Further Additional Continuing Appropriations Amendments, 2011

H.R. 658 - FAA Air Transportation Modernization and Safety Improvement Act H.R. 970 - Federal Aviation Research and Deelopment Reauthorization Act of 2011 S. 223 - FAA Air Transportation Modernization and Safety Improvement Act H. R. 1363 Further Additional Continuing Appropriations Amendments, 2011 H.R. 1473 - Full-Year Continuing Appropriations Act, 2011 H. Con. Res. 34 - Concurrent resolution on the budget for FY 2012 H.R. 1 - Full Year Continuing Appropriations Act, 2011 H.R. 1079 - Airport and Airway Extension Act of 2011 H.R. 1893 - Airport and Airway Extension Act of 2011, Part II H.R. 2279 - Airport and Airway Extension Act of 2011, Part III ASCE's Report Card for America's Infrastructure

Client expense: $70,200 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Energy, Dept of, Environmental Protection Agency (EPA), Federal Aviation Administration (FAA), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Natl Institute of Standards & Technology (NIST), Natl Oceanic & Atmospheric Administration (NOAA), Natl Science Foundation (NSF), SENATE, Transportation, Dept of (DOT), U.S. Geological Survey (USGS)

Monitor FY2013 Appropriations (H.J.Res.44; H.J.Res.48; H.R.1363; H.R. 1473; S.1596)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

Monitor FY2013 Appropriations (H.J.Res.44; H.J.Res.48; H.R. 1363; H.R. 1473; S. 1596).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

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

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

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

H.R.3082-Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res.48-Additional Continuing Appropriatins Amendments, 2011 H.R.1363-Further Additional Continuing Appropriations Amendements, 2011 H.R.1-Full Year Continuing Appropriations Act, 2011

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 H.R.1852 - Children's Hospital GME Support Reauthorization Act of 2011 S.958 - Children's Hospital GME Support Reauthorization Act of 2011 H.J.Res. 117 - Continuing Appropriations Resolution, 2013 S. 1832 - Marketplace Fairness Act S. 1440 - PREEMIE Reauthorization Act H.R. 6700 - Stop Deducting Damages Act of 2012 H.R. 8 - The American Taxpayer Relief Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 H.R.1852 - Children's Hospital GME Support Reauthorization Act of 2011 S.958 - Children's Hospital GME Support Reauthorization Act of 2011 H.J.Res. 117 - Continuing Appropriations Resolution, 2013 S. 1832 - Marketplace Fairness Act S. 1440 - PREEMIE Reauthorization Act H.R. 6700 - Stop Deducting Damages Act of 2012 H.R. 8 - The American Taxpayer Relief Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 H.J.Res. 117 - Continuing Appropriations Resolution, 2013 H.R. 8 - The American Taxpayer Relief Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 H.J.Res. 117 - Continuing Appropriations Resolution, 2013 H.R. 8 - The American Taxpayer Relief Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 S.539 - Behavioral Health Information Technology Act of 2011 H.R. 6043 - Behavior Health Information Technology Act of 2012 H.J.Res. 117 - Continuing Appropriations Resolution, 2013 H.R. 8 - The American Taxpayer Relief Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 S.539 - Behavioral Health Information Technology Act of 2011 H.R. 6043 - Behavior Health Information Technology Act of 2012 H.J.Res. 117 - Continuing Appropriations Resolution, 2013 H.R. 8 - The American Taxpayer Relief Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 H.R. 5651 - Food and Drug Administration Reform Act of 2012 S. 3187 - Food and Drug Administration Safety and Innovation Act H.J.Res. 117 - Continuing Appropriations Resolution, 2013 H.R. 8 - The American Taxpayer Relief Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 H.R. 5651 - Food and Drug Administration Reform Act of 2012 S. 3187 - Food and Drug Administration Safety and Innovation Act H.J.Res. 117 - Continuing Appropriations Resolution, 2013 H.R. 8 - The American Taxpayer Relief Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 H. Con Res 112 - Establishing the budget for the United States Government for fiscal year 2013 and setting forth appropriate budgetary levels for fiscal years 2014 through 2022. H.R. 5 - Protecting Access to Healthcare Act S. 668 - Health Care Bureaucrats Elimination Act S. 2118 - Health Care Bureaucrats Elimination Act H.J.Res. 117 - Continuing Appropriations Resolution, 2013 H.R. 8 - The American Taxpayer Relief Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 H. Con Res 112 - Establishing the budget for the United States Government for fiscal year 2013 and setting forth appropriate budgetary levels for fiscal years 2014 through 2022. H.R. 5 - Protecting Access to Healthcare Act S. 668 - Health Care Bureaucrats Elimination Act S. 2118 - Health Care Bureaucrats Elimination Act H.J.Res. 117 - Continuing Appropriations Resolution, 2013 H.R. 8 - The American Taxpayer Relief Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

