HEART for Women Act

See page 3 for specific lobbying issues H.R. 2 - Repealing the Job-Killing Health Care Law Act H.R. 5/S. 218/S.1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 733 - Recalcitrant Cancer Research Act of 2012 H.R.1172 - Medicare Lung Cancer Early Detection Promotion Act of 2011 H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H.R. 1394/S.752 - Lung Cancer Mortality Reduction Act H.R. 2219 - Department of Defense Appropriations Act - Provisions related to funding for Lung Cancer research only H.R. 3475 - Keeping IDs Safe Act - Provisions related to Pediatric Subspecialty Loan Repayment Program H.R. 3526/S. 438 - Heart Disease Education, Analysis, Research, and Treatment for Women (HEART for Women) Act H.R. 3630/3743/3765 - Temporary Payroll Tax Cut Continuation Act of 2011 - Provisions related to Medicare physician payment only H.Res. 9 - Instructing certain committees to report legislation replacing the job-killing health care law H.J. Res. 48 - Additional Continuing Appropriations Amendments, 2011 S. 362 - Pancreatic Cancer Research and Education Act (companion to HR 733) S. 668 - Health Care Bureaucrats Elimination Act S. 756 Medicare Data Access for Transparency and Accountability Act Section 5203 of the Affordable Care Act (P.L. 111-148) - Provisions on Health Care Workforce Loan Repayment Programs S. 1534 - Identify Theft and Tax Fraud Prevention Act - Provisions on Social Security Death Master File Health care reform, health care quality improvement; physician workforce; comparative effectiveness research; health information technology; HIT Meaningful Use; Sustainable Growth Rate; Independent Payment Advisory Board; accountable care organizations; resident work hours; Patient Centered Outcomes Research Institute; Center for Medicare and Medicaid Innovation; MEDCAC; Joint Select Committee on Deficit Reduction; Social Security Death Master File; Coverage with Evidence Development; ICD-10 Implementation; health care-associated infections; Physician Payment Sunshine Act; Physician Fee Schedule; Inpatient Prospective Payment System; Value Based Update (VBU) Proposal; Sequestration

Client expense: $125,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R. 469 Protecting Student Athletes from Concussions Act, all provisions Prevention Initiatives H.R. 5 HEALTH Act, provisions pertaining to physical therapy S. 174 Healthy Lifestyles & Prevention (HELP) America Act, provisions pertaining to physical therapy S. 438/H.R. 3526 Heart Disease Education, Analysis, Research, and Treatment for Women Act, all provisions Opposition to Repeal of Prevention & Public Health Fund H.R. 2 Repealing the Job-Killing Health Care Law Act, provisions pertaining to physical therapy Support for Congressional Caucus for Workplace Wellness S. 218- Help Efficient, Accesible, Low-Cost, Timely Health Care (HEALTH) Act, provisions pertaining to physical therapy H.R. 1154/S. 769- Veterans Equal Treatment for Service Dogs Act, all provisions Implementation/Expansion of CDC Falls Programs CDC Concussion Management National Guidelines Opposition to IPAB H.R. 4238- TBI reauthorization Direct Access under FEHBP Class Act CDC Physical Activity Environmental and Policy Strategies Report CDC Research on Arthritis HRSA efforts to develop minimum data set for health professionals Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits and Health Insurance Exchanges AHRQ Comments on draft final report for treatment of pressure ulcers Comments on Chronic Venous Ulcers AHRQ provisions pertaining to PT

