Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011

H.R.5-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 H.R.157-Health Care Safety Net Enhancement Act of 2011 H.R.314-Medical Liability Procedural Reform Act of 2011 H.R.816-Provider Shield Act of 2011 H.R.896-Medical Justice Act of 2011 H.R.1629-Family Health Care Accessibility Act of 2011 H.R.2205-Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R.2472-Health Care Professionals Protection Act of 2011 H.R.3000-Empowering Patients First Act H.R.3586-Good Samaritans Health Professionals Act of 2011 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 S.1059-Family Health Care Accessibility Act of 2011 S.1099-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011

Client expense: $891,775 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.5-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 H.R.157-Health Care Safety Net Enhancement Act of 2011 H.R.314-Medical Liability Procedural Reform Act of 2011 H.R.376-Volunteer Emergency Services Recruitment and Retention Act of 2011 H.R.436-Health Care Cost Reduction Act of 2012 H.R.452-Medicare Decisions Accountability Act of 2011 H.R.541-Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.816-Provider Shield Act of 2011 H.R.896-Medical Justice Act of 2011 H.R.969- Medical Practice Freedom Act of 2011 H.R. 971-Critical Care Assessment and Improvement Act of 2011 H.R.1004-Health Flexible Spending Arrangements Improvements Act of 2012 H.R.1117-Air Ambulance Patient Safety, Protection, and Coordination Act H.R.1256-Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1310-To amend the Internal Revenue Code of 1986 to exempt certain emergency medical devices from the excise tax on medical devices, and for other purposes H.R.1629-Family Health Care Accessibility Act of 2011 H.R.1668-Danny McIntosh Emergency Medical Service Providers Protection Act H.R.1683-State Flexibility Act H.R.1852-Children's Hospital GME Support Reauthorization Act of 2011 H.R.1941-Hiring Heroes Act of 2011 H.R.2104-Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy (CARE) Act of 2011 H.R.2205-Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R.2353-Volunteer Responder Incentive Protection Reauthorization Act of 2011 H.R.2405-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R.2472-Health Care Professionals Protection Act of 2011 H.R.2488-SERVE Act of 2011 H.R.2523-Physician Availability Act of 2011 H.R.2853-Emergency Medic Transition (EMT) Act of 2011 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.3511- Cardiac Arrest Survival Act of 2011 H.R.3586-Good Samaritans Health Professionals Act of 2011 H.R.3625-Cardiomyopathy Health Education, Awareness, Risk Assessment, and Training in the Schools (HEARTS) Act of 2011 H.R.4124-Veteran Emergency Medical Technician Support Act of 2012 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 H.R.5707-Medicare Physician Payment Innovation Act of 2012 H.R.5842-Restoring Access to Medication Act of 2012 H.R.5858-Health Savings Accounts Improvements Act of 2012 S.223-FAA Air Transportation Modernization and Safety Improvement Act S.385-Dale Long Emergency Medical Services Providers Protection Act S.668-Health Care Bureaucrats Elimination Act S.868-State Flexibility Act S.932-SERVE Act of 2011 S.933-Volunteer Responder Incentive Protection Reauthorization Act of 2011 S.951-Hiring Heroes Act of 2011 S.958-Children's Hospital GME Support Reauthorization Act of 2011 S.1059-Family Health Care Accessibility Act of 2011 S.1099-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 S.1407-Air Ambulance Medicare Accreditation and Accountability Act S.1855-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011

Client expense: $891,775 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.5-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 H.R.157-Health Care Safety Net Enhancement Act of 2011 H.R.314-Medical Liability Procedural Reform Act of 2011 H.R.376-Volunteer Emergency Services Recruitment and Retention Act of 2011 H.R.452-Medicare Decisions Accountability Act of 2011 H.R.541-Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.658-FAA Air Transportation Modernization and Safety Improvement Act H.R.816-Provider Shield Act of 2011 H.R.896-Medical Justice Act of 2011 H.R.971-Critical Care Assessment and Improvement Act of 2011 H.R.969-Medical Practice Freedom Act of 2011 H.R.1117-Air Ambulance Patient Safety, Protection, and Coordination Act H.R.1256-Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1310-To amend the Internal Revenue Code of 1986 to exempt certain emergency medical devices from the excise tax on medical devices, and for other purposes H.R.1629-Family Health Care Accessibility Act of 2011 H.R.1668-Danny McIntosh Emergency Medical Service Providers Protection Act H.R.1683-State Flexibility Act H.R.1852-Children's Hospital GME Support Reauthorization Act of 2011 H.R.1941-Hiring Heroes Act of 2011 H.R.2205-Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R.2353-Volunteer Responder Incentive Protection Reauthorization Act of 2011 H.R.2405-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R.2472-Health Care Professionals Protection Act of 2011 H.R.2488-SERVE Act of 2011 H.R.2523-Physician Availability Act of 2011 (7/13/2011) H.R.2853-Emergency Medic Transition (EMT) Act of 2011 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.3511-Cardiac Arrest Survival Act of 2011 H.R.3586-Good Samaritans Health Professionals Act of 2011 H.R.3625-Cardiomyopathy Health Education, Awareness, Risk Assessment, and Training in the Schools (HEARTS) Act of 2011 H.R.3630 (P.L. 112-96)-Temporary Payroll Tax Cut Continuation Act of 2011 H.R.3765 (P.L. 112-78)-Temporary Payroll Tax Cut Continuation Act of 2011 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 S.223-FAA Air Transportation Modernization and Safety Improvement Act S.385-Dale Long Emergency Medical Services Providers Protection Act S.668-Health Care Bureaucrats Elimination Act S.868-State Flexibility Act S.932-SERVE Act of 2011 S.933-Volunteer Responder Incentive Protection Reauthorization Act of 2011 S.951-Hiring Heroes Act of 2011 S.958-Children's Hospital GME Support Reauthorization Act of 2011 S.1059-Family Health Care Accessibility Act of 2011 S.1099-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 S.1407-Air Ambulance Medicare Accreditation and Accountability Act S.1855-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011

Client expense: $508,199 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.5-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 H.R.157-Health Care Safety Net Enhancement Act of 2011 H.R.314-Medical Liability Procedural Reform Act of 2011 H.R.816-Provider Shield Act of 2011 H.R.896- Medical Justice Act of 2011 H.R.971-Critical Care Assessment and Improvement Act of 2011 H.R.1629-Family Health Care Accessibility Act of 2011 H.R.2205-Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R.2472-Health Care Professionals Protection Act of 2011 H.R.3000-Empowering Patients First Act H.R.3586-Good Samaritans Health Professionals Act of 2011 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 S.1059-Family Health Care Accessibility Act of 2011 S.1099-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011

Client expense: $508,199 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

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

Client expense: $50,640 · Firm income: Not reported

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

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

Client expense: $50,640 · Firm income: Not reported

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

HR 2700, Global Autism Assistance Act of 2011: support for educational grant program related to autism spectrum disorders. S 1094, Combating Autism Reauthorization Act: support for autism research grant program. H. Res. 1219, HR 1217, To Repeal the Prevention and Public Health Fund: support for retention of the establishment of and appropriating funds for the Prevention and Public Health Fund in the Patient Protection and Affordable Care Act. HR 2205, Ending Defensive Medicine and Encouraging Innovative Reforms: support for prompt and fair resolution of medical disputes, enhancing quality of care, and ensuring patient access. HR 2376, Stem Cell Research Advancement Act of 2011: support for federal funding of human stem cell research. HR 2625, Research Participants Protection Modernization Act of 2011: support for protection of human subjects in research and for a reduction in regulatory burden, as appropriate.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2205; FY12 Labor HHS Appropriations legislation; H.R. 3630 - SGR extension and medicare reimbursement issues; H.R. 3671, Consolidated Appropriations Act of 2012, S.627, Budget Control Act of 2011.

Client expense: Not reported · Firm income: $110,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

Client expense: $8,482 · Firm income: Not reported

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

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

Client expense: $8,482 · Firm income: Not reported

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

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

Client expense: $50,640 · Firm income: Not reported

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

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

Client expense: $50,640 · Firm income: Not reported

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

H.R.5 - Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 H.R.157 - Health Care Safety Net Enhancement Act of 2011 H.R.314 - Medical Liability Procedural Reform Act of 2011 H.R.816 - Provider Shield Act of 2011 H.R.896 - Medical Justice Act of 2011 H.R.1629 - Family Health Care Accessibility Act of 2011 H.R.2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R.2472 - Health Care Professionals Protection Act of 2011 H.R.3000 - Empowering Patients First Act H.R.3586 - Good Samaritans Health Professionals Act of 2011 S.1059 - Family Health Care Accessibility Act of 2011 S.1099 - Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011

Client expense: $605,518 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.5 - Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 H.R.157 - Health Care Safety Net Enhancement Act of 2011 H.R.314 - Medical Liability Procedural Reform Act of 2011 H.R.376 - Volunteer Emergency Services Recruitment and Retention Act of 2011 H.R.452 - Medicare Decisions Accountability Act of 2011 H.R.541 - Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.658 - FAA Air Transportation Modernization and Safety Improvement Act H.R.816 - Provider Shield Act of 2011 H.R.896 - Medical Justice Act of 2011 H.R.969 - Medical Practice Freedom Act of 2011 H.R.971 - Critical Care Assessment and Improvement Act of 2011 H.R.1005 - Medicare Ambulance Access Preservation Act of 2011 H.R.1117 - Air Ambulance Patient Safety, Protection, and Coordination Act H.R.1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1310 - To amend the Internal Revenue Code of 1986 to exempt certain emergency medical devices from the excise tax on medical devices, and for other purposes H.R.1629 - Family Health Care Accessibility Act of 2011 H.R.1668 - Danny McIntosh Emergency Medical Service Providers Protection Act H.R.1683 - State Flexibility Act H.R.1852 - Children's Hospital GME Support Reauthorization Act of 2011 H.R.1941 - Hiring Heroes Act of 2011 H.R.2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R. 2353 - Volunteer Responder Incentive Protection Reauthorization Act of 2011 H.R.2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R.2472 - Health Care Professionals Protection Act of 2011 H.R. 2488 - SERVE Act of 2011 H.R.3000 - Empowering Patients First Act H.R.3144 - Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269 - Diagnostic Imaging Services Protection Act of 2011 H.R.3586 - Good Samaritans Health Professionals Act of 2011 H.R.3630 - Temporary Payroll Tax Cut Continuation Act of 2011 H.R.3765 (P.L112-78) - Temporary Payroll Tax Cut Continuation Act of 2011 S.223 - FAA Air Transportation Modernization and Safety Improvement Act S.385 - Dale Long Emergency Medical Services Providers Protection Act S.424 - Medicare Ambulance Access Preservation Act of 2011 S.868 - State Flexibility Act S.932 - SERVE Act of 2011 S.933 - Volunteer Responder Incentive Protection Reauthorization Act of 2011 S.951 - Hiring Heroes Act of 2011 S.958 - Children's Hospital GME Support Reauthorization Act of 2011 S.1059 - Family Health Care Accessibility Act of 2011 S.1099 - Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 S.1407 - Air Ambulance Medicare Accreditation and Accountability Act S.1855 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011

Client expense: $605,518 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2219 and unnumbered Senate bill, Department of of Defense Appropriations FY 2012; H.R. 2205, Military Construction and VA Appropriations FY 2012: grants and appropriations for advanced concrete applications. Federal agency (DoT, HUD, DHS) grants programs and project opportunities.

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

Government targets: Defense, Dept of (DOD), Energy, Dept of, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), SENATE, Transportation, Dept of (DOT)

H.R. 2405, Pandemic and All-Hazards Preparedness Reauthorization Act of 2011, Stearns Amendment H.R. 2205, Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011, Section 141 H.R. 5, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011, all provisions S. 1099, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011, all provisions S. 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 816, Provider Shield Act of 2011, all provisions Medical Liability Reform Good Samaritan Health Professionals Act Patient Safety and Medical Liability Reform

Client expense: $7,240,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), SENATE, State, Dept of (DOS), White House Office

H.R. 5, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011: Medical liability reform H.R. 157, the Health Care Safety Net Enhancement Act of 2011: Medical liability protection for physicians providing EMTALA mandated services H.R. 816, Provider Shield Act of 2011: Medical liability reform and protection from expanded legal causes of action in the Patient Protection and Affordable Care Act H.R. 896, the Medical Justice Act: Medical liability reform H.R. 966, the Lawsuit Abuse Reduction Act of 2011: Strengthening Rule 11 sanctions for filing frivolous lawsuits H.R. 1409, the Quality Health Care Coalition Act of 2011: Antitrust relief so physicians can jointly negotiate with health insurance plans H.R. 1852, the Childrens Hospital GME Support Reauthorization Act of 2011 H.R. 2205, the Ending Defensive Medicine and Encouraging Innovative Reforms Act: Medical Liability Reform S. 533, the Lawsuit Abuse Reduction Act of 2011: Strengthening Rule 11 sanctions for filing frivolous lawsuits S. 1099, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011: Medical liability reform No Bill: Funding for trauma and emergency care grant programs No Bill: Funding for pediatric specialists loan repayment program

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

H.R. 5, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011: Medical liability reform H.R. 157, the Health Care Safety Net Enhancement Act of 2011: Medical liability protection for physicians providing EMTALA mandated services H.R. 816, Provider Shield Act of 2011: Medical liability reform and protection from expanded legal causes of action in the Patient Protection and Affordable Care Act H.R. 896, the Medical Justice Act: Medical liability reform H.R. 966, the Lawsuit Abuse Reduction Act of 2011: Strengthening Rule 11 sanctions for filing frivolous lawsuits H.R. 1409, the Quality Health Care Coalition Act of 2011: Antitrust relief so physicians can jointly negotiate with health insurance plans H.R. 1852, the Childrens Hospital GME Support Reauthorization Act of 2011 H.R. 2205, the Ending Defensive Medicine and Encouraging Innovative Reforms Act: Medical Liability Reform S. 533, the Lawsuit Abuse Reduction Act of 2011: Strengthening Rule 11 sanctions for filing frivolous lawsuits S. 1099, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011: Medical liability reform No Bill: Funding for trauma and emergency care grant programs No Bill: Funding for pediatric specialists loan repayment program

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

HR 2354 Energy and Water Appropriations Act FY2012 HR 2682 Business Risk Mitigation and Price Stability Act HR 2205 EPA Regulatory Relief Act of 2011 Matters regarding reliability of the electric system

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

Government targets: Energy, Dept of, Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, SENATE

HR 2700, Global Autism Assistance Act of 2011: support for educational grant program related to autism spectrum disorders. S. 1094, Combating Autism Reauthorization Act: support for autism research grant program. H.Res. 1219, HR 1217, To Repeal the Prevention and Public Health Fund: support for retention of the establishment of and appropriating funds for the Prevention and Public Health fund in the Patient Protection and Affordable Care Act. HR 2205, Ending Defensive Medicine and Encouraging Innovative Reforms: support for prompt and fair resolution of medical disputes, enhancing quality of care, and ensuring patient access. HR 2376, Stem Cell Research Advancement Act of 2011: support for federal funding of human stem cell research. HR 2625, Research Participants Protection Modernization Act of 2011: support for protection of human subjects in research and for a reduction in regulatory burden, as appropriate.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

Client expense: $17,928 · Firm income: Not reported

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

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

Client expense: $17,928 · Firm income: Not reported

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

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

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

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

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

Client expense: $47,205 · Firm income: Not reported

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

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

Client expense: $47,205 · Firm income: Not reported

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

H.R. 1 - Full-year continuing Appropriations Act of 2011 (2/11/11) H.R.5 - Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 H.R.157 - Health Care Safety Net Enhancement Act of 2011 H.R.314 - Medical Liability Procedural Reform Act of 2011 H.R.376 - Volunteer Emergency Services Recruitment and Retention Act of 2011 H.R.452 - Medicare Decisions Accountability Act of 2011 H.R.541 - Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.658 - FAA Air Transportation Modernization and Safety Improvement Act H.R.816 - Provider Shield Act of 2011 H.R.896 - Medical Justice Act of 2011 H.R.969 - Medical Practice Freedom Act of 2011 H.R.971 - Critical Care Assessment and Improvement Act of 2011 H.R.1005 - Medicare Ambulance Access Preservation Act of 2011 H.R.1065 - Pill Mill Crackdown Act of 2011 H.R.1117 - Air Ambulance Patient Safety, Protection, and Coordination Act H.R.1213 - To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges H.R.1214 - To repeal mandatory funding for school-based health center construction H.R.1254 - Synthetic Drug Control Act of 2011 H.R.1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1310 - To amend the Internal Revenue Code of 1986 to exempt certain emergency medical devices from the excise tax on medical devices, and for other purposes H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act of 2011 H.R.1571 - Combating Dangerous Synthetic Stimulants Act of 2011 H.R.1622 - Spectrum Innovation Act H.R.1668 - Danny McIntosh Emergency Medical Service Providers Protection Act H.R.1683 - State Flexibility Act H.R.1852 - Children's Hospital GME Support Reauthorization Act of 2011 H.R.1925 - Prescription Drug Abuse Prevention and Treatment Act of 2011 H.R.1941 - Hiring Heroes Act of 2011 H.R.2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R.2324 - Research of Alcohol Detection Systems (ROADS) for Stopping Alcohol-related Fatalities Everywhere Act of 2011 H.R.2353 - Volunteer Responder Incentive Protection Reauthorization Act of 2011 H.R.2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R.2472 - Health Care Professionals Protection Act of 2011 H.R.2488 - SERVE Act of 2011 H.R.2523 - Physician Availability Act of 2011 S.12 - Job Creation Act of 2011 S.197 - Medical Care Access Protection (MCAP) Act of 2011 S.223 - FAA Air Transportation Modernization and Safety Improvement Act S.296 - Preserving Access to Life-Saving Medications Act S.385 - Dale Long Emergency Medical Services Providers Protection Act S.409 - Combating Dangerous Synthetic Stimulants Act of 2011 S.424 - Medicare Ambulance Access Preservation 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.668 - Health Care Bureaucrats Elimination Act S.868 - State Flexibility Act S.911 - SPECTRUM Act S.932 - SERVE Act of 2011 S.933 - Volunteer Responder Incentive Protection Reauthorization Act of 2011 S.951 - Hiring Heroes Act of 2011 S.958 - Children's Hospital GME Support Reauthorization Act of 2011 S.1059 - Family Health Care Accessibility Act of 2011 S.1099 - Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011

Client expense: $444,059 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.5 - Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 H.R.157 - Health Care Safety Net Enhancement Act of 2011 H.R.314 - Medical Liability Procedural Reform Act of 2011 H.R.376 - Volunteer Emergency Services Recruitment and Retention Act of 2011 H.R.452 - Medicare Decisions Accountability Act of 2011 H.R.541 - Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.816 - Provider Shield Act of 2011 H.R.896 - Medical Justice Act of 2011 H.R.969 - Medical Practice Freedom Act of 2011 H.R.971 - Critical Care Assessment and Improvement Act of 2011 H.R.1005 - Medicare Ambulance Access Preservation Act of 2011 H.R.1065 - Pill Mill Crackdown Act of 2011 H.R.1117 - Air Ambulance Patient Safety, Protection, and Coordination Act H.R.1213 - To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges H.R.1214 - To repeal mandatory funding for school-based health center construction H.R.1254 - Synthetic Drug Control Act of 2011 H.R.1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1622 - Spectrum Innovation Act H.R.1629 - Family Health Care Accessibility Act of 2011 H.R.1668 - Danny McIntosh Emergency Medical Service Providers Protection Act H.R.1683 - State Flexibility Act H.R.1852 - Children's Hospital GME Support Reauthorization Act of 2011 H.R.1941 - Hiring Heroes Act of 2011 H.R.2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R.2245 - Preserving Access to Life-Saving Medications Act of 2011 was it introduced in July 1 H.R.2353 - Volunteer Responder Incentive Protection Reauthorization Act of 2011 H.R.2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 S.12 - Job Creation Act of 2011 S.197 - Medical Care Access Protection (MCAP) Act of 2011 S.296 - Preserving Access to Life-Saving Medications Act S.385 - Dale Long Emergency Medical Services Providers Protection Act S.409 - Combating Dangerous Synthetic Stimulants Act of 2011 S.424 - Medicare Ambulance Access Preservation Act of 2011 S.507 - Prescription Drug Abuse Prevention and Treatment Act of 2011 S.605 - Dangerous Synthetic Drug Control Act of 2011 S.668 - Health Care Bureaucrats Elimination Act S.868 - State Flexibility Act S.911 - SPECTRUM Act S.932 - SERVE Act of 2011 S.933 - Volunteer Responder Incentive Protection Reauthorization Act of 2011 S.951 - Hiring Heroes Act of 2011 S.958 - Children's Hospital GME Support Reauthorization Act of 2011 S.1099 - Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011

Client expense: $510,838 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011: Medical liability reform H.R. 157, the Health Care Safety Net Enhancement Act of 2011: Medical liability protection for physicians providing EMTALA mandated services H.R. 816, Provider Shield Act of 2011: Medical liability reform and protection from expanded legal causes of action in the Patient Protection and Affordable Care Act H.R. 896, the Medical Justice Act: Medical liability reform H.R. 966, the Lawsuit Abuse Reduction Act of 2011: Strengthening Rule 11 sanctions for filing frivolous lawsuits H.R. 1409, the Quallity Health Care Coalition Act of 2011: Antitrust relief so physicians can jointly negotiate with health insurance plans H.R. 2205, the Ending Defensive Medicine and Encouraging Innovative Reforms Act: Medical Liablity Reform S. 197, the Medical Care Access Protection Act: Medical liability reform S. 533, the Lawsuit Abuse Reduction Act of 2011: Strengthening Rule 11 sanctions for filing frivolous lawsuits S. 1099, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011: Medical liability reform No Bill: Federal regulation of medical resident work hours

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011: Medical liability reform H.R. 157, the Health Care Safety Net Enhancement Act of 2011: Medical liability protection for physicians providing EMTALA mandated services H.R. 816, Provider Shield Act of 2011: Medical liability reform and protection from expanded legal causes of action in the Patient Protection and Affordable Care Act H.R. 896, the Medical Justice Act: Medical liability reform H.R. 966, the Lawsuit Abuse Reduction Act of 2011: Strengthening Rule 11 sanctions for filing frivolous lawsuits H.R. 1409, the Quallity Health Care Coalition Act of 2011: Antitrust relief so physicians can jointly negotiate with health insurance plans H.R. 2205, the Ending Defensive Medicine and Encouraging Innovative Reforms Act: Medical Liablity Reform S. 197, the Medical Care Access Protection Act: Medical liability reform S. 533, the Lawsuit Abuse Reduction Act of 2011: Strengthening Rule 11 sanctions for filing frivolous lawsuits S. 1099, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011: Medical liability reform No Bill: Federal regulation of medical resident work hours

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

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

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

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

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

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

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

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

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

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

Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act (regarding medical liability reform), H.R. 5, entire bill; The Provider Shield Act (regarding standards of care in medical liability lawsuits), H.R. 816, entire bill; Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 (regarding medical liability reform), H.R. 2205, entire bill; (Unintroduced) Medical Practice Protection Act, (regarding medical liability reform), entire bill; (Unintroduced) National Disclosure and Proactive Compensation Program (regarding medical liability), entire bill; Medical Care Access Protection Act of 2011 (regarding medical liability reform), S. 197, entire bill; Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act (regarding medical liability reform), S. 218, entire bill; Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act (regarding medical liability reform), S. 1099, entire bill.

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

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