Health Equity and Accountability Act of 2011

H.R. 2954, The Health Equity and Accountability Act of 2011. Pub. L. 111-148, Patient Protection and Affordable Care Act (implementation). H.R. 6482, To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to the prevention and treatment of lung disease including the following legislation: H.R. 2954 Health Equity and Accountability Act of 2011; S. 2474 Health Equity and Accountability Act of 2012 H.R. 1394 Lung Cancer Mortality Reduction Act; H.R. 2505 Pulmonary Fibrosis Research Enhancement Act; S. 752 Lung Cancer Mortality Reduction Act; S. 1350 Pulmonary Fibrosis Research Enhancement Act; S. 1884 School Access to Emergency Epinephrine Act; H.R.4078 Red Tape Reduction and Small Business Job Creation Act H.R. 4607 Midnight Rule Relief Act of 2012; H.R. 3862 Sunshine for Regulatory Decrees and Settlements Act of 2012; H.R.6190 Asthma Inhalers Relief Act of 2012; H.R.4310 National Defense Authorization Act for Fiscal Year 2013; Issues related to tobacco cessation ; Issues related to electronic cigarettes; Issues related to tobacco control research at the National Institutes of Health; Issues related to the implementation of the Affordable Care Act; Issues relating to Chronic Obstructive Pulmonary Disease; Issues related to tuberculosis; Issues related to Lung Cancer; Issues related health disparities and health equity; Issues related to asthma; Issues related to the President's Budget; Issues related to smokefree air; Issues related to the Budget Control Act; Issues related to the implementation of the Presecription Drug User Fee Act; Issues related to the Family Asthma Act

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Issues related to the prevention and treatment of lung disease including: H.R. 2954 Health Equity and Accountability Act of 2011; Issues related to tobacco cessation coverage; Issues related to the implementation of the Affordable Care Act; Issues related to Medicaid. House Labor, Health and Human Services Appropriations Act FY2013; S. 3295 Labor, Health and Human Services Appropriations Act FY2013; Issues related to the President's Budget; Issues related to the Budget Control Act.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

S 3539 Medicaid Information Technology to Enhance Community Health Act of 2012 HR 1216 To amend the Public Health Service Act to convert funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations: entire bill HR 6079 Repeal of Obamacare Act: entire bill Public Law No. 111-148 Patient Protection and Affordable Care Act: entire law Public Law No. 111-152 Health Care and Education Reconciliation Act of 2010: entire law HR 2 Repealing the Job-Killing Health Care Law Act: entire bill S 192 Repealing the Job-Killing Health Care Law Act: entire bill S 248 Empowering States to Innovate Act: entire bill HR 844 Empowering States to Innovate Act: entire bill HR 1213 To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges: entire bill HR 6138 Ending the HIV/AIDS Epidemic Act of 2012: entire bill Ryan White HIV/AIDS Program Reauthorization (no number): entire bill HR 4271 Violence Against Women Reauthorization Act of 2012: entire bill HR 4970 Violence Against Women Reauthorization Act of 2012: entire bill HR 4982 Violence Against Women Reauthorization Act of 2012: entire bill S 1925 Violence Against Women Reauthorization Act of 2011: entire bill S 2338 Violence Against Women Reauthorization Act of 2012: entire bill HR 2085 MARCH for Military Women Act: entire bill S 1214 MARCH for Military Women Act : entire bill HR 2543 Stop Deceptive Advertising for Women's Services Act: entire bill S 1374 Stop Deceptive Advertising for Women's Services Act: entire bill S 1415 Access to Birth Control Act: entire bill HR 2659 Access to Birth Control Act: entire bill HR 2678 Communities of Color Teenage Pregnancy Prevention Act of 2011: provisions related to family planning and reproductive health: entire bill S 1437 Communities of Color Teenage Pregnancy Prevention Act of 2011: provisions related to family planning and reproductive health: entire bill HR 1085 Repealing Ineffective and Incomplete Abstinence-Only Program Funding Act of 2011: entire bill HR 5650Protecting Womens Access to Health Care Act: entire bill S 578 Repealing Ineffective and Incomplete Abstinence-Only Program Funding Act of 2011: entire bill HR 2954 Health Equity and Accountability Act of 2011: entire bill S 2474 Health Equity and Accountability Act of 2012: entire bill S 1782 Real Education for Healthy Youth Act of 2011: entire bill HR 3324 Real Education for Healthy Youth Act of 2011: entire bill

Client expense: $225,140 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID)

Issues relating to health disparities, health care reform, quality of life and palliative care, federal health care programs, genetic information, cancer, nutrition, and wellness, including the following legislation: S. 494 and H.R. 912, Colorectal Cancer Prevention, Early Detection & Treatment Act; H.R. 1213, Repeal mandatory funding provided to states in PPACA to establish American Health Benefit Exchanges; H.R. 1217, Repeal Prevention and Public Health Fund; H.R. 1740 and H.R. 5560, the Quality Cancer Care for Life Act of 2010; H.R.2941 and S.3493; H.R.3974, Viral Hepatitis and Liver Cancer Control and Prevention Act of 2009; H.R.4662, the Lymphedema Diagnosis and Treatment Cost Savings Act of 2010; the implementation of P.L. 111-148, the Patient Proection and Affordable Care Act of 2010; S.1064, the Sun Act; S.965, the Family Act; H.R.2954, Health Equity and Accountability Act of 2011; and H.R.2077, the MLR Repeal Act; H.R.2245 and S.296 Preserving Access to Life-Saving Medications Act, issues related to the reauthorization of the prescription drug user fee, S.3187, the FDA Safety and Innovation Act and the House Companion legislation, and issues relating to the ongoing national shortage of cancer drugs, Amendment relating to S.1813, the Moving Ahead for Progress in the 21st Century Act, and H.R.4274, reauthorization of the Best Pharmaceuticals for Children Act and the Pediatric Research Equity Act. Issues relating to global health including S.2515, the Clean Cookstoves Support Act of 2012; H.R.6155 & S.3047, the Palliative Care and Hospice Education & Training Act; and H.R.6157, the Patient Centered Quality of Care Act.

Client expense: $810,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID), White House Office

HR 452 Medicare Decisions Accountability Act of 2011, to repeal the provisions of the Patient Protection and Affordable Care Act providing for the Independent Payment Advisory Board; HR 541 Pay for all your Undocumented Procedures (PAY UP!) Act of 2011, amends the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to make permanent the program of federal reimbursement of emergency health services furnished to undocumented aliens. Requires a re-allotment of unspent program funds in a fiscal year among eligible providers in full expenditure states according to a specified ratio. Requires addition of such funds to the aggregate amount available for allotment for the succeeding fiscal year in the event there is no full expenditure state; HR 876 and S 58 The Registered Nurse Safe Staffing Act of 2011, to amend title XVIII of the Social Security Act to provide for patient protection by establishing safe nurse staffing levels at certain Medicare providers; HR 1159, to 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; HR 1186, a bill to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals; S 374 and HR 2783 Medicare Mental Health Inpatient Equity Act, a bill to amend title XVIII of the Social Security Act to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare program; HR 1398 Rural Hospital Protection Act, legislation which would amend the Social Security Act to ensure that the full cost of certain provider taxes are considered allowable costs for purposes of Medicare reimbursements to CAHs; S 1486 Long-Term Care Hospital Improvement Act of 201, a bill to amend title XVIII of the Social Security Act to clarify and expand on criteria applicable to patient admission to and care furnished in long-term care hospitals participating in the Medicare program; Raising concerns about CMS flawed methodology that overstates the effect of the documentation and coding changes to PPS payments, ensuring that CMS does not go beyond its charge of ensuring budget-neutral implementation of MS-DRGs; Working with CMS to clarify requirements and ensure that the systems to register for the meaningful use incentives and attest to meeting the requirements are useable, including ensuring that hospitals can, with permission, help their physicians sign up for the program and attest to meeting the requirements; Worked with ONC to modify the certification requirements for EHRs to allow the flexibility promised in the rules for meaningful use; Worked to get legislative fix introduced for ACA provision related to readmission policy to eliminate a computation error and ensure that unrelated and planned readmissions are excluded from the policy; Worked to improve the regulation to implement ACOs; Urging CMS to update, streamline, and modernize the Medicare conditions of participation; HR 1852/ S 950 Children's Hospital GME Support Reauthorization Act of 2011, the current CHGME authorization expired in September 2011, and the bills would reauthorize the CHGME program for an additional five years, through fiscal year (FY) 2016, at the current authorization level of up to $330 million a year; HR 1683/ S 868 Medicaid MOE, strikes provisions of ACA related to maintaining Medicaid eligibility levels; HR 1543 Improving Access to Medicare Coverage Act of 2011, to amend title XVIII of the Social Security Act to count a period of receipt of outpatient observation services in a hospital toward satisfying the 3-day inpatient hospital requirement for coverage of skilled nursing facility services under Medicare; S 1251Medicare and Medicaid FAST Act, a bill to amend titles XVIII and XIX of the Social Security Act to curb waste, fraud, and abuse in the Medicare and Medicaid programs; HR 2500 Equal Access and Parity for Multi-Campus Hospitals Act, a bill to amend titles XVIII and XIX of the Social Security Act to clarify the application of EHR payment incentives in cases of multi-campus hospitals; HR 2674 340B Program Improvement Act, a bill to amend section 340B of the Public Health Service Act to improve the provision of discounts on drug purchases for certain safety net providers; HR 3630 Temporary Payroll Tax Cut Continuation Act of 2011 or Middle Class Tax Relief and Job Creation Act of 2011, a bill that cuts hospitals to pay for the doc fix, it contains the Social Security payroll tax cut and the Unemployment Insurance extension; HR 3519 a bill to amend and exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011; S. 1680 Craig Thomas Rural Hospital and Provider Equity (R-HoPE) Act of 2011, a bill to amend title XVIII of the Social Security Act to protect and preserve access of Medicare beneficiaries in rural areas to health care providers under the Medicare program; Letter to Rehberg and DeLauro in support of the CHGME program that was circulated by Reps. Capps and Bilbray; Wyden/Crapo letter to CMS to actively oppose a Senate Dear Colleague letter to CMS in support of updating Medicare payments to ambulatory surgery centers (ASCs). The letter did not request a payment update for ASCs. Rather, the letter advocated against the Medicare payment rate for services provided in hospital outpatient department settings; HR 2954 and S 2474 Health Equity and Accountability Act of 2011, Comprehensive bill focused on eliminating racial and ethnic disparities in health care through improved data collection and reporting, culturally and linguistically-appropriate health care, workforce diversity, health information technology, and other actions; Discussions with the Administration (CMS) on applying the therapy cap to hospital outpatient departments; Worked to change CMS definition of allowed EHR costs for CAH Meaningful Use incentive payments to include capital lease purchases of EHRs; HR 3859 Rural Hospital and Provider Equity (R-HOPE) Act of 2012, to amend title XVIII of the SSA to protect and preserve access of Medicare beneficiaries in rural areas to health care providers under the Medicare program; HR 4245 Veterans Co-Pay Fairness Act, to amend title 38, United States Code, to require the Secretary of Veterans Affairs to reimburse eligible veterans who are entitled to Medicare benefits for Medicare deductibles and other expenses that are owed by the veterans for emergency medical treatment provided in non-Department of Veterans affairs facilities; S 2620 and HR 5943 Rural Hospital Access Act of 2012, a bill to amend title XVIII of the Social Security Act to provide for an extension of the Medicare-dependent hospital (MDH) program and the increased payments under the Medicare low-volume hospital program; S 3187 and HR 5651Prescription Drug User Fee Amendments of 2012, a bill to amend the Federal Food, Drug, and Cosmetic Act to revise and extend the user-fee programs for prescription drugs and medical devices, to establish user-fee programs for generic drugs and biosimilars; H.R.6575 Medicare Audit Improvement Act of 2012 to amend title XVIII of the Social Security Act to improve operations of recovery auditors under the Medicare integrity program, to increase transparency and accuracy in audits conducted by contractors; Urging HHS and OIG to examine error rates of RAC as part of its Workplan for 2013 studies of RAC effectiveness.

