Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011

HR 451 - Healthcare Truth and Transparency Ac of 2011; all provisions. HR 1955/S 1045 - The Children's Access to Reconstructive Evaluation and Surgery (CARES) Act; all provisions. Linkage of clinical registries to the Social Security Death Master File (SSDMF); in general. Direct-to-Consumer hearing aid sales; in general. Prescription Drug User Fee Act (PDUFA); provisions relation to the creation of a Limited Population Antibacterial Drug approval mechanism. Safety concerns regarding button cell batteries; in general.

Client expense: $160,000 · 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), Housing & Urban Development, Dept of (HUD), Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA)

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

S. 311/H.R. 1311 Medical Foods Equity Act H.R. 1955/S. 1045 Childrens Access to Reconstructive Evaluation and Surgery (CARES) Act H.R. 1683/S. 868 State Flexibility Act H.R. 4341, the TRICARE for Kids Act H.R. 6258 Start Healthy Act of 2012 Affordable Care Act implementation pertaining to women and children Medicaid Children's Health Insurance Program health care quality issues pertaining to women and children

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

HR 451 - Healthcare Truth and Transparency Ac of 2011; all provisions. HR 1955/S 1045 - The Children's Access to Reconstructive Evaluation and Surgery (CARES) Act; all provisions. Linkage of clinical registries to the Social Security Death Master File (SSDMF); in general. Direct-to-Consumer hearing aid sales; in general. Prescription Drug User Fee Act (PDUFA); provisions relation to the creation of a Limited Population Antibacterial Drug approval mechanism. Safety concerns regarding button cell batteries; in general.

Client expense: $150,000 · 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), Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA)

the Dental Emergency Responder Act of 2011 (H.R. 570) the Medical Justice Act of 2011 (H.R. 896) the Medical Device Access and Innovation Protection Act (S. 17) the CARES Act (H.R. 1955/S. 1045)

Client expense: $24,599 · 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

see next page CARES Act, H.R. 1955 and S. 1054 - providing health insurance coverage for children with congenital and medical deformities Medical Practice Freedom Act of 2011, H.R. 5 - to ensure medical liability reform and repeal IPAB Health Care Bureaucrats Elimination Act, S. 668 - IPAB Repeal The Health Care Truth and Transparency Act of 2011 - to combat false advertising H.R. 816 - to ensure PPACA does not create new causes of action Breast Cancer Patient Education Act, H.R. 5937 - to direct the Secretary of HHS to develop a campaign directed toward educating woman on their post-cancer reconstruction options Electronic Health Records

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

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

S. 311/H.R. 1311 Medical Foods Equity Act H.R. 1955/S. 1045 Childrens Access to Reconstructive Evaluation and Surgery (CARES) Act H.R. 1683/S. 868 State Flexibility Act H.R. 4341, the TRICARE for Kids Act Affordable Care Act implementation pertaining to women and children Medicaid Children's Health Insurance Program health care quality issues pertaining to women and children

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

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, S 668, HR 1845, S 960. HR 5, HR 3511, HR 1955.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 311/H.R. 1311 Medical Foods Equity Act H.R. 1955/S. 1045 Childrens Access to Reconstructive Evaluation and Surgery (CARES) Act H.R. 1683/S. 868 State Flexibility Act H.R. 4341, the TRICARE for Kids Act Affordable Care Act implementation pertaining to women and children Medicaid Children's Health Insurance Program health care quality issues pertaining to women and children

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

HR 451 - Healthcare Truth and Transparency Act of 2011; all provisions. HR 1955/S 1045 - The Childrens Access to Reconstructive Evaluation and Surgery (CARES) Act; all provisions. Linkage of clinical registries to the Social Security Death Master File (SSDMF); in general. Direct-to-Consumer hearing aid sales; in general. Prescription Drug User Fee Act (PDUFA); provisions relating to the creation of a Limited Population Antibacterial Drug approval mechanism.

