Medicare Patient Empowerment Act

See page three for specific Medicare/Medicaid issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 H. R. 6043 - Behavioral Health Information Technology Act of 2012 H.R. 6352 - Resident Physician Shortage Reduction and Graduate Medical Education Accountability & Transparency Act H. R. 6598 - Electronic Health Records Improvement Act S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization (MMM Continued) Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Physician Quality Reporting System (PQRS) Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Surgical Consumer Assessment of Healthcare Providers and Systems (S-CAHPS) Trauma Appropriations Value-Based Update (VBU) Proposal

Client expense: $87,126 · Firm income: Not reported

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

See page six for specific Health Care Issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 H. R. 6043 - Behavioral Health Information Technology Act of 2012 H.R. 6352 - Resident Physician Shortage Reduction and Graduate Medical Education Accountability & Transparency Act H. R. 6598 - Electronic Health Records Improvement Act S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization (HCR Continued) Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Physician Quality Reporting System (PQRS) Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Surgical Consumer Assessment of Healthcare Providers and Systems (S-CAHPS) Trauma Appropriations Value-Based Update (VBU) Proposal

Client expense: $87,126 · Firm income: Not reported

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

H.R. 4/S. 72 Small Business Paperwork Mandate Elimination Act HR 1546/S829 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) HR 3000 Empowering Patients First Act, provisions related to physical therapist opt out Locum Tenens Inclusion of Physical Therapists in Health IT Incentives HR 1700 Medicare Patient Empowerment Act, inclusion of PT HR 6598 - Electronic Health Records Improvement Act HR 6626 - Health Care Innovation and Marketplace Technologies Act of 2012

Client expense: $478,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Election Commission (FEC), Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 1546/S. 829-Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) H.R. 560 Rural Representation and Transparency Improvement Act Payments to Physical Therapists under the Medicare Physician Fee Schedule Permanent Repeal of/alternatives to the Sustainable Growth Rate (SGR) Formula Opposition of Multiple Procedure Payment Reduction for PT Services Physician Quality Reporting System Opposition to Medicaid Funding Cuts Physician Self-Referral - elimination of PT exception Medicare Advanced Imaging Act Opt-Out Locum Tenens Prevention Initiatives for Fraud and Abuse in the Medicare program H.R. 2785 Opposition to Athletic Trainers' Equal Access to Medicare Act, all provisions Accountable Care Organizations Electronic Health Records/ Health Information Technology incentives for Physical Therapists Home Health PPS 2013 Development of Alternatives to Medicare Therapy Cap Medicare Payment Reform H.R. 1700 Medicare Patient Empowerment Act, inclusion of physical therapists S. 668 Health Care Bureacrats Elmination Act (IPAB Repeal), all provisions H.R. 452 Medicare Decisions Accountability Act of 2011 (IPAB Repeal), all provisions Protecting Medicaid Caps or Block Grants Local Coverage Determinations NCCI Edits H.R. 2863 Medicare Oral Health Rehabilitative Enhancement Act of 2011, all provisions H.R. 2499 Lymphedema Diagnosis and Treatment Cost-Saving Act of 2011, all provisions Protection of programs related to physical therapy in deficit reduction H.R. 1958 Medicare Orthotics and Prosthetics Improvement Act of 2011, all provisions H.R. 3000 Empowering Patients First Act, provisions pertaining to physical therapy H.R. 5 Protecting Access to Healthcare Act Medicare Advantage Mobile Health Technology Privacy/Security Meeting (HHS-ONC) Off-the-shelf Othotics Comments PCORI National Priority for Research and Research Agenda USPSTF peripheral arterial disease HR 3258 Medicare Equity Extension Act Health Information Technology :EHR Comments EHR Incentive Program Stage 2 Comments Medicaid Eligibility Comments Medicare Physician Payment Innovation Act H.R. 4378- Ensuring Access to Quality Complex Rehabilitation Technology Act PFS PPS - Functional Limitation Reporting Therapy Cap: manual Medical Review Hospital Outpatient PPS 2013 Essentail Health Benefits Comments Medicare Physician Fee Schedule FInal Rule 2013 H.R. 8 American Taxpayer Relief Act of 2012, provisions on therapy cap, SGR, prevention of MPPR

Client expense: $478,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Election Commission (FEC), Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R.1150 Competitive Health Insurance Reform Act of 2011 H.R.605 / S. 312 Patients' Freedom to Choose Act Medicare Physician Payment Reform H.R. 2863- Medicare Oral Health Rehabilitative Enhancement Act of 2011 H.R. 969 Medical Practice Freedom Act of 2011 S. 296 The Preserving Access to Life-Saving Medications Act H.R. 157 Health Care Safety Net enhancement Act of 2011 H.R. 1700/ S. 1042 Medicare Patient Empowerment Act H.R. 1316 Stop Oxy Abuse Act of 2011 S. 507 Prescription Drug Abuse Prevention and Treatment Act of 2011 H.R. 2104 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

