State Leadership in Health Care Act

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act H.R.451, Healthcare Truth and Transparency Act of 2011 H.R.751, Mental Health in Schools Act of 2011 H.R. 831/S 483, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program S.483, Medicare Mental Health Access Act S.37, Autonomy for Psychologists and Social Workers Act of 2011 S.40, Graduate Psychology Education Act of 2011 S.43, Psychologists in the Service of the Public Act of 2011 S.539, Behavioral Health Information Technology Act of 2011 S 248/ HR 844, Empowering States to Innovate Act S. 525, Positive Aging Act of 2011 S 650/HR 1184, Health Care Waiver Transparency Act S. 374, Medicare Mental Health Inpatient Equity Act S. 1627, Resident Physician Shortage Reduction Act of 2011, A bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes. HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H Res 92, Providing for consideration of the bill (H.R. 1) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes, and waiving a requirement of clause 6(a) of rule XIII with respect to consideration of certain resolutions reported from the Committee on Rules. S. 1542, H.R. 2883, Child and Family Services Improvement and Innovation Act S. 1925, H.R. 4970 Violence against Women Act Reauthorization Act S. 3604, A bill to amend title XVIII of the Social Security Act to provide for the implementation of prescriber education programs and to establish requirements relating to the administration of antipsychotics to residents of skilled nursing facilities and nursing facilities under the Medicare and Medicaid programs, and for other purposes. H.R. 6043, the Behavioral Health Information Technology Act of 2012 H.R. 5989, the Excellence in Mental Health Act of 2012 H.R. 5996, the Mental Health First Aid Higher Education Act of 2012 H.R. 5707, the Medicare Physician Payment Innovation Act of 2012 H. R. 6562, the Resident Physician Shortage Act of 2012 H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act of 2012 H.R. 6079, the Repeal of Obamacare Act H.R. 8, American Taxpayer Relief Act H.R. 6645, Save and Stregthen Medicare Act of 2012 H.R. 6598, Electronic Health Records Improvement Act Proposed Rule on the Patient Protection and Affordable Care Act: Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation. CMS-2012-0142-0001.

Client expense: $122,658 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, Office of Management & Budget (OMB), SENATE

Patient Protection and Affordable Care Act; 1099 Repeal (H.R.4); State Leadership in Health Care Act (H.R.439); Empowering States to Innovate Act (S.248)

Client expense: $1,350,000 · Firm income: Not reported

Government targets: Air Force, Dept of, Army, Dept of (Other), Centers For Medicare and Medicaid Services (CMS), 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 Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Highway Traffic Safety Administration (NHTSA), Navy, Dept of, Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act H.R.451, Healthcare Truth and Transparency Act of 2011 H.R.751, Mental Health in Schools Act of 2011 H.R. 831/S 483, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program S.483, Medicare Mental Health Access Act S.37, Autonomy for Psychologists and Social Workers Act of 2011 S.40, Graduate Psychology Education Act of 2011 S.43, Psychologists in the Service of the Public Act of 2011 S.539, Behavioral Health Information Technology Act of 2011 S 248/ HR 844, Empowering States to Innovate Act S. 525, Positive Aging Act of 2011 S 650/HR 1184, Health Care Waiver Transparency Act S. 374, Medicare Mental Health Inpatient Equity Act S. 1627, Resident Physician Shortage Reduction Act of 2011, A bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes. HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H Res 92, Providing for consideration of the bill (H.R. 1) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes, and waiving a requirement of clause 6(a) of rule XIII with respect to consideration of certain resolutions reported from the Committee on Rules. S. 1542, H.R. 2883, Child and Family Services Improvement and Innovation Act S. 1925, H.R. 4970 Violence against Women Act Reauthorization Act S. 3604, A bill to amend title XVIII of the Social Security Act to provide for the implementation of prescriber education programs and to establish requirements relating to the administration of antipsychotics to residents of skilled nursing facilities and nursing facilities under the Medicare and Medicaid programs, and for other purposes. H.R. 6043, the Behavioral Health Information Technology Act of 2012 H.R. 5989, the Excellence in Mental Health Act of 2012 H.R. 5996, the Mental Health First Aid Higher Education Act of 2012 H.R. 5707, the Medicare Physician Payment Innovation Act of 2012 H. R. 6562, the Resident Physician Shortage Act of 2012 H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act of 2012 H.R. 6079, the Repeal of Obamacare Act Proposed Rule on Patient Protection and Affordable Care Act; Data Collection To Support Standards Related to Essential Health Benefits; Recognition of Entities for the Accreditation of Qualified Health. Posted June 6, 2012. (CMS-2012-0071-0001)