HR 1363, further additional continuing appropriations amendement for 2011 Medicarea payment reductions via the Federal Budget

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 901, Chemical Facility Anti-Terrorism Security Authorization Act of 2011 H.R. 908, Full Implementation of the Chemical Facility Antiterrorism Security Act of 2011 H.R. 916, Continuing Chemical Facilities Antiterrorism Security Act of 2011 H.R. 6083, Federal Agriculture Reform and Risk Management Act of 2012 H.R. 4965, To Preserve Existing Rights and Responsiblities with Respect to Waters of the United States, and for other purposes H.R. 910, Energy Tax Prevention Act of 2011 H.R. 1363, Further Additional Continuing Appropriations Amendments, 2011 HJ Res 44, Further Continuing Appropriations Amendments of 2011 HJ 48, Additional Continuing Appropriations Amendments of 2011 H Con. Res 34, FY 2012 Budget Resolution H.R. 1, Full Year Continuing Appropriations, 2011 H.R. 2112, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2012 H.R. 2584, Department of Interior, Environment, and Related Agencies Appropriations, 2012 H.R. 2018, Clean Water Cooperative Federalism Act H.R. 872, Reducing Regulatory Burdens Act of 2011 H.R. 553, Endocrine Disruptor Screening Enhancement Act of 2011 H.R. 2521, Endocrine-Disrupting Chemicals Exposure Elimination Act of 2011 H.R. 2596, CJS, Commerce, Justice, Science and Related Agencies Appropriations Act, 2012 H.R. 6083, Federal Agriculture Reform and Risk Management Act of 2012 S. 718, A bill to amend the Federal Insecticide, Fungicide and Rodenticide Act to improve the use of certain registered pesticides S. 473, Continuing Chemical Facilities Antiterrorism Security Act of 2011 S. 3240, Agriculture Reform, Food and Jobs Act of 2012 S. 847, A bill to amend the Toxic Substances Control Act to ensure that risks from chemicals are adequately understood and managed, and for other purposes S. 482, Energy Tax Prevention Act of 2011 S. 1361, Endocrine-Disrupting Chemicals Exposure Elimination Act of 2011 S. 875, Drinking Water Right to Know Act S. 76, Strengthening Protections for Children and Communities from Disease Clusters Act S. 2245, Preserving the Waters of the United States Act S. 3605, Restoring Effective Environmental Protection Act S. 3552, Pesticide Registration Improvement Extension Act of 2012 H.R. 8, American Taxpayer Relief Act of 2012

Client expense: $926,058 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Office of Management & Budget (OMB), SENATE