Client expense: $120,000 · 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), Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA)

see next page CARES Act, H.R. 1955 and S. 1054 - providing health insurance coverage for children with congenital medical deformities Medical Practice Freedom Act of 2011, H.R. 969 - to ensure no health nsurance participation requirement as a condition of licensure HEALTH Act of 2011, H.R. 5 - to ensure medical liability reform and repeal IPAB Health Care Bureaucrats Elimination Act, S. 668 - IPAB Repeal The Health Care Truth and Transparency Act of 2011, H.r. 451 - to combat false advertising H.R. 816 to ensure PPACA does not create new causes of action Keeping IDs Safe Act, H.R. 3475 Appropriations request for the Pediatric Subspecialty Loan Repayment Program Breast Cancer Patient Education Act, H.R. 5937 - to direct the Secretary of HHS to develop a campaign directed toward educating women on their post-cancer reconstruction options

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

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

Issues surrounding the enactment or repeal of the Affordable Care Act, including IPAB and ACOs. HR 452, S 668, HR 1845, S 960. HR 5, HR 3511, HR 1955. FDA Reauthorization.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 311/H.R. 1311 Medical Foods Equity Act H.R. 1955/S. 1045 Childrens Access to Reconstructive Evaluation and Surgery (CARES) Act H.R. 1683/S. 868 State Flexibility Act Affordable Care Act implementation pertaining to women and children Medicaid Children's Health Insurance Program health care quality issues pertaining to women and children

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of, White House Office

see next page CARES Act, HR 1955 and S 1054 providing health insurance coverage for children with congenital medical deformities; HR 969 Medical Practice Freedom Act of 2011 to ensure no health insurance participation requirement as a condition of licensure; HR 5 HEALTH Act of 2011 to ensure medical liability reform and repeal IPAB, S. 668, the Health Care Bureaucrats Elimination Act (IPAB repeal), HR 451, Health Care Truth and Transparency Act of 2011 to combat false advertising; HR 816 to ensure PPACA does not create new causes of action, HR 3475, Keeping IDs Safe Act, appropriation request for Pediatric Subspecialty Loan Repayment Program

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

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

Insurance coverage for Reconstructive surgeries for Burn Injuries HR 1955 S 1045

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 451 - Healthcare Truth and Transparency Act of 2011; all provisions. HR 1955/S 1045 - The Childrens Access to Reconstructive Evaluation and Surgery (CARES) Act; all provisions. Linkage of clinical registries to the Social Security Death Master File (SSDMF); in general.

Client expense: $150,000 · 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), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA)

See page three for specific MMM issues. H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 2405/S 1814 - Pandemic All Hazards Preparedness Act H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H.R. 1955 - Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 H.R. 2055 - Consolidated Appropriations Act, 2012 H.R. 969 - Medical Practice Freedom Act of 2011 H.R. 2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R. 1159To repeal certain provisions of the Patient Protection and Affordable Care Act S. 1099/H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act S. 1173/H.R. 2108 - Ambulatory Surgical Centers Quality and Access Act of 2011 S. 365Budget Control Act of 2011 S. 1627Resident Physician Shortage Reduction Act of 2011 S. 668/H.R. 452Healthcare Bureaucrats Elimination Act S. 1286Trade Adjustment Assistance Act of 2011 Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education AARP Oversight Electronic Prescribing Issues Health Insurance Exchanges Created by Patient Protection & Affordable Care Act Medicare Physician Payment/Sustainable Growth Rate Formula Reform in Debt Ceiling Legislation Proposed Cuts in Medicare Reimbursement for Imaging Services Volunteer Liability Protections Scope of Practice/VA Eye Care Pediatric Loan Repayment Funding Medical School Debt Joint Select Committee on Deficit Reduction Emergency Care CoordinationField Emergency Medical Services Health Systems Surge Capacity ICD-10 Implementation Patient-Centered Outcomes Research Institute (PCORI) Super Committee Deficit Reduction Medicare provider number theft Prescription Drug User Fee Act (PDUFA) Medical Device User Fee and Modernization Act (MDUFMA) Electronic Health Records/Health IT Medicare EHR Incentive Program ACO/Shared Savings Program Pending ASC regulations and legislation Medicare Physician Fee Schedule Final Rule Accountable Care Organizations Final Rule Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule

See page five for specific Health Issues. H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 2405/S 1814 - Pandemic All Hazards Preparedness Act H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H.R. 1955 - Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 H.R. 2055 - Consolidated Appropriations Act, 2012 H.R. 969 - Medical Practice Freedom Act of 2011 H.R. 2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R. 1159To repeal certain provisions of the Patient Protection and Affordable Care Act S. 1099/H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act S. 1173/H.R. 2108 - Ambulatory Surgical Centers Quality and Access Act of 2011 S. 365Budget Control Act of 2011 S. 1627Resident Physician Shortage Reduction Act of 2011 S. 668/H.R. 452Healthcare Bureaucrats Elimination Act S. 1286Trade Adjustment Assistance Act of 2011 Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education AARP Oversight Electronic Prescribing Issues Health Insurance Exchanges Created by Patient Protection & Affordable Care Act Medicare Physician Payment/Sustainable Growth Rate Formula Reform in Debt Ceiling Legislation Proposed Cuts in Medicare Reimbursement for Imaging Services Volunteer Liability Protections Scope of Practice/VA Eye Care Pediatric Loan Repayment Funding Medical School Debt Joint Select Committee on Deficit Reduction Emergency Care CoordinationField Emergency Medical Services Health Systems Surge Capacity ICD-10 Implementation Patient-Centered Outcomes Research Institute (PCORI) Super Committee Deficit Reduction Medicare provider number theft Prescription Drug User Fee Act (PDUFA) Medical Device User Fee and Modernization Act (MDUFMA) Electronic Health Records/Health IT Medicare EHR Incentive Program ACO/Shared Savings Program Pending ASC regulations and legislation Medicare Physician Fee Schedule Final Rule Accountable Care Organizations Final Rule Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule

See page five for specific Health Issues. H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 2405/S 1814 - Pandemic All Hazards Preparedness Act H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H.R. 1955 - Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 H.R. 2055 - Consolidated Appropriations Act, 2012 H.R. 969 - Medical Practice Freedom Act of 2011 H.R. 2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R. 1159To repeal certain provisions of the Patient Protection and Affordable Care Act S. 1099/H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act S. 1173/H.R. 2108 - Ambulatory Surgical Centers Quality and Access Act of 2011 S. 365Budget Control Act of 2011 S. 1627Resident Physician Shortage Reduction Act of 2011 S. 668/H.R. 452Healthcare Bureaucrats Elimination Act S. 1286Trade Adjustment Assistance Act of 2011 Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education AARP Oversight Electronic Prescribing Issues Health Insurance Exchanges Created by Patient Protection & Affordable Care Act Medicare Physician Payment/Sustainable Growth Rate Formula Reform in Debt Ceiling Legislation Proposed Cuts in Medicare Reimbursement for Imaging Services Volunteer Liability Protections Scope of Practice/VA Eye Care Pediatric Loan Repayment Funding Medical School Debt Joint Select Committee on Deficit Reduction Emergency Care CoordinationField Emergency Medical Services Health Systems Surge Capacity ICD-10 Implementation Patient-Centered Outcomes Research Institute (PCORI) Super Committee Deficit Reduction Medicare provider number theft Prescription Drug User Fee Act (PDUFA) Medical Device User Fee and Modernization Act (MDUFMA) Electronic Health Records/Health IT Medicare EHR Incentive Program ACO/Shared Savings Program Pending ASC regulations and legislation Medicare Physician Fee Schedule Final Rule Accountable Care Organizations Final Rule Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule

See page three for specific MMM issues. H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 2405/S 1814 - Pandemic All Hazards Preparedness Act H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H.R. 1955 - Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 H.R. 2055 - Consolidated Appropriations Act, 2012 H.R. 969 - Medical Practice Freedom Act of 2011 H.R. 2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R. 1159To repeal certain provisions of the Patient Protection and Affordable Care Act S. 1099/H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act S. 1173/H.R. 2108 - Ambulatory Surgical Centers Quality and Access Act of 2011 S. 365Budget Control Act of 2011 S. 1627Resident Physician Shortage Reduction Act of 2011 S. 668/H.R. 452Healthcare Bureaucrats Elimination Act S. 1286Trade Adjustment Assistance Act of 2011 Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education AARP Oversight Electronic Prescribing Issues Health Insurance Exchanges Created by Patient Protection & Affordable Care Act Medicare Physician Payment/Sustainable Growth Rate Formula Reform in Debt Ceiling Legislation Proposed Cuts in Medicare Reimbursement for Imaging Services Volunteer Liability Protections Scope of Practice/VA Eye Care Pediatric Loan Repayment Funding Medical School Debt Joint Select Committee on Deficit Reduction Emergency Care CoordinationField Emergency Medical Services Health Systems Surge Capacity ICD-10 Implementation Patient-Centered Outcomes Research Institute (PCORI) Super Committee Deficit Reduction Medicare provider number theft Prescription Drug User Fee Act (PDUFA) Medical Device User Fee and Modernization Act (MDUFMA) Electronic Health Records/Health IT Medicare EHR Incentive Program ACO/Shared Savings Program Pending ASC regulations and legislation Medicare Physician Fee Schedule Final Rule Accountable Care Organizations Final Rule Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule

See page six for specific Health Issues. H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 2405/S 1814 - Pandemic All Hazards Preparedness Act H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H.R. 1955 - Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 H.R. 2055 - Consolidated Appropriations Act, 2012 H.R. 969 - Medical Practice Freedom Act of 2011 H.R. 2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R. 1159To repeal certain provisions of the Patient Protection and Affordable Care Act S. 1099/H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act S. 1173/H.R. 2108 - Ambulatory Surgical Centers Quality and Access Act of 2011 S. 365Budget Control Act of 2011 S. 1627Resident Physician Shortage Reduction Act of 2011 S. 668/H.R. 452Healthcare Bureaucrats Elimination Act S. 1286Trade Adjustment Assistance Act of 2011 Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education AARP Oversight Electronic Prescribing Issues Health Insurance Exchanges Created by Patient Protection & Affordable Care Act Medicare Physician Payment/Sustainable Growth Rate Formula Reform in Debt Ceiling Legislation Proposed Cuts in Medicare Reimbursement for Imaging Services Volunteer Liability Protections Scope of Practice/VA Eye Care Pediatric Loan Repayment Funding Medical School Debt Joint Select Committee on Deficit Reduction Emergency Care CoordinationField Emergency Medical Services Health Systems Surge Capacity ICD-10 Implementation Patient-Centered Outcomes Research Institute (PCORI) Super Committee Deficit Reduction Medicare provider number theft Prescription Drug User Fee Act (PDUFA) Medical Device User Fee and Modernization Act (MDUFMA) Electronic Health Records/Health IT Medicare EHR Incentive Program ACO/Shared Savings Program Pending ASC regulations and legislation Medicare Physician Fee Schedule Final Rule Accountable Care Organizations Final Rule Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule

See page three for specific MMM issues. H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 2405/S 1814 - Pandemic All Hazards Preparedness Act H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H.R. 1955 - Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 H.R. 2055 - Consolidated Appropriations Act, 2012 H.R. 969 - Medical Practice Freedom Act of 2011 H.R. 2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R. 1159To repeal certain provisions of the Patient Protection and Affordable Care Act S. 1099/H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act S. 1173/H.R. 2108 - Ambulatory Surgical Centers Quality and Access Act of 2011 S. 365Budget Control Act of 2011 S. 1627Resident Physician Shortage Reduction Act of 2011 S. 668/H.R. 452Healthcare Bureaucrats Elimination Act S. 1286Trade Adjustment Assistance Act of 2011 Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education AARP Oversight Electronic Prescribing Issues Health Insurance Exchanges Created by Patient Protection & Affordable Care Act Medicare Physician Payment/Sustainable Growth Rate Formula Reform in Debt Ceiling Legislation Proposed Cuts in Medicare Reimbursement for Imaging Services Volunteer Liability Protections Scope of Practice/VA Eye Care Pediatric Loan Repayment Funding Medical School Debt Joint Select Committee on Deficit Reduction Emergency Care CoordinationField Emergency Medical Services Health Systems Surge Capacity ICD-10 Implementation Patient-Centered Outcomes Research Institute (PCORI) Super Committee Deficit Reduction Medicare provider number theft Prescription Drug User Fee Act (PDUFA) Medical Device User Fee and Modernization Act (MDUFMA) Electronic Health Records/Health IT Medicare EHR Incentive Program ACO/Shared Savings Program Pending ASC regulations and legislation Medicare Physician Fee Schedule Final Rule Accountable Care Organizations Final Rule Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule

HR 2 - Repealing the Job-Killing Health Care Law; all provisions. HR 451 - Healthcare Truth and Transparency Act of 2011; all provisions. HR 969 - Medical Practice Freedom Act of 2011; all provisions. HR 1955/S 1045 - The Children's Access to Reconstructive Evaluation and Surgery (CARES) Act; all provisions. Comments on the Health Information Technology Policy Committee's (HITPC) proposal for Stage 2 if the Meaningful Use of Electronic Health Records (EHRs). HR 2092/S 1278 - To amend the Internal Revenue Code of 1986 to repeal the excise tax on indoor tanning services; all provisions. Recommendations concerning patient-centered outcomes research national priorities, patient-centered outcomes research definition, and proposed Tier 1 grant projects; in general. National Quality Forum; in general.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), SENATE

CARES Act -- HR 1955 & S 1054 providing health insurance coverage for children with congenital medical deformities; HR 969 Medical Practice Freedom Act of 2011 to ensure no health insurance participation requirement as a condition of licensure; HR 5 HEALTH Act of 2011 to ensure medical liability reform; HR 451, Health Care Truth and Transparency Act of 2011 to combat false advertising; HR 816 to ensure PPACA does not create new causes of action

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

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

S. 311/H.R. 1311 Medical Foods Equity Act H.R. 1955/S. 1045 Childrens Access to Reconstructive Evaluation and Surgery (CARES) Act H.R. 1683/S. 868 State Flexibility Act Affordable Care Act implementation pertaining to women and children Medicaid Children's Health Insurance Program health care quality issues pertaining to women and children

Client expense: $45,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

Insurance Coverage for Reconstructive Surgeries for Burn Injuries HR 1955 S 1045

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

CARES Act -- HR 1955 & S 1054 providing health insurance coverage for children with congenital medical deformities; HR 969 Medical Practice Freedom Act of 2011 to ensure no health insurance participation requirement as a condition of licensure; HR 5 HEALTH Act of 2011 to ensure medical liability reform; HR 451, Health Care Truth and Transparency Act of 2011 to combat false advertising; HR 816 to ensure PPACA does not create new causes of action

Client expense: $140,000 · Firm income: Not reported

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

HR 2 - Repealing the Job-Killing Health Care Law; all provisions. HR 451 - Healthcare Truth and Transparency Act of 2011; all provisions. S 668 - Health Care Bureaucrats Elimination Act; all provisions. HR 969 - Medical Practice Freedom Act of 2011; all provisions. Comments on the Health Information Technology Policy Committee's (HITPC) proposal for Stage 2 of the Meaningful Use of Electronic Health Records (EHRs). HR 1955/S 1045 - The Children's Access to Reconstructive Evaluation and Surgery (CARES) Act; all provisions. HR 2092/S 1278 - To amend the Internal Revenue Code of 1986 to repeal the excise tax on indoor tanning services; all provisions. Recommendations concerning patient-centered outcomes research national priorities, patient centered outcomes research definition, and proposed Tier 1 grant projects; in general.

Client expense: $120,000 · 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), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), SENATE

See page three for specific MMM issues. MMM- Medicare/Medicaid Issues: H.R. 3003 - Congressional Gold Medal bill (112th Congress) H.R. 157 - Health Care Safety Net Enhancement Act of 2011 S. 1099/H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 466/S. 384 - To amend title 39, United States Code, to extend the authority of the United States Postal Service to issue a semipostal to raise funds for breast cancer research. H.R. 531 - Access to Frontline Health Care Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H. R. 1955 - Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 H. R. 969 - Medical Practice Freedom Act of 2011 H. R. 2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R. 2405 - Pandemic and All Hazards Preparedness Act Reauthorization S. 1173/H.R. 2108 - Ambulatory Surgical Centers Quality and Access Act of 2011 S. 958/H.R. 1852- Children's Hospital GME Support Reauthorization Act of 2011 H.R. 2020- Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2011 S. 365Budget Control Act of 2011 S. 1627Resident Physician Shortage Reduction Act of 2011 S. 668/H.R. 452Healthcare Bureaucrats Elimination Act S. 1286Trade Adjustment Assistance Act of 2011 H.R. 1159To repeal certain provisions of the Patient Protection and Affordable Care Act relating to the limitation on the Medicare exception to the prohibition on certain physician referrals for hospitals and to transparency reports and reporting of physician ownership or investment interests. Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education AARP Oversight Electronic Prescribing Issues Health Insurance Exchanges Created by Patient Protection & Affordable Care Act Medicare Physician Payment/Sustainable Growth Rate Formula Reform in Debt Ceiling Legislation Proposed Cuts in Medicare Reimbursement for Imaging Services Volunteer Liability Protections Scope of Practice/VA Eye Care Pediatric Loan Repayment Funding Medical School Debt Joint Select Committee on Deficit Reduction Emergency Care Coordination Field Emergency Medical Services Health Systems Surge Capacity

See page five for specific HCR issues. HCR- Health Issues: H.R. 3003 - Congressional Gold Medal bill (112th Congress) H.R. 157 - Health Care Safety Net Enhancement Act of 2011 S. 1099/H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 466/S. 384 - To amend title 39, United States Code, to extend the authority of the United States Postal Service to issue a semipostal to raise funds for breast cancer research. H.R. 531 - Access to Frontline Health Care Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H. R. 1955 - Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 H. R. 969 - Medical Practice Freedom Act of 2011 H. R. 2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R. 2405 - Pandemic and All Hazards Preparedness Act Reauthorization S. 1173/H.R. 2108 - Ambulatory Surgical Centers Quality and Access Act of 2011 S. 958/H.R. 1852- Children's Hospital GME Support Reauthorization Act of 2011 H.R. 2020- Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2011 S. 365Budget Control Act of 2011 S. 1627Resident Physician Shortage Reduction Act of 2011 S. 668/H.R. 452Healthcare Bureaucrats Elimination Act S. 1286Trade Adjustment Assistance Act of 2011 H.R. 1159To repeal certain provisions of the Patient Protection and Affordable Care Act relating to the limitation on the Medicare exception to the prohibition on certain physician referrals for hospitals and to transparency reports and reporting of physician ownership or investment interests. Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education AARP Oversight Electronic Prescribing Issues Health Insurance Exchanges Created by Patient Protection & Affordable Care Act Medicare Physician Payment/Sustainable Growth Rate Formula Reform in Debt Ceiling Legislation Proposed Cuts in Medicare Reimbursement for Imaging Services Volunteer Liability Protections Scope of Practice/VA Eye Care Pediatric Loan Repayment Funding Medical School Debt Joint Select Committee on Deficit Reduction Emergency Care Coordination Field Emergency Medical Services Health Systems Surge Capacity

See complete MMM issue list on page three. MMM- Medicare/Medicaid Issues: H.R. 3003 - Congressional Gold Medal bill (112th Congress) H.R. 157 - Health Care Safety Net Enhancement Act of 2011 S. 1099/H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 466/S. 384 - To amend title 39, United States Code, to extend the authority of the United States Postal Service to issue a semipostal to raise funds for breast cancer research. H.R. 531 - Access to Frontline Health Care Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H. R. 1955 - Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 H. R. 969 - Medical Practice Freedom Act of 2011 H. R. 2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R. 2405 - Pandemic and All Hazards Preparedness Act Reauthorization S. 1173/H.R. 2108 - Ambulatory Surgical Centers Quality and Access Act of 2011 S. 958/H.R. 1852- Children's Hospital GME Support Reauthorization Act of 2011 H.R. 2020- Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2011 S. 365Budget Control Act of 2011 S. 1627Resident Physician Shortage Reduction Act of 2011 S. 668/H.R. 452Healthcare Bureaucrats Elimination Act S. 1286Trade Adjustment Assistance Act of 2011 H.R. 1159To repeal certain provisions of the Patient Protection and Affordable Care Act relating to the limitation on the Medicare exception to the prohibition on certain physician referrals for hospitals and to transparency reports and reporting of physician ownership or investment interests. Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education AARP Oversight Electronic Prescribing Issues Health Insurance Exchanges Created by Patient Protection & Affordable Care Act Medicare Physician Payment/Sustainable Growth Rate Formula Reform in Debt Ceiling Legislation Proposed Cuts in Medicare Reimbursement for Imaging Services Volunteer Liability Protections Scope of Practice/VA Eye Care Pediatric Loan Repayment Funding Medical School Debt Joint Select Committee on Deficit Reduction Emergency Care Coordination Field Emergency Medical Services Health Systems Surge Capacity

See complete HCR issues list on page five. HCR- Health Issues H.R. 3003 - Congressional Gold Medal bill (112th Congress) H.R. 157 - Health Care Safety Net Enhancement Act of 2011 S. 1099/H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 466/S. 384 - To amend title 39, United States Code, to extend the authority of the United States Postal Service to issue a semipostal to raise funds for breast cancer research. H.R. 531 - Access to Frontline Health Care Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H. R. 1955 - Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 H. R. 969 - Medical Practice Freedom Act of 2011 H. R. 2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R. 2405 - Pandemic and All Hazards Preparedness Act Reauthorization S. 1173/H.R. 2108 - Ambulatory Surgical Centers Quality and Access Act of 2011 S. 958/H.R. 1852- Children's Hospital GME Support Reauthorization Act of 2011 H.R. 2020- Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2011 S. 365Budget Control Act of 2011 S. 1627Resident Physician Shortage Reduction Act of 2011 S. 668/H.R. 452Healthcare Bureaucrats Elimination Act S. 1286Trade Adjustment Assistance Act of 2011 H.R. 1159To repeal certain provisions of the Patient Protection and Affordable Care Act relating to the limitation on the Medicare exception to the prohibition on certain physician referrals for hospitals and to transparency reports and reporting of physician ownership or investment interests. Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education AARP Oversight Electronic Prescribing Issues Health Insurance Exchanges Created by Patient Protection & Affordable Care Act Medicare Physician Payment/Sustainable Growth Rate Formula Reform in Debt Ceiling Legislation Proposed Cuts in Medicare Reimbursement for Imaging Services Volunteer Liability Protections Scope of Practice/VA Eye Care Pediatric Loan Repayment Funding Medical School Debt Joint Select Committee on Deficit Reduction Emergency Care Coordination Field Emergency Medical Services Health Systems Surge Capacity

S. 311/H.R. 1311 Medical Foods Equity Act H.R. 1955/S. 1045 Childrens Access to Reconstructive Evaluation and Surgery (CARES) Act H.R. 1683/S. 868 State Flexibility Act Affordable Care Act Implementation, Medicaid, CHIP and health care quality issues pertaining to women and children

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

the Dental Emergency Responder Act of 2011 (H.R. 570) the Medical Justice Act of 2011 (H.R. 896) the Medical Device Access and Innovation Protection Act (S. 17) the CARES Act (H.R. 1955/S. 1045)

Client expense: $18,836 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Natl Drug Control Policy (NDCP), SENATE

Insurance coverage for reconstructive Surgeries for Burn Injuries H.R. 1955 and S. 1045

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

CARES Act - introduction of HR 1955 & S 1054, providing health insurance coverage for children with congenital medical deformities; HR 969 Medical Practice Freedom Act of 2011 to ensure no health insurance participation requirement as a condition of licensure; HR 5 HEALTH Act of 2011 to ensure medical liability reform; HR 451, Healthcare Truth and Transparency Act of 2011 to combat false advertising; HR 816 to ensure PPACA does not create new causes of action

Client expense: $140,000 · Firm income: Not reported

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

See page five for specific HCR issues. HCR - Health Issues: H.R. 6073 - Congressional Gold Medal bill (111th Congress) H.R. 157 - Health Care Safety Net Enhancement Act of 2011 S. 1099/H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 466/S. 384 - To amend title 39, United States Code, to extend the authority of the United States Postal Service to issue a semipostal to raise funds for breast cancer research. H.R. 531 - Access to Frontline Health Care Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H. R. 1955 - Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 H. R. 969 - Medical Practice Freedom Act of 2011 H. R. 1540 - National Defense Authorization Act for Fiscal Year 2012 H. R. 2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education AARP Oversight Electronic Prescribing Issues Health Insurance Exchanges Created by Patient Protection & Affordable Care Act Medicare Physician Payment/Sustainable Growth Rate Formula Reform in Debt Ceiling Legislation Proposed Cuts in Medicare Reimbursement for Imaging Services Pandemic All Hazards Preparedness Act Reauthorization

Client expense: $28,409 · Firm income: Not reported

See page three for specific MMM issues. MMM - Medicare/Medicaid Issues: H.R. 6073 - Congressional Gold Medal bill (111th Congress) H.R. 157 - Health Care Safety Net Enhancement Act of 2011 S. 1099/H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 466/S. 384 - To amend title 39, United States Code, to extend the authority of the United States Postal Service to issue a semipostal to raise funds for breast cancer research. H.R. 531 - Access to Frontline Health Care Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H. R. 1955 - Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 H. R. 969 - Medical Practice Freedom Act of 2011 H. R. 2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education AARP Oversight Electronic Prescribing Issues Health Insurance Exchanges Created by Patient Protection & Affordable Care Act Medicare Physician Payment/Sustainable Growth Rate Formula Reform in Debt Ceiling Legislation Proposed Cuts in Medicare Reimbursement for Imaging Services Pandemic All Hazards Preparedness Act Reauthorization

Client expense: $28,409 · Firm income: Not reported

See page five for specific HCR issues. HCR - Health Issues: H.R. 6073 - Congressional Gold Medal bill (111th Congress) H.R. 157 - Health Care Safety Net Enhancement Act of 2011 S. 1099/H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 466/S. 384 - To amend title 39, United States Code, to extend the authority of the United States Postal Service to issue a semipostal to raise funds for breast cancer research. H.R. 531 - Access to Frontline Health Care Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H. R. 1955 - Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 H. R. 969 - Medical Practice Freedom Act of 2011 H. R. 1540 - National Defense Authorization Act for Fiscal Year 2012 H. R. 2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education AARP Oversight Electronic Prescribing Issues Health Insurance Exchanges Created by Patient Protection & Affordable Care Act Medicare Physician Payment/Sustainable Growth Rate Formula Reform in Debt Ceiling Legislation Proposed Cuts in Medicare Reimbursement for Imaging Services Pandemic All Hazards Preparedness Act Reauthorization

Client expense: $10,565 · Firm income: Not reported

See page three for specific MMM issues. MMM - Medicare/Medicaid Issues: H.R. 6073 - Congressional Gold Medal bill (111th Congress) H.R. 157 - Health Care Safety Net Enhancement Act of 2011 S. 1099/H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 466/S. 384 - To amend title 39, United States Code, to extend the authority of the United States Postal Service to issue a semipostal to raise funds for breast cancer research. H.R. 531 - Access to Frontline Health Care Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H. R. 1955 - Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 H. R. 969 - Medical Practice Freedom Act of 2011 H. R. 2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education AARP Oversight Electronic Prescribing Issues Health Insurance Exchanges Created by Patient Protection & Affordable Care Act Medicare Physician Payment/Sustainable Growth Rate Formula Reform in Debt Ceiling Legislation Proposed Cuts in Medicare Reimbursement for Imaging Services Pandemic All Hazards Preparedness Act Reauthorization

Client expense: $10,565 · Firm income: Not reported

S. 311/H.R. 1311 Medical Foods Equity Act H.R. 1955/S. 1045 Childrens Access to Reconstructive Evaluation and Surgery (CARES) Act H.R. 1683/S. 868 State Flexibility Act

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

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

HR 2 - Repealing the Job-Killing Health Care Law; all provisions. HR 451 - Healthcare Truth and Transparency Act of 2011; all provisions. S 668 - Health Care Bureaucrats Elimination Act; all provisions. HR 969 - Medical Practice Freedom Act of 2011; all provisions. Comments on the Health Information Technology Policy Committee's (HITPC) proposal for Stage 2 of the Meaningful Use of Electronic Health Records (EHRs). HR 1955/S 1045, The Childrens Access to Reconstructive Evaluation and Surgery (CARES) Act; all provisions. HR 2092/S 1278 - To amend the Internal Revenue Code of 1986 to repeal the excise tax on indoor tanning services; all provisions.

Client expense: $120,000 · 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), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), SENATE, Treasury, Dept of

Insurance Coverage for Reconstructive Surgeries for Brain Injuries H.R. 1955 S. 1045

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE