To repeal mandatory funding for school-based health center construction.

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

S. 827, H.R 471, H.R 1214, H.R 2025, H.R 2217, H.R 2514, CEDAW, and LOST on national sovereignty; S. 192, S. 906, H.R 3, and H.R 1216, H.R 3803, and H.R 3805 on abortion standards and funding; S. 206, S. 827, H.R 471, H.R 998, H.R 1214, H.R 2514, H.R 3541, on education; S. 165 and H.R 361 on healthcare funding; S.555, S. 1467, S. 2043, H.R 1179, H.R 3982, H.R 3897, and H. Con Res 13 on religious liberty; S. 1241 and H.R 2299, on sex trafficking; S. 1308 and H.R 1981, on pornography; S. 1301, H.R 2830, and H.R 3589 on government accountability; H.R 1540, H.R 1578, on family issues.

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

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 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

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 (H.R.1216); to repeal mandatory funding for school-based health center construction (H.R.1214). LIFT Health Center Capital Financing; Family Health Care Accessibility Act of 2011 (H.R.1629/S.1059); Older Americans Act Reauth; Middle Class Tax Relief and Job Creation Act of 2011 (H.R. 3630); Temporary Payroll Tax Cut Continuation Act of 2011 (H.R.3765).

Client expense: $270,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, 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. 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

Legislation and issues relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); Nurse Education, Expansion, and Development Act; Nursing provisions in potential job creation legislation; Anti-competitive barriers to practice; Negotiated Rulemaking on Designation of Medically Underserved and Health Professional Shortage Areas; Administration review of current regulations; Prevention and Public Health Fund; Definition of essential health benefits; Health information technology and electronic health records; HRSA nurse practitioner national sample survey; Amendments to the Consumer Product Safety Improvement Act; Menu and Nutrition Labeling; Draft legislation to reauthorize the Prescription Drug User Fee Act (PDUFA); Draft legislation on Congressional Budget Office scoring of preventive health services; Draft legislation on voluntary tandem licensing and credentialing for federal telemedicine services; Draft legislation on reauthorization of the National Quality Forum; H.R. 5/S. 218/S. 1099 - Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act; H.R. 5 - Protecting Access to Healthcare (PATH) Act; H.R. 451 - Healthcare Truth and Transparency Act of 2011; S. 248/H.R. 844 - Empowering States to Innovate Act; S. 174 - Healthy Lifestyles and Prevention Act; H.R. 10/S. 299/S. 1720/S. 1786 - Regulations From the Executive in Need of Scrutiny (REINS) Act; H.R. 1217 - to repeal the Prevention and Public Health Fund; H.R. 1683/S. 868 - State Flexibility Act; H.R. 2465 - Federal Workers' Compensation Modernization and Improvement Act; S. 261 - Federal Employees' Compensation Reform Act; H.R. 469 - Protecting Student Athletes from Concussions Act; S. 601/H.R. 1127 - Childrens Sports Athletic Equipment Safety Act; Concussion Treatment and Care Tools (ConTACT) Act; S. 54 - Supporting Child Maltreatment Prevention Efforts in Community Health Centers Act; S. 55 - Nursing School Clinics Act; H.R. 157 - Health Care Safety Net Enhancement Act; H.R. 227 - Child Gun Safety and Gun Access Prevention Act; H.R. 338 - Protecting Our Kids' Medicine Act; H.R. 469 - Protecting Student Athletes from Concussions Act; H.R. 576 - Healthy Children Through School Nutrition Education Act; H.R. 713 - Keeping Families Together Act; H.R. 751 - Mental Health in Schools Act; H.R. 1214 - to repeal mandatory funding for school-based health center construction; S. 961 - Reconnecting Youth to Prevent Homelessness Act; S. 1165, Button Cell Battery Safety Act; H.R. 1852/S. 958 - Childrens Hospital GME Support Reauthorization Act; H.R. 115 - CHAMPVA Childrens Protection Act; H.R. 364 - Common Sense Health Reform Americans Actually Want Act; H.R. 614 - Post 9/11 G.I. Bill Dependent Coverage Improvement Act; H.R. 978 - Seniors Identity Protection Act; H.R. 989 - Voluntary State Discount Prescription Drug Plan Act; H.R. 1035/S. 1504 - Medicaid Coverage for Citizens of Freely Associated States Act; H.R. 2029/S. 1131 - Birth Defects Prevention, Risk Reduction, and Awareness Act; H.R. 2758/S. 1463 - Breastfeeding Promotion Act; H.R. 2229 - Student-to-School Nurse Ratio Improvement Act. H.R. 3679 - National Nurse Act; H.R. 4274 - BPCA and PREA Reauthorization Act; S. 2289 - Better Pharmaceuticals and Devices for Children Act; H.R. 5651 - Food and Drug Administration Reform Act; H.R. 5842 - Restoring Access to Medication Act; S. 3187 - FDA Safety and Innovation Act; S. 2474 - Health Equity and Accountability Act; S. 1789 - 21st Century Postal Service Act; S. 847 - Safe Chemicals Act; H.R. 2405/S. 1855 - Pandemic and All-Hazards Preparedness Act (PAHPA); H.R. 2359 - Safe Cosmetics Act; H.R. 6482 - Preventive Health Savings Act; Supplemental Nutrition Assistance Program (SNAP) provisions of H.R. 6083, Federal Agriculture Reform and Risk Management (FARRM) Act, and S.3240, Agriculture Reform, Food, and Jobs Act.