S.913: Do-Not-Track Online Act of 2011-privacy implications. S.799: The Commercial Privacy Bill of Rights-privacy implications. S.501: Fostering Independence Through Technology Act-any health IT implications. S.539: Behavior Health Information Technology Act-expanding health IT incentives to additional covered entities. S. 1789: The 21st Century Postal Service Act. This bill contains language that would limit federal agency employees participation and attendance at association conferences. H.R.3239: Safeguarding Access For Every Medicare Patient Actinterested in the safe harbor issues with regard to the implementation of certified health IT. H.R.2500: Equal Access and Parity for Multi-Campus Hospitals Actexpanding HIT incentives to new covered entities. H.R.1895: A Bill to Amend the Children's Online Privacy Protection Actprivacy implications. H.R.1841: Data Accountability and Trust Act (DATA) of 2011privacy implications. H.R.1473: A bill to make further continuing appropriations for Fiscal Year 2011 (updated)provisions concerning ONC funding, health IT and the rider concerning a unique healthcare identifier for individuals. H.R.1363: A bill to further continuing appropriations for Fiscal Year 2011any health IT implications H.R.1: Continuing Resolution and Consolidated Appropriations Act of 2011any health IT implications. H.R.408: To reduce Federal spending by $2.5 trillion through fiscal year 2021any health IT implications. H.R.2: Repealing of the Job-Killing Health Care Law Actany health IT implications and provisions concerning ICD-10 mapping and operating rules for HIPAA transactions. H.R. 2146: Digital Accountability and Transparency Act. This bill includes language that would limit federal employees from attending association conferences. HR 6079: Repeal of Obamacare Act. This will overturn most provisions in the Patient Protection and Affordable Care Act. H.R. 6107: The VETS Act, which would allow Veterans Affairs providers to deliver telemedicine services to vets regardless of site of origin or delivery. H.R. 6043: Behavioral Health Information Technology Act, which would expand the MU program to mental and behavioral health care providers. The bill also incorporates the Marino SAFE act, which would create liability protections for providers and vendors who report errors in use of technology. HR6575: Medicare Audit Improvement Act of 2012- this bill would amend the process for conducting RAC audits.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1Making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes H.R. 1363 Making appropriations for the Department of Defense for the fiscal year ending September 30, 2011, and for other purposes H.CON.RES.112Establishing the budget for the United States Government for fiscal year 2013 and setting forth appropriate budgetary levels for fiscal years 2014 through 2022. S.2102A bill to provide the authority to monitor and defend against cyber threats, to improve the sharing of cybersecurity information, and for other purposes. H.R. 3523To provide for the sharing of certain cyber threat intelligence and cyber threat information between the intelligence community and cybersecurity entities, and for other purposes. S. 2031A bill to make funds available for the American centrifuge project research, development, and demonstration program of the Department of Energy, with an offset. H.R. 3010To reform the process by which Federal agencies analyze and formulate new regulations and guidance documents S.2105A bill to enhance the security and resiliency of the cyber and communications infrastructure of the United States. S.99A bill to promote the production of molybdenum-99 in the United States for medical isotope production, and to condition and phase out the export of highly enriched uranium for the production of medical isotopes S.109A bill to amend the Atomic Energy Act of 1954 to require congressional approval of agreements for peaceful nuclear cooperation with foreign countries, and for other purposes. S.512A bill to amend the Energy Policy Act of 2005 to require the Secretary of Energy to carry out programs to develop and demonstrate 2 small modular nuclear reactor designs, and for other purposes H.R. 332To amend title 10, United States Code, to require the Department of Defense and all other defense-related agencies of the United States to fully comply with Federal and State environmental laws, including certain laws relating to public health and worker safety, that are designed to protect the environment and the health and safety of the public, particularly those persons most vulnerable to the hazards incident to military operations and installations, such as children, members of the Armed Forces, civilian employees, and persons living in the vicinity of military operations and installations H.R. 909To expand domestic fossil fuel production, develop more nuclear power, and expand renewable electricity, and for other purposes H.R. 1280To amend the Atomic Energy Act of 1954 to require congressional approval of agreements for peaceful nuclear cooperation with foreign countries, and for other purposes. S.2111A bill to enhance punishment for identity theft and other violations of data privacy and security. S.2151SECURE IT Strengthening and Enhancing Cybersecurity by Using Research, Education, Information, and Technology Act of 2012 H.R.3834To amend the High-Performance Computing Act of 1991 to authorize activities for support of networking and information technology research, and for other purposes. H.R. 910To amend the Clean Air Act to prohibit the Administrator of the Environmental Protection Agency from promulgating any regulation concerning, taking action relating to, or taking into consideration the emission of a greenhouse gas to address climate change, and for other purposes. S.21A bill to secure the United States against cyber attack, to enhance American competitiveness and create jobs in the information technology industry, and to protect the identities and sensitive information of American citizens and businesses S.413A bill to amend the Homeland Security Act of 2002 and other laws to enhance the security and resiliency of the cyber and communications infrastructure of the United States. S.1342An original bill to amend the Federal Power Act to protect the bulk-power system and electric infrastructure critical to the defense of the United States against cybersecurity and other threats and vulnerabilities. H.R. 668To amend the Federal Power Act to protect the bulk-power system and electric infrastructure critical to the defense and well-being of the United States against natural and manmade electromagnetic pulse ("EMP") threats and vulnerabilities H.R. 1136To amend chapter 35 of title 44, United States Code, to create the National Office for Cyberspace, to revise requirements relating to Federal information security, and for other purposes H.R. 2004To authorize the President to control the transfer of goods, services, technology, and software to protect the national security, and to promote the foreign policy, of the United States, and for other purposes H.R.4263 To improve information security, and for other purposes. H.R. 908To extend the authority of the Secretary of Homeland Security to maintain the Chemical Facility Anti-Terrorism Standards program H.R. 1861To greatly enhance America's path toward energy independence and economic and national security, to conserve energy use, to promote innovation, to achieve lower emissions, cleaner air, cleaner water, and cleaner land, to rebuild our Nation's aging roads, bridges, locks, and dams, and for other purposes H.R.3606To increase American job creation and economic growth by improving access to the public capital markets for emerging growth companies. H.R. 2133To increase domestic energy production, reduce dependence on foreign oil, and diversify the energy portfolio of the United States S.1320 A bill to require the Secretary of Energy to offer to enter into temporary used fuel storage facility agreements. S.2176A bill to amend the Nuclear Waste Policy Act of 1982 to require the President to certify that the Yucca Mountain site remains the designated site for the development of a repository for the disposal of high-level radioactive waste, and for other purposes. H.R.3630A bill to extend the payroll tax holiday, unemployment compensation, Medicare physician payment, provide for the consideration of the Keystone XL pipeline, and for other purposes. H.R.4310To authorize appropriations for fiscal year 2013 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe military personnel strengths for such fiscal year, and for other purposes H.R.3674To amend the Homeland Security Act of 2002 to make certain improvements in the laws relating to cybersecurity, and for other purposes. S.1601An original bill making appropriations for the Department of State, foreign operations, and related programs for the fiscal year ending September 30, 2012, and for other purposes S.3241An original bill making appropriations for the Department of State, foreign operations, and related programs for the fiscal year ending September 30, 2013, and for other purposes. H.R.5857 Making appropriations for the Department of State, foreign operations, and related programs for the fiscal year ending September 30, 2013, and for other purposes. H.J.RES.117Making continuing appropriations for fiscal year 2013, and for other purposes S.3342 A bill to improve information security, and for other purposes S.3414 A bill to enhance the security and resiliency of the cyber and communications infrastructure of the United States S.3369A bill to establish a new organization to manage nuclear waste, provide a consensual process for siting nuclear waste facilities, ensure adequate funding for managing nuclear waste, and for other purposes

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

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

S.23, H.R. 1249, S.139 (America Invents Act) S.27 (Preserve Access to Affordable Generics Act) S. 139 (Equal Access to Tax Planning Act) S.373, H.R. 741 (Fair Prescription Drug Competition Act) S.603, H.R. 1166 (Trademarks Seized by Cuban Government) S. 623, H.R. 592 (Sunshine in Litigation Act of 2011) S. 678 (Economic Espionage Act) S. 968, H.R. 3261, S. 2029 (Online Piracy/Rogue Websites legislation) S. 968, H.R. 1540 (Customs Redaction legislation) S. 978, H.R. 3261 (Copyright Streaming bill) S. 1228, H.R. 1540, H.R. 3261 (Combating Military Counterfeits Act) S. 1830 (Protect American Innovation Act of 2011) S. 1866 (AGREE Act) S. 1886, H.R. 3261, H.R. 3468 (Counterfeiting Drug Penalty Enhancement Acts) S. 2029 (Online Protection and Enforcement of Digital Trade Act) S. 2258 (Songwriters Tax Simplification Reauthorization Act) S. 2269 (Anti-Trust Freedom Act of 2012) S. 3389 (Trade Secrets EEA) S. 3486 (Patent Law Treaties Implementation Act of 2012) S. 3609 (Internet Radio Fairness Act) S. 3642 (Theft of Trade Secrets Clarification Act) S. 3652 (Bill to allow acceleration certificates awarded under the Patents for Humanity program to be transferable) S. Con. Res 50 (Internet governance) H.R. 1, H.R. 1362, H.J.Res. 48, H.R. 1363, H.R. 1473, H.J. Res. 79, H.R. 2608; House Report 112-284 (FY 2012 Budget) H.R. 243 (Rep. Latta's False Patent Marking Bill) H.R. 307 (Seed Availability and Competition Act) H.R. 592 (Sunshine in Litigation Act) H.R. 741 (Fair Prescription Drug Competition Act) H.R. 768 (Soldiers Targeted by Offensive Profiteering Act of 2011) H.R. 1056 (Rep. Issa's False Patent Marking Bill) H.R. 1166 (No Stolen Trademarks Honored in America Act) H.R. 2511 (Fashion Design Legislation) H.R. 3010 (Federal Regulations Bill Coble) H.R. 3261 (Stop Online Piracy Act) H.R. 3375 (Imposing Duties on China for IP Piracy) H.R. 3468 (Counterfeit Drug Penalty Enhancement Act) H.R. 3699 (Research Works Act) H.R. 3782 (Online Protection and Enforcement of Digital Trade Act) H.R. 3889 (Promoting Automotive Repair, Trade, and Sales Act) H.R. 3995 (Protecting Consumer Access to Generic Drugs Act) H.R. 4216 (Foreign Counterfeit Prevention Act) H.R. 6012 (Customs Redaction Bill for Semiconductor Chips) H.R. 6029 (Economic Espionage) H.R. 6215 (Trademark Dilution) H.R. 6245 (Saving High-Tech Innovators from Egregious Legal Disputes Act) H.R. 6353 (Patent Box, Manufacturing American Innovation Act) H.R. 6432 (Patent Law Treaties Implementation Act) H.R. 6480 (Internet Radio Fairness Act) H.R. 6621 (AIA Technical Corrections Bill) H. Con. Res. 42 (The Creativity and Innovation Resolution) H. Con. Res. 127 (Internet Governance)

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

Government targets: Commerce, Dept of (DOC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, U.S. Copyright Office, U.S. Customs & Border Protection, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

Issues related to Alternative Dispute Resolution in the following legislation: H.R. 1363, H.R. 2219,

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Agriculture/food-related provisions of: H.R.1, 2011 Full-Year Continuing Appropriations Act. H.J.RES.43, to make further continuing appropriations for FY 2011. H.J.RES.44, further continuing appropriations amendments, 2011. H.J.RES. 48, additional continuing appropriations amendments, 2011. H.R.2219, Agriculture, Rural Development, Food & Drug Administration and Related Agencies Approp. Act H.R.1363, further additional continuing appropriations amendments, 2011. H.J.RES.79, Continuing Appropriations Resolution, 2012. H.R.2584, Depts. Of Interior, Environment and Related Agencies Appropriations Act, 2012. H.R.2608, Continuing Appropriations Act, 2012. H.CON.RES.112, to establish U.S. budget for FY 2013 and so forth. H.CON.RES.113, to establish U.S. budget for FY 2013 and so forth. S.CON.RES.37, to set forth the congressional budget for the U.S. for FY 2013 and so forth. H.R.5973, 2013 Ag., Rural Devel. Food & Drug Admin. And Related Agencies Appropriations Act. S.2375, Ag., Rural Devel. Food & Drug Admin. And Related Agencies Appropriations Act. S.3301, 2013 Financial Services and General Government Appropriations Act. S.CON.RES.40, to set forth the congressional budget for 2013. S.CON.RES.41, to set forth the presidents budget for 2013. S.CON.RES.42, to set forth the congressional budget for 2013. S.CON.RES.44, to set forth the congressional budget for 2013. H.J.RES.117, Continuing Appropriations Resolution, 2013 H.R.6091, appropriations for Interior, Environment and Related Agencies for 2013 S.CON.RES.52, Concurrent resolution setting forth the congressional budget for the U.S. Government for 2013 Issues other than legislation: Emergency economic assistance for farmers and ranchers Funding for USDA programs Appropriations and budget requests for USDA/other agencies with an ag-related mission or responsibility.

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

Government targets: Agriculture, Dept of (USDA), Bureau of Citizenship & Immigration Services (BCIS), Bureau of Indian Affairs (BIA), Commodity Futures Trading Commission (CFTC), Council of Economic Advisers (CEA), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Farm Credit Administration, Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Aeronautics & Space Administration (NASA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Surface Transportation Board (STB), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

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

H.R. 658 - FAA Air Transportation Modernization and Safety Improvement Act H.R. 970 - Federal Aviation Research and Deelopment Reauthorization Act of 2011 S. 223 - FAA Air Transportation Modernization and Safety Improvement Act H. R. 1363 Further Additional Continuing Appropriations Amendments, 2011 H.R. 1473 - Full-Year Continuing Appropriations Act, 2011 H. Con. Res. 34 - Concurrent resolution on the budget for FY 2012 H.R. 1 - Full Year Continuing Appropriations Act, 2011 H.R. 1079 - Airport and Airway Extension Act of 2011 H.R. 1893 - Airport and Airway Extension Act of 2011, Part II H.R. 2279 - Airport and Airway Extension Act of 2011, Part III ASCE's Report Card for America's Infrastructure

Client expense: $154,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Energy, Dept of, Environmental Protection Agency (EPA), Federal Aviation Administration (FAA), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Natl Institute of Standards & Technology (NIST), Natl Oceanic & Atmospheric Administration (NOAA), Natl Science Foundation (NSF), SENATE, Transportation, Dept of (DOT), U.S. Geological Survey (USGS)

H.R.3082-Continuing Appropriatins & Surface Transportation Extensions Act, 2011 H.J.Res.48-Additional Continuing Appropriations Amendments, 2011 H.R.1363-Further Additional Continuing Appropriations Amendmenets, 2011 H.4.1-Full Year Continuing Appropriations Act, 2011

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

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

Monitor FY2013 Appropriations (H.J.Res.44; H.J.Res.48; H.R.1363; H.R.1473; S.1596)

Client expense: Not reported · Firm income: $70,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

Monitor FY2013 Appropriations (H.J.Res.44; H.J.Res.48; H.R.1363; H.R.1473; S.1596).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

S.913: Do-Not-Track Online Act of 2011-privacy implications. S.799: The Commercial Privacy Bill of Rights-privacy implications. S.501: Fostering Independence Through Technology Act-any health IT implications. S.539: Behavior Health Information Technology Act-expanding health IT incentives to additional covered entities. S. 1789: The 21st Century Postal Service Act. This bill contains language that would limit federal agency employees participation and attendance at association conferences. H.R.3239: Safeguarding Access For Every Medicare Patient Actinterested in the safe harbor issues with regard to the implementation of certified health IT. H.R.2500: Equal Access and Parity for Multi-Campus Hospitals Actexpanding HIT incentives to new covered entities. H.R.1895: A Bill to Amend the Children's Online Privacy Protection Actprivacy implications. H.R.1841: Data Accountability and Trust Act (DATA) of 2011privacy implications. H.R.1473: A bill to make further continuing appropriations for Fiscal Year 2011 (updated)provisions concerning ONC funding, health IT and the rider concerning a unique healthcare identifier for individuals. H.R.1363: A bill to further continuing appropriations for Fiscal Year 2011any health IT implications H.R.1: Continuing Resolution and Consolidated Appropriations Act of 2011any health IT implications. H.R.408: To reduce Federal spending by $2.5 trillion through fiscal year 2021any health IT implications. H.R.2: Repealing of the Job-Killing Health Care Law Actany health IT implications and provisions concerning ICD-10 mapping and operating rules for HIPAA transactions. H.R. 2146: Digital Accountability and Transparency Act. This bill includes language that would limit federal employees from attending association conferences. HR 6079: Repeal of Obamacare Act. This will overturn most provisions in the Patient Protection and Affordable Care Act. H.R. 6107: The VETS Act, which would allow Veterans Affairs providers to deliver telemedicine services to vets regardless of site of origin or delivery. H.R. 6043: Behavioral Health Information Technology Act, which would expand the MU program to mental and behavioral health care providers. The bill also incorporates the Marino SAFE act, which would create liability protections for providers and vendors who report errors in use of technology.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor FY2013 Appropriations (H.J.Res.44; H.J.Res.48; H.R.1363; H.R.1473; S.1596). Monitor reauthorization of SAFETEA-LU, MAP-21, Public Law 112-141.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 H.R.1852 - Children's Hospital GME Support Reauthorization Act of 2011 S.958 - Children's Hospital GME Support Reauthorization Act of 2011 H.J.Res. 117 - Continuing Appropriations Resolution, 2013 S. 1832 - Marketplace Fairness Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 H.R.1852 - Children's Hospital GME Support Reauthorization Act of 2011 S.958 - Children's Hospital GME Support Reauthorization Act of 2011 H.J.Res. 117 - Continuing Appropriations Resolution, 2013 S. 1832 - Marketplace Fairness Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 H.J.Res. 117 - Continuing Appropriations Resolution, 2013

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 H.J.Res. 117 - Continuing Appropriations Resolution, 2013

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 S.539 - Behavioral Health Information Technology Act of 2011 H.R. 6043 - Behavior Health Information Technology Act of 2012 H.J.Res. 117 - Continuing Appropriations Resolution, 2013

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 S.539 - Behavioral Health Information Technology Act of 2011 H.R. 6043 - Behavior Health Information Technology Act of 2012 H.J.Res. 117 - Continuing Appropriations Resolution, 2013

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 H.R. 5651 - Food and Drug Administration Reform Act of 2012 S. 3187 - Food and Drug Administration Safety and Innovation Act H.J.Res. 117 - Continuing Appropriations Resolution, 2013

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 H.R. 5651 - Food and Drug Administration Reform Act of 2012 S. 3187 - Food and Drug Administration Safety and Innovation Act H.J.Res. 117 - Continuing Appropriations Resolution, 2013

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 H. Con Res 112 - Establishing the budget for the United States Government for fiscal year 2013 and setting forth appropriate budgetary levels for fiscal years 2014 through 2022. H.R. 5 - Protecting Access to Healthcare Act S. 668 - Health Care Bureaucrats Elimination Act S. 2118 - Health Care Bureaucrats Elimination Act H.J.Res. 117 - Continuing Appropriations Resolution, 2013

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 H. Con Res 112 - Establishing the budget for the United States Government for fiscal year 2013 and setting forth appropriate budgetary levels for fiscal years 2014 through 2022. H.R. 5 - Protecting Access to Healthcare Act S. 668 - Health Care Bureaucrats Elimination Act S. 2118 - Health Care Bureaucrats Elimination Act H.J.Res. 117 - Continuing Appropriations Resolution, 2013

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Monitor FY2013 Appropriations (H.J.Res.44; H.J.Res.48; H.R.1363; H.R.1473; S.1596).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

H.R. 1Making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes H.R. 1363 Making appropriations for the Department of Defense for the fiscal year ending September 30, 2011, and for other purposes H.CON.RES.112Establishing the budget for the United States Government for fiscal year 2013 and setting forth appropriate budgetary levels for fiscal years 2014 through 2022. S.2102A bill to provide the authority to monitor and defend against cyber threats, to improve the sharing of cybersecurity information, and for other purposes. H.R. 3523To provide for the sharing of certain cyber threat intelligence and cyber threat information between the intelligence community and cybersecurity entities, and for other purposes. S. 2031A bill to make funds available for the American centrifuge project research, development, and demonstration program of the Department of Energy, with an offset. H.R. 3010To reform the process by which Federal agencies analyze and formulate new regulations and guidance documents S.2105A bill to enhance the security and resiliency of the cyber and communications infrastructure of the United States. S.99A bill to promote the production of molybdenum-99 in the United States for medical isotope production, and to condition and phase out the export of highly enriched uranium for the production of medical isotopes S.109A bill to amend the Atomic Energy Act of 1954 to require congressional approval of agreements for peaceful nuclear cooperation with foreign countries, and for other purposes. S.512A bill to amend the Energy Policy Act of 2005 to require the Secretary of Energy to carry out programs to develop and demonstrate 2 small modular nuclear reactor designs, and for other purposes H.R. 332To amend title 10, United States Code, to require the Department of Defense and all other defense-related agencies of the United States to fully comply with Federal and State environmental laws, including certain laws relating to public health and worker safety, that are designed to protect the environment and the health and safety of the public, particularly those persons most vulnerable to the hazards incident to military operations and installations, such as children, members of the Armed Forces, civilian employees, and persons living in the vicinity of military operations and installations H.R. 909To expand domestic fossil fuel production, develop more nuclear power, and expand renewable electricity, and for other purposes H.R. 1280To amend the Atomic Energy Act of 1954 to require congressional approval of agreements for peaceful nuclear cooperation with foreign countries, and for other purposes. S.2111A bill to enhance punishment for identity theft and other violations of data privacy and security. S.2151SECURE IT Strengthening and Enhancing Cybersecurity by Using Research, Education, Information, and Technology Act of 2012 H.R.3834To amend the High-Performance Computing Act of 1991 to authorize activities for support of networking and information technology research, and for other purposes. H.R. 910To amend the Clean Air Act to prohibit the Administrator of the Environmental Protection Agency from promulgating any regulation concerning, taking action relating to, or taking into consideration the emission of a greenhouse gas to address climate change, and for other purposes. S.21A bill to secure the United States against cyber attack, to enhance American competitiveness and create jobs in the information technology industry, and to protect the identities and sensitive information of American citizens and businesses S.413A bill to amend the Homeland Security Act of 2002 and other laws to enhance the security and resiliency of the cyber and communications infrastructure of the United States. S.1342An original bill to amend the Federal Power Act to protect the bulk-power system and electric infrastructure critical to the defense of the United States against cybersecurity and other threats and vulnerabilities. H.R. 668To amend the Federal Power Act to protect the bulk-power system and electric infrastructure critical to the defense and well-being of the United States against natural and manmade electromagnetic pulse ("EMP") threats and vulnerabilities H.R. 1136To amend chapter 35 of title 44, United States Code, to create the National Office for Cyberspace, to revise requirements relating to Federal information security, and for other purposes H.R. 2004To authorize the President to control the transfer of goods, services, technology, and software to protect the national security, and to promote the foreign policy, of the United States, and for other purposes H.R.4263 To improve information security, and for other purposes. H.R. 908To extend the authority of the Secretary of Homeland Security to maintain the Chemical Facility Anti-Terrorism Standards program H.R. 1861To greatly enhance America's path toward energy independence and economic and national security, to conserve energy use, to promote innovation, to achieve lower emissions, cleaner air, cleaner water, and cleaner land, to rebuild our Nation's aging roads, bridges, locks, and dams, and for other purposes H.R.3606To increase American job creation and economic growth by improving access to the public capital markets for emerging growth companies. H.R. 2133To increase domestic energy production, reduce dependence on foreign oil, and diversify the energy portfolio of the United States S.1320 A bill to require the Secretary of Energy to offer to enter into temporary used fuel storage facility agreements. S.2176A bill to amend the Nuclear Waste Policy Act of 1982 to require the President to certify that the Yucca Mountain site remains the designated site for the development of a repository for the disposal of high-level radioactive waste, and for other purposes. H.R.3630A bill to extend the payroll tax holiday, unemployment compensation, Medicare physician payment, provide for the consideration of the Keystone XL pipeline, and for other purposes. H.R.4310To authorize appropriations for fiscal year 2013 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe military personnel strengths for such fiscal year, and for other purposes H.R.3674To amend the Homeland Security Act of 2002 to make certain improvements in the laws relating to cybersecurity, and for other purposes. S.1601An original bill making appropriations for the Department of State, foreign operations, and related programs for the fiscal year ending September 30, 2012, and for other purposes S.3241An original bill making appropriations for the Department of State, foreign operations, and related programs for the fiscal year ending September 30, 2013, and for other purposes. H.R.5857 Making appropriations for the Department of State, foreign operations, and related programs for the fiscal year ending September 30, 2013, and for other purposes. H.J.RES.117Making continuing appropriations for fiscal year 2013, and for other purposes S.3342 A bill to improve information security, and for other purposes S.3414 A bill to enhance the security and resiliency of the cyber and communications infrastructure of the United States S.3369A bill to establish a new organization to manage nuclear waste, provide a consensual process for siting nuclear waste facilities, ensure adequate funding for managing nuclear waste, and for other purposes