Client expense: $5,350,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Equal Employment Opportunity Commission (EEOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, White House Office

Early Treatment for HIV Act (H.R. 6006); Repealing Ineffective and Incomplete Abstinence-Only Program Funding Act (H.R. 1085; S. 578); Ryan White CARE Act Reauthorization; Issues Related to HIV and AIDS Education and Prevention; Funding for and Education Regarding Comprehensive Sexual Health Education; Financial Services and General; Government Appropriations; Ending LGBT Health Disparities Act; Health Data Collection Improvement Act; Health Care and Education Reconciliation Act of 2010; Health Equity and Accountability Act of 2011 (H.R. 2954); REPEAL (Repeal Existing Policies that Encourage and Allow); Legal HIV Discrimination Act (H.R. 3053); Real Education of Healthy Youth Act of 2011 (H.R. 3324; S 1782); Implementation of the Patient Protection and Affordable Care Act; Interpretation of the Older Americans Act; LGBT Elder Americans Act (S. 3575); HIV Organ Donation Act; End Discrimination Against Gay and Bisexual Blood Donors; Sexual Orientation Change Therapies.

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

Government targets: Administration for Children & Families (ACF), Administration on Aging, Centers For Disease Control & Prevention (CDC), Defense, Dept of (DOD), Education, Dept of, Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Office of Personnel Management (OPM), Office on Violence Against Women, SENATE, State, Dept of (DOS), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act (H.R.4) Access to Independent Health Insurance Advisors Act (S.2068/S.2288) Access to Professional Health Insurance Advisors Act of 2011 (H.R.1206) Draft Legislation to Prevent Enforcement of Grandfathered Health Plan Regulation Draft Research Priorities (PCORI) EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2011 (H.R.3144) Essential Health Benefits Data Collection Proposed Rule (HHS) Food and Drug Administration Safety and Innovation Act (FDA User Fee bills, S.3187/H.R.3988) Guidance on Defining Minimum Essential Value of Employer-Sponsored Insurance (Treasury) Guidance on Federally Facilitated Exchanges (HHS) Health Benefit Exchanges (H.R.1213) Health Care Cost Reduction Act (H.R.436) Health Equity and Accountability Act (H.R.2954/S.2474) Health Risk Assessments in Medicare Comments (CDC) Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S.438/H.R.3526) H.R. 436, Health Care Cost Reduction Act Interest Rate Reduction Act (H.R.4628/S.2366) and other legislation using Prevention Fund to offset student loans Josh Miller Helping Everyone Access Responsive Treatment in Schools (HEARTS) Act (H.R.1377) Menu Labeling (ACA Section 4205) Middle Class Tax Relief and Job Promotion Act (H.R.3630) National Prevention Strategy, Request for Comments (HHS - Surgeon General) Patient-Focused Drug Development Initiative (FDA-2012-N-0967) Patient Protection and Affordable Care Act (P.L. 111-148; P.L. 111-152) - Implementation Prevention and Public Health Fund (ACA Section 4002) Proposed rules on essential health benefits (CMS) Proposed rules on health insurance market reforms (CMS) Qualified Health Plan Accreditation Proposed Rule (HHS) Repealing the Job-Killing Health Care Law Act (H.R.2) Request for information on quality in insurance exchanges (CMS) Sequester Replacement Reconciliation Act (H.R.5652) State Flexibility Act (H.R.1683/S.868) To Repeal Mandatory Funding Provided to States in the Patient Protection and Affordable Care Act to Establish American To Repeal the Patient Protection and Affordable Care Act (H.R.6079) Temporary Payroll Tax Cut Continuation Act (H.R.3630 - Medicare therapy caps exceptions process) To Repeal Mandatory Funding to States to Establish American Health Benefit Exchanges (H.R.1213) To Repeal Medical Loss Ratio Requirements (H.R.2077) To Repeal the Prevention and Public Health Fund (H.R.1217) Unique Device Identification System Proposed Rule (FDA-2011-N-0090)

Client expense: $224,984 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of

S 3463, the Medicare Diabetes Prevention Act. H.R. 2194/S.1221, The Gestational Diabetes Act (GeDi Act). H.R. 2954/S. 2474, The Health Equity and Accountability Act. Please see next page. S 3463, the Medicare Diabetes Prevention Act. Support entire bill providing for Medicare Coverage of National Diabetes Prevention Program. H.R. 2194/S.1221, The Gestational Diabetes Act (GeDi Act) - Support entire bill; Legislation expands screening, diagnosis, data collection and treatment of gestational diabetes and the children born from women with gestational diabetes. H.R. 2954/S. 2474, The Health Equity and Accountability Act. Support provisions. Comprehensive health disparities legislation with specific diabetes provisions included in the bill: the Gestational Diabetes Act and the Eliminating Disparities in Diabetes Prevention, Access and Care Act. Issues worked on the Hill and not yet reflected in legislation: The Eliminating Disparities in Diabetes Prevention, Access and Care Act Support entire bill: Would expand resources at NIH, CDC, and HRSA to promote research, treatment, and education regarding diabetes in minority populations. This legislation was amended and passed the House on September 28, 2010. Advocated for Senate consideration of House-passed H.R. 1995 during the final quarter of 2010. Included in HR 2954/S. 2474, the Health Equity and Accountability Act. Special Diabetes Program The Special Diabetes Program consists of two mandatory funding streams Special Diabetes Program for type 1 and Special Diabetes Program for Indians. The funding is set to expire September 30, 2013 unless Congress acts to reauthorize the program. United States Preventive Services Task Forcesupport any efforts to require the USPSTF to update its recommendation for diabetes screening based on new evidence. Seek support for nomination of Dr. Elbert Huang to serve on the USPSTF. National Nutrition Standardseducate Congress about the need for strong, science-based national nutrition standards for foods sold outside of the school meal program in advance of forthcoming regulations.

Client expense: $188,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; and community-based public health interventions. 1. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Middle Class Tax Relief and Job Promotion Act (H.R. 3630) 3.To Repeal the Prevention and Public Health Fund (H.R. 1217) 4.Establishing the budget for the United States Government for fiscal year 2013 and setting forth appropriate budgetary levels for fiscal years 2014 through 2022 (H. Con. Res. 34) 5.FIT Kids Act (S. 576/H.R. 1057) 6.Safe Routes to School Act (S. 800) 7.Healthy Lifestyles and Prevention America Act (S. 174) 8.Energy Tax Prevention Act of 2011 (S.482/H.R. 910) 9.SBIR/STTR Reauthorization Act of 2011 (S. 493) and proposed amendments 10.EPA Stationary Source Regulations Suspension Act (S. 231) 11.S. Res. 97, affirming the importance of exercise and physical activity as key components of a healthy lifestyle, including in combating obesity, reducing chronic disease, and lowering health care costs. 12.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 13.Implementation of Pandemic and All-Hazards Preparedness Act (Public Law 109-417) 14.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 15.Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2012 (H.R. 5973/S. 2375) 16.Safe and Complete Streets Act of 2011 (H.R. 1780/S. 1056) 17.SBIR/STTR Reauthorization Act of 2011 and offered amendments related to the Environmental Protection Agency and the Clean Air Act, including amendments 183, 215, 236, and 277. 18.A resolution recognizing past, present, and future public health and economic benefits of cleaner air due to the successful implementation of the Clean Air Act (S.Res.119). 19.Healthy Children Through School Nutrition Education Act (H.R. 576) 20.Department of the Interior, Environment, and Related Agencies Appropriations Act, 2012 (H.R. 2584) 21.Healthy Families Act (H.R. 1876/S. 984) 22.Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 (H.R. 2405, S. 1855/H.R. 6672) 23.Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013 (S. 3295) 24.Department of Homeland Security Appropriations Bill, 2013 (H.R. 5855/S. 3216) 25.Transparency in Regulatory Analysis of Impacts on the Nation Act of 2011 (H.R. 2401) 26.Budget Control Act of 2011 (Public Law 112-25) 27.Surface and Air Transportation Programs Extension Act of 2011 (Public Law 112-30) 28.Health Equity and Accountability Act (HEAA) of 2011 (H.R. 2954) 29.Health Equity and Accountability Act (HEAA) of 2012 (S. 2474) 30.Preservation of Antibiotics for Medical Treatment Act (H.R. 965/S. 1211) 31.Generating Antibiotic Incentives Now Act (H.R. 2182/S. 1734) 32.Regulatory Accountability Act (S. 1606/H.R. 3010) 33.Regulations from the Executive in Need of Scrutiny Act (H.R. 10/S. 299) 34.Consolidated Appropriations Act, 2012 (Public Law 112-74) 35.Temporary Payroll Tax Cut Continuation Act of 2011 (Public Law 112-78) 36.Climate Change Health Protection and Promotion Act (H.R. 3314) 37.S. J. Res 27, a joint resolution disapproving a rule submitted by the Environmental Protection Agency relating to the mitigation by States of cross-border air pollution under the Clean Air Act. 38.MAP-21 (S. 1813) 39.FDA Safety and Innovation Act (S. 3187) 40.Student Success Act (H.R.3989) 41.Encouraging Innovation and Effective Teachers Act (H.R. 3990) 42.American Energy and Infrastructure Jobs Act of 2012 (H.R. 7) 43.Healthy Kids from Day One Act (S. 2119) 44.A joint resolution to disapprove a rule promulgated by the Administrator of the Environmental Protection Agency relating to emission standards for certain steam generating units (S.J.Res37) 45.National Surface Transportation and Freight Policy Act (S. 1950) 46.Repeal of Obamacare Act (H.R. 6079) 47.Commuter Savings Act of 2012 (H.R. 6066) 48.Immunization Improvements Act (S. 3344)The Federal Agriculture Reform and Risk Management Act of 2012 (H.R. 6083) 49.Gasoline Regulations Act of 2012 (H.R. 4471) 50.MAP-21 (Public Law 112-141) 51.Interest Rate Reduction Act (H.R. 4628) 52.Stop the Student Loan Interest Rate Hike Act of 2012 (S. 2343) 53.Elementary and Secondary Education Reauthorization Act of 2011 (S. 3578) 54.Help Obesity Prevention Efforts (HOPE) (H.R. 6143) 55.Measures to Prevent Childhood Obesity Act of 2012 (H.R. 6461 56.Agriculture Reform, Food and Jobs Act of 2012 (S. 3240) 57.Medicare Better Health Rewards Program Act (H.R. 6232/S.2243) 58.Medicaid Information Technology to Enhance Community Health Act (S. 3539) 59.Stop the War on Coal Act (H.R. 3409) 60.Common Sense Nutrition Disclosure Act (H.R. 6174) 61.Red Tape Reduction and Small Business Job Creation Act (H.R. 4078) 62.Lead Exposure Reduction Amendments Act (S. 2148) 63.Immunization Improvements Act of 2012 (S. 3344) 64.Spending Reduction Act of 2012 (H.R. 6684) 65.Supplemental Appropriations for Disaster Assistance (H.R. 1) 66.To extend certain tax relief provisions enacted in 2001 and 2003, and to provide for expedited consideration of a bill providing for comprehensive tax reform, and for other purposes (H.R. 8) 67.The Preventative Health Savings Act of 2012, H.R. 6482

Client expense: $35,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT)

HR 1106, S 584, Dorothy I. Height and Whitney M. Young, Jr. Social Work Reinvestment Act, All provisions. HR 2954, Health Equity and Accountability Act, All provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

National HIV/AIDS Strategy (general); Emergency Contraception (general); H.R. 2679/S. 1440, PREEMIE. H.R. 2954, Health Equity Accountability Act; HIV Screening (general); Gynecological Cancer; Breast Cancer (general); Breastfeeding(general); Medical Liability Reform (general); Health IT (general); H.R. 2029/ S.1131, Birth Defects Prevention, Risk Reduction and Awareness Act; Prematurity(general); Obesity (general); Disparities (general); Prevention & Public Health Trust Fund(general); H.R. 2127, Newborn Act; H.R. 5/ S.1099, HEALTH Act; H.R. 452, Medicare Decisions Accountability Act of 2011; S.668, Health Care Bureaucrats Elimination Act; H.R.666, Birth Certificate Enhancement Act of 2011; H.R. 894, Maternal Health Accountability Act; Imaging (general); H.R. 2194/ S.1221, GEDI Act; H.R. 1676, Tanning Bed Cancer Control Act; National Prevention Strategy (general); H.R. 1216, To Amend Funding for Graduate Medical Education in Teaching Health Centers from Direct to Authorizing Appropriations; H.R. 2085/ S. 1214; Essential Health Benefits (general); Graduate Medical Education (general); H.R. 3418/ S. 1862, Stillbirth & SUID Prevention, Education & Awareness Act; Quality Improvement Measurement (general); H.R. 3620/ S. 1969, Quality Care for Moms and Babies Act; H.R. 3522 Family Act; Contraception (general); Preeclampsia (general); Antibiotics (general); NICHD Reorganization (general); CMS Provider Penalties (general); National Health Services Corps (general); Abortion (general); H.R. 2299, Child Interstate Abortion Notification Act; S. 2262, Advancing FASD Research, Prevention, and Services Act; CMS Health IT incentive program, meaningful use Stage 2; H.R. 2104/S. 3338, Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011; H.R. 5647/S. 3565, Pregnant Workers Fairness Act; H.R. 4628, Interest Rate Reduction Act; Immigrant Health Care Access; H.R. 6598, Electronic Health Records Improvement Act.

Client expense: $245,727 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

Presidents Budget, 2013, Department of Health and Human Services Unnumbered House subcommittee bill/S.3295 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Restore NIH salary cap to Executive Level I. Oppose elimination of AHRQ, and research policy provisions in House subcommittee bill H.R. 6400, RDOCS Act of 2012 Issue: Support additional scholarship opportunities for medical students. President's Budget, 2013, Department of Health and Human Services Issues: Oppose proposed reduction in Medicare Graduate Medical Education (GME) support and proposed Medicaid reductions and reforms. Presidents Budget, 2014, Department of Veterans Affairs H.R. 5854/S. 3215, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. P.L. 111-148, Patient Protection and Affordable Care Act, Section 4002 and Title V Issue: Support the Prevention and Public Health Fund and preserve PPHF funds for workforce training. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps. Debt in Health Education Loan programs (Dbt HELP) bill proposal (draft) Issue: Expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. S. 1627, Resident Physician Shortage Reducation Act Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. P.L. 111-148, Patient Protection and Affordable Care Act, Title V Issue: Implementing provisions reauthorizing health professions education programs under Title VII of the Public Health Service Act, and reauthorizing National Health Service Corps. S. 3201 Graduate Medical Education Reform Act of 2012 Issue: Increase Medicare Graduate Medical Education (GME) accountability H.R. 3667, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. P.L. 111-148, Affordable Care Act Section 5503 and 5506 Issue: Redistribution of residency positions Issue: Implementation of Teaching Health Center Graduate Medical Education programs under section 340G of the Public Health Service Act. H.R. 1852/S. 958, Children's Hospital GME Support Reauthorization Act of 2011 S. 1440, The Prematurity Research Expansion and Education for Mothers who Deliver Infants Early Act. Issue: Support reauthorization of Children's Hospitals Graduate Medical Education. H.R. 1855/H.R. 2405, Pandemic and All-Hazards Preparedness Reauthorization Act. Issue: Complete reauthorization of preparedness legislation Act. H.R. 5707, Medicare Physician Payment Innovation Act Issue: Repeal of Medicare's sustainable growth rate (SGR) formula. H.R. 1513/S. 810, Great Ape Protection and Cost Saving Act of 2011 H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments and increase GME accountability and transparency. H.R. 6562, Resident Physician Reduction Shortage Act of 2012 Issue: Support lifting cap on the number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments. Issue: Promote interprofessional education and training of the health care workforce. S. 799, Commercial Privacy Bill of Rights Act of 2011 Issue: Collection, retention, and dissemination of personal health information. Issue: Discuss with Administration impact of Medicaid expansions and Medicaid DSH cuts under the Affordable Care Act on AAMC member institutions. Issue: Funding for the National Healthcare Workforce Commission. H.R. 2954/S. 2474, Health Equity and Accountability Act of 2011 Issue: Developing health care workforce that promotes health equity. Issue: Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Institute of Medicine (IOM) study on Graduate Medical Education (GME) financing and policies Issue: Support Medicare physician payment reform Issue: Oppose reduction in Medicare hospital outpatient department reimbursement Issue: Clarify policy changes on how to count Labor and Delivery beds when calculating Medicare GME payments. Issue: Oppose Medicare Graduate Medical Education (GME) spending cuts through sequestration. Issue: 340b Drug Discount program eligibility Issue: Oppose nondefense discretionary spending cuts through sequestration, including NIH and Title VII and VIII health professions and nursing education programs. Issue: Preventing, Identifying, and Treating Prescription Drug Abuse Issue: Primary Care Workforce Development Issue: Funding for Title VII and VIII in President's FY 2014 Budget Issue: Implementation of ACA Exchanges and Medicaid Expansions. Submitted comments on: AHRQ's Consumer Reporting System for Patient Safety Events Enhancing Community-Engaged Research Through the Clinical and Translational Science Awards Program

Client expense: $960,000 · 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), Education, Dept of, Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Interior, Dept of (DOI), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

H.R. 2954, The Health Equity and Accountability Act of 2011. Pub. L. 111-148, Patient Protection and Affordable Care Act (implementation). H.R. 6482, To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

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

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

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

HR 1213 - To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges: entire bill HR 1216 - To amend the Public Health Service Act to convert funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations: entire bill HR 1213 To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges: entire bill HR 1216 To amend the Public Health Service Act to convert funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations: entire bill HR 2 Repealing the Job-Killing Health Care Law Act: entire bill S 192 Repealing the Job-Killing Health Care Law Act: entire bill S 248 Empowering States to Innovate Act: entire bill HR 844 Empowering States to Innovate Act: entire bill Public Law No. 111-148 Patient Protection and Affordable Care Act: entire law Public Law No. 111-152 Health Care and Education Reconciliation Act of 2010: entire law HR 3587 Fair Pay to Medicaid Providers Act of 2011: entire bill HR 6079 Repeal of Obamacare Act: entire bill HR 6138 Ending the HIV/AIDS Epidemic Act of 2012: entire bill Ryan White HIV/AIDS Program Reauthorization (no number; not up until 2013): entire bill HR 2543 Stop Deceptive Advertising for Women's Services Act: entire bill S 1374 Stop Deceptive Advertising for Women's Services Act: entire bill S 1415 Access to Birth Control Act: entire bill HR 2659 Access to Birth Control Act: entire bill HR 2678 Communities of Color Teenage Pregnancy Prevention Act of 2011: provisions related to family planning and reproductive health: entire bill S 1437 Communities of Color Teenage Pregnancy Prevention Act of 2011: provisions related to family planning and reproductive health: entire bill HR 1085 Repealing Ineffective and Incomplete Abstinence-Only Program Funding Act of 2011: entire bill S 578 Repealing Ineffective and Incomplete Abstinence-Only Program Funding Act of 2011: entire bill HR 2954 Health Equity and Accountability Act of 2011: entire bill S 2474 Health Equity and Accountability Act of 2012: entire bill S 1782 Real Education for Healthy Youth Act of 2011: entire bill HR 3324 Real Education for Healthy Youth Act of 2011: entire bill HR 4271 Violence Against Women Reauthorization Act of 2012: entire bill HR 4970 Violence Against Women Reauthorization Act of 2012: entire bill HR 4982 Violence Against Women Reauthorization Act of 2012: entire bill S 1925 Violence Against Women Reauthorization Act of 2011: entire bill S 2338 Violence Against Women Reauthorization Act of 2012: entire bill HR 5650 Protecting Women's Access to Health Care Act: entire bill

Client expense: $197,224 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID)

HR 452 Medicare Decisions Accountability Act of 2011, to repeal the provisions of the Patient Protection and Affordable Care Act providing for the Independent Payment Advisory Board; HR 541 Pay for all your Undocumented Procedures (PAY UP!) Act of 2011, amends the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to make permanent the program of federal reimbursement of emergency health services furnished to undocumented aliens. Requires a re-allotment of unspent program funds in a fiscal year among eligible providers in full expenditure states according to a specified ratio. Requires addition of such funds to the aggregate amount available for allotment for the succeeding fiscal year in the event there is no full expenditure state; HR 876 and S 58 The Registered Nurse Safe Staffing Act of 2011, to amend title XVIII of the Social Security Act to provide for patient protection by establishing safe nurse staffing levels at certain Medicare providers; HR 1159, to 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; HR 1186, a bill to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals; S 374 and HR 2783 Medicare Mental Health Inpatient Equity Act, a bill to amend title XVIII of the Social Security Act to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare program; HR 1398 Rural Hospital Protection Act, legislation which would amend the Social Security Act to ensure that the full cost of certain provider taxes are considered allowable costs for purposes of Medicare reimbursements to CAHs; S 1486 Long-Term Care Hospital Improvement Act of 201, a bill to amend title XVIII of the Social Security Act to clarify and expand on criteria applicable to patient admission to and care furnished in long-term care hospitals participating in the Medicare program; Raising concerns about CMS flawed methodology that overstates the effect of the documentation and coding changes to PPS payments, ensuring that CMS does not go beyond its charge of ensuring budget-neutral implementation of MS-DRGs; Working with CMS to clarify requirements and ensure that the systems to register for the meaningful use incentives and attest to meeting the requirements are useable, including ensuring that hospitals can, with permission, help their physicians sign up for the program and attest to meeting the requirements; Worked with ONC to modify the certification requirements for EHRs to allow the flexibility promised in the rules for meaningful use; Worked to get legislative fix introduced for ACA provision related to readmission policy to eliminate a computation error and ensure that unrelated and planned readmissions are excluded from the policy; Worked to improve the regulation to implement ACOs; Urging CMS to update, streamline, and modernize the Medicare conditions of participation; HR 1852/ S 950 Children's Hospital GME Support Reauthorization Act of 2011, the current CHGME authorization expired in September 2011, and the bills would reauthorize the CHGME program for an additional five years, through fiscal year (FY) 2016, at the current authorization level of up to $330 million a year; HR 1683/ S 868 Medicaid MOE, strikes provisions of ACA related to maintaining Medicaid eligibility levels; HR 1543 Improving Access to Medicare Coverage Act of 2011, to amend title XVIII of the Social Security Act to count a period of receipt of outpatient observation services in a hospital toward satisfying the 3-day inpatient hospital requirement for coverage of skilled nursing facility services under Medicare; S 1251Medicare and Medicaid FAST Act, a bill to amend titles XVIII and XIX of the Social Security Act to curb waste, fraud, and abuse in the Medicare and Medicaid programs; HR 2500 Equal Access and Parity for Multi-Campus Hospitals Act, a bill to amend titles XVIII and XIX of the Social Security Act to clarify the application of EHR payment incentives in cases of multi-campus hospitals; HR 2674 340B Program Improvement Act, a bill to amend section 340B of the Public Health Service Act to improve the provision of discounts on drug purchases for certain safety net providers; HR 3630 Temporary Payroll Tax Cut Continuation Act of 2011 or Middle Class Tax Relief and Job Creation Act of 2011, a bill that cuts hospitals to pay for the doc fix, it contains the Social Security payroll tax cut and the Unemployment Insurance extension; HR 3519 a bill to amend and exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011; S. 1680 Craig Thomas Rural Hospital and Provider Equity (R-HoPE) Act of 2011, a bill to amend title XVIII of the Social Security Act to protect and preserve access of Medicare beneficiaries in rural areas to health care providers under the Medicare program; Letter to Rehberg and DeLauro in support of the CHGME program that was circulated by Reps. Capps and Bilbray; Wyden/Crapo letter to CMS to actively oppose a Senate Dear Colleague letter to CMS in support of updating Medicare payments to ambulatory surgery centers (ASCs). The letter did not request a payment update for ASCs. Rather, the letter advocated against the Medicare payment rate for services provided in hospital outpatient department settings; HR 2954 and S 2474 Health Equity and Accountability Act of 2011, Comprehensive bill focused on eliminating racial and ethnic disparities in health care through improved data collection and reporting, culturally and linguistically-appropriate health care, workforce diversity, health information technology, and other actions; Discussions with the Administration (CMS) on applying the therapy cap to hospital outpatient departments; Worked to change CMS definition of allowed EHR costs for CAH Meaningful Use incentive payments to include capital lease purchases of EHRs; HR 3859 Rural Hospital and Provider Equity (R-HOPE) Act of 2012, to amend title XVIII of the SSA to protect and preserve access of Medicare beneficiaries in rural areas to health care providers under the Medicare program; HR 4245 Veterans Co-Pay Fairness Act, to amend title 38, United States Code, to require the Secretary of Veterans Affairs to reimburse eligible veterans who are entitled to Medicare benefits for Medicare deductibles and other expenses that are owed by the veterans for emergency medical treatment provided in non-Department of Veterans affairs facilities; S 2620 and HR 5943 Rural Hospital Access Act of 2012, a bill to amend title XVIII of the Social Security Act to provide for an extension of the Medicare-dependent hospital (MDH) program and the increased payments under the Medicare low-volume hospital program; S 3187 and HR 5651Prescription Drug User Fee Amendments of 2012, a bill to amend the Federal Food, Drug, and Cosmetic Act to revise and extend the user-fee programs for prescription drugs and medical devices, to establish user-fee programs for generic drugs and biosimilars.

Client expense: $3,550,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Equal Employment Opportunity Commission (EEOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 2954, The Health Equity and Accountability Act of 2011. Pub. L. 111-148, Patient Protection and Affordable Care Act (implementation). H.R. 6482, To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to health disparities, health care reform, quality of life and palliative care, federal health care programs, genetic information, cancer, nutrition, and wellness, including the following legislation: S. 494 and H.R. 912, Colorectal Cancer Prevention, Early Detection & Treatment Act; H.R. 1213, Repeal mandatory funding provided to states in PPACA to establish American Health Benefit Exchanges; H.R. 1217, Repeal Prevention and Public Health Fund; H.R. 1740 and H.R. 5560, the Quality Cancer Care for Life Act of 2010; H.R.2941 and S.3493; H.R.3974, Viral Hepatitis and Liver Cancer Control and Prevention Act of 2009; H.R.4662, the Lymphedema Diagnosis and Treatment Cost Savings Act of 2010; the implementation of P.L. 111-148, the Patient Proection and Affordable Care Act of 2010; S.1064, the Sun Act; S.965, the Family Act; H.R.2954, Health Equity and Accountability Act of 2011; and H.R.2077, the MLR Repeal Act; H.R.2245 and S.296 Preserving Access to Life-Saving Medications Act, issues related to the reauthorization of the prescription drug user fee, S.3187, the FDA Safety and Innovation Act and the House Companion legislation, and issues relating to the ongoing national shortage of cancer drugs, Amendment relating to S.1813, the Moving Ahead for Progress in the 21st Century Act, and H.R.4274, reauthorization of the Best Pharmaceuticals for Children Act and the Pediatric Research Equity Act. Issues relating to global health including S.2515, the Clean Cookstoves Support Act of 2012; H.R.6155 & S.3047, the Palliative Care and Hospice Education & Training Act; and H.R.6157, the Patient Centered Quality of Care Act.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID), White House Office

HR 1213 - To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges: entire bill HR 1216 - To amend the Public Health Service Act to convert funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations: entire bill HR 1213 To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges: entire bill HR 1216 To amend the Public Health Service Act to convert funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations: entire bill HR 2 Repealing the Job-Killing Health Care Law Act: entire bill S 192 Repealing the Job-Killing Health Care Law Act: entire bill S 248 Empowering States to Innovate Act: entire bill HR 844 Empowering States to Innovate Act: entire bill Public Law No. 111-148 Patient Protection and Affordable Care Act: entire law Public Law No. 111-152 Health Care and Education Reconciliation Act of 2010: entire law HR 3587 Fair Pay to Medicaid Providers Act of 2011: entire bill HR 6079 Repeal of Obamacare Act: entire bill HR 6138 Ending the HIV/AIDS Epidemic Act of 2012: entire bill Ryan White HIV/AIDS Program Reauthorization (no number; not up until 2013): entire bill HR 2543 Stop Deceptive Advertising for Women's Services Act: entire bill S 1374 Stop Deceptive Advertising for Women's Services Act: entire bill S 1415 Access to Birth Control Act: entire bill HR 2659 Access to Birth Control Act: entire bill HR 2678 Communities of Color Teenage Pregnancy Prevention Act of 2011: provisions related to family planning and reproductive health: entire bill S 1437 Communities of Color Teenage Pregnancy Prevention Act of 2011: provisions related to family planning and reproductive health: entire bill HR 1085 Repealing Ineffective and Incomplete Abstinence-Only Program Funding Act of 2011: entire bill S 578 Repealing Ineffective and Incomplete Abstinence-Only Program Funding Act of 2011: entire bill HR 2954 Health Equity and Accountability Act of 2011: entire bill S 2474 Health Equity and Accountability Act of 2012: entire bill S 1782 Real Education for Healthy Youth Act of 2011: entire bill HR 3324 Real Education for Healthy Youth Act of 2011: entire bill HR 4271 Violence Against Women Reauthorization Act of 2012: entire bill HR 4970 Violence Against Women Reauthorization Act of 2012: entire bill HR 4982 Violence Against Women Reauthorization Act of 2012: entire bill S 1925 Violence Against Women Reauthorization Act of 2011: entire bill S 2338 Violence Against Women Reauthorization Act of 2012: entire bill S 3539 Medicaid Information Technology to Enhance Community Health Act of 2012: entire bill HR 5650 Protecting Women's Access to Health Care Act: entire bill

Client expense: $137,077 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID)

Issues related to the prevention and treatment of lung disease including: H.R. 2954 Health Equity and Accountability Act of 2011; Issues related to tobacco cessation coverage; Issues related to the implementation of the Affordable Care Act; Issues related to Medicaid. House Labor, Health and Human Services Appropriations Act FY2013; S. 3295 Labor, Health and Human Services Appropriations Act FY2013; Issues related to the President's Budget; Issues related to the Budget Control Act.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Issues related to the prevention and treatment of lung disease including the following legislation: H.R. 2954 Health Equity and Accountability Act of 2011; S. 2474 Health Equity and Accountability Act of 2012 H.R. 1394 Lung Cancer Mortality Reduction Act; H.R. 2505 Pulmonary Fibrosis Research Enhancement Act; S. 752 Lung Cancer Mortality Reduction Act; S. 1350 Pulmonary Fibrosis Research Enhancement Act; S. 1884 School Access to Emergency Epinephrine Act; H.R.4078 Red Tape Reduction and Small Business Job Creation Act H.R. 4607 Midnight Rule Relief Act of 2012; H.R. 3862 Sunshine for Regulatory Decrees and Settlements Act of 2012; H.R.6190 Asthma Inhalers Relief Act of 2012; Issues related to tobacco cessation ; Issues related to electronic cigarettes; Issues related to tobacco control research at the National Institutes of Health; Issues related to the implementation of the Affordable Care Act; Issues relating to Chronic Obstructive Pulmonary Disease; Issues related to tuberculosis; Issues related to Lung Cancer; Issues related health disparities and health equity; Issues related to asthma; Issues related to the President's Budget; Issues related to smokefree air; Issues related to the Budget Control Act; Issues related to the implementation of the Presecription Drug User Fee Act; Issues related to the Family Asthma Act

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Issue: Support highest possible 302(b) allocation for Labor-HHS-Education Appropriations Subcommittee. Presidents Budget, 2013, Department of Health and Human Services Unnumbered House subcommittee bill/S.3295 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Restore NIH salary cap to Executive Level I. Oppose elimination of AHRQ, research policy provisions in House subcommittee bill H.R. 6400, RDOCS Act of 2012 Issue: Support additional scholarship opportunities for medical students. President's Budget, 2013, Department of Health and Human Services Issues: Oppose proposed reduction in Medicare Graduate Medical Education (GME) support and proposed Medicaid reductions and reforms. Presidents Budget, 2014, Department of Veterans Affairs H.R. 5854/S. 3215, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. P.L. 111-148, Patient Protection and Affordable Care Act, Section 4002 and Title V Issue: Support the Prevention and Public Health Fund and preserve PPHF funds for workforce training. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps. Health professions loans reform bill proposal (draft) Issue: Expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. S. 1627, Resident Physician Shortage Act Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. P.L. 111-148, Patient Protection and Affordable Care Act, Title V Issue: Implementing provisions reauthorizing health professions education programs under Title VII of the Public Health Service Act, and reauthorizing National Health Service Corps. S. 3201 Graduate Medical Education Reform Act of 2012 Issue: Increase GME accountability H.R. 3667, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. P.L. 111-148, Affordable Care Act Section 5503 and 5506 Issue: Redistribution of residency positions Issue: Implementation of Teaching Health Center Graduate Medical Education programs under section 340G of the Public Health Service Act. H.R. 1852/S. 958, Children's Hospital GME Support Reauthorization Act of 2011 Issue: Support reauthorization of Children's Hospitals Graduate Medical Education. H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments and increase GME accountability and transparency. H.R. 6562, Resident Physician Reduction Shortage Act of 2012 Issue: Support lifting cap on the number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments. Issue: Promote interprofessional education and training of the health care workforce. S. 799, Commercial Privacy Bill of Rights Act of 2011 Issue: Collection, retention, and dissemination of personal health information. Issue: Discuss with Administration scenarios for Medicaid expansions and Medicaid DSH cuts under the Affordable Care Act and impact on AAMC member institutions. Issue: Funding for the National Healthcare Workforce Commission. H.R. 2954/S. 2474, Health Equity and Accountability Act of 2011 Issue: Developing health care workforce that promotes health equity. Issue: Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Institute of Medicine (IOM) study on Graduate Medical Education (GME) financing and policies Issue: Support Medicare physician payment reform Issue: Support draft legislation to create womens hospital Graduate Medical Education program Issue: Oppose reduction in Medicare hospital outpatient department reimbursement Issue: Clarify policy changes on how to count Labor and Delivery beds when calculating Medicare GME payments. Issue: Oppose restrictions on states' use of Medicaid provider assessments to pay for reduced student loan interest rates. Issue: Oppose Medicare Graduate Medical Education (GME) spending cuts through sequestration. Issue: 340b Drug Discount program eligibility Issue: Oppose nondefense discretionary spending cuts through sequestration, including NIH and Title VII and VIII health professions and nursing education programs. Submitted comments on: CY 2013 End Stage Renal Disease Quality Incentive Program CDC Request for Information Regarding Inclusion of Work Information in EHR CY 2013 Physician Fee Schedule Proposed Rule CY 2013 Hospital Outpatient and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs IRS Proposed Rule for Additional Requirements for Charitable Hospitals

Client expense: $450,000 · 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), Education, Dept of, Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Interior, Dept of (DOI), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act (H.R.4) Access to Independent Health Insurance Advisors Act (S.2068/S.2288) Access to Professional Health Insurance Advisors Act of 2011 (H.R.1206) Draft Legislation to Prevent Enforcement of Grandfathered Health Plan Regulation Draft Research Priorities (PCORI) EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2011 (H.R.3144) Essential Health Benefits Data Collection Proposed Rule (HHS) Experimental Study on Consumer Responses to Nutrition Facts Labels with Various Footnote Formats and Declaration of Amount of Added Sugars (FDA-2012-N-0495) Food and Drug Administration Safety and Innovation Act (FDA User Fee bills, S.3187/H.R.3988) Guidance on Defining Minimum Essential Value of Employer-Sponsored Insurance (Treasury) Guidance on Federally Facilitated Exchanges (HHS) Health Benefit Exchanges (H.R.1213) Health Care Cost Reduction Act (H.R.436) Health Equity and Accountability Act (H.R.2954/S.2474) Health Risk Assessments in Medicare Comments (CDC) Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S.438/H.R.3526) H.R. 436, Health Care Cost Reduction Act Interest Rate Reduction Act (H.R.4628/S.2366) and other legislation using Prevention Fund to offset student loans Josh Miller Helping Everyone Access Responsive Treatment in Schools (HEARTS) Act (H.R.1377) Menu Labeling (ACA Section 4205) Middle Class Tax Relief and Job Promotion Act (H.R.3630) National Prevention Strategy, Request for Comments (HHS - Surgeon General) Patient Protection and Affordable Care Act (P.L. 111-148; P.L. 111-152) - Implementation Prevention and Public Health Fund (ACA Section 4002) Qualified Health Plan Accreditation Proposed Rule (HHS) Repealing the Job-Killing Health Care Law Act (H.R.2) Sequester Replacement Reconciliation Act (H.R.5652) State Flexibility Act (H.R.1683/S.868) To Repeal Mandatory Funding Provided to States in the Patient Protection and Affordable Care Act to Establish American To Repeal the Patient Protection and Affordable Care Act (H.R.6079) Temporary Payroll Tax Cut Continuation Act (H.R.3630 - Medicare therapy caps exceptions process) To Repeal Mandatory Funding to States to Establish American Health Benefit Exchanges (H.R.1213) To Repeal Medical Loss Ratio Requirements (H.R.2077) To Repeal the Prevention and Public Health Fund (H.R.1217)

Client expense: $136,382 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Treasury, Dept of

Early Treatment for HIV Act (H.R. 6006); Repealing Ineffective and Incomplete Abstinence-Only Program Funding Act (H.R. 1085; S. 578); Ryan White CARE Act Reauthorization; Issues Related to HIV and AIDS Education and Prevention; Funding for and Education Regarding Comprehensive Sexual Health Education; Financial Services and General; Government Appropriations; Ending LGBT Health Disparities Act; Health Data Collection Improvement Act; Health Care and Education Reconciliation Act of 2010; Health Equity and Accountability Act of 2011 (H.R. 2954); REPEAL (Repeal Existing Policies that Encourage and Allow); Legal HIV Discrimination Act (H.R. 3053); Real Education of Healthy Youth Act of 2011 (H.R. 3324; S 1782); Implementation of the Patient Protection and Affordable Care Act; Interpretation of the Older Americans Act; LGBT Elder Americans Act (S. 3575); HIV Organ Donation Act; End Discrimination Against Gay and Bisexual Blood Donors

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

Government targets: Administration for Children & Families (ACF), Administration on Aging, Centers For Disease Control & Prevention (CDC), Defense, Dept of (DOD), Education, Dept of, Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Office of Personnel Management (OPM), Office on Violence Against Women, SENATE, State, Dept of (DOS), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

National HIV/AIDS Strategy (general); Emergency Contraception (general); H.R. 2679/S. 1440, PREEMIE. H.R. 2954, Health Equity Accountability Act; HIV Screening (general); Gynecological Cancer; Breast Cancer (general); Breastfeeding(general); Medical Liability Reform (general); Health IT (general); H.R. 2029/ S.1131, Birth Defects Prevention, Risk Reduction and Awareness Act; Prematurity(general); Obesity (general); Disparities (general); Prevention & Public Health Trust Fund(general); The Meaningful End to Defensive Medicine and Aimless Lawsuits; H.R. 2127, Newborn Act; H.R. 5/ S.1099, HEALTH Act; H.R. 452, Medicare Decisions Accountability Act of 2011; S.668, Health Care Bureaucrats Elimination Act; H.R.666, Birth Certificate Enhancement Act of 2011; H.R. 894, Maternal Health Accountability Act; Imaging (general); H.R. 2194/ S.1221, GEDI Act; H.R. 1676, Tanning Bed Cancer Control Act; National Prevention Strategy (general); H.R. 1216, To Amend Funding for Graduate Medical Education in Teaching Health Centers from Direct to Authorizing Appropriations; H.R. 2085/ S. 1214; Essential Health Benefits (general); Graduate Medical Education (general); H.R. 3418/ S. 1862, Stillbirth & SUID Prevention, Education & Awareness Act; Quality Improvement Measurement (general); H.R. 3620/ S. 1969, Quality Care for Moms and Babies Act; H.R. 3522 Family Act; Contraception (general); Preeclampsia (general); Antibiotics (general); H.R. 3586, Good Samaritan Health Professionals Act, NICHD Reorganization (general); CMS Provider Penalties (general); National Health Services Corps (general); Abortion (general); H.R. 3803, District of Columbia Pain-Capable Unborn Child Protection Act; H.R. 3541, Prenatal Nondiscrimination Act of 2012; H.R. 2299, Child Interstate Abortion Notification Act; S. 2262, Advancing FASD Research, Prevention, and Services Act; CMS Health IT incentive program, meaningful use Stage 2; H.R. 2104/S. 3338, Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011; H.R. 5647, Pregnant Workers Fairness Act; H.R. 4628, Interest Rate Reduction Act.

Client expense: $312,442 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

Issues relating to health disparities, health care reform, quality of life and palliative care, federal health care programs, genetic information, cancer, nutrition, and wellness, including the following legislation: S. 494 and H.R. 912, colorectal Cancer Prevention, Early Detection & Treatment Act; H.R. 1213, repeal mandatory funding provided to states in PPACA to establish American Health Benefit Exchanges; H.R. 1217, repeal Prevention and Public Health Fund; H.R. 1740 and H.R. 5560, the Quality Cancer Care for Life Act of 2010; H.R. 2941 and S. 3493; the Patient Protection and Affordable Care Act of 2010; S. 1064, the Sun Act; S. 965, the Family Act; H.R. 2954, Health Equity and Accountability Act of 2011; and H.R. 2077, the MLR Repeal Act; H.R. 2245 and S. 296 Preserving Access to Life-Saving Medications Act, issues related to the reauthorization of the prescription drug user fee, S. 3187, the FDA Safety and Innovation Act and the House Companion legislation, and issues relating to the ongoing national shortage of cancer drugs, amendment relating to S. 1813, the Moving Ahead for Progress in the 21st Century Act, and H.R. 4274, reauthorization of the Best Pharmaceuticals for Children Act and the Pediatric Research Equity Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; and community-based public health interventions. 1. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Middle Class Tax Relief and Job Promotion Act (H.R. 3630) 3.To Repeal the Prevention and Public Health Fund (H.R. 1217) 4.Establishing the budget for the United States Government for fiscal year 2013 and setting forth appropriate budgetary levels for fiscal years 2014 through 2022 (H. Con. Res. 34) 5.FIT Kids Act (S. 576/H.R. 1057) 6.Safe Routes to School Act (S. 800) 7.Healthy Lifestyles and Prevention America Act (S. 174) 8.Energy Tax Prevention Act of 2011 (S.482/H.R. 910) 9.SBIR/STTR Reauthorization Act of 2011 (S. 493) and proposed amendments 10.EPA Stationary Source Regulations Suspension Act (S. 231) 11.S. Res. 97, affirming the importance of exercise and physical activity as key components of a healthy lifestyle, including in combating obesity, reducing chronic disease, and lowering health care costs. 12.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 13.Implementation of Pandemic and All-Hazards Preparedness Act (Public Law 109-417) 14.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 15.Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2012 (H.R. 5973/S. 2375) 16.Safe and Complete Streets Act of 2011 (H.R. 1780/S. 1056) 17.SBIR/STTR Reauthorization Act of 2011 and offered amendments related to the Environmental Protection Agency and the Clean Air Act, including amendments 183, 215, 236, and 277. 18.A resolution recognizing past, present, and future public health and economic benefits of cleaner air due to the successful implementation of the Clean Air Act (S.Res.119). 19.Healthy Children Through School Nutrition Education Act (H.R. 576) 20.Department of the Interior, Environment, and Related Agencies Appropriations Act, 2012 (H.R. 2584) 21.Healthy Families Act (H.R. 1876/S. 984) 22.Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 (H.R. 2405, S. 1855) 23.Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013 (S. 3295) 24.Department of Homeland Security Appropriations Bill, 2013 (H.R. 5855/S. 3216) 25.Transparency in Regulatory Analysis of Impacts on the Nation Act of 2011 (H.R. 2401) 26.Budget Control Act of 2011 (Public Law 112-25) 27.Surface and Air Transportation Programs Extension Act of 2011 (Public Law 112-30) 28.Health Equity and Accountability Act (HEAA) of 2011 (H.R. 2954) 29.Health Equity and Accountability Act (HEAA) of 2012 (S. 2474) 30.Preservation of Antibiotics for Medical Treatment Act (H.R. 965/S. 1211) 31.Generating Antibiotic Incentives Now Act (H.R. 2182/S. 1734) 32.Regulatory Accountability Act (S. 1606/H.R. 3010) 33.Regulations from the Executive in Need of Scrutiny Act (H.R. 10/S. 299) 34.Consolidated Appropriations Act, 2012 (Public Law 112-74) 35.Temporary Payroll Tax Cut Continuation Act of 2011 (Public Law 112-78) 36.Climate Change Health Protection and Promotion Act (H.R. 3314) 37.S. J. Res 27, a joint resolution disapproving a rule submitted by the Environmental Protection Agency relating to the mitigation by States of cross-border air pollution under the Clean Air Act. 38.MAP-21 (S. 1813) 39.FDA Safety and Innovation Act (S. 3187) 40.Student Success Act (H.R.3989) 41.Encouraging Innovation and Effective Teachers Act (H.R. 3990) 42.American Energy and Infrastructure Jobs Act of 2012 (H.R. 7) 43.Healthy Kids from Day One Act (S. 2119) 44.A joint resolution to disapprove a rule promulgated by the Administrator of the Environmental Protection Agency relating to emission standards for certain steam generating units (S.J.Res37) 45.National Surface Transportation and Freight Policy Act (S. 1950) 46.Repeal of Obamacare Act (H.R. 6079) 47.Commuter Savings Act of 2012 (H.R. 6066) 48.Immunization Improvements Act (S. 3344)The Federal Agriculture Reform and Risk Management Act of 2012 (H.R. 6083) 49.Gasoline Regulations Act of 2012 (H.R. 4471) 50.MAP-21 (Public Law 112-141) 51.Interest Rate Reduction Act (H.R. 4628) 52.Stop the Student Loan Interest Rate Hike Act of 2012 (S. 2343) 53.Elementary and Secondary Education Reauthorization Act of 2011 (S. 3578) 54.Help Obesity Prevention Efforts (HOPE) (H.R. 6143) 55.Measures to Prevent Childhood Obesity Act of 2012 (H.R. 6461 56.Agriculture Reform, Food and Jobs Act of 2012 (S. 3240) 57.Medicare Better Health Rewards Program Act (H.R. 6232/S.2243) 58.Medicaid Information Technology to Enhance Community Health Act (S. 3539) 59.Stop the War on Coal Act (H.R. 3409) 60.Common Sense Nutrition Disclosure Act (H.R. 6174) 61.Red Tape Reduction and Small Business Job Creation Act (H.R. 4078) 62.Lead Exposure Reduction Amendments Act (S. 2148) 63.Immunization Improvements Act of 2012 (S. 3344)

Client expense: $36,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT)

HR 1106, S 584, Dorothy I. Height and Whitney M. Young, Jr. Social Work Reinvestment Act, All provisions. HR 2954, Health Equity and Accountability Act, All provisions. S.3526, Older Americans Act Amendments of 2012, Provisions relating to the eldercare workforce.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2194/S.1221, The Gestational Diabetes Act (GeDi Act). H.R. 2954/S. 2474, The Health Equity and Accountability Act. S. 3463, the Medicare Diabetes Prevention Act. H.R. 6174, the Common Sense Nutrition Disclosure Act. H.R. 6079, the Patients Rights Repeal Act. Please see next page. H.R. 2194/S.1221, The Gestational Diabetes Act (GeDi Act) - Support entire bill; Legislation expands screening, diagnosis, data collection and treatment of gestational diabetes and the children born from women with gestational diabetes. H.R. 2954/S. 2474, The Health Equity and Accountability Act. Support provisions. Comprehensive health disparities legislation with specific diabetes provisions included in the bill: the Gestational Diabetes Act and the Eliminating Disparities in Diabetes Prevention, Access and Care Act. S. 3463, the Medicare Diabetes Prevention Act. Support entire bill providing for Medicare Coverage of National Diabetes Prevention Program. H.R. 6174, the Common Sense Nutrition Disclosure Act. Oppose entire bill to revise what nutritional information certain chain restaurants will be required to display under the Affordable Care Act. H.R. 6079, the Patients Rights Repeal Act. Oppose entire bill to repeal the Patient Protection and Affordable Care Act. Issues worked on the Hill not yet reflected in legislation: The Eliminating Disparities in Diabetes Prevention, Access and Care Act Support entire bill: Would expand resources at NIH, CDC, and HRSA to promote research, treatment, and education regarding diabetes in minority populations. This legislation was amended and passed the House on September 28, 2010. Advocated for Senate consideration of House-passed H.R. 1995 during the final quarter of 2010. Included in H.R. 2954/S. 2474, the Health Equity and Accountability Act. Special Diabetes Program The Special Diabetes Program consists of two mandatory funding streams Special Diabetes Program for type 1 and Special Diabetes Program for Indians. The funding is set to expire September 30, 2013 unless Congress acts to reauthorize the program. United States Preventive Services Task Forcesupport any efforts to require the USPSTF to update its recommendation for diabetes screening based on new evidence. Seek support for nomination of Dr. Elbert Huang to serve on the USPSTF. Premium Tax Credit Repayment oppose efforts which seek to raise the health insurance subsidy repayment cap under the Affordable Care Act for moderate-income individuals and families or eliminate it completely as a pay-for for legislation. National Nutrition Standardseducate Congress about the need for strong, science-based national nutrition standards for foods sold outside of the school meal program in advance of forthcoming regulations. Pilots with Insulin-Treated Diabetes asking Congress to urge the Federal Aviation Administration to include up-to-date diabetes science and diabetes experts in the upcoming review of medical standards for pilots.

Client expense: $209,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

Supporting increasing funding opportunities for better care and treatment of people with diabetes in P.L. 111-148, Patient Protection and Affordable Care Act of 2009 (ACA) and P.L. 111-152, The Health Care & Education Affordability Reconciliation Act of 2010: Issues related to diabetes generally, and specifically minority health, diabetes screening, National Diabetes Prevention Program, Special Diabetes Program reauthorization, National Prevention Strategy, Medicaid Quality Measures, Medicare Annual Wellness Visit, ACOs (related to Medicare Share Savings Program), Coverage of Preventive Services under ACA, HHS Strategic Plan, HHS Multiple Chronic Conditions Framework, National Quality Strategy, Prevention and Public Health Fund, Diabetes Prevention Issues in a Survey of Primary Care Physicians, Adequate Inclusion of Diabetes Care in the Essential Health Benefits Package, IOM Committee on Valuing Community-Based Non-Clinical Prevention Policies and Wellness Strategies, DOL Survey of Employer-Sponsored Health Insurance Coverage, CDC National Survey of Primary Care Policies for Managing Patients with Higher Blood Pressure, High Cholesterol, or Diabetes (NSPCP); H.R. 2954, the Health Equity and Accountability Act of 2011; HR 2960 National Diabetes Clinical Care Commission Act; S. 1559 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act FY2012 on National Diabetes Prevention Program; CMS Obesity Intervention; Healthy People 2020 Abstract; CMS CLIA Program & HIPAA Privacy Rule Patient Access to Test Reports; AHRQ regarding the USPSTF recommendation on screening and management of obesity in adults; PCORI Draft Research Agenda

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, White House Office

H.R. 2954/S. 2474 Health Equity and Accountability Act of 2011 H.R. 1578 Violence Against Women Health Initiative Act of 2011 S. 1925 Violence Against Women Reauthorization Act of 2011 H.R. 5905 International Violence Against Women Act of 2012 S. 740 Garrett Lee Smith Memorial Act Reauthorization of 2011 S. 525 Positive Aging Act of 2011 S. 1819 Strengthening Services for Americas Seniors Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Supporting increasing funding opportunities for better care and treatment of people with diabetes in P.L. 111-148, Patient Protection and Affordable Care Act of 2009 (ACA) and P.L. 111-152, The Health Care & Education Affordability Reconciliation Act of 2010: Issues related to diabetes generally, and specifically minority health, diabetes screening, National Diabetes Prevention Program, Special Diabetes Program reauthorization, National Prevention Strategy, Medicaid Quality Measures, Medicare Annual Wellness Visit, ACOs (related to Medicare Share Savings Program), Coverage of Preventive Services under ACA, HHS Strategic Plan, HHS Multiple Chronic Conditions Framework, National Quality Strategy, Prevention and Public Health Fund, Diabetes Prevention Issues in a Survey of Primary Care Physicians, Adequate Inclusion of Diabetes Care in the Essential Health Benefits Package, IOM Committee on Valuing Community-Based Non-Clinical Prevention Policies and Wellness Strategies, DOL Survey of Employer-Sponsored Health Insurance Coverage, CDC National Survey of Primary Care Policies for Managing Patients with Higher Blood Pressure, High Cholesterol, or Diabetes (NSPCP); H.R. 2954, the Health Equity and Accountability Act of 2011; HR 2960 National Diabetes Clinical Care Commission Act; S. 1559 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act FY2012 on National Diabetes Prevention Program; CMS Obesity Intervention; Healthy People 2020 Abstract; CMS CLIA Program & HIPAA Privacy Rule Patient Access to Test Reports; AHRQ regarding the USPSTF recommendation on screening and management of obesity in adults; PCORI Draft Research Agenda

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE

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

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

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

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

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

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

HR 1213 - To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges: entire bill HR 1216 - To amend the Public Health Service Act to convert funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations: entire bill HR 1213 To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges: entire bill HR 1216 To amend the Public Health Service Act to convert funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations: entire bill HR 2 Repealing the Job-Killing Health Care Law Act: entire bill S 192 Repealing the Job-Killing Health Care Law Act: entire bill S 248 Empowering States to Innovate Act: entire bill HR 844 Empowering States to Innovate Act: entire bill Public Law No. 111-148 Patient Protection and Affordable Care Act: entire law Public Law No. 111-152 Health Care and Education Reconciliation Act of 2010: entire law HR 3587 Fair Pay to Medicaid Providers Act of 2011: entire bill HR 6079 Repeal of Obamacare Act: entire bill HR 6138 Ending the HIV/AIDS Epidemic Act of 2012: entire bill Ryan White HIV/AIDS Program Reauthorization (no number; not up until 2013): entire bill HR 2543 Stop Deceptive Advertising for Women's Services Act: entire bill S 1374 Stop Deceptive Advertising for Women's Services Act: entire bill S 1415 Access to Birth Control Act: entire bill HR 2659 Access to Birth Control Act: entire bill HR 2678 Communities of Color Teenage Pregnancy Prevention Act of 2011: provisions related to family planning and reproductive health: entire bill S 1437 Communities of Color Teenage Pregnancy Prevention Act of 2011: provisions related to family planning and reproductive health: entire bill HR 1085 Repealing Ineffective and Incomplete Abstinence-Only Program Funding Act of 2011: entire bill S 578 Repealing Ineffective and Incomplete Abstinence-Only Program Funding Act of 2011: entire bill HR 2954 Health Equity and Accountability Act of 2011: entire bill S 2474 Health Equity and Accountability Act of 2012: entire bill S 1782 Real Education for Healthy Youth Act of 2011: entire bill HR 3324 Real Education for Healthy Youth Act of 2011: entire bill HR 4271 Violence Against Women Reauthorization Act of 2012: entire bill HR 4970 Violence Against Women Reauthorization Act of 2012: entire bill HR 4982 Violence Against Women Reauthorization Act of 2012: entire bill S 1925 Violence Against Women Reauthorization Act of 2011: entire bill S 2338 Violence Against Women Reauthorization Act of 2012: entire bill

Client expense: $197,224 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID)

Issues relating to health disparities, health care reform, quality of life and palliative care, federal health care programs, genetic information, cancer, nutrition, and wellness, including the following legislation: S. 494 and H.R. 912 Colorectal Cancer Prevention, Early Detection & Treatment Act; H.R. 1213, repeal mandatory funding provided to states in PPACA to establish American Health Benefit Exchanges; H.R. 1217, Repeal Prevention and Public Health Fund; H.R. 1740 and H.R. 5560, the quality Cancer Care for Life Act of 2010; H.R. 2941 and S. 3493; H.R. 3974, Viral Hepatatis and Liver Cancer Control and Prevention Act of 2009; H.R. 4662, the Lymphedema Diagnosis and Treatment Cost Savings Act of 2010; S. 1064, The Sun Act; S. 965, the Family Act; H.R. 2954, Health Equity and Accountability Act of 2011; and H.R. 2077, the MLR Repeal Act; H.R. 2245and S.296 Preserving Access to Life-Saving Medications Act, issues related to the reauthorization of the prescription drug user fee, S. 3187, the FDA Safety and Innovation Act and the House Companion legislation, and issues relating to the ongoig the national shortage of cancer drugs. Amendment relating to S. 1813, the Moving Ahead for Progress in the 21st Century Act, and H.R. 4274, reauthorization of the Best Pharmaceutials for Children Act and the Pediatric Research Equity Act.

Client expense: $420,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; and community-based public health interventions. 1. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Middle Class Tax Relief and Job Promotion Act (H.R. 3630) 3.To Repeal the Prevention and Public Health Fund (H.R. 1217) 4.Establishing the budget for the United States Government for fiscal year 2013 and setting forth appropriate budgetary levels for fiscal years 2014 through 2022 (H. Con. Res. 34) 5.FIT Kids Act (S. 576/H.R. 1057) 6.Safe Routes to School Act (S. 800) 7.Healthy Lifestyles and Prevention America Act (S. 174) 8.Energy Tax Prevention Act of 2011 (S.482/H.R. 910) 9.SBIR/STTR Reauthorization Act of 2011 (S. 493) and proposed amendments 10.EPA Stationary Source Regulations Suspension Act (S. 231) 11.S. Res. 97, affirming the importance of exercise and physical activity as key components of a healthy lifestyle, including in combating obesity, reducing chronic disease, and lowering health care costs. 12.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 13.Implementation of Pandemic and All-Hazards Preparedness Act (Public Law 109-417) 14.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 15.Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2012 (H.R. 5973/S. 2375) 16.Safe and Complete Streets Act of 2011 (H.R. 1780/S. 1056) 17.SBIR/STTR Reauthorization Act of 2011 and offered amendments related to the Environmental Protection Agency and the Clean Air Act, including amendments 183, 215, 236, and 277. 18.A resolution recognizing past, present, and future public health and economic benefits of cleaner air due to the successful implementation of the Clean Air Act (S.Res.119). 19.Healthy Children Through School Nutrition Education Act (H.R. 576) 20.Department of the Interior, Environment, and Related Agencies Appropriations Act, 2012 (H.R. 2584) 21.Healthy Families Act (H.R. 1876/S. 984) 22.Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 (H.R. 2405, S. 1855) 23.Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013 (S. 3295) 24.Department of Homeland Security Appropriations Bill, 2013 (H.R. 5855/S. 3216) 25.Transparency in Regulatory Analysis of Impacts on the Nation Act of 2011 (H.R. 2401) 26.Budget Control Act of 2011 (Public Law 112-25) 27.Surface and Air Transportation Programs Extension Act of 2011 (Public Law 112-30) 28.Health Equity and Accountability Act (HEAA) of 2011 (H.R. 2954) 29.Health Equity and Accountability Act (HEAA) of 2012 (S. 2474) 30.Preservation of Antibiotics for Medical Treatment Act (H.R. 965/S. 1211) 31.Generating Antibiotic Incentives Now Act (H.R. 2182/S. 1734) 32.Regulatory Accountability Act (S. 1606/H.R. 3010) 33.Regulations from the Executive in Need of Scrutiny Act (H.R. 10/S. 299) 34.Consolidated Appropriations Act, 2012 (Public Law 112-74) 35.Temporary Payroll Tax Cut Continuation Act of 2011 (Public Law 112-78) 36.Climate Change Health Protection and Promotion Act (H.R. 3314) 37.S. J. Res 27, a joint resolution disapproving a rule submitted by the Environmental Protection Agency relating to the mitigation by States of cross-border air pollution under the Clean Air Act. 38.MAP-21 (S. 1813) 39.FDA Safety and Innovation Act (S. 3187) Student Success Act (H.R.3989) 40.Encouraging Innovation and Effective Teachers Act (H.R. 3990) 41.American Energy and Infrastructure Jobs Act of 2012 (H.R. 7) 42.Healthy Kids from Day One Act (S. 2119) 43.A joint resolution to disapprove a rule promulgated by the Administrator of the Environmental Protection Agency relating to emission standards for certain steam generating units (S.J.Res37) 44.National Surface Transportation and Freight Policy Act (S. 1950) 45.Repeal of Obamacare Act (H.R. 6079) 46.Commuter Savings Act of 2012 (H.R. 6066) Immunization Improvements Act (S. 3344) 47.The Federal Agriculture Reform and Risk Management Act of 2012 (H.R. 6083) 48.Gasoline Regulations Act of 2012 (H.R. 4471) 49.MAP-21 (Public Law 112-141) 50.Interest Rate Reduction Act (H.R. 4628) 51.Stop the Student Loan Interest Rate Hike Act of 2012 (S. 2343)

Client expense: $36,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT)

Issues relating to health disparities, health care reform, quality of life and palliative care, federal health care programs, genetic information, cancer, nutrition, and wellness, including the following legislation: S. 494 and H.R. 912, Colorectal Cancer Prevention, Early Detection & Treatment Act; H.R. 1213, Repeal mandatory funding provided to states in PPACA to establish American Health Benefit Exchanges; H.R. 1217, Repeal Prevention and Public Health Fund; H.R. 1740 and H.R. 5560, the Quality Cancer Care for Life Act of 2010; H.R. 2941 and S. 3493; H.R. 3974, Viral Hepatitis and Liver Cancer Control and Prevention Act of 2009; H.R. 4662, the Lymphedema Diagnosis and Treatment Cost Savings Act of 2010; the implementation of P.L. 111-148, the Patient Proection and Affordable Care Act of 2010; S. 1064, the Sun Act; S 965, the Family Act; H.R. 2954, Health Equity and Accountability Act of 2011; and H.R. 2077, the MLR Repeal Act; H.R. 2245 and S. 296 Preserving Access to Life-Saving Medications Act, issues related to the reauthorization of the prescription drug user fee, S.3187, the FDA Safety and Innovation Act and the House Companion legislation, and issues relating to the ongoing national shortage of cancer drugs, Amendment relating to S.1813, the Moving Ahead for Progress in the 21st Century Act, and H.R. 4274, reauthorization of the Best Pharmaceuticals for Children Act and the Pediatric Research Equity Act. Issues relating to global health including S. 2515, the Clean Cookstoves Support Act of 2012.

Client expense: $590,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID), White House Office

Issues related to the prevention and treatment of lung disease including the following legislation: H.R. 2954 Health Equity and Accountability Act of 2011; S. 2474 Health Equity and Accountability Act of 2012 H.R. 1394 Lung Cancer Mortality Reduction Act; H.R. 2505 Pulmonary Fibrosis Research Enhancement Act; S. 752 Lung Cancer Mortality Reduction Act; S. 1350 Pulmonary Fibrosis Research Enhancement Act; S. 1884 School Access to Emergency Epinephrine Act; Issues related to tobacco cessation ; Issues related to electronic cigarettes; Issues related to tobacco control research at the National Institutes of Health; Issues related to the implementation of the Affordable Care Act; Issues relating to Chronic Obstructive Pulmonary Disease; Issues related to tuberculosis; Issues related to Lung Cancer; Issues related health disparities and health equity; Issues related to asthma; Issues related to the President's Budget; Issues related to smokefree air; Issues related to the Budget Control Act.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Issues related to the prevention and treatment of lung disease including: H.R. 2954 Health Equity and Accountability Act of 2011; Issues related to tobacco cessation coverage; Issues related to the implementation of the Affordable Care Act; Issues related to proposed cuts to Medicaid. House Labor, Health and Human Services Appropriations Act FY2013; S. 3295 Labor, Health and Human Services Appropriations Act FY2013; Issues related to the President's Budget; Issues related to the Budget Control Act.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

HR 452 Medicare Decisions Accountability Act of 2011, to repeal the provisions of the Patient Protection and Affordable Care Act providing for the Independent Payment Advisory Board; HR 541 Pay for all your Undocumented Procedures (PAY UP!) Act of 2011, amends the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to make permanent the program of federal reimbursement of emergency health services furnished to undocumented aliens. Requires a re-allotment of unspent program funds in a fiscal year among eligible providers in full expenditure states according to a specified ratio. Requires addition of such funds to the aggregate amount available for allotment for the succeeding fiscal year in the event there is no full expenditure state; HR 876 and S 58 The Registered Nurse Safe Staffing Act of 2011, to amend title XVIII of the Social Security Act to provide for patient protection by establishing safe nurse staffing levels at certain Medicare providers; HR 1159, to 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; HR 1186, a bill to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals; S 374 and HR 2783 Medicare Mental Health Inpatient Equity Act, a bill to amend title XVIII of the Social Security Act to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare program; HR 1398 Rural Hospital Protection Act, legislation which would amend the Social Security Act to ensure that the full cost of certain provider taxes are considered allowable costs for purposes of Medicare reimbursements to CAHs; S 1486 Long-Term Care Hospital Improvement Act of 201, a bill to amend title XVIII of the Social Security Act to clarify and expand on criteria applicable to patient admission to and care furnished in long-term care hospitals participating in the Medicare program; Raising concerns about CMS flawed methodology that overstates the effect of the documentation and coding changes to PPS payments, ensuring that CMS does not go beyond its charge of ensuring budget-neutral implementation of MS-DRGs; Working with CMS to clarify requirements and ensure that the systems to register for the meaningful use incentives and attest to meeting the requirements are useable, including ensuring that hospitals can, with permission, help their physicians sign up for the program and attest to meeting the requirements; Worked with ONC to modify the certification requirements for EHRs to allow the flexibility promised in the rules for meaningful use; Worked to get legislative fix introduced for ACA provision related to readmission policy to eliminate a computation error and ensure that unrelated and planned readmissions are excluded from the policy; Worked to improve the regulation to implement ACOs; Urging CMS to update, streamline, and modernize the Medicare conditions of participation; HR 1852/ S 950 Children's Hospital GME Support Reauthorization Act of 2011, the current CHGME authorization expired in September 2011, and the bills would reauthorize the CHGME program for an additional five years, through fiscal year (FY) 2016, at the current authorization level of up to $330 million a year; HR 1683/ S 868 Medicaid MOE, strikes provisions of ACA related to maintaining Medicaid eligibility levels; HR 1543 Improving Access to Medicare Coverage Act of 2011, to amend title XVIII of the Social Security Act to count a period of receipt of outpatient observation services in a hospital toward satisfying the 3-day inpatient hospital requirement for coverage of skilled nursing facility services under Medicare; S 1251Medicare and Medicaid FAST Act, a bill to amend titles XVIII and XIX of the Social Security Act to curb waste, fraud, and abuse in the Medicare and Medicaid programs; HR 2500 Equal Access and Parity for Multi-Campus Hospitals Act, a bill to amend titles XVIII and XIX of the Social Security Act to clarify the application of EHR payment incentives in cases of multi-campus hospitals; HR 2674 340B Program Improvement Act, a bill to amend section 340B of the Public Health Service Act to improve the provision of discounts on drug purchases for certain safety net providers; HR 3630 Temporary Payroll Tax Cut Continuation Act of 2011 or Middle Class Tax Relief and Job Creation Act of 2011, a bill that cuts hospitals to pay for the doc fix, it contains the Social Security payroll tax cut and the Unemployment Insurance extension; HR 3519 a bill to amend and exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011; S. 1680 Craig Thomas Rural Hospital and Provider Equity (R-HoPE) Act of 2011, a bill to amend title XVIII of the Social Security Act to protect and preserve access of Medicare beneficiaries in rural areas to health care providers under the Medicare program; Letter to Rehberg and DeLauro in support of the CHGME program that was circulated by Reps. Capps and Bilbray; Wyden/Crapo letter to CMS to actively oppose a Senate Dear Colleague letter to CMS in support of updating Medicare payments to ambulatory surgery centers (ASCs). The letter did not request a payment update for ASCs. Rather, the letter advocated against the Medicare payment rate for services provided in hospital outpatient department settings; HR 2954 Health Equity and Accountability Act of 2011, Comprehensive bill focused on eliminating racial and ethnic disparities in health care through improved data collection and reporting, culturally and linguistically-appropriate health care, workforce diversity, health information technology, and other actions; Discussions with the Administration (CMS) on applying the therapy cap to hospital outpatient departments; Worked to change CMS definition of allowed EHR costs for CAH Meaningful Use incentive payments to include capital lease purchases of EHRs; HR 3859 Rural Hospital and Provider Equity (R-HOPE) Act of 2012, to amend title XVIII of the SSA to protect and preserve access of Medicare beneficiaries in rural areas to health care providers under the Medicare program. HR 4245 Veterans Co-Pay Fairness Act, to amend title 38, United States Code, to require the Secretary of Veterans Affairs to reimburse eligible veterans who are entitled to Medicare benefits for Medicare deductibles and other expenses that are owed by the veterans for emergency medical treatment provided in non-Department of Veterans Affairs facilities; S 2620 and HR 5943 Rural Hospital Access Act of 2012, a bill to amend title XVIII of the Social Security Act to provide for an extension of the Medicare-dependent hospital (MDH) program and the increased payments under the Medicare low-volume hospital program; S 3187 and HR 5651Prescription Drug User Fee Amendments of 2012, a bill to amend the Federal Food, Drug, and Cosmetic Act to revise and extend the user-fee programs for prescription drugs and medical devices, to establish user-fee programs for generic drugs and biosimilars.

Client expense: $4,150,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Equal Employment Opportunity Commission (EEOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Office of Management & Budget (OMB), SENATE, White House Office

H.Con. Res. 112, FY 2013 Budget Resolution Issue: Oppose discretionary spending cuts and Medicare and Medicaid cuts and reforms. Issue: Support highest possible 302(b) allocation for Labor-HHS-Education Appropriations Subcommittee. Presidents Budget, 2013, Department of Health and Human Services S. 3295/S. Rept. 112-76, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Restore NIH salary cap to Executive Level I. President's Budget, 2013, Department of Health and Human Services Issues: Oppose proposed reduction in Medicare Graduate Medical Education (GME) support and proposed Medicaid reductions and reforms. Presidents Budget, 2013, Department of Veterans Affairs H.R. 5854/S. 3215, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. P.L. 111-148, Patient Protection and Affordable Care Act, Section 4002 and Title V Issue: Support the Prevention and Public Health Fund and preserve PPHF funds for workforce training. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps. Issue: Modify Accountable Care Organization (ACO) proposed rules and implementation Health professions loans reform bill proposal (draft) Issue: Reduce student loan interest rates, expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. S. 1627, Resident Physician Shortage Act Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. P.L. 111-148, Patient Protection and Affordable Care Act, Title V Issues: Implementing provisions reauthorizing health professions education programs under Title VII of the Public Health Service Act, and reauthorizing National Health Service Corps. H.R. 3667, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. Issue: Address workforce shortages & primary care workforce development. Issue: Implementation of Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. H.R. 1852/S. 958, Children's Hospital GME Support Reauthorization Act of 2011 Issue: Support reauthorization of Children's Hospitals Graduate Medical Education. Issue: Promote interprofessional education and training of the health care workforce. S. 799, Commercial Privacy Bill of Rights Act of 2011 Issue: Collection, retention, and dissemination of personal health information. Issue: Funding for the National Healthcare Workforce Commission. Issue: Applications for participation in CMS Bundled Payment Initiative. H.R. 2954/S. 2474, Health Equity and Accountability Act of 2011 Issue: Developing health care workforce that promotes health equity. Issue: Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Draft legislation to prohibit pelvic exams performed on anesthetized women by medical students and residents. P.L. 111-148, Affordable Care Act, Secs. 5503 and 5506 Issue: Redistribution of unused residency slots and residency slots from closed hospitals. Issue: Institute of Medicine (IOM) study on Graduate Medical Education (GME) financing and policies S. 3201 Graduate Medical Education Reform Act of 2012 Issue: Support legislation to increase Medicare GME accountability and support Issue: Support Medicare physician payment reform Issue: Support draft Legislation to create womens hospital Graduate Medical Education program Issue: Communicated concerns regarding Medicare value modifier and the physician quality reporting system (PQRS) Issue: Oppose reduction in Medicare hospital outpatient department reimbursement Issue: Documentation and coding adjustments to inpatient payments rates. Issue: Clarify policy changes on how to count Labor and Delivery beds when calculating Medicare GME payments. H.R. 5651, Food and Drug Administration Reform Act of 2012 S. 3187, Food and Drug Administration Safety and Innovation Act Issue: Support FDA establishing unique device identifier system (UDI). Issue: Oppose restrictions on states' use of Medicaid provider assessments to pay for reduced student loan interest rates. Submitted comments on: CMS 60-day Overpayment NPRM Meaningful Use State 2 Proposed Rule Health Care Consolidation and Competition after PPACA SGR Replacement Medicare Primary Care Proposed Rule Inpatient Prospective Payment System (IPPS) Rule

Client expense: $380,000 · 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), Education, Dept of, Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Interior, Dept of (DOI), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

H.R. 2954, The Health Equity and Accountability Act of 2011. Pub. L. 111-148, Patient Protection and Affordable Care Act (implementation).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE