Lifespan Respite Care Reauthorization Act of 2011

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

Internet poker legislation; HR. 3266

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Long-Term Care Older Americans Act S.525 - Positive Aging Act Health Care Reform Implementation S.1094: Combating Autism Reauthorization Act H.R. 111: Breast Cancer Patient Protection Act of 2011 H.R. 2564/ S. 462: Elder Abuse Victims Act of 2011 S. 464 - End Abuse Later in Life Act H.R. 3266 - Lifespan Respite Reauthorization Act S. 539 - Behavorial Helath Information Technology

Client expense: $75,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, 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, Social Security Administration (SSA), State, Dept of (DOS), White House Office

--H.R. 3497, MODDERN Cures Act of 2011, support pathway for drug innovation and companion diagnostic development. --H.R. 4209, Patients' Access to Treatments Act of 2012, support concept of legislation but urge legislation to also ban co-insurance. --H.R. 3266, Lifespan Respite Care Reauthorization Act, support all provisions.

Client expense: $80,282 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. Support S. 525, the "Positive Aging Act of 2011," to provide for integration of mental health services and mental health treatment for older adults. 2. Oppose H. R. 2, legislation to repeal the Patient Protection and Affordable Care Act and also the health reform parts of the Health Care Education and Affordability Reconciliation Act of 2010. 3. Support H. R. 751, "Mental Health in Schools Act of 2011," which amends the Public Health Service Act to revise a community children and violence program to assist local communities and schools in applying a public health approach to mental health services, including by: (1) revising eligibility requirements for a grant, contract, or cooperative agreement; and (2) providing for comprehensive school mental h ealth programs that are culturally and linguistically appropriate and age appropriate. 4. Support the "Mental Health on Campus Improvement Act," which would assist colleges and universities in improving mental and behavioral heatlh services and outreach. Special consideration would be given to programs that: (1) demonstrate the greatest need; (2) propose effective approaches for initiating or expanding campus services; (3) target underserved and at-risk populations; (4) coordinate wiht a community mental health center or other community mental health resouces; (5) identify how the college or university will address psychiatric emergencies; and (6) demonstrate the greatest potential for replication and dissemination. 5. Support S. 481, the "Federal Response to Eliminate Eating Disorders Act," which would amend the Public Health Service Act to require the Director of hte national Institutes of Health (NIH) to expand, intensify, and coordinate eating disorder research. 6. Support S. 539, the "Behavioral Health Information Technology Act of 2011," to extend the meaningful use incentives established through the HITECH Act to mental health and substance abuse providers and facilities. 7. Support S. 740, the "Garrett Lee Smith Memorial Act Reauthorization of 2011," to reauthorize and strengthen youth and college suicide prevention programs administered by the Substance Abuse and Mental Health Services Administration. 8. Support legislation to amend the Public Helath Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Helath Professional Shortage Area. 9. Support H.R. 2558, the Children's Hospitals Education Equity Act which would amend current law to allow participation of children's psychiatric hospitals in the Children's Hospitals Graduate Medical Education Payment Program (CHEME). 10. Support H.R. 3266, the "Lifespan Respite Reauthorization Act", to coordinate and supply respite care to family caregivers through statewide respite care programs. 11. Oppose cuts or changes to the "Afforadable Care Act" that would undermine the potential of the law to make affordable, quality health care coverage more accessible. 12. Support implementation of the CLASS (Community Living Assistance Services and Supports) Act program. 13. Support S. 2367 to delete the word "lunatic" from wherever it appears in Federal law. 14. Support S.2020, the "Keeping All Students Safe Act" to establish national minimum standards to protect all school children nationwide. 15. Urge Senate to support U.S. ratification of the Convention on the Rights of Persons with Disabilities. 16. Support S. 2256 and H.R. 5989, the "Excellence in Mental Health Act" to set fort national criteria for the certification of community-based mental health and addiction providers. 17. Urge Congressional hearings to examine the progress in implementing the National Plan to Address Alzheimer's Disease. 18. Support legislative implementation of the recommendations contained in the Institute of Medicine report of July 2012 entitled "The Mental health and Substance Use Workforce for Older Adults: In Whose Hands?" Those recommendations include loan forgiveness and the designation of a specific entity within the Department of Health and Human Services (HHS) to coordinate Federal efforts to develop and strengthen the nation's geriatric mental health and substance use workforce. 19. Oppose the antipsychotic reporting, "informed consent" and IOM report requirement (sections 4, 5, and 7) of S.3604, the "Improving Dementia Cared Treatment for Older Adults Act of 2012". 20. Support a GAO Study on the use of antipsychotic medication by nursing homes.

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)

--H.R. 3497, MODDERN Cures Act of 2011, support pathway for drug innovation and companion diagnostic development. --H.R. 4209, Patients' Access to Treatments Act of 2012, support concept of legislation but urge legislation to also ban co-insurance. --S. 3187, Prescription Drug User Fee Act (PDUFA) Reauthorization, support reauthorization of PDUFA and urge enhanced focus on patient benefit risk analysis. --H.R. 3266, Lifespan Respite Care Reauthorization Act, support all provisions. --S. 597, A bill to amend title XVIII of the Social Security Act to include neurologists as primary care physicians for purposes of incentive payments for primary care services under the Medicare program, support all provisions. --H.R. 2224, Improving Physician Access in Teaching Hospitals (PATH) Act, support all provisions.

Client expense: $80,694 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Long-Term Care Older Americans Act S.525 - Positive Aging Act Health Care Reform Implementation S.1094: Combating Autism Reauthorization Act H.R. 111: Breast Cancer Patient Protection Act of 2011 H.R. 2564/ S. 462: Elder Abuse Victims Act of 2011 S. 464 - End Abuse Later in Life Act H.R. 3266 - Lifespan Respite Reauthorization Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, 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, Social Security Administration (SSA), State, Dept of (DOS), White House Office

1. Support S. 525, the "Positive Aging Act of 2011," to provide for integration of mental health services and mental health treatment for older adults. 2. Oppose H. R. 2, legislation to repeal the Patient Protection and Affordable Care Act and also the health reform parts of the Health Care Education and Affordability Reconciliation Act of 2010. 3. Support H. R. 751, "Mental Health in Schools Act of 2011," which amends the Public Health Service Act to revise a community children and violence program to assist local communities and schools in applying a public health approach to mental health services, including by: (1) revising eligibility requirements for a grant, contract, or cooperative agreement; and (2) providing for comprehensive school mental h ealth programs that are culturally and linguistically appropriate and age appropriate. 4. Support the "Mental Health on Campus Improvement Act," which would assist colleges and universities in improving mental and behavioral heatlh services and outreach. Special consideration would be given to programs that: (1) demonstrate the greatest need; (2) propose effective approaches for initiating or expanding campus services; (3) target underserved and at-risk populations; (4) coordinate wiht a community mental health center or other community mental health resouces; (5) identify how the college or university will address psychiatric emergencies; and (6) demonstrate the greatest potential for replication and dissemination. 5. Support S. 481, the "Federal Response to Eliminate Eating Disorders Act," which would amend the Public Health Service Act to require the Director of hte national Institutes of Health (NIH) to expand, intensify, and coordinate eating disorder research. 6. Support S. 539, the "Behavioral Health Information Technology Act of 2011," to extend the meaningful use incentives established through the HITECH Act to mental health and substance abuse providers and facilities. 7. Support S. 740, the "Garrett Lee Smith Memorial Act Reauthorization of 2011," to reauthorize and strengthen youth and college suicide prevention programs administered by the Substance Abuse and Mental Health Services Administration. 8. Support legislation to amend the Public Helath Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Helath Professional Shortage Area. 9. Support H.R. 2558, the Children's Hospitals Education Equity Act which would amend current law to allow participation of children's psychiatric hospitals in the Children's Hospitals Graduate Medical Education Payment Program (CHEME). 10. Support H.R. 3266, the "Lifespan Respite Reauthorization Act", to coordinate and supply respite care to family caregivers through statewide respite care programs. 11. Oppose cuts or changes to the "Afforadable Care Act" that would undermine the potential of the law to make affordable, quality health care coverage more accessible. 12. Support implementation of the CLASS (Community Living Assistance Services and Supports) Act program. 13. Support S. 2367 to delete the word "lunatic" from wherever it appears in Federal law. 14. Support S.2020, the "Keeping All Students Safe Act" to establish national minimum standards to protect all school children nationwide.

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) 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)

--H.R. 3497, MODDERN Cures Act of 2011, support pathway for drug innovation and companion diagnostic development. --H.R. 4209, Patients' Access to Treatments Act of 2012, support concept of legislation but urge legislation to also ban co-insurance. --Prescription Drug User Fee Act (PDUFA) Reauthorization, support reauthorization of PDUFA and urge enhanced focus on patient benefit risk analysis. --H.R. 3266, Lifespan Respite Care Reauthorization Act, support all provisions. --S. 597, A bill to amend title XVIII of the Social Security Act to include neurologists as primary care physicians for purposes of incentive payments for primary care services under the Medicare program, support all provisions. --H.R. 2224, Improving Physician Access in Teaching Hospitals (PATH) Act, support all provisions. --H.R. 1173, Fiscal Responsibility and Retirement Security Act of 2011, oppose repeal of Community Living Assistance Services and Supports (CLASS) Act and urge continued dialogue and development of viable solutions to address our nation's long-term care crisis.

Client expense: $159,069 · Firm income: Not reported

Long-Term Care Older Americans Act S.525 - Positive Aging Act Health Care Reform Implementation S.1094: Combating Autism Reauthorization Act H.R. 111: Breast Cancer Patient Protection Act of 2011 H.R. 2564/ S. 462: Elder Abuse Victims Act of 2011 S. 464 - End Abuse Later in Life Act H.R. 3266 - Lifespan Respite Reauthorization Act

Client expense: $65,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, 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, Social Security Administration (SSA), State, Dept of (DOS), White House Office

Implementation of the Affordable Care Act, P.L. 111-148 and P.L. 111-192, including long term services and supports, and the Community Living Assistance Services and Supports (CLASS) program. Caring for Military Kids with Autism Act, H.R. 2288. Lifespan Respite, H.R. 3266.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), SENATE, Social Security Administration (SSA), White House Office

1. Support S. 525, the "Positive Aging Act of 2011," to provide for integration of mental health services and mental health treatment for older adults. 2. Oppose H. R. 2, legislation to repeal the Patient Protection and Affordable Care Act the the health reform parts of the Health Care Education and Affordability Reconciliation Act of 2010. 3. Support H. R. 751, "Mental Health in Schools Act of 2011," which amends the Public Health Service Act to revise a community children and violence program to assist local communities and schools in applying a public health approach to mental health services, including by: (1) revising eligibility requirements for a grant, contract, or cooperative agreement; and (2) providing for comprehensive school mental h ealth programs that are culturally and linguistically appropriate and age appropriate. 4. Support the "Mental Health on Campus Improvement Act," which would assist colleges and universities in improving mental and behavioral heatlh services and outreach. Special consideration would be given to programs that: (1) demonstrate the greatest need; (2) propose effective approaches for initiating or expanding campus services; (3) target underserved and at-risk populations; (4) coordinate wiht a community mental health center or other community mental health resouces; (5) identify how the college or university will address psychiatric emergencies; and (6) demonstrate the greatest potential for replication and dissemination. 5. Support S. 481, the "Federal Response to Eliminate Eating Disorders Act," which would amend the Public Health Service Act to require the Director of hte national Institutes of Health (NIH) to expand, intensify, and coordinate eating disorder research. 6. Support S. 539, the "Behavioral Health Information Technology Act of 2011," to extend the meaningful use incentives established through the HITECH Act to mental health and substance abuse providers and facilities. 7. Support S. 740, the "Garrett Lee Smith Memorial Act Reauthorization of 2011," to reauthorize and strengthen youth and college suicide prevention programs administered by the Substance Abuse and Mental Health Services Administration. 8. Support legislation to amend the Public Helath Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Helath Professional Shortage Area. 9. Support H.R. 2558, the Children's Hospitals Education Equity Act which would amend current law to allow participation of children's psychiatric hospitals in the Children's Hospitals Graduate Medical Education Payment Program (CHEME). 10. Support H.R. 3266, the "Lifespan Respite Reauthorization Act", to coordinate and supply respite care to family caregivers through statewide respite care programs. 11. Oppose cuts or changes to the "Afforadable Care Act" that would undermine the potential of the law to make affordable, quality health care coverage more accessible. 12. Support implementation of the CLASS (Community Living Assistance Services and Supports) Act program. 13. Support Senate bill (unnumbered at this time) to delete the word "lunatic" from Federal law. 14. Support S.2020, the "Keeping All Students Safe Act" to establish national minimum standards to protect all school children nationwide.

House FY 12 Budget (H.Con.Res. 34) 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) 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)

--H.R. 2595/S. 425, National Neurological Diseases Surveillance System Act, support all provisions. --H.R. 833/S. 495, Adult Day Achievement Center Enhancement Act, support all provisions. --S. 597, A bill to amend title XVIII of the Social Security Act to include neurologists as primary care physicians for purposes of incentive payments for primary care services under the Medicare program, support all provisions. --H.R. 2224, Improving Physician Access in Teaching Hospitals (PATH) Act, support all provisions. --H.R. 3266, Lifespan Respite Care Reauthorization Act, support all provisions. --H.R. 3765, Temporary Payroll Tax Cut Continuation Act, support extension of Medicare therapy caps exceptions process and halting drastic cut to Medicare physicians.

Client expense: $72,048 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Discussed the critical importance of entitlement programs to the United Spinal community and the potential impacts of deficit reduction actions. Discussed disability and health policy. Provided comments to HHS on the essential health benefits bulletin released by Department of Health and Human Services' CMS Center for Consumer Information and Insurance Oversight highlighting concerns with small business product coverage as well as habilitative and rehabilitiative services. Supported Lifespan Respite Care Reauthorization Act (HR 3266). This legislation, enacted in 2006, provides competitive grants to states to establish or enhance statewide Lifespan Respite systems that maximize existing resources and help ensure that quality respite is available and accessible to all family caregivers. Discussed Joint Select Committee on Deficit Reduction potential recommendations, concerns about Medicaid reductions and the potential impact on beneficiaries as well as the issue of unemployment among people with disabilities which is more than double the national average. Endorsed letter expressing concerns that any cuts to Medicare Part D prescription drug program would have significant negative impacts on beneficiary access, treatment affordability and health outcomes. Joined letter in support of greater clarification regarding the development of the Essential Health Benefits (EHB) package under the Affordable Care Act (ACA, P.L. 111-148). The letter stated that EHB must be comprehensive; the EHB package must adopt strong federal standards; the Secretary must define medical necessity; services covered as part of EHB must have a foundation in both evidence-based medicine and best practice standards; the Secretary should carefully balance considerations of affordability and comprehensiveness; the design of EHB must comply with nondiscrimination standards; the Secretary should develop consistent standards for the calculation of actuarial value; the Secretary must define a clear and transparent process for updating the services covered as EHB; and, the Secretary must develop a process for dealing with state mandates. Joined letter requesting that Department of Health and Human Services make publicly available the three largest national Federal Employee Health Benefits Program plan options by enrollment and, for each state, the three largest plans by enrollment in the small-group market, the three largest state employee health benefit plans by enrollment and the largest insured commercial non-Medicaid Health Maintenance Organization (HMO) operating in the state.

1. Support S. 525, the "Positive Aging Act of 2011," to provide for integration of mental health services and mental health treatment for older adults. 2. Oppose H. R. 2, legislation to repeal the Patient Protection and Affordable Care Act the the health reform parts of the Health Care Education and Affordability Reconciliation Act of 2010. 3. Support H. R. 751, "Mental Health in Schools Act of 2011," which amends the Public Health Service Act to revise a community children and violence program to assist local communities and schools in applying a public health approach to mental health services, including by: (1) revising eligibility requirements for a grant, contract, or cooperative agreement; and (2) providing for comprehensive school mental h ealth programs that are culturally and linguistically appropriate and age appropriate. 4. Support the "Mental Health on Campus Improvement Act," which would assist colleges and universities in improving mental and behavioral heatlh services and outreach. Special consideration would be given to programs that: (1) demonstrate the greatest need; (2) propose effective approaches for initiating or expanding campus services; (3) target underserved and at-risk populations; (4) coordinate wiht a community mental health center or other community mental health resouces; (5) identify how the college or university will address psychiatric emergencies; and (6) demonstrate the greatest potential for replication and dissemination. 5. Support S. 481, the "Federal Response to Eliminate Eating Disorders Act," which would amend the Public Health Service Act to require the Director of hte national Institutes of Health (NIH) to expand, intensify, and coordinate eating disorder research. 6. Support S. 539, the "Behavioral Health Information Technology Act of 2011," to extend the meaningful use incentives established through the HITECH Act to mental health and substance abuse providers and facilities. 7. Support S. 740, the "Garrett Lee Smith Memorial Act Reauthorization of 2011," to reauthorize and strengthen youth and college suicide prevention programs administered by the Substance Abuse and Mental Health Services Administration. 8. Support legislation to amend the Public Helath Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Helath Professional Shortage Area. 9. Support H.R. 2558, the Children's Hospitals Education Equity Act which would amend current law to allow participation of children's psychiatric hospitals in the Children's Hospitals Graduate Medical Education Payment Program (CHEME). 10. Support H.R. 3266, the "Lifespan Respite Reauthorization Act". 11. Oppose cuts or changes to the "Afforadable Care Act" that would undermine the potential of the law to make affordable, quality health care coverage more accessible. 12. Support implementation of the CLASS (Community Living Assistance Services and Supports) Act program.

Long-Term Care Older Americans Act S.525 - Positive Aging Act Health Care Reform Implementation S.1094: Combating Autism Reauthorization Act H.R. 111: Breast Cancer Patient Protection Act of 2011 H.R. 2564/ S. 462: Elder Abuse Victims Act of 2011 S. 464 - End Abuse Later in Life Act H.R. 3266 - Lifespan Respite Reauthorization Act

Client expense: $57,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, 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, Social Security Administration (SSA), State, Dept of (DOS), White House Office

House FY 12 Budget (H.Con.Res. 34) Mental Health in Schools Act (H.R. 751) Labor-HHS-Education FY 11 and Full-Year Continuing Appropriations Act (HR 1473) Behavioral Health Information Technology Act of 2011 (S. 539) 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) 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) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2012 (S.1599/H.R.3070) 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) The legislative vehicle for the Agriculture, Commerce, Justice and Science, and Transportation/HUD appropriations bills (H.R.2112) Promoting Accountability and Excellence in Child Welfare Act (S. 1509) Lifespan Respite Reauthorization Act (HR 3266)