Diagnostic Imaging Services Access Protection Act of 2011

S 17 - Medical Device Access and Innovation Protection Act of 2011 HR 436 - Protect Medical Innovation Act of 2011 HR 2020 and S 1096 - Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2011 Medicare Reimbursement for Imaging Services HR 3269 - Diagnostic Imaging Services Access Protection Act of 2011 Helium Shortage S 2374 - Helium Stewardship Act of 2012 HR 6014 Katie Sepich Enhanced DNA Collection Act of 2012 HR 8 American Taxpayer Relief Act of 2012

Client expense: $4,940,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

Permanent repeal or patch of the Medicare SGR prior to any cut taking effect; Payment reform to more accurately value cognitive care services; Support HR 5707, Medicare Physician Payment Innovation Act of 2012; Support repeal of the PPACAs Independent Payment Advisory Board; Support HR. 3269 / S. 2347 to eliminate the multiple procedure payment reduction (MPPR) on professional components for select advanced diagnostic imaging services; Opposing automatic sequestration cuts to Medicare Provider Payments; Supporting the inclusion of various cognitive specialties in the 2013 Medicaid provider payments at Medicaid rates; Advocated for better reimbursement for nerve conduction and EMG services and intra-operative neurophysiology monitoring; Advocated to change global period 64615 to 0 day; Opposed expansion of the RAC program to include audits of E/M codes in physician offices; Commented on aspects of the essential health benefits proposal; requesting that neurodevelopmental disorders and dementias be excluded from the umbrella of mental health and included separately.

Client expense: $210,000 · Firm income: Not reported

See addendum page. H.R. 3506 - The HELP Hospice Act: CU is neutral on this bill. H.R. 3269 - Diagnostic Imaging Services Access Protection Act of 2011: CU lobbied in support of this bill. H.R. 6490 - The Medicare DMEPOS Marketing Pricing Program Act: CU Is neutral on this bill. H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011: CU is neutral on this bill. HR 3506 - Hospice Evaluation and Legitimate Payment Act: CU is neutral on this bill. Lobbied on reauthorization and funding for Assistive Technology Act Programs.

Client expense: $115,014 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Patent & Trademark Office (PTO), SENATE

Sustainable Growth Rate Formula Reform (general); H.R. 452, Medicare Decisions Accountability Act; S. 688, Health Care Bureaucrats Elimination Act; Imaging (general); Medicaid (general); H.R. 2020/ S.1096, Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act; Strong Start Initiative; Primary care payment bonuses; H.R. 5707, Medicare Physician Payment Innovation Act of 2012. H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act; H.R. 3667, Primary Care Workforce Access Improvement Act of 2011; H.R. 3269/S. 2347, Diagnostic Imaging Services Access Protection Act of 2011.

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

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

H.R.5-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 8- American Taxpayer Relief Act of 2012 H.R.157-Health Care Safety Net Enhancement Act of 2011 H.R.314-Medical Liability Procedural Reform Act of 2011 H.R.376-Volunteer Emergency Services Recruitment and Retention Act of 2011 H.R.436-Health Care Cost Reduction Act of 2012 H.R.452-Medicare Decisions Accountability Act of 2011 H.R.541-Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.816-Provider Shield Act of 2011 H.R.896-Medical Justice Act of 2011 H.R.969- Medical Practice Freedom Act of 2011 H.R. 971-Critical Care Assessment and Improvement Act of 2011 H.R.1004-Health Flexible Spending Arrangements Improvements Act of 2012 H.R.1117-Air Ambulance Patient Safety, Protection, and Coordination Act H.R. 1063-Strengthening Medicare And Repaying Taxpayers Act of 2011 H.R. 1206- Access to Professional Health Insurance Advisors Act of 2011 H.R.1256-Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1310-To amend the Internal Revenue Code of 1986 to exempt certain emergency medical devices from the excise tax on medical devices, and for other purposes H.R.1629-Family Health Care Accessibility Act of 2011 H.R.1668-Danny McIntosh Emergency Medical Service Providers Protection Act H.R.1683-State Flexibility Act H.R.1852-Children's Hospital GME Support Reauthorization Act of 2011 H.R.1941-Hiring Heroes Act of 2011 H.R.2104-Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy (CARE) Act of 2011 H.R.2205-Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R.2353-Volunteer Responder Incentive Protection Reauthorization Act of 2011 H.R.2405-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R.2472-Health Care Professionals Protection Act of 2011 H.R.2488-SERVE Act of 2011 H.R.2523-Physician Availability Act of 2011 H.R.2853-Emergency Medic Transition (EMT) Act of 2011 H.R.2903-Federal Emergency Management Agency (FEMA) Reauthorization Act of 2012 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.3511- Cardiac Arrest Survival Act of 2011 H.R.3586-Good Samaritans Health Professionals Act of 2011 H.R.3625-Cardiomyopathy Health Education, Awareness, Risk Assessment, and Training in the Schools (HEARTS) Act of 2011 H.R.4124-Veteran Emergency Medical Technician Support Act of 2012 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 H.R.5707-Medicare Physician Payment Innovation Act of 2012 H.R.5842-Restoring Access to Medication Act of 2012 H.R.5858-Health Savings Accounts Improvements Act of 2012 H.R. 6079-Repeal of Obama Care Act H.R. 6142-Assuring Medicare Stability and Access for Seniors Act of 2012 H.R. 6163-National Pediatric Research Network Act of 2012 H.R. 6562-Resident Physician Shortage Reduction Act of 2012 H.R. 6672- Pandemic and All-Hazards Preparedness Reauthorization Act of 2012 H.R. 6719- Telehealth Promotion Act of 2012 S.223-FAA Air Transportation Modernization and Safety Improvement Act S.385-Dale Long Emergency Medical Services Providers Protection Act S.668-Health Care Bureaucrats Elimination Act S.868-State Flexibility Act S.932-SERVE Act of 2011 S.933-Volunteer Responder Incentive Protection Reauthorization Act of 2011 S.951-Hiring Heroes Act of 2011 S.958-Children's Hospital GME Support Reauthorization Act of 2011 S.1059-Family Health Care Accessibility Act of 2011 S.1099-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 S.1407-Air Ambulance Medicare Accreditation and Accountability Act S.1855-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011

H.R. 8- American Taxpayer Relief Act of 2012 H.R.452-Medicare Decisions Accountability Act of 2011 H.R.541-Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.1256-Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1683-State Flexibility Act H.R.1852-Children's Hospital GME Support Reauthorization Act of 2011 H.R.2104-Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy (CARE) Act of 2011 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 H.R.5707-Medicare Physician Payment Innovation Act of 2012 H.R. 6142-Assuring Medicare Stability and Access for Seniors Act of 2012 H.R. 6163-National Pediatric Research Network Act of 2012 H.R. 6562-Resident Physician Shortage Reduction Act of 2012 H.R. 6719- Telehealth Promotion Act of 2012 S.868-State Flexibility Act S.958-Children's Hospital GME Support Reauthorization Act of 2011

Client expense: $695,377 · Firm income: Not reported

H.R.2104-Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy (CARE) Act of 2011 H.R.2405-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R.2903-Federal Emergency Management Agency (FEMA) Reauthorization Act of 2012 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 H.R. 6163-National Pediatric Research Network Act of 2012 H.R. 6672- Pandemic and All-Hazards Preparedness Reauthorization Act of 2012 S.668-Health Care Bureaucrats Elimination Act S.1855-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011

Client expense: $695,377 · Firm income: Not reported

Implementation of H.R. 3590, Patient Protection and Affordable Care Act of 2010 Implementation of H.R. 4872, Healthcare and Education Reconciliation Act of 2010, provisions dealing with Medicare reimbursement for medical imaging procedures Medicare payments for medical imaging procedures H.R. 3269, The Diagnostic Imaging Services Access Protection Act of 2011 S.2347, The Diagnostic Imaging Services Access Protection Act of 2011

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 17 - Medical Device Access and Innovation Protection Act of 2011 HR 436 - Protect Medical Innovation Act of 2011 S 223 - FAA Air Transportation Modernization and Safety Improvement Act HR 658 - FAA Reauthorization and Reform Act of 2011 HR 2461 - Physician Pathology Services Continuity Act of 2011 HR 2020 and S 1096 - Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2011 HR 2832 - To extend the Generalized System of Preferences, and for other purposes FDA 510(k) Reform Health Information Technology Medicare Reimbursement for Imaging Services Medicare Reimbursement for Radiopharmaceuticals Medicare Coverage of New Technologies United States Preventive Services Task Force Issues Patient Safety Organizations Laboratory Developed Tests Physician Payments Sunshine HR 3630 - Middle Class Tax Relief and Job Creation Act of 2012 HR 3207 - Modernizing Laboratory Test Standards for Patients Act of 2011 HR 3269 - Diagnostic Imaging Services Access Protection Act of 2011 Helium Shortage S 1995 - Medical Device Patient Safety Act HR 2104 - Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act of 2011 S 3338 - Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act of 2011 S 2374 - Helium Stewardship Act of 2012 S3187 - Food and Drug Administration Safety and Innovation Act

Client expense: $3,890,000 · Firm income: Not reported

S 17 - Medical Device Access and Innovation Protection Act of 2011 HR 436 - Protect Medical Innovation Act of 2011 S 223 - FAA Air Transportation Modernization and Safety Improvement Act HR 658 - FAA Reauthorization and Reform Act of 2011 HR 2461 - Physician Pathology Services Continuity Act of 2011 HR 2020 and S 1096 - Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2011 HR 2832 - To extend the Generalized System of Preferences, and for other purposes FDA 510(k) Reform Health Information Technology Medicare Reimbursement for Imaging Services Medicare Reimbursement for Radiopharmaceuticals Medicare Coverage of New Technologies United States Preventive Services Task Force Issues Patient Safety Organizations Laboratory Developed Tests Physician Payments Sunshine HR 3630 - Middle Class Tax Relief and Job Creation Act of 2012 HR 3207 - Modernizing Laboratory Test Standards for Patients Act of 2011 HR 3269 - Diagnostic Imaging Services Access Protection Act of 2011 Helium Shortage S 1995 - Medical Device Patient Safety Act

Client expense: $5,280,000 · Firm income: Not reported

Medicare reimbursement for diagnostic imaging services; H.R. 3269, Diagnostic Imaging Services Access Protection Act of 2011; S. 2347, Diagnostic Imaging Services Access Protection Act of 2012

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 452, Medicare Decisions Accountability Act of 2011, all provisions S. 668, Health Care Bureaucrats Elimination Act, all provisions H.R. 5, Protecting Access to Healthcare Act, provisions relating to IPAB Repeal H.R. 1700, Medicare Patient Empowerment Act, all provisions S. 1042, Medicare Patient Empowerment Act, all provisions H.R. 5942, Quality Improvement Organization Program Restoration Act, all provisions H.R. 3269, Diagnostic Imaging Services Access Protection Act of 2011, all provisions S. 2347, Diagnostic Imaging Services Access Protection Act of 2012, all provisions Medicare program - Physician Payment and Delivery Reform Medicare program - Physician Payment System Medicare program - 2013 Physician Fee Schedule Medicare program - Economic Index Medicare program - Budget Sequestration Medicare program - Graduate Medical Education Medicare program - Physician Payment Sunshine Act Medicare program - SGR Repeal Medicare program - Resource-based Relative Value Scale/RVS Update Committee Medicare program - ICD-10 Medicare program - Private Contracting Medicare program - Physician Quality Reporting System (PQRS) Medicare program - AMA advocacy priorities Medicare program - E & M Upcoding Medicare program - RAC/E&M documentation Medicare program - Observation care Medicare program - MoPath codes Medicare program - E-prescribing Medicare program - Care coordination codes Medicare program - Value-Based Modifier (VBM) and Quality & Resource Use Reports (QRUR) Medicare program - Hospital Out-patient Departments Medicare program - Physician Quality Reporting System (PQRS) Group Practice Reporting Option (GPRO) Medicare program - Advance payment Medicare program - Plan ID Medicare program - EFT Medicare program - Advance payment policy Medicare program - Enrollment Medicare program - Quality Measure Development and Endorsement Medicare program - Scope of Practice Medicare program - AMA perspective on physician payment reform Medicare program - Bundling proposals Medicare program - Conditions of Participation Medicare program - Regulatory Relief Medicare program - Shared Savings/Accountable Care Organizations Medicare and Medicaid programs - Public-Private Partnership Medicare and Medicaid programs - Program Integrity Medicare and Medicaid programs - Dual Eligibles Medicare and Medicaid programs - Meaningful Use Stage 2

Sustainable Growth Rate Formula Reform (general); H.R. 452, Medicare Decisions Accountability Act; S. 688, Health Care Bureaucrats Elimination Act; Imaging (general); Medicaid (general); H.R. 2020/ S.1096, Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act; Strong Start Initiative; Primary care payment bonuses; H.R. 5707, Medicare Physician Payment Innovation Act of 2012. H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act; H.R. 3667, Primary Care Workforce Access Improvement Act of 2011; H.R. 3269/S. 2347, Diagnostic Imaging Services Access Protection Act of 2011.

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

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

Permanent repeal or patch of the Medicare SGR prior to any cut taking effect; Payment reform to more accurately value cognitive care services; Support HR 5707, Medicare Physician Payment Innovation Act of 2012; Support repeal of the PPACAs Independent Payment Advisory Board; Support HR. 3269 / S. 2347 to eliminate the multiple procedure payment reduction (MPPR) on professional components for select advanced diagnostic imaging services; Opposing automatic sequestration cuts to Medicare Provider Payments; Nominated 2 members to serve on the Medicare Evidence Development Coverage Advisory Committee; Transitional care management and chronic care coordination codes.

Client expense: $170,000 · 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, Veterans Affairs, Dept of (VA)

H.R.5-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 H.R.157-Health Care Safety Net Enhancement Act of 2011 H.R.314-Medical Liability Procedural Reform Act of 2011 H.R.376-Volunteer Emergency Services Recruitment and Retention Act of 2011 H.R.436-Health Care Cost Reduction Act of 2012 H.R.452-Medicare Decisions Accountability Act of 2011 H.R.541-Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.816-Provider Shield Act of 2011 H.R.896-Medical Justice Act of 2011 H.R.969- Medical Practice Freedom Act of 2011 H.R. 971-Critical Care Assessment and Improvement Act of 2011 H.R.1004-Health Flexible Spending Arrangements Improvements Act of 2012 H.R.1117-Air Ambulance Patient Safety, Protection, and Coordination Act H.R. 1063-Strengthening Medicare And Repaying Taxpayers Act of 2011 H.R. 1206- Access to Professional Health Insurance Advisors Act of 2011 H.R.1256-Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1310-To amend the Internal Revenue Code of 1986 to exempt certain emergency medical devices from the excise tax on medical devices, and for other purposes H.R.1629-Family Health Care Accessibility Act of 2011 H.R.1668-Danny McIntosh Emergency Medical Service Providers Protection Act H.R.1683-State Flexibility Act H.R.1852-Children's Hospital GME Support Reauthorization Act of 2011 H.R.1941-Hiring Heroes Act of 2011 H.R.2104-Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy (CARE) Act of 2011 H.R.2205-Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R.2353-Volunteer Responder Incentive Protection Reauthorization Act of 2011 H.R.2405-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R.2472-Health Care Professionals Protection Act of 2011 H.R.2488-SERVE Act of 2011 H.R.2523-Physician Availability Act of 2011 H.R.2853-Emergency Medic Transition (EMT) Act of 2011 H.R.2903-Federal Emergency Management Agency (FEMA) Reauthorization Act of 2012 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.3511- Cardiac Arrest Survival Act of 2011 H.R.3586-Good Samaritans Health Professionals Act of 2011 H.R.3625-Cardiomyopathy Health Education, Awareness, Risk Assessment, and Training in the Schools (HEARTS) Act of 2011 H.R.4124-Veteran Emergency Medical Technician Support Act of 2012 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 H.R.5707-Medicare Physician Payment Innovation Act of 2012 H.R.5842-Restoring Access to Medication Act of 2012 H.R.5858-Health Savings Accounts Improvements Act of 2012 H.R. 6079-Repeal of Obama Care Act H.R. 6142-Assuring Medicare Stability and Access for Seniors Act of 2012 H.R. 6163-National Pediatric Research Network Act of 2012 S.223-FAA Air Transportation Modernization and Safety Improvement Act S.385-Dale Long Emergency Medical Services Providers Protection Act S.668-Health Care Bureaucrats Elimination Act S.868-State Flexibility Act S.932-SERVE Act of 2011 S.933-Volunteer Responder Incentive Protection Reauthorization Act of 2011 S.951-Hiring Heroes Act of 2011 S.958-Children's Hospital GME Support Reauthorization Act of 2011 S.1059-Family Health Care Accessibility Act of 2011 S.1099-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 S.1407-Air Ambulance Medicare Accreditation and Accountability Act S.1855-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011

H.R.452-Medicare Decisions Accountability Act of 2011 H.R.541-Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.1256-Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1683-State Flexibility Act H.R.1852-Children's Hospital GME Support Reauthorization Act of 2011 H.R.2104-Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy (CARE) Act of 2011 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 H.R.5707-Medicare Physician Payment Innovation Act of 2012 H.R. 6142-Assuring Medicare Stability and Access for Seniors Act of 2012 H.R. 6163-National Pediatric Research Network Act of 2012 S.868-State Flexibility Act S.958-Children's Hospital GME Support Reauthorization Act of 2011

Client expense: $433,244 · Firm income: Not reported

H.R.2104-Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy (CARE) Act of 2011 H.R.2405-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R.2903-Federal Emergency Management Agency (FEMA) Reauthorization Act of 2012 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 H.R. 6163-National Pediatric Research Network Act of 2012 S.668-Health Care Bureaucrats Elimination Act S.1855-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011

Client expense: $433,244 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of H.R. 3590, Patient Protection and Affordable Care Act of 2010 Implementation of H.R. 4872, Healthcare and Education Reconciliation Act of 2010, provisions dealing with Medicare reimbursement for medical imaging procedures Medicare payments for medical imaging procedures H.R. 3630, The Middle Class Tax Relief and Job Creation Act of 2011, Medicare provisions H.R. 3269, The Diagnostic Imaging Services Access Protection Act of 2011

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 17 - Medical Device Access and Innovation Protection Act of 2011 HR 436 - Protect Medical Innovation Act of 2011 S 223 - FAA Air Transportation Modernization and Safety Improvement Act HR 658 - FAA Reauthorization and Reform Act of 2011 HR 2461 - Physician Pathology Services Continuity Act of 2011 HR 2020 and S 1096 - Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2011 HR 2832 - To extend the Generalized System of Preferences, and for other purposes FDA 510(k) Reform Health Information Technology Medicare Reimbursement for Imaging Services Medicare Reimbursement for Radiopharmaceuticals Medicare Coverage of New Technologies United States Preventive Services Task Force Issues Patient Safety Organizations Laboratory Developed Tests Physician Payments Sunshine HR 3630 - Middle Class Tax Relief and Job Creation Act of 2012 HR 3207 - Modernizing Laboratory Test Standards for Patients Act of 2011 HR 3269 - Diagnostic Imaging Services Access Protection Act of 2011 Helium Shortage S 1995 - Medical Device Patient Safety Act HR 2104 - Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act of 2011 S 3338 - Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act of 2011 S 2374 - Helium Stewardship Act of 2012 S3187 - Food and Drug Administration Safety and Innovation Act

Client expense: $4,860,000 · Firm income: Not reported

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

H.R.2104-Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy (CARE) Act of 2011 H.R.2405-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 S.668-Health Care Bureaucrats Elimination Act S.1855-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.452-Medicare Decisions Accountability Act of 2011 H.R.541-Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.1256-Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1683-State Flexibility Act H.R.1852-Children's Hospital GME Support Reauthorization Act of 2011 H.R.2104-Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy (CARE) Act of 2011 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 H.R.5707-Medicare Physician Payment Innovation Act of 2012 S.868-State Flexibility Act S.958-Children's Hospital GME Support Reauthorization Act of 2011

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

H.R.452-Medicare Decisions Accountability Act of 2011 H.R.541-Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.1256-Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1683-State Flexibility Act H.R.1852-Children's Hospital GME Support Reauthorization Act of 2011 H.R.2104-Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy (CARE) Act of 2011 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 H.R.5707-Medicare Physician Payment Innovation Act of 2012 S.868-State Flexibility Act S.958-Children's Hospital GME Support Reauthorization Act of 2011

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

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

H.R.2104-Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy (CARE) Act of 2011 H.R.2405-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 S.668-Health Care Bureaucrats Elimination Act S.1855-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Permanent repeal or patch of the Medicare SGR prior to any cut taking effect; Payment reform to more accurately value cognitive care services; Support HR 5707, Medicare Physician Payment Innovation Act of 2012; Support repeal of the PPACAs Independent Payment Advisory Board; Support HR. 3269 / S. 2347 to eliminate the multiple procedure payment reduction (MPPR) on professional components for select advanced diagnostic imaging services; Administrative Simplification: Adoption of a Standard for a Unique Health Plan Identifier; Addition to the National Provider Identifier Requirements; and a Change to the Compliance Date for ICD-10-CM and ICD-10-PCS Medical Data Codes Sets; Changes to the Hospital Inpatient and Long-Term Care Prospective Payment System for FY 2013 Medicaid Program: Payments for Services Furnished by Certain Primary Care Physicians Medicare and Medicaid Programs: Electronic Health Record Incentive Program--Stage 2 Proposed Rule

Client expense: $270,000 · Firm income: Not reported

S 17 - Medical Device Access and Innovation Protection Act of 2011 HR 436 - Protect Medical Innovation Act of 2011 S 223 - FAA Air Transportation Modernization and Safety Improvement Act HR 658 - FAA Reauthorization and Reform Act of 2011 HR 2461 - Physician Pathology Services Continuity Act of 2011 HR 2020 and S 1096 - Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2011 HR 2832 - To extend the Generalized System of Preferences, and for other purposes FDA 510(k) Reform Health Information Technology Medicare Reimbursement for Imaging Services Medicare Reimbursement for Radiopharmaceuticals Medicare Coverage of New Technologies United States Preventive Services Task Force Issues Patient Safety Organizations Laboratory Developed Tests Physician Payments Sunshine HR 3630 - Middle Class Tax Relief and Job Creation Act of 2012 HR 3207 - Modernizing Laboratory Test Standards for Patients Act of 2011 HR 3269 - Diagnostic Imaging Services Access Protection Act of 2011 Helium Shortage S 1995 - Medical Device Patient Safety Act

Client expense: $5,470,000 · Firm income: Not reported

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

H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3000-Empowering Patients First Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.452-Medicare Decisions Accountability Act of 2011 H.R.541-Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.1256-Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1683-State Flexibility Act H.R.1852-Children's Hospital GME Support Reauthorization Act of 2011 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.3630 (P.L. 112-96)-Temporary Payroll Tax Cut Continuation Act of 2011 H.R.3765 (P.L. 112-78)-Temporary Payroll Tax Cut Continuation Act of 2011 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 S.668-Health Care Bureaucrats Elimination Act S.868-State Flexibility Act S.958-Children's Hospital GME Support Reauthorization Act of 2011

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

Implementation of H.R. 3590, Patient Protection and Affordable Care Act of 2010 Implementation of H.R. 4872, Healthcare and Education Reconciliation Act of 2010, provisions dealing with Medicare reimbursement for medical imaging procedures Medicare payments for medical imaging procedures H.R. 3630, The Middle Class Tax Relief and Job Creation Act of 2011, Medicare provisions H.R. 3269, The Diagnostic Imaging Services Access Protection Act of 2011

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 408 - The Spending Reduction Act of 2011 S 17 - Medical Device Access and Innovation Protection Act of 2011 HR 436 - Protect Medical Innovation Act of 2011 S 223 - FAA Air Transportation Modernization and Safety Improvement Act HR 658 - FAA Reauthorization and Reform Act of 2011 HR 2461 - Physician Pathology Services Continuity Act of 2011 HR 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 HR 2020 and S 1096 - Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2011 HR 2832 - To extend the Generalized System of Preferences, and for other purposes FDA 510(k) Reform Health Information Technology Medicare Reimbursement for Imaging Services Medicare Reimbursement for Radiopharmaceuticals Medicare Coverage of New Technologies United States Preventive Services Task Force Issues Patient Safety Organizations Laboratory Developed Tests Physician Payments Sunshine HR 3630 - Middle Class Tax Relief and Job Creation Act of 2011 HR 3207 - Modernizing Laboratory Test Standards for Patients Act of 2011 HR 3269 - Diagnostic Imaging Services Access Protection Act of 2011

Client expense: $5,330,000 · Firm income: Not reported

Hand transplant research; Healthcare coverage for military retirees and their families; S. 296 Preserving Access to Life Saving Medications Act, Drug Shortages; Pediatric vision care as an essential benefit; H.R. 1562 Sober Truth on Preventing Underage Drinking Reauthorization Act, Underage drinking; S. 847 Safe Chemicals Act of 2011, Toxicity testing of chemicals; H.R. 3269 Diagnostic Imaging Services Access Protection Act, Medicare payments for imaging services

Client expense: $120,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, White House Office

H.R.2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R.3144 - Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3000 - Empowering Patients First Act H.R.3269 - Diagnostic Imaging Services Protection Act of 2011 S.1855 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

H.R.452 - Medicare Decisions Accountability Act of 2011 H.R.541 - Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.1005 - Medicare Ambulance Access Preservation Act of 2011 H.R.1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1683 - State Flexibility Act H.R.1852 - Children's Hospital GME Support Reauthorization Act of 2011 H.R.3000 - Empowering Patients First Act H.R.3144 - Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269 - Diagnostic Imaging Services Protection Act of 2011 H.R.3630 - Temporary Payroll Tax Cut Continuation Act of 2011 H.R.3765 (P.L112-78) - Temporary Payroll Tax Cut Continuation Act of 2011 S.424 - Medicare Ambulance Access Preservation Act of 2011 S.668 - Health Care Bureaucrats Elimination Act S.868 - State Flexibility Act S.958 - Children's Hospital GME Support Reauthorization Act of 2011

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

Medicare physician payment reform - repeal of SGR, halt to Medicare payment cuts Halt to additional Medicare reimbursement cuts for advanced diagnostic imaging services H.R. 3269, legislation to repeal the multiple procedure payment reduction for the professional component of imaging services

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare physician payment reform - repeal of SGR, halt to Medicare payment cuts Halt to additional Medicare reimbursement cuts for advanced diagnostic imaging services H.R. 3269, legislation to repeal the multiple procedure payment reduction for the professional component of imaging services Hospital Outpatient Payment for Cardiac CT services

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

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