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

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

Legislation and issues related to: Authorization and appropriations of Title VIII funding for nurse education and nurse workforce development programs in fiscal years 2012, 2013, and 2014; Title III funding for Nurse Managed Health Clinics; Appropriation of Title IV funding for the National Health Care Workforce Commission; Appropriation of funding for poison control centers; Authorization and appropriation of Title V funding for Maternal and Child Health Services Block Grants; Simpson-Bowles deficit reduction proposals; Impact of sequestration on non-defense discretionary spending; H.J.RES. 2/S.J.RES. 10/S.J.RES. 24 - Proposing a balanced budget amendment to the Constitution of the United States; H.CON.RES. 34 - Establishing the budget for the United States Government for fiscal year 2012; H.R. 1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011; H.CON.RES .35; H.R. 1 - Full-Year Continuing Appropriations Act, 2011, and S.AMDT. 149; H.J. RES. 44 - Further Continuing Appropriations Amendments, 2011; H.J. RES. 48 - Additional Continuing Appropriations Amendments, 2011; H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011; S. 365 - Budget Control Act; H.R. 2560/S. 1340 - Cut, Cap, and Balance Act; H.R. 2017 - Continuing Appropriations Act, 2012; H.R. 2608 - Continuing Appropriations Act, 2012; H.J.RES. 79 - Continuing Appropriations Resolution, 2012; S. 1290 - Spending Cap Act; S. 1599/ H.R. 3070, Labor-HHS-Education Appropriations Act, 2012; H.J.RES 94 - Continuing Appropriations Resolution, 2012; H.J.RES 95 - Continuing Appropriations Resolution, 2012; H.R. 2055 - Consolidated Appropriations Act, 2012; H.R. 3671 - Consolidated Appropriations Act, 2012; H.R. 3521 - Expedited Legislative Line-Item Veto and Rescissions Act; H.CON.RES. 112 - Establishing the budget for the United States Government for fiscal year 2013 and setting forth appropriate budgetary levels for fiscal years 2014 through 2022; H.R. 5652 - Sequester Replacement Reconciliation Act; S. 2323 - Commerce, Justice, Science, and Related Agencies Appropriations Act, fiscal year 2013; S. 3216 - Department of Homeland Security Appropriations Act, fiscal year 2013 S. 3295 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, fiscal year 2013 and House Labor-HHS Subcommittee proposal; H.R. 5872/S. 3228 - Sequestration Transparency Act; H.J. Res. 117 - Continuing Appropriations Resolution, 2013.

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

Legislation and issues related to: Authorization and appropriations of Title VIII funding for nurse education and nurse workforce development programs in fiscal years 2012, 2013, and 2014; Title III funding for Nurse Managed Health Clinics; Appropriation of Title IV funding for the National Health Care Workforce Commission; Simpson-Bowles deficit reduction proposals; Impact of sequestration on non-defense discretionary spending; H.J.RES. 2/S.J.RES. 10/S.J.RES. 24 - Proposing a balanced budget amendment to the Constitution of the United States; H.CON.RES. 34 - Establishing the budget for the United States Government for fiscal year 2012; H.R. 1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011; H.CON.RES .35; H.R. 1 - Full-Year Continuing Appropriations Act, 2011, and S.AMDT. 149; H.J. RES. 44 - Further Continuing Appropriations Amendments, 2011; H.J. RES. 48 - Additional Continuing Appropriations Amendments, 2011; H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011; S. 365 - Budget Control Act; H.R. 2560/S. 1340 - Cut, Cap, and Balance Act; H.R. 2017 - Continuing Appropriations Act, 2012; H.R. 2608 - Continuing Appropriations Act, 2012; H.J.RES. 79 - Continuing Appropriations Resolution, 2012; S. 1290 - Spending Cap Act; S. 1599/ H.R. 3070, Labor-HHS-Education Appropriations Act, 2012; H.J.RES 94 - Continuing Appropriations Resolution, 2012; H.J.RES 95 - Continuing Appropriations Resolution, 2012; H.R. 2055 - Consolidated Appropriations Act, 2012; H.R. 3671 - Consolidated Appropriations Act, 2012; H.R. 3521 - Expedited Legislative Line-Item Veto and Rescissions Act; H.CON.RES. 112 - Establishing the budget for the United States Government for fiscal year 2013 and setting forth appropriate budgetary levels for fiscal years 2014 through 2022; H.R. 5652 - Sequester Replacement Reconciliation Act; S. 3295 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, fiscal year 2013 and House Labor-HHS Subcommittee proposal; H.R. 5872/S. 3228 - Sequestration Transparency Act; H.J. Res. 117 - Continuing Appropriations Resolution, 2013.

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), Housing & Urban Development, Dept of (HUD), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

Monitor FY2013 Appropriations (H.J.Res.44; H.J.Res.48; H.R.1363; H.R.1473; S.1596).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)