Ryan Creedon Act of 2011

HR452, Medicare Decisions Accountability Act, Revamping the Independent Payment Advisory Board. HR2055, Military Construction and Veterans Affairs and Related Appropriations Act, Promoting AAFP federal budget priorities - Title VII Sec 747, NHSC, AHRQ, Rural Health and Workforce Commission.HR3630, Welfare Integrity and Data Improvement Act, Prevent Medicare physician pay cut effective March 1, 2012. HR3667, Primary Care Workforce Access Improvement Act of 2011, GME modernization pilot program authorization, Direct GME funding for non-hospital training sites. HR3671, Judiciary Appropriations Act, 2012, Promoting AAFP federal budget priorities - Title VII Sec 747, NHSC, AHRQ, Rural Health and Workforce Commission. HR4013, Temporary Payroll Tax Cut Continuation Act, Ten month extension of the Medicare physician fee schedule. PL112-25, Impact of the Budget Control Act on FY13 HHS appropriations process and Medicare payment, AAFP budget priorities funding and Medicare physician payment. S407, Prescription Drug Abuse Prevention and Treatment Act of 2011, Ensure that Senator Rockefeller's bill is not burdensome to family physicians but increases communication among states to allow them to identify prescription drug abusers. No Bill Number, Title VII Sec 747 primary care grants stakeholders conference call, Supporting Title VII training to family medicine grants, NHSC, AHRQ, Workforce Commission, Rural Health. No Bill Number, Medicare physician payment reform of the Sustainable Growth Rate, Medicare physician pay cuts scheduled for 2013. No Bill Number, Budget allocation for the discretionary spending on health programs and agencies, Ensure adequate federal funds for AAFP budget priorities. No Bill Number, HHS FY2013 budget briefing, AAFP budget priorities. No Bill Number, AAFP Board Officers meeting to present FY2013 Appropriations priorities, AAFP budget priorities. No Bill Number, HHS FY2013 conference call, AAFP budget priorities. No Bill Number, SGR, Medicare payment, Include a repeal of the SGR within super-committee deliberations and include a primary care differential. No Bill Number, Rural Hospital Residency development meeting and discussions, Increasing the number of slots for family physicians to train in community settings. No Bill Number, AAFP Board Officers meeting to present FY2013 Appropriations priorities, AAFP budget priorities. HR2119, Ryan Creedon Act of 2011, Opposing a requirement that physicians be specially trained on the dangers of addictive drugs. No Bill Number, Valuation of Primary Care, Strategies for improving primary care payment in the physician fee schedule. No Bill Number, Primary Care Incentive Payment (PCIP), Requesting CMS release data on PCIP use. No Bill Number, Innovative quality and efficiency recognition reward programs that might be adopted by Medicare, Family physicians are focusing on quality, HIT and the PCMH model to transform practices. No Bill Number, Adequacy and accuracy of Medicare physician payment, Positive payment differential for Primary Care Physicians. No Bill Number, Legislation to repeal Independent Payment Advisory Board (IPAB), AAFP is dissatisfied with IPAB's composition and process but have not called for IPAB repeal. No Bill Number, Increasing physician awareness of TBI and PTSD, Promoting family physician pay cuts scheduled for 2013 No Bill Number, Task force on primary care valuation meeting, Medical home and health care reform No Bill Number, PCPCC Center for Consumer Engagement, Medical Home and Health Care Reform. No Bill Number, Tobacco cessation, Health of the public No Bill Number, Primary care meeting, Medical home and health care reform. No Bill Number, Meaningful use meetings, Medical home and health care reform. No Bill Number, Adequacy and accuracy of Medicare physician payment, Positive payment differential for primary care physicians. No Bill Number, Invitation to judge the 2013 Family Physician of the Year competition, competition.

Client expense: $747,230 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE, White House Office

HR3667, Primary Care Workforce Access Improvement Act of 2011, GME modernization pilot program authorization, Direct GME funding for non-hospital training sites.HR2119, Ryan Creedon Act of 2011, Opposing a requirement that physicians be specially trained on the dangers of addictive drugs. S.507 - Prescription Drug Abuse Prevention and Treatment Act of 2011, Funding for state monitoring of prescription drug use. PL112-25, Impact of the Budget Control Act on FY13 HHS appropriations process and Medicare payment, AAFP budget priorities funding and Medicare physician payment. No Bill Number, Title VII Sec 747 primary care grants stakeholders conference call, Supporting Title VII training to family medicine grants No Bill Number, Rural Hospital Residency development meeting and discussions, Increasing the number of slots for family physicians to train in community settings. No Bill Number, HHS FY2013 budget briefing, AAFP budget priorities. No Bill Number, AAFP Board Officers meeting to present FY2013 Appropriations priorities, AAFP budget priorities. No Bill Number, AAFP Board Officers met with HRSA Administrator, HRSA portfolio promoting health care access and workforce.

Client expense: $747,230 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE, White House Office

HR3667, Primary Care Workforce Access Improvement Act of 2011, GME modernization pilot program authorization, Direct GME funding for non-hospital training sites.HR2119, Ryan Creedon Act of 2011, Opposing a requirement that physicians be specially trained on the dangers of addictive drugs. S.507 - Prescription Drug Abuse Prevention and Treatment Act of 2011, Funding for state monitoring of prescription drug use. PL112-25, Impact of the Budget Control Act on FY13 HHS appropriations process and Medicare payment, AAFP budget priorities funding and Medicare physician payment. No Bill Number, Title VII Sec 747 primary care grants stakeholders conference call, Supporting Title VII training to family medicine grants No Bill Number, Rural Hospital Residency development meeting and discussions, Increasing the number of slots for family physicians to train in community settings. No Bill Number, HHS FY2013 budget briefing, AAFP budget priorities. No Bill Number, AAFP Board Officers meeting to present FY2013 Appropriations priorities, AAFP budget priorities. No Bill Number, AAFP Board Officers met with HRSA Administrator, HRSA portfolio promoting health care access and workforce.

Client expense: $747,230 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE, White House Office

HR452, Medicare Decisions Accountability Act, Revamping the Independent Payment Advisory Board. HR2055, Military Construction and Veterans Affairs and Related Appropriations Act, Promoting AAFP federal budget priorities - Title VII Sec 747, NHSC, AHRQ, Rural Health and Workforce Commission.HR3630, Welfare Integrity and Data Improvement Act, Prevent Medicare physician pay cut effective March 1, 2012. HR3667, Primary Care Workforce Access Improvement Act of 2011, GME modernization pilot program authorization, Direct GME funding for non-hospital training sites. HR3671, Judiciary Appropriations Act, 2012, Promoting AAFP federal budget priorities - Title VII Sec 747, NHSC, AHRQ, Rural Health and Workforce Commission. HR4013, Temporary Payroll Tax Cut Continuation Act, Ten month extension of the Medicare physician fee schedule. PL112-25, Impact of the Budget Control Act on FY13 HHS appropriations process and Medicare payment, AAFP budget priorities funding and Medicare physician payment. S407, Prescription Drug Abuse Prevention and Treatment Act of 2011, Ensure that Senator Rockefeller's bill is not burdensome to family physicians but increases communication among states to allow them to identify prescription drug abusers. No Bill Number, Title VII Sec 747 primary care grants stakeholders conference call, Supporting Title VII training to family medicine grants, NHSC, AHRQ, Workforce Commission, Rural Health. No Bill Number, Medicare physician payment reform of the Sustainable Growth Rate, Medicare physician pay cuts scheduled for 2013. No Bill Number, Budget allocation for the discretionary spending on health programs and agencies, Ensure adequate federal funds for AAFP budget priorities. No Bill Number, HHS FY2013 budget briefing, AAFP budget priorities. No Bill Number, AAFP Board Officers meeting to present FY2013 Appropriations priorities, AAFP budget priorities. No Bill Number, HHS FY2013 conference call, AAFP budget priorities. No Bill Number, SGR, Medicare payment, Include a repeal of the SGR within super-committee deliberations and include a primary care differential. No Bill Number, Rural Hospital Residency development meeting and discussions, Increasing the number of slots for family physicians to train in community settings. No Bill Number, AAFP Board Officers meeting to present FY2013 Appropriations priorities, AAFP budget priorities. HR2119, Ryan Creedon Act of 2011, Opposing a requirement that physicians be specially trained on the dangers of addictive drugs. No Bill Number, Valuation of Primary Care, Strategies for improving primary care payment in the physician fee schedule. No Bill Number, Primary Care Incentive Payment (PCIP), Requesting CMS release data on PCIP use. No Bill Number, Innovative quality and efficiency recognition reward programs that might be adopted by Medicare, Family physicians are focusing on quality, HIT and the PCMH model to transform practices. No Bill Number, Adequacy and accuracy of Medicare physician payment, Positive payment differential for Primary Care Physicians. No Bill Number, Legislation to repeal Independent Payment Advisory Board (IPAB), AAFP is dissatisfied with IPAB's composition and process but have not called for IPAB repeal. No Bill Number, Increasing physician awareness of TBI and PTSD, Promoting family physician pay cuts scheduled for 2013 No Bill Number, Task force on primary care valuation meeting, Medical home and health care reform No Bill Number, PCPCC Center for Consumer Engagement, Medical Home and Health Care Reform. No Bill Number, Tobacco cessation, Health of the public No Bill Number, Primary care meeting, Medical home and health care reform. No Bill Number, Meaningful use meetings, Medical home and health care reform. No Bill Number, Adequacy and accuracy of Medicare physician payment, Positive payment differential for primary care physicians. No Bill Number, Invitation to judge the 2013 Family Physician of the Year competition, competition.

Client expense: $747,230 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE, White House Office

Issues related to prescription drug abuse, drug supply chain safety and prescriber education. HR 2119 Ryan Creedon Act of 2011

Client expense: $2,930,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

See page three for specific Medicare/Medicaid issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 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. 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 Proposed Rule Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program 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 Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Trauma Appropriations

Client expense: $70,254 · 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 five for specific HCR issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 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. 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 Proposed Rule Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program 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 Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Trauma Appropriations

Client expense: $70,254 · 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 three for specific Medicare/Medicaid issues. MMM Medicare/Medicaid Issues H.R. 5 - Protecting Access to Healthcare Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 1409 - Quality Health Care Coalition Act of 2011 H.R. 3474 - PRIME Act of 2011 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 Accountable Care Organizations Final Rule Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Medicare SGR and Overseas Contingency Operations funds Inspiring Quality Campaign IPAB CMS RUC Refinement Ambulatory Surgical Centers Medicare Liability Reform Trauma center designation Trauma GAO study Imaging Pediatric subspecialty loan repayment program Rx Drug shortages Cancer programs appropriations Trauma Appropriations Children's Hospitals Graduate Medical Education Payment Program funding RUC Refinement panel valuation problem HHS ASPR/MSET Program Medical Device User Fee and Modernization Act (MDUFMA) Health Information Technology (45 CFR Part 170) NIH Appropriations Electronic Health Record Meaningful Use Stage 2 Proposed Rule Surgical workforce issues Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Medicare audit programs

Client expense: $88,958 · 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 five for specific Health Care Issues. HCR Health Care Issues H.R. 5 - Protecting Access to Healthcare Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 1409 - Quality Health Care Coalition Act of 2011 H.R. 3474 - PRIME Act of 2011 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 Accountable Care Organizations Final Rule Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Medicare SGR and Overseas Contingency Operations funds Inspiring Quality Campaign IPAB CMS RUC Refinement Ambulatory Surgical Centers Medicare Liability Reform Trauma center designation Trauma GAO study Imaging Pediatric subspecialty loan repayment program Rx Drug shortages Cancer programs appropriations Trauma Appropriations Children's Hospitals Graduate Medical Education Payment Program funding RUC Refinement panel valuation problem HHS ASPR/MSET Program Medical Device User Fee and Modernization Act (MDUFMA) Health Information Technology (45 CFR Part 170) NIH Appropriations Electronic Health Record Meaningful Use Stage 2 Proposed Rule Surgical workforce issues Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Medicare audit programs

Client expense: $88,958 · 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

S. 3430, National Diabetes Clinical Care Commission Act, all provisions S. 1560, Nursing Home Resident Pain Relief Act of 2011, all provisions H.R. 866, National All Schedules Prescription Electronic Reporting Reauthorization (NASPER) Act of 2011, all provisions H.R. 2119, Ryan Creedon Act of 2011, all provisions Prescription Drug Diversion Prescription Drug Abuse Combating Prescription Drug Overdose Drug Shortages Personalized Medicine Quality Measure Funding Prevention Fund Flexible Spending Accounts (FSAs) Uniform electronic prior authorization process ICD-10 Repeal Procedural Coding EHR - Meaningful Use program Health Information Technology Clinical data registries Compounding Pharmacy Oversight Payment and Delivery Reform Health Insurance Reform Gun Violence Insurance Exchanges Plan B Emergency Contraception Hospital Readmission Common Format ACA Non-Discrimination Provision

Client expense: $3,400,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), 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), Medicare Payment Advisory Commission (MedPAC), 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 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: $16,647 · 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: $16,647 · 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 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

Issues related to prescription drug abuse, drug supply chain safety and prescriber education. HR 2119 Ryan Creedon Act of 2011

Client expense: $2,930,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

the Prescription Drug Abuse Prevention and Treatment Act of 2011 (S. 507/H.R. 1925) the Stop Oxy Abuse Act of 2011 (H.R. 1316) the Ryan Creedon Act of 2011 (H.R. 2119) Prescription Drug User Fee Act (PDUFA) reauthorization legislation (H.R. 5651/S. 3187)

Client expense: $30,430 · 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), Internal Revenue Service (IRS), Office of Natl Drug Control Policy (NDCP), SENATE

Issues involving controlled substance and pain and addiction drugs generally; H.R. 2119: Ryan Creedon Act of 2011To amend the Controlled Substances Act to require practitioners to obtain particular training or special certification, approved by the Attorney General, on addiction to and abuse of controlled substances and appropriate and safe use of controlled substances in schedule II, III, IV, or V, and for other purposes; Issues related to acetaminophen.

Client expense: $470,000 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

H.R. 451, Healthcare Truth and Transparency Act: Healthcare Provider Transparency, Healthcare Provider Misrepresentation H.R. 866, National All Schedules Prescription Electronic Reporting Reauthorization Act S. 296/H.R. 2245, Preserving Access to Life-saving Medications Act, drug shortages S. 507, Prescription Drug Abuse Prevention and Treatment Act of 2011 H.R. 2119, Ryan Creedon Act of 2011 Medical Liability Reform; H.R. 5, HEALTH Act of 2011 H.R. 3839, Drug Shortage Prevention Act of 2012 H.R. 2245, Preserving Access to Life-saving Medications Act of 2011 P.L. 112-144, The Food and Drug Administration Safety and Innovation Act Drug Shortages - FDA, DEA, HHS, CMS, GAO, House Energy and Commerce Committee, Senate HELP Committee PPACA Nondiscrimination language regarding paraprofessionals - repeal DEA Scheduling Propofol Comparative Effectiveness Research HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Risk Evaluation and Mitigation Strategies FDA Safe Use Initiative Pain Management Individual Mandate- PPACA Proposed Federal CME requirements by ONDCP FTC Letters to States regarding Interventional Pain Medicine and Advanced Practice Nurses Scope of Practice FDA Operating Room Fires Prescription Drug User Fee Act State Exchanges pursuant to PPACA FDA SEDASYS FDA Patient Prescriber working group FDA Sedation Initiative FDA Naloxone workshop FDA Patient Prescriber Agreement workshop FDA Anesthesia Trials workshop FDA Opioid Efficacy workshop ICD-10-CM/PCS and proposed delay of implementation date

Client expense: $230,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE

Issues relating to oral-health and dental practice in the following bills: H.R. 2/S. 192, Repealing the Job-Killing Health Care Law Act; H.R. 5/S. 218, S. 1099, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011; H.R. 38, A bill to rescind funds appropriated to the Health Insurance Reform Implementation Fund under the Health Care and Education Reconciliation Act of 2010; HR105, Empowering Patients First Act; HR157, Health Care Safety Net Enhancement Act of 2011; HR165, Informed Choice Act; H.R. 969, the Medical Practice Freedom Act of 2011; H.R. 314, Medical Liability Procedural Reform Act of 2011; H.R. 570, Dental Emergency Responder Act; H.R. 1578/S. 1765, Violence Against Women Health Initiative Act of 2011; H.R. 2119, Ryan Creedon Act of 2011; H.R. 2405/S. 1855, Pandemic and All Hazards Preparedness Act of 2011; H.R. 3586, Good Samaritan Health Professionals Act of 2011; S. 197, Medical Care Access Protection (MCAP) Act of 2011; S. 312/H.R. 605, Patients Freedom to Choose Act; S. 966, Bone Health Promotion and Research Act of 2011; S. 296/H.R. 2245, Preserving Access to Life-Saving Medications Act; S. 1878/H.R. 4091, Coordination of Pro Bono Medically Recommended Dental Care Act; S. 1925, Violence Against Women Reauthorization Act of 2011; H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011; H.R. 3839, Drug Shortage Prevention Act of 2012; S. 296/H.R. 2245, Preserving Access to Life-Saving Medications Act; S. 3187 [H.R. 5651] - Prescription Drug User Fee Act. H.R. 5909 - Comprehensive Dental Reform Act of 2012 H.R. 5979 - Medicaid Accountability and Care Act of 2012 S. 3272 - Comprehensive Dental Reform Act of 2012 Community water fluoridation Medicaid and CHIP Payment and Access Commission: -Center for Consumer Information and Insurance Oversight; -Center for Medicaid, CHIP and Survey and Certification; Implementation of P.L. 111-148; 111-152, Patient Protection and Affordable Care Act; Oral-health issues within Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020, Healthy People 2020; Comments on planning and establishment of state level exchanges; Office of the Assistant Secretary for Preparedness and Response, National Health Security Strategy (biennial implementation plan), National Disaster Medical System (disaster medical assistance team) regarding issues related to utlization of dental professionals in the event of a disaster; Office of Global Health (United Nations high-level meeting on non-communicable diseases); Division of Oral Health Reorganization; CMS Limited English Proficiency Guidelines; Advisory Committee on Training in Primary Care Medicine and Dentistry Nominations, Ninth Report to Congress; National Advisory Dental and Craniofacial Research Council Nominations; Center for Substance Abuse Treatment, National Recovery Month; United Nations Summit on Non-Communicable Diseases; National Drug Control Strategy / Prescription Drug Abuse Prevention Plan; DEA National Prescription Drug Take Back Campaign; FDA Center for Drug Evaluation and Research regarding dry mouth labeling; Medical/Dental Coding Issues; Comparative Effectiveness regarding Dental Quality Alliance; Health Information Technology (HIT) Regulations; Health care issues before the Joint Select Committee on Deficit Reduction. United Nations General Assembly's High-level Meeting on Non-communicable Diseases CMS proposed rule on reporting and returning Medicare overpayments Food and Drug Administration Sedation Product Guidance Centers for Disease Control and Prevention recommendations for identification of persons with Hepatitis C (HCV) chronic infection H.R. 5711 - Access to Substance Abuse Treatment Act of 2012 Department of Health and Human Services media campaign to educate the public about the dangers of tobacco use SAMHSA National Recovery Month Food and Drug Administration clinical development and use of sedation products Surgeon General report on sugar-sweetened beverages S. 3562, Older Americans Act Amendments of 2012 HR 436, Protect Medical Innovation Act of 2011 (Medical Device Tax) HR 488, Save Our Medical Devices Act of 2011 (Medical Device Tax) S 17, Medical Device Access and Innovation Protection Act (Medical Device Tax) S 262, To repeal the excise tax on medical device manufacturers (Medical Device Tax)

Client expense: $620,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Natl Institutes of Health (NIH), Navy, Dept of, Occupational Safety & Health Administration (OSHA), Office of Natl Drug Control Policy (NDCP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

H.R.1065- Pill Mill Crackdown Act of 2011 H.R.1254-Synthetic Drug Control Act of 2011 H.R.1571-Combating Dangerous Synthetic Stimulants Act of 2011 H.R.1925-Prescription Drug Abuse Prevention and Treatment Act of 2011 H.R.2119-Ryan Creedon Act of 2011 H.R.2324-Research of Alcohol Detection Systems (ROADS) for Stopping Alcohol-related Fatalities Everywhere Act of 2011 H.R.3668-Counterfeit Drug Penalty Enhancement Act of 2012 S.409-Combating Dangerous Synthetic Stimulants Act of 2011 S.507-Prescription Drug Abuse Prevention and Treatment Act of 2011 S.510-Research of Alcohol Detection Systems (ROADS) for Stopping Alcohol-related Fatalities Everywhere Act of 2011 S.605-Dangerous Synthetic Drug Control Act of 2011 S.839-Combating Designer Drugs Act of 2011 S.1760-Pill Mill Crackdown Act of 2011

Client expense: $695,377 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to prescription drug abuse, drug supply chain safety and prescriber education. H.R.2119, Ryan Creedon Act of 2011

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR2119, Ryan Creedon Act, Opposing a requirement that physicians be specifically trained on the dangers of addictive drugs. HR3667, Primary Care Workforce Access Improvement Act of 2011, GME modernization pilot program authorization and funding for non-hospital training sites. S3295, Department of Labor Appropriations Act, 2013, Support increased FY13 spending on Title VII Sec 747 primary care training grants. S507, Prescription Drug Abuse Prevention and Treatment Act, funding for state monitoring of prescription drug use. No Bill Number, Labor HHS Appropriations Bill, Support for funding Health Professions grants program and funding for HRSA and AHRQ.

Client expense: $767,597 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE, White House Office

HR2119, Ryan Creedon Act, Opposing a requirement that physicians be specifically trained on the dangers of addictive drugs. HR3630, Welfare Integrity and Data Improvement Act, Ten month extension of Medicare physician fee schedule. HR3667, Primary Care Workforce Access Improvement Act of 2011, GME modernization pilot program authorization and funding for non-hospital training sites. HR5, Medical liability reform and IPAB repeal Protecting Access to Healthcare Act, Medical liability reform. HR452, Medicare Decision Accountability Act, Revamping the Independent Payment Advisory Board. HR5707, Medicare Physician Payment Innovation Act of 2012, Replace Medicare physician payment's SGR with higher payment rates for primary care. HR5888, Physician Reentry Demonstration Program Act, Revise bill so sub-specialists do not reenter practice as primary care docs in CHCs, VA clinics and school based centers. S3187, Synthetic Drug Abuse Prevention Act of 2012, discussion on Opioid abuse and pain management as part of PDUFA reauthorization. Support appropriate prescription drug monitoring which is not burdensome to family physicians. S3295, Department of Labor Appropriations Act 2013, Support increased appropriations for Agency for Healthcare Research and Quality in FY2013, AHRQ funding budget priority, Support increased FY13 spending on Title VII Sec 747 primary care training grants. No Bill Number, FDA/CDER meeting on chronic pain management, Effective pain management. No Bill Number, 2013 Family Physician of the Year competition judge. No Bill Number, Protect access to healthcare act, Medical liability reform. No Bill Number, Medicare physician payment reform of the Sustainable Growth Rate, Medicare physician pay cuts scheduled for 2013. No Bill Number, Increasing physician awareness of TBI and PTSD, Promoting family physician ability to assist with these conditions. No Bill Number, Comprehensive Primary Care, Medical Home and Healthcare Reform. No Bill Number, PCPCC Center for Consumer Engagement, Medical Home and Health Care Reform. No Bill Number, Tobacco cessation, Health of the public. No Bill Number, Primary care meeting, Medical Home and Health Care Reform. No Bill Number, Meaningful Use meetings, Medical Home and Health Care Reform. No Bill Number, Electronic Health Records, Ensuring payments for true primary care physicians. No Bill Number, 2013 proposed inpatient PPS, Supporting GME slots for primary care. No Bill Number, Valuation of Primary Care, strategies for improving primary care payment in the physician fee schedule. No Bill Number, Primary care incentive payment PCIP, Re-question CMS release data on PCIP use. No Bill Number, National Priorities and Research Agenda, PCORI should focus research on more common medical conditions first. No Bill Number, National School lunch program, Improve school nutrition programs accessed through state education by providing incentives for school nutrition providers to replace foods with little or no nutritional value. No Bill Number, Oppose repeal of subsidies for health insurance exchanges. No Bill Number, Medicare physician fee schedule for 2013, Support for short term payment reforms to allow primary care access to non face to face codes. No Bill Number, Comprehensive Primary Care Initiative, Promote the CPCI to family physician practices in the seven geographic markets. No Bill Number, Medicaid payments to primary care physicians, Oppose expansion of definition of physicians who are eligible for primary care Medicaid support. No Bill Number, White House meeting on improving health care coordination and quality. Support for Patient Centered Medical Home as a health care delivery model to improve coordination of care. No Bill Number, White House meeting on implementation of meaningful use of HIT, Support for standards of interoperability of HIT systems. No Bill Number, Adequacy and accuracy of Medicare physician payment, Positive payment differential for primary care physicians. No Bill Number, Patient Centered Medical Home, Increasing support for the concept in discussing delivery system reform.

Client expense: $767,597 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE, White House Office

Departments of Labor, Health and Human Services, and Education Appropriations Act, 2013 (S.3295) House FY 13 Budget (H.Con.Res. 112) The Ryan Creedon Act of 2011 (H.R. 2119) Cap, Cut and Balance Bill (HR 2560/S. 1340) Commerce/Justice/Science FY13 Appropriations (H.R. 5326/S. 2323) Consolidated FY2012 Appropriations Act (was Military/Veterans; HR 2055) Reauthorization of Drug-Free Communities Support Program (S. 2159) Food and Drug Administration Reform Act of 2012 (H.R. 5651/S. 3187) Access to Substance Abuse Treatment Act of 2012 (H.R. 5711) Excellence in Mental Health (S. 2257/H.R. 5989) Behavioral Health Information Technology Act of 2011 (S. 539/H.R. 6043) Health Equity and Accountability Act (HEAA) of 2012 (S. 2474/H.R.2954) Pharmaceutical Stewardship Act of 2011 (H.R. 2939) Mental Health ACCESS Act of 2012 (S. 3340) Medicaid Information Technology to Enhance Community Health Act of 2012 (S.3539) Recidivism Reduction Act (H.R.6256)

Client expense: $8,670 · Firm income: Not reported

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

House FY 13 Budget (H.Con.Res. 112) Mental Health in Schools Act (H.R. 751) Labor, Health and Human Services, and Education, and Related Agencies FY 12 Appropriations Act (S.1599/H.R.3070) Behavioral Health Information Technology Act of 2011 (S. 539/H.R. 6043) Healthy Lifestyles and Prevention America Act (S.174) Medicare Mental Health Access Act (S.483) Seniors Mental Health Access Improvement Act of 2011 (S.604) Medicare Mental Health Inpatient Equity Act (S.374) A Bill To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges (HR 1213) A Bill To repeal mandatory funding for school-based health center construction (HR 1214) A Bill To repeal the Prevention and Public Health Fund (HR 1217) Patients Rights Repeal Act (H.R. 2) Medicaid Maintenance-Of-Effort Repeal (H.R.1683/S. 868) The Garrett Lee Smith Memorial Act (GLSMA) Reauthorization of 2011 (S. 740) The Sergeant Coleman S. Bean Reserve Component Suicide Prevention Act (H.R. 1089/S. 579) The Keeping All Students Safe Act (H.R. 1381/S.2020) The Ryan Creedon Act of 2011 (H.R. 2119) Mental Health on Campus Improvement Act, H.R. 1833 Constitutional Balanced Budget Amendment (H.J.Res. 1/S.J.Res. 23) Agriculture FY12 Appropriations (HR 2112) Military/Veterans FY12 Appropriations (HR 2055) Medicare Decisions Accountability Act of 2011 (IPAB; HR 452/S. 668) Cap, Cut and Balance Bill (HR 2560/S. 1340) CAMPUS Safety Act of 2011 (HR 2342) Health Equity and Accountability Act of 2011 (H.R.2954) Continuing Appropriations Act, 2012 (HR 2608) Medigap Medical Loss Ratio Improvement Act (S.1416/H.R.2645) Improving Access to Medicare Coverage Act of 2011 (S.818) Stop Child Abuse in Residential Programs for Teens Act of 2011 (H.R.3126) Commerce/Justice/State FY12 Appropriations Act (HR.2596/S.1572) Promoting Accountability and Excellence in Child Welfare Act (S. 1509) Lifespan Respite Reauthorization Act (HR 3266) Consolidated FY2012 Appropriations Act (was Military/Veterans; HR 2055) Children's Budget Act (S.1396) Middle Class Tax Cut Act of 2011 (H.R. 3630) Speak Up Act Letter of Support (S. 1877) Reauthorization of Drug-Free Communities Support Program (S. 2159) WIPA and PABSS Continuation of Services Act of 2012 (H.R.6061) The Childrens Mental Health Accessibility Act (S. 3289) Departments of Labor, Health and Human Services, and Education Appropriations Act, 2013 (S.3295) Military/Veterans FY13 Appropriations (H.R. 5854/S. 3215) Excellence in Mental Health (S. 2257/H.R. 5989) Mental Health First Aid Higher Education Act (S. 3325/H.R. 5996) Health Equity and Accountability Act (HEAA) of 2012 (S. 2474) Pharmaceutical Stewardship Act of 2011 (H.R. 2939) Food and Drug Administration Reform Act of 2012 (H.R. 5651/S. 3187) Mental Health ACCESS Act of 2012 (S. 3340) Medicaid Information Technology to Enhance Community Health Act of 2012 (S.3539) Recidivism Reduction Act (H.R.6256) To provide payment for patient navigator services under title XIX of the Social Security Act (H.R.6521)

Client expense: $8,670 · Firm income: Not reported

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

S. 3187, Food and Drug Administration Safety and Innovation Act, provisions relating to drug shortages, antibiotic incentives, and combating diversion H.R. 5998, USPSTF Transparency and Accountability Act of 2012, all provisions H.R. 2119, Ryan Creedon Act of 2011, all provisions H.R. 3497, MODDERN Cures Act of 2011, all provisions H.R. 3207, Modernizing Laboratory Test Standards for Patients Act of 2011, all provisions H.R. 866, National All Schedules Prescription Electronic Reporting Reauthorization Act of 2011, all provisions H.R. 2182, Generating Antibiotic Incentives Now Act of 2011, all provisions H.R. 2960, National Diabetes Clinical Care Commission Act, all provisions H.R. 4384, Patient Safety and Drug Labeling Improvement Act, all provisions Clinical Registries ACA Implementation Insurance Exchanges Prescription Drug Abuse Drug diversion/mandatory CME for DEA Registrants/violence prevention Drug shortages Flexible Spending Accounts (FSAs) Delivery and Payment Reform Personalized Medicine Health Information Technology HIPAA Administrative Simplifications Health Insurance Reform Medical Licensing Boards and Scope of Practice

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

Issues involving controlled substance and pain and addiction drugs generally; H.R. 2119: Ryan Creedon Act of 2011To amend the Controlled Substances Act to require practitioners to obtain particular training or special certification, approved by the Attorney General, on addiction to and abuse of controlled substances and appropriate and safe use of controlled substances in schedule II, III, IV, or V, and for other purposes; Issues related to acetaminophen.

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

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Issues involving controlled substance and pain and addiction drugs generally; H.R. 2119: Ryan Creedon Act of 2011; Issues related to acetaminophen

Client expense: $700,000 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Issues related to prescription drug abuse, drug supply chain safety and prescriber education. H.R.2119, Ryan Creedon Act of 2011

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

H.R. 451, Healthcare Truth and Transparency Act: Healthcare Provider Transparency, Healthcare Provider Misrepresentation H.R. 866, National All Schedules Prescription Electronic Reporting Reauthorization Act S. 296/H.R. 2245, Preserving Access to Life-saving Medications Act, drug shortages S. 507, Prescription Drug Abuse Prevention and Treatment Act of 2011 H.R. 2119, Ryan Creedon Act of 2011 Medical Liability Reform; H.R. 5, HEALTH Act of 2011 H.R. 3839, Drug Shortage Prevention Act of 2012 H.R. 2245, Preserving Access to Life-saving Medications Act of 2011 P.L. 112-144, The Food and Drug Administration Safety and Innovation Act Drug Shortages - FDA, DEA, HHS, CMS, GAO, House Energy and Commerce Committee, Senate HELP Committee PPACA Nondiscrimination language regarding paraprofessionals - repeal DEA Scheduling Propofol Comparative Effectiveness Research HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Risk Evaluation and Mitigation Strategies FDA Safe Use Initiative Pain Management Individual Mandate- PPACA Proposed Federal CME requirements by ONDCP FTC Letters to States regarding Interventional Pain Medicine and Advanced Practice Nurses Scope of Practice FDA Operating Room Fires Prescription Drug User Fee Act State Exchanges pursuant to PPACA FDA SEDASYS FDA Patient Prescriber working group FDA Sedation Initiative FDA Naloxone workshop FDA Patient Prescriber Agreement workshop FDA Anesthesia Trials workshop FDA Opioid Efficacy workshop ICD-10-CM/PCS and proposed delay of implementation date

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE

Issues related to prescription drug abuse, drug supply chain safety and prescriber education. HR 2119 Ryan Creedon Act of 2011

Client expense: $2,320,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

H.R.1065- Pill Mill Crackdown Act of 2011 H.R.1254-Synthetic Drug Control Act of 2011 H.R.1571-Combating Dangerous Synthetic Stimulants Act of 2011 H.R.1925-Prescription Drug Abuse Prevention and Treatment Act of 2011 H.R.2119-Ryan Creedon Act of 2011 H.R.2324-Research of Alcohol Detection Systems (ROADS) for Stopping Alcohol-related Fatalities Everywhere Act of 2011 H.R.3668-Counterfeit Drug Penalty Enhancement Act of 2012 S.409-Combating Dangerous Synthetic Stimulants Act of 2011 S.507-Prescription Drug Abuse Prevention and Treatment Act of 2011 S.510-Research of Alcohol Detection Systems (ROADS) for Stopping Alcohol-related Fatalities Everywhere Act of 2011 S.605-Dangerous Synthetic Drug Control Act of 2011 S.839-Combating Designer Drugs Act of 2011 S.1760-Pill Mill Crackdown Act of 2011

Client expense: $433,244 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

HR2119, Ryan Creedon Act, Opposing a requirement that physicians be specifically trained on the dangers of addictive drugs. HR3667, Primary Care Workforce Access Improvement Act of 2011, GME modernization pilot program authorization and funding for non-hospital training sites. HR5888, Physician Reentry Demonstration Program, Bill attempts to address the shortage of primary care physicians. S3295, Department of Labor Appropriations Act, 2013, Support increased FY13 spending on Title VII Sec 747 primary care training grants. S507, Prescription Drug Abuse Prevention and Treatment Act, funding for state monitoring of prescription drug use. No Bill Number, Labor HHS Appropriations Bill, Support for funding Health Professions grants program and funding for HRSA and AHRQ. J. J. Res. 117, Labor HHS Appropriations Bills, Support for funding Health Professions Grant Program and HRSA and AHRQ. No Bill Number, Advisory Committee on Training in Primary are Medicine and Dentistry supporting Title VII training grants to family medicine.

Client expense: $449,038 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

HR2119, Ryan Creedon Act, Opposing a requirement that physicians be specifically trained on the dangers of addictive drugs. HR3630, Welfare Integrity and Data Improvement Act, Ten month extension of Medicare physician fee schedule. HR3667, Primary Care Workforce Access Improvement Act of 2011, GME modernization pilot program authorization and funding for non-hospital training sites. HR5, Medical liability reform and IPAB repeal Protecting Access to Healthcare Act, Medical liability reform. HR452, Medicare Decision Accountability Act, Revamping the Independent Payment Advisory Board. HR5707, Medicare Physician Payment Innovation Act of 2012, Replace Medicare physician payment's SGR with higher payment rates for primary care. HR5888, Physician Reentry Demonstration Program Act, Revise bill so sub-specialists do not reenter practice as primary care docs in CHCs, VA clinics and school based centers. H. Con. Res. 112, Oppose repeal of subsidies for health insurance exchanges. H.J. Res117, Labor, HHS Appropriations Bills, Support for funding health professions grant program and funding for HRSA and AHRQ. S3295, Department of Labor Appropriations Act 2013, Support increased appropriations for Agency for Healthcare Research and Quality in FY2013, AHRQ funding budget priority, Support increased FY13 spending on Title VII Sec 747 primary care training grants. S507, Prescription drug abuse prevention and treatment Act, support state programs to monitor prescription drug abuse. No Bill Number, National Drug Control Strategy, State Grants for screening, brief intervention and referral to treatment. New CME for prescribers of opioid analgesics - support drug control policies that are not burdensome to family physicians. No Bill Number, Advisory committee on training in primary care medicine and dentistry, supporting Title VII training grants to family medicine. No Bill Number, Medicare physician payment reform of the sustainable growth rate, Medicare physician pay cuts scheduled for 2013. No Bill Number, Comprehensive primary care, medical home and health care reform, promote CPCI to family physician practices in the seven geographic markets. No Bill Number, Observation care, 2013 proposed inpatient PPS. No Bill Number, Home Health Documentation requirements, Face to face documentation requirements in the 2013 proposed home health regulation. No Bill Number, Primary Care Meeting, Medical Home and Health Care Reform. No Bill Number, Meaningful Use Meetings, Medical Home and Health Care Reform. No Bill Number, Electronic Health Records, Meaningful use funds and quality improvement. No Bill Number, Medicaid parity for primary care, Ensuring payments for true primary care physicians. No Bill Number, Valuation of Primary Care, Strategies for improving primary care payment in the physician fee schedule. No Bill Number, Primary Care Incentive Payment (PCIP), Requesting CMS release data on PCIP use. No Bill Number, National Priorities Research Agenda, PCORI should focus research on more common medical conditions at first. No Bill Number, Medicare Physician fee schedule for 2013, Support for short term payment reforms to allow primary care access to non face to face codes. No Bill Number, Medicaid Payments to primary care physicians, Oppose expansion of definition of physicians who are eligible for primary care Medicaid support. No Bill Number, Health Delivery Transformation, White House meeting to support Patient Centered Medical Home as a health care delivery model to improve coordination of care. No Bill Number, SGR Fix, Stop 27% cut due to go into effect January 1, 2013. No Bill Number, Sequester fiscal cliff, stop 2% cut due January 2, 2013.

Client expense: $449,038 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

HR2119, Ryan Creedon Act, Opposing a requirement that physicians be specifically trained on the dangers of addictive drugs. HR3667, Primary Care Workforce Access Improvement Act of 2011, GME modernization pilot program authorization and funding for non-hospital training sites. HR5888, Physician Reentry Demonstration Program, Bill attempts to address the shortage of primary care physicians. S3295, Department of Labor Appropriations Act, 2013, Support increased FY13 spending on Title VII Sec 747 primary care training grants. S507, Prescription Drug Abuse Prevention and Treatment Act, funding for state monitoring of prescription drug use. No Bill Number, Labor HHS Appropriations Bill, Support for funding Health Professions grants program and funding for HRSA and AHRQ. J. J. Res. 117, Labor HHS Appropriations Bills, Support for funding Health Professions Grant Program and HRSA and AHRQ. No Bill Number, Advisory Committee on Training in Primary are Medicine and Dentistry supporting Title VII training grants to family medicine.

Client expense: $449,038 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

HR2119, Ryan Creedon Act, Opposing a requirement that physicians be specifically trained on the dangers of addictive drugs. HR3630, Welfare Integrity and Data Improvement Act, Ten month extension of Medicare physician fee schedule. HR3667, Primary Care Workforce Access Improvement Act of 2011, GME modernization pilot program authorization and funding for non-hospital training sites. HR5, Medical liability reform and IPAB repeal Protecting Access to Healthcare Act, Medical liability reform. HR452, Medicare Decision Accountability Act, Revamping the Independent Payment Advisory Board. HR5707, Medicare Physician Payment Innovation Act of 2012, Replace Medicare physician payment's SGR with higher payment rates for primary care. HR5888, Physician Reentry Demonstration Program Act, Revise bill so sub-specialists do not reenter practice as primary care docs in CHCs, VA clinics and school based centers. H. Con. Res. 112, Oppose repeal of subsidies for health insurance exchanges. H.J. Res117, Labor, HHS Appropriations Bills, Support for funding health professions grant program and funding for HRSA and AHRQ. S3295, Department of Labor Appropriations Act 2013, Support increased appropriations for Agency for Healthcare Research and Quality in FY2013, AHRQ funding budget priority, Support increased FY13 spending on Title VII Sec 747 primary care training grants. S507, Prescription drug abuse prevention and treatment Act, support state programs to monitor prescription drug abuse. No Bill Number, National Drug Control Strategy, State Grants for screening, brief intervention and referral to treatment. New CME for prescribers of opioid analgesics - support drug control policies that are not burdensome to family physicians. No Bill Number, Advisory committee on training in primary care medicine and dentistry, supporting Title VII training grants to family medicine. No Bill Number, Medicare physician payment reform of the sustainable growth rate, Medicare physician pay cuts scheduled for 2013. No Bill Number, Comprehensive primary care, medical home and health care reform, promote CPCI to family physician practices in the seven geographic markets. No Bill Number, Observation care, 2013 proposed inpatient PPS. No Bill Number, Home Health Documentation requirements, Face to face documentation requirements in the 2013 proposed home health regulation. No Bill Number, Primary Care Meeting, Medical Home and Health Care Reform. No Bill Number, Meaningful Use Meetings, Medical Home and Health Care Reform. No Bill Number, Electronic Health Records, Meaningful use funds and quality improvement. No Bill Number, Medicaid parity for primary care, Ensuring payments for true primary care physicians. No Bill Number, Valuation of Primary Care, Strategies for improving primary care payment in the physician fee schedule. No Bill Number, Primary Care Incentive Payment (PCIP), Requesting CMS release data on PCIP use. No Bill Number, National Priorities Research Agenda, PCORI should focus research on more common medical conditions at first. No Bill Number, Medicare Physician fee schedule for 2013, Support for short term payment reforms to allow primary care access to non face to face codes. No Bill Number, Medicaid Payments to primary care physicians, Oppose expansion of definition of physicians who are eligible for primary care Medicaid support. No Bill Number, Health Delivery Transformation, White House meeting to support Patient Centered Medical Home as a health care delivery model to improve coordination of care. No Bill Number, SGR Fix, Stop 27% cut due to go into effect January 1, 2013. No Bill Number, Sequester fiscal cliff, stop 2% cut due January 2, 2013.

Client expense: $449,038 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

Issues relating to oral-health and dental practice in the following bills: H.R. 2/S. 192, Repealing the Job-Killing Health Care Law Act; H.R. 5/S. 218, S. 1099, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011; H.R. 38, A bill to rescind funds appropriated to the Health Insurance Reform Implementation Fund under the Health Care and Education Reconciliation Act of 2010; HR105, Empowering Patients First Act; HR157, Health Care Safety Net Enhancement Act of 2011; HR165, Informed Choice Act; H.R. 969, the Medical Practice Freedom Act of 2011; H.R. 314, Medical Liability Procedural Reform Act of 2011; H.R. 570, Dental Emergency Responder Act; H.R. 1578/S. 1765, Violence Against Women Health Initiative Act of 2011; H.R. 2119, Ryan Creedon Act of 2011; H.R. 2405/S. 1855, Pandemic and All Hazards Preparedness Act of 2011; H.R. 3586, Good Samaritan Health Professionals Act of 2011; S. 197, Medical Care Access Protection (MCAP) Act of 2011; S. 312/H.R. 605, Patients Freedom to Choose Act; S. 966, Bone Health Promotion and Research Act of 2011; S. 296/H.R. 2245, Preserving Access to Life-Saving Medications Act; S. 1878/H.R. 4091, Coordination of Pro Bono Medically Recommended Dental Care Act; S. 1925, Violence Against Women Reauthorization Act of 2011; H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011; H.R. 3839, Drug Shortage Prevention Act of 2012; S. 296/H.R. 2245, Preserving Access to Life-Saving Medications Act; S. 3187 [H.R. 5651] - Prescription Drug User Fee Act. H.R. 5909 - Comprehensive Dental Reform Act of 2012 H.R. 5979 - Medicaid Accountability and Care Act of 2012 S. 3272 - Comprehensive Dental Reform Act of 2012 Community water fluoridation Medicaid and CHIP Payment and Access Commission: -Center for Consumer Information and Insurance Oversight; -Center for Medicaid, CHIP and Survey and Certification; Implementation of P.L. 111-148; 111-152, Patient Protection and Affordable Care Act; Oral-health issues within Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020, Healthy People 2020; Comments on planning and establishment of state level exchanges; Office of the Assistant Secretary for Preparedness and Response, National Health Security Strategy (biennial implementation plan), National Disaster Medical System (disaster medical assistance team) regarding issues related to utlization of dental professionals in the event of a disaster; Office of Global Health (United Nations high-level meeting on non-communicable diseases); Division of Oral Health Reorganization; CMS Limited English Proficiency Guidelines; Advisory Committee on Training in Primary Care Medicine and Dentistry Nominations, Ninth Report to Congress; National Advisory Dental and Craniofacial Research Council Nominations; Center for Substance Abuse Treatment, National Recovery Month; United Nations Summit on Non-Communicable Diseases; National Drug Control Strategy / Prescription Drug Abuse Prevention Plan; DEA National Prescription Drug Take Back Campaign; FDA Center for Drug Evaluation and Research regarding dry mouth labeling; Medical/Dental Coding Issues; Comparative Effectiveness regarding Dental Quality Alliance; Health Information Technology (HIT) Regulations; Health care issues before the Joint Select Committee on Deficit Reduction. United Nations General Assembly's High-level Meeting on Non-communicable Diseases CMS proposed rule on reporting and returning Medicare overpayments Food and Drug Administration Sedation Product Guidance Centers for Disease Control and Prevention recommendations for identification of persons with Hepatitis C (HCV) chronic infection H.R. 5711 - Access to Substance Abuse Treatment Act of 2012 Department of Health and Human Services media campaign to educate the public about the dangers of tobacco use SAMHSA National Recovery Month Food and Drug Administration clinical development and use of sedation products Surgeon General report on sugar-sweetened beverages S. 3562, Older Americans Act Amendments of 2012

Client expense: $600,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Natl Institutes of Health (NIH), Navy, Dept of, Occupational Safety & Health Administration (OSHA), Office of Natl Drug Control Policy (NDCP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

the Prescription Drug Abuse Prevention and Treatment Act of 2011 (S. 507/H.R. 1925) the Stop Oxy Abuse Act of 2011 (H.R. 1316) the Ryan Creedon Act of 2011 (H.R. 2119) Prescription Drug User Fee Act (PDUFA) reauthorization legislation (H.R. 5651/S. 3187)

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

House FY 13 Budget (H.Con.Res. 112) Mental Health in Schools Act (H.R. 751) Labor, Health and Human Services, and Education, and Related Agencies FY 12 Appropriations Act (S.1599/H.R.3070) Behavioral Health Information Technology Act of 2011 (S. 539/H.R. 6043) Healthy Lifestyles and Prevention America Act (S.174) Medicare Mental Health Access Act (S.483) Seniors Mental Health Access Improvement Act of 2011 (S.604) Medicare Mental Health Inpatient Equity Act (S.374) A Bill To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges (HR 1213) A Bill To repeal mandatory funding for school-based health center construction (HR 1214) A Bill To repeal the Prevention and Public Health Fund (HR 1217) Patients Rights Repeal Act (H.R. 2) Medicaid Maintenance-Of-Effort Repeal (H.R.1683/S. 868) The Garrett Lee Smith Memorial Act (GLSMA) Reauthorization of 2011 (S. 740) The Sergeant Coleman S. Bean Reserve Component Suicide Prevention Act (H.R. 1089/S. 579) The Keeping All Students Safe Act (H.R. 1381/S.2020) The Ryan Creedon Act of 2011 (H.R. 2119) Mental Health on Campus Improvement Act, H.R. 1833 Constitutional Balanced Budget Amendment (H.J.Res. 1/S.J.Res. 23) Agriculture FY12 Appropriations (HR 2112) Military/Veterans FY12 Appropriations (HR 2055) Medicare Decisions Accountability Act of 2011 (IPAB; HR 452/S. 668) Cap, Cut and Balance Bill (HR 2560/S. 1340) CAMPUS Safety Act of 2011 (HR 2342) Health Equity and Accountability Act of 2011 (H.R.2954) Continuing Appropriations Act, 2012 (HR 2608) Medigap Medical Loss Ratio Improvement Act (S.1416/H.R.2645) Improving Access to Medicare Coverage Act of 2011 (S.818) Stop Child Abuse in Residential Programs for Teens Act of 2011 (H.R.3126) Commerce/Justice/State FY12 Appropriations Act (HR.2596/S.1572) Promoting Accountability and Excellence in Child Welfare Act (S. 1509) Lifespan Respite Reauthorization Act (HR 3266) Consolidated FY2012 Appropriations Act (was Military/Veterans; HR 2055) Children's Budget Act (S.1396) Middle Class Tax Cut Act of 2011 (H.R. 3630) Speak Up Act Letter of Support (S. 1877) Reauthorization of Drug-Free Communities Support Program (S. 2159) WIPA and PABSS Continuation of Services Act of 2012 (H.R.6061) The Childrens Mental Health Accessibility Act (S. 3289) Departments of Labor, Health and Human Services, and Education Appropriations Act, 2013 (S.3295) Military/Veterans FY13 Appropriations (H.R. 5854/S. 3215) Excellence in Mental Health (S. 2257/H.R. 5989) Mental Health First Aid Higher Education Act (S. 3325/H.R. 5996) Health Equity and Accountability Act (HEAA) of 2012 (S. 2474) Pharmaceutical Stewardship Act of 2011 (H.R. 2939) Food and Drug Administration Reform Act of 2012 (H.R. 5651/S. 3187) Mental Health ACCESS Act of 2012 (S. 3340)

Client expense: $10,078 · Firm income: Not reported

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

Departments of Labor, Health and Human Services, and Education Appropriations Act, 2013 (S.3295) House FY 13 Budget (H.Con.Res. 112) The Ryan Creedon Act of 2011 (H.R. 2119) Cap, Cut and Balance Bill (HR 2560/S. 1340) Commerce/Justice/Science FY13 Appropriations (H.R. 5326/S. 2323) Consolidated FY2012 Appropriations Act (was Military/Veterans; HR 2055) Reauthorization of Drug-Free Communities Support Program (S. 2159) Food and Drug Administration Reform Act of 2012 (H.R. 5651/S. 3187) Access to Substance Abuse Treatment Act of 2012 (H.R. 5711) Excellence in Mental Health (S. 2257/H.R. 5989) Behavioral Health Information Technology Act of 2011 (S. 539/H.R. 6043) Health Equity and Accountability Act (HEAA) of 2012 (S. 2474/H.R.2954) Pharmaceutical Stewardship Act of 2011 (H.R. 2939) Mental Health ACCESS Act of 2012 (S. 3340)

Client expense: $10,078 · Firm income: Not reported

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

H.R. 2182, Generating Antibiotic Incentives Now Act of 2011, all provisions S. 1734, Generating Antibiotic Incentives Now Act of 2011, all provisions H.R. 4095, Online Pharmacy Safety Act, all provisions S. 2002, Online Pharmacy Safety Act, all provisions H.R. 2245, Preserving Access to Life-Saving Medications Act of 2011, all provisions S. 296, Preserving Access to Life-Saving Medications Act, all provisions H.R. 2086, Medical Debt Responsibility Act of 2011, all provisions S. 2149, Medical Debt Responsibility Act of 2012, all provisions H.R. 5651, Food and Drug Administration Reform Act of 2012, all provisions S. 3187, Food and Drug Administration Safety and Innovation Act, all provisions H.R. 2960, National Diabetes Clinical Care Commission Act, all provisions S. 2295, Patient Safety and Generic Labeling Improvement Act , all provisions H.R. 2119, Ryan Creedon Act of 2011, all provisions H.R. 3497, MODDERN Cures Act of 2011, all provisions H.R. 3207, Modernizing Laboratory Test Standards for Patients Act of 2011, all provisions H.R. 2939, Pharmaceutical Stewardship Act of 2011, all provisions H.R. 866, National All Schedules Prescription Electronic Reporting Reauthorization Act of 2011, all provisions H.R. 3839, Drug Shortage Prevention Act of 2012, all provisions H.R. 5842, Restoring Access to Medication Act of 2012, all provisions S.Amdt. 2151, To amend the Controlled Substances Act to make any substance containing hydrocodone a schedule II drug Mandatory CME for DEA Registrants Bath Salts Tanning Beds Affordable Care Act Insurance exchanges Violence Against Women Act, provisions relating to quality Drug Shortages Prescription Drug Abuse Next generation antibiotics Scope of Practice Health Insurance Reform Health Information Technology Flexible Spending Accounts/OTC medications Tax deduction for physician charity care HIPAA Administrative Simplification HIPAA privacy and security standards Regulation of energy beverages Unique Device Identification System Multi-Payor Claims Database Private payer guidelines for reporting data to physicians

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)