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act HR 896, Medical Justice Act of 2011 HR 1256, Medicare Physician Payment Transparency and Assessment Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S 650/HR 1184, Health Care Waiver Transparency Act S 374, Medicare Mental Health Inpatient Equity Act S 539, Behavioral Health Information Technology Act of 2011 S.365, the Budget Control Act of 2011 Proposed Rule on Patient Protection and Affordable Care Act; Data Collection To Support Standards Related to Essential Health Benefits; Recognition of Entities for the Accreditation of Qualified Health. Posted June 6, 2012. (CMS-2012-0071-0001)

Client expense: $143,731 · Firm income: Not reported

H.R. 397: Reform Americans Can Afford Act of 2011 High cost plan tax, employer provisions. H.R. 436: Health Care Cost Reduction Act of 2012 Repeal $2500 FSA limit. H.R. 439, S.73: State Leadership in Health Care Act To prevent Employee Retirement Income Security Act (ERISA) from being waived. H.R. 605: Patients' Freedom to Choose Act (Sec. 1-3, repeal restrictions on Health Savings Accounts, Medicare Set Asides and Health Flexible Spending Arrangements enacted in Affordable Care Act.) H.R. 1050: Small Business Health Fairness Act of 2011 (Sec. 1-6, creating association health plans.) H.R. 1173: Fiscal Responsibility and Retirement Security Act of 2011 (Sec. 1-2, repeal Community Living Assistance Services and Supports Act, CLASS Act Federal Disability Program.) H.R. 2529, S. 1368: Restoring Access to Medication Act Repeal FSA restriction on OTC drugs. H.R. 5842: Restoring Access to Medication Act of 2012 Repeal FSA restriction on OTC drugs. S. 244: State Health Care Choice Act To prevent Employee Retirement Income Security Act (ERISA) from being waived. S. 248: Empowering States to Innovate Act To prevent Employee Retirement Income Security Act (ERISA) from being waived. S. 312: Patients' Freedom to Choose Act Sec. 1-3, repeal restrictions on Health Savings Accounts, Medicare Set Asides and Health Flexible Spending Arrangements enacted in Affordable Care Act.

Client expense: $683,000 · Firm income: Not reported

HR 397: Reform Americans Can Afford Act of 2011 High cost plan tax, employer provisions. H.R. 436: Health Care Cost Reduction Act of 2012 H.R. 439, S.73: State Leadership in Health Care Act To prevent Employee Retirement Income Security Act (ERISA) from being waived. H.R. 524: Restoring Consumer-driven Health Care Act of 2011 HR 605: Patients' Freedom to Choose Act (Sec. 1-3, repeal restrictions on Health Savings Accounts, Medicare Set Asides and Health Flexible Spending Arrangements enacted in Affordable Care Act.) HR 1050: Small Business Health Fairness Act of 2011 (Sec. 1-6, creating association health plans.) HR 1173: Fiscal Responsibility and Retirement Security Act of 2011 (Sec. 1-2, repeal Community Living Assistance Services and Supports Act, CLASS Act.) H.R. 2529, S. 1368: Restoring Access to Medication Act H.R. 5842: Restoring Access to Medication Act of 2012 S. 244: State Health Care Choice Act To prevent Employee Retirement Income Security Act (ERISA) from being waived. S. 248: Empowering States to Innovate Act To prevent Employee Retirement Income Security Act (ERISA) from being waived. S. 312: Patients' Freedom to Choose Act Sec. 1-3, repeal restrictions on Health Savings Accounts, Medicare Set Asides and Health Flexible Spending Arrangements enacted in Affordable Care Act.

Client expense: $688,000 · Firm income: Not reported

S 248, Empowering States to Innovate Act, as it relates to state waivers for health care coverage S 73, State Leadership in Health Care Act, as it relates to state waivers for health care coverage HR 439, State Leadership in Health Care Act, as it relates to state waivers for health care coverage S 244, State Health Care Choice Act, as it relates to state waivers for health care coverage HR 5, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011, as it relates to reducing medical liability and capping noneconomic damages and restricting punitive damages HR 1440, Family and Medical Leave Enhancement Act of 2011, provisions related to employee leave in connection with children and grandchildren's educational and extracurricular activities

Client expense: $3,490,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Treasury, Dept of

Patient Protection and Affordable Care Act; 1099 Repeal (H.R.4); State Leadership in Health Care Act (H.R.439); Empowering States to Innovate Act (S.248)

Client expense: $1,670,000 · Firm income: Not reported

Government targets: Air Force, Dept of, Army, Dept of (Other), Centers For Medicare and Medicaid Services (CMS), 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 Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Highway Traffic Safety Administration (NHTSA), Navy, Dept of, Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act HR 896, Medical Justice Act of 2011 HR 1256, Medicare Physician Payment Transparency and Assessment Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S 650/HR 1184, Health Care Waiver Transparency Act S 374, Medicare Mental Health Inpatient Equity Act S 539, Behavioral Health Information Technology Act of 2011 S.365, the Budget Control Act of 2011 Establishment of Exchanges and Qualified Health Plans, and Standards Related to Reinsurance, Risk Corridors and Risk Adjustment (HHS-0S-2011-0022-0001)

Client expense: $277,532 · Firm income: Not reported

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 4274, the Better Pharmaceuticals for Children ACT and Pediatric Research Reauthorization Act of 2012 Draft, Senate HELP, drug shortage legislation and Prescription Drug User Fee Act (PDUFA) reauthorization S. 3187, Food and Drug Administration Safety and Innovation Act of 2012 H. R. 2245, S. 296, Preserving Access to Life-Saving Medications Act of 2011 S.1584 , Drug Safety and Accountability Act of 2011 HR 439/S 73, State Leadership in Health Care Act H.R.451, Healthcare Truth and Transparency Act of 2011 H.R.751, Mental Health in Schools Act of 2011 H.R. 831/S 483, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program S.483, Medicare Mental Health Access Act S.37, Autonomy for Psychologists and Social Workers Act of 2011 S.40, Graduate Psychology Education Act of 2011 S.43, Psychologists in the Service of the Public Act of 2011 S.539, Behavioral Health Information Technology Act of 2011 S 248/ HR 844, Empowering States to Innovate Act S. 525, Positive Aging Act of 2011 S 650/HR 1184, Health Care Waiver Transparency Act S. 374, Medicare Mental Health Inpatient Equity Act S. 1627, Resident Physician Shortage Reduction Act of 2011, A bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes. HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H Res 92, Providing for consideration of the bill (H.R. 1) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes, and waiving a requirement of clause 6(a) of rule XIII with respect to consideration of certain resolutions reported from the Committee on Rules. S. 1542, H.R. 2883, Child and Family Services Improvement and Innovation Act S. 1925, H.R. 4970 Violence against Women Act Reauthorization Act H.R. 6043, the Behavioral Health Information Technology Act of 2012 H.R. 5989, the Excellence in Mental Health Act of 2012 H.R. 5996, the Mental Health First Aid Higher Education Act of 2012 H.R. 5707, the Medicare Physician Payment Innovation Act of 2012 Nationwide Health Information Network: Conditions for Trusted Exchange (HHS-OS-2012-0006) HHS Bulletin on Federally-Facilitated Exchanges

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act HR 896, Medical Justice Act of 2011 HR 1256, Medicare Physician Payment Transparency and Assessment Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S 650/HR 1184, Health Care Waiver Transparency Act S 374, Medicare Mental Health Inpatient Equity Act S 539, Behavioral Health Information Technology Act of 2011 S.365, the Budget Control Act of 2011 HHS-0S-2011-0022-0001 Establishment of Exchanges and Qualified Health Plans, and Standards Related to Reinsurance, Risk Corridors and Risk Adjustment

Client expense: $135,786 · Firm income: Not reported

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act H.R.451, Healthcare Truth and Transparency Act of 2011 H.R.751, Mental Health in Schools Act of 2011 H.R. 831/S 483, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program S.483, Medicare Mental Health Access Act S.37, Autonomy for Psychologists and Social Workers Act of 2011 S.40, Graduate Psychology Education Act of 2011 S.43, Psychologists in the Service of the Public Act of 2011 S.539, Behavioral Health Information Technology Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S. 525, Positive Aging Act of 2011 S 650/HR 1184, Health Care Waiver Transparency Act S. 374, Medicare Mental Health Inpatient Equity Act S. 1627, Resident Physician Shortage Reduction Act of 2011, A bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes. HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H Res 92, Providing for consideration of the bill (H.R. 1) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes, and waiving a requirement of clause 6(a) of rule XIII with respect to consideration of certain resolutions reported from the Committee on Rules. S. 1542, H.R. 2883, Child and Family Services Improvement and Innovation Act HR 4274, the Better Pharmaceuticals for Children ACT and Pediatric Research Reauthorization Act of 2012 Draft, Senate HELP, drug storage legislation and Prescription Drug User Fee Act (PDUFA) reauthorization HR 2245/S 296 Prserving Access to Life-Saving Medications Act of 2011 S. 1584, Drug safety and Accountablity Act of 2011 HR 3765, Temporary Payroll Tax Cut Continuation Act of 2011 HR 3630, Temporary Payroll Tax Cut Continuation Act of 2011 S. 1925 Violence against Women Act Reauthorization HHS Secretary's Bulletin on Essential Health Benefits Final Rule on Medicare Part B Physician Fee Schedules for CY 2012 The use of restraint and seculsion in psychiatric residential treatment facilities providing services to persons under 21 years of age (CMS-2012-0005-0001) Medicare Program; Payment Policies Under the Physician Fee Schedule, Five-Year Review of Work Relative Value Units, Clinical Laboratory Fee Schedule: Signature on Requisition, and Other Revisions to Part B for CY 2012 [CMS1524FC and CMS1436F]

S 248, Empowering States to Innovate Act, as it relates to state waivers for health care coverage S 73, State Leadership in Health Care Act, as it relates to state waivers for health care coverage HR 439, State Leadership in Health Care Act, as it relates to state waivers for health care coverage S 244, State Health Care Choice Act, as it relates to state waivers for health care coverage HR 5, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011, as it relates to reducing medical liability and capping noneconomic damages and restricting punitive damages HR 1440, Family and Medical Leave Enhancement Act of 2011, provisions related to employee leave in connection with children and grandchildren's educational and extracurricular activities

Client expense: $7,050,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Treasury, Dept of

Patient Protection and Affordable Care Act; 1099 Repeal (H.R.4); State Leadership in Health Care Act (H.R.439); Empowering States to Innovate Act (S.248)

Client expense: $2,660,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Centers For Medicare and Medicaid Services (CMS), 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 Deposit Insurance Corporation (FDIC), Federal Reserve System, General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Highway Traffic Safety Administration (NHTSA), Navy, Dept of, Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 2, S. 192: Repealing the Job-Killing Health Care Law Act Entire bill, high cost plan tax, employer provisions. HR 397: Reform Americans Can Afford Act of 2011 High cost plan tax, employer provisions. H.R. 439, S.73: State Leadership in Health Care Act To prevent Employee Retirement Income Security Act (ERISA) from being waived. HR 560: Rural Representation and Transparency Improvement Act (Sec. 1-3, ensuring adequate rural representation on Medicare Payment Advisory Commission, MEDPAC.) HR 605: Patients' Freedom to Choose Act (Sec. 1-3, repeal restrictions on Health Savings Accounts, Medicare Set Asides and Health Flexible Spending Arrangements enacted in Affordable Care Act.) HR 1050: Small Business Health Fairness Act of 2011 (Sec. 1-6, creating association health plans.) HR 1173: Fiscal Responsibility and Retirement Security Act of 2011 (Sec. 1-2, repeal Community Living Assistance Services and Supports Act, CLASS Act.) S. 244: State Health Care Choice Act To prevent Employee Retirement Income Security Act (ERISA) from being waived. S. 248 - Empowering States to Innovate Act To prevent Employee Retirement Income Security Act (ERISA) from being waived. S. 312: Patients' Freedom to Choose Act Sec. 1-3, repeal restrictions on Health Savings Accounts, Medicare Set Asides and Health Flexible Spending Arrangements enacted in Affordable Care Act.

Client expense: $691,000 · Firm income: Not reported

Patient Protection and Affordable Care Act; 1099 Repeal (H.R.4); State Leadership in Health Care Act (H.R.439); Empowering States to Innovate Act (S.248)

Client expense: $3,540,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Centers For Medicare and Medicaid Services (CMS), 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 Reserve System, General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Highway Traffic Safety Administration (NHTSA), Navy, Dept of, Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 2, S. 192: Repealing the Job-Killing Health Care Law Act Entire bill, high cost plan tax, employer provisions. HR 397: Reform Americans Can Afford Act of 2011 High cost plan tax, employer provisions. H.R. 439, S.73: State Leadership in Health Care Act To prevent Employee Retirement Income Security Act (ERISA) from being waived. HR 560: Rural Representation and Transparency Improvement Act (Sec. 1-3, ensuring adequate rural representation on Medicare Payment Advisory Commission, MEDPAC.) HR 605: Patients' Freedom to Choose Act (Sec. 1-3, repeal restrictions on Health Savings Accounts, Medicare Set Asides and Health Flexible Spending Arrangements enacted in Affordable Care Act.) HR 1050: Small Business Health Fairness Act of 2011 (Sec. 1-6, creating association health plans.) HR 1173: Fiscal Responsibility and Retirement Security Act of 2011 (Sec. 1-2, repeal Community Living Assistance Services and Supports Act, CLASS Act.) S. 244: State Health Care Choice Act To prevent Employee Retirement Income Security Act (ERISA) from being waived. S. 248 - Empowering States to Innovate Act To prevent Employee Retirement Income Security Act (ERISA) from being waived. S. 312: Patients' Freedom to Choose Act Sec. 1-3, repeal restrictions on Health Savings Accounts, Medicare Set Asides and Health Flexible Spending Arrangements enacted in Affordable Care Act.

Client expense: $669,000 · Firm income: Not reported

S 248, Empowering States to Innovate Act, as it relates to state waivers for health care coverage S 73, State Leadership in Health Care Act, as it relates to state waivers for health care coverage HR 439, State Leadership in Health Care Act, as it relates to state waivers for health care coverage S 244, State Health Care Choice Act, as it relates to state waivers for health care coverage HR 5, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011, as it relates to reducing medical liability and capping noneconomic damages and restricting punitive damages HR 1440, Family and Medical Leave Enhancement Act of 2011, provisions related to employee leave in connection with children and grandchildren's educational and extracurricular activities

Client expense: $4,240,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Treasury, Dept of

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act HR 896, Medical Justice Act of 2011 HR 1256, Medicare Physician Payment Transparency and Assessment Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S 650/HR 1184, Health Care Waiver Transparency Act S 374, Medicare Mental Health Inpatient Equity Act S 539, Behavioral Health Information Technology Act of 2011 S.365, the Budget Control Act of 2011 HHS-0S-2011-0022-0001 Establishment of Exchanges and Qualified Health Plans, and Standards Related to Reinsurance, Risk Corridors and Risk Adjustment

Client expense: $126,533 · Firm income: Not reported

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act H.R.451, Healthcare Truth and Transparency Act of 2011 H.R.751, Mental Health in Schools Act of 2011 H.R. 831/S 483, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program S.483, Medicare Mental Health Access Act S.37, Autonomy for Psychologists and Social Workers Act of 2011 S.40, Graduate Psychology Education Act of 2011 S.43, Psychologists in the Service of the Public Act of 2011 S.539, Behavioral Health Information Technology Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S. 525, Positive Aging Act of 2011 S 650/HR 1184, Health Care Waiver Transparency Act S. 374, Medicare Mental Health Inpatient Equity Act S. 1627, Resident Physician Shortage Reduction Act of 2011, A bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes. HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 1830 Service members' Telemedicine and E-Health Portability Act of 2011 H Res 92, Providing for consideration of the bill (H.R. 1) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes, and waiving a requirement of clause 6(a) of rule XIII with respect to consideration of certain resolutions reported from the Committee on Rules. HR 1473, Department of Defense and Full-Year Continuing Appropriations Act, 2011 S. 1542, H.R. 2883, Child and Family Services Improvement and Innovation Act S.365, the Budget Control Act of 2011 Payment Policies Under the Physician Fee Schedule, Five-Year Review of Work Relative Value Units, Clinical Laboratory Fee Schedule: Signature on Requisition, and Other(CMS-2011-0131-1045) Requirements for History and Physical Examinations; Authentication of Verbal Orders; Securing Medications; and Postanesthesia Evaluations (CMS-2006-0232-0001) H.R. 3630, HR 3765, Temporary Payroll Tax Cut Continuation Action of 2011 CLIA Program and HIPAA Privacy; Patients Access to Laboratory Test Reports (CMS-2011-0145-0001) Proposed Changes to the Medicare Advantage and the Medicare (CMS-2010-0258-0001) FDAs Education Blueprint for Prescriber Education for the Long-Acting/Extended Release Opioid Classes (FDA-2011-D-0771-0001) Proposed Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (CMS-2010-0258-0001)

S 248, Empowering States to Innovate Act, as it relates to state waivers for health care coverage. S 73, State Leadership in Health Care Act, as it relates to state waivers for health care coverage HR 439, State Leadership in Health Care Act, as it relates to state waivers for health care coverage S 244, State Health Care Choice Act, as it relates to state waivers for health care coverage HR 5, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011, as it relates to reducing medical liability and capping noneconomic damages and restricting punitive damages HR 1440, Family and Medical Leave Enhancement Act of 2011, provisions related to employee leave in connection with children and grandchildren's educational and extracurricular activities

Client expense: $4,300,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Treasury, Dept of

Patient Protection and Affordable Care Act 1099 Repeal (H.R.4) State Leadership in Health Care Act (H.R.439) Empowering States to Innovate Act (S.248)

Client expense: $1,780,000 · Firm income: Not reported

Government targets: Air Force, Dept of, Army, Dept of (Other), Centers For Medicare and Medicaid Services (CMS), 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 Reserve System, General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Highway Traffic Safety Administration (NHTSA), Navy, Dept of, Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act H.R.451, Healthcare Truth and Transparency Act of 2011 H.R.751, Mental Health in Schools Act of 2011 H.R. 831/S 483, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program S.483, Medicare Mental Health Access Act S.37, Autonomy for Psychologists and Social Workers Act of 2011 S.40, Graduate Psychology Education Act of 2011 S.43, Psychologists in the Service of the Public Act of 2011 S.539, Behavioral Health Information Technology Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S. 525, Positive Aging Act of 2011 S 650/HR 1184, Health Care Waiver Transparency Act S. 374, Medicare Mental Health Inpatient Equity Act S. 1627, Resident Physician Shortage Reduction Act of 2011, A bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes. HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 1830 Service members' Telemedicine and E-Health Portability Act of 2011 H Res 92, Providing for consideration of the bill (H.R. 1) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes, and waiving a requirement of clause 6(a) of rule XIII with respect to consideration of certain resolutions reported from the Committee on Rules. HR 1473, Department of Defense and Full-Year Continuing Appropriations Act, 2011 S. 1542, H.R. 2883, Child and Family Services Improvement and Innovation Act S.365, the Budget Control Act of 2011 Medicare Program; Proposed Changes to the Electronic Prescribing (eRx) Incentive Program CMS-2011-0108-0001 Medicare Program: Conditions of Participation for Community Mental Health Centers CMS-2011-0123-0001 Medicare and Medicaid Programs: Opportunities for Alignment under Medicaid and Medicare CMS-2011-0080-0002 HIPAA Privacy Rule Accounting of Disclosures under the Health Information Technology for Economic and Clinical Health Act HHS-OCR-2011-0011-0001 Proposed Rules for Screening for Depression in Adults (CAG-00425N) and Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse (CAG-00427N)

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act HR 896, Medical Justice Act of 2011 HR 1256, Medicare Physician Payment Transparency and Assessment Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S 650/HR 1184, Health Care Waiver Transparency Act S 374, Medicare Mental Health Inpatient Equity Act S 539, Behavioral Health Information Technology Act of 2011 S.365, the Budget Control Act of 2011 HHS-0S-2011-0022-0001 Establishment of Exchanges and Qualified Health Plans, and Standards Related to Reinsurance, Risk Corridors and Risk Adjustment

Client expense: $118,117 · Firm income: Not reported

H.R. 2, S. 192 - Repealing the Job-Killing Health Care Law Act (Entire bill, high cost plan tax, employer provisions) HR 397 - Reform Americans Can Afford Act of 2011 (high cost plan tax, employer provisions) HR 605 - Patients' Freedom to Choose Act (Sec. 1-3, repeal restrictions on Health Savings Accounts, Medicare Set Asides and Health Flexible Spending Arrangements enacted in Affordable Care Act) HR 1050 - Small Business Health Fairness Act of 2011 (Sec. 1-6, creating association health plans) HR 1173 - Fiscal Responsibility and Retirement Security Act of 2011 (Sec. 1-2, repeal Community Living Assistance Services and Supports Act, CLASS Act) HR 560 - Rural Representation and Transparency Improvement Act (Sec. 1-3, ensuring adequate rural representation on Medicare Payment Advisory Commission, MEDPAC) S. 248 - Empowering States to Innovate Act (to prevent Employee Retirement Income Security Act (ERISA) from being waived) H.R. 439, S.73 - State Leadership in Health Care Act (to prevent Employee Retirement Income Security Act (ERISA) from being waived) S. 244 - State Health Care Choice Act (to prevent Employee Retirement Income Security Act (ERISA) from being waived) S. 312 - Patients' Freedom to Choose Act (Sec. 1-3, repeal restrictions on Health Savings Accounts, Medicare Set Asides and Health Flexible Spending Arrangements enacted in Affordable Care Act)

Client expense: $708,000 · Firm income: Not reported

S 248 Empowering States to Innovate Act, as it relates to state waivers for health care coverage. S 73 State Leadership in Health Care Act, as it relates to state waivers for health care coverage. HR 439 State Leadership in Health Care Act, as it relates to state waivers for health care coverage. S 244 State Health Care Choice Act, as it relates to state waivers for health care coverage. HR 5 Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011, as it relates to reducing medical liability and capping noneconomic damages and restricting punitive damages

Client expense: $4,850,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Natl Telecommunications & Information Administration (NTIA), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR)

H.R. 2 - Repealing the Job-Killing Health Care Law Act (Entire bill, high cost plan tax, employer provisions) HR 397 - Reform Americans Can Afford Act of 2011 (high cost plan tax, employer provisions) S. 192 - Repealing the Job-Killing Health Care Law Act (Sec. 1-3, high cost plan tax, employer provisions) HR 605 - Patients' Freedom to Choose Act (Sec. 1-3, repeal restrictions on Health Savings Accounts, Medicare Set Asides and Health Flexible Spending Arrangements enacted in Affordable Care Act) HR 1050 - Small Business Health Fairness Act of 2011 (Sec. 1-6, creating association health plans) HR 1173 - Fiscal Responsibility and Retirement Security Act of 2011 (Sec. 1-2, repeal Community Living Assistance Services and Supports Act, CLASS Act) HR 560 - Rural Representation and Transparency Improvement Act (Sec. 1-3, ensuring adequate rural representation on Medicare Payment Advisory Commission, MEDPAC) S. 248 - Empowering States to Innovate Act (to prevent Employee Retirement Income Security Act (ERISA) from being waived) S. 73 - State Leadership in Health Care Act (to prevent Employee Retirement Income Security Act (ERISA) from being waived) H.R. 439 - State Leadership in Health Care Act (to prevent Employee Retirement Income Security Act (ERISA) from being waived) S. 244 - State Health Care Choice Act (to prevent Employee Retirement Income Security Act (ERISA) from being waived)

Client expense: $799,000 · Firm income: Not reported

Patient Protection and Affordable Care Act 1099 Repeal (H.R.4) State Leadership in Health Care Act (H.R.439) Empowering States to Innovate Act (S.248)

Client expense: $1,940,000 · Firm income: Not reported

Government targets: Air Force, Dept of, Army, Dept of (Other), Centers For Medicare and Medicaid Services (CMS), 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 Reserve System, General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Highway Traffic Safety Administration (NHTSA), Navy, Dept of, Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act H.R.451, Healthcare Truth and Transparency Act of 2011 H.R.751, Mental Health in Schools Act of 2011 H.R. 831/S 483, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program S.483, Medicare Mental Health Access Act S.37, Autonomy for Psychologists and Social Workers Act of 2011 S.40, Graduate Psychology Education Act of 2011 S.43, Psychologists in the Service of the Public Act of 2011 S.539, Behavioral Health Information Technology Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S. 525, Positive Aging Act of 2011 S 650/HR 1184, Health Care Waiver Transparency Act S. 374, Medicare Mental Health Inpatient Equity Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 1830 Servicemembers' Telemedicine and E-Health Portability Act of 2011 H Res 92, Providing for consideration of the bill (H.R. 1) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes, and waiving a requirement of clause 6(a) of rule XIII with respect to consideration of certain resolutions reported from the Committee on Rules. HR 1473, Department of Defense and Full-Year Continuing Appropriations Act, 2011 H Res 218, Providing for consideration of the bill (H.R. 1473) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes HR 1, Full-Year Continuing Appropriations Act, 2011 Screening for Depression in Adults, National Coverage Analysis (CAG-00425N). (4/1/11) Medicare Program; Proposed Changes to the Electronic Prescribing (eRx) Incentive ProgramCMS-2011-0108-0001 Medicare Program: Conditions of Participation for Community Mental Health Centers CMS-2011-0123-0001 Medicare and Medicaid Programs: Opportunities for Alignment under Medicaid and Medicare CMS-2011-0080-0002 HIPAA Privacy Rule Accounting of Disclosures under the Health Information Technology for Economic and Clinical Health Act HHS-OCR-2011-0011-0001

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act HR 896, Medical Justice Act of 2011 HR 1256, Medicare Physician Payment Transparency and Assessment Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S 650/HR 1184, Health Care Waiver Transparency Act S 374, Medicare Mental Health Inpatient Equity Act S 539, Behavioral Health Information Technology Act of 2011

Client expense: $190,234 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, SENATE

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act H.R.451, Healthcare Truth and Transparency Act of 2011 H.R.751, Mental Health in Schools Act of 2011 H.R. 831/S 483, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program S.483, Medicare Mental Health Access Act S.37, Autonomy for Psychologists and Social Workers Act of 2011 S.40, Graduate Psychology Education Act of 2011 S.43, Psychologists in the Service of the Public Act of 2011 S.539, Behavioral Health Information Technology Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S. 525, Positive Aging Act of 2011 S 650/HR 1184, Health Care Waiver Transparency Act S. 374, Medicare Mental Health Inpatient Equity Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H Res 92, Providing for consideration of the bill (H.R. 1) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes, and waiving a requirement of clause 6(a) of rule XIII with respect to consideration of certain resolutions reported from the Committee on Rules. HR 1473, Department of Defense and Full-Year Continuing Appropriations Act, 2011 H Res 218, Providing for consideration of the bill (H.R. 1473) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes HR 1, Full-Year Continuing Appropriations Act, 2011 Meaningful Use Workgroup Request for Comments Regarding Meaningful Use Stage 2 (1/12/11) Screening for Depression in Adults, National Coverage Analysis (CAG-00425N). (4/ 1/11)

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act HR 896, Medical Justice Act of 2011 HR 1256, Medicare Physician Payment Transparency and Assessment Act of 2011 S 248 / HR 844, Empowering States to Innovate Act S 650/HR 1184, Health Care Waiver Transparency Act S 374, Medicare Mental Health Inpatient Equity Act S 539, Behavioral Health Information Technology Act of 2011

Client expense: $130,169 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, SENATE

S 248 Empowering States to Innovate Act, as it relates to state waivers for health care coverage. S 73 State Leadership in Health Care Act, as it relates to state waivers for health care coverage. HR 439 State Leadership in Health Care Act, as it relates to state waivers for health care coverage. S 244 State Health Care Choice Act, as it relates to state waivers for health care coverage. HR 5 Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011, as it relates to reducing medical liability and capping noneconomic damages and restricting punitive damages

Client expense: $6,840,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Natl Economic Council (NEC), Natl Telecommunications & Information Administration (NTIA), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR)

Patient Protection and Affordable Care Act 1099 Repeal (H.R.4) State Leadership in Health Care Act (H.R.439); Empowering States to Innovate Act (S.248)

Client expense: $3,580,000 · Firm income: Not reported

Government targets: Air Force, Dept of, Army, Dept of (Other), Centers For Medicare and Medicaid Services (CMS), 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), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Highway Traffic Safety Administration (NHTSA), Navy, Dept of, Office of Science & Technology Policy (OSTP), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

H.R. 2 - Repealing the Job-Killing Health Care Law Act (Entire bill, high cost plan tax, employer provisions) HR 397 - Reform Americans Can Afford Act of 2011 (high cost plan tax, employer provisions) S. 192 - Repealing the Job-Killing Health Care Law Act (Entire Bill, Sec. 1-3, high cost plan tax, employer provisions) HR 605 - Patients' Freedom to Choose Act (Entire Bill, Sec. 1-3, repeal restrictions on Health Savings Accounts, Medicare Set Asides and Health Flexible Spending Arrangements enacted in Affordable Care Act) HR 1050 - Small Business Health Fairness Act of 2011 (Entire Bill, Sec. 1-6, creating association health plans) HR 1173 - Fiscal Responsibility and Retirement Security Act of 2011 (Entire Bill, Sec. 1-2, repeal Community Living Assistance Services and Supports Act, CLASS Act) HR 560 - Rural Representation and Transparency Improvement Act (Entire Bill, Sec. 1-3, ensuring adequate rural representation on Medicare Payment Advisory Commission, MEDPAC) S. 248 - Empowering States to Innovate Act (Entire bill, to prevent Employee Retirement Income Security Act (ERISA) from being waived) S. 73 - State Leadership in Health Care Act (Entire bill, to prevent Employee Retirement Income Security Act (ERISA) from being waived) H.R. 439 - State Leadership in Health Care Act (Entire bill, to prevent Employee Retirement Income Security Act (ERISA) from being waived) S. 244 - State Health Care Choice Act (Entire bill, to prevent Employee Retirement Income Security Act (ERISA) from being waived)

Client expense: $757,000 · Firm income: Not reported

S. 493, SBIR/STTR Reauthorization HR. 4, Repeal of 1099 Reporting Requirement HR. 439, The Business Activity Tax Simplification Act of 2011 Taxation of government procurement Small business expensing Bonus depreciation Business activity tax Research and development tax credits

Client expense: $110,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Office of Science & Technology Policy (OSTP), SENATE, Small Business Administration (SBA), Treasury, Dept of, U.S. Trade Representative (USTR)