Client expense: $428,000 · Firm income: Not reported

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

Support ending health care disparities among racial and ethnic minorities, support the Affordable Care Act. Reject efforts to repeal health care reform; oppose H.R. 2. Oppose efforts to repeal health car reform via the appropriations process. Oppose cuts in the federal budget to Community Health Care Centers. Fight childhood hunger and obesity -- support a robust, well-funded child nutrition bill. Work to eliminate "food deserts" in low-income neighborhoods, support the establishment of farmers markets and other means of fresh fruits and vegetables in urban areas. Support the National Youth Sports Program Revitalization Act of 2010. Support full funding for HIV/AIDS treatment, prevention and cure. Support H.R. 894, the Maternal Health Accountability Act of 2011. Oppose efforts to privatize Medicare and make Medicaid a block grant program. Oppose H. Con. Res. 35. Oppose banning of all funds to Planned Parenthood affiliates. Oppose H. Con. Res. 36. Oppose H.R. 1227. Support the development and implementation of health insurance exchanges. Support FIT Kids Act (support H.R. 1057 and S.576). Support State Insurance Exchange Programs. Oppose H. R. 1213. Support School based health centers. Oppose H.R. 1214. Support the Prevention and Public Health Fund. Oppose H.R. 1217. Support S. 919, the Successful, Safe, and Healthy Students Act of 2011. Support September as Childhood Obesity Awareness Month. Support H.Res. 339. Support reducing maternal mortality. Support H.R. 894. Support increased funds for AIDS awareness, prevention & treatment. Support a strong and robust Medicaid program. Oppose cuts to Medicaid. Support efforts to advance health equity in the establishment of health insurance Exchanges and the certification of Qualified Health Plans (QHPs) as prescribed in the Affordable Care Act. Support the Health Equity and Accountability Act; support H.R. 2945. Support robust implementation of the data collection requirements of the Affordable Care Act (ACA) . Ensure that the rules surrounding the creation of Accountable Care Organizations under the ACA improve the quality of our healthcare system overall by delivering coordinated, patient- and family-centered care, and greatly advance the effort to achieve health equity. Oppose H.R. 3541, the "Susan B. Anthony and Frederick Douglas Prenatal Non Discrimination Act". Support designating September as National Childhood Obesity Month. Support H. Res. 339. Support the inclusion of prohibitions on discrimination on the basis of race, color, national origin, disability, age, sex, gender identity, or sexual orientation in the establishment of health insurance Exchanges and the certification of Qualified Health Plans as required by the Affordable Care Act. Oppose the Center for Medicare and Medicaid Services (CMS) proposed regulations that would require private Medicare plans (Part C and D) to translate written materials only into languages spoken by 10% of the population in the plans service area. Rather, the NAACP strongly urges CMS to consider an alternative standard of 5% of the general population or 500 individuals served in the service area, whichever is smaller to ensure that every American can access Medicare services. Support H.R. 1880, the Status Report on the 30th Anniversary of HIV/AIDS Act. Support full funding for funding for domestic HIV/AIDS programs. Suport Needle Exchange programs. Support H.R. 2086 / S. 2149, the Medical Debt Responsibility Act, which requirees that credit agencies to remove FULLY paid or settled medical debt from credit reports within 45 days. Oppose legislation which would impose unprecedented burdens on parties in cases involving a wide array of federal protections in areas such as environmental, consumer, health care, and civil rights laws. Oppose H.R. 3041, H.R. 3862, and H.R. 1996. Support the HEART for Women Act (S. 438/H.R. 3526). Support a long term transportation bill which will: 1.Preserve and expand existing programs that fund essential transportation options bicycling, walking, and public transportation. 2.Expand access to quality transportation jobs for the chronically-unemployed, low-income people, individuals with disabilities, women, and communities of color. 3.Strengthen enforcement of existing civil rights provisions. 4.Improve transportation outcomes through strategic planning with measures that promote economic and social equity. 5.Reform transportation funding to lower household expenses and foster community development. Express concern about a state-based benchmark approach to implementing the Essential Health Benefit (EHB) package. In particular, we believe that flexibility without robust anti-discrimination enforcement mechanisms will undermine critical civil rights protections in the Affordable Care Act (ACA). Oppose the Center for Medicare and Medicaid Services (CMS) proposed regulations that would require private Medicare plans (Part C and D) to translate written materials only into languages spoken by 10% of the population in the plans service area. Rather, the NAACP strongly urges CMS to consider an alternative standard of 5% of the general population or 500 individuals served in the service area, whichever is smaller to ensure that every American can access Medicare services. Oppose a repeal of the Community Living Assistance Services and Supporters program. Oppose HR 1173. Oppose the Red Tape Reduction and Small Business Job Creation Act" (H.R. 4078), which includes the Regulatory Freeze For Jobs Act, the Midnight Rule Relief Act of 2012" (H.R. 4607), and the Sunshine for Regulatory Decrees and Settlements Act of 2012 (H.R. 3862), among other harmful bills. Support LGBT designation as a health disparity population by the National Institute for Minority Health and Health Disparities (NIMHD). Urge Congress to take a balanced approach, invest in strategies that create job growth, lift children and families out of poverty and ensure racial and ethnic minorities are not disproportionately adversely impacted. Strategies include full funding for the Affordable Care Act to protect all provisions in the law, and especially for expansion of Medicaid, establishment of Exchanges, subsidies for people with low incomes and small businesses, and for the Prevention and Public Health Fund; retaining the structure of the Medicaid program so that it remains an entitlement program to provide states with sufficient financial resources to administer their Medicaid programs for underserved communities experiencing health disparities; level funding for the REACH US Program to advance community driven strategies and interventions for the elimination of racial and ethnic chronic disease health disparities and enhance the capacity to conduct evaluation, increase dissemination, facilitate Technical Assistance and mentoring for other federal initiatives; the Public Health Prevention Fund and Community Transformation Grant program must be fully funded in order to effectively reduce the incidence of costly chronic diseases, help improve health, address health inequities, and control health-care spending; an increase in funding from the Presidents request to support its efforts to promote community solutions to eliminate health disparities, improve the diversity and cultural competency of the health-related workforce, and ensure access to quality, culturally and linguistically appropriate care; sufficient funding to accomplish HHS's overall data collection mission; the HHS Office of Civil Rights' needs additional funding to ensure that it has the staff and resources to appropriately investigate and enforce these critical laws; more funding is needed for the HHS Office of Minority Health to ensure these offices have the staff and resources needed to carry out their mission; and investing in the The Healthy Food Financing Initiative. Support requiring the FDA to report on the availability of new drug and device safety and efficacy data by sex, age, and racial and ethnic subgroups. Support the Cardin-Cochran amendment to MAP-21, which gives local governmentsthose closest to the needs of their constituents and communitiesan opportunity to weigh in on how states spend their Additional Activities federal transportation dollars. Support federal support for school-based health centers in the Presidents Budget for Fiscal Year 2014. Support the State Paid Leave Fund. Strongly support the prominence given to the goal of reducing health disparities in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programss structure; however, we are concerned that the meaningful use requirements as proposed are inadequate to achieve this outcome. Specifically, we support the incentive programs reinforcing federal civil rights and health information privacy laws; the incentive program requiring robust demographic data collection and use, inlcuding disability status data collection, sexual orientation and gender identity data collection, and geographic information; and the incentive program should build linkages with existing health disparity strategies. Support ensuring that pregnant workers are not forced out of their jobs unnecessarily or denied reasonable job modifications that would allow them to continue working and supporting their families. Strongly support H.R. 2086 and S. 2149, the Medical Debt Responsibility Act. Oppose policy "riders" on the Commerce Justice Science Appropriations bill for FY 13 which would prohibit the US DoJ from supporting legal efforts to implement the Affordable Care Act. Support the nomination of Dr. Kimberly Jeffries Leonard to serve as Director of the Center for Mental Health Services within the Substance Abuse Mental Health Services Administration. Support the use of federal funding for syringe access programs in the FY 2013 Labor-Health and Human Services-Education (LHHS) Appropriations bill. Support full implementation of all provisions in the Affordable Care Act, in particular full implementation of the Medicaid expansion in 50 states and the District of Columbia. Support a revised health disparity population designation methodology that draws on the existing evidence base on lesbian, gay, bisexual, and transgender (LGBT) health disparities and leads to the LGBT population being formally designated as a health disparity population. Support full funding for the implementation of the Affordable Carre Act: funding should be protected for all provisions in the law, and especially for expansion of Medicaid, establishment of Exchanges, subsidies for people with low incomes and small businesses, and for the Prevention and Public Health Fund. Support $54 Million for the REACH (Racial and Ethnic Approaches to Community Health) Program in Fiscal Year 2013. Support an increase in funding above $41 million to support the efforts of the efforts of the Office of Minority Health (OMH) to promote community solutions to eliminate health disparities, improve the diversity and cultural competency of the health-related workforce, and ensure access to quality, culturally and linguistically appropriate care. Support sufficient funding to accomplish the Department of Health and Human Service's overall data collection mission. Support additional funding for the HHS Office of Civil Rights (OCR). With the elevation of the Office of Minority Health to the Office of the Secretary and creation of six new offices of minority health throughout HHS, more funding is needed to ensure these offices have the staff and resources needed to carry out their mission. Support the Healthy Food Financing Initiative, which serves to improve access to healthy food in low-income communities across the country by providing loans and grants to open new supermarkets and fresh food retailers to improve access to healthy food in underserved areas. President Obamas budget request includes $285 million for HFFI, which includes $10 million at the Department of Health and Human Services (HHS), $25 million in Community Development Financial Institutions funding at the Department of Treasury, and a $250 million set-aside request within the broader $7 billion New Markets Tax Credit program for HFFI. The budget also calls for the Department of Agriculture (USDA) to target additional resources toward the overall goals of combating food deserts and increasing access to healthy food. Investing in HFFI would promote increased access to healthy food, create new jobs, improve health, and generate new economic opportunities in low-income communities across the nation. Advocated that the United States use its stature and position to have the NAACP policy agenda included in any and all relevant United Nations' treaties and other compliance documents.

Support ending health care disparities among racial and ethnic minorities, support the Affordable Care Act. Reject efforts to repeal health care reform; oppose H.R. 2. Oppose efforts to repeal health car reform via the appropriations process. Oppose cuts in the federal budget to Community Health Care Centers. Fight childhood hunger and obesity -- support a robust, well-funded child nutrition bill. Work to eliminate "food deserts" in low-income neighborhoods, support the establishment of farmers markets and other means of fresh fruits and vegetables in urban areas. Support the National Youth Sports Program Revitalization Act of 2010. Support full funding for HIV/AIDS treatment, prevention and cure. Support H.R. 894, the Maternal Health Accountability Act of 2011. Oppose efforts to privatize Medicare and make Medicaid a block grant program. Oppose H. Con. Res. 35. Oppose banning of all funds to Planned Parenthood affiliates. Oppose H. Con. Res. 36. Oppose H.R. 1227. Support the development and implementation of health insurance exchanges. Support FIT Kids Act (support H.R. 1057 and S.576). Support State Insurance Exchange Programs. Oppose H. R. 1213. Support School based health centers. Oppose H.R. 1214. Support the Prevention and Public Health Fund. Oppose H.R. 1217. Support S. 919, the Successful, Safe, and Healthy Students Act of 2011. Support September as Childhood Obesity Awareness Month. Support H.Res. 339. Support reducing maternal mortality. Support H.R. 894. Support increased funds for AIDS awareness, prevention & treatment. Support a strong and robust Medicaid program. Oppose cuts to Medicaid. Support efforts to advance health equity in the establishment of health insurance Exchanges and the certification of Qualified Health Plans (QHPs) as prescribed in the Affordable Care Act. Support the Health Equity and Accountability Act; support H.R. 2945. Support robust implementation of the data collection requirements of the Affordable Care Act (ACA) . Ensure that the rules surrounding the creation of Accountable Care Organizations under the ACA improve the quality of our healthcare system overall by delivering coordinated, patient- and family-centered care, and greatly advance the effort to achieve health equity. Oppose H.R. 3541, the "Susan B. Anthony and Frederick Douglas Prenatal Non Discrimination Act". Support designating September as National Childhood Obesity Month. Support H. Res. 339. Support the inclusion of prohibitions on discrimination on the basis of race, color, national origin, disability, age, sex, gender identity, or sexual orientation in the establishment of health insurance Exchanges and the certification of Qualified Health Plans as required by the Affordable Care Act. Oppose the Center for Medicare and Medicaid Services (CMS) proposed regulations that would require private Medicare plans (Part C and D) to translate written materials only into languages spoken by 10% of the population in the plans service area. Rather, the NAACP strongly urges CMS to consider an alternative standard of 5% of the general population or 500 individuals served in the service area, whichever is smaller to ensure that every American can access Medicare services. Support H.R. 1880, the Status Report on the 30th Anniversary of HIV/AIDS Act. Support full funding for funding for domestic HIV/AIDS programs. Suport Needle Exchange programs. Support H.R. 2086 / S. 2149, the Medical Debt Responsibility Act, which requirees that credit agencies to remove FULLY paid or settled medical debt from credit reports within 45 days. Oppose legislation which would impose unprecedented burdens on parties in cases involving a wide array of federal protections in areas such as environmental, consumer, health care, and civil rights laws. Oppose H.R. 3041, H.R. 3862, and H.R. 1996. Support the HEART for Women Act (S. 438/H.R. 3526). Support a long term transportation bill which will: 1.Preserve and expand existing programs that fund essential transportation options bicycling, walking, and public transportation. 2.Expand access to quality transportation jobs for the chronically-unemployed, low-income people, individuals with disabilities, women, and communities of color. 3.Strengthen enforcement of existing civil rights provisions. 4.Improve transportation outcomes through strategic planning with measures that promote economic and social equity. 5.Reform transportation funding to lower household expenses and foster community development. Express concern about a state-based benchmark approach to implementing the Essential Health Benefit (EHB) package. In particular, we believe that flexibility without robust anti-discrimination enforcement mechanisms will undermine critical civil rights protections in the Affordable Care Act (ACA). Oppose the Center for Medicare and Medicaid Services (CMS) proposed regulations that would require private Medicare plans (Part C and D) to translate written materials only into languages spoken by 10% of the population in the plans service area. Rather, the NAACP strongly urges CMS to consider an alternative standard of 5% of the general population or 500 individuals served in the service area, whichever is smaller to ensure that every American can access Medicare services. Oppose a repeal of the Community Living Assistance Services and Supporters program. Oppose HR 1173. Oppose the Red Tape Reduction and Small Business Job Creation Act" (H.R. 4078), which includes the Regulatory Freeze For Jobs Act, the Midnight Rule Relief Act of 2012" (H.R. 4607), and the Sunshine for Regulatory Decrees and Settlements Act of 2012 (H.R. 3862), among other harmful bills. Support LGBT designation as a health disparity population by the National Institute for Minority Health and Health Disparities (NIMHD). Urge Congress to take a balanced approach, invest in strategies that create job growth, lift children and families out of poverty and ensure racial and ethnic minorities are not disproportionately adversely impacted. Strategies include full funding for the Affordable Care Act to protect all provisions in the law, and especially for expansion of Medicaid, establishment of Exchanges, subsidies for people with low incomes and small businesses, and for the Prevention and Public Health Fund; retaining the structure of the Medicaid program so that it remains an entitlement program to provide states with sufficient financial resources to administer their Medicaid programs for underserved communities experiencing health disparities; level funding for the REACH US Program to advance community driven strategies and interventions for the elimination of racial and ethnic chronic disease health disparities and enhance the capacity to conduct evaluation, increase dissemination, facilitate Technical Assistance and mentoring for other federal initiatives; the Public Health Prevention Fund and Community Transformation Grant program must be fully funded in order to effectively reduce the incidence of costly chronic diseases, help improve health, address health inequities, and control health-care spending; an increase in funding from the Presidents request to support its efforts to promote community solutions to eliminate health disparities, improve the diversity and cultural competency of the health-related workforce, and ensure access to quality, culturally and linguistically appropriate care; sufficient funding to accomplish HHS's overall data collection mission; the HHS Office of Civil Rights' needs additional funding to ensure that it has the staff and resources to appropriately investigate and enforce these critical laws; more funding is needed for the HHS Office of Minority Health to ensure these offices have the staff and resources needed to carry out their mission; and investing in the The Healthy Food Financing Initiative. Support requiring the FDA to report on the availability of new drug and device safety and efficacy data by sex, age, and racial and ethnic subgroups. Support the Cardin-Cochran amendment to MAP-21, which gives local governmentsthose closest to the needs of their constituents and communitiesan opportunity to weigh in on how states spend their Additional Activities federal transportation dollars. Support federal support for school-based health centers in the Presidents Budget for Fiscal Year 2014. Support the State Paid Leave Fund. Strongly support the prominence given to the goal of reducing health disparities in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programss structure; however, we are concerned that the meaningful use requirements as proposed are inadequate to achieve this outcome. Specifically, we support the incentive programs reinforcing federal civil rights and health information privacy laws; the incentive program requiring robust demographic data collection and use, inlcuding disability status data collection, sexual orientation and gender identity data collection, and geographic information; and the incentive program should build linkages with existing health disparity strategies. Support ensuring that pregnant workers are not forced out of their jobs unnecessarily or denied reasonable job modifications that would allow them to continue working and supporting their families. Strongly support H.R. 2086 and S. 2149, the Medical Debt Responsibility Act. Oppose policy "riders" on the Commerce Justice Science Appropriations bill for FY 13 which would prohibit the US DoJ from supporting legal efforts to implement the Affordable Care Act. Support the nomination of Dr. Kimberly Jeffries Leonard to serve as Director of the Center for Mental Health Services within the Substance Abuse Mental Health Services Administration.

Support ending health care disparities among racial and ethnic minorities, support the Affordable Care Act. Reject efforts to repeal health care reform; oppose H.R. 2. Oppose efforts to repeal health car reform via the appropriations process. Oppose cuts in the federal budget to Community Health Care Centers. Fight childhood hunger and obesity -- support a robust, well-funded child nutrition bill. Work to eliminate "food deserts" in low-income neighborhoods, support the establishment of farmers markets and other means of fresh fruits and vegetables in urban areas. Support the National Youth Sports Program Revitalization Act of 2010. Support full funding for HIV/AIDS treatment, prevention and cure. Support H.R. 894, the Maternal Health Accountability Act of 2011. Oppose efforts to privatize Medicare and make Medicaid a block grant program. Oppose H. Con. Res. 35. Oppose banning of all funds to Planned Parenthood affiliates. Oppose H. Con. Res. 36. Oppose H.R. 1227. Support the development and implementation of health insurance exchanges. Support FIT Kids Act (support H.R. 1057 and S.576). Support State Insurance Exchange Programs. Oppose H. R. 1213. Support School based health centers. Oppose H.R. 1214. Support the Prevention and Public Health Fund. Oppose H.R. 1217. Support S. 919, the Successful, Safe, and Healthy Students Act of 2011. Support September as Childhood Obesity Awareness Month. Support H.Res. 339. Support reducing maternal mortality. Support H.R. 894. Support increased funds for AIDS awareness, prevention & treatment. Support a strong and robust Medicaid program. Oppose cuts to Medicaid. Support efforts to advance health equity in the establishment of health insurance Exchanges and the certification of Qualified Health Plans (QHPs) as prescribed in the Affordable Care Act. Support the Health Equity and Accountability Act; support H.R. 2945. Support robust implementation of the data collection requirements of the Affordable Care Act (ACA) . Ensure that the rules surrounding the creation of Accountable Care Organizations under the ACA improve the quality of our healthcare system overall by delivering coordinated, patient- and family-centered care, and greatly advance the effort to achieve health equity. Oppose H.R. 3541, the "Susan B. Anthony and Frederick Douglas Prenatal Non Discrimination Act". Support designating September as National Childhood Obesity Month. Support H. Res. 339. Support the inclusion of prohibitions on discrimination on the basis of race, color, national origin, disability, age, sex, gender identity, or sexual orientation in the establishment of health insurance Exchanges and the certification of Qualified Health Plans as required by the Affordable Care Act. Oppose the Center for Medicare and Medicaid Services (CMS) proposed regulations that would require private Medicare plans (Part C and D) to translate written materials only into languages spoken by 10% of the population in the plans service area. Rather, the NAACP strongly urges CMS to consider an alternative standard of 5% of the general population or 500 individuals served in the service area, whichever is smaller to ensure that every American can access Medicare services. Support H.R. 1880, the Status Report on the 30th Anniversary of HIV/AIDS Act. Support full funding for funding for domestic HIV/AIDS programs. Suport Needle Exchange programs. Support H.R. 2086 / S. 2149, the Medical Debt Responsibility Act, which requirees that credit agencies to remove FULLY paid or settled medical debt from credit reports within 45 days. Oppose legislation which would impose unprecedented burdens on parties in cases involving a wide array of federal protections in areas such as environmental, consumer, health care, and civil rights laws. Oppose H.R. 3041, H.R. 3862, and H.R. 1996. Support the HEART for Women Act (S. 438/H.R. 3526). Support a long term transportation bill which will: 1.Preserve and expand existing programs that fund essential transportation options bicycling, walking, and public transportation. 2.Expand access to quality transportation jobs for the chronically-unemployed, low-income people, individuals with disabilities, women, and communities of color. 3.Strengthen enforcement of existing civil rights provisions. 4.Improve transportation outcomes through strategic planning with measures that promote economic and social equity. 5.Reform transportation funding to lower household expenses and foster community development. Express concern about a state-based benchmark approach to implementing the Essential Health Benefit (EHB) package. In particular, we believe that flexibility without robust anti-discrimination enforcement mechanisms will undermine critical civil rights protections in the Affordable Care Act (ACA). Oppose the Center for Medicare and Medicaid Services (CMS) proposed regulations that would require private Medicare plans (Part C and D) to translate written materials only into languages spoken by 10% of the population in the plans service area. Rather, the NAACP strongly urges CMS to consider an alternative standard of 5% of the general population or 500 individuals served in the service area, whichever is smaller to ensure that every American can access Medicare services. Oppose a repeal of the Community Living Assistance Services and Supporters program. Oppose HR 1173. Oppose the Red Tape Reduction and Small Business Job Creation Act" (H.R. 4078), which includes the Regulatory Freeze For Jobs Act, the Midnight Rule Relief Act of 2012" (H.R. 4607), and the Sunshine for Regulatory Decrees and Settlements Act of 2012 (H.R. 3862), among other harmful bills. Support LGBT designation as a health disparity population by the National Institute for Minority Health and Health Disparities (NIMHD). Urge Congress to take a balanced approach, invest in strategies that create job growth, lift children and families out of poverty and ensure racial and ethnic minorities are not disproportionately adversely impacted. Strategies include full funding for the Affordable Care Act to protect all provisions in the law, and especially for expansion of Medicaid, establishment of Exchanges, subsidies for people with low incomes and small businesses, and for the Prevention and Public Health Fund; retaining the structure of the Medicaid program so that it remains an entitlement program to provide states with sufficient financial resources to administer their Medicaid programs for underserved communities experiencing health disparities; level funding for the REACH US Program to advance community driven strategies and interventions for the elimination of racial and ethnic chronic disease health disparities and enhance the capacity to conduct evaluation, increase dissemination, facilitate Technical Assistance and mentoring for other federal initiatives; the Public Health Prevention Fund and Community Transformation Grant program must be fully funded in order to effectively reduce the incidence of costly chronic diseases, help improve health, address health inequities, and control health-care spending; an increase in funding from the Presidents request to support its efforts to promote community solutions to eliminate health disparities, improve the diversity and cultural competency of the health-related workforce, and ensure access to quality, culturally and linguistically appropriate care; sufficient funding to accomplish HHS's overall data collection mission; the HHS Office of Civil Rights' needs additional funding to ensure that it has the staff and resources to appropriately investigate and enforce these critical laws; more funding is needed for the HHS Office of Minority Health to ensure these offices have the staff and resources needed to carry out their mission; and investing in the The Healthy Food Financing Initiative. Support requiring the FDA to report on the availability of new drug and device safety and efficacy data by sex, age, and racial and ethnic subgroups. Support the Cardin-Cochran amendment to MAP-21, which gives local governmentsthose closest to the needs of their constituents and communitiesan opportunity to weigh in on how states spend their Additional Activities federal transportation dollars. Support federal support for school-based health centers in the Presidents Budget for Fiscal Year 2014. Support the State Paid Leave Fund. Strongly support the prominence given to the goal of reducing health disparities in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programss structure; however, we are concerned that the meaningful use requirements as proposed are inadequate to achieve this outcome. Specifically, we support the incentive programs reinforcing federal civil rights and health information privacy laws; the incentive program requiring robust demographic data collection and use, inlcuding disability status data collection, sexual orientation and gender identity data collection, and geographic information; and the incentive program should build linkages with existing health disparity strategies. Support ensuring that pregnant workers are not forced out of their jobs unnecessarily or denied reasonable job modifications that would allow them to continue working and supporting their families. Strongly support H.R. 2086 and S. 2149, the Medical Debt Responsibility Act. Oppose policy "riders" on the Commerce Justice Science Appropriations bill for FY 13 which would prohibit the US DoJ from supporting legal efforts to implement the Affordable Care Act. Support the nomination of Dr. Kimberly Jeffries Leonard to serve as Director of the Center for Mental Health Services within the Substance Abuse Mental Health Services Administration.

See page 3 for specific lobbying issues H.R. 2 - Repealing the Job-Killing Health Care Law Act H.R. 5/S. 218/S.1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R.1172 - Medicare Lung Cancer Early Detection Promotion Act of 2011 H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H.R. 1394/S.752 - Lung Cancer Mortality Reduction Act H.R. 2219 - Department of Defense Appropriations Act - Provisions related to funding for Lung Cancer research only H.R. 3475 - Keeping IDs Safe Act - Provisions related to Pediatric Subspecialty Loan Repayment Program H.R. 3526/S. 438 - Heart Disease Education, Analysis, Research, and Treatment for Women (HEART for Women) Act H.R. 3630/3743/3765 - Temporary Payroll Tax Cut Continuation Act of 2011 - Provisions related to Medicare physician payment only H.Res. 9 - Instructing certain committees to report legislation replacing the job-killing health care law H.J. Res. 48 - Additional Continuing Appropriations Amendments, 2011 S. 668 - Health Care Bureaucrats Elimination Act S. 756 Medicare Data Access for Transparency and Accountability Act Section 5203 of the Affordable Care Act (P.L. 111-148) - Provisions on Health Care Workforce Loan Repayment Programs S. 1534 - Identify Theft and Tax Fraud Prevention Act - Provisions on Social Security Death Master File Health care reform, health care quality improvement; physician workforce; comparative effectiveness research; health information technology; HIT Meaningful Use; Sustainable Growth Rate; Independent Payment Advisory Board; accountable care organizations; resident work hours; Patient Centered Outcomes Research Institute; Center for Medicare and Medicaid Innovation; MEDCAC; Joint Select Committee on Deficit Reduction; Social Security Death Master File; Coverage with Evidence Development; ICD-10 Implementation; health care-associated infections

H.R. 469 Protecting Student Athletes from Concussions Act, all provisions Prevention Initiatives H.R. 5 HEALTH Act, provisions pertaining to physical therapy S. 174 Healthy Lifestyles & Prevention (HELP) America Act, provisions pertaining to physical therapy S. 438/H.R. 3526 Heart Disease Education, Analysis, Research, and Treatment for Women Act, all provisions Opposition to Repeal of Prevention & Public Health Fund H.R. 2 Repealing the Job-Killing Health Care Law Act, provisions pertaining to physical therapy Support for Congressional Caucus for Workplace Wellness S. 218- Help Efficient, Accesible, Low-Cost, Timely Health Care (HEALTH) Act, provisions pertaining to physical therapy H.R. 1154/S. 769- Veterans Equal Treatment for Service Dogs Act, all provisions Implementation/Expansion of CDC Falls Programs Comments on Transitions of Care for Acute Stroke and AMI Patients, provisions pertaining to physical therapy Comments on Ulcer Treatment, provisions pertaining to physical therapy Comments on Ulcer Risk Assessment and Prevention, provisions pertaining to physical therapy CDC Concussion Management National Guidelines Opposition to IPAB TBI reauthorization Direct Access under FEHBP Class Act CDC Physical Activity Environmental and Policy Strategies Report CDC Research on Arthritis HRSA efforts to develop minimum data set for health professionals Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits and Health Insurance Exchanges AHRQ Comments on draft final report for treatment of pressure ulcers

Client expense: $430,000 · Firm income: Not reported

1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act (H.R.4) Access to Independent Health Insurance Advisors Act (S.2068/S.2288) Access to Professional Health Insurance Advisors Act of 2011 (H.R.1206) Draft Legislation to Prevent Enforcement of Grandfathered Health Plan Regulation Draft Research Priorities (PCORI) EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2011 (H.R.3144) Food and Drug Administration Safety and Innovation Act (FDA User Fee bills, S.3187/H.R.3988) Guidance on Defining Minimum Essential Value of Employer-Sponsored Insurance (Treasury) Guidance on Federally Facilitated Exchanges (HHS) Health Care Cost Reduction Act (H.R.436) Health Equity and Accountability Act (H.R.2954/S.2474) Health Risk Assessments in Medicare Comments (CDC) Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S.438/H.R.3526) H.R. 436, Health Care Cost Reduction Act Interest Rate Reduction Act (H.R.4628/S.2366) and other legislation using Prevention Fund to offset student loans Josh Miller Helping Everyone Access Responsive Treatment in Schools (HEARTS) Act (H.R.1377) Menu Labeling (ACA Section 4205) Middle Class Tax Relief and Job Promotion Act (H.R.3630) National Prevention Strategy, Request for Comments (HHS - Surgeon General) Patient Protection and Affordable Care Act (P.L. 111-148; P.L. 111-152) - Implementation Prevention and Public Health Fund (ACA Section 4002) Repealing the Job-Killing Health Care Law Act (H.R.2) Sequester Replacement Reconciliation Act (H.R.5652) State Flexibility Act (H.R.1683/S.868) To Repeal Mandatory Funding Provided to States in the Patient Protection and Affordable Care Act to Establish American Health Benefit Exchanges (H.R.1213) Temporary Payroll Tax Cut Continuation Act (H.R.3630 - Medicare therapy caps exceptions process) To Repeal Mandatory Funding to States to Establish American Health Benefit Exchanges (H.R.1213) To Repeal Medical Loss Ratio Requirements (H.R.2077) To Repeal the Prevention and Public Health Fund (H.R.1217) Transcatheter Atrial Septal Defect Occluders (FDA-2011-N-001)

See page 3 for specific lobbying issues H.R. 2 - Repealing the Job-Killing Health Care Law Act H.R. 5/S. 218/S.1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R.1172 - Medicare Lung Cancer Early Detection Promotion Act of 2011 H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H.R. 1394/S.752 - Lung Cancer Mortality Reduction Act H.R. 2219 - Department of Defense Appropriations Act - Provisions related to funding for Lung Cancer research only H.R. 3475 - Keeping IDs Safe Act - Provisions related to Pediatric Subspecialty Loan Repayment Program H.R. 3526/S. 438 - Heart Disease Education, Analysis, Research, and Treatment for Women (HEART for Women) Act H.R. 3630/3743/3765 - Temporary Payroll Tax Cut Continuation Act of 2011 - Provisions related to Medicare physician payment only H.Res. 9 - Instructing certain committees to report legislation replacing the job-killing health care law H.J. Res. 48 - Additional Continuing Appropriations Amendments, 2011 S. 668 - Health Care Bureaucrats Elimination Act S. 756 Medicare Data Access for Transparency and Accountability Act Section 5203 of the Affordable Care Act (P.L. 111-148) - Provisions on Health Care Workforce Loan Repayment Programs S. 1534 - Identify Theft and Tax Fraud Prevention Act - Provisions on Social Security Death Master File Health care reform, health care quality improvement; physician workforce; comparative effectiveness research; health information technology; HIT Meaningful Use; Sustainable Growth Rate; Independent Payment Advisory Board; accountable care organizations; resident work hours; Patient Centered Outcomes Research Institute; Center for Medicare and Medicaid Innovation; MEDCAC; Joint Select Committee on Deficit Reduction; Social Security Death Master File; Coverage with Evidence Development

Support ending health care disparities among racial and ethnic minorities, support the Affordable Care Act. Reject efforts to repeal health care reform; oppose H.R. 2. Oppose efforts to repeal health car reform via the appropriations process. Oppose cuts in the federal budget to Community Health Care Centers. Fight childhood hunger and obesity -- support a robust, well-funded child nutrition bill. Work to eliminate "food deserts" in low-income neighborhoods, support the establishment of farmers markets and other means of fresh fruits and vegetables in urban areas. Support the National Youth Sports Program Revitalization Act of 2010. Support full funding for HIV/AIDS treatment, prevention and cure. Support H.R. 894, the Maternal Health Accountability Act of 2011. Oppose efforts to privatize Medicare and make Medicaid a block grant program. Oppose H. Con. Res. 35. Oppose banning of all funds to Planned Parenthood affiliates. Oppose H. Con. Res. 36. Oppose H.R. 1227. Support the development and implementation of health insurance exchanges. Support FIT Kids Act (support H.R. 1057 and S.576). Support State Insurance Exchange Programs. Oppose H. R. 1213. Support School based health centers. Oppose H.R. 1214. Support the Prevention and Public Health Fund. Oppose H.R. 1217. Support S. 919, the Successful, Safe, and Healthy Students Act of 2011. Support September as Childhood Obesity Awareness Month. Support H.Res. 339. Support reducing maternal mortality. Support H.R. 894. Support increased funds for AIDS awareness, prevention & treatment. Support a strong and robust Medicaid program. Oppose cuts to Medicaid. Support efforts to advance health equity in the establishment of health insurance Exchanges and the certification of Qualified Health Plans (QHPs) as prescribed in the Affordable Care Act. Support the Health Equity and Accountability Act; support H.R. 2945. Support robust implementation of the data collection requirements of the Affordable Care Act (ACA) . Ensure that the rules surrounding the creation of Accountable Care Organizations under the ACA improve the quality of our healthcare system overall by delivering coordinated, patient- and family-centered care, and greatly advance the effort to achieve health equity. Oppose H.R. 3541, the "Susan B. Anthony and Frederick Douglas Prenatal Non Discrimination Act". Support designating September as National Childhood Obesity Month. Support H. Res. 339. Support the inclusion of prohibitions on discrimination on the basis of race, color, national origin, disability, age, sex, gender identity, or sexual orientation in the establishment of health insurance Exchanges and the certification of Qualified Health Plans as required by the Affordable Care Act. Oppose the Center for Medicare and Medicaid Services (CMS) proposed regulations that would require private Medicare plans (Part C and D) to translate written materials only into languages spoken by 10% of the population in the plans service area. Rather, the NAACP strongly urges CMS to consider an alternative standard of 5% of the general population or 500 individuals served in the service area, whichever is smaller to ensure that every American can access Medicare services. Support H.R. 1880, the Status Report on the 30th Anniversary of HIV/AIDS Act. Support full funding for funding for domestic HIV/AIDS programs. Suport Needle Exchange programs. Support H.R. 2086 / S. 2149, the Medical Debt Responsibility Act, which requirees that credit agencies to remove FULLY paid or settled medical debt from credit reports within 45 days. Oppose legislation which would impose unprecedented burdens on parties in cases involving a wide array of federal protections in areas such as environmental, consumer, health care, and civil rights laws. Oppose H.R. 3041, H.R. 3862, and H.R. 1996. Support the HEART for Women Act (S. 438/H.R. 3526). Support a long term transportation bill which will: 1.Preserve and expand existing programs that fund essential transportation options bicycling, walking, and public transportation. 2.Expand access to quality transportation jobs for the chronically-unemployed, low-income people, individuals with disabilities, women, and communities of color. 3.Strengthen enforcement of existing civil rights provisions. 4.Improve transportation outcomes through strategic planning with measures that promote economic and social equity. 5.Reform transportation funding to lower household expenses and foster community development. Express concern about a state-based benchmark approach to implementing the Essential Health Benefit (EHB) package. In particular, we believe that flexibility without robust anti-discrimination enforcement mechanisms will undermine critical civil rights protections in the Affordable Care Act (ACA). Oppose the Center for Medicare and Medicaid Services (CMS) proposed regulations that would require private Medicare plans (Part C and D) to translate written materials only into languages spoken by 10% of the population in the plans service area. Rather, the NAACP strongly urges CMS to consider an alternative standard of 5% of the general population or 500 individuals served in the service area, whichever is smaller to ensure that every American can access Medicare services. Oppose a repeal of the Community Living Assistance Services and Supporters program. Oppose HR 1173

H.R. 469 Protecting Student Athletes from Concussions Act, all provisions Prevention Initiatives H.R. 5 HEALTH Act, provisions pertaining to physical therapy S. 174 Healthy Lifestyles & Prevention (HELP) America Act, provisions pertaining to physical therapy S. 438/H.R. 3526 Heart Disease Education, Analysis, Research, and Treatment for Women Act, all provisions Opposition to Repeal of Prevention & Public Health Fund H.R. 2 Repealing the Job-Killing Health Care Law Act, provisions pertaining to physical therapy Support for Congressional Caucus for Workplace Wellness S. 218- Help Efficient, Accesible, Low-Cost, Timely Health Care (HEALTH) Act, provisions pertaining to physical therapy H.R. 1154/S. 769- Veterans Equal Treatment for Service Dogs Act, all provisions Implementation/Expansion of CDC Falls Programs Comments on Transitions of Care for Acute Stroke and AMI Patients, provisions pertaining to physical therapy Comments on Ulcer Treatment, provisions pertaining to physical therapy Comments on Ulcer Risk Assessment and Prevention, provisions pertaining to physical therapy Concussion Management National Guidelines Opposition to IPAB TBI reauthorization Direct Access under FEHBP Class Act CDC Physical Activity Environmental and Policy Strategies Report CDC Research on Arthritis HRSA efforts to develop minimum data set for health professionals

Client expense: $360,000 · Firm income: Not reported

1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act (H.R. 4) Access to Independent Health Insurance Advisors Act (S.2068) Access to Professional Health Insurance Advisors Act of 2011 (H.R. 1206) Draft Guidance on Sex Differences in Medical Device Clinical Research (FDA) Draft Legislation to Prevent Enforcement of Grandfathered Health Plan Regulation Draft Research Priorities (PCORI) EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2011 (H.R. 3144) Essential Health Benefits Guidance (HHS) Health Equity and Accountability Act (H.R. 2954) Health Risk Assessments in Medicare Comments (CDC) Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S. 438/H.R. 3526) Human Subjects Research Protections: Enhancing Protections for Research Subjects and Reducing Burden, Delay, and Ambuguity for Investigators (HHS-OPHS-2011-0005) Josh Miller Helping Everyone Access Responsive Treatment in Schools (HEARTS) Act (H.R. 1377) Medical Loss Ratio Interim Final Regulation (HHS) Medical Loss Ratio Reporting and Disclosure Forms (CMS) Menu Labeling (ACA Section 4205) Middle Class Tax Relief and Job Promotion Act (H.R. 3630) National Prevention Strategy, Request for Comments (HHS - Surgeon General) Patient Protection and Affordable Care Act (P.L. 111-148; P.L. 111-152) - Implementation Prevention and Public Health Fund (ACA Section 4002) Proposed Rule on Risk-Adjustment, Reinsurance, and Risk Corridors (CMS-9975-P) Repealing the Job-Killing Health Care Law Act (H.R. 2) State Flexibility Act (H.R. 1683/S. 868) Summary of Benefits and Coverage Final Rule (HHS, DOL, Treasury, OMB) To Repeal Mandatory Funding Provided to States in the Patient Protection and Affordable Care Act to Establish American Health Benefit Exchanges (H.R. 1213) Temporary Payroll Tax Cut Continuation Act (H.R. 3630 - Medicare therapy caps exceptions process) To Repeal Medical Loss Ratio Requirements (H.R. 2077) To Repeal the Prevention and Public Health Fund (H.R. 1217)

See page 3 for specific lobbying issues H.R. 2 - Repealing the Job-Killing Health Care Law Act H.R. 5/S. 218/S.1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R.1172 - Medicare Lung Cancer Early Detection Promotion Act of 2011 H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H.R. 1394/S.752 - Lung Cancer Mortality Reduction Act H.R. 2219 - Department of Defense Appropriations Act - Provisions related to funding for Lung Cancer research only H.R. 3475 - Keeping IDs Safe Act - Provisions related to Pediatric Subspecialty Loan Repayment Program H.R. 3526/S. 438 - Heart Disease Education, Analysis, Research, and Treatment for Women (HEART for Women) Act H.R. 3630/3743/3765 - Temporary Payroll Tax Cut Continuation Act of 2011 - Provisions related to Medicare physician payment only H.Res. 9 - Instructing certain committees to report legislation replacing the job-killing health care law H.J. Res. 48 - Additional Continuing Appropriations Amendments, 2011 S. 668 - Health Care Bureaucrats Elimination Act S. 756 Medicare Data Access for Transparency and Accountability Act Section 5203 of the Affordable Care Act (P.L. 111-148) - Provisions on Health Care Workforce Loan Repayment Programs S. 1534 - Identify Theft and Tax Fraud Prevention Act - Provisions on Social Security Death Master File Health care reform, health care quality improvement; physician workforce; comparative effectiveness research; health information technology; HIT Meaningful Use; Sustainable Growth Rate; Independent Payment Advisory Board; accountable care organizations; resident work hours; Patient Centered Outcomes Research Institute; Center for Medicare and Medicaid Innovation; MEDCAC; Joint Select Committee on Deficit Reduction; Social Security Death Master File; Coverage with Evidence Development

1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act (H.R. 4) Access to Professional Health Insurance Advisors Act of 2011 (H.R. 1206) Draft Legislation to Prevent Enforcement of Grandfathered Health Plan Regulation EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2011 (H.R. 3144) Health Equity and Accountability Act (H.R. 2954) Health Insurance Exchanges Proposed Rule (CMS-9989-P) Health Risk Assessments in Medicare Comments (CDC) Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S. 438/H.R. 3526) Human Subjects Research Protections: Enhancing Protections for Research Subjects and Reducing Burden, Delay, and Ambuguity for Investigators (HHS-OPHS-2011-0005) Josh Miller Helping Everyone Access Responsive Treatment in Schools (HEARTS) Act (H.R. 1377) Medical Loss Ratio Interim Final Regulation (HHS) Menu Labeling (ACA Section 4205) Middle Class Tax Relief and Job Promotion Act (H.R. 3630) National Prevention Strategy, Request for Comments (HHS - Surgeon General) Patient Protection and Affordable Care Act (P.L. 111-148; P.L. 111-152) - Implementation Prevention and Public Health Fund (ACA Section 4002) Proposed Rule on Risk-Adjustment, Reinsurance, and Risk Corridors (CMS-9975-P) Repealing the Job-Killing Health Care Law Act (H.R. 2) Smoking Cessation Program under TRICARE (DOD-2011-HA-0038) Smoking of Electronic Cigarettes on Aircraft (DOT-OST-2011-0044) State Flexibility Act (H.R. 1683/S. 868) Summary of Benefits and Coverage Proposed Rule (CMS-9982-P) To Repeal Mandatory Funding Provided to States in the Patient Protection and Affordable Care Act to Establish American Health Benefit Exchanges (H.R. 1213) Temporary Payroll Tax Cut Continuation Act (H.R. 3630 - Medicare therapy caps exceptions process) To Repeal Medical Loss Ratio Requirements (H.R. 2077) To Repeal the Prevention and Public Health Fund (H.R. 1217)

Health Information Technology; Health Care Quality; General Health Care Reform Implementation; Medical Liability Reform; H.R. 5, the HEALTH Act of 2011; Federal funding and Appropriations for HHS, NIH, AHRQ, CDC. HRSA; H.R. 3526/S. 438, HEART for Women Act; medical device approval process; H.R. 1377, Josh Miller HEARTS Act; H.R. 3625, Cardiomyopathy Health Education, Awareness, Risk Assessment, and Training in the Schools (HEARTS) Act of 2011; H.R. 2104, CARE in Medical Imaging and Radiation Therapy Act of 2011; MDUFA/PDUFA Reauthorization.

Client expense: $460,000 · Firm income: Not reported