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, 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

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

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 (H.R.1216); to repeal mandatory funding for school-based health center construction (H.R.1214). LIFT Health Center Capital Financing; Family Health Care Accessibility Act of 2011 (H.R.1629/S.1059); Older Americans Act Reauth; Middle Class Tax Relief and Job Creation Act of 2011 (H.R. 3630); Temporary Payroll Tax Cut Continuation Act of 2011 (H.R.3765).

Client expense: $270,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, 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

Legislation and issues relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); Nurse Education, Expansion, and Development Act; Nursing provisions in potential job creation legislation; Negotiated Rulemaking on Designation of Medically Underserved and Health Professional Shortage Areas; Administration review of current regulations; Prevention and Public Health Fund; Definition of essential health benefits; Health information technology and electronic health records; HRSA nurse practitioner national sample survey; Amendments to the Consumer Product Safety Improvement Act; Menu and Nutrition Labeling; Draft legislation to reauthorize the Prescription Drug User Fee Act (PDUFA); Draft legislation on Congressional Budget Office scoring of preventive health services; Draft legislation on voluntary tandem licensing and credentialing for federal telemedicine services; H.R. 5/S. 218/S. 1099 - Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act; H.R. 5 - Protecting Access to Healthcare (PATH) Act; H.R. 451 - Healthcare Truth and Transparency Act of 2011; S. 248/H.R. 844 - Empowering States to Innovate Act; S. 174 - Healthy Lifestyles and Prevention Act; H.R. 10/S. 299/S. 1720/S. 1786 - Regulations From the Executive in Need of Scrutiny (REINS) Act; H.R. 1217 - to repeal the Prevention and Public Health Fund; H.R. 1683/S. 868 - State Flexibility Act; H.R. 2465 - Federal Workers' Compensation Modernization and Improvement Act; S. 261 - Federal Employees' Compensation Reform Act; H.R. 469 - Protecting Student Athletes from Concussions Act; S. 601/H.R. 1127 - Childrens Sports Athletic Equipment Safety Act; Concussion Treatment and Care Tools (ConTACT) Act; S. 54 - Supporting Child Maltreatment Prevention Efforts in Community Health Centers Act; S. 55 - Nursing School Clinics Act; H.R. 157 - Health Care Safety Net Enhancement Act; H.R. 227 - Child Gun Safety and Gun Access Prevention Act; H.R. 338 - Protecting Our Kids' Medicine Act; H.R. 469 - Protecting Student Athletes from Concussions Act; H.R. 576 - Healthy Children Through School Nutrition Education Act; H.R. 713 - Keeping Families Together Act; H.R. 751 - Mental Health in Schools Act; H.R. 1214 - to repeal mandatory funding for school-based health center construction; S. 961 - Reconnecting Youth to Prevent Homelessness Act; S. 1165, Button Cell Battery Safety Act. H.R. 1852/S. 958 - Childrens Hospital GME Support Reauthorization Act; H.R. 115 - CHAMPVA Childrens Protection Act; H.R. 364 - Common Sense Health Reform Americans Actually Want Act; H.R. 614 - Post 9/11 G.I. Bill Dependent Coverage Improvement Act; H.R. 978 - Seniors Identity Protection Act; H.R. 989 - Voluntary State Discount Prescription Drug Plan Act; H.R. 1035/S. 1504 - Medicaid Coverage for Citizens of Freely Associated States Act; H.R. 2029/S. 1131 - Birth Defects Prevention, Risk Reduction, and Awareness Act; H.R. 2758/S. 1463 - Breastfeeding Promotion Act; H.R. 2229 - Student-to-School Nurse Ratio Improvement Act. H.R. 3679 - National Nurse Act; H.R. 4274 - BPCA and PREA Reauthorization Act; S. 2289 - Better Pharmaceuticals and Devices for Children Act; H.R. 5651 - Food and Drug Administration Reform Act; H.R. 5842 - Restoring Access to Medication Act; S. 3187 - FDA Safety and Innovation Act S. 2474 - Health Equity and Accountability Act; S. 1789 - 21st Century Postal Service Act.

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

S. 827, H.R 471, H.R 1214, H.R 2025, H.R 2217, H.R 2514, CEDAW, and LOST on national sovereignty; S. 192, S. 906, H.R 3, and H.R 1216, H.R 3803, and H.R 3805 on abortion standards and funding; S. 206, S. 827, H.R 471, H.R 998, H.R 1214, H.R 2514, H.R 3541, on education; S. 165 and H.R 361 on healthcare funding; S.555, S. 1467, S. 2043, H.R 1179, H.R 3982, H.R 3897, and H. Con Res 13 on religious liberty; S. 1241 and H.R 2299, on sex trafficking; S. 1308 and H.R 1981, on pornography; S. 1301, H.R 2830, and H.R 3589 on government accountability; H.R 1540, H.R 1578, on family issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

Legislation and issues relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); Nurse Education, Expansion, and Development Act; Nursing provisions in potential job creation legislation; Negotiated Rulemaking on Designation of Medically Underserved and Health Professional Shortage Areas; Administration review of current regulations; Health information technology and electronic health records; Repeal of Medicaid maintenance of effort requirements; HRSA nurse practitioner national sample survey; Amendments to the Consumer Product Safety Improvement Act; Menu and Nutrition Labeling; Draft legislation to reauthorize the Prescription Drug User Fee Act (PDUFA); H.R. 5/S. 218/S. 1099 - Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act; H.R. 5 - Protecting Access to Healthcare (PATH) Act; H.R. 451 - Healthcare Truth and Transparency Act of 2011; S. 248/H.R. 844 - Empowering States to Innovate Act; S. 174 - Healthy Lifestyles and Prevention Act; H.R. 10/S. 299/S. 1720/S. 1786 - Regulations From the Executive in Need of Scrutiny (REINS) Act; H.R. 1217 - to repeal the Prevention and Public Health Fund; H.R. 1683/S. 868 - State Flexibility Act; H.R. 2465 - Federal Workers' Compensation Modernization and Improvement Act; S. 261 - Federal Employees' Compensation Reform Act; H.R. 469 - Protecting Student Athletes from Concussions Act; S. 601/H.R. 1127 - Childrens Sports Athletic Equipment Safety Act; Concussion Treatment and Care Tools (ConTACT) Act; H.R. 4160 - State Health Flexibility Act; H.R. 3679 - National Nurse Act; H.R. 4274 - BPCA and PREA Reauthorization Act; S. 54 - Supporting Child Maltreatment Prevention Efforts in Community Health Centers Act; S. 55 - Nursing School Clinics Act; H.R. 157 - Health Care Safety Net Enhancement Act; H.R. 227 - Child Gun Safety and Gun Access Prevention Act; H.R. 338 - Protecting Our Kids' Medicine Act; H.R. 469 - Protecting Student Athletes from Concussions Act; H.R. 576 - Healthy Children Through School Nutrition Education Act; H.R. 713 - Keeping Families Together Act; H.R. 751 - Mental Health in Schools Act; H.R. 1214 - to repeal mandatory funding for school-based health center construction; S. 961 - Reconnecting Youth to Prevent Homelessness Act; S. 1165, Button Cell Battery Safety Act; H.R. 1852/S. 958 - Childrens Hospital GME Support Reauthorization Act; H.R. 115 - CHAMPVA Childrens Protection Act; H.R. 364 - Common Sense Health Reform Americans Actually Want Act; H.R. 614 - Post 9/11 G.I. Bill Dependent Coverage Improvement Act; H.R. 978 - Seniors Identity Protection Act; H.R. 989 - Voluntary State Discount Prescription Drug Plan Act; H.R. 1035/S. 1504 - Medicaid Coverage for Citizens of Freely Associated States Act; H.R. 2029/S. 1131 - Birth Defects Prevention, Risk Reduction, and Awareness Act; H.R. 2758/S. 1463 - Breastfeeding Promotion Act; H.R. 2229 - Student-to-School Nurse Ratio Improvement Act.

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, 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. 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

Client expense: $50,000 · 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), 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

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 (H.R.1216); to repeal mandatory funding for school-based health center construction (H.R.1214); LIFT Health Center Capital Financing; Family Health Care Accessibility Act of 2011 (H.R.1629/S.1059); Older Americans Act Reauth; Middle Class Tax Relief and Job Creation Act of 2011 (H.R. 3630); Temporary Payroll Tax Cut Continuation Act of 2011 (H.R.3765).

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, 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.

Client expense: $3,970,000 · 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), Internal Revenue Service (IRS), SENATE, White House Office

Issues regarding: executive nominations, appropriations, health care, national motto, death tax, protecting life, foreign relations, parental rights, marriage amendment, judicial nominations, indecency, gambling, DADT, sex trafficking, conscience issues, religious liberties, military religious freeom, pornography, taxes, balanced budget, budget and approprations. Bills lobbied: H Con Res 13, HR 1, HR 2, HR 3, HR 361, HR 471, HR 998, HR 1179, HR 1214, HR 1216, HR 1467, HR 1540, HR 1981, HR 2025, HR 2217, HR 2299, HR 2514, HR 2830, HR 2897, HR 3541, HR 3589, HR 3803, HR 3805, HR 3828, HR 3982, S 165, S 192, S 206, S 555, S 827, S 906, S 1241, S 1301, S 1308, S 1467, S 2043.

Client expense: $20,046 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

PPACA Implementation; HR2; HR4; HR1213; HR1214; HR1215; HR1217; HR5; HR452; HR1117; HR2500

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

House FY 12 Budget (H.Con.Res. 34) 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)

Client expense: Not reported · Firm income: Not reported

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

HR 3 No Taxpayer Funding for Abortion Act: entire bill H.RES.237 Providing for consideration of the bill (H.R. 3) to prohibit taxpayer funded abortions and to provide for conscience protections, and for other purposes: entire bill HR 212 Sanctity of Human Life Act: entire bill HR 217 Title X Abortion Provider Prohibition Act: entire bill HR 358 Protect Life Act: entire bill H.RES.430 Providing for consideration of the bill (H.R. 358) to amend the Patient Protection and Affordable Care Act to modify special rules relating to coverage of abortion services under such Act: entire bill HR 361 Abortion Non-Discrimination Act of 2011: entire bill HR 374 Life at Conception Act: entire bill HR 536 Indian Healthcare Improvement Act of 2011: entire bill HR 593 Taxpayer Conscience Protection Act of 201: entire bill HR 1096 Sanctity of Life Act of 2011: entire bill HR 1099 Taxpayers' Freedom of Conscience Act of 2011: entire bill HR 1179 Respect for Rights of Conscience Act of 2011: entire bill HR1232 To amend the Internal Revenue Code of 1986 to eliminate certain tax benefits relating to abortion: entire bill HR1319 Global Sexual and Reproductive Health Act of 2011: entire bill S 91 Life at Conception Act: entire bill S 96 Title X Family Planning Act: entire bill S 121 Pregnant Women Health and Safety Act: entire bill S 165 Abortion Non-Discrimination Act of 2011: entire bill S 167 Child Custody Protection Act: entire bill S 314 Unborn Child Pain Awareness Act of 2011: entire bill HR 2085 MARCH for Military Women Act: entire bill HR 1214 MARCH for Military Women Act: entire bill S 1241 Child Interstate Abortion Notification Act: entire bill HR 2299 Child Interstate Abortion Notification Act: entire bill S 877 Protect Life Act: entire bill S 906 No Taxpayer Funding for Abortion Act: entire bill S 1005 Parental Notification and Intervention Act of 2011: entire bill S 1484 Hyde and Related Amendments Codification Act: entire bill S 1490 Pregnancy Assistance Fund Expansion Act: entire bill S 1489 Health Care Provider and Hospital Conscience Protection Act: entire bill S 1488 Hyde Amendment Codification Act: entire bill S 1467 Respect for Rights of Conscience Act of 2011: entire bill HR 3130 Heartbeat Informed Consent Act: entire bill S 1904 Welfare Reform Act of 2011: entire bill HR 3541 Susan B. Anthony and Frederick Douglass Prenatal Nondiscrimination Act of 2011: 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 S 1437 Communities of Color Teenage Pregnancy Prevention Act of 2011: provisions related to family planning and reproductive health 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: provisions related to family planning and reproductive health 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: $559,808 · 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)

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; Reauthorization of the Pandemic and All Hazards Preparedness Act (PAHPA) P.L. 109-417, Emergency Preparedness; 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; S 365 and S 627 Budget Control Act of 2011, Established by Joint Select Comm on Deficit Reduction; 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; 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; Joint letter signed by the AHA, FAH, and AMRPA 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.

Client expense: $5,370,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE, 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. Suport Needle Exchange programs.

Client expense: $50,000 · 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 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), 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

Legislation and issues relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); Nurse Education, Expansion, and Development Act; nursing provisions in potential job creation legislation; Negotiated Rulemaking on Designation of Medically Underserved and Health Professional Shortage Areas; Administration review of current regulations; health information technology and electronic health records; repeal of Medicaid maintenance of effort requirements; HRSA NP national sample survey; H.R. 5/S. 218/S. 1099 Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act; H.R. 451 Healthcare Truth and Transparency Act of 2011; S. 248/H.R. 844 Empowering States to Innovate Act; S. 174 Healthy Lifestyles and Prevention Act; H.R. 10/S. 299/S. 1720/S. 1786 Regulations From the Executive in Need of Scrutiny (REINS) Act; H.R. 1217 to repeal the Prevention and Public Health Fund; H.R. 1683/S. 868 State Flexibility Act; H.R. 2465 Federal Workers' Compensation Modernization and Improvement Act; S. 261 Federal Employees' Compensation Reform Act; H.R. 469 Protecting Student Athletes from Concussions Act; S. 601/H.R. 1127 Childrens Sports Athletic Equipment Safety Act; Concussion Treatment and Care Tools (ConTACT) Act; Amendments to the Consumer Product Safety Improvement Act; Menu and Nutrition Labeling; S. 54 Supporting Child Maltreatment Prevention Efforts in Community Health Centers Act; S. 55 Nursing School Clinics Act; H.R. 157 Health Care Safety Net Enhancement Act; H.R. 227 Child Gun Safety and Gun Access Prevention Act; H.R. 338 Protecting Our Kids' Medicine Act; H.R. 469 Protecting Student Athletes from Concussions Act; H.R. 576 Healthy Children Through School Nutrition Education Act; H.R. 713 Keeping Families Together Act; H.R. 751 Mental Health in Schools Act; H.R. 1214 to repeal mandatory funding for school-based health center construction; S. 961 Reconnecting Youth to Prevent Homelessness Act; S. 1165, Button Cell Battery Safety Act; H.R. 1852/S. 958 Childrens Hospital GME Support Reauthorization Act; H.R. 115 CHAMPVA Childrens Protection Act; H.R. 364 Common Sense Health Reform Americans Actually Want Act; H.R. 614 Post 9/11 G.I. Bill Dependent Coverage Improvement Act; H.R. 978 Seniors Identity Protection Act; H.R. 989 Voluntary State Discount Prescription Drug Plan Act; H.R. 1035/S. 1504 Medicaid Coverage for Citizens of Freely Associated States Act; H.R. 2029/S. 1131 Birth Defects Prevention, Risk Reduction, and Awareness Act; H.R. 2758/S. 1463 Breastfeeding Promotion Act; H.R. 2229 Student-to-School Nurse Ratio Improvement Act.

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

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 (H.R.1216); To repeal mandatory funding for school-based health center construction (H.R.1214). LIFT Health Center Capital Financing. Family Health Care Accessibility Act of 2011 (H.R.1629/S.1059); Older Americans Act Reauth; Middle Class Tax Relief and Job Creation Act of 2011(H.R. 3630); Temporary Payroll Tax Cut Continuation Act of 2011 (H.R.3765).

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

PPACA Implementation; HR2; HR4; HR1473; HR1213; HR1214; HR1215; HR1216; HR1217; HR5; HR452; HR1117; HR2500;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General financial issues and issues pertaining to the company; bills: S. 3632, H.R. 1214, H.R. 2563, H.R. 1846, H.R. 1608

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

House FY 12 Budget (H.Con.Res. 34) Mental Health in Schools Act (H.R. 751) Labor-HHS-Education FY 11 and Full-Year Continuing Appropriations Act (HR 1473) 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) 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) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2012 (S.1599/H.R.3070) 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) The legislative vehicle for the Agriculture, Commerce, Justice and Science, and Transportation/HUD appropriations bills (H.R.2112) Promoting Accountability and Excellence in Child Welfare Act (S. 1509) Lifespan Respite Reauthorization Act (HR 3266)

Client expense: $8,052 · Firm income: Not reported

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

Repealing the Job-Killing Health Care Law Act (H.R.2); to amend the Public Health Service Act to cover funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations (H.R.1216); to repeal mandatory funding for school-based health center construction (H.R.1214). LIFT Health Center Capital Financing. Family Health Care Accessibility Act of 2011 (H.R.1629/S.1059); Older Americans Act Reauthorization.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

Repealing the Job-Killing Health Care Law Act (H.R.2); to amend the Public Health Service Act to cover funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations (H.R.1216); to repeal mandatory funding for school-based health center construction (H.R.1214). LIFT Health Center Capital Financing. Family Health Care Accessibility Act of 2011 (H.R.1629/S.1059).

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

Repealing the Job-Killing Health Care Law Act (H.R.2); to amend the Public Health Service Act to cover funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations(H.R.1216); to repeal mandatory funding for school-based health center construction(H.R.1214); LIFT Health Center Capital Financing.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 1; Full Year Continuing Appropriations Act, FY 2011 H.R. 1; Full Year Continuing Appropriations Act, FY 2011, Pence Amendment FY 2012 Budget Resolution - Provisions related to function 550 (Public Health Programs) Budget Control Act S. 365 Super Committee (Medicare, Medicaid, etc) (Social Security, Home Health, Title VIII) Independence at Home Act, Healthcare Reform. - provisions related to support of program funding. Support for FY 2012 Title VIII Nursing Workforce Development Programs, NINR, Nurse-Managed Health Clinics Proposals related to support for funding for the Agency for Healthcare Research and Quality for FY 2012 HRSA Labor, HHS, Education Appropriations Bill Proposals related to support for FY 2012 funding for the Prevention and Public Health Fund H.R. 1214 - School Based Health Center Construction Act Provisions related to Title X Family Planning Program Provisions related to funding for the National institute for Occupational Safety and Health within the Center for Disease Control Funding Related to School-Based Health Centers (SBHCs)

Client expense: $486,520 · Firm income: Not reported

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

Issues related to the prevention and treatment of lung disease including the following legislation: H.R. 1214 To repeal mandatory funding for school-based health center construction; H.R.2954 : Health Equity and Accountability Act of 2011; H.R. 1394 Lung Cancer Mortality Reduction Act; H.R. 2055 - House Military Construction-Veterans Affairs Appropriations Act of 2012; H.R. 2219 Defense Appropriations Act FY 2012; House Labor, Health and Human Services Appropriations Act FY 2012; S. 752 Lung Cancer Mortality Reduction Act;S. 1599 Labor, Health and Human Services Appropriations Act FY 2012; Senate Military Construction-Veterans Affairs Appropriations Act of 2012; Issues related to tobacco cessation coverage; Issues related to electronic cigarettes; Issues related to tobacco control research at the National Institutes of Health; Issues related to the implementation of the Affordable Care Act; Issues relating to Chronic Obstructive Pulmonary Disease; Issues related to tuberculosis; President's Budget Proposal for FY 2012; H.R. 2505 Pulmonary Fibrosis Research Enhancement Act S. 1350 Pulmonary Fibrosis Research Enhancement Act; H.R.2017 Continuing Appropriations Act, 2012 H.R.2608Continuing Appropriations Act, 2012; Issues related to Joint Select Committee on Deficit Reduction

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), 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.

Client expense: $50,000 · 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 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), 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

Repealing the Job-Killing Health Care Law Act (H.R.2); to amend the Public Health Service Act to cover funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations (H.R.1216); to repeal mandatory funding for school-based health center construction (H.R.1214). LIFT Health Center Capital Financing. Family Health Care Accessibility Act of 2011 (H.R.1629/S.1059); Older Americans Act Reauthorization.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, 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; Reauthorization of the Pandemic and All Hazards Preparedness Act (PAHPA) P.L. 109-417, Emergency Preparedness; 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; S 365 and S 627 Budget Control Act of 2011, Established by Joint Select Comm on Deficit Reduction.

Client expense: $4,760,000 · Firm income: Not reported

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

Legislation and issues relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); Nurse Education, Expansion, and Development Act; nursing provisions in potential job creation legislation; Negotiated Rule-making on Designation of Medically Underserved and Health Professional Shortage Areas; Administration review of current regulations; health information technology and electronic health records; repeal of Medicaid maintenance of effort requirements; H.R. 5/S. 218 Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act; H.R. 451 Healthcare Truth and Transparency Act of 2011; S. 248/H.R. 844 Empowering States to Innovate Act; S. 174 Healthy Lifestyles and Prevention Act; H.R. 10/S. 299 Regulations From the Executive in Need of Scrutiny (REINS) Act; H.R. 1217 to repeal the Prevention and Public Health Fund; H.R. 1683/S. 868 State Flexibility Act; H.R. 2465 Federal Workers' Compensation Modernization and Improvement Act; S. 261 Federal Employees' Compensation Reform Act; Amendments to the Consumer Product Safety Improvement Act; Menu and Nutrition Labeling; S. 54 Supporting Child Maltreatment Prevention Efforts in Community Health Centers Act; S. 55 Nursing School Clinics Act; H.R. 157 Health Care Safety Net Enhancement Act; H.R. 227 Child Gun Safety and Gun Access Prevention Act; H.R. 338 Protecting Our Kids' Medicine Act; H.R. 469 Protecting Student Athletes from Concussions Act; H.R. 576 Healthy Children Through School Nutrition Education Act; H.R. 713 Keeping Families Together Act; H.R. 751 Mental Health in Schools Act; H.R. 1214 to repeal mandatory funding for school-based health center construction; S. 961 Reconnecting Youth to Prevent Homelessness Act; S. 1165, Button Cell Battery Safety Act; H.R. 1852/S. 958 Childrens Hospital GME Support Reauthorization Act; H.R. 115 CHAMPVA Childrens Protection Act; H.R. 364 Common Sense Health Reform Americans Actually Want Act; H.R. 614 Post 9/11 G.I. Bill Dependent Coverage Improvement Act; H.R. 978 Seniors Identity Protection Act; H.R. 989 Voluntary State Discount Prescription Drug Plan Act; H.R. 1035/S. 1504 Medicaid Coverage for Citizens of Freely Associated States Act; H.R. 2029/S. 1131 Birth Defects Prevention, Risk Reduction, and Awareness Act; H.R. 2758/S. 1463 Breastfeeding Promotion Act; H.R. 2229 Student-to-School Nurse Ratio Improvement Act; S. 601, Childrens Sports Athletic Equipment Safety Act; Concussion Treatment and Care Tools (ConTACT) Act.

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

PPACA Implementation; HR2; HR4; HR1473; HR1213; HR1214; HR1215; HR1216; HR1216; HR1217; HR5; Medical Malpractice

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General financial issues and issues pertaining to the company; bills: S. 3632, H.R. 1214, H.R. 2563, H.R. 1846, H.R. 1608

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1 - Full-year continuing Appropriations Act of 2011 (2/11/11) H.R.5 - Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 H.R.157 - Health Care Safety Net Enhancement Act of 2011 H.R.314 - Medical Liability Procedural Reform Act of 2011 H.R.376 - Volunteer Emergency Services Recruitment and Retention Act of 2011 H.R.452 - Medicare Decisions Accountability Act of 2011 H.R.541 - Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.658 - FAA Air Transportation Modernization and Safety Improvement Act H.R.816 - Provider Shield Act of 2011 H.R.896 - Medical Justice Act of 2011 H.R.969 - Medical Practice Freedom Act of 2011 H.R.971 - Critical Care Assessment and Improvement Act of 2011 H.R.1005 - Medicare Ambulance Access Preservation Act of 2011 H.R.1065 - Pill Mill Crackdown Act of 2011 H.R.1117 - Air Ambulance Patient Safety, Protection, and Coordination Act H.R.1213 - To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges H.R.1214 - To repeal mandatory funding for school-based health center construction H.R.1254 - Synthetic Drug Control Act of 2011 H.R.1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1310 - To amend the Internal Revenue Code of 1986 to exempt certain emergency medical devices from the excise tax on medical devices, and for other purposes H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act of 2011 H.R.1571 - Combating Dangerous Synthetic Stimulants Act of 2011 H.R.1622 - Spectrum Innovation Act H.R.1668 - Danny McIntosh Emergency Medical Service Providers Protection Act H.R.1683 - State Flexibility Act H.R.1852 - Children's Hospital GME Support Reauthorization Act of 2011 H.R.1925 - Prescription Drug Abuse Prevention and Treatment Act of 2011 H.R.1941 - Hiring Heroes Act of 2011 H.R.2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R.2324 - Research of Alcohol Detection Systems (ROADS) for Stopping Alcohol-related Fatalities Everywhere Act of 2011 H.R.2353 - Volunteer Responder Incentive Protection Reauthorization Act of 2011 H.R.2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R.2472 - Health Care Professionals Protection Act of 2011 H.R.2488 - SERVE Act of 2011 H.R.2523 - Physician Availability Act of 2011 S.12 - Job Creation Act of 2011 S.197 - Medical Care Access Protection (MCAP) Act of 2011 S.223 - FAA Air Transportation Modernization and Safety Improvement Act S.296 - Preserving Access to Life-Saving Medications Act S.385 - Dale Long Emergency Medical Services Providers Protection Act S.409 - Combating Dangerous Synthetic Stimulants Act of 2011 S.424 - Medicare Ambulance Access Preservation Act of 2011 S.507 - Prescription Drug Abuse Prevention and Treatment Act of 2011 S.510 - Research of Alcohol Detection Systems (ROADS) for Stopping Alcohol-related Fatalities Everywhere Act of 2011 S.605 - Dangerous Synthetic Drug Control Act of 2011 S.668 - Health Care Bureaucrats Elimination Act S.868 - State Flexibility Act S.911 - SPECTRUM Act S.932 - SERVE Act of 2011 S.933 - Volunteer Responder Incentive Protection Reauthorization Act of 2011 S.951 - Hiring Heroes Act of 2011 S.958 - Children's Hospital GME Support Reauthorization Act of 2011 S.1059 - Family Health Care Accessibility Act of 2011 S.1099 - Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011

Client expense: $444,059 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

House FY 12 Budget (H.Con.Res. 34) Mental Health in Schools Act (H.R. 751) Labor-HHS-Education FY 11 and Full-Year Continuing Appropriations Act (HR 1473) 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) 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)

Client expense: $9,035 · Firm income: Not reported

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