Medicare IVIG Access and Strengthening Medicare and Repaying Taxpayers Act of 2012

Medicare Secondary Payer issues, H.R. 1063, S.1718, and H.R. 1845 (112th Congress) implementation, including H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Secondary Payer issues, H.R. 1063, S.1718, and H.R. 1845 (112th Congress) implementation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Secondary Payer issues, H.R. 1063, S.1718, and H.R. 1845 (112th Congress) implementation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Secondary Payer issues, H.R. 1063, S.1718, and H.R. 1845 (112th Congress) implementation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Secondary Payer issues, H.R. 1063, S.1718, and H.R. 1845 (112th Congress) implementation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Secondary Payer issues, H.R. 1063, S.1718, and H.R. 1845 (112th Congress) implementation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Secondary Payer issues, H.R. 1063, S.1718, and H.R. 1845 (112th Congress) implementation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Secondary Payer issues, H.R. 1063, S.1718, and H.R. 1845 (112th Congress) implementation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Secondary Payer issues, H.R. 1063, S.1718, and H.R. 1845 (112th Congress) implementation.

Client expense: Not reported · Firm income: Not reported

H.R. 1063, S. 1718, The Strengthening Medicare and Repaying Taxpayers (SMART) Act; H.R. 5284, The Medicare Secondary Payer and Worker's Compensation Settlements Act of 2013; H.R. 1845, Medicare IVIG Access and Strengthenging Medicare and Repaying Taxpayers Act of 2012, Title II, Strengthening Medicare Secondary Payer Rules; H.R. 1982, The Medicare Secondary Payer and Workers Compensation Act, all provisions.

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

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

Medicare Secondary Payer issues, H.R. 1063, S.1718, and H.R. 1845 (112th Congress) implementation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1063, S. 1718, The Strengthening Medicare and Repaying Taxpayers (SMART) Act; H.R. 5284, The Medicare Secondary Payer and Worker's Compensation Settlements Act of 2013; H.R. 1845, Medicare IVIG Access and Strengthening Medicare and Repaying Taxpayers Act of 2012, Title II, Strengthening Medicare Secondary Payer Rules; H.R. 3962, Affordable Health Care for America Act, provisions relating to Health Information Technology; H.R. 3590, Patient Protection and Affordable Care Act, provisions relating to health information technology.

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

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

Medicare Secondary Payer issues, H.R. 1063, S.1718, and H.R. 1845 (112th Congress) implementation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1845/S 960: Provide supplies and nursing services necessary for home infusion of IVIG to Medicare beneficiaries with Primary Immunodeficiency Diseases; Legislation to cut Medicare Part B Drug Reimbursement.Raise awareness with legislators about the barriers to and the importance of protecting access for home dialysis.HR 3613: Part D Beneficiary Appeals Fairness Act - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act, with respect to a prescription drug plan (PDP) that provides for any tiered cost-sharing within a formulary (including a structure that provides for different co-payment or coinsurance amounts for drugs in different tiers included within the formulary), to authorize a Medicare part D eligible individual enrolled in the plan to request an exception to the tiered cost-sharing structure.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues surrounding the enactment or repeal of the Affordable Care Act, including IPAB and ACOs. Medicare reimbursement for providers. FDA Reauthorization. Issues surrounding the tissue bank industry. HR 452: Medicare Decisions Accountability Act (IPAB repeal). S 668: Health Care Bureaucrats Elimination Act (IPAB repeal) HR 1845, S 960: Medicare IVIG Access Act. HR 5: Protecting Access to Healthcare Act (Medical Liability Reform) HR 1955, S. 1045: Children's Access to Reconstructive Evaluation and Surgery Act. HR 6155: Palliative Care and Hospice Education and Training Act. HR 5937: The Breast Cancer Patient Education Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1063 (ALL PROVISIONS REGARDING MEDICARE SECONDARY PAYER REFORM) S 1718 (ALL PROVISIONS REGARDING MEDICARE SECONDARY PAYER REFORM) HR 1845 (ALL PROVISIONS REGARDING MEDICARE SECONDARY PAYER REFORM)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1845/S 960: Provide supplies and nursing services necessary for home infusion of IVIG to Medicare beneficiaries with Primary Immunodeficiency Diseases; Legislation to cut Medicare Part B Drug Reimbursement.Raise awareness with legislators about the barriers to and the importance of protecting access for home dialysis. HR 3613: Part D Beneficiary Appeals Fairness Act - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act, with respect to a prescription drug plan (PDP) that provides for any tiered cost-sharing within a formulary (including a structure that provides for different co-payment or coinsurance amounts for drugs in different tiers included within the formulary), to authorize a Medicare part D eligible individual enrolled in the plan to request an exception to the tiered cost-sharing structure.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Regulatory issues related to the implementation of the Patient Protection and Affordable Care Act (PL 111-148). Issues related to menu labeling, including Common Sense Nutrition Disclosure Act (H.R.6174 & S.3574). Strengthening Medicare & Repaying Taxpayers Act (H.R.1063) & Medicare IVIG Access Act (H.R.1845).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 5284, HR 1063, HR 1845, S 1718

Client expense: $650,000 · Firm income: Not reported

Government targets: Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

H.R. 611, The Best Practices Act; H.R. 653, Financial Information Privacy Act; H.R. 654, Do Not Track Me Act; H.R. 1845; H.R. 1063, Strengthening Medicare and Repaying Taxpayers (SMART) Act of 2011; S.1718; S. 528/H.R. 1515, H.R. 3889, The PARTS Act; H.R. 4348, MAP-21 and terrorism risk insurance reauthorization issues. S. 1091 - Consumer Option for an Alternative System to Allocate Losses Act of 2011 Implementation of the Dodd/Frank Wall Street Reform and Consumer Protection Act Implementation of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 S.1449 - Motor Vehicle Safety and Improvement Act of 2011 S. 799, The Commercial Privacy Bill of Rights Act; H.R. 4348, Flood insurance and graduated drivers licensing issues S. 2105, Cybersecurity Act of 2012 H.R. 3525, CyberIntelligence Sharing and Protection Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1845 & S. 960, The Medicare IVIG Access Act, as they relate to Medicare reimbursement for certain drugs and biologicals, including Medicare coverage of services and supplies for home infusion of IVIG. H.R. 8, the American Taxpayer Relief Act, as it relates to sequestration, IVIG, Medicare physician payment and potential offsets. Issues pertaining to pedigree and downstream supply chain security. Issues related to survey and certification of dialysis facilities.

Client expense: Not reported · Firm income: $57,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1845 & S. 960, The Medicare IVIG Access Act, as they relate to Medicare reimbursement for certain drugs and biologicals, including Medicare coverage of services & supplies for home infusion of IVIG. H.R. 8, the American Taxpayer Relief Act, as it relates to sequestration, IVIG, Medicare physician payment and potential offsets. Issues related to survey and certification of dialysis facilities.

Client expense: Not reported · Firm income: $57,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1063: STRENGTHENING MEDICARE AND REPAYING TAXPAYERS ACT OF 2011; ALL PROVISIONS OF THE BILL H.R. 1112: NATIONAL ASSOCIATION OF REGISTERED AGENTS AND BROKERS REFORM ACT OF 2011; ALL PROVISIONS OF THE BILL H.R. 1845: MEDICARE IVIG ACCESS AND STRENGTHENING MEDICARE AND REPAYING TAXPAYERS ACT OF 2012; PROVISIONS RELATED TO TITLE II P.L. 111-203 (111TH CONGRESS H.R. 4173): DODD-FRANK WALL STREET REFORM AND CONSUMER PROTECTION ACT; THE IMPLEMENTATION OF REGULATORY PROVISIONS RELATING TO TITLE I, II & V OF THE ACT H.R.5284: MEDICARE SECONDARY PAYER AND WORKERS' COMPENSATION SETTLEMENT AGREEMENTS ACT OF 2012; ALL PROVISIONS OF THE BILL H.R. 6129: TO AMEND THE FAIR CREDIT REPORTING ACT TO PROHIBIT THE USE OF CONSUMER REPORTS AND CONSUMER INFORMATION IN MAKING ANY DETERMINATION INVOLVING AUTO INSURANCE WITH RESPECT TO A CONSUMER, AND FOR OTHER PURPOSES; ALL PROVISIONS OF THE BILL H.R. 6581: HURRICANE SANDY RECOVERY AND REBUILDING SUPPLEMENTAL APPROPRIATIONS ACT, 2013; ALL PROVISIONS OF THE BILL BILL NUMBER NOT YET ASSIGNED: DISCUSSIONS REGARDING TERRORISM RISK INSURANCE ACT; ALL PROVISIONS OF THE BILL

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1063: STRENGTHENING MEDICARE AND REPAYING TAXPAYERS ACT OF 2011; ALL PROVISIONS OF THE BILL H.R. 1845: MEDICARE IVIG ACCESS AND STRENGTHENING MEDICARE AND REPAYING TAXPAYERS ACT OF 2012; PROVISIONS RELATED TO TITLE II H.R.5284: MEDICARE SECONDARY PAYER AND WORKERS' COMPENSATION SETTLEMENT AGREEMENTS ACT OF 2012; ALL PROVISIONS OF THE BILL

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Pharmaceutical distribution and supply chain security issues Medicare prescription drug deficit reduction proposals S. 960 & H.R. 1845:Medicare IVIG Access Act

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

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

H.R. 1845: Medicare IVIG Access Act S. 960: Medicare IVIG Access Act Medicare Part B

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation to clarify the orphan drug exclusion in the annual pharmaceutical fee (S. 1423/H.R. 2672); any and all deficit reduction proposals/policies affecting plasma protein therapies; implementation of the Affordable Care Act; H.R. 1845, the IVIG Access Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2, Repealing the Job-Killing Health Care Law Act H.R. 4, Small Business Paperwork Mandate Elimination Act of 2011 H.R. 5, Protecting Access to Healthcare Act H.R. 436, Health Care Cost Reduction Act of 2012 H.R. 450, Restoring Assistance for Families and Seniors Health Expenses Act of 2011 H.R. 452, Medicare Decisions Accountability Act of 2011 H.R. 605 / S. 312, Patients Freedom Choose Act H.R. 1051, Medicare Beneficiary Freedom to Choose Act of 2011 H.R. 1173, Fiscal Responsibility and Retirement Security Act of 2011 H.R. 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. H.R. 1509, Medicare Identity Theft Prevention Act of 2011 H.R. 1744 / S. 20, American Job Protection Act H.R. 1845 / S. 960, Medicare IVIG Access Act H.R. 2010, Family and Retirement Health Investment Act of 2011 H.R. 2077, MLR Repeal Act of 2011 H.R. 2529 / S.1368, Restoring Access to Medication Act H.R. 2590, Seniors Protection Act of 2011 H.R. 2676, Small Business Health Relief Act of 2011 H.R. 3682, Patient Centered Healthcare Savings Act of 2011 H.R. 4095 / S. 2002, Online Pharmacy Safety Act H.R. 4626, Health Insurance Fair Competition Act H.R. 5141/S. 3578, Small Business Paperwork Mandate Elimination Act H.R. 5651, Food and Drug Administration Reform Act of 2012 H.R. 5842, Restoring Access to Medication Act of 2012 H.R. 5853, Fiscal Responsibility and Retirement Security Act H.R. 5906, To amend the Internal Revenue Code of 1986 to repeal the excise tax on medical devices H.R. 6048, Healthcare Tax Relief and Mandate Repeal Act S. 17, Medical Device Access and Innovation Protection Act S. 312, Patients Freedom to Choose Act S. 510, FDA Food Safety Modernization Act, including provisions relating to 1099 reporting amendments S. 668, Health Care Bureaucrats Elimination Act S. 720, Repeal the CLASS Entitlement Act S. 848, Consumer Information Enhancement Act of 2011 S. 1049, Small Business Health Relief Act of 2011 S. 1098, Family and Retirement Health Investment Act of 2011 S. 1880, Jobs and Premium Protection Act S. 2068, Access to Independent Health Insurance Advisors Act of 2012 S. 3187, Food and Drug Administration Safety and Innovation Act S. 3501, American Job Protection Act S. 3673, Patients Freedom Choice Act Notice of Proposed Rulemaking and Notice of Public Hearing Regarding Fees on Health Insurance Policies and Self-Insured Plans for the Patient-Centered Outcomes Research Trust Fund (77 Fed. Reg. 22691-22706, Apr. 17, 2012) Notice and Request for Comments on Minimum Value of an Employer-Sponsored Plan (Notice 2012-31, Apr. 26, 2012) Request for Information Regarding Stop Loss Coverage (77 Fed. Reg. 25788-25790, May 1, 2012) Notice and Request for Comments on Reporting of Health Insurance Coverage (Notice 2012-32, May 14, 2012) Notice and Request for Comments on Reporting by Applicable Large Employers on Health Insurance Coverage Under Employer-Sponsored Plans (Notice 2012-33, May 14, 2012) Final Regulations on Health Insurance Premium Tax Credit (77 Fed. Reg. 30377-30400, May 23, 2012 (to be codified at 26 C.F.R. pts 1 and 602)) Notice and Request for Comments on Health Flexible Spending Arrangements (Notice 2012-40, May 30, 2012) Notice and Request for Comments on the Guidance on 90-Day Waiting Period Limitation (DOL Technical Release 2012-02, Aug. 31, 2012) Notice and Request for Comments on Determining Full-Time Employees For Purposes of Shared Responsibility for Employers Regarding Health Coverage (Notice 2012-58, Aug. 31, 2012) Proposed Regulation on the Patient Protection and Affordable Care Act; Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation (77 Fed. Reg. 70,644-70,676, November 26, 2012 (to be codified at 45 CFR pts 147, 155, and 156)) Proposed Rule on the Health Insurance Market Rules; Rate Review (77 Fed. Reg. 70,584-70,617, November 26, 2012 (to be codified at 45 CFR pts 144, 147, and 150)) Proposed Rule on the HHS Notice of Benefit and Payment Parameters for 2014 (77 Fed. Reg. 73,118-73,218, December 7, 2012 (to be codified at 45 CFR pts 153, 155, 156, 157 and 158)) Various issues relating to the implementation of the Patient Protection and Affordable Care Act (P.L. 111-148), including implementation of regulatory process, legislative corrections, coverage, financing, delivery reform, 1099 reporting, Grandfathering, HSA and FSA changes, CMS claims database, IPAB, CLASS program, employer mandate, medical loss ratio, medical malpractice reform, exchanges, and flexible spending accounts and health savings accounts; regulatory process and legislative corrections to Health Care and Education Affordability Reconciliation Act of 2010 (P.L. 111-152), including ERISA preemption and the impact on small business

Client expense: $29,510,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Deposit Insurance Corporation (FDIC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Economic Council (NEC), Natl Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

H. R. 1063, S. 1718, The Strengthening Medicare and Repaying Taxpayers (SMART) Act. H.R. 5284, The Medicare Secondary Payer and Workers' Compensation Settlments Act of 2012. H.R. 1845 Medicare IVIG Access and Strengthening Medicare and Repaying Taxpayers Act of 2012, Title II, Strengthening Medicare Secondary Payer Rules. H.R.3962 - Affordable Health Care for America Act - Provisions relating to Health Information Technology H.R.3590 - Patient Protection and Affordable Care Act- Provisions relating to Health Information Technology

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

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

Certain issues related to medical malpractice. H.R. 1845, the Strengthening Medicare and Repaying Taxpayers ("SMART") Act. HR 4369, Furthering Asbestos Claims Transparency (FACT) Act of 2012.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5 - Protecting Access to Healthcare Act, provisions related to Independent Payment Advisory Board (IPAB) H.R. 8 - American Taxpayer Relief Act of 2012, provisions related to Medicare and tax H.R. 452 - Medicare Decisions Accountability Act, provisions related to the Independent Payment Advisory Board (IPAB) H.R. 999 - Medicare Prescription Drug Savings and Choice Act of 2011, provisions related to Medicare Part D H.R. 1063 - Strengthening Medicare & Repaying Taxpayers Act of 2011, provisions relating to reform of Secondary Payer rules H.R. 1845 - Medicare IVIG Access Act, provisions relating to reform of Secondary Payer rules H.R. 2190 - Medicare Drug Savings Act of 2011, provisions related to Medicare Part D S. 365- Budget Control Act of 2011, Deficit reduction issues related to Medicare and Medicaid S. 668 - Health Care Bureaucrats Elimination Act, provisions related to the Independent Payment Advisory Board (IPAB) S. 1206 - Medicare Prescription Drug Savings Act of 2011, provisions related to Medicare Part D S. 1251 - Medicare and Medicaid FAST Act, provisions related to Part D issues S. 1699 - Prescription Drug Cost Reduction Act, provisions related to Medicare Part B and drug rebates Dual eligibles coordination policy issues Deficit reduction policy issues Medicaid program, Covered Outpatient Drugs rulemaking Medicare, Medicaid, Children's Health Insurance Programs,; Transparency Reports and Reporting of Physician Ownership or Investment Interests rulemaking

Client expense: $1,370,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR), White House Office

H.R. 5/S. 1099, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act (entire bill) H.R.3139, District of Columbia National Disaster Insurance Protection Act (entire bill) S. 669, Longshore and Harbor Workers' Compensation Act Amendments (entire bill) H.R. 890, Holocaust Insurance Accountability Act (entire bill) S. 466, Restoration of Legal Rights for Claimants Under Holocaust-Era Insurance Policies Act (entire bill) H.R. 1150, Competitive Health Insurance Reform Act (entire bill) H.R. 1063/ S. 1718, Strengthening Medicare and Repaying Tax Payers Act (entire bill) H.R. 2099, Natural Disaster Mitigation Act of 2011 (entire bill) H.R. 2100, Catastrophe Savings Accounts Act of 2011 (entire bill) H.R. 2101, Policyholder Disaster Protection Act of 2011 (entire bill) S. 1091, COASTAL Act of 2011 (entire bill) H.R. 2126, Risk Retention Modernization Act of 2011 (entire bill) S. 1383, Save Child Support Act (Sec 5, Requiring States to Compare Information Maintained by insurers; Sec 6, Data Matching and Registry of Payments made on property and casualty insurance) H.R. 3125, Earthquake Insurance Affordability Act (entire bill) S. 1630, Disaster Recovery Act of 2011 (entire bill) H.R.3534, Security in Bonding Act of 2011 (entire bill) H.R. 5284, Medicare Secondary Payer and Workers Compensation Settlement Agreements Act of 2012 (entire bill) H.R. 3559, Insurance Data Protection Act (entire bill) H.R.1845, Medicare IVIG Access and Strengthening Medicare and Repaying Taxpayers Act of 2012 (Title II) H.R. 6346, To amend the Fair Labor Standards Act of 1938 to provide a specific limited exemption from the overtime pay requirements of such Act for work related to insurance claims adjustment after a major disaster. S.3677, A bill to make a technical correction to the Flood Disaster Protection Act of 1973. Terrorism Risk Insurance Program Reauthorization

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

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

Issues related to "The SMART Act, S.1718 / HR 1063. Issues related to providing for a long-term reauthorization and meaningful reform of the National Flood Insurance Program (NFIP). H.R. 1309, the Flood Insurance Reform Act of 2011; H.R.902, to amend the National Flood Insurance Act of 1968; H.R.1026, Flood Insurance Reform Priorities Act of 2011; S.1091, Consumer Option for an Alternative System to Allocate Losses Act of 2011; H.R. 4348: MAP-21 Issues related to the reauthorization of the National Flood Insurance Program. Issues related to the Financial Crisis Responsibility Fee/Bank Tax. Safe Teen and Novice Driver Uniform Protection Act of 2011, Stand Up Act - S.528. / HR 1515. Implementation of Dodd-Frank Wall Street Reform and Consumer Protection Act (Pub.L. 111-203), specifically as it applies to insurance regulation. Issues related to the systemic risk designation process. Monitor issues related to the Motor Vehicle and Highway Safety Improvement Act of 2011 Monitor issues related to the Taxpayer Protection Act Issues related to the creation of the Federal Insurance Office Issues related to H.R. 1845, Medicare IVIG Access and Strengthening Medicare and Repaying Taxpayers Act of 2012

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1063/S.1718, the Strengthening Medicare and Repaying Taxpayers (SMART) Act of 2011 - A bill to amend Title XVIII of the Social Security Act with respect to the application of the Medicare Secondary Payer rules for certain claims H.R. 1845/S.960, the Medicare IVIG Access Act, particularly Title II

Client expense: $730,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 605/S. 312 To amend the Patient Protection and Affordable Care Act to repeal provisions that change the treatment of over-the-counter medicines purchased with a Flexible Spending Account debit card. S. 1098/H.R. 2010 To amend the Patient Protection and Affordable Care Act to repeal provisions that change the treatment of over-the-counter medicines purchased with a Flexible Spending Account debit card S. 1368/ H.R. 2529 - Restoring Access to Medication Act H.R. 5842 Restoring Access to Medication Act Patient Protection and Affordable Care Act (P.L. 111148) - Sections 1201, 1301, 1302, 1303, 1304, 1311, 1401, 1411, 1412, 1414, 1502, 1512, 1513, 1514, 4205 Section 4980H H.R. 6174 / S. 3574 - Common Sense Nutrition Disclosure Act of 2012 H.R. 1744 - American Job Protection Act H.R. 2206 - Auto Enroll Repeal Act H.R. 1845 - Medicare IVIG Access and Strengthening Medicare and Repaying Taxpayers Act of 2012 (SMART Act)

Client expense: $160,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Executive Office of the President (EOP), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Treasury, Dept of, White House Office

Optional Federal Charter (Generally) H.R. 1112- National Association of Registered Agents and Brokers Reform Act of 2011 (all provisions) H.R. 1309- Flood Insurance Reform Act of 2011 (all provisions) H.R. 623- National Worker's Compensation Commission Act of 2011(all provisions) H.R. 2126- Risk Retention Modernization Act of 2011 (all provisions) H.R. 2099- The National Disaster Mitigation Act of 2011 (all provisions) H.R. 2069- Safe Building Codes Incentives Act of 2011 (insurance provisions) H.R. 3559 Insurance Data Protection Act (All provisions) S. 1940- Flood Insurance Reform and Modernization Act (All provisions) H.R. 3042- Disaster Loan Fairness Act (All provisions) FEMA Regulation Banning Rebating in NFIP (All provisions) H.R. 3630- Middle Class Tax Relief and Jobs Creation Act (flood provisions) H.R. 2101- Policyholders Disaster Protection Act (All provisions) H.R. 4348- Surface Transportation Conference Report (flood insurance provisions) S. 2342 - National Association of Registered Agents and Brokers Reform Act (all provisions) H.R. 6415- CLAIM Act (All provisions) Terrorism Risk Insurance Program Reauthorization (All provisions) Flood Insurance Reform Act Implementation (All provisions) H.R. 6186- Voluntary Community-Based Flood Options (Insurance provisions) H.R. 4212- Drywall Safety Act of 2012 (Insurance Provisions) H.R. 1- Hurricane Sandy Disaster Assistance of 2012 (Flood provisions) GAO- Report on Insurance Regulation During the Financial Crisis GAO-Report on NFIP and Optional Business Interruption and Additional Living Expense Coverages H.R. 1063- SMART Act (Insurance provisions) H.R. 1845-Medicare IVIG Access Act (SMART Act Provisions)

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

Government targets: Agriculture, Dept of (USDA), Federal Emergency Management Agency (FEMA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), SENATE, Treasury, Dept of

pharmaceutical distribution and supply chain security issues Medicare prescription drug deficit reduction proposals S 960/HR 1845 Medicare IVIG Access Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Secondary Payer issues, H.R. 1063, S.1718, and H.R. 1845.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1063/S 1718 - The Strengthening Medicare and Repaying Taxpayers (SMART) Act of 2011; Issue: Need to streamline and improve the existing Medicare Secondary Payer program, in order to benefit Medicare beneficiaries, the Medicare Trust Fund, and primary payers. We strongly support these bills. HR 1845 Medicare IVIG Access Act - support inclusion of HR 1063, the SMART Act, into this bill.

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

Government targets: HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), SENATE

Issues surrounding the enactment or repeal of the Affordable Care Act, including IPAB and ACOs. Medicare reimbursement for providers. FDA Reauthorization. Issues surrounding the tissue bank industry. HR 452: Medicare Decisions Accountability Act (IPAB repeal). S 668: Health Care Bureaucrats Elimination Act (IPAB repeal) HR 1845, S 960: Medicare IVIG Access Act. HR 5: Protecting Access to Healthcare Act (Medical Liability Reform) HR 1955, S. 1045: Children's Access to Reconstructive Evaluation and Surgery Act. HR 6155: Palliative Care and Hospice Education and Training Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1845 & S. 960, The Medicare IVIG Access Act, as they relate to Medicare reimbursement for certain drugs and biologicals, including Medicare coverage of services & supplies for home infusion of IVIG. Issues related to survey and certification of dialysis facilities.

Client expense: Not reported · Firm income: $57,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1845 & S. 960, The Medicare IVIG Access Act, as they relate to Medicare reimbursement for certain drugs and biologicals, including Medicare coverage of services and supplies for home infusion of IVIG. Issues pertaining to pedigree and downstream supply chain security. Issues related to survey and certification of dialysis facilities.

Client expense: Not reported · Firm income: $57,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1845/S 960: Provide supplies and nursing services necessary for home infusion of IVIG to Medicare beneficiaries with Primary Immunodeficiency Diseases; Legislation to cut Medicare Part B Drug Reimbursement.Raise awareness with legislators about the barriers to and the importance of protecting access for home dialysis. HR 3613: Part D Beneficiary Appeals Fairness Act - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act, with respect to a prescription drug plan (PDP) that provides for any tiered cost-sharing within a formulary (including a structure that provides for different co-payment or coinsurance amounts for drugs in different tiers included within the formulary), to authorize a Medicare part D eligible individual enrolled in the plan to request an exception to the tiered cost-sharing structure.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1845/ S 960 Medicare IVIG Access Act; HR 2672/ S 1423 Preserving Access to Orphan Drugs Act; HR 1919 Bleeding Disorders Screening, Awareness and Further Education Act; HR 4209 Patients' Access to Treatments Act of 2012; pharmaceutical distribution and supply chain security issues; introductory visits to member offices who represent districts where Grifols has a facility

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

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