progress in the 21st Century Act, and H.R. 4274, reauthorization of the Best Pharmaceutials for Children Act and the Pediatric Research Equity Act.

Client expense: $420,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to health disparities, health care reform, quality of life and palliative care, federal health care programs, genetic information, cancer, nutrition, and wellness, including the following legislation: S. 494 and H.R. 912, Colorectal Cancer Prevention, Early Detection & Treatment Act; H.R. 1213, Repeal mandatory funding provided to states in PPACA to establish American Health Benefit Exchanges; H.R. 1217, Repeal Prevention and Public Health Fund; H.R. 1740 and H.R. 5560, the Quality Cancer Care for Life Act of 2010; H.R. 2941 and S. 3493; H.R. 3974, Viral Hepatitis and Liver Cancer Control and Prevention Act of 2009; H.R. 4662, the Lymphedema Diagnosis and Treatment Cost Savings Act of 2010; the implementation of P.L. 111-148, the Patient Proection and Affordable Care Act of 2010; S. 1064, the Sun Act; S 965, the Family Act; H.R. 2954, Health Equity and Accountability Act of 2011; and H.R. 2077, the MLR Repeal Act; H.R. 2245 and S. 296 Preserving Access to Life-Saving Medications Act, issues related to the reauthorization of the prescription drug user fee, S.3187, the FDA Safety and Innovation Act and the House Companion legislation, and issues relating to the ongoing national shortage of cancer drugs, Amendment relating to S.1813, the Moving Ahead for Progress in the 21st Century Act, and H.R. 4274, reauthorization of the Best Pharmaceuticals for Children Act and the Pediatric Research Equity Act. Issues relating to global health including S. 2515, the Clean Cookstoves Support Act of 2012.

Client expense: $590,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID), White House Office

Changes in Health Insurance Markets HR2 - Repealing the Job-Killing Health Care Law Act HR397 - Reform Americans Can Afford Act of 2011 Changes in Health Insurance Markets HR1206 - Access to Professional Health Insurance Advisors Act of 2011 HR1213 - To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges

Client expense: $10,060,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Energy, Dept of, Environmental Protection Agency (EPA), Federal Accounting Standards Advisory Board (FASAB), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Housing Finance Agency (FHFA), Federal Reserve System, Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Natl Economic Council (NEC), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

HR 1 Full Year Continuing Appropriations Act 2011, making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011; HR 2 Repealing the Job-Killing Health Care Law Act, to repeal the job-killing health care law and health care-related provisions in the Health Care and Education Reconciliation Act of 2010; HR 4 Small Business Paperwork Mandate Elimination Act of 2011, offsets the cost of 1099 repeal by increasing the maximum amount of tax subsidy to be repaid if a persons (or familys) income exceeds 400% of poverty; HR 5, S 218, HR 105 and S 1099 Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act, to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; HRes 9 Instructing four committees to produce legislation to replace the health reform law and to include a permanent fix to the SGR; S 296 and HR 2245 Preserving Access to Life-Saving Medications Act of 2011, to amend the Federal Food, Drug, and Cosmetic Act to provide the Food and Drug Administration with improved capacity to prevent drug shortages; HR 705 The Comprehensive 1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act of 2011, to amend the Internal Revenue Code of 1986 to repeal the expansion of information reporting requirements to payments made to corporations, payments for property and other gross proceeds, and rental property expense payments; HR 1213 To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges; HR 1217 to repeal the Prevention and Public Health Fund; S 539 Behavioral Health Information Technology Act of 2011, a bill to amend the Public Health Services Act and the Social Security Act to extend health information technology assistance eligibility to behavioral health, mental health, and substance abuse professionals and facilities; S 668 Health Care Bureaucrats Elimination Act, a bill to remove unelected, unaccountable bureaucrats from seniors' personal health decisions by repealing the Independent Payment Advisory Board; Allow hospitals to claim the full cost of provider taxes as allowable costs; Ensure CAHs are paid at least 101 percent of costs by Medicare Advantage plans; Ensure that the Centers for Medicare & Medicaid Services (CMS) appropriately addresses the issue of direct supervision for outpatient therapeutic services for rural hospitals and CAHs; Ensure rural hospitals and CAHs have adequate reimbursement for certified registered nurse anesthetist and stand-by services; Exempt CAHs from the Independent Payment Advisory Board; Extend expiring provisions; Provide small, rural hospitals with cost-based reimbursement for outpatient laboratory services and ambulance services; Provide CAHs bed size flexibility; Reinstate CAH necessary provider status; Remove unreasonable restrictions on CAHs ability to rebuild; Discussions on a bill to credit some observation status days to 3 day inpatient hospital stays; Worked with HHS on establishing the Partnership for Patients Program to improve patient safety activities in hospitals; HR 1929 Emergency Nursing Relief Act, provides for 20,000 additional immigrant visas (green cards) for Registered Nurses, and their immediate family members. Visas issued to the family members would not count against the 20,000 quota. The Secretary of State would not be permitted to issue more visas than this set quota. Employers are charged $1,500 for these visas which would support funding US nursing programs; HR 1933, to amend the Immigration and Nationality Act to modify the requirements for admission of nonimmigrant nurses in health professional shortage areas and calls for a limited revival of the H-1C program; S 778 Protecting Access to Rural Therapy Services (PARTS) Act, a bill to amend title XVIII of the Social Security Act with respect to physician supervision of therapeutic hospital outpatient services; HR 1363 Department of Defense and Further Additional Continuing Appropriations Act, 2011; Letter to oppose Cuts to the funding of the Hospital Preparedness Program; HR 1214 a bill to repeal mandatory funding for school-based health center construction, it amends the Patient Protection and Affordable Care Act to repeal the program requiring the Secretary of Health and Human Services (HHS) to award grants to school-based health centers or their sponsoring facilities to support the operation of such health centers. Rescinds unobligated appropriations for the program. Urging that final Accounting of Disclosures rule not include the proposal to require provision of an access report to patients; HR 1540 National Defense Authorization Act of 2012, a bill to establish a working group within the Department of Defense to comprehensively review all TRICARE policies and practices related to pediatric care and to develop recommendations that specifically address the health care needs of children of military families; S 1854 Medical Surge Capacity Act, a bill to enhance medical surge capacity which uses lessons learned from previous disasters to make critical changes when responding to a natural or manmade disaster; HR 2405 and S 1855 Pandemic and All-Hazards Preparedness Act Reauthorization of 2011, a bill to amend the Public Health Service Act to reauthorize various programs under the Pandemic and All-Hazards Preparedness Act; S. 1979 Conrad State 30 Improvement Act (Immigration) , a bill to help streamline J-1 visa waiver process for hospitals to hire international physicians to practice in rural and medically underserved communities; Critical Access Hospital (CAH) Letter from Rep. Ron Kind and Rep. Jo Ann Emerson to the supercommittee to protect CAH from potential cuts or other detrimental policy changes; Urging the Super Committee to reject cuts to inpatient rehabilitation facilities (IRFs); Extender's letter to supercommittee with a list of hospital specific issues that need to be addressed; HR 3586 Good Samaratin Health Professionals Act, a bill to amend the PHSA to limit the liability of healthcare professionals who volunteer to provide healthcare services in response to disaster; HR 3839 Drug Shortage Prevention Act of 2012, to address critical drug shortage; S 2193 Ensuring Safe Medical Devices for Patients, a bill to require the Food and Drug Administration to include devices in the postmarket risk identification and analysis system, to expedite the implementation of the unique device identification system for medical devices; HR 4246 VA Enrollment Act, to amend title 38, United States Code, to provide for the expansion of eligibility for veteran reimbursement for emergency treatment provided in non-Department of Veterans Affairs facilities; HR 5800 Health Care Price Transparency Promotion Act of 2012, to amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs.

Client expense: $4,150,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Equal Employment Opportunity Commission (EEOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Office of Management & Budget (OMB), SENATE, White House Office

Pub. Law 111-148 and 111-152, Patient Protection and Affordability Care Act - Discussed implementation of certain provisions related to affordable quality health care and expand access to long-term services and supports. Discussed employer sponsored wellness programs. (no bill) Discussed need for transparency in rate reviews. (no bill) Discussed need for consumer protection in internal and external appeals for self-funded plans. (no bill) H. R. 1213, To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges - Sent letter in opposition to HR 1213 which would repeal the mandatory funding provided to states under the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges. Discussed medical loss ratio. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared Savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. (no bill) Lobbied in support of Medicare physician payment reform. (no bill) Discussed legislation to make prescription drugs more affordable to older Americans. (no bill) Discussed legislation to make long-term care insurance available under cafeteria plans and flexible spending arrangements and to improve consumer protections. (no bill) Discussed Consumer protection and implementation of the Affordable Care Act (P.L. 111-148). S. 3295, the Labor-HHS Appropriations bill for FY 2013 - Lobbied to protect funding for program authorized under the Affordable Care Act, including CMS State Health insurance exchanges, state survey and demonstrations and preventive health.

Client expense: $2,740,000 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Energy, Dept of, Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Energy Regulatory Commission (FERC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Highway Traffic Safety Administration (NHTSA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

PPACA (ACA) Implementation; HR2; HR4; HR1213; HR1214; HR1215; HR1217; HR5 the PATH Act; HR452; HR1117; HR2500 EHR Incentive Parity for Multi-Campus Hospitals; S3187 and HR5651 The Food and Drug Administration Safety and Innovation Act;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act (H.R.4) Access to Independent Health Insurance Advisors Act (S.2068/S.2288) Access to Professional Health Insurance Advisors Act of 2011 (H.R.1206) Draft Legislation to Prevent Enforcement of Grandfathered Health Plan Regulation Draft Research Priorities (PCORI) EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2011 (H.R.3144) Food and Drug Administration Safety and Innovation Act (FDA User Fee bills, S.3187/H.R.3988) Guidance on Defining Minimum Essential Value of Employer-Sponsored Insurance (Treasury) Guidance on Federally Facilitated Exchanges (HHS) Health Care Cost Reduction Act (H.R.436) Health Equity and Accountability Act (H.R.2954/S.2474) Health Risk Assessments in Medicare Comments (CDC) Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S.438/H.R.3526) H.R. 436, Health Care Cost Reduction Act Interest Rate Reduction Act (H.R.4628/S.2366) and other legislation using Prevention Fund to offset student loans Josh Miller Helping Everyone Access Responsive Treatment in Schools (HEARTS) Act (H.R.1377) Menu Labeling (ACA Section 4205) Middle Class Tax Relief and Job Promotion Act (H.R.3630) National Prevention Strategy, Request for Comments (HHS - Surgeon General) Patient Protection and Affordable Care Act (P.L. 111-148; P.L. 111-152) - Implementation Prevention and Public Health Fund (ACA Section 4002) Repealing the Job-Killing Health Care Law Act (H.R.2) Sequester Replacement Reconciliation Act (H.R.5652) State Flexibility Act (H.R.1683/S.868) To Repeal Mandatory Funding Provided to States in the Patient Protection and Affordable Care Act to Establish American Health Benefit Exchanges (H.R.1213) Temporary Payroll Tax Cut Continuation Act (H.R.3630 - Medicare therapy caps exceptions process) To Repeal Mandatory Funding to States to Establish American Health Benefit Exchanges (H.R.1213) To Repeal Medical Loss Ratio Requirements (H.R.2077) To Repeal the Prevention and Public Health Fund (H.R.1217) Transcatheter Atrial Septal Defect Occluders (FDA-2011-N-001)

Client expense: $186,602 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Treasury, Dept of

H.R.1 Full-Year Continuing Appropriations Act, 2011 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. H.AMDT.75 to H.R.1 Amendment sought to reduce the funding for AMTRAK Capitol by $446.9 million. Amendment sought to reduce the funding for AMTRAK Capitol by $446.9 million. H.R.28 Expressing the sense of the House of Representatives that the Transportation Security Administration should, in accordance with existing law, enhance security against terrorist attack and other security threats to our Nation's rail and mass transit systems and other modes of surface transportation; and for other purposes. Work to make the nations transportation systems safer. H.R. 1122 Freight FOCUS Act of 2011. To provide for merit-based investment in the freight transportation system of the United States to ensure economic growth, increase vitality and competitiveness in national and global markets, address goods mobility and accessibility issues, reduce air pollution and other environmental impacts of freight transportation, better public health conditions, enhance energy security, and improve the condition and connectivity of the freight transportation system, and for other purposes. Would help create jobs in the railroad industry. H.R.1213 To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges. Amends the Patient Protection and Affordable Care Act to repeal provisions appropriating funds to the Secretary of Health and Human Services (HHS) to award grants to states for activities (including planning activities) related to establishing an American Health Benefit Exchange (a state health insurance exchange). Rescinds any unobligated funds made available under such provisions. Hurts individual states ability to provide affordable health care. H.R.1473 Department of Defense and Full-Year Continuing Appropriations Act, 2011. Title I: General Provisions. It cuts funding for DOL training programs, eliminates appropriations to the Federal Railroad Administration (FRA) railroad safety technology program. Eliminates appropriations for FRA capital assistance for high speed rail corridors and intercity passenger rail service (with a rescission of prior year unobligated balances). Cuts spending in areas that are important to middle class working families and TCU members. H.R.1504 Altamont Corridor Rail Improvement Act of 2011 Altamont Corridor Rail Improvement Act of 2011 - Authorizes the Altamont Corridor Rail Project (California) for final design and construction of a new fixed guideway for FY2011-FY2021.Authorizes the Secretary of Transportation (DOT) to make allocations for capital investment grants for such fiscal years for any remaining preliminary engineering and final design and construction of the Project. Improves vital rail infrastructure in California. HR 1900 Surface Transportation and Mass Transit Security Act of 2011. A bill to authorize programs and activities within the Transportation Security Administration to enhance the security of surface transportation, including mass transit, and for other purposes. Focuses on needed security to Freight, Passenger and Commuter Rail systems. It makes a more secure workplace for workers. H.R.2354 Making appropriations for energy and water development and related agencies for the fiscal year ending September 30, 2012, and for other purposes. Funds for the Army Corps of Engineers are made available by transfer from emergency funds appropriated for Department of TransportationFederal Railroad AdministrationCapital Assistance for High Speed Rail Corridors and Intercity Passenger Rail Service. Rescinds unobligated balances of specified funds made available for the Department of Transportation (DOT), Federal Railroad Administration, Capital Assistance for High Speed Rail Corridors and Intercity Passenger Rail Service. This Bill kills good paying Middle Class Railroad and construction jobs. H.R.2350 Protecting Taxpayers in Transportation Asset Transfers Act. To secure public investments in transportation infrastructure. Allows for the use of any alternative analysis or environmental impact report relating the Project to satisfy Federal Railroad Administration capital assistance requirements for new fixed guideway capital projects. Supports the concept of this Bill to protect Tax Payers and Amtrak employees from private companies taking over companies like Amtrak. (Clean up the Bill is intended to stop the Mica Bill to privatize Amtrak.) S.699 Department of Energy Carbon Capture and Sequestration Program Amendments Act of 2011. Amends the Energy Policy Act of 2005 to direct the Secretary of Energy (DOE) to carry out a demonstration program for the commercial application of integrated systems for the capture, injection, monitoring, and long-term geological storage of carbon dioxide from industrial sources. Authorizes the Secretary to enter into cooperative agreements to provide financial and technical assistance to up to 10 demonstration projects. Sets forth requirements for demonstration projects relating to site safety, environmental protection and remediation, and site closure. Creates greater investment in clean coal technology that protects TCU jobs tied to the transportation of coal. .757 Carbon Dioxide Capture Technology Prize Act of 2011 Amends the Energy Policy Act of 2005 to: (1) direct the Secretary of Energy (DOE) to establish and award competitive technology financial awards for the development and implementation of technology to capture carbon dioxide from dilute sources, and (2) establish the Carbon Dioxide Capture Technology Advisory Board to advise the Secretary in carrying out duties under this Act. Terminates the Board and all authorities under this Act on December 31, 2020. Creates greater investment in clean coal technology that protects TCU jobs tied to the transportation of coal. Would help protect fossil fuels and jobs related to coal industry, important for railroad jobs. S.1300 Lincoln Legacy Infrastructure Development Act. (1) the American Association of State Highway and Transportation Officials estimates current highway, bridge, public transit, and freight and passenger rail funding needs are approximately $225,000,000,000 to $340,000,000,000 per year through 2055, while current spending is less than $90,000,000,000 per year. SEC. 6. RAILROAD REHABILITATION AND IMPROVEMENT FINANCING PROGRAM. Creates more Rail Jobs through greater investment in High-Speed Rail. S.1549 American Jobs Act of 2011 To provide tax relief for American workers and businesses, to put workers back on the job while rebuilding and modernizing America, and to provide pathways back to work for Americans looking for jobs. To put middle class workers back to work. H.R.4276 Surface Transportation Extension Act of 2012. To provide an extension of Federal-aid highway, highway safety, motor carrier safety, transit, and other programs funded out of the Highway Trust Fund pending enactment of a multiyear law reauthorizing such programs. We does not support inasmuch as the House should pass the Senate Bill which brings certainty to the industry and creates jobs. H.R.4272 Freight Rail Economic Development Act of 2012. Freight Rail Economic Development Act of 2012 - Directs the Secretary of Transportation (DOT) to make capital grants to a class I, class II, or class III railroad or a state or local government for freight rail economic development projects, particularly projects to construct freight rail switches and sidings. Prescribes prevailing wage rate requirements for such projects in accordance with the Davis-Bacon Act. We support helps with the seamless flow of rail transportation and helps the industry grow. H.R. 4348 Title I - Surface Transportation Extension Surface Transportation Extension Act of 2012, Amends the Surface Transportation Extension Act of 2011, Part II to continue through FY2012, and authorizes appropriations through that date for, specified federal-aid highway programs under the Safe, Accountable, Flexible, Efficient Transportation Equity Act. We approve as it will create jobs.

Client expense: $259,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Railroad Retirement Board, SENATE, Surface Transportation Board (STB), Transportation, Dept of (DOT)

H.R.1 Full-Year Continuing Appropriations Act, 2011 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. Cuts spending in areas that are important to middle class working families. H.AMDT.75 to H.R.1 Amendment sought to reduce the funding for AMTRAK Capitol by $446.9 million. Funding cuts for Amtrak would hurt unions ability to provide much needed transportation alternatives throughout the country. H.AMDT.229 (A020) Amendment sought to strike section 903. Section 903 repeals a National Mediation Board (NMB) rule, finalized last year, which provides for union representation elections among airline and railroad workers covered by the Railway Labor Act. An amendment numbered 21 printed in House Report 112-46 to strike section 903. Section 903 repeals a National Mediation Board (NMB) rule, finalized last year, which provides for union repr presentation elections among airline and railroad workers covered by the Railway Labor Act. Puts unions at a disadvantage to organize new members in the railroad and airlines industries. H.Res.28 Expressing the sense of the House of Representatives that the Transportation Security Administration should, in accordance with existing law, enhance security against terrorist attack and other security threats to our Nation's rail and mass transit systems and other modes of surface transportation; and for other purposes. Work to make the nations transportation systems safer. H.R.55 Northern Virginia Metrorail Extension Act of 2011. Authorizes alternatives analysis and preliminary engineering for specified Metrorail new fixed guideway capital projects in Virginia, Washington, D.C., and Maryland. To improve passenger transportation in the DC area. H.R.304 To amend the limitation on liability for certain passenger rail accidents or incidents under section 28103 of title 49, United States Code, and for other purposes. Increases from $200 million to $275 million the aggregate allowable amount that can be awarded (liability cap) for a single passenger rail accident or incident that was proximately caused by gross negligence or willful misconduct of a defendant (except a defendant that is governmental entity such as Amtrak). (Current law limits to $200 million the aggregate allowable award to all rail passengers, against all defendants, for all claims, including claims for punitive damages, arising from a single accident or incident.) Raises the liability for affected families or persons who suffer a loss due to injury. H.R. 548 Restoring Democracy in the Workplace Act. Declares that a specified rule prescribed by the National Mediation Board relating to representation election procedures shall have no force or effect. Anti-labor bill. Unfair elections. Would harm democracy in the workplace. H.R. 613 To strengthen Buy America requirements applicable to airports, highways, high-speed rail, trains, and transit, and for other purposes. Would create good middle class jobs in the USA. H.R. 1122 Freight FOCUS Act of 2011. To provide for merit-based investment in the freight transportation system of the United States to ensure economic growth, increase vitality and competitiveness in national and global markets, address goods mobility and accessibility issues, reduce air pollution and other environmental impacts of freight transportation, better public health conditions, enhance energy security, and improve the condition and connectivity of the freight transportation system, and for other purposes. Would help create jobs in the railroad industry. H.R.1213 To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges. Amends the Patient Protection and Affordable Care Act to repeal provisions appropriating funds to the Secretary of Health and Human Services (HHS) to award grants to states for activities (including planning activities) related to establishing an American Health Benefit Exchange (a state health insurance exchange). Rescinds any unobligated funds made available under such provisions. Hurts individual states ability to provide affordable health care. S.1 American Competitiveness Act. Expresses the sense of the Senate that Congress should: eliminate tax loopholes that encourage companies to ship American jobs overseas; expand markets for United States exports; promote the development of new, innovative products bearing the inscription "Made in America"; modernize and improve U.S. highways, bridges, and transit systems; modernize and upgrade U.S. rail, levees, dams, and ports; place computers in classrooms; ensure that U.S. small businesses and households have access to high-speed broadband; invest in critical new infrastructure; streamline U.S. regulatory policies. Greater investment in rail structure. To improve transportation to make competitive in the world market. S.223: FAA Air Transportation Modernization and Safety Improvement Act. A bill to modernize the air traffic control system, improve the safety, reliability and availability of transportation by air in the United States, provide modernization of the air traffic control system, reauthorize the Federal Aviation Administration, and for other purposes. Impacts air transportation issues. S.504 National Right-to-Work Act. To preserve and protect the free choice of individual employees to form, join, or assist labor organizations, or to refrain from such activities. Anti-union bill. Puts unions at a disadvantage. H.R.1473 Department of Defense and Full-Year Continuing Appropriations Act, 2011. Title I: General Provisions. It cuts funding for DOL training programs, eliminates appropriations to the Federal Railroad Administration (FRA) railroad safety technology program. Eliminates appropriations for FRA capital assistance for high speed rail corridors and intercity passenger rail service (with a rescission of prior year unobligated balances). Cuts spending in areas that are important to middle class working families and TCU members. HR 1900 Surface Transportation and Mass Transit Security Act of 2011. A bill to authorize programs and activities within the Transportation Security Administration to enhance the security of surface transportation, including mass transit, and for other purposes. Focuses on needed security to Freight, Passenger and Commuter Rail systems. It makes a more secure workplace for workers. S. 1549 American Jobs Act of 2011 To provide tax relief for American workers and businesses, to put workers back on the job while rebuilding and modernizing America, and to provide pathways back to work for Americans looking for jobs. To put middle class workers back to work. S.1769 Rebuild America Jobs Act. Rebuild America Jobs Act - Prohibits the use of funds made available by this Act for a project for the construction, alteration, maintenance, or repair of a public building or public work unless all of the iron, steel, and manufactured goods used in such project are produced in the United States (Buy American). Keeps good jobs for American workers. H.R.3538 To amend the Railway Labor Act to direct the National Mediation Board to apply the same procedures, including voting standards, to the direct decertification of a labor organization as is applied to elections to certify a representative, and for other purposes. We do not support. NMB is an important agency that protects workers rights. H.R.4276 Surface Transportation Extension Act of 2012. To provide an extension of Federal-aid highway, highway safety, motor carrier safety, transit, and other programs funded out of the Highway Trust Fund pending enactment of a multiyear law reauthorizing such programs. We does not support inasmuch as the House should pass the Senate Bill which brings certainty to the industry and creates jobs. S.1831 Access to Capital for Job Creators Act. Access to Capital for Job Creators Act - Amends the Securities Act of 1933 to exempt from proscriptions governing interstate commerce and the mails those transactions by an issuer that do not involve a public offering, whether or not such transactions involve general solicitation or general advertising. We support as it creates jobs. S. 1813 To reauthorize Federal-aid highway and highway safety construction programs, and for other purposes. Moving Ahead for Progress in the 21st Century or MAP-21 - Authorizes appropriations out of the Highway Trust Fund (HTF) (other than the Mass Transit Account) equal to current federal highway spending levels plus inflation for FY2012 and FY2013 for: (1) certain new and existing core federal-aid highway programs, and (2) Federal Highway Administration (FHWA) administrative expenses. Puts people to work. H.R. 4348 Title I - Surface Transportation Extension Surface Transportation Extension Act of 2012, Amends the Surface Transportation Extension Act of 2011, Part II to continue through FY2012, and authorizes appropriations through that date for, specified federal-aid highway programs under the Safe, Accountable, Flexible, Efficient Transportation Equity Act. We approve as it will create jobs.

Client expense: $259,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Railroad Retirement Board, SENATE, Surface Transportation Board (STB), Transportation, Dept of (DOT)

H.R.1 Full-Year Continuing Appropriations Act, 2011 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. Cuts spending in areas that are important to middle class working families. H.AMDT.75 to H.R.1 Amendment sought to reduce the funding for AMTRAK Capitol by $446.9 million. Funding cuts for Amtrak would hurt unions ability to provide much needed transportation alternatives throughout the country. H.AMDT.229 (A020) Amendment sought to strike section 903. Section 903 repeals a National Mediation Board (NMB) rule, finalized last year, which provides for union representation elections among airline and railroad workers covered by the Railway Labor Act. An amendment numbered 21 printed in House Report 112-46 to strike section 903. Section 903 repeals a National Mediation Board (NMB) rule, finalized last year, which provides for union repr presentation elections among airline and railroad workers covered by the Railway Labor Act. Puts unions at a disadvantage to organize new members in the railroad and airlines industries. H.Res.28 Expressing the sense of the House of Representatives that the Transportation Security Administration should, in accordance with existing law, enhance security against terrorist attack and other security threats to our Nation's rail and mass transit systems and other modes of surface transportation; and for other purposes. Work to make the nations transportation systems safer. H.R.55 Northern Virginia Metrorail Extension Act of 2011. Authorizes alternatives analysis and preliminary engineering for specified Metrorail new fixed guideway capital projects in Virginia, Washington, D.C., and Maryland. To improve passenger transportation in the DC area. H.R. 548 Restoring Democracy in the Workplace Act. Declares that a specified rule prescribed by the National Mediation Board relating to representation election procedures shall have no force or effect. Anti-labor bill. Unfair elections. Would harm democracy in the workplace. H.R. 613 To strengthen Buy America requirements applicable to airports, highways, high-speed rail, trains, and transit, and for other purposes. Would create good middle class jobs in the USA. H.R.1213 To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges. Amends the Patient Protection and Affordable Care Act to repeal provisions appropriating funds to the Secretary of Health and Human Services (HHS) to award grants to states for activities (including planning activities) related to establishing an American Health Benefit Exchange (a state health insurance exchange). Rescinds any unobligated funds made available under such provisions. Hurts individual states ability to provide affordable health care. S.1 American Competitiveness Act. Expresses the sense of the Senate that Congress should: eliminate tax loopholes that encourage companies to ship American jobs overseas; expand markets for United States exports; promote the development of new, innovative products bearing the inscription "Made in America"; modernize and improve U.S. highways, bridges, and transit systems; modernize and upgrade U.S. rail, levees, dams, and ports; place computers in classrooms; ensure that U.S. small businesses and households have access to high-speed broadband; invest in critical new infrastructure; streamline U.S. regulatory policies. Greater investment in rail structure. To improve transportation to make competitive in the world market.S.158 Surface Transportation Board Reauthorization Act of 2011. Authorizes appropriations for FY2011-FY2015 for the Surface Transportation Board. Increases Board membership from three to five members. Removes the Board from the Department of Transportation (DOT) to establish it as an independent U.S. agency. The current board structure is sound, changes could create uncertainty in the industry. S.223: FAA Air Transportation Modernization and Safety Improvement Act. A bill to modernize the air traffic control system, improve the safety, reliability and availability of transportation by air in the United States, provide modernization of the air traffic control system, reauthorize the Federal Aviation Administration, and for other purposes. Impacts air transportation issues. S.504 National Right-to-Work Act. To preserve and protect the free choice of individual employees to form, join, or assist labor organizations, or to refrain from such activities. Anti-union bill. Puts unions at a disadvantage. H.R.1473 Department of Defense and Full-Year Continuing Appropriations Act, 2011. Title I: General Provisions. It cuts funding for DOL training programs, eliminates appropriations to the Federal Railroad Administration (FRA) railroad safety technology program. Eliminates appropriations for FRA capital assistance for high speed rail corridors and intercity passenger rail service (with a rescission of prior year unobligated balances). Cuts spending in areas that are important to middle class working families and TCU members. HR 1900 Surface Transportation and Mass Transit Security Act of 2011. A bill to authorize programs and activities within the Transportation Security Administration to enhance the security of surface transportation, including mass transit, and for other purposes. Focuses on needed security to Freight, Passenger and Commuter Rail systems. It makes a more secure workplace for workers. H.R.2350 Protecting Taxpayers in Transportation Asset Transfers Act. To secure public investments in transportation infrastructure. Allows for the use of any alternative analysis or environmental impact report relating the Project to satisfy Federal Railroad Administration capital assistance requirements for new fixed guideway capital projects. Supports the concept of this Bill to protect Tax Payers and Amtrak employees from private companies taking over companies like Amtrak. (Clean up the Bill is intended to stop the Mica Bill to privatize Amtrak.) S.326 : Federal Surface Transportation Policy and Planning Act of 2011. Declares it is U.S. policy to develop a national surface transportation system that advances the national interest and defense, interstate and foreign commerce, the efficient and safe interstate mobility of people and goods, and the protection of the environment. Authorizes the Secretary to amend the goals established under this Act. Develop greater investment in freight rail to move goods with cleaner rail transport. Would help protect fossil fuels and jobs related to coal industry, important for railroad jobs. S. 1549 American Jobs Act of 2011 To provide tax relief for American workers and businesses, to put workers back on the job while rebuilding and modernizing America, and to provide pathways back to work for Americans looking for jobs. To put middle class workers back to work. H.R.3094 Workforce Democracy and Fairness Act. Amends the National Labor Relations Act (NLRA) to revise requirements for determination by the National Labor Relation Board (NLRB) of an appropriate bargaining unit before an election of collective bargaining representation. Requires the NLRB, to determine a unit as appropriate for collective bargaining if it consists of employees that share a sufficient community of interest. Specifies factors the NLRB must consider when making such determinations. Anti-union and workers rights. H.R.3533 Invest in American Jobs Act of 2011. To ensure that transportation and infrastructure projects carried out using Federal financial assistance are constructed with steel, iron, and manufactured goods that are produced in the United States, and for other purposes. TCU supports because it would create good middle-class jobs. H.R.3538 To amend the Railway Labor Act to direct the National Mediation Board to apply the same procedures, including voting standards, to the direct decertification of a labor organization as is applied to elections to certify a representative, and for other purposes. We do not support. NMB is an important agency that protects workers rights. H.R.4276 Surface Transportation Extension Act of 2012. To provide an extension of Federal-aid highway, highway safety, motor carrier safety, transit, and other programs funded out of the Highway Trust Fund pending enactment of a multiyear law reauthorizing such programs. We does not support inasmuch as the House should pass the Senate Bill which brings certainty to the industry and creates jobs. H.R.4272 Freight Rail Economic Development Act of 2012. Freight Rail Economic Development Act of 2012 - Directs the Secretary of Transportation (DOT) to make capital grants to a class I, class II, or class III railroad or a state or local government for freight rail economic development projects, particularly projects to construct freight rail switches and sidings. Prescribes prevailing wage rate requirements for such projects in accordance with the Davis-Bacon Act. We support helps with the seamless flow of rail transportation and helps the industry grow. S.1831 Access to Capital for Job Creators Act. Access to Capital for Job Creators Act - Amends the Securities Act of 1933 to exempt from proscriptions governing interstate commerce and the mails those transactions by an issuer that do not involve a public offering, whether or not such transactions involve general solicitation or general advertising. We support as it creates jobs. S. 1813 To reauthorize Federal-aid highway and highway safety construction programs, and for other purposes. Moving Ahead for Progress in the 21st Century or MAP-21 - Authorizes appropriations out of the Highway Trust Fund (HTF) (other than the Mass Transit Account) equal to current federal highway spending levels plus inflation for FY2012 and FY2013 for: (1) certain new and existing core federal-aid highway programs, and (2) Federal Highway Administration (FHWA) administrative expenses. Puts people to work. H.R. 4348 Title I - Surface Transportation Extension Surface Transportation Extension Act of 2012, Amends the Surface Transportation Extension Act of 2011, Part II to continue through FY2012, and authorizes appropriations through that date for, specified federal-aid highway programs under the Safe, Accountable, Flexible, Efficient Transportation Equity Act. We approve as it will create jobs.

Client expense: $259,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Railroad Retirement Board, SENATE, Surface Transportation Board (STB), Transportation, Dept of (DOT)

House FY 13 Budget (H.Con.Res. 112) Mental Health in Schools Act (H.R. 751) Labor, Health and Human Services, and Education, and Related Agencies FY 12 Appropriations Act (S.1599/H.R.3070) Behavioral Health Information Technology Act of 2011 (S. 539) Healthy Lifestyles and Prevention America Act (S.174) Medicare Mental Health Access Act (S.483) Seniors Mental Health Access Improvement Act of 2011 (S.604) Medicare Mental Health Inpatient Equity Act (S.374) A Bill To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges (HR 1213) A Bill To repeal mandatory funding for school-based health center construction (HR 1214) A Bill To repeal the Prevention and Public Health Fund (HR 1217) Patients Rights Repeal Act (H.R. 2) Medicaid Maintenance-Of-Effort Repeal (H.R.1683/S. 868) The Garrett Lee Smith Memorial Act (GLSMA) Reauthorization of 2011 (S. 740) The Sergeant Coleman S. Bean Reserve Component Suicide Prevention Act (H.R. 1089/S. 579) The Keeping All Students Safe Act (H.R. 1381/S.2020) The Ryan Creedon Act of 2011 (H.R. 2119) Mental Health on Campus Improvement Act, H.R. 1833 Constitutional Balanced Budget Amendment (H.J.Res. 1/S.J.Res. 23) Agriculture FY12 Appropriations (HR 2112) Military/Veterans FY12 Appropriations (HR 2055) Medicare Decisions Accountability Act of 2011 (IPAB; HR 452/S. 668) Cap, Cut and Balance Bill (HR 2560/S. 1340) CAMPUS Safety Act of 2011 (HR 2342) Health Equity and Accountability Act of 2011 (H.R.2954) Continuing Appropriations Act, 2012 (HR 2608) Medigap Medical Loss Ratio Improvement Act (S.1416/H.R.2645) Improving Access to Medicare Coverage Act of 2011 (S.818) Stop Child Abuse in Residential Programs for Teens Act of 2011 (H.R.3126) Commerce/Justice/State FY12 Appropriations Act (HR.2596/S.1572) Promoting Accountability and Excellence in Child Welfare Act (S. 1509) Lifespan Respite Reauthorization Act (HR 3266) Consolidated FY2012 Appropriations Act (was Military/Veterans; HR 2055) Children's Budget Act (S.1396) Middle Class Tax Cut Act of 2011 (H.R. 3630) Speak Up Act Letter of Support (S. 1877) Reauthorization of Drug-Free Communities Support Program (S. 2159)

Client expense: $10,838 · Firm income: Not reported

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

Changes in Health Insurance Markets HR2 - Repealing the Job-Killing Health Care Law Act HR397 - Reform Americans Can Afford Act of 2011 Changes in Health Insurance Markets HR1206 - Access to Professional Health Insurance Advisors Act of 2011 HR1213 - To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges

Client expense: $6,060,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Energy, Dept of, Environmental Protection Agency (EPA), Federal Accounting Standards Advisory Board (FASAB), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Housing Finance Agency (FHFA), Federal Reserve System, Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Natl Economic Council (NEC), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office