Medicare Beneficiary Preservation of Choice Act of 2011

Implementation of the Patient Protection and Affordable Care Act (P.L. 111-148, P.L. 111-152). Medicare Advantage payment reforms. H.R.1580/S.1479, Medicare Beneficiary Preservation of Choice Act of 2011. Reforming the Sustainable Growth Rate formula. Deficit reduction efforts. Proposals to integrate care for dual eligible beneficiaries.

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

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

Medicare Advantage. Health reform implementation. Medicare Reform H.R. 1580 and S. 1479, Medicare Beneficiary Preservation of Choice Act of 2011 H.R. 8, The American Taxpayer Relief Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 8, American Taxpayer Relief Act of 2012 (issues related to Medicare Advantage) H.R. 1580, Medicare Beneficiary Preservation of Choice Act of 2011 S. 1479, Medicare Beneficiary Preservation of Choice Act of 2011 S. 1880, Jobs and Premium Protection Act H.R. 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act S. 1049, Small Business Health Relief Act of 2011 H.R. 4310, National Defense Authorization Act for Fiscal Year 2013 (issues related to Tricare)

Client expense: $1,310,000 · Firm income: Not reported

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

HR 2: Repealing the Job Killing Health Care Law Act; HR 5: Protecting Access to Healthcare Act; HR 369: Health Savings and Affordability Act of 2011; HR 436: Protect Medical Innovation Act of 2011; HR 605: Patients Freedom to Choose Act; HR 1206: Access to Professional Health Insurance Advisors Act; HR 1580: Medicare Beneficary Preservation of Choice Act of 2011; HR 1744: American Job Protection Act; HR 2010: Family and Retirement Health Investment Act of 2011; HR 2077: MLR Repeal Act of 2011; HR 3239: SAFE Medicate Patient Act; HR 3586: The Good Samaritan Medical Professionals Act; S 20: American Job Protection Act; S 312: Patient Freedom to Choose Act; S 720: Repeal the CLASS Entilement Act; S 2068: Access to Independent Health Insurance Advisors Act; S 2288 Access to Independent Health Insurance Advisors Act.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

Implementation of the Patient Protection and Affordable Care Act (PL 111-148, PL 111-152) Discussion/support of the Medicare Preservation of Choice Act Bill (HR 1580/S 1479) Deficit reduction proposals Reforming the Sustainable Growth Rate Demonstrations to integrate Medicare and Medicaid financing/benefits Medicare Advantage payment reforms

Client expense: $260,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Advantage Program Issues. Medigap. Affordable Care Act Implementation (PL 111-148, The Patient Protection and Affordable Care Act, became law on 3-23-10) Budget Control Act of 2011 (Became PL 112-25 on August 2, 2011), Implementation H.R. 8, The American Taxpayer Relief Act SEE CONTINUATION PAGE H.R. 1580, Medicare Beneficiary Preservation of Choice Act -- Medicare Advantage enrollment periods S. 1479, Medicare Beneficiary Preservation of Choice Act -- Medicare Advantage enrollment periods Health care reform implementation

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of the Patient Protection and Affordable Care Act (PL 111-148, PL 111-152) Discussion/support of the Medicare Preservation of Choice Act Bill (HR 1580/S 1479) Deficit reduction proposals Reforming the Sustainable Growth Rate Demonstrations to integrate Medicare and Medicaid financing/benefits Medicare Advantage payment reforms

Client expense: $190,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of the Patient Protection and Affordable Care Act (PL 111-148, PL 111-152) Discussion/support of the Medicare Preservation of Choice Act Bill (HR 1580/S 1479) Deficit reduction proposals Reforming the Sustainable Growth Rate Demonstrations to integrate Medicare and Medicaid financing/benefits Medicare Advantage payment reforms

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of the Patient Protection and Affordable Care Act (PL 111-148, PL 111-152) Discussion/support of the Medicare Preservation of Choice Act Bill (HR 1580/S 1479) Deficit reduction proposals Reforming the Sustainable Growth Rate Demonstrations to integrate Medicare and Medicaid financing/benefits Medicare Advantage payment reforms

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

The Patient Protection and Affordable Care Act ( PL 111-148, PL 111-152); Medicare Advantage payment reforms; Medicare Beneficiary Preservation Choice Act ( HR 1580, S 1479) ; Reforming the Sustained Growth Rate ; Deficit reduction efforts; and proposals to integrate care for Medicare/Medicaid Duals Eligibles.

Client expense: Not reported · Firm income: Not reported

The Patient Protection and Affordable Care Act ( PL 111-148, PL 111-152); Medicare Advantage payment reforms; Medicare Beneficiary Preservation Choice Act ( HR 1580, S 1479) ; Reforming the Sustained Growth Rate ; Deficit reduction efforts; and proposals to integrate care for Medicare/Medicaid Duals Eligibles.

Client expense: Not reported · Firm income: Not reported

H.R.1580, Medicare Beneficiary Preservation of Choice Act of 2011. Changes to the Sustainable Growth Rate Formula. S. 1251, Medicare and Medicaid FAST Act.

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

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

Implementation of the Patient Protection and Affordable Care Act (P.L. 111-148, P.L. 111-152). Medicare Advantage payment reforms. H.R.1580/S.1479, Medicare Beneficiary Preservation of Choice Act of 2011. Reforming the Sustainable Growth Rate formula. Deficit reduction efforts. Proposals to integrate care for dual eligible beneficiaries.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of the Patient Protection and Affordable Care Act (P.L. 111-148, P.L. 111-152). Medicare Advantage payment reforms. H.R.1580/S.1479, Medicare Beneficiary Preservation of Choice Act of 2011. Reforming the Sustainable Growth Rate formula. Deficit reduction efforts. Proposals to integrate care for dual eligible beneficiaries.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 675, Strengthening Medicare Anti-Fraud Measures Act of 2011 (Herger). H.R. 999, Medicare Prescription Drug Savings and Choice Act (Schakowsky) - Medicare Part D changes. H.R. 1063, Strengthening Medicare And Repaying Taxpayers Act (Murphy) - Medicare secondary payer rules. H.R. 1357, Puerto Rico Medicare Part B Equity Act (Pierluisi). H.R. 1580, Medicare Beneficiary Preservation of Choice Act (Gonzalez) - Medicare Advantage enrollment periods. H.R. 2190, Medicare Drug Savings Act (Waxman) - rebates for dual eligibles. H.R. 2248, Medicare Prescription Drug Price Negotiation Act (Welch) - Part D price negotiation. H.R. 2770, Medicare Cost Contract Extension Act (Paulsen) - extension of Medicare cost plans. H.R. 3399, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Roskam/Carney). H.R. 3519 (Towns) - exempting Medicare from sequestration. H.R. 3691, Senior Medicare Fairness Act (Paulsen) - frailty adjuster for certain MA SNPs. H.R. 4254, Medicare Advantage Program Integrity Act (Stark) - MA payment changes. H.R. 5872, Sequestration Transparency Act (Hensarling). H.R. 5979, Medicaid Accountability and Care Act (Cassidy) -- federal financing of state Medicaid programs. H.R. 6232, Medicare Better Health Rewards Program Act (Paulsen) - incentives for wellness and prevention. H.R. 6300, Medicaid Long-Term Care Reform Act (Boustany) - LTC and Medicaid issues. S. 31, Prescription Drug and Health Improvement Act (Franken) - Part D price negotiation. S. 44, Medicare Prescription Drug Price Negotiation Act (Klobuchar) - Part D price negotiation. S. 560, Medicare Prescription Drug Savings and Choice Act (Durbin) - Medicare Part D changes. S. 1206, Medicare Drug Savings Act (Rockefeller) - rebates for dual eligibles. S. 1251, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Coburn/Carper). S. 1479, Medicare Beneficiary Preservation of Choice Act (Casey) - Medicare Advantage enrollment periods. S. 1497, Medicare Cost Contract Extension Act (Klobuchar) - extension of Medicare cost plans. S. 1999, Senior Medicare Fairness Act (Klobuchar) - frailty adjuster for certain MA SNPs. S. 2196, Congressional Health Care for Seniors Act (Paul) - reforms affecting Medicare and Medigap. S. 2243, Medicare Better Health Rewards Program Act (Wyden-Portman) - incentives for wellness and prevention.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1580 - Medicare Beneficiary Preservation of Choice Act of 2011: To preserve Medicare beneficiary choice by restoring and expanding the Medicare open enrollment and disenrollment opportunities repealed by section 3204(a) of the Patient Protection and Affordable Care Act. Sponsor:Gonzalez (D-TX)

Client expense: $121,900 · Firm income: Not reported

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

HR 2: Repealing the Job Killing Health Care Law Act; HR 5: Protecting Access to Healthcare Act; HR 369: Health Savings and Affordability Act of 2011; HR 436: Protect Medical Innovation Act of 2011; HR 605: Patients Freedom to Choose Act; HR 1206: Access to Professional Health Insurance Advisors Act; HR 1580: Medicare Beneficary preservation of Choice Act of 2011; HR 1744: American Job Protection Act; HR 2010: Family and Retirement Health Investment Act of 2011; HR 2077: MLR Repeal Act of 2011; HR 3239: SAFE Medicate Patient Act; HR 3586: The Good Samaritan Medical Professionals Act; S 20: American Job Protection Act; S 312: Patients Freedom to Choose Act; S 720: Repeal the CLASS Entitlement Act; S 2068: Access to Independent Health Insurance Advisors Act; S 2288: Access to Independent Health Insurance Advisors Act.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

H.R. 1580, Medicare Beneficiary Preservation of Choice Act of 2011 S. 1479, Medicare Beneficiary Preservation of Choice Act of 2011 S. 1880, Jobs and Premium Protection Act H.R. 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act H.R. 2077, MLR Repeal Act of 2011 S. 1049, Small Business Health Relief Act of 2011 H.R. 1540, National Defense Authorization Act for Fiscal Year 2012 (Tricare-related issues) S. 1867, National Defense Authorization Act for Fiscal Year 2012 (Tricare-related issues) H.R. 4310, National Defense Authorization Act for Fiscal Year 2013 (Tricare-related issues)

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

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

H.R. 675, Strengthening Medicare Anti-Fraud Measures Act of 2011 (Herger) 16. Specific Lobbying Issues (continued): H.R. 999, Medicare Prescription Drug Savings and Choice Act (Schakowsky) Medicare Part D changes H.R. 1063, Strengthening Medicare And Repaying Taxpayers Act (Murphy) Medicare secondary payer rules H.R. 1357, Puerto Rico Medicare Part B Equity Act (Pierluisi) H.R. 1580, Medicare Beneficiary Preservation of Choice Act (Gonzalez) Medicare Advantage enrollment periods H.R. 2190, Medicare Drug Savings Act (Waxman) rebates for dual eligibles H.R. 2248, Medicare Prescription Drug Price Negotiation Act (Welch) Part D price negotiation H.R. 2770, Medicare Cost Contract Extension Act (Paulsen) extension of Medicare cost plans H.R. 3399, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Roskam/Carney) H.R. 3519 (Towns) exempting Medicare from sequestration H.R. 3691, Senior Medicare Fairness Act (Paulsen) frailty adjuster for certain MA SNPs H.R. 4254, Medicare Advantage Program Integrity Act (Stark) MA payment changes H.R. 5872, Sequestration Transparency Act (Hensarling) H.R. 5979, Medicaid Accountability and Care Act (Cassidy) -- federal financing of state Medicaid programs H.R. 6232, Medicare Better Health Rewards Program Act (Paulsen) incentives for wellness and prevention H.R. 6300, Medicaid Long-Term Care Reform Act (Boustany) LTC and Medicaid issues S. 31, Prescription Drug and Health Improvement Act (Franken) Part D price negotiation S. 44, Medicare Prescription Drug Price Negotiation Act (Klobuchar) Part D price negotiation S. 560, Medicare Prescription Drug Savings and Choice Act (Durbin) Medicare Part D changes S. 1206, Medicare Drug Savings Act (Rockefeller) rebates for dual eligibles S. 1251, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Coburn/Carper) S. 1479, Medicare Beneficiary Preservation of Choice Act (Casey) Medicare Advantage enrollment periods S. 1497, Medicare Cost Contract Extension Act (Klobuchar) extension of Medicare cost plans S. 1999, Senior Medicare Fairness Act (Klobuchar) frailty adjuster for certain MA SNPs S. 2196, Congressional Health Care for Seniors Act (Paul) reforms affecting Medicare and Medigap S. 2243, Medicare Better Health Rewards Program Act (Wyden-Portman) incentives for wellness and prevention Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, data, and audit issues; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, and audits); Medicare Medical Loss Ratio issues raised by initial implementation in 2014; implications of sequestration in 2013 for Medicare Advantage and Part D plans; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, SSA and CMS premium withhold processing issues, enrollment rules, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible Special Needs Plans (SNPs); Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; implementation of MA and Part D changes made in the Accountable Care Act (ACA), including application of the MA Star Rating system for payment purposes starting 2012 and changes to the Part D coverage gap; ongoing implementation issues for the Medicare cost plan program including enrollment, marketing materials review and approval and other operational issues; Medicare creditable drug coverage reporting requirements; implementation issues for the Medicare Retiree Drug Subsidy program; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; Medicare clinical trials; Medicare/Medicaid integration for dual eligibles, including the Capitated Financial Alignment Demonstration; Medicaid managed care regulations and policies, including the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital Regulatory Issues (continued): days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the ACA including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; issues related to Medigap coverage; issues relating to "meaningful use" requirements for health information technology; and other issues relating to health care reform implementation.

Client expense: $2,630,000 · Firm income: Not reported

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

Medicare Advantage Program Issues. Medigap. Affordable Care Act Implementation. Budget Control Act of 2011 (Became PL 112-25 on August 2, 2011), Implementation SEE CONTINUATION PAGE H.R. 1580, Medicare Beneficiary Preservation of Choice Act -- Medicare Advantage enrollment periods S. 1479, Medicare Beneficiary Preservation of Choice Act -- Medicare Advantage enrollment periods Health care reform implementation

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Advantage Health reform implementation Medicare Reform H.R. 1580 and S. 1479, Medicare Beneficiary Preservation of Choice Act of 2011

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1580, Medicare Beneficiary Preservation of Choice Act of 2011. Changes to the Sustainable Growth Rate Formula. S. 1251, Medicare and Medicaid FAST Act.

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

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

H.Con.Res. 112, House budget resolution (Ryan) Medicare, Medicaid, ACA issues H.R. 675, Strengthening Medicare Anti-Fraud Measures Act of 2011 (Herger) H.R. 999, Medicare Prescription Drug Savings and Choice Act (Schakowsky) Medicare Part D changes 16. Specific Lobbying Issues (continued): H.R. 1063, Strengthening Medicare And Repaying Taxpayers Act (Murphy) Medicare secondary payer rules H.R. 1357, Puerto Rico Medicare Part B Equity Act (Pierluisi) H.R. 1580, Medicare Beneficiary Preservation of Choice Act (Gonzalez) Medicare Advantage enrollment periods H.R. 2190, Medicare Drug Savings Act (Waxman) rebates for dual eligibles H.R. 2248, Medicare Prescription Drug Price Negotiation Act (Welch) Part D price negotiation H.R. 2770, Medicare Cost Contract Extension Act (Paulsen) extension of Medicare cost plans H.R. 3399, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Roskam/Carney) H.R. 3519 (Towns) exempting Medicare from sequestration H.R. 3691, Senior Medicare Fairness Act (Paulsen) frailty adjuster for certain MA SNPs H.R. 4254, Medicare Advantage Program Integrity Act (Stark) MA payment changes H.R. 5979, Medicaid Accountability and Care Act (Cassidy) -- federal financing of state Medicaid programs S. 31, Prescription Drug and Health Improvement Act (Franken) Part D price negotiation S. 44, Medicare Prescription Drug Price Negotiation Act (Klobuchar) Part D price negotiation S. 560, Medicare Prescription Drug Savings and Choice Act (Durbin) Medicare Part D changes S. 1206, Medicare Drug Savings Act (Rockefeller) rebates for dual eligibles S. 1251, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Coburn/Carper) S. 1479, Medicare Beneficiary Preservation of Choice Act (Casey) Medicare Advantage enrollment periods S. 1497, Medicare Cost Contract Extension Act (Klobuchar) extension of Medicare cost plans S. 1999, Senior Medicare Fairness Act (Klobuchar) frailty adjuster for certain MA SNPs S. 2196, Congressional Health Care for Seniors Act (Paul) reforms affecting Medicare and Medigap S. 2243, Medicare Better Health Rewards Program Act (Wyden-Portman) incentives for wellness and prevention Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including; risk adjustment methodology, data, and audit issues; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, and audits); application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, SSA and CMS premium withhold processing issues, enrollment rules, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible Special Needs Plans (SNPs); Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; implementation of MA and Part D changes made in the Accountable Care Act (ACA), including application of the MA Star Rating system for payment purposes starting 2012 and changes to the Part D coverage gap; ongoing implementation issues for the Medicare cost plan program including enrollment, marketing materials review and approval and other operational issues; Medicare creditable drug coverage reporting requirements; implementation issues for the Medicare Retiree Drug Subsidy program; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; Medicare clinical trials; Medicare/Medicaid integration for dual eligibles, including the Capitated Financial Alignment Demonstration; Medicaid managed care regulations and policies, including the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the ACA including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; issues related to Medigap coverage; and other issues relating to health care reform implementation.

Client expense: $2,240,000 · Firm income: Not reported

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

Implementation of the Patient Protection and Affordable Care Act (P.L. 111-148, P.L. 111-152). Medicare Advantage payment reforms. H.R.1580/S.1479, Medicare Beneficiary Preservation of Choice Act of 2011. Reforming the Sustainable Growth Rate formula. Deficit reduction efforts. Proposals to integrate care for dual eligible beneficiaries.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of the Patient Protection and Affordable Care Act (P.L. 111-148, P.L. 111-152). Medicare Advantage payment reforms. H.R.1580/S.1479, Medicare Beneficiary Preservation of Choice Act of 2011. Reforming the Sustainable Growth Rate formula. Deficit reduction efforts. Proposals to integrate care for dual eligible beneficiaries.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1580, Medicare Beneficiary Preservation of Choice Act of 2011 S. 1479, Medicare Beneficiary Preservation of Choice Act of 2011 S. 1880, Jobs and Premium Protection Act H.R. 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act H.R. 2077, MLR Repeal Act of 2011 S. 1049, Small Business Health Relief Act of 2011

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

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

Medicare Advantage Health reform implementation H.R. 1580 and S. 1479, Medicare Beneficiary Preservation of Choice Act of 2011

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2: Repealing the Job Killing Health Care Law Act; HR 5: Protecting Access to Healthcare Act; HR 369: Health Savings and Affordability Act of 2011; HR 436: Protect Medical Innovation Act of 2011; HR 605: Patients Freedom to Choose Act; HR 1206: Access to Professional Health Insurance Advisors Act; HR 1580: Medicare Beneficiary Preservation of Choice Act of 2011; HR 1744: American Job Protection Act; HR 2010: Family and Retirement Health Investment Act of 2011; HR 2077: MLR Repeal Act of 2011; HR 3239: SAFE Medicate Patient Act; HR 3586: The Good Samaritan Medical Professionals Act; S 20: American Job Protection Act; S 312: Patients Freedom to Choose Act; S 720: Repeal the CLASS Entitlement Act; S 2068: Access to Independent Health Insurance Advisors Act; S 2288: Access to Independent Health Insurance Advisors Act

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

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

H.Con.Res. 112, House budget resolution (Ryan) - Medicare, Medicaid, ACA issues H.R. 675, Strengthening Medicare Anti-Fraud Measures Act of 2011 (Herger) H.R. 999, Medicare Prescription Drug Savings and Choice Act (Schakowsky) - Medicare Part D changes H.R. 1063, Strengthening Medicare And Repaying Taxpayers Act (Murphy) - Medicare secondary payer rules H.R. 1357, Puerto Rico Medicare Part B Equity Act (Pierluisi) H.R. 1580, Medicare Beneficiary Preservation of Choice Act (Gonzalez) - Medicare Advantage enrollment periods H.R. 2190, Medicare Drug Savings Act (Waxman) - rebates for dual eligibles H.R. 2248, Medicare Prescription Drug Price Negotiation Act (Welch) - Part D price negotiation H.R. 2770, Medicare Cost Contract Extension Act (Paulsen) - extension of Medicare cost plans H.R. 3399, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Roskam/Carney) H.R. 3519 (Towns) - exempting Medicare from sequestration H.R. 3691, Senior Medicare Fairness Act (Paulsen) - frailty adjuster for certain MA SNPs H.R. 4254, Medicare Advantage Program Integrity Act (Stark) - MA payment changes H.R. 5979, Medicaid Accountability and Care Act (Cassidy) -- federal financing of state Medicaid programs S. 31, Prescription Drug and Health Improvement Act (Franken) - Part D price negotiation S. 44, Medicare Prescription Drug Price Negotiation Act (Klobuchar) - Part D price negotiation S. 560, Medicare Prescription Drug Savings and Choice Act (Durbin) - Medicare Part D changes S. 1206, Medicare Drug Savings Act (Rockefeller) - rebates for dual eligibles S. 1251, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Coburn/Carper) S. 1479, Medicare Beneficiary Preservation of Choice Act (Casey) - Medicare Advantage enrollment periods S. 1497, Medicare Cost Contract Extension Act (Klobuchar) - extension of Medicare cost plans S. 1999, Senior Medicare Fairness Act (Klobuchar) - frailty adjuster for certain MA SNPs S. 2196, Congressional Health Care for Seniors Act (Paul) - reforms affecting Medicare and Medigap S. 2243, Medicare Better Health Rewards Program Act (Wyden-Portman) - incentives for wellness and prevention

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

*Part D price negotiation - S 31, Prescription Drug and Health Improvement Act of 2011; S 44, Medicare Prescription Drug Price Negotiation Act of 2011; HR 2248, Medicare Prescription Drug Price Negotiation Act of 2011. *Medicare Part D changes - HR 999, Medicare Prescription Drug Savings and Choice Act of 2011; S 560, Medicare Prescription Drug Savings and Choice Act of 2011. *Medicare secondary payer rules - HR 1063, Strengthening Medicare And Repaying Taxpayers Act of 2011. *Medicare Advantage enrollment periods - HR 1580, Medicare Beneficiary Preservation of Choice Act of 2011; S 1479, Medicare Beneficiary Preservation of Choice Act of 2011. *Rebates for dual eligibles - HR 2190, Medicare Drug Savings Act of 2011; S 1206, Medicare Drug Savings Act of 2011. *Strengthening Medicare anti-fraud measures - HR 675, Strengthening Medicare Anti-Fraud Measures Act of 2011. *Extension of Medicare cost plans - HR 2770, Medicare Cost Contract Extension Act of 2011; S 1497, Medicare Cost Contract Extension Act of 2011. *Medicare and Medicaid fraud and abuse - S 1251, Medicare and Medicaid FAST Act. *Frailty adjuster for certain MA SNPs - HR 3691, Senior Medicare Fairness Act of 2011; S 1999, Senior Medicare Fairness Act. *MA payment changes - HR 4254, Medicare Advantage Program Integrity Act of 2012. *Reforms affecting Medicare and Medigap - S 2196, Congressional Health Care for Seniors Act of 2012. *Incentives for wellness and prevention - S 2243, Medicare Better Health Rewards Program Act of 2012. *Puerto Rico Medicare Part B - HR 1357, Puerto Rico Medicare Part B Equity Act of 2011. *Medicare and Medicaid - HR 3399, Medicare and Medicaid FAST Act. *Exempting Medicare from sequestration - HR 3519, To amend to exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011. *Medicare, Medicaid, ACA issues - HConRes 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. *Federal financing of State Medicaid programs - HR 5979, Medicaid Accountability and Care Act of 2012.