See next page. Medicare Accountable Care Organization Program Implementation; Medicare Payment and Health Care Delivery Reform CMA-proposed pilot projects; Institute of Medicines (IOM) (Department of Health and Human Services) two studies 1) Geographic Variation in Health Care Spending and the Promotion of High Value Care and 2) Medicare Geographic Adjustment Factors; Physician Quality and Reporting Programs; Medicare Fraud and Abuse Program Integrity Issues; Medicare Geographic Variation in Spending issues; Medicare Geographic Payment Locality Update for California; Medicaid issues related to implementation of health care reform; Implementation of the ACA-Health Care Reform; Medicare and Medicaid Program: Electronic Health Record Incentive Program, Stage 2; E-prescribing penalty program exemptions; Physician Regulatory Relief (Value-Index, E-Prescribing, EHR penalties); Physician Billing Audits; Medicare, Medicaid, SCHIP: Transparency Reports and Reporting of Physician Ownership or Investment Interests (CMS 5060-P). Medicaid medical homes; Medicare value modifier and quality reporting; Medicare SGR Repeal Physician Payment Issues; Medicare Geographic Payment Locality Update; HR 1700 (Price) Private Contracting; HR 452 (Cornyn and Roe)- Repeal of the Independent Medicare Advisory Board; Medicare/Medicaid Graduate Medical Education Funding; Medi-Cal County Organized Health System Authorization for Alameda County; H.R. 3630 Middle Class Tax Relief and Job Creation Act of 2012; Medicaid Primary Care Rate Increase regulations pursuant to the ACA CMS-2370-P; Medicare Physician Payment Rule FY 2013 CMS-1590-P; Medicare-Medicaid Dual Eligibles Demonstration Program Regulations; ACA Certain Preventive Services regulations; Medicare ICD-10 Coding System Regulations; Medicare Conditions of Participation Regulations; H.R. 8 American Taxpayer Relief Act (Medicare and Medicaid payment issues) Medi-Cal Physician 7 Visit Limit; Medicare Palmetto Contractor transition to Noridian.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, White House Office

Expand the authority and types of services that can be reimbursed to doctors of chiropractic under Medicare. PL -111-148 - Patient Protection and Affordable Care Act. H.R. 1700 under Medicare Patient Empowerment Act. PL -111-152 - Patient Protection and Affordable Care Act. PL -111-5 - American Recovery and Reinvestment Act. PL-112-240 American Taxpayer Relief Act S. 756 - Medicare Data Access For Transparency and Accountability Act of 2011. H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011. H.R. 3765 - Temporary Payroll Tax Cut Continuation Act of 2011. S. 1251 - Medicare and Medicaid Fast Act. H.R. 1700 - Medicare Patient Empowerment Act S. 1042 - Medicare Patient Empowerment Act H.R. 5707 - Medicare Physician Payment Innovation Act of 2012

Client expense: $33,400 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Personnel Management (OPM), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

HR 3248/S 1283: Lifespan Respite Care Act of 2005; HR 4281: Small Business Health Fairness Act; PL 109-365: Older Americans Act Amendments of 2006; Older Americans Act Reauthorization; HR 3267/S 1760: Healthy Start Reauthorization Act of 2007; HR 6111: Tax Relief and Health Care Act of 2006; PL 111-148: The Patient Protection and Affordable Care Act; PL 111-152: Affordable Health Care for America Act; HR 4872: Health Care and Education Reconciliation Act of 2010; HR 4213: American Jobs and Closing Tax Loopholes Act; PL 111-192: Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act; S 829/HR 1546: Medicare Access to Rehabilitation Services Act; HR 452: Medicare Decisions Accountability Act; HR 3765: Temporary Payroll Tax Cut Contribution Act of 2011; HR 3630: Middle Class Tax Relief & Job Creation Act of 2011; HR 5: Protecting Access to Health Care Act; HR 1700: Medicare Decision Accountability Act; HR 3497: MODDERN (Modernize Our Drug and Diagnostics Evaluation and Regulatory Network) Cures Act of 2011; HR 4378: Ensuring Access to Quality Complex Rehabilitation Technology Act of 2012; S 3289: Children's Mental Health Accessibility Act of 2012; HR 6079: Repeal of Obamacare Act; and H.R. 8: American Taxpayer Relief Act.

Client expense: $66,891 · Firm income: Not reported

Government targets: Access Board, Agriculture, Dept of (USDA), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

HR531--Access to Frontline Health Care Act; HR452/S 668 -- IPAB Repeal; S454--Medicare AntiFraud; S756--Medicare Data Transparency; HR5/S218--Medical Liability Reform; HR1206/2077--Medical Loss Ratio changes; HR 1256 -- Medicare Physician Payment Transparency; HR 1409--Quality Health are Coalition Act; HR1700/S1042--Medicare Patient Empowerment Act; S1309/HR 3364--Equity and Access for Podiatric Physicians Under Medicaid; PDUFA/MDUFA reauthorization; Budget Sequestration (HR 8); 100th Anniversary of APMA; Medicare Physician payment / SGR; S1958--Medicare Orthotics and Prosthetics Improvement Act; HR 1256--Medicare Relative Update Committee (RUC); HR 1409--Physician Antitrust; HR 2363--Health Care OverUse Reform Today (HealthCOURT) Act; HR 3630/HR 3675--Medicare Physician Payments/SGR; HR 1150--Health Insurer Antitrust Reform; HR 969 Medical Practice Freedom Act; S 756--Claims Data Publication; TRICARE reimbursement issues; VA provider issues

Client expense: $96,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA), White House Office

Repeal Sustainable Growth Rate formula; H.R. 452 Medicare Decisions Accountability Act; H.R. 2020 / S. 1096 Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act; H.R. 1700 / S. 1042 Medicare Patient Empowerment Act; H.R. 3613 Part D Beneficiary Appeals Fairness Act; H.R. 5707 Medicare Physician Payment Innovation Act; H.R. 6142 Assuring Medicare Stability and Access for Seniors Act; Monitor implementation of P.L. 111-148; Extension of Section 3111, P.L. 111-148

Client expense: $120,000 · Firm income: Not reported

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

H.R.1150 Competitive Health Insurance Reform Act of 2011 H.R.605 / S. 312 Patients' Freedom to Choose Act Medicare Physician Payment Reform H.R. 2863- Medicare Oral Health Rehabilitative Enhancement Act of 2011 H.R. 969 Medical Practice Freedom Act of 2011 S. 296 The Preserving Access to Life-Saving Medications Act H.R. 157 Health Care Safety Net enhancement Act of 2011 H.R. 1700/ S. 1042 Medicare Patient Empowerment Act H.R. 1316 Stop Oxy Abuse Act of 2011 S. 507 Prescription Drug Abuse Prevention and Treatment Act of 2011 H.R. 2104 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 3248/S 1283: Lifespan Respite Care Act of 2005; HR 4281: Small Business Health Fairness Act; PL 109-365: Older Americans Act Amendments of 2006; Older Americans Act Reauthorization; HR 3267/S 1760: Healthy Start Reauthorization Act of 2007; HR 6111: Tax Relief and Health Care Act of 2006; PL 111-148: The Patient Protection and Affordable Care Act; PL 111-152: Affordable Health Care for America Act; HR 4872: Health Care and Education Reconciliation Act of 2010; HR 4213: American Jobs and Closing Tax Loopholes Act; PL 111-192: Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act; S 829/HR 1546: Medicare Access to Rehabilitation Services Act; HR 452: Medicare Decisions Accountability Act; HR 3765: Temporary Payroll Tax Cut Contribution Act of 2011; HR 3630: Middle Class Tax Relief & Job Creation Act of 2011; HR 5: Protecting Access to Health Care Act; HR 1700: Medicare Decision Accountability Act; HR 3497: MODDERN (Modernize Our Drug and Diagnostics Evaluation and Regulatory Network) Cures Act of 2011; HR 4378: Ensuring Access to Quality Complex Rehabilitation Technology Act of 2012; S 3289: Children's Mental Health Accessibility Act of 2012; and HR 6079: Repeal of Obamacare Act.

Client expense: $74,200 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Education, Dept of, Energy, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

H.R. 1546/S. 829-Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) H.R. 560 Rural Representation and Transparency Improvement Act Payments to Physical Therapists under the Medicare Physician Fee Schedule Permanent Repeal of/alternatives to the Sustainable Growth Rate (SGR) Formula Opposition of Multiple Procedure Payment Reduction for PT Services Physician Quality Reporting System Opposition to Medicaid Funding Cuts Physician Self-Referral - elimination of PT exception Medicare Advanced Imaging Act Opt-Out Locum Tenens Prevention Initiatives for Fraud and Abuse in the Medicare program H.R. 2785 Opposition to Athletic Trainers' Equal Access to Medicare Act, all provisions Accountable Care Organizations Electronic Health Records/ Health Information Technology incentives for Physical Therapists Home Health PPS 2011/ 2012 Development of Alternatives to Medicare Therapy Cap Medicare Payment Reform H.R. 1700 Medicare Patient Empowerment Act, inclusion of physical therapists S. 668 Health Care Bureacrats Elmination Act (IPAB Repeal), all provisions H.R. 452 Medicare Decisions Accountability Act of 2011 (IPAB Repeal), all provisions Protecting Medicaid Caps or Block Grants SNF PPS FY 2012/MDS 3.0/RUG IV IRF PPS FY 2012 Quality Initiatives & Value Based Purchasing Local Coverage Determinations NCCI Edits H.R. 2863 Medicare Oral Health Rehabilitative Enhancement Act of 2011, all provisions H.R. 2499 Lymphedema Diagnosis and Treatment Cost-Saving Act of 2011, all provisions Protection of programs related to physical therapy in deficit reduction H.R. 1958 Medicare Orthotics and Prosthetics Improvement Act of 2011, all provisions OPPS CY 2012 H.R. 3000 Empowering Patients First Act, provisions pertaining to physical therapy H.R. 5 Protecting Access to Healthcare Act Medicare Advantage Mobile Health Technology Privacy/Security Meeting (HHS-ONC) Medicare Overpayment Proposed Rule Off-the-shelf Othotics Comments PCORI National Priority for Research and Research Agenda USPSTF peripheral arterial disease HR 3258 Medicare Equity Extension Act National Coverage Analysis for TENS comments Health Information Technology :EHR Comments EHR Incentive Program Stage 2 Comments Medicaid Eligibility Comments Medicare Physician Payment Innovation Act H.R. 4378- Ensuring Access to Quality Complex Rehabilitation Technology Act

Client expense: $428,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Election Commission (FEC), Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 4/S. 72 Small Business Paperwork Mandate Elimination Act HR 1546/S829 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) HR 3000 Empowering Patients First Act, provisions related to physical therapist opt out Locum Tenens Inclusion of Physical Therapists in Health IT Incentives HR 1700 Medicare Patient Empowerment Act, inclusion of PT

Client expense: $428,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Election Commission (FEC), Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 1700, Medicare Payment Empowerment Act: Medicare Private Contracting S. 1042, Medicare Patient Empowerment Act: Medicare private contracting H.R. 6352, Physician Shortage Reduction and Graduate Medical Education Accountability Act: Expanding graduate medical education funding No Bill: Medicare cuts to imaging services No Bill: Medicare physician payment reform No Bill: Eliminating the Physician Quality Reporting System (PQRS) penalties, e-prescribing penalties, electronic health record penalties and value based payment modifier No Bill: Budget Control Act sequestration cuts related to physician reimbursement

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1700, Medicare Payment Empowerment Act: Medicare Private Contracting S. 1042, Medicare Patient Empowerment Act: Medicare private contracting H.R. 6352, Physician Shortage Reduction and Graduate Medical Education Accountability Act: Expanding graduate medical education funding No Bill: Medicare cuts to imaging services No Bill: Medicare physician payment reform No Bill: Eliminating the Physician Quality Reporting System (PQRS) penalties, e-prescribing penalties, electronic health record penalties and value based payment modifier No Bill: Budget Control Act sequestration cuts related to physician reimbursement

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

See next page. Medicare Accountable Care Organization Program Implementation; Medicare Payment and Health Care Delivery Reform CMA-proposed pilot projects; Institute of Medicines (IOM) (Department of Health and Human Services) two studies 1) Geographic Variation in Health Care Spending and the Promotion of High Value Care and 2) Medicare Geographic Adjustment Factors; Physician Quality and Reporting Programs; Medicare Fraud and Abuse Program Integrity Issues; Medicare Geographic Variation in Spending issues; Medicare Geographic Payment Locality Update for California; Medicaid issues related to implementation of health care reform; Implementation of the ACA-Health Care Reform; Medicare and Medicaid Program: Electronic Health Record Incentive Program, Stage 2; E-prescribing penalty program exemptions; Physician Regulatory Relief (Value-Index, E-Prescribing, EHR penalties); Physician Billing Audits; Medicare, Medicaid, SCHIP: Transparency Reports and Reporting of Physician Ownership or Investment Interests (CMS 5060-P). Medicaid medical homes; Medicare value modifier and quality reporting; Medicare SGR Repeal Physician Payment Issues; Medicare Geographic Payment Locality Update; HR 1700 (Price) Private Contracting; HR 452 (Cornyn and Roe)- Repeal of the Independent Medicare Advisory Board; Medicare/Medicaid Graduate Medical Education Funding; Medi-Cal County Organized Health System Authorization for Alameda County; H.R. 3630 Middle Class Tax Relief and Job Creation Act of 2012; Medicaid Primary Care Rate Increase regulations pursuant to the ACA CMS-2370-P; Medicare Physician Payment Rule FY 2013 CMS-1590-P; Medicare-Medicaid Dual Eligibles Demonstration Program Regulations; ACA Certain Preventive Services regulations; Medicare ICD-10 Coding System Regulations; Medicare Conditions of Participation Regulations.

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

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

See next page. Medicare Accountable Care Organization Program Implementation; Medicare Payment and Health Care Delivery Reform CMA-proposed pilot projects; Institute of Medicines (IOM) (Department of Health and Human Services) two studies 1) Geographic Variation in Health Care Spending and the Promotion of High Value Care and 2) Medicare Geographic Adjustment Factors; Physician Quality and Reporting Programs; Medicare Fraud and Abuse Program Integrity Issues; Medicare Geographic Variation in Spending issues; Medicare Geographic Payment Locality Update for California; Medicaid issues related to implementation of health care reform; Implementation of the ACA-Health Care Reform; Medicare and Medicaid Program: Electronic Health Record Incentive Program, Stage 2; E-prescribing penalty program exemptions; Physician Regulatory Relief (Value-Index, E-Prescribing, EHR penalties); Physician Billing Audits; Medicare, Medicaid, SCHIP: Transparency Reports and Reporting of Physician Ownership or Investment Interests (CMS 5060-P). Medicaid medical homes; Medicare value modifier and quality reporting; Medicare SGR Repeal Physician Payment Issues; Medicare Geographic Payment Locality Update; HR 1700 (Price) Private Contracting; HR 452 (Cornyn and Roe)- Repeal of the Independent Medicare Advisory Board; Medicare/Medicaid Graduate Medical Education Funding; Medi-Cal County Organized Health System Authorization for Alameda County; H.R. 3630 Middle Class Tax Relief and Job Creation Act of 2012; Medicaid Primary Care Rate Increase regulations pursuant to the ACA CMS-2370-P; Medicare Physician Payment Rule FY 2013 CMS-1590-P; Medicare-Medicaid Dual Eligibles Demonstration Program Regulations; ACA Certain Preventive Services regulations; Medicare ICD-10 Coding System Regulations; Medicare Conditions of Participation Regulations.

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

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

H.R. 452, Medicare Decisions Accountability Act of 2011, all provisions S. 668, Health Care Bureaucrats Elimination Act, all provisions H.R. 5, Protecting Access to Healthcare Act, provisions relating to IPAB Repeal H.R. 1700, Medicare Patient Empowerment Act, all provisions S. 1042, Medicare Patient Empowerment Act, all provisions H.R. 5942, Quality Improvement Organization Program Restoration Act, all provisions H.R. 3269, Diagnostic Imaging Services Access Protection Act of 2011, all provisions S. 2347, Diagnostic Imaging Services Access Protection Act of 2012, all provisions Medicare program - Physician Payment and Delivery Reform Medicare program - Physician Payment System Medicare program - 2013 Physician Fee Schedule Medicare program - Economic Index Medicare program - Budget Sequestration Medicare program - Graduate Medical Education Medicare program - Physician Payment Sunshine Act Medicare program - SGR Repeal Medicare program - Resource-based Relative Value Scale/RVS Update Committee Medicare program - ICD-10 Medicare program - Private Contracting Medicare program - Physician Quality Reporting System (PQRS) Medicare program - AMA advocacy priorities Medicare program - E & M Upcoding Medicare program - RAC/E&M documentation Medicare program - Observation care Medicare program - MoPath codes Medicare program - E-prescribing Medicare program - Care coordination codes Medicare program - Value-Based Modifier (VBM) and Quality & Resource Use Reports (QRUR) Medicare program - Hospital Out-patient Departments Medicare program - Physician Quality Reporting System (PQRS) Group Practice Reporting Option (GPRO) Medicare program - Advance payment Medicare program - Plan ID Medicare program - EFT Medicare program - Advance payment policy Medicare program - Enrollment Medicare program - Quality Measure Development and Endorsement Medicare program - Scope of Practice Medicare program - AMA perspective on physician payment reform Medicare program - Bundling proposals Medicare program - Conditions of Participation Medicare program - Regulatory Relief Medicare program - Shared Savings/Accountable Care Organizations Medicare and Medicaid programs - Public-Private Partnership Medicare and Medicaid programs - Program Integrity Medicare and Medicaid programs - Dual Eligibles Medicare and Medicaid programs - Meaningful Use Stage 2

Client expense: $3,680,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

See page three for specific Medicare/Medicaid issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Trauma Appropriations Value-Based Update (VBU) Proposal

Client expense: $15,870 · Firm income: Not reported

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

See page six for specific Health Issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Trauma Appropriations Value-Based Update (VBU) Proposal

Client expense: $15,870 · Firm income: Not reported

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

Expand the authority and types of services that can be reimbursed to doctors of chiropractic under Medicare. PL -111-148 - Patient Protection and Affordable Care Act. H.R. 1700 under Medicare Patient Empowerment Act. PL -111-152 - Patient Protection and Affordable Care Act. PL -111-5 - America Recovery and Reinvestment Act. S. 756 - Medicare Data Access For Transparency and Accountability Act of 2011. H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011. H.R. 3765 - Temporary Payroll Tax Cut Continuation Act of 2011. S. 1251 - Medicare and Medicaid Fast Act. H.R. 1700 - Medicare Patient Empowerment Act S. 1042 - Medicare Patient Empowerment Act H.R. 5707 - Medicare Physician Payment Innovation Act of 2012

Client expense: $55,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Personnel Management (OPM), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

See page three for specific Medicare/Medicaid issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Trauma Appropriations Value-Based Update (VBU) Proposal

Client expense: $75,279 · Firm income: Not reported

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

See page six for specific Health Issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Trauma Appropriations Value-Based Update (VBU) Proposal

Client expense: $75,279 · Firm income: Not reported

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

Healthcare Bureaucrats Elimination Act (S. 668) HEALTH Act (S.1099) Provider Shield Act (H.R. 816) Medicare Patient Empowerment Act (S.1042/H.R. 1700) Delay the Implementation of the Value-Based Payment Modifier Medicare Physician Payment Reform Sequestration Cuts Atrial Fibrillation Resolution- H.Res. 295

Client expense: $46,445 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR531--Access to Frontline Health Care Act; HR452/S 668 -- IPAB Repeal; S454--Medicare AntiFraud; S756--Medicare Data Transparency; HR5/S218--Medical Liability Reform; HR1206/2077--Medical Loss Ratio changes; HR 1256 -- Medicare Physician Payment Transparency; HR 1409--Quality Health are Coalition Act; HR1700/S1042--Medicare Patient Empowerment Act; S1309/HR 3364--Equity and Access for Podiatric Physicians Under Medicaid; PDUFA/MDUFA reauthorization; Budget Sequestration; 100th Anniversary of APMA; Medicare Physician payment / SGR; S1958--Medicare Orthotics and Prosthetics Improvement Act; HR 1256--Medicare Relative Update Committee (RUC); HR 1409--Physician Antitrust; HR 2363--Health Care OverUse Reform Today (HealthCOURT) Act; HR 3630/HR 3675--Medicare Physician Payments/SGR; HR 1150--Health Insurer Antitrust Reform; HR 969 Medical Practice Freedom Act; S 756--Claims Data Publication; TRICARE reimbursement issues; VA provider issues

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), White House Office

Physician Payment/SGR; quality reporting and physician quality measures; ACOs; H.R. 816, the Provider Shiled Act of 2011 to protect from new causes of action in PPACA; S. 668, the Health Care Bureaucrats Elimination Act to repeal IPAB; H.R. 5, HEALTH Act, to ensure medical liability reform and to repeal the IPAB; H.R. 1700 to allow physicians to privately contract, Budget Control Act

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

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

Repeal Sustainable Growth Rate formula; H.R. 5707 Medicare Physician Payment Innovation Act; H.R. 3613 Part D Beneficiary Appeals Fairness Act; H.R. 452 Medicare Decisions Accountability Act; S. 1042 / H.R. 1700 Medicare Patient Empowerment Act; H.R. 3399 Medicare and Medicaid FAST Act; S. 1096 / H.R. 2020 Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act; Monitor implementation of P.L. 111-148; Extension of Section 3111 of P.L. 111-148

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

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

H.R. 1150- Competitive Health Insurance Reform Act of 2011 H.R. 605/ S. 312- Patients' Freedom to Choose Act Medicare Physician Payment Reform H.R. 2863- Medicare Oral Health Rehabilitative Enhancement Act of 2011 H.R. 969 Medical Practice Freedom Act of 2011 S. 296 The Preserving Access to Life-Saving Medications Act H.R. 157 Health Care Safety Net enhancement Act of 2011 H.R. 1700/ S. 1042 Medicare Patient Empowerment Act H.R. 1316 Stop Oxy Abuse Act of 2011 S. 507 Prescription Drug Abuse Prevention and Treatment Act of 2011 H.R. 2104 Consistency, Accuracy, Responsibilit, and Excellence in Medical Imaging and Radiation Therapy Act

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

See next page. Medicare Accountable Care Organization Program Implementation; Medicare Payment and Health Care Delivery Reform CMA-proposed pilot projects; Institute of Medicines (IOM) (Department of Health and Human Services) two studies 1) Geographic Variation in Health Care Spending and the Promotion of High Value Care and 2) Medicare Geographic Adjustment Factors; Physician Quality and Reporting Programs; Medicare Fraud and Abuse Program Integrity Issues; Medicare Geographic Variation in Spending issues; Medicare Geographic Payment Locality Update for California; Medicaid issues related to implementation of health care reform; Implementation of the ACA-Health Care Reform; Medicare and Medicaid Program: Electronic Health Record Incentive Program, Stage 2; Medicare Program-Emergency Medical Treatment and Labor Act (EMTALA): Applicability to Hospital Inpatients and Hospitals with Specialized Capabilities; E-prescribing penalty program exemptions; Physician Regulatory Relief (Value-Index, E-Prescribing, EHR penalties); Medicare Fourth Participation Option; Physician Billing Audits; Medicare, Medicaid, SCHIP: Transparency Reports and Reporting of Physician Ownership or Investment Interests (CMS 5060-P). Medicaid medical homes; Implementation of Health Care Reform-the Affordable Care Act (ACA) Issues (Independent Medicare Advisory Board, Medicaid physician reimbursement rates, value modifier, quality reporting); Medicare SGR Repeal Physician Payment Issues; Medicare Geographic Payment Locality Update; HR 1700 (Price) Private Contracting; HR 452 (Cornyn and Roe)- Repeal of the Independent Medicare Advisory Board; Medicare/Medicaid Graduate Medical Education Funding; Medi-Cal County Organized Health System Authorization for Alameda County; H.R. 3630 Middle Class Tax Relief and Job Creation Act of 2012; Medicaid Primary Care Rate Increase regulations pursuant to the ACA CMS-2370-P; Medicare Physician Payment Rule 2013 CMS-1590-P; Medicare-Medicaid Dual Eligibles Pilot Program Regulations; ACA Certain Preventive Services regulations; Medicare ICD-10 Coding System Regulations; Medicare Conditions of Participation Regulations.

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

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

H.R. 1700, Medicare Patient Empowerment Act, all provisions S. 1042, Medicare Patient Empowerment Act, all provisions H.R. 452, Medicare Decisions Accountability Act of 2011, all provisions S. 668, Health Care Bureaucrats Elimination Act, all provisions H.R. 5, Protecting Access to Healthcare Act, provision relating to IPAB repeal H.R. 5942, Quality Improvement Organization Program Restoration Act, all provisions H.R. 5707, Medicare Physician Payment Innovation Act of 2012, all provisions Medicare program - Private Contracting Medicare program - Sustainable Growth Rate (SGR) Medicare program - Physician Payment Update Medicare program - Power mobility devices Medicare program - Quality Resource Use Reports Medicare program - Hospital Acquired Conditions Medicare program - eRx penalty program Medicare program - EHR Incentive Program Medicare program - Primary care bonus program Medicare program - ICD-10 Medicare program - Medicare Economic Index Medicare program - Value-based Modifier Medicare program - Confidential Feedback Reports Medicare program - Codes for Molecular Pathology Medicare program - Bundled payments Medicare program - Care Coordination Medicare program - Observation Care Medicare program - Penalties Medicare program - Place of service coding and 3-day payment window Medicare program - RAC prepayment demonstrations Medicare program - Payment and delivery reform Medicare program - Hospital outpatient payments Medicare program - MedPAC Nominations Medicare program - Graduate Medical Education Medicare program - Health Information Technology Medicare program - Enrollment Medicare program - Physician Consortium for Performance Improvement Medicare program - DME audits/supplier requests for documentation Medicare program - Alternative payment models Medicare program - Guidelines for reporting data to physicians Medicare program - AMA quality measure copyright Medicare program - Physician Compare and PECOS Medicare program - Resource-based Relative Value Scale/RVS Update Committee Medicare program - Shared Savings/Accountable Care Organizations Medicare and Medicaid programs - HIPAA Administrative Simplification Medicare and Medicaid programs - Conditions of Participation Medicare and Medicaid programs - Meaningful Use Medicare and Medicaid programs - Center for Medicare and Medicaid Innovation initiatives Medicare and medicaid programs - Program Integrity Medicaid program - Dual Eligibles Medicaid program - Primary care payments

Client expense: $4,400,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

H.R. 1546/S. 829-Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) H.R. 560 Rural Representation and Transparency Improvement Act Payments to Physical Therapists under the Medicare Physician Fee Schedule Permanent Repeal of/alternatives to the Sustainable Growth Rate (SGR) Formula Opposition of Multiple Procedure Payment Reduction for PT Services Physician Quality Reporting System Opposition to Medicaid Funding Cuts Physician Self-Referral - elimination of PT exception Medicare Advanced Imaging Act Opt-Out Locum Tenens Prevention Initiatives for Fraud and Abuse in the Medicare program H.R. 2785 Opposition to Athletic Trainers' Equal Access to Medicare Act, all provisions Accountable Care Organizations Electronic Health Records/ Health Information Technology incentives for Physical Therapists Home Health PPS 2011/ 2012 Development of Alternatives to Medicare Therapy Cap Medicare Payment Reform H.R. 1700 Medicare Patient Empowerment Act, inclusion of physical therapists S. 668 Health Care Bureacrats Elmination Act (IPAB Repeal), all provisions H.R. 452 Medicare Decisions Accountability Act of 2011 (IPAB Repeal), all provisions Protecting Medicaid Caps or Block Grants SNF PPS FY 2012/MDS 3.0/RUG IV IRF PPS FY 2012 Quality Initiatives & Value Based Purchasing Local Coverage Determinations NCCI Edits H.R. 2863 Medicare Oral Health Rehabilitative Enhancement Act of 2011, all provisions H.R. 2499 Lymphedema Diagnosis and Treatment Cost-Saving Act of 2011, all provisions Protection of programs related to physical therapy in deficit reduction H.R. 1958 Medicare Orthotics and Prosthetics Improvement Act of 2011, all provisions OPPS CY 2012 H.R. 3000 Empowering Patients First Act, provisions pertaining to physical therapy H.R. 5 Protecting Access to Healthcare Act Medicare Advantage Mobile Health Technology Privacy/Security Meeting (HHS-ONC) Medicare Overpayment Proposed Rule Off-the-shelf Othotics Comments PCORI National Priority for Research and Research Agenda AHRQ Pediatric Quality Measures AHRQ TBI draft report USPSTF peripheral arterial disease HR 3258 Medicare Equity Extension Act National Coverage Analysis for TENS comments Health Information Technology :EHR Comments EHR Incentive Program Stage 2 Comments Medicaid Eligibility Comments Medicare Physician Payment Innovation Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Election Commission (FEC), Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 4/S. 72 Small Business Paperwork Mandate Elimination Act HR 1546/S829 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) HR 3000 Empowering Patients First Act, provisions related to physical therapist opt out Locum Tenens Inclusion of Physical Therapists in Health IT Incentives HR 1700 Medicare Patient Empowerment Act, inclusion of PT

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Election Commission (FEC), Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

HR 3248/S 1283: Lifespan Respite Care Act of 2005; HR 4281: Small Business Health Fairness Act; PL 109-365: Older Americans Act Amendments of 2006; Older Americans Act Reauthorization; HR 3267/S 1760: Healthy Start Reauthorization Act of 2007; HR 6111: Tax Relief and Health Care Act of 2006; PL 111-148: The Patient Protection and Affordable Care Act; PL 111-152: Affordable Health Care for America Act; HR 4872: Health Care and Education Reconciliation Act of 2010; HR 4213 American Jobs and Closing Tax Loopholes Act; PL 111-192: Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act; S 829/HR 1546: Medicare Access to Rehabilitation Services Act; HR 452: Medicare Decisions Accountability Act; HR 3765: Temporary Payroll Tax Cut Contribution Act of 2011; HR 3630: Middle Class Tax Relief & Job Creation Act of 2011; HR 5: Protecting Access to Health Care Act; HR 1700: Medicare Decision Accountability Act; HR 3497: MODDERN (Modernize Our Drug and Diagnostics Evaluation and Regulatory Network) Cures Act of 2011; HR 4378: Ensuring Access to Quality Complex Rehabilitation Technology Act of 2012; and S 3289: Children's Mental Health Accessibility Act of 2012.

Client expense: $68,819 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Education, Dept of, Energy, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

Expand the authority and types of services that can be reimbursed to doctors of chiropractic under Medicare. PL -111-148 - Patient Protection and Affordable Care Act. H.R. 1700 under Medicare Patient Empowerment Act. PL -111-152 - Patient Protection and Affordable Care Act. PL -111-5 - America Recovery and Reinvestment Act. S. 756 - Medicare Data Access For Transparency and Accountability Act of 2011. H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011. H.R. 3765 - Temporary Payroll Tax Cut Continuation Act of 2011. S. 1251 - Medicare and Medicaid Fast Act.

Client expense: $55,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Personnel Management (OPM), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

H.R. 1700, Medicare Payment Empowerment Act: Medicare Private Contracting S. 668, Health Care Bureaucrats Elimination Act: Repealing the Independent Payment Advisory Board S. 1042, Medicare Patient Empowerment Act: Medicare private contracting No Bill: Medicare physician payment reform No Bill: Medicare graduate medical education cuts No Bill: Eliminating the Physician Quality Reporting System (PQRS) penalties, e-prescribing penalties, electronic health record penalties and value based payment modifier Seniors Choice Act (No bill number): Comprehensive Medicare reform, including physician payment reform and premium support

Client expense: $35,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1700, Medicare Payment Empowerment Act: Medicare Private Contracting S. 668, Health Care Bureaucrats Elimination Act: Repealing the Independent Payment Advisory Board S. 1042, Medicare Patient Empowerment Act: Medicare private contracting No Bill: Medicare physician payment reform No Bill: Medicare graduate medical education cuts No Bill: Eliminating the Physician Quality Reporting System (PQRS) penalties, e-prescribing penalties, electronic health record penalties and value based payment modifier Seniors Choice Act (No bill number): Comprehensive Medicare reform, including physician payment reform and premium support

Client expense: $35,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1700, Medicare Payment Empowerment Act: Medicare Private Contracting S. 668, Health Care Bureaucrats Elimination Act: Repealing the Independent Payment Advisory Board S. 1042, Medicare Patient Empowerment Act: Medicare private contracting No Bill: Medicare physician payment reform No Bill: Medicare graduate medical education cuts No Bill: Eliminating the Physician Quality Reporting System (PQRS) penalties, e-prescribing penalties, electronic health record penalties and value based payment modifier Seniors Choice Act (No bill number): Comprehensive Medicare reform, including physician payment reform and premium support

Client expense: $35,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare physician reimbursement the Medicare Patient Empowerment Act (H.R. 1700/S. 1042) Medicare Oral Health Rehabilitative Enhancement Act of 2011 (H.R. 2863, H.R. 2824) Medicare Decisions Accountability Act (H.R. 452)

Client expense: $117,767 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Natl Drug Control Policy (NDCP), SENATE

HR531--Access to Frontline Health Care Act; HR452/S 668 -- IPAB Repeal; S454--Medicare AntiFraud; S756--Medicare Data Transparency; HR5/S218--Medical Liability Reform; HR1206/2077--Medical Loss Ratio changes; HR 1256 -- Medicare Physician Payment Transparency; HR 1409--Quality Health are Coalition Act; HR1700/S1042--Medicare Patient Empowerment Act; S1309/HR 3364--Equity and Access for Podiatric Physicians Under Medicaid; PDUFA/MDUFA reauthorization; Medicare Physician payment / SGR; S1958--Medicare Orthotics and Prosthetics Improvement Act; HR 1256--Medicare Relative Update Committee (RUC); HR 1409--Physician Antitrust; HR 2363--Health Care OverUse Reform Today (HealthCOURT) Act; HR 3630/HR 3675--Medicare Physician Payments/SGR; HR 1150--Health Insurer Antitrust Reform; HR 969 Medical Practice Freedom Act; S 756--Claims Data Publication; TRICARE reimbursement issues; VA provider issues

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

Physician Payment/SGR; quality reporting and physician quality measures; ACOs; H.R. 816, the Provider Shield Act of 2011 to protect from new causes of action in PPACA; S. 668, the Health Care Bureaucrats Elimination Act to repeal IPAB; H.R. 5, HEALTH Act, to ensure medical liability reform and to repeal the IPAB; H.R. 1700 to allow physicians to privately contract

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

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

See next page. Medicare Accountable Care Organization Program Implementation; Medicare Payment and Health Care Delivery Reform CMA-proposed pilot projects; Institute of Medicines (IOM) (Department of Health and Human Services) two studies 1) Geographic Variation in Health Care Spending and the Promotion of High Value Care and 2) Medicare Geographic Adjustment Factors; Physician Quality Reporting Programs; Medicare Fraud and Abuse Program Integrity Issues; Medicare Geographic Variation in Spending issues; Medicare Geographic Payment Locality Update for California; Medicaid California State Plan Amendment related to Physician Reimbursement Rate Reductions, patient copayments and limits on the number of physician services (SPA 11-009; SPA 10-022); Medicaid issues related to implementation of health care reform; Implementation of the ACA-Health Care Reform; Medicare and Medicaid Program: Electronic Health Record Incentive Program, Stage 2; Medicare Program-Emergency Medical Treatment and Labor Act (EMTALA): Applicability to Hospital Inpatients and Hospitals with Specialized Capabilities; Medicaid Program-Covered Outpatient Drugs; ICD-10 coding system delay; E-prescribing penalty program exemptions; Physician Regulatory Relief (Value-Index, E-Prescribing, EHR penalties); Medicare Fourth Participation Option; Physician Billing Audits; Heritage Pioneer ACO problems; Medicare, Medicaid, SCHIP: Transparency Reports and Reporting of Physician Ownership or Investment Interests (CMS 5060-P). 2013 Medicaid physician payment increase-CMS; Medicaid medical homes; Implementation of Health Care Reform-the Affordable Care Act (ACA) Issues (Independent Medicare Advisory Board, Medicaid physician reimbursement rates, value modifier, quality reporting); Medicare SGR Repeal - Physician Payment Issues; Medicare Geographic Payment Locality Update; HR 1700 (Price) Private Contracting; HR 452 (Cornyn and Roe)- Repeal of the Independent Medicare Advisory Board; Medicare/Medicaid Graduate Medical Education Funding; Medicare Geographic Variation in Spending issues; Medicaid Physician Reimbursement Rates, California State Plan Amendment; Medicaid Block Grants; Deficit Reduction/Debt Ceiling Limits: Medicare payment reductions, Medicare SGR Repeal, Medicaid/SCHIP blended matching rate; Medi-Cal County Organized Health System Authorization for Alameda County; H.R. 5 Protecting Access to Healthcare medical liability reform and Medicare Independent Payment Advisory Board (IPAB) repeal; H.R. 3630 Middle Class Tax Relief and Job Creation Act of 2012; Douglas vs. Independent Living Centers Medi-Cal Lawsuit.

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

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

Repeal Sustainable Growth Rate Formula; S. 1042 / H.R. 1700 Medicare Patient Empowerment Act; H.R. 3613 Part D Beneficiary Appeals Fairness Act; H.R. 3399 Medicare and Medicaid FAST Act; S. 1096 / H.R. 2020 Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act; Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111 - 148); Extension of Section 3111 of P.L. 111-148

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

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

H.R. 5, the Protecting Access to Healthcare Act, which repeals the Independent Payment Advisory Board (IPAB) H.R. 452, Medicare Decisions Accountability Act of 2011: Repealing the Independent Payment Advisory Board H.R. 1700, Medicare Payment Empowerment Act: Medicare Private Contracting S. 668, Health Care Bureaucrats Elimination Act: Repealing the Independent Payment Advisory Board S. 1042, Medicare Patient Empowerment Act: Medicare private contracting No Bill: Medicare cuts to imaging services No Bill: Medicare physician payment reform No Bill: Medicare graduate medical education cuts No Bill: Eliminating the Physician Quality Reporting System (PQRS) penalties, e-prescribing penalties, electronic health record penalties and value based payment modifier

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5, the Protecting Access to Healthcare Act, which repeals the Independent Payment Advisory Board (IPAB) H.R. 452, Medicare Decisions Accountability Act of 2011: Repealing the Independent Payment Advisory Board H.R. 1700, Medicare Payment Empowerment Act: Medicare Private Contracting S. 668, Health Care Bureaucrats Elimination Act: Repealing the Independent Payment Advisory Board S. 1042, Medicare Patient Empowerment Act: Medicare private contracting No Bill: Medicare cuts to imaging services No Bill: Medicare physician payment reform No Bill: Medicare graduate medical education cuts No Bill: Eliminating the Physician Quality Reporting System (PQRS) penalties, e-prescribing penalties, electronic health record penalties and value based payment modifier

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE