Lymphedema Diagnosis and Treatment Cost-Saving Act of 2011

S.829/H.R. 1546: Medicare Access to Rehabilitation Services Act of 2011 - advocate for removal of cap on occupational therapy services and passage of bills. No bill: Multiple Procedure Payment Reduction (MPPR) policy - advocated for separation of occupational therapy from physical therapy/speech language pathology in applicaiton of MPPR policy. No bill: Advocated for exclusion of occuaptional therapy from any additional accreditation requirements for provision of orthotics/prosthetics. H.R. 2468: Medicare Home Health Flexibility Act - advocate for making occupational therapy an initiating service. No bill#: Medicare Physician Fee Schedule - oppose cuts to therapy services and advocate to identify alternative payment options for therapy services. H.R. 2499:Lymphedema Diagnosis and Treatment Cost Savings Act. Lymphedema treatment for Medicare beneficiaries - advocate for role of occupational therapy in lymphedema treatment under Medicare and support passage.. No bill #: Suport proposal for legislation to create new complex rehabilitation device benefit. Promote role of occupational therapy. H.R. 2785: Athletic Trainers Equal Access to Medicare Act - oppose.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE

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

Implementation of Pub. Law No. 111-148, the Patient Protection and Affordable Care Act, primarily patient protection provisions and provisions on breast health education, research and clinical trials. (Continued on Addendum) H.R.2219, Department of Defense Appropriations Act, 2012, primarily matters related to appropriations for Congressional Directed Medical Research Programs. Pub. Law No. 112-74, Consolidated Appropriations Act, 2012, primarily matters related to appropriations for cancer research, cancer screening programs and Congressional directed medical research programs. S.3295, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, primarily matters related to funding of cancer research and CDC cancer prevention and control programs. H.R.2245/S.296, Preserving Access to Life-Saving Medications Act of 2011, primarily matters related to establishing notification requirements to mitigate drug shortages. H.R. 3839, Drug Shortage Prevention Act of 2012. H.R.2499, Lymphedema Diagnosis and Treatment Cost-Saving Act of 2011. H.R.3102, Breast Density and Mammography Reporting Act of 2011. H.R.3067, Accelerating the End of Breast Cancer Act of 2011. H.R.3705, Comprehensive Cancer Care Improvement Act of 2011. H.R.2746, Cancer Drug Coverage Parity Act of 2011. H.R.1483, Drug Safety Enhancement Act of 2011, primarily matters related to ensuring the safety and quality of the drug supply chain. H.R.3699, Research Works Act, primarily matters related to opposing it in order to protect the NIH Public Access Policy. S.2113, Transforming the Regulatory Environment to Accelerate Access to Treatments, primarily matters related to codifying and clarifying FDA authority to expedite approval of new treatments for life-threatening conditions. S.2236, Advancing Breakthrough Therapies for Patients Act of 2012. Pub. Law No. 112-144, Food and Drug Administration Safety and Innovation Act of 2012, primarily matters related to drug shortages, drug approval and patient access. H.R. 4209, Patients' Access to Treatments Act of 2012. H.R. 5937, Breast Cancer Patient Education Act of 2012. H.R. 6157, Patient Centered Quality Care for Life Act of 2012

HR 2499, The Puerto Rico Democracy Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, State, Dept of (DOS), White House Office

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

Implementation of Pub. Law No. 111-148, the Patient Protection and Affordable Care Act, primarily patient protection provisions and provisions on breast health education, research and clinical trials. (Continued on Addendum) H.R.2219, Department of Defense Appropriations Act, 2012, primarily matters related to appropriations for Congressional Directed Medical Research Programs. Pub. Law No. 112-74, Consolidated Appropriations Act, 2012, primarily matters related to appropriations for cancer research, cancer screening programs and Congressional directed medical research programs. S.3295, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, primarily matters related to funding of cancer research and CDC cancer prevention and control programs. H.R.2245/S.296, Preserving Access to Life-Saving Medications Act of 2011, primarily matters related to establishing notification requirements to mitigate drug shortages. H.R. 3839, Drug Shortage Prevention Act of 2012. H.R.2499, Lymphedema Diagnosis and Treatment Cost-Saving Act of 2011. H.R.3102, Breast Density and Mammography Reporting Act of 2011. H.R.3067, Accelerating the End of Breast Cancer Act of 2011. H.R.3705, Comprehensive Cancer Care Improvement Act of 2011. H.R.2746, Cancer Drug Coverage Parity Act of 2011. H.R.1483, Drug Safety Enhancement Act of 2011, primarily matters related to ensuring the safety and quality of the drug supply chain. H.R.3699, Research Works Act, primarily matters related to opposing it in order to protect the NIH Public Access Policy. S.2113, Transforming the Regulatory Environment to Accelerate Access to Treatments, primarily matters related to codifying and clarifying FDA authority to expedite approval of new treatments for life-threatening conditions. S.2236, Advancing Breakthrough Therapies for Patients Act of 2012. Pub. Law No. 112-144, Food and Drug Administration Safety and Innovation Act of 2012, primarily matters related to drug shortages, drug approval and patient access. H.R. 4209, Patients' Access to Treatments Act of 2012. H.R. 5937, Breast Cancer Patient Education Act of 2012.

S.829/H.R. 1546: Medicare Access to Rehabilitation Services Act of 2011 - advocate for removal of cap on occupational therapy services and passage of bills. No bill: Multiple Procedure Payment Reduction (MPPR) policy - advocated for separation of occupational therapy from physical therapy/speech language pathology in applicaiton of MPPR policy. No bill: Advocated for exclusion of occuaptional therapy from any additional accreditation requirements for provision of orthotics/prosthetics. H.R. 2468: Medicare Home Health Flexibility Act - advocate for making occupational therapy an initiating service. No bill#: Medicare Physician Fee Schedule - oppose cuts to therapy services and advocate to identify alternative payment options for therapy services. H.R. 2499:Lymphedema Diagnosis and Treatment Cost Savings Act. Lymphedema treatment for Medicare beneficiaries - advocate for role of occupational therapy in lymphedema treatment under Medicare and support passage.. No bill #: Suport proposal for legislation to create new complex rehabilitation device benefit. Promote role of occupational therapy. H.R. 2785: Athletic Trainers Equal Access to Medicare Act - oppose. H.R. 3630 (PL 112-96)- Middle Class Tax Relief and Job Creation Act of 2011 - Medicare therapy cap provisions and the Medicare Physician Fee Schedule SGR (sustainable growth revenue).

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

Implementation of Pub. Law No. 111-148, the Patient Protection and Affordable Care Act, primarily patient protection provisions and provisions on breast health education, research and clinical trials. (Continued on Addendum) H.R.3070/S.1599, Department of Labor, Health and Human Services, Education and Related Agencies Appropriations Act, 2012, primarily matters related to appropriations for cancer research and cancer screening programs. H.R.2219, Department of Defense Appropriations Act, primarily matters related to appropriations for Congressional Directed Medical Research Programs. Pub. Law No. 112-74, Consolidated Appropriations Act, 2012, primarily matters related to appropriations for cancer research, cancer screening programs and Congressional directed medical research programs. Pub. Law No. 112-25, the Budget Control Act of 2011, primarily matters related to funding of cancer research and CDC cancer prevention and control programs. H.R.2245/S.296, Preserving Access to Life-Saving Medications Act of 2011, primarily matters related to establishing notification requirements to mitigate drug shortages. H.R. 3839, Drug Shortage Prevention Act of 2012. H.R.2499, Lymphedema Diagnosis and Treatment Cost-Saving Act of 2011. H.R.3102, Breast Density and Mammography Reporting Act of 2011. H.R.3067, Accelerating the End of Breast Cancer Act of 2011. H.R.3705, Comprehensive Cancer Care Improvement Act of 2011. H.R.2746, Cancer Drug Coverage Parity Act of 2011. H.R.1483, Drug Safety Enhancement Act of 2011, primarily matters related to ensuring the safety and quality of the drug supply chain. H.R.3699, Research Works Act, primarily matters related to opposing an order to protect the NIH Public Access Policy. S.2113, Transforming the Regulatory Environment to Accelerate Access to Treatments, primarily matters related to codifying and clarifying FDA authority to expedite approval of new treatments for life-threatening conditions. S.2236, Advancing Breakthrough Therapies for Patients Act of 2012. Support of draft congressional resolution for reauthorization of the Prescription Drug User Fee Act (PDUFA), primarily matters related to drug shortages, drug approval and patient access.

S.829/H.R. 1546: Medicare Access to Rehabilitation Services Act of 2011 - advocate for removal of cap on occupational therapy services and passage of bills. No bill: Multiple Procedure Payment Reduction (MPPR) policy - advocated for separation of occupational therapy from physical therapy/speech language pathology in applicaiton of MPPR policy. No bill: Advocated for exclusion of occuaptional therapy from any additional accreditation requirements for provision of orthotics/prosthetics. H.R. 2468: Medicare Home Health Flexibility Act - advocate for making occupational therapy an initiating service. No bill#: Medicare Physician Fee Schedule - oppose cuts to therapy services and advocate to identify alternative payment options for therapy services. H.R. 2499:Lymphedema Diagnosis and Treatment Cost Savings Act. Lymphedema treatment for Medicare beneficiaries - advocate for role of occupational therapy in lymphedema treatment under Medicare and support passage.. No bill #: Suport proposal for legislation to create new complex rehabilitation device benefit. Promote role of occupational therapy. H.R. 2785: Athletic Trainers Equal Access to Medicare Act - oppose. H.R. 3630 (PL 112-96)- Middle Class Tax Relief and Job Creation Act of 2011 - Medicare therapy cap provisions and the Medicare Physician Fee Schedule SGR (sustainable growth revenue).

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

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

HR 2499, the Puerto Rico Democracy Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, State, Dept of (DOS), White House Office

H.R. 1546/S. 829-Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) H.R. 560 Rural Representation and Transparency Improvement Act Payments to Physical Therapists under the Medicare Physician Fee Schedule Permanent Repeal of the Sustainable Growth Rate (SGR) Formula Opposition of Multiple Procedure Payment Reduction Physician Quality Reporting System Opposition to Medicaid Funding Cuts Physician Self-Referral Medicare Advanced Imaging Act To Improve the Treatment & Diagnosis of Lymphedema Under the Medicare Program Opt-Out Locum Tenens Prevention Initiatives for Frad and Abuse in the Medicare program H.R. 2785 Opposition to Athletic Trainers' Equal Access to Medicare Act, all provisions Accountable Care Organizations - Medicare shared savings propsed and interim final rules Electronic Health Records/ Health Information Technology for Physical Therapists Home Health PPS 2011/ 2012 Development of Alternatives to Medicare Therapy Cap Medicare Payment Reform H.R. 1700 Medicare Patient Empowerment Act, inclusion of physical therapists S. 668 Health Care Bureacrats Elmination Act (IPAB Repeal), all provisions H.R. 452 Medicare Decisions Accountability Act of 2011 (IPAB Repeal), all provisions Protecting Medicaid Caps or Block Grants SNF PPS FY 2012/MDS 3.0/RUG IV IRF PPS FY 2012 Quality Initiatives & Value Based Purchasing Local Coverage Determinations NCCI Edits H.R. 2863 Medicare Oral Health Rehabilitative Enhancement Act of 2011, all provisions H.R. 2499 Lymphedema Diagnosis and Treatment Cost-Saving Act of 2011, all provisions Protection of programs related to physical therapy in deficit reduction H.R. 1958 Medicare Orthotics and Prosthetics Improvement Act of 2011, all provisions OPPS CY 2012 H.R. 3000 Empowering Patients First Act, provisions pertaining to physical therapy H.R. 3630 Middle Class Tax and Job Creation Act of 2011; Section 2201 and 2203 provisions relating to Medicare Reimbursement TENS Chronic Low Back Pain national Coverage Analysis by CMS Prepayment Review/Prior Authorization Power Mobility Device Demonstration Health Insurace Exchanges - Establishment of Exchanges and Qualified Health Plans Hospital Conditions of Participation Met with SFC on Medicare Audit process USPSTF Adult Obesity (screening and management) Regulatory reform/transparency Medicare/Medicaid Regulatory Alignment

Implementation of Pub. Law No. 111-148, the Patient Protection and Affordable Care Act, primarily patient protection provisions, provisions on breast health education and postal provision. (Continued on Addendum) H.R.3070/S.1599, Departments of Labor, Health and Human Services, Education, and Related Agencies Appropriations Act, 2012, primarily matters related to appropriations for cancer research and cancer screening programs. H.R.2219, Department of Defense Appropriations Act, 2012, primarily matters related to appropriations for Congressional Directed Medical Research Programs. Pub. Law No. 112-25, the Budget Control Act of 2011, primarily matters related to funding of cancer research and breast cancer programs. H.R.466/S. 384, Breast Cancer Research Stamp Reauthorization Act. H.R.2245/S.296, Preserving Access to Life-Saving Medications Act of 2011, primarily matters related to cancer treatments. H.R.2499, Lymphedema Diagnosis and Treatment Cost-Saving Act of 2011. H.R.3613, Part D Beneficiary Appeals Fairness Act, primarily matters related to specialty tiers of prescription drugs. H.R.3102, Breast Density and Mammography Reporting Act of 2011. H.R.3067, Accelerating the End of Breast Cancer Act of 2011. H.R.3705, Comprehensive Cancer Care Improvement Act of 2011. H.R.2746, Cancer Drug Coverage Parity Act of 2011. H.R.111, Breast Cancer Patient Protection Act of 2011.

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

S.829/H.R. 1546: Medicare Access to Rehabilitation Services Act of 2011 - advocate for removal of cap on occupational therapy services and passage of bills. No bill: Multiple Procedure Payment Reduction (MPPR) policy - advocated for separation of occupational therapy from physical therapy/speech language pathology in applicaiton of MPPR policy. No bill: Advocated for exclusion of occuaptional therapy from any additional accreditation requirements for provision of orthotics/prosthetics. H.R. 2468: Medicare Home Health Flexibility Act - advocate for making occupational therapy an initiating service. No bill#: Medicare Physician Fee Schedule - oppose cuts to therapy services and advocate to identify alternative payment options for therapy services. H.R. 2499:Lymphedema Diagnosis and Treatment Cost Savings Act. Lymphedema treatment for Medicare beneficiaries - advocate for role of occupational therapy in lymphedema treatment under Medicare and support passage.. No bill #: Suport proposal for legislation to create new complex rehabilitation device benefit. Promote role of occupational therapy. H.R. 2785: Athletic Trainers Equal Access to Medicare Act - oppose. H.R. 3630 - Middle Class Tax Relief and Job Creation Act of 2011 - Medicare therapy cap provisions and the Medicare Physician Fee Schedule SGR (sustainable growth revenue). H.R. 3765: Temporary Payroll Tax Cut Continuation Act of 2011 - Mediare therapy cap provisions and the Medicare Physician Fee Schedule SGR (sustainable growth revenue).

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

Health Care Reform; NIDA Comment Letter on Prescription Drug Abusel H.R. 2746-Cancer Drug Coverage Parity Act of 2011; H.R. 2499--Lymphedema Diagnosis and Treatment Cost-Savings Act; H.R. 3622 Assuring and Improving CAncer Treatment Education and Symptom Management Act

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

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

Health Care Reform; NIDA Comment Letter on Prescription Drug Abuse; H.R. 2746 - Cancer Drug Coverage Parity Act of 2011; H.R. 2499 - Lymphedema Diagnosis and Treatment Cost-Savings Act; H.R. 2245/S. 296 - Preserving Access to Life-Saving Medication Act; S. Res 347 - Res. Recognizing the 70th Anniv. of the National Cancer Act; H.R. 3622 - Assuring and Improving Cancer Treatment Education & Symptom Management Act.

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

Government targets: 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), SENATE, White House Office

HR 2499, The Puerto Rico Democracy Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, State, Dept of (DOS), White House Office

Implementation of Pub. Law No. 111-148, the Patient Protection and Affordable Care Act, primarily patient protection provisions and provisions on breast health education. H.R.3070/S.1599, Making appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2012, and for other purposes, primarily matters related to appropriations for cancer research and cancer screening programs. H.R.2219/Senate companion bill, Department of Defense Appropriations Act, related to appropriations for Congressional Directed Medical Research Programs. H.R.466/S. 384, Breast Cancer Research Stamp Reauthorization Act. H.R.2245/S.296, Preserving Access to Life-Saving Medications Act of 2011, primarily matters related to cancer treatments. H.R.2499, Lymphedema Diagnosis and Treatment Cost-Saving Act of 2011. Pub. Law No. 112-25, the Budget Control Act of 2011, primarily matters related to funding of cancer research and breast cancer programs. H.R.2746, Cancer Drug Coverage Parity Act of 2011. H.R.111, Breast Cancer Patient Protection Act of 2011

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

H.R. 1546/S. 829-Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) H.R. 560 Rural Representation and Transparency Improvement Act Payments to Physical Therapists under the Medicare Physician Fee Schedule Permanent Repeal of the Sustainable Growth Rate (SGR) Formula Opposition of Multiple Procedure Payment Reduction Physician Quality Reporting System Opposition to Medicaid Funding Cuts Physician Self-Referral Medicare Advanced Imaging Act To Improve the Treatment & Diagnosis of Lymphedema Under the Medicare Program Opt-Out Locum Tenens Prevention Initiatives for Frad and Abuse in the Medicare program H.R. 2785 Opposition to Athletic Trainers' Equal Access to Medicare Act, all provisions Accountable Care Organizations Electronic Health Records/ Health Information Technology for Physical Therapists Home Health PPS 2011/ 2012 Development of Alternatives to Medicare Therapy Cap Medicare Payment Reform H.R. 1700 Medicare Patient Empowerment Act, inclusion of physical therapists S. 668 Health Care Bureacrats Elmination Act (IPAB Repeal), all provisions H.R. 452 Medicare Decisions Accountability Act of 2011 (IPAB Repeal), all provisions Protecting Medicaid Caps or Block Grants SNF PPS FY 2012/MDS 3.0/RUG IV IRF PPS FY 2012 Quality Initiatives & Value Based Purchasing Local Coverage Determinations NCCI Edits H.R. 2863 Medicare Oral Health Rehabilitative Enhancement Act of 2011, all provisions H.R. 2499 Lymphedema Diagnosis and Treatment Cost-Saving Act of 2011, all provisions Protection of programs related to physical therapy in deficit reduction H.R. 1958 Medicare Orthotics and Prosthetics Improvement Act of 2011, all provisions OPPS CY 2012 H.R. 3000 Empowering Patients First Act, provisions pertaining to physical therapy

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

S.829/H.R. 1546: Medicare Access to Rehabilitation Services Act of 2011 - advocate for removal of cap on occupational therapy services and passage of bills. No bill: Multiple Procedure Payment Reduction (MPPR) policy - advocated for separation of occupational therapy from physical therapy/speech language pathology in applicaiton of MPPR policy. No bill: Advocated for exclusion of occuaptional therapy from any additional accreditation requirements for provision of orthotics/prosthetics. H.R. 2468: Medicare Home Health Flexibility Act - advocate for making occupational therapy an initiating service. No bill#: Medicare Physician Fee Schedule - oppose cuts to therapy services and advocate to identify alternative payment options for therapy services. H.R. 2499:Lymphedema Diagnosis and Treatment Cost Savings Act. Lymphedema treatment for Medicare beneficiaries - advocate for role of occupational therapy in lymphedema treatment under Medicare and support passage.. No bill #: Suport proposal for legislation to create new complex rehabilitation device benefit. Promote role of occupational therapy. H.R. 2785: Athletic Trainers Equal Access to Medicare Act - oppose.

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

Health Care Reform; NIDA Comment Letter on Prescription Drug Abuse; H.R. 2746 - Cancer Drug Coverage Parity Act of 2011; H.R. 2499 - Lymphedema Diagnosis and Treatment Cost-Savings Act; H.R. 2245 - Preserving Access to Life-Saving Medications Act of 2011.

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

Government targets: 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), SENATE, White House Office

H.R. 2499, The Puerto Rico Democracy Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, State, Dept of (DOS), White House Office

H.R. 2499, the Puerto Rico Democracy Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, State, Dept of (DOS), White House Office

H.R. 2499, the Puerto Rico Democracy Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, State, Dept of (DOS), White House Office