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

Government targets: HOUSE OF REPRESENTATIVES

Medicare Advantage Reimbursement Medigap Budget Control Act of 2011 (Became PL 112-25 on August 2, 2011), Implementation SEE CONTINUATION PAGE H.R. 1580, Medicare Beneficiary Preservation of Choice Act -- Medicare Advantage enrollment periods S. 1479, Medicare Beneficiary Preservation of Choice Act -- Medicare Advantage enrollment periods Health care reform implementation

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocated concerns with negative consequences of the Patient Protection and Affordable Care Act (ACA), specifically 1) new taxes that will cause premium increases and raise cost of health care coverage; 2) cuts to Medicare Advantage funding; 3)weak individual mandate resulting in adverse selection; 4) HHS proposed regulation that omits fraud and abuse prevention, concurrent review and costs associated with the federally-mandated ICD-10 program from health care quality improvement programs. Encouraged Members to co-sponsor a bill (H.R. 1370) introduced by Representative Boustany (R-LA) that would repeal the Small-Business Health Insurance Tax (HIT) enacted by the Affordable Care Act (ACA). Raised awareness about the impact of significant funding cuts included in the ACA and encourages Congress to restore the MA program funding to pre-ACA levels. Encouraged Members to co-sponsor the bipartisan Medicare Beneficiary Preservation Act of 2011 (H.R. 1580/S. 1479), which was introduced by Representatives Gonzalez (D-TX) and Buchanan (R-FL) and Senators Casey (D-PA) and Toomey (R-PA). This bill would provide a backstop for Medicare enrollees to find a suitable health plan by repealing ACA changes to MA open enrollment dates that limit beneficiary choice and flexibility. The bill would also lengthen open enrollment periods and allowas was the case before ACA changesenrollees to change from an MA plan to the original fee-for-service plan, or vice versa, or to a more suitable MA plan once a year during the first three months.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocated concerns with negative consequences of the Patient Protection and Affordable Care Act (ACA), specifically 1) new taxes that will cause premium increases and raise cost of health care coverage; 2) cuts to Medicare Advantage funding; 3)weak individual mandate resulting in adverse selection; 4) HHS proposed regulation that omits fraud and abuse prevention, concurrent review and costs associated with the federally-mandated ICD-10 program from health care quality improvement programs. Encouraged Members to co-sponsor a bill (H.R. 1370) introduced by Representative Boustany (R-LA) that would repeal the Small-Business Health Insurance Tax (HIT) enacted by the Affordable Care Act (ACA). Raised awareness about the impact of significant funding cuts included in the ACA and encourages Congress to restore the MA program funding to pre-ACA levels. Encouraged Members to co-sponsor the bipartisan Medicare Beneficiary Preservation Act of 2011 (H.R. 1580/S. 1479), which was introduced by Representatives Gonzalez (D-TX) and Buchanan (R-FL) and Senators Casey (D-PA) and Toomey (R-PA). This bill would provide a backstop for Medicare enrollees to find a suitable health plan by repealing ACA changes to MA open enrollment dates that limit beneficiary choice and flexibility. The bill would also lengthen open enrollment periods and allowas was the case before ACA changesenrollees to change from an MA plan to the original fee-for-service plan, or vice versa, or to a more suitable MA plan once a year during the first three months.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocated concerns with negative consequences of the Patient Protection and Affordable Care Act (ACA), specifically 1) new taxes that will cause premium increases and raise cost of health care coverage; 2) cuts to Medicare Advantage funding; 3)weak individual mandate resulting in adverse selection; 4) HHS proposed regulation that omits fraud and abuse prevention, concurrent review and costs associated with the federally-mandated ICD-10 program from health care quality improvement programs. Encouraged Members to co-sponsor a bill (H.R. 1370) introduced by Representative Boustany (R-LA) that would repeal the Small-Business Health Insurance Tax (HIT) enacted by the Affordable Care Act (ACA). Raised awareness about the impact of significant funding cuts included in the ACA and encourages Congress to restore the MA program funding to pre-ACA levels. Encouraged Members to co-sponsor the bipartisan Medicare Beneficiary Preservation Act of 2011 (H.R. 1580/S. 1479), which was introduced by Representatives Gonzalez (D-TX) and Buchanan (R-FL) and Senators Casey (D-PA) and Toomey (R-PA). This bill would provide a backstop for Medicare enrollees to find a suitable health plan by repealing ACA changes to MA open enrollment dates that limit beneficiary choice and flexibility. The bill would also lengthen open enrollment periods and allowas was the case before ACA changesenrollees to change from an MA plan to the original fee-for-service plan, or vice versa, or to a more suitable MA plan once a year during the first three months.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

(1) Public Law 111-148 The Patient Protection and Affordable Care Act; (2) Public Law 111-152 Health Care and Education Reconciliation Act of 2010; and (3) H.R. 1580 Medicare Beneficiary Preservation of Choice Act of 2011 (expands Medicare open enrollment and disenrollment opportunities). General Medicare/Medicaid reimbursement issues, such as the sustainable growth ration (SGR) and efforts to improve and expand care delivery models. including for dual eligibles.

Client expense: $1,248,884 · 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), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Treasury, Dept of

Implementation of the Patient Protection and Affordable Care Act (P.L. 111-148, P.L. 111-152). Medicare Advantage payment reforms. H.R.1580/S.1479, Medicare Beneficiary Preservation of Choice Act of 2011. Reforming the Sustainable Growth Rate formula. Deficit reduction efforts. Proposals to integrate care for dual eligible beneficiaries.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of the Patient Protection and Affordable Care Act (P.L. 111-148, P.L. 111-152). Medicare Advantage payment reforms. H.R.1580/S.1479, Medicare Beneficiary Preservation of Choice Act of 2011. Reforming the Sustainable Growth Rate formula. Deficit reduction efforts. Proposals to integrate care for dual eligible beneficiaries.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1580, Medicare Beneficiary Preservation of Choice Act of 2011. Changes to the Sustainable Growth Rate Formula. S. 1251, Medicare and Medicaid FAST Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Sustainable growth rate and impact on other Medicare programs, Medicare physician payment, budget offsets - HR 3630, Middle Class Tax Relief and Job Creation Act of 2012. Impact of House budget resolution on Medicare provisions - 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. *Part D price negotiation - S 31, Prescription Drug and Health Improvement Act of 2011; S 44, Medicare Prescription Drug Price Negotiation Act of 2011; HR 2248, Medicare Prescription Drug Price Negotiation Act of 2011. *Medicare Part D changes - HR 999, Medicare Prescription Drug Savings and Choice Act of 2011; S 560, Medicare Prescription Drug Savings and Choice Act of 2011. *Medicare secondary payer rules - HR 1063, Strengthening Medicare And Repaying Taxpayers Act of 2011. *Medicare Advantage enrollment periods - HR 1580, Medicare Beneficiary Preservation of Choice Act of 2011; S 1479, Medicare Beneficiary Preservation of Choice Act of 2011. *Rebates for dual eligibles - HR 2190, Medicare Drug Savings Act of 2011; S 1206, Medicare Drug Savings Act of 2011. *Strengthening Medicare anti-fraud measures - HR 675, Strengthening Medicare Anti-Fraud Measures Act of 2011. *Extension of Medicare cost plans - HR 2770, Medicare Cost Contract Extension Act of 2011; S 1497, Medicare Cost Contract Extension Act of 2011. *Medicare and Medicaid fraud and abuse - S 1251, Medicare and Medicaid FAST Act. *Budget offsets - S 1944, Middle Class Tax Cut Act of 2011; S 1931, Temporary Tax Holiday and Government Reduction Act. *Frailty adjuster for certain MA SNPs - HR 3691, Senior Medicare Fairness Act of 2011; S 1999, Senior Medicare Fairness Act. *Medicare physician payment, extension of QI and TMA programs, budget offsets - HR 3765, Temporary Payroll Tax Cut Continuation Act of 2011. *MA payment changes - HR 4254, Medicare Advantage Program Integrity Act of 2012. *Reforms affecting Medicare and Medigap - S 2196, Congressional Health Care for Seniors Act of 2012. *Incentives for wellness and prevention - S 2243, Medicare Better Health Rewards Program Act of 2012. *Puerto Rico Medicare Part B - HR 1357, Puerto Rico Medicare Part B Equity Act of 2011. *Medicare and Medicaid - HR 3399, Medicare and Medicaid FAST Act. *Exempting Medicare from sequestration - HR 3519, To amend to exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Advantage Reimbursement Medigap Budget Control Act of 2011 (Became PL 112-25 on August 2, 2011), Implementation SEE CONTINUATION PAGE H.R. 3630, The Middle Class Tax Relief and Job Creation Act of 2012 (Became PL 112-96 on 2/22/12) H.R. 1580, Medicare Beneficiary Preservation of Choice Act -- Medicare Advantage enrollment periods S. 1479, Medicare Beneficiary Preservation of Choice Act -- Medicare Advantage enrollment periods

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Advantage Health reform implementation H.R. 3630, The Middle Class Tax Relief and Job Creation Act of 2012 (Became PL 112-96 on 2/22/12). H.R. 1580 and S. 1479, Medicare Beneficiary Preservation of Choice Act of 2011

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.Con.Res. 112, House budget resolution (Ryan) - Medicare, Medicaid, ACA issues. H.R. 675, Strengthening Medicare Anti-Fraud Measures Act of 2011 (Herger). H.R. 1063, Strengthening Medicare And Repaying Taxpayers Act (Murphy) - Medicare secondary payer rules. H.R. 1580, Medicare Beneficiary Preservation of Choice Act (Gonzalez) - Medicare Advantage enrollment periods. H.R. 2190, Medicare Drug Savings Act (Waxman) - rebates for dual eligibles. H.R. 2248, Medicare Prescription Drug Price Negotiation Act (Welch) - Part D price negotiation. H.R. 2770, Medicare Cost Contract Extension Act (Paulsen) - extension of Medicare cost plans. H.R. 3399, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Roskam/Carney). H.R. 3519 (Towns) - exempting Medicare from sequestration. H.R. 3630, Temporary Payroll Tax Cut Continuation Act (Camp) - Medicare physician payment, extension of QI and TMA programs, budget offsets. H.R. 3691, Senior Medicare Fairness Act (Paulsen) - frailty adjuster for certain MA SNPs. H.R. 3765, Temporary Payroll Tax Cut Continuation Act (Camp) - Medicare physician payment, extension of QI and TMA programs, budget offsets.H.R. 4254, Medicare Advantage Program Integrity Act (Stark) - MA payment changes. S. 31, Prescription Drug and Health Improvement Act (Franken) - Part D price negotiation. S. 44, Medicare Prescription Drug Price Negotiation Act (Klobuchar) - Part D price negotiation. S. 560, Medicare Prescription Drug Savings and Choice Act (Durbin) - Medicare Part D changes. S. 1206, Medicare Drug Savings Act (Rockefeller) - rebates for dual eligibles. S. 1251, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Coburn/Carper). S. 1479, Medicare Beneficiary Preservation of Choice Act (Casey) - Medicare Advantage enrollment periods S. 1497, Medicare Cost Contract Extension Act (Klobuchar) - extension of Medicare cost plans. S. 1931, Temporary Tax Holiday and Government Reduction Act (Heller) -budget offsets. S. 1944, Middle Class Tax Cut Act (Casey) - budget offsets. S. 1999, Senior Medicare Fairness Act (Klobuchar) - frailty adjuster for certain MA SNPs. S. 2196, Congressional Health Care for Seniors Act (Paul) - reforms affecting Medicare and Medigap. S. 2243, Medicare Better Health Rewards Program Act (Wyden-Portman) - incentives for wellness and prevention.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1049, Small Business Health Relief Act of 2011 H.R. 1580, Medicare Beneficiary Preservation of Choice Act of 2011 S. 1479, Medicare Beneficiary Preservation of Choice Act of 2011 S. 1880, Jobs and Premium Protection Act H.R. 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act

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

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

HR 5, Help Efficient, Accessible, Low-costTimely Healthcare (HEALTH) Act of 2011; HR 816, Provider Sheild Act of 2011; HR 2205, Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011; S 1099 Help Efficient, Accessible, Low-cost, timely healthcare (HEALTH) Act of 2011; S 1098, Family and Retirement Health Investment Act of 2011; HR 1580, Medicare Beneficiary Preservation of CHoice Act of 2011; HR 1173, Fiscal Responsibility and Retirement Security Act of 2011.S 720, Repeal the CLASS Entitlement; HR 605 Patient's Freedom to Choose Act; S 312 Patients Freedon to Choose Act; HR 2010, Family and Retirement Heallth Investment Act of 2011; HR 2, Repealing the Job-Killing Health Care Law Act; HR 1744, American Job Protection Act; HR 2077, MLR Repeal Act of 2011; HR 1206, Access to Professional Health Insurance Advisors Act of 2011.

Client expense: $317,000 · Firm income: Not reported

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

FY 12 appropriations bills for the Natural Resources agencies: Interior and Environment, Agriculture, CJS--NOAA; Energy and Water. Clean Water Act issues, including HR 2018; Public Lands management issues, including HR 1580. Farm Bill reauthorization with interest in the Farm Bill conservation programs; Renewable Energy on Public Lands, S 1775.

Client expense: $75,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Natl Oceanic & Atmospheric Administration (NOAA), SENATE