Safeguarding Access For Every Medicare Patient Act

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

Client expense: $88,958 · Firm income: Not reported

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

See page three for specific Medicare/Medicaid issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 H. R. 6043 - Behavioral Health Information Technology Act of 2012 H.R. 6352 - Resident Physician Shortage Reduction and Graduate Medical Education Accountability & Transparency Act H. R. 6598 - Electronic Health Records Improvement Act S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization (MMM Continued) Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Physician Quality Reporting System (PQRS) Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Surgical Consumer Assessment of Healthcare Providers and Systems (S-CAHPS) Trauma Appropriations Value-Based Update (VBU) Proposal

Client expense: $16,647 · Firm income: Not reported

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

See page six for specific Health Care Issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 H. R. 6043 - Behavioral Health Information Technology Act of 2012 H.R. 6352 - Resident Physician Shortage Reduction and Graduate Medical Education Accountability & Transparency Act H. R. 6598 - Electronic Health Records Improvement Act S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization (HCR Continued) Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Physician Quality Reporting System (PQRS) Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Surgical Consumer Assessment of Healthcare Providers and Systems (S-CAHPS) Trauma Appropriations Value-Based Update (VBU) Proposal

Client expense: $16,647 · Firm income: Not reported

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

See page three for specific Medicare/Medicaid issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 H. R. 6043 - Behavioral Health Information Technology Act of 2012 H.R. 6352 - Resident Physician Shortage Reduction and Graduate Medical Education Accountability & Transparency Act H. R. 6598 - Electronic Health Records Improvement Act S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization (MMM Continued) Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Physician Quality Reporting System (PQRS) Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Surgical Consumer Assessment of Healthcare Providers and Systems (S-CAHPS) Trauma Appropriations Value-Based Update (VBU) Proposal

Client expense: $87,126 · Firm income: Not reported

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

See page six for specific Health Care Issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 H. R. 6043 - Behavioral Health Information Technology Act of 2012 H.R. 6352 - Resident Physician Shortage Reduction and Graduate Medical Education Accountability & Transparency Act H. R. 6598 - Electronic Health Records Improvement Act S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization (HCR Continued) Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Physician Quality Reporting System (PQRS) Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Surgical Consumer Assessment of Healthcare Providers and Systems (S-CAHPS) Trauma Appropriations Value-Based Update (VBU) Proposal

Client expense: $87,126 · Firm income: Not reported

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

Implementation of H.R. 3590, The Patient Protection and Affordable Care Act Sections (P.L. 111-148) Title IIIImproving the Quality and Efficiency of Health Care; Implementation of the American Recovery and Reinvestment Act of 2009,(P.L. 111-5) Title XIII the Health Information Technology for Economic and Clinical Health Act (HITECH Act); H.R.3239, Safeguarding Access For Every Medicare Patient Act, all provisions. H.R. 6043: Behavioral Health Information Technology Act of 2012, all provisions. H.R.3962 - Affordable Health Care for America Act - Provisions relating to Health Information Technology H.R.3590 - Patient Protection and Affordable Care Act- Provisions relating to Health Information Technology

Client expense: Not reported · Firm income: $25,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Transportation Security Administration (TSA), White House Office

Meaningful Use Program, Small Business Committee, H.R. 3239, the SAFE Medicare Patient Protection Act, Behavioral Health Information Technology Act of 2012 (HR 6043), Safeguarding Access for Every Medicare Patient Act (HR 3239), VETs Act

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

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

HR 2: Repealing the Job Killing Health Care Law Act; HR 5: Protecting Access to Healthcare Act; HR 369: Health Savings and Affordability Act of 2011; HR 436: Protect Medical Innovation Act of 2011; HR 605: Patients Freedom to Choose Act; HR 1206: Access to Professional Health Insurance Advisors Act; HR 1580: Medicare Beneficary Preservation of Choice Act of 2011; HR 1744: American Job Protection Act; HR 2010: Family and Retirement Health Investment Act of 2011; HR 2077: MLR Repeal Act of 2011; HR 3239: SAFE Medicate Patient Act; HR 3586: The Good Samaritan Medical Professionals Act; S 20: American Job Protection Act; S 312: Patient Freedom to Choose Act; S 720: Repeal the CLASS Entilement Act; S 2068: Access to Independent Health Insurance Advisors Act; S 2288 Access to Independent Health Insurance Advisors Act.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

S.913: Do-Not-Track Online Act of 2011-privacy implications. S.799: The Commercial Privacy Bill of Rights-privacy implications. S.501: Fostering Independence Through Technology Act-any health IT implications. S.539: Behavior Health Information Technology Act-expanding health IT incentives to additional covered entities. S. 1789: The 21st Century Postal Service Act. This bill contains language that would limit federal agency employees participation and attendance at association conferences. H.R.3239: Safeguarding Access For Every Medicare Patient Actinterested in the safe harbor issues with regard to the implementation of certified health IT. H.R.2500: Equal Access and Parity for Multi-Campus Hospitals Actexpanding HIT incentives to new covered entities. H.R.1895: A Bill to Amend the Children's Online Privacy Protection Actprivacy implications. H.R.1841: Data Accountability and Trust Act (DATA) of 2011privacy implications. H.R.1473: A bill to make further continuing appropriations for Fiscal Year 2011 (updated)provisions concerning ONC funding, health IT and the rider concerning a unique healthcare identifier for individuals. H.R.1363: A bill to further continuing appropriations for Fiscal Year 2011any health IT implications H.R.1: Continuing Resolution and Consolidated Appropriations Act of 2011any health IT implications. H.R.408: To reduce Federal spending by $2.5 trillion through fiscal year 2021any health IT implications. H.R.2: Repealing of the Job-Killing Health Care Law Actany health IT implications and provisions concerning ICD-10 mapping and operating rules for HIPAA transactions. H.R. 2146: Digital Accountability and Transparency Act. This bill includes language that would limit federal employees from attending association conferences. HR 6079: Repeal of Obamacare Act. This will overturn most provisions in the Patient Protection and Affordable Care Act. H.R. 6107: The VETS Act, which would allow Veterans Affairs providers to deliver telemedicine services to vets regardless of site of origin or delivery. H.R. 6043: Behavioral Health Information Technology Act, which would expand the MU program to mental and behavioral health care providers. The bill also incorporates the Marino SAFE act, which would create liability protections for providers and vendors who report errors in use of technology. HR6575: Medicare Audit Improvement Act of 2012- this bill would amend the process for conducting RAC audits.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Meaningful Use Program, Small Business Committee, H.R.3239, the SAFE Medicare Patient Protection Act, HR 6043, FDA Modernization Act 2012, VETs Act,

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

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

S.913: Do-Not-Track Online Act of 2011-privacy implications. S.799: The Commercial Privacy Bill of Rights-privacy implications. S.501: Fostering Independence Through Technology Act-any health IT implications. S.539: Behavior Health Information Technology Act-expanding health IT incentives to additional covered entities. S. 1789: The 21st Century Postal Service Act. This bill contains language that would limit federal agency employees participation and attendance at association conferences. H.R.3239: Safeguarding Access For Every Medicare Patient Actinterested in the safe harbor issues with regard to the implementation of certified health IT. H.R.2500: Equal Access and Parity for Multi-Campus Hospitals Actexpanding HIT incentives to new covered entities. H.R.1895: A Bill to Amend the Children's Online Privacy Protection Actprivacy implications. H.R.1841: Data Accountability and Trust Act (DATA) of 2011privacy implications. H.R.1473: A bill to make further continuing appropriations for Fiscal Year 2011 (updated)provisions concerning ONC funding, health IT and the rider concerning a unique healthcare identifier for individuals. H.R.1363: A bill to further continuing appropriations for Fiscal Year 2011any health IT implications H.R.1: Continuing Resolution and Consolidated Appropriations Act of 2011any health IT implications. H.R.408: To reduce Federal spending by $2.5 trillion through fiscal year 2021any health IT implications. H.R.2: Repealing of the Job-Killing Health Care Law Actany health IT implications and provisions concerning ICD-10 mapping and operating rules for HIPAA transactions. H.R. 2146: Digital Accountability and Transparency Act. This bill includes language that would limit federal employees from attending association conferences. HR 6079: Repeal of Obamacare Act. This will overturn most provisions in the Patient Protection and Affordable Care Act. H.R. 6107: The VETS Act, which would allow Veterans Affairs providers to deliver telemedicine services to vets regardless of site of origin or delivery. H.R. 6043: Behavioral Health Information Technology Act, which would expand the MU program to mental and behavioral health care providers. The bill also incorporates the Marino SAFE act, which would create liability protections for providers and vendors who report errors in use of technology.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2: Repealing the Job Killing Health Care Law Act; HR 5: Protecting Access to Healthcare Act; HR 369: Health Savings and Affordability Act of 2011; HR 436: Protect Medical Innovation Act of 2011; HR 605: Patients Freedom to Choose Act; HR 1206: Access to Professional Health Insurance Advisors Act; HR 1580: Medicare Beneficary preservation of Choice Act of 2011; HR 1744: American Job Protection Act; HR 2010: Family and Retirement Health Investment Act of 2011; HR 2077: MLR Repeal Act of 2011; HR 3239: SAFE Medicate Patient Act; HR 3586: The Good Samaritan Medical Professionals Act; S 20: American Job Protection Act; S 312: Patients Freedom to Choose Act; S 720: Repeal the CLASS Entitlement Act; S 2068: Access to Independent Health Insurance Advisors Act; S 2288: Access to Independent Health Insurance Advisors Act.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

Implementation of H.R. 3590, The Patient Protection and Affordable Care Act Sections (P.L. 111-148) Title IIIImproving the Quality and Efficiency of Health Care; Implementation of the American Recovery and Reinvestment Act of 2009,(P.L. 111-5) Title XIII the Health Information Technology for Economic and Clinical Health Act (HITECH Act); H.R.3239, Safeguarding Access For Every Medicare Patient Act, all provisions. H.R. 6043: Behavioral Health Information Technology Act of 2012, all provisions. H.R.3962 - Affordable Health Care for America Act - Provisions relating to Health Information Technology H.R.3590 - Patient Protection and Affordable Care Act- Provisions relating to Health Information Technology

Client expense: Not reported · Firm income: $25,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Transportation Security Administration (TSA), White House Office

See page three for specific Medicare/Medicaid issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Trauma Appropriations Value-Based Update (VBU) Proposal

Client expense: $15,870 · Firm income: Not reported

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

See page six for specific Health Issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Trauma Appropriations Value-Based Update (VBU) Proposal

Client expense: $15,870 · Firm income: Not reported

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

See page three for specific Medicare/Medicaid issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Trauma Appropriations Value-Based Update (VBU) Proposal

Client expense: $75,279 · Firm income: Not reported

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

See page six for specific Health Issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Trauma Appropriations Value-Based Update (VBU) Proposal

Client expense: $75,279 · Firm income: Not reported

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

Bill S.913: Do-Not-Track Online Act of 2011-privacy implications. Bill S.799: The Commercial Privacy Bill of Rights-privacy implications. Bill S.501: Fostering Independence Through Technology Act-any health IT implications. Bill S.539: Behavior Health Information Technology Act-expanding health IT incentives to additional covered entities. S. 1789, the 21st Century Postal Service Act. This bill contains language that would limit federal agency employees participation and attendance at association conferences. Bill H.R.3239: Safeguarding Access For Every Medicare Patient Actinterested in the safe harbor issues with regard to the implementation of certified health IT. Bill H.R.2500: Equal Access and Parity for Multi-Campus Hospitals Actexpanding HIT incentives to new covered entities. Bill H.R.1895: A Bill to Amend the Children's Online Privacy Protection Actprivacy implications. Bill H.R.1841: Data Accountability and Trust Act (DATA) of 2011privacy implications. Bill H.R.1473: A bill to make further continuing appropriations for Fiscal Year 2011 (updated)provisions concerning ONC funding, health IT and the rider concerning a unique healthcare identifier for individuals. Bill H.R.1363: A bill to further continuing appropriations for Fiscal Year 2011any health IT implications Bill H.R.1: Continuing Resolution and Consolidated Appropriations Act of 2011any health IT implications. Bill H.R.408: To reduce Federal spending by $2.5 trillion through fiscal year 2021any health IT implications. Bill H.R.2: Repealing of the Job-Killing Health Care Law Actany health IT implications and provisions concerning ICD-10 mapping and operating rules for HIPAA transactions. H.R. 2146, the Digital Accountability and Transparency Act. This bill includes language that would limit federal employees from attending association conferences. HR 6079, Repeal of Obamacare Act. This will overturn most provisions in the Patient Protection and Affordable Care Act.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of H.R. 3590, The Patient Protection and Affordable Care Act Sections (P.L. 111-148) Title IIIImproving the Quality and Efficiency of Health Care; Implementation of the American Recovery and Reinvestment Act of 2009,(P.L. 111-5) Title XIII the Health Information Technology for Economic and Clinical Health Act (HITECH Act); H.R.3239, Safeguarding Access For Every Medicare Patient Act, all provisions. H.R. 6043: Behavioral Health Information Technology Act of 2012, all provisions. H.R.3962 - Affordable Health Care for America Act - Provisions relating to Health Information Technology H.R.3590 - Patient Protection and Affordable Care Act- Provisions relating to Health Information Technology

Client expense: Not reported · Firm income: $25,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Transportation Security Administration (TSA), White House Office

HR 2: Repealing the Job Killing Health Care Law Act; HR 5: Protecting Access to Healthcare Act; HR 369: Health Savings and Affordability Act of 2011; HR 436: Protect Medical Innovation Act of 2011; HR 605: Patients Freedom to Choose Act; HR 1206: Access to Professional Health Insurance Advisors Act; HR 1580: Medicare Beneficiary Preservation of Choice Act of 2011; HR 1744: American Job Protection Act; HR 2010: Family and Retirement Health Investment Act of 2011; HR 2077: MLR Repeal Act of 2011; HR 3239: SAFE Medicate Patient Act; HR 3586: The Good Samaritan Medical Professionals Act; S 20: American Job Protection Act; S 312: Patients Freedom to Choose Act; S 720: Repeal the CLASS Entitlement Act; S 2068: Access to Independent Health Insurance Advisors Act; S 2288: Access to Independent Health Insurance Advisors Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

See page 6 for specific HCR issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Proposed Rule Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Trauma Appropriations

Client expense: $8,713 · Firm income: Not reported

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

See page three for specific MMM issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Proposed Rule Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Trauma Appropriations

Client expense: $8,713 · Firm income: Not reported

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

See page six for specific HCR issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Proposed Rule Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Trauma Appropriations

Client expense: $70,254 · Firm income: Not reported

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

See page three for specific Medicare/Medicaid issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Proposed Rule Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Trauma Appropriations

Client expense: $70,254 · Firm income: Not reported

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

Meaningful Use Program, Small Business Committee, H.R.3239, the SAFE Medicare Patient Protection Act,

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

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

Bill S.913: Do-Not-Track Online Act of 2011-privacy implications. Bill S.799: The Commercial Privacy Bill of Rights-privacy implications. Bill S.501: Fostering Independence Through Technology Act-any health IT implications. Bill S.539: Behavior Health Information Technology Act-expanding health IT incentives to additional covered entities. Bill H.R.3239: Safeguarding Access For Every Medicare Patient Actinterested in the safe harbor issues with regard to the implementation of certified health IT. Bill H.R.2500: Equal Access and Parity for Multi-Campus Hospitals Actexpanding HIT incentives to new covered entities. Bill H.R.1895: A Bill to Amend the Children's Online Privacy Protection Actprivacy implications. Bill H.R.1841: Data Accountability and Trust Act (DATA) of 2011privacy implications. Bill H.R.1473: A bill to make further continuing appropriations for Fiscal Year 2011 (updated)provisions concerning ONC funding, health IT and the rider concerning a unique healthcare identifier for individuals. Bill H.R.1363: A bill to further continuing appropriations for Fiscal Year 2011any health IT implications Bill H.R.1: Continuing Resolution and Consolidated Appropriations Act of 2011any health IT implications. Bill H.R.408: To reduce Federal spending by $2.5 trillion through fiscal year 2021any health IT implications. Bill H.R.2: Repealing of the Job-Killing Health Care Law Actany health IT implications and provisions concerning ICD-10 mapping and operating rules for HIPAA transactions.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Meaningful Use Program, Small Business Committee, H.R.3239, the SAFE Medicare Patient Protection Act,

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

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

1. Met with Secretary Sebelius, ONC Director Farzad Mostashari and Ass't Secretary Kathy Greenlee to discuss: Healthcare Innovation, Intel's offer to establish industry panel on technology innovation for independent living, the need for more focus on coordinated approach to aging issues and Intel's leadership in Oregon thru the Tri-county Medicaid initiative and the importance of robust data exchange and interoperability of electronic health records. 2. Implementation of Affordable Care Act Richard Gilfilian, Director, Center for Medicare and Medicaid Innovation HHS -Center for Medicare and Medicaid Innovation calling for more technology oriented pilots/programs -Developing applications for Challenge Grants issued by CMS -Independence at Home Act advocated for expanding the cap on number of patients served -Section 2715 employer requirements for employee communication of coverage choices - requested that new rules reduce duplication of employee benefits information 3. Implementation of ARRA stimulus Chris Dawe HITECH Meaningful Use Stage 2 requirements for standards for interoperability 4. Safeguarding Access for Every (SAFE) Medicare Patient Act (H.R. 3239) 5. Reauthorization of Older Americans Act research required for integrating technology solutions, pilots for RPM discussion with Senator Merkleys office 6. FDA regulation of software for mhealth medical devices regarding current guidance 7. Advocacy for US leadership on the Aging Tsunami opportunities for economic development Under Secretary Robert Hormats US State Department.

Client expense: $882,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

Implementation of H.R. 3590, The Patient Protection and Affordable Care Act Sections (P.L. 111-148) Title IIIImproving the Quality and Efficiency of Health Care; Implementation of the American Recovery and Reinvestment Act of 2009,(P.L. 111-5) Title XIII the Health Information Technology for Economic and Clinical Health Act (HITECH Act); H. R. 3239 to provide certain legal safe harbors to Medicare and Medicaid providers who participate in the EHR meaningful use program. H.R.3962 - Affordable Health Care for America Act - Provisions relating to Health Information Technology H.R.3590 - Patient Protection and Affordable Care Act- Provisions relating to Health Information Technology

Client expense: Not reported · Firm income: $25,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Transportation Security Administration (TSA), White House Office

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

Client expense: $21,952 · Firm income: Not reported

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

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

Client expense: $21,952 · Firm income: Not reported

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

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

Client expense: $88,958 · Firm income: Not reported

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

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

Client expense: $88,958 · Firm income: Not reported

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

HR 5, Protecting Access to Healthcare Act; HR 436 Protecting Medical Innovation Act of 2011; HR 3239 SAFE Medicare Patient Act; HR 3586 The Good Samaritan Medical Professionals Act; HR 369 Health Savings and Affordability Act of 2011; HR 2010 Family and Retirement Health Investment Act of 2011; S 720 Fiscal Responsibility and Retirement Security Act of 2011; S 1479 Medicare Beneficiary Preservation of Choice Act of 2011; S 2068 Access to Independent Health Insurance Advisors Act of 2012.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

Issues relating to Health Information Exchange and potential changes to the Anti-Kickback Statute and Stark Law to enable a private market for the exchange of health information. HR 3239 "Safeguarding Access For Every Medicare Patient Act," all provisions. Issues relating to the Meaningful Use Incentive Program.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3239- The Safeguarding Access for Every Medicare Patient Act

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

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

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

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

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

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

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

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

H.R. 408 To reduce Federal spending by $2.5 trillion through fiscal year 202 -. Sections 301 and 302 would eliminate the HIT meaningful use incentives while leaving HITECH intact. AHIMA is interested in how the HIT meaningful use incentive would affect the health care industry. H.R. 1363 A bill to further continuing appropriations for Fiscal Year 2011 H.R. 1473 A bill to make further continuing appropriations for Fiscal Year 2011 (updated) H.R. 1841 Data Accountability and Trust Act (DATA) of 2011 - A bill to protect consumers by requiring reasonable security policies and procedures to protect computerized data containing personal information, and to provide for nationwide notice in the event of a security breach. AHIMA is interested in privacy and security issues and patient notification. H.R. 1895 A Bill to Amend the Childrens Online Privacy Protection Act - To amend the Children's Online Privacy Protection Act of 1998 to extend, enhance, and revise the provisions relating to collection, use, and disclosure of personal information of children and to establish certain other protections for personal information of children and minors. AHIMA is interested in privacy and security issues. H.R. 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. H.R. 3239 - Safeguarding Access For Every Medicare Patient Act - To provide certain legal safe harbors to Medicare and Medicaid providers who participate in the EHR meaningful use program or otherwise demonstrate use of certified health information technology. S. 501 Fostering Independence Through Technology Act - A bill to establish pilot projects under the Medicare program to provide incentives for home health agencies to utilize home monitoring and communications technologies. AHIMA has an interest in Medicare and home health agencies. S. 539 Behavior Health Information Technology Act - A bill to amend the Public Health Services Act and the Social Security Act to extend health information technology assistance eligibility to behavioral health, mental health, and substance abuse professionals and facilities, and for other purposes. AHIMA has an interest in health information technology as it affects our members and the health care industry. S. 799 The Commercial Privacy Bill of Rights - A bill to establish a regulatory framework for the comprehensive protection of personal data for individuals under the aegis of the Federal Trade Commission, and for other purposes. AHIMA has an interest in privacy and security as it pertains to health information. S. 913 Do-Not-Track Online Act of 2011 - A bill to require the Federal Trade Commission to prescribe regulations regarding the collection and use of personal information obtained by tracking the online activity of an individual, and for other purposes. AHIMA is interested in privacy and security issues.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Safe Harbors for Meaningful Users, Meaningful Use Program, Small Business Committee, H.R.3239

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. Implementation of Affordable Care Act : -Center for Medicare and Medicaid Innovation calling for more technology oriented pilots/programs -Independence at Home Act -Affordable Care Acts impact on Intels operations and jobs -Section 2715 employer requirements for employee communication of coverage choices - requested that new rules reduce duplication of employee benefits information 2. Implementation of ARRA stimulus HITECH Meaningful Use Stage 2 requirements for standards for interoperability 3. Safeguarding Access for Every (SAFE) Medicare Patient Act (H.R. 3239) 4. Reauthorization of Older Americans Act research required for integrating technology solutions, pilots for RPM discussion with Senator Merkleys office 5. mHealth regulations Cong. Honda and Bilbray

Client expense: $944,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

Issues relating to Health Information Exchange and potential changes to the Anti-Kickback Statute and Stark Law to enable a private market for the exchange of health information. Issues relating to possible changes to HIPAA to eliminate confusion over which entities are business associates and to decrease administrative burden to covered entities in administering business associate agreements. HR 3239 "Safeguarding Access For Every Medicare Patient Act," all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

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

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

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

